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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

99000100

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of Thomas JosephLeBlanc Sex Male

Date of Birth November 24, 1923 Place of Birth AmherstCounty of Cumberland

Name of Father William Francis Leblanc MAIDEN NAME of Mother Anna Boudreau

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

Residence of Father when child was born Crescent Avenue Amherst Cumberland Co. Ns Present address of Father 340 Almon Street, Halifax, NS

Occupation of Father at Birth of child Mill Hand, Rhodes Curry Ltd. Place of birth of Father Amherst, Cumberland Co., NS

Race Name and present address of Physician in attendance at birth

Signature of Applicant Thomas J. Leblanc Address of Applicant St. Thomas Aquinas Rectory, Halifax, NS Date 30 August 1949

Relationship of Applicant to child Self

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of Thomas JosephLeBlanc

Born at Amherst in the County of Cumberland

That Thomas JosephLeBlanc Whose Birth is sought to be registered was

born at Amherst Cumberland County on November 24, 1923

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

Certificate of birth and baptism from records of St. Charles Church, Amherst (attached)

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