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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

99000240

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of Stanley LambertCooke Sex Male

Date of Birth June 24, 1920 Place of Birth SambroCounty of Halifax

Name of Father John Stephen Cooke MAIDEN NAME of Mother Letitia May Oak

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

Residence of Father when child was born Sambro, Halifax Co. Present address of Father 48 Livingstone Street, Halifax

Occupation of Father at Birth of child Fisherman Place of birth of Father Sambro, Halifax Co.

Race White Name and present address of Physician in attendance at birth Midwife Mrs. Kirk, Pennant, Halifax Co.

Signature of Applicant Doris P. Bryson Address of Applicant 7 Edinburgh Street, Halifax Date 7 December 1955

Relationship of Applicant to child Sister

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of Stanley LambertCooke

Born at Sambro in the County of Halifax

That Stanley LambertCooke Whose Birth is sought to be registered was

born at Sambro Halifax County on June 24, 1920

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

Obtained Baptism certificate from records of Church at Sambro. Also taken from data listed in family bible.

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