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From transcribe
- Name in full Mrs Slough Anita Susan
- Date of birth Day 25 Month 07 Year 1892
- Place of birth Millbank Ontario
- Maiden name Anita Susan Jones
- Husband’s given names John Burton
- Wife’s full maiden name Anita Susan Jones
- Father Jones Charles William
- Mother Freeborn Susan Wallace
- Given names of brothers or sisters Havelock Gerald William Janice Elizabeth
