| No. | 008456 7416 |
| What is the full name of child? | Cook Arthur Sidney |
| When was the child born? | Aug 26 1911 |
| Where was the child born? | 389 Concord |
| Sex | M |
| Are the parents married? | Yes |
| Full name of Father | Walter William Cook |
| Occupation of Father | Fireman |
| Full Maiden Name of Mother | Edith Bain |
| If she has been more than once married give names of former husband, or husbands | |
| Where were the parents married? | Toronto |
| When were the parents married? | 1908 [sic] |
| Name of Physician in Attendance | J H Mc Faul |
| Your relation to child | Parent |
| Were you in house at time of Birth? | |
| Certified by | W.W. Cook |
| Address | 389 Concord ave |
| Date | Sept 25 1911 |
| Remarks |
Source: Archives of Ontario; Series: MS929; Reel: 216
Source: Ancestry.com. Ontario, Canada Births, 1858-1913