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From transcribe
- Name in full Mrs Olive Beatrice Clarke
- Date of birth Day 01 Month 02 Year 1896
- Place of birth Winnipeg Man
- Maiden name Olive Beatrice Gummow
- Husband's given names Charles DeWitt Clarke
- Wife's full maiden name Olive Beatrice Gummow
- Father Gummow John Northey
- Mother Waldbrook Minnie Gertrude
- Given names of brothers or sisters Henrietta Gertrude Benjamin