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From transcribe
- Name in full Smr Somerville Daisy
- Date of birth Day 10 Month 09 Year 1896
- Place of birth Bryson Que
- Maiden name Dale
- Husband’s given names Thomas Alfred
- Father Dale Edward
- Mother Barker [Marita?]
- Given names of brothers or sisters Hattie Margaret Jean Irene Lylias Mayorie Sereadise Arnold Charison William Melbourne Reybourne