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From transcribe
- Name in full is Mrs. Pitman Grace
- Date of birth Day 29 Month 08 Year 1887
- Place of birth Muskoka Mills, on Georgian Bay, Ont.
- Maiden name Norton
- Husband's given name Wm. John
- Wife's full maiden name Grace Norton
- Father Francis John Norton
- Mother Vail Grace Manning
- Given names of brothers or sisters
