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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

99000487

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

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

Date of Birth October 5, 1922 Place of Birth Reserve MinesCounty of Cape Breton

Name of Father John LeLievre MAIDEN NAME of Mother Olive LeFort

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

Residence of Father when child was born 32 Reserve Mines, Cape Breton Present address of Father Deceased

Occupation of Father at Birth of child Coal Miner Place of birth of Father Cheticamp, Inverness

Race Name and present address of Physician in attendance at birth

Signature of Applicant Joseph Mark LeLievre Address of Applicant Box 2, Reserve Mines, Cape Breton Date 23 August 1973

Relationship of Applicant to child Self

AFFIDAVIT

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

Born at Reserve Mines in the County of Cape Breton

That Joseph MarkLeLievre Whose Birth is sought to be registered was

born at Reserve Mines Cape Breton County on October 5, 1922

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

Certificate of birth and baptism.

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