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From transcribe
- Name in full Mrs Kermode Charlotte
- Date of birth Day 02 Month 09 Year 1895
- Place of birth Tay Simcoe Township Ontario
- Maiden name Charlotte Boyd
- Husband’s given names Ernest Gilbert Kermode
- Wife’s full maiden name Charlotte Boyd
- Father Boyd Thomas Dennis
- Mother Morrison Charlotte
- Given names of brothers or sisters Sarah May Minnie Emily Eva Mary Margret