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From transcribe
- Name in full Mrs Havercroft Gertrude Mabel
- Date of birth Day 15 Month 11 Year 1884
- Place of birth San Francisco Cal
- Maiden name Gertrude Mabel Shanks
- Wife's full maiden name Gertrude Mabel Shanks
- Father Shanks Samuel Hugh
- Mother Latham May Elizabeth
- Given names of brothers or sisters Albert Sam Robert