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From transcribe
- Name in full is Rebagliati George
- Date of birth Day 14 Month 01 Year 1892
- Place of birth Lytton, B.C. (Jackass Mt.)
- Maiden name
- Husband's given name
- Wife's full maiden name
- Father Rebagliati Angelo Giovanni
- Mother Rebagliati Concessa
- Given names of brothers or sisters John, Carl Alonzo Joseph, Mary, Louise, Marie Antoinette, Angeline Catherine
