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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

99100144

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of Joseph GustaveLeBlanc Sex Male

Date of Birth June 24, 1921 Place of Birth Weaver SettlementCounty of Digby

Name of Father Amos LeBlanc MAIDEN NAME of Mother Cecilia Dugas

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

Residence of Father when child was born Weaver Settlement Present address of Father deceased

Occupation of Father at Birth of child Sawmill Worker Place of birth of Father Weaver Settlement

Race Name and present address of Physician in attendance at birth

Signature of Applicant Gustave LeBlanc Address of Applicant Weymouth RR2 Box 4 Date December 31, 1985

Relationship of Applicant to child Same Person

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of Joseph GustaveLeBlanc

Born at Weaver Settlement in the County of Digby

That Joseph GustaveLeBlanc Whose Birth is sought to be registered was

born at Weaver Settlement Digby County on June 24, 1921

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

The said Joseph Gustave LeBlanc is my husband and I have assisted him in obtaining documentary proof of his birth (attached as Exhibit "A" to this affidavit) and I have known him all my life.

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