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From transcribe
Name in full Mr Boisse Herve Maurice Date of Birth Day 16 Month 04 Year 1894 Place of Birth Valcourt Quebec Wife's full maiden name Agnes Bridget Callaghan Name of Father Boisse J Batist Name of Mother Couture Phylimene Given names of brothers or sisters Mary -Louise, Josephine, (illegible), Agatha, Armand, Anistine, Jean-Batist, Ulysse, Joseph-Hermine, Albertine, Olivigne