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From transcribe
- Name in full is Mrs. Polson Alta Rueena
- Date of birth Day 10 Month 04 Year 1893
- Place of birth Spallumcheen, B.C.
- Maiden name Hassard
- Husband's given name John Ross
- Wife's full maiden name
- Father Hassard, Francis
- Mother Bailey, Eliza Sarah
- Given names of brothers or sisters Jason, Elizabeth, Gertrude, Lillian, Sadie, Thomas, Violet, Ann, Frank, and Minnie
