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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

99100132

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

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

Date of Birth October 17, 1922 Place of Birth Alder PointCounty of Cape Breton

Name of Father Pascal LeBlanc MAIDEN NAME of Mother Margaret McGrath

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

Residence of Father when child was born Alder Point, Cape Breton Present address of Father

Occupation of Father at Birth of child Place of birth of Father Alder Point, Cape Breton

Race Name and present address of Physician in attendance at birth

Signature of Applicant Mary Mildred Dooley Address of Applicant 18 Mabou Avenue, Halifax Date 29 June 1992

Relationship of Applicant to child Self

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of Mary MildredLeBlanc

Born at Alder Point in the County of Cape Breton

That Mary MildredLeBlanc Whose Birth is sought to be registered was

born at Alder Point Cape Breton County on October 17, 1922

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

Baptism, Marriage extract

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