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From transcribe
- Name in full Mrs Laurette Boulton
- Date of birth Day 21 Month 01 Year 1885
- Place of birth Farewell Ontario
- Maiden name Laurette Allen
- Husband’s given names Travers M Boulton
- Wife’s full maiden name Laurette Boulton
- Father Robert Allen
- Mother Jamima Hassard
- Given names of brothers or sisters Ernest Allen Bertha Allen Melinda Allen Harvey R Allen
