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From transcribe
- Name in full is Mrs. Harriet Mary Moss
- Date of birth Day 12 Month 05 Year 1891
- Place of birth Halifax, N.S.
- Maiden name Harriet Mary Wilkinson
- Husband's given name George Moss
- Wife's full maiden name Harriet Mary Wilkinson
- Father John William Wilkinson
- Mother Emma Elizabeth Harris
- Given names of brothers or sisters
