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From transcribe
- Name in full Mrs Kellet Ada
- Date of birth Day 10 Month 11 Year 1894
- Place of birth Van BC
- Maiden name McCullough
- Husband’s given names Carl Victor
- Wife’s full maiden name McCullough Ada
- Father McCullough Robert Albert
- Mother Godfrey Mary Ann
- Given names of brothers or sisters Eva Ethel Ada William Girty Stanley