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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

99100385

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of Marie BernadetteLeBlanc Sex Female

Date of Birth October 30, 1920 Place of Birth Margaree ForksCounty of Inverness

Name of Father Simon LeBlanc MAIDEN NAME of Mother Leda Deveau

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

Residence of Father when child was born Margaree Forks Present address of Father

Occupation of Father at Birth of child Place of birth of Father Margaree Forks

Race Name and present address of Physician in attendance at birth

Signature of Applicant Marie Bernadette LeBlanc Address of Applicant Margaree Forks Date January 24, 1990

Relationship of Applicant to child self

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of Marie BernadetteLeBlanc

Born at Margaree Forks in the County of Inverness

That Marie BernadetteLeBlanc Whose Birth is sought to be registered was

born at Margaree Forks Inverness County on October 30, 1920

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

I am her sister and I was 13 years old when Marie Bernadette was born. I was also her bridesmaid when she got married. Baptismal. School. Marriage Extract. Please note Marriage for Mother's surname. - Emma Roach

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