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From transcribe
- Name in full Mrs Cruickshank Hazel Marie
- Date of birth Day 28 Month 06 Year 1895
- Place of birth St. Paul Minn
- Maiden name Hazel Marie McIntyre
- Husband's given names Ralph Forbes
- Father McIntyre Angus
- Mother Johnson Ida Mary
- Given names of brothers or sisters Edna Gertrude Gordon Alexander
