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From transcribe
- Name in full Mrs Embree Pauline Boley
- Date of birth Day 27 Month 05 Year 1884
- Place of birth Sumas Prairie
- Maiden name Pauline Boley
- Husband's given names George Burton
- Wife's full maiden name Pauline Boley
- Father Alonzo Boley
- Mother Betty Ackerman
- Given names of brothers or sisters Edna Howard Roy Edgar Burris Etsel Wilbur
