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From transcribe
- Name in full Mrs Bourne Ethel
- Date of birth Day 18 Month 11 Year 1895
- Place of birth Nanaimo B C
- Maiden name Kellett Ethel
- Husband’s given names Bourne Frank
- Wife’s full maiden name Kellett Ethel
- Father Kellett George
- Mother Cairns Jane
- Given names of brothers or sisters Jim Elizabeth Mary Ann Isabella Jane Ethel Olive