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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

99000708

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

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

Date of Birth October 4, 1920 Place of Birth AmherstCounty of Cumberland

Name of Father William Newcombe MAIDEN NAME of Mother Florence  Woods

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

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

Occupation of Father at Birth of child Dredging Engineer Place of birth of Father Merritton, Ontario

Race White Name and present address of Physician in attendance at birth not known

Signature of Applicant Joseph William Newcombe Address of Applicant London, England Date June 17, 1974

Relationship of Applicant to child self

AFFIDAVIT

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

Born at Amherst in the County of Cumberland

That Joseph WilliamNewcombe Whose Birth is sought to be registered was

born at Amherst Cumberland County on October 4, 1920

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

Date of birth given to me verbally by my parents

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