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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

66700563

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of Doris TheresaLeBlanc Sex Female

Date of Birth October 22, 1919 Place of Birth New VictoriaCounty of Cape Breton

Name of Father Gustave Gordon LeBlanc MAIDEN NAME of Mother Lottie Blanche McGilhgay

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

Residence of Father when child was born New Victoria Mines Present address of Father

Occupation of Father at Birth of child Stationary engineer Place of birth of Father Arichat

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

Signature of Applicant Gustave Gordon LeBlanc Address of Applicant New Victoria Mines Date 13 November 1919

Relationship of Applicant to child father

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of Doris TheresaLeBlanc

Born at New Victoria in the County of Cape Breton

That Doris TheresaLeBlanc Whose Birth is sought to be registered was

born at New Victoria Cape Breton County on October 22, 1919

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

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