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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

99000463

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of Wilbert MurrayNewcombe Sex Male

Date of Birth August 19, 1920 Place of Birth BlomidonCounty of Kings

Name of Father Wilbert Perry Wheaton MAIDEN NAME of Mother Eva Blanche Newcombe

Were the Parents married at the time of the Birth? No

Residence of Father when child was born Blomidon Present address of Father

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

Race Anglo-saxon Name and present address of Physician in attendance at birth

Signature of Applicant Mrs. Eva B. Hiltz Address of Applicant Avonport Date January 11, 1968

Relationship of Applicant to child mother

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of Wilbert MurrayNewcombe

Born at Blomidon in the County of Kings

That Wilbert MurrayNewcombe Whose Birth is sought to be registered was

born at Blomidon Kings County on August 19, 1920

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

From my personal memory of the event and from records I made a few weeks after his birth.

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