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From transcribe
- Name in full Mrs Green Myrtle Annie
- Date of birth Day 28 Month 02 Year 1893
- Place of birth New Westminster BC
- Maiden name Brown
- Husband's given names Frederick Jeffers
- Wife's full maiden name Myrtle Annie
- Father Brown Andrew
- Mother Richardson Lucy Agnes
- Given names of brothers or sisters Ethel Mary Mabel Helen Thomas Andrew