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From transcribe
- Name in full Mrs Burrows Annie Melicia
- Date of birth Day 03 Month 11 Year 1891
- Place of birth My Father Farm Sec 14 3 18 Manitoba
- Maiden name Hillier
- Husband's given names Ernest James Burrows
- Father Thomas William Hillier
- Mother Martha Louisa Fairhall
- Given names of brothers or sisters Ida Fred Arthur
- Phoebe Harry Alice Robert
