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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

99000940

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of MatildaLeBlanc Sex Female

Date of Birth September 28, 1924 Place of Birth MargareeCounty of Inverness

Name of Father John Charles LeBlanc MAIDEN NAME of Mother Matilda Chiasson

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

Residence of Father when child was born Margaree Present address of Father deceased

Occupation of Father at Birth of child Farmer Place of birth of Father Margaree

Race Name and present address of Physician in attendance at birth

Signature of Applicant Matilda LeBlanc Address of Applicant 86 Harold St. Sydney Date April 7, 1989

Relationship of Applicant to child self

AFFIDAVIT

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

Born at Margaree in the County of Inverness

That MatildaLeBlanc Whose Birth is sought to be registered was

born at Margaree Inverness County on September 28, 1924

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

Birth and Baptism Certificate Sign by priest in attendance

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