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From transcribe
- Name in full is Campbell Miss Annie A
- Date of birth Day 29 Month 04 Year 1872
- Place of birth Township of Osgood, County of Carleton
- Maiden name
- Husband's given name
- Wife's full maiden name
- Father Duncan Webster Campbell
- Mother Isabella McDonald
- Given names of brothers or sisters Archibald Haldane, Annie Augusta, James Alexander, Howard, Helen Isabel, Jessie L.
