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From transcribe
- Name in full Mrs Chilton Annie
- Date of birth Day 10 Month 03 Year 1889
- Place of birth Nanaimo BC
- Maiden name Annie Calverley
- Husband's given names David
- Father Calverley William
- Mother Smith Elizabeth
- Given names of brothers or sisters John Calverley Joseph Calverley William Calverley Walter Calverley