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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

99100123

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of Mary AnitaLeBlanc Sex Female

Date of Birth April 10, 1921 Place of Birth YarmouthCounty of Yarmouth

Name of Father Albert LeBlanc MAIDEN NAME of Mother Odelia Saulnier

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

Residence of Father when child was born Yarmouth Present address of Father deceased

Occupation of Father at Birth of child Place of birth of Father Yarmouth

Race Name and present address of Physician in attendance at birth

Signature of Applicant D.M. Deveau Address of Applicant 236 Smokey Dr. Lower Sackville Date September 19, 1985

Relationship of Applicant to child Son

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of Mary AnitaLeBlanc

Born at Yarmouth in the County of Yarmouth

That Mary AnitaLeBlanc Whose Birth is sought to be registered was

born at Yarmouth Yarmouth County on April 10, 1921

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

Baptism

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