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From transcribe
- Name in full is Black, Ethelina
- Date of birth Day 27 Month 08 Year 1890
- Place of birth Wawanesa, Manitoba
- Maiden name Kerr, Ethelina
- Husband's given name James Wilfred
- Wife's full maiden name Ethelina Kerr
- Father John Kerr
- Mother Annie Weir
- Given names of brothers or sisters Robert Henry Kerr, Thomas Kerr
