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From transcribe
- Name in full is Cretney Hazel Ann Scott
- Date of birth Day 13 Month 9 Year 1891
- Place of birth Port Townsend, Wash. U.S.A.
- Maiden name Mother
- Husband's given name Edward Caesar
- Wife's full maiden name Hazel Ann Scott
- Father Mother Robert
- Mother Delgardno Mary Jane
- Given names of brothers or sisters Janet, Mable