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From transcribe
- Name in full Mrs Small Margret Jane
- Date of birth Day 11 Month 08 Year 1886
- Place of birth Parer Ontario
- Maiden name Margret Jane Jackson
- Husband’s given names David Theodore
- Wife’s full maiden name Margret Jane Jackson
- Father Jackson Johnathon
- Mother Church Letitia
- Given names of brothers or sisters Fanny Oliver Annie Gilbert Isabela Charles Lewis Margret Arnott Forest