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From transcribe
- Name in full is Mr. Polson John Ross
- Date of birth Day 07 Month 06 Year 1891
- Place of birth Winnipeg, Manitoba
- Maiden name
- Husband's given name
- Wife's full maiden name Alta Rueena Hassard
- Father Polson, Samuel
- Mother Sibald, Elizabeth
- Given names of brothers or sisters Lottie May, Britten, Olive, William, Crosley, Victor, Jean, Kathleen, and John
