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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

41200240

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of Marion IrineCooper Sex Female

Date of Birth November 13, 1919 Place of Birth HalifaxCounty of Halifax

Name of Father Frederick Roy Cooper MAIDEN NAME of Mother Florence May Richardson

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

Residence of Father when child was born Halifax Present address of Father 45 Bloomfield St.

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

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

Signature of Applicant Frederick Roy Cooper Address of Applicant 125 Windsor St. Date 18 November 1919

Relationship of Applicant to child father

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of Marion IrineCooper

Born at Halifax in the County of Halifax

That Marion IrineCooper Whose Birth is sought to be registered was

born at Halifax Halifax County on November 13, 1919

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

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