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From transcribe
- Name in full Mrs Church Mary Mildred Gladys
- Date of birth Day 21 Month 04 Year 1895
- Place of birth Tiltcove Newfoundland
- Maiden name Alcock
- Husband's given names Hubert James
- Wife's full maiden name Mary Mildred Gladys Alcock
- Father Alcock Albert Arthur
- Mother Adams Phoebe Jane
- Given names of brothers or sisters Catherine William Dorman Winnifred Dorothy Richard Maxwell Arthur Adams Harry Stuart
