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From transcribe
- Name in full is Mrs. Mott Catherine Jane
- Date of birth Day 22 Month 07 Year 1890
- Place of birth Osnabruck Twp., Stormont Co., Ont.
- Maiden name Hesson
- Husband's given name Mott Harry Raymond
- Wife's full maiden name
- Father Hesson Alexander
- Mother Shaver Annie Lacrushe
- Given names of brothers or sisters John, William Herman, James Alfred, Maud Millian