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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

99000122

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of Aurelle JosephLeBlanc Sex Male

Date of Birth May 31, 1922 Place of Birth AmherstCounty of Cumberland

Name of Father Jude J. LeBlanc MAIDEN NAME of Mother Emma LeBlanc

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

Residence of Father when child was born Amherst, Cumberland Present address of Father Deceased

Occupation of Father at Birth of child Carpenter Place of birth of Father Memramcook, New Brunswick

Race Name and present address of Physician in attendance at birth

Signature of Applicant Aurelle J. LeBlanc Address of Applicant 185 Windsor Street, Halifax Date 15 August 1951

Relationship of Applicant to child Self

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of Aurelle JosephLeBlanc

Born at Amherst in the County of Cumberland

That Aurelle JosephLeBlanc Whose Birth is sought to be registered was

born at Amherst Cumberland County on May 31, 1922

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

Baptismal Ceremony (certificate from Church records attached)

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