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From transcribe
- Name in full Mrs George Long Constance Macklem
- Date of birth Day 24 Month 10 Year 1889
- Place of birth Toronto Ont
- Maiden name Constance Macklem
- Husband's given names George Washington
- Wife's full maiden name Constance Macklem
- Father Leon Macklem
- Mother Florence Passmore
- Given names of brothers or sisters Marjorie Evelyn Macklem Stewart Frank
