| No. | 002640 1634 |
| What is the full name of child? | Cook Margaret Edith |
| When was the child born? | Feb 16 1910 |
| Where was the child born? | 331 Baithwish |
| Sex | F |
| Are the parents married? | |
| 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? | 1909 [sic] |
| Name of Physician in Attendance | Dr. Mc Faule |
| Your relation to child | F[ather] |
| Were you in house at time of Birth? | |
| Certified by | W.W. Cook |
| Address | 331 Baithwish st |
| Date | Mar 17, 1910 |
| Remarks |
Source: Archives of Ontario; Series: MS929; Reel: 207
Source: Ancestry.com. Ontario, Canada Births, 1858-1913