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From transcribe
- Name in full is Mrs. Mouat, Mary Evangeline
- Date of birth Day 29 Month 03 Year 1894
- Place of birth New Westminster, B.C.
- Maiden name Mary Evangeline Peebles
- Husband's given name John B. Mouat
- Wife's full maiden name
- Father Peebles Peter
- Mother Grant Angusta
- Given names of brothers or sisters Mrs. W.W. Brown; Mrs. C.G. MacGregor; P.G. Peebles; Mrs. N. Obert; Dr. A. Peebles
