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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

99000640

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of Vivian RhodaLeBlanc Sex Female

Date of Birth February 27, 1920 Place of Birth WedgeportCounty of Yarmouth

Name of Father Ligouri  LeBlanc MAIDEN NAME of Mother Lena Pothier

Were the Parents married at the time of the Birth? Yes

Residence of Father when child was born Wedgeport Present address of Father Yarmouth

Occupation of Father at Birth of child Fisherman Place of birth of Father Wedgeport

Race French Name and present address of Physician in attendance at birth Dr. Willard O'Brien, Wedgeport

Signature of Applicant Vivian R. LeBlanc Address of Applicant Montreal Date July 20, 1973

Relationship of Applicant to child self

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of Vivian RhodaLeBlanc

Born at Wedgeport in the County of Yarmouth

That Vivian RhodaLeBlanc Whose Birth is sought to be registered was

born at Wedgeport Yarmouth County on February 27, 1920

My knowledge of the fact and date of such Birth is based on the following Circumstances:

Certificate of Birth and Baptism of Vivian Rhoda LeBlanc dated the 30th day of August, 1933 signed by Father H.D. Charette for J.M. Doucet and attached hereto.

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