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From transcribe
- Name in full is Mr. Polson Thomas Crossley
- Date of birth Day 15 Month 03 Year 1889
- Place of birth Winnipeg, Man.
- Maiden name
- Husband's given name
- Wife's full maiden name Adeline May Ambrose
- Father Polson Samuel
- Mother Sibbald Elizabeth
- Given names of brothers or sisters Olive, Lottie, Jean, Elizabeth, William, Ross, Victor, Britton
