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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

99000527

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of FrancisLibbus Sex Male

Date of Birth November 15, 1923 Place of Birth SydneyCounty of Cape Breton

Name of Father Isaac Libbus MAIDEN NAME of Mother Annie Ferris

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

Residence of Father when child was born Townsend St. Sydney Present address of Father deceased

Occupation of Father at Birth of child Clerk Place of birth of Father Lebenon

Race Name and present address of Physician in attendance at birth

Signature of Applicant Francis Libbus Address of Applicant 689 George St. Date June 17, 1975

Relationship of Applicant to child Same person

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of FrancisLibbus

Born at Sydney in the County of Cape Breton

That FrancisLibbus Whose Birth is sought to be registered was

born at Sydney Cape Breton County on November 15, 1923

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

I was the God Mother of Francis Libbus and I was with his Mother at the time of his birth and baptism

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