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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

99010181

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of Clifton AnthonyLeBlanc Sex Male

Date of Birth April 1, 1921 Place of Birth Alder PointCounty of Cape Breton

Name of Father Pascal LeBlanc MAIDEN NAME of Mother Margaret McGrath

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

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

Occupation of Father at Birth of child Fisherman Place of birth of Father Alder Point

Race White Name and present address of Physician in attendance at birth Dr. A.C. Gouthro

Signature of Applicant Margaret LeBlanc Address of Applicant Alder Point Date January 20, 1954

Relationship of Applicant to child Mother

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of Clifton AnthonyLeBlanc

Born at Alder Point in the County of Cape Breton

That Clifton AnthonyLeBlanc Whose Birth is sought to be registered was

born at Alder Point Cape Breton County on April 1, 1921

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

I am the mother of Clifton Anthony LeBlanc and I have the date of his Birth marked down on the Family Record Book (and Baptism Certificate)

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