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From transcribe
- Name in full Mrs Rose Burt
- Date of birth Day 03 Month 12 Year 1884
- Place of birth Victoria BC
- Maiden name Rose Goodwin
- Husband’s given names George Sylvester Burt
- Wife’s full maiden name Rose Goodwin
- Father Capt Goodwin John
- Mother Mckinnon Elizabeth
- Given names of brothers or sisters George James Charles Calvin