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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

91700483

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of Ruby MaryCochrane Sex Female

Date of Birth April 4, 1921 Place of Birth RockinghamCounty of Halifax

Name of Father   MAIDEN NAME of Mother Mary Cochrane

Residence of Father when child was born Present address of Father

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

Race Name and present address of Physician in attendance at birth

Signature of Applicant Bert Allan Laushway Address of Applicant 38 Inglis Street, Halifax, NS Date 20 May 1943

Relationship of Applicant to child Husband

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of Ruby MaryCochrane

Born at Rockingham in the County of Halifax

That Ruby MaryCochrane Whose Birth is sought to be registered was

born at Rockingham Halifax County on April 4, 1921

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

Certificate of Baptism according to the rite of the Roman Catholic Church herewith attached. Also Information from one charles A. Cochrane, now deceased Grandfather of the child. Prior to his death, he conveyed to me the full information.

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