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From transcribe
- Name in full is Mr. Pittendrigh George Blount
- Date of birth Day 28 Month 08 Year 1894
- Place of birth Rock Creek, B.C.
- Maiden name
- Husband's given name
- Wife's full maiden name Emily Higham
- Father Pittendrigh Charles Edward
- Mother Krueger Dora
- Given names of brothers or sisters