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From transcribe
- Name in full Mrs H C Burroughs
- Date of birth Day 20 Month 06 Year 1886
- Place of birth Milton Queenis Co {?} Nova Scotia
- Maiden name Faye Burnaby
- Husband's given names Harold Caldwell Burroughs
- Father Lodowick Harding Burnaby
- Mother Teresa Elizabeth Harris
- Given names of brothers or sisters Ralph Frank Fred
- William Harry