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From transcribe
- Name in full is Mrs. Pearson Clara Amelia
- Date of birth Day 14 Month 08 Year 1888
- Place of birth Medock, Ont.
- Maiden name Seymour
- Husband's given name James William
- Wife's full maiden name
- Father Seymour Sidney
- Mother Rose Margret Jane
- Given names of brothers or sisters William
