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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

99000495

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

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

Date of Birth July 5, 1922 Place of Birth AmherstCounty of Cumberland

Name of Father Albert LeBlanc MAIDEN NAME of Mother Bertha Cormier

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

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

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

Race Name and present address of Physician in attendance at birth

Signature of Applicant Pearl (LeBlanc) Walthers Address of Applicant 1125 Grand Canyon Blvd., Reno, Nevada, USA Date October 1973

Relationship of Applicant to child Self

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of Mary Pearl NoraLeBlanc

Born at Amherst in the County of Cumberland

That Mary Pearl NoraLeBlanc Whose Birth is sought to be registered was

born at Amherst Cumberland County on July 5, 1922

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

A baptismal certificate and brothers and sisters.

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