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From transcribe
- Name in full Mrs Dodd [illegible]
- Date of birth Day Month 07 Year 1883
- Place of birth London Ontario
- Maiden name [?ell]
- Husband's given names William [illegible] Dodd
- Wife's full maiden name [E?] [D?] Dodd
- Father Robert James [?nell]
- Mother Agnes Walker
- Given names of brothers or sisters Ina S [?er]
