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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

99000855

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of Genesta AnneLeBlanc Sex Female

Date of Birth July 7, 1923 Place of Birth WedgeportCounty of Yarmouth

Name of Father John Alphee Leblanc MAIDEN NAME of Mother Ambroisine Pothier

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

Residence of Father when child was born Wedgeport Yarmouth Co. Ns Present address of Father Wedgeport, Yarmouth Co., NS

Occupation of Father at Birth of child Switchboard Operator Place of birth of Father Wedgeport, Yarmouth Co., NS

Race Name and present address of Physician in attendance at birth

Signature of Applicant Genesta Anne Leblanc Wallace Address of Applicant Wedgeport, Yarmouth Co., NS Date 22 April 1983

Relationship of Applicant to child Personal

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of Genesta AnneLeBlanc

Born at Wedgeport in the County of Yarmouth

That Genesta AnneLeBlanc Whose Birth is sought to be registered was

born at Wedgeport Yarmouth County on July 7, 1923

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

Baptism record & marriage license

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