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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

99000721

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of Marie Elizabeth AgatheBriand Sex Female

Date of Birth November 24, 1922 Place of Birth Cape AugetCounty of Richmond

Name of Father Alphonse Briand MAIDEN NAME of Mother Eva LeBlanc

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

Residence of Father when child was born Cape Auget, Richmond Present address of Father Deceased

Occupation of Father at Birth of child Fisherman Place of birth of Father Cape Auget, Richmond

Race Name and present address of Physician in attendance at birth

Signature of Applicant Marie Elizabeth Agathe LeBlanc Address of Applicant Box 235, Arichat, Richmond Date 26 January 1979

Relationship of Applicant to child Self

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of Marie Elizabeth AgatheBriand

Born at Cape Auget in the County of Richmond

That Marie Elizabeth AgatheBriand Whose Birth is sought to be registered was

born at Cape Auget Richmond County on November 24, 1922

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

1. I am the mother of the applicant, Marie Elizabeth Agathe LeBlanc. 2. I have examined a copy of the Church records and I find them in order. A copy of the certificate of baptism is attached and it has not been altered in any way.

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