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From transcribe
- Name in full is Miss Piper Gertrude Beatrice
- Date of birth Day 17 Month 06 Year 1895
- Place of birth Nanaimo, B.C.
- Maiden name
- Husband's given name
- Wife's full maiden name
- Father Piper Thomas
- Mother Westwood Mary Elizabeth
- Given names of brothers or sisters Fredrick Winston Piper, Stanley Piper, Lily Gray