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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

99000545

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

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

Date of Birth March 10, 1924 Place of Birth AmherstCounty of Cumberland

Name of Father Denis LeBlanc MAIDEN NAME of Mother Susanne Cormier

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

Residence of Father when child was born Amherst, Cumberland Co., NS Present address of Father Deceased

Occupation of Father at Birth of child Laboureer Place of birth of Father Shediac (Cape Hall), New Brunswick

Race Name and present address of Physician in attendance at birth

Signature of Applicant Rudolph LeBlanc Address of Applicant 7 Lansdowne Avenue, Amherst, Cumberland Co., NS Date 12 July 1977

Relationship of Applicant to child Self

AFFIDAVIT

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

Born at Amherst in the County of Cumberland

That Joseph RudolpheLeBlanc Whose Birth is sought to be registered was

born at Amherst Cumberland County on March 10, 1924

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

Baptismal

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