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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

64500013

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of Norma JeanLeBlanc Sex Female

Date of Birth October 15, 1919 Place of Birth AmherstCounty of Cumberland

Name of Father Angus M LeBlanc MAIDEN NAME of Mother Bella Sonier

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

Residence of Father when child was born Amherst Present address of Father 7 Wellington Ave.

Occupation of Father at Birth of child Stone mason Place of birth of Father Painser, Scotland

Race Name and present address of Physician in attendance at birth Dr. Boudreau

Signature of Applicant Angus M. LeBlanc Address of Applicant 7 Wellington Ave. Date 09 January 1920

Relationship of Applicant to child father

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of Norma JeanLeBlanc

Born at Amherst in the County of Cumberland

That Norma JeanLeBlanc Whose Birth is sought to be registered was

born at Amherst Cumberland County on October 15, 1919

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

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