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From transcribe
- Name in full is Mrs. McKenzie Bertha May
- Date of birth Day 27 Month 06 Year 1893
- Place of birth Port Angles, Wash.
- Maiden name Bertha May Banks
- Husband's given name Hugh McKenzie
- Wife's full maiden name
- Father Banks Thomas E.
- Mother Trahair Eliza F.
- Given names of brothers or sisters Harold, Clive, Ervin, Lillian