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From transcribe
- Name in full Miss Becken Lucia Chloris
- Date of birth Day 13 Month 08 Year 1894
- Place of birth Bower Island BC
- Maiden name
- Husband’s given names
- Wife’s full maiden name
- Father Becker Alfred Dewitt
- Mother Mobeck Lucia Isabella
- Given names of brothers or sisters Ira Douglas, Oliver Jeremiah, Pearl Catherine, Grace Mabel, Anna Helga, George Percy, Ethel Florence
