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From transcribe
- Name in full Mrs Burgess Ethel Adella
- Date of birth Day 25 Month 11 Year 1880
- Place of birth Glamis Ontario
- Maiden name Hannah Ethel Adella Cunningham
- Husband’s given names Richard Wellington Burgess
- Father Cunningham Joseph
- Mother Hemstreet Nancy Elizabeth
- Given names of brothers or sisters Lila Laura
