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From transcribe
- Name in full Mrs Duperreault Marie Anne
- Date of birth Day 21 Month 09 Year 1885
- Place of birth St. Demien de Brandon Que
- Maiden name Boucher
- Husband's given names Joseph
- Wife's full maiden name Marie Anne Boucher
- Father Boucher Joseph
- Mother Robert Delima
- Given names of brothers or sisters Donat Boucher