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From transcribe
- Name in full Mrs Douglas Tressie May
- Date of birth Day 06 Month 09 Year 1896
- Place of birth Comox
- Maiden name Coburn
- Husband’s given names Chester Frederick Douglas
- Wife's full maiden name Tressie May Coburn
- Father Coburn James Andrew
- Mother Ford Maria Anne
- Given names of brothers or sisters Wesley Mervin George Amos Emily Cassie Mary Jane