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From transcribe
- Name in full Mrs Harknett Patrice Dallas
- Date of birth Day 10 Month 09 Year 1896
- Place of birth Victoria BC
- Maiden name Slavin
- Husband's given names William
- Wife's full maiden name Patrice Dallas Slavin
- Father Slavin William Thomas
- Mother Dallas Margaret Randolph
- Given names of brothers or sisters J Dallas Zellah Dallas