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From transcribe
Name in full Mr Wiggins Charles Hatheway Date of birth Day 01 Month 06 Year 1884 Place of birth Waterborough NB Wife's maiden name Myrtle Lewis deceased Father Wiggins James B Mother Orchid Elizabeth Names of brothers or sisters Eliezer deceased Edward deceased Hiram deceased Arnold deceased Bertram deceased Evelyn deceased Hettie deceased Beatrice Annie Maud Hazel
