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From transcribe
- Name in full is Dierks Mrs. Alpha
- Date of birth Day 09 Month 09 Year 1880
- Place of birth Barkway, Mauskoka, Ont.
- Maiden name Long
- Husband's given name Theodore
- Wife's full maiden name Alpha Long
- Father Henry Long
- Mother Mary Susan Nelson
- Given names of brothers or sisters Annie, Elizabeth, Weseley, Ida, Cyrus, Della, John, Ralph, Ethel
