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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

41200334

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of Cochrane Sex Male

Date of Birth November 30, 1919 Place of Birth HalifaxCounty of Halifax

Name of Father John Edward Cochrane MAIDEN NAME of Mother Blanche Agnus Brunt

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

Residence of Father when child was born Halifax Present address of Father 15 Harris St.

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

Race Name and present address of Physician in attendance at birth Mrs. Nora Kelly

Signature of Applicant Blanche Agnes Cochrane Address of Applicant 15 Harris St. Date 07 December 1919

Relationship of Applicant to child mother

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of Cochrane

Born at Halifax in the County of Halifax

That Cochrane Whose Birth is sought to be registered was

born at Halifax Halifax County on November 30, 1919

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

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