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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

99000355

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of Aileen RoseannLeBlanc Sex Female

Date of Birth June 15, 1923 Place of Birth SouthvilleCounty of Digby

Name of Father Raymond Leblanc MAIDEN NAME of Mother Cedelia Jane McCully MacAulay

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

Residence of Father when child was born Southville Digby Co. Ns Present address of Father Deceased

Occupation of Father at Birth of child Retired due to sickness Place of birth of Father Deceased

Race Name and present address of Physician in attendance at birth

Signature of Applicant Aileen Veinot Address of Applicant Villa St. Joseph, Weymouth, Digby Co., NS Date April 1969

Relationship of Applicant to child Self

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of Aileen RoseannLeBlanc

Born at Southville in the County of Digby

That Aileen RoseannLeBlanc Whose Birth is sought to be registered was

born at Southville Digby County on June 15, 1923

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

Sworn statement by applicant. Also by personal acquaintance of family.

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