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From transcribe
- Name in full Mrs Jackson Samuel Arthur
- Date of birth Day 07 Month 04 Year 1891
- Place of birth Rosneath Ontario
- Maiden name Ella Susanah Ingham
- Husband’s given names Samuel Arthur
- Wife’s full maiden name Ella Susanah Ingham
- Father Ingham Alfred Nuel
- Mother Lapp Elizabeth
- Given names of brothers or sisters Norman Lottie George Orra Austin