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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

99000920

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of Michael PaulLeBlanc Sex Male

Date of Birth October 12, 1922 Place of Birth Mill CreekCounty of Cape Breton

Name of Father John LeBlanc MAIDEN NAME of Mother  McMullin

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

Residence of Father when child was born Mill Creek, Cape Breton Present address of Father Deceased

Occupation of Father at Birth of child Miner Place of birth of Father Mill Creek, Cape Breton

Race Name and present address of Physician in attendance at birth

Signature of Applicant Michael Paul LeBlanc Address of Applicant 17 Patricia Street, Thorold, Ontario Date 9 September 1982

Relationship of Applicant to child I am the child

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of Michael PaulLeBlanc

Born at Mill Creek in the County of Cape Breton

That Michael PaulLeBlanc Whose Birth is sought to be registered was

born at Mill Creek Cape Breton County on October 12, 1922

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

My mother and grandmother told me I was born on October 12, 1922. That was the birth date I was given when I started school and when I entered the Army.

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