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From transcribe
- Name in full is Coleman Myrtle Eteen
- Date of birth Day 09 Month 03 Year 1889
- Place of birth Beaconsfield, Ont.
- Maiden name Case
- Husband's given name Wm. Miles
- Wife's full maiden name Myrtle Eteen Case
- Father George, Case
- Mother Mary Alice Clements
- Given names of brothers or sisters William, Jerome, Ethel, May, Vera, Lyda
