Nova Scotia Archives
Nova Scotia Births, Marriages, and Deaths
Simon Baker Cook birth Sherbrooke, Guysborough County on October 9, 1921
Male Birth Registration: Year: 1921 number: 63300802
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Registered No. 63300802
PROVINCE OF NOVA SCOTIA
CERTIFICATE OF REGISTRATION OF BIRTH
1. PLACE OF BIRTH
County of Guysborough
City, Town or Village Sherbrooke
2. FULL NAME OF CHILD Cook, Simon Baker
3. Sex of child
Male
4. Twin, triplet or other?
5. Was the child born alive?
Yes
6. Legitimate?
Yes
7. Date of Birth
October 9, 1921
FATHER
8. Full Name Walter A Cook
9. Residence Sherbooke
10. Racial Origin Scottish | 11. Age at last birthday 30
12. Birthplace Cape Breton
13. Occupation: —
(a) Trade or profession Labour
(b) Business in which employed
MOTHER
14. Full Maiden Name Bertha Cecelia Baker
15. Residence Sherbrooke
16. Racial Origin English | 17. Age at last birthday 31
18. Birthplace Liscomb
19. Number of children of this mother (including this child)
Living 5 Dead 2 Stillborn
20. Occupation, if other than household duties
21. Name and Post Office address of Informant Mrs Walter Cook Sherbooke, Ns
22. Name of Doctor, nurse or other person in attendance at birth P A Kierwan, M.D.
I certify the foregoing to be true and correct to the best of my knowledge and belief.
Given under my hand this 8 November 1921
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