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From transcribe
- Name in full is Mrs. Curtis Maud Evelyn
- Date of birth Day 8 Month 3 Year 1896
- Place of birth Victoria, B.C.
- Maiden name Amorsen Maud Evelyn
- Husband's given name Henry William
- Wife's full maiden name
- Father Amorsen Robert Christian
- Mother Stevens Minnie
- Given names of brothers or sisters Amelia
