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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

91703496

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of Ada MarieCooke Sex Female

Date of Birth August 22, 1920 Place of Birth AmherstCounty of Cumberland

Name of Father Sydney Cooke MAIDEN NAME of Mother Amanda Redmond

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

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

Occupation of Father at Birth of child Carpenter Place of birth of Father Amherst, Cumberland Co.

Race British Name and present address of Physician in attendance at birth Dr. Boudreau

Signature of Applicant Amanda Cooke Address of Applicant Amherst, Cumberland Co. Date 31 Maarch 1943

Relationship of Applicant to child Mother

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of Ada MarieCooke

Born at Amherst in the County of Cumberland

That Ada MarieCooke Whose Birth is sought to be registered was

born at Amherst Cumberland County on August 22, 1920

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

Being her mother, I have always kept in mind the date of birth

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