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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

66700178

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of Francis LorainLeBlanc Sex Female

Date of Birth December 5, 1919 Place of Birth Alder PointCounty of Cape Breton

Name of Father Stephen Edward LeBlanc MAIDEN NAME of Mother Elisabeth Cyclia Paquet

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

Residence of Father when child was born Alder Point Present address of Father

Occupation of Father at Birth of child Mine worker Place of birth of Father Richmond County

Race Name and present address of Physician in attendance at birth Mrs. A. Walker

Signature of Applicant Stephan Edward LeBlanc Address of Applicant Alder Point Date 09 December 1919

Relationship of Applicant to child father

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of Francis LorainLeBlanc

Born at Alder Point in the County of Cape Breton

That Francis LorainLeBlanc Whose Birth is sought to be registered was

born at Alder Point Cape Breton County on December 5, 1919

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

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