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From transcribe
- Name in full is Mrs. Moss Glenna Isabel
- Date of birth Day 15 Month 06 Year 1891
- Place of birth Flos. Twp. Simcoe Co., Ontario
- Maiden name Loblaw
- Husband's given name George Oliver
- Wife's full maiden name Glenna Isabel Loblaw
- Father Loblaw William James
- Mother Dixon Agnes
- Given names of brothers or sisters Theodore (Ted), William J., Hunter, Iris