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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

99000600

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of Grace LillianCooper Sex Female

Date of Birth April 19, 1920 Place of Birth HalifaxCounty of Halifax

Name of Father Ernest Cooper MAIDEN NAME of Mother Helen Fletcher

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

Residence of Father when child was born Merkel Street, Halifax Present address of Father deceased

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

Race Irish, Scottish Name and present address of Physician in attendance at birth -

Signature of Applicant Mrs. Grace Baker Address of Applicant 14 Crichton Park Road, Dartmouth Date 21 July 1972

Relationship of Applicant to child Self

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of Grace LillianCooper

Born at Halifax in the County of Halifax

That Grace LillianCooper Whose Birth is sought to be registered was

born at Halifax Halifax County on April 19, 1920

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

Census record, National registration, school record.

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