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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

90500344

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of Ellinor ScottCooke Sex Female

Date of Birth March 4, 1921 Place of Birth New GlasgowCounty of Pictou

Name of Father Thurston Scott Cooke MAIDEN NAME of Mother Harriett May Mason

Residence of Father when child was born New Glasgow Present address of Father New Glasgow

Occupation of Father at Birth of child Transfer Business Place of birth of Father New Glasgow

Race Name and present address of Physician in attendance at birth

Signature of Applicant Harriett May Cooke Address of Applicant 236 Mt. Rd. New Glasgow Date 30 April 1940

Relationship of Applicant to child Mother

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of Ellinor ScottCooke

Born at New Glasgow in the County of Pictou

That Ellinor ScottCooke Whose Birth is sought to be registered was

born at New Glasgow Pictou County on March 4, 1921

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

Mother of Ellinor Scott Cooke

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