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From transcribe
- Name in full Mrs Bryan Clara Alice
- Date of birth Day 08 Month 02 Year 1879
- Place of birth St. Thomas Frome Ont
- Maiden name Heidt
- Husband's given names W M Jeremiah
- Wife's full maiden name Clara Alice Heidt
- Given names of brothers or sisters Kay Ina Blanche Cristie Milton Sam Heidt
