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From transcribe
- Name in full is Mr. Rebagliati John
- Date of birth Day 19 Month 12 Year 1892
- Place of birth Lytton, B.C.
- Maiden name
- Husband's given name
- Wife's full maiden name Frances Lageu Smith
- Father Rebagliati Bernardo
- Mother Rebagliati Angelina
- Given names of brothers or sisters Louise, Mary, Rose, Anne, Bernard, Margaret, Evelyn, Clarence