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From transcribe
- Name in full Mrs Bagnall Luta Ann
- Date of birth Day 14 Month 02 Year 1890
- Place of birth Morden Man
- Maiden name Pound Luta A
- Husband’s given names Bagnall Guy P
- Wife’s full maiden name Pound Luta Ann
- Father Pound William Courtice
- Mother Yerex Letitia Jane
- Given names of brothers or sisters Allen Courtice