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From transcribe
- Name in full Mrs Chilcott Gladys May
- Date of birth Day 29 Month 11 Year 1892
- Place of birth Nanaimo BC
- Maiden name Williams
- Husband's given names John William Fooks
- Wife's full maiden name Williams Gladys May
- Father Williams William Lloyd
- Mother Hughes Ann
- Given names of brothers or sisters David Lloyd Thomas Gomer William Arthur Eveline Ann
