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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

99000498

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of Doris MarieLeBlanc Sex Female

Date of Birth November 27, 1922 Place of Birth AmherstCounty of Cumberland

Name of Father   MAIDEN NAME of Mother Eva LeBlanc

Were the Parents married at the time of the Birth? No

Residence of Father when child was born Present address of Father

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 Doris Marie Ferguson Address of Applicant 9 Highfield Street, Amherst, Cumberland Date December 1973

Relationship of Applicant to child Self

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of Doris MarieLeBlanc

Born at Amherst in the County of Cumberland

That Doris MarieLeBlanc Whose Birth is sought to be registered was

born at Amherst Cumberland County on November 27, 1922

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

I was brought up by Regina Guthro of Amherst and she and I celebrated my birthday on 27th November in each year and she told me the year of my birth and that I was born at Amherst, Cumberland, and also is based upon my certificate of Baptism.

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