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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

99000799

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of Mary Iris AdrinneaNewcombe Sex Female

Date of Birth April 26, 1922 Place of Birth Murphy CoveCounty of Halifax

Name of Father John Oscar Newcombe MAIDEN NAME of Mother Amy Beatrice Horton

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

Residence of Father when child was born Murphy Cove Present address of Father Deceased

Occupation of Father at Birth of child Cook Place of birth of Father Murphy Cove

Race Name and present address of Physician in attendance at birth

Signature of Applicant Adrinnea Eisan Address of Applicant Upper Stewiacke Date February 29, 1980

Relationship of Applicant to child Self

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of Mary Iris AdrinneaNewcombe

Born at Murphy Cove in the County of Halifax

That Mary Iris AdrinneaNewcombe Whose Birth is sought to be registered was

born at Murphy Cove Halifax County on April 26, 1922

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

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