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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

91500475

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

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

Date of Birth November 6, 1923 Place of Birth Glace BayCounty of Cape Breton

Name of Father Paul LeBlanc MAIDEN NAME of Mother Mary Alice Odo

Residence of Father when child was born McKay's Corner, Glace Bay, Cape Breton Co., NS Present address of Father Glace Bay, Cape Breton Co., NS

Occupation of Father at Birth of child Coal Miner Place of birth of Father Cheticamp, Inverness Co., NS

Race Name and present address of Physician in attendance at birth

Signature of Applicant Paul LeBlanc Address of Applicant McKay's Corner, Glace Bay, Cape Breton Co., NS Date 13 July 1939

Relationship of Applicant to child Father

AFFIDAVIT

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

Born at Glace Bay in the County of Cape Breton

That Mary EvangelineLeBlanc Whose Birth is sought to be registered was

born at Glace Bay Cape Breton County on November 6, 1923

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

I am the father of the child

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