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From transcribe
- Name in full is Mrs. Peck Agnes
- Date of birth Day 29 Month 10 Year 1886
- Place of birth Peterborough, Ontario
- Maiden name Lackey
- Husband's given James Rollin
- Wife's full maiden name
- Father Lackey Hamilton
- Mother Truslove Charlotte Mary
- Given names of brothers or sisters Elizabeth, Mary, Dorothy, Hamilton