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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

91900612

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of Freda GeorginaCook Sex Female

Date of Birth December 17, 1921 Place of Birth HillgroveCounty of Digby

Name of Father Clarence A. Cook MAIDEN NAME of Mother Annie Elizabeth Young

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

Residence of Father when child was born Hillgrove, Digby Co., NS Present address of Father Cambridge Station, Kings Co., NS

Occupation of Father at Birth of child Farmer Place of birth of Father North Range, Digby Co., NS

Race Name and present address of Physician in attendance at birth

Signature of Applicant Annie Elizabeth Cook Address of Applicant Cambridge Station, Kings Co., NS Date 11 August 1945

Relationship of Applicant to child Mother

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of Freda GeorginaCook

Born at Hillgrove in the County of Digby

That Freda GeorginaCook Whose Birth is sought to be registered was

born at Hillgrove Digby County on December 17, 1921

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

That I am the mother of Freda Georgina Cook

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