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From transcribe
- Name in full is Mrs. Laurie Helen Keith
- Date of birth Day 28 Month 3 Year 1892
- Place of birth Alliston, Ontario
- Maiden name Helen Keith Hodgson
- Husband's given name H.L. Hodgson
- Wife's full maiden name
- Father Hodgson T.P.
- Mother Tickner Edith
- Given names of brothers or sisters William, Bernie, Enna Bush
