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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

99000232

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of Joseph EdgarLeBlanc Sex Male

Date of Birth September 1, 1924 Place of Birth YarmouthCounty of Yarmouth

Name of Father Albert LeBlanc MAIDEN NAME of Mother Odelle Saulnier

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

Residence of Father when child was born Yarmouth, NS Present address of Father Yarmouth, NS

Occupation of Father at Birth of child Millhand Place of birth of Father Abram's River, Yarmouth Co., NS

Race Name and present address of Physician in attendance at birth

Signature of Applicant Edgar Joseph LeBlanc Address of Applicant 37 Chestnut Street, Yarmouth, NS Date 6 September 1960

Relationship of Applicant to child Self

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of Joseph EdgarLeBlanc

Born at Yarmouth in the County of Yarmouth

That Joseph EdgarLeBlanc Whose Birth is sought to be registered was

born at Yarmouth Yarmouth County on September 1, 1924

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

I am the mother of the said Applicant Church Record

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