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From transcribe
- Name in full is Mr. Dumont Pat
- Date of birth Day 15 Month 11 Year 1889
- Place of birth Duhamel, Alberta
- Maiden name
- Husband's given name
- Wife's full maiden name
- Father Dumont Pascal
- Mother Deschenaux Checes
- Given names of brothers or sisters Mrs. Ann Hill, Mrs. Helen Anderson, Mrs. Betty Nic Lean, Theodore, Tommy, Elie Dumont