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From transcribe
- Name in full Mrs Goss Kathleen
- Date of birth Day 13 Month 12 Year 1893
- Place of birth Halifax Nova Scotia
- Maiden name Kirk
- Husband’s given names Samuel
- Wife’s full maiden name Ellen Kathleen Kirk
- Father Kirk Henry
- Mother Martin Bridget
- Given names of brothers or sisters Tom Roy Guss Jack Laurie Eilleen Lilly