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From transcribe
- Name in full Mrs Hayward Chelta Poole
- Date of birth Day 02 Month 11 Year 1894
- Place of birth McGregor Manitoba
- Maiden name Johnston
- Husband's given names William John
- Wife's full maiden name Chelta Poole Johnston
- Father Johnston John Wesley
- Mother Turner Mary Esther Minnie
- Given names of brothers or sisters Mildred Blanche Eva Perry Clayton