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From transcribe
- Name in full Mrs Culver Kathleen Frances deCourcy
- Date of birth Day 11 Month 03 Year 1893
- Place of birth Wallaceburgh Ont
- Maiden name O'Grady
- Husband's given names George William
- Father O'Grady John Waller deCourcy
- Mother Maunsell Katherine Frances
- Given names of brothers or sisters Gerald F Waller John M William A Anna F Nora M Herbert S Donald G