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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

66700161

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of John JosephLeBlanc Sex Male

Date of Birth December 13, 1919 Place of Birth New WaterfordCounty of Cape Breton

Name of Father Peter LeBlanc MAIDEN NAME of Mother Lucy LeForte

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

Residence of Father when child was born New Waterford Present address of Father

Occupation of Father at Birth of child Section man in railway Place of birth of Father Nova Scotia

Race Name and present address of Physician in attendance at birth Dr. A.W. Miller

Signature of Applicant Peter LeBlanc Address of Applicant New Waterford Date 30 December 1919

Relationship of Applicant to child father

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of John JosephLeBlanc

Born at New Waterford in the County of Cape Breton

That John JosephLeBlanc Whose Birth is sought to be registered was

born at New Waterford Cape Breton County on December 13, 1919

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

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