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From transcribe
- Name in full Mrs Stevens Mary Myrtle
- Date of birth Day 23 Month 08 Year 1890
- Place of birth Sarawak Twp Grey Co Ontario Canada
- Maiden name Mary Myrtle Brown
- Husband’s given names Edgar Alford Stevens
- Father Brown John
- Mother Wilson Myria Agnes
- Given names of brothers or sisters William Frederick Nellie Charlotte