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From transcribe
- Name in full is Mrs. Payne Margaret Agnes
- Date of birth Day 07 Month 04 Year 1895
- Place of birth Victoria, B.C.
- Maiden name Ross
- Husband's given name Roland William
- Wife's full maiden name
- Father Ross Adam
- Mother Gemmell Margaret
- Given names of brothers or sisters Daisy, Lila, Jean, Edith