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From transcribe
- Name in full Mrs Daniels Annie Violet
- Date of birth Day 14 Month 09 Year 1893
- Place of birth Cannington Ont
- Maiden name Colby
- Husband's given names Samuel Henry
- Wife's full maiden name Annie Violet Colby
- Father Colby David Thomas
- Mother Burgess Ann
- Given names of brothers or sisters Mary Margaret George William
