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From transcribe
- Name in full Bloomfield Anna
- Date of birth Day 14 Month 07 Year 1889
- Place of birth Owen Sound Ontario
- Maiden name Siergrist
- Husband’s given names William Harold
- Wife’s full maiden name Anna Siegrist
- Father John Siegrist
- Mother Lillian Siegrist nee Narsted
- Given names of brothers of sisters Fredrick Albert Irvine Norman William Louise Dorothy Esther Clara
