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From transcribe
- Name in full Mrs Burgess Hannah Ethel Adella Cunningham
- Date of birth Day 25 Month 11 Year 1880
- Place of birth Flamis {?} Ontario
- Maiden name Cunningham
- Husband's given names Richard Wellington Burgess
- Father Joseph Cunningham
- Mother Nancy Elizabeth Hemstret {?}
- Given names of brothers or sisters Lila Laura
