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From transcribe
- Name in full is Collins Mrs. Gertrude
- Date of birth Day 29 Month 01 Year 1887
- Place of birth Grantley, Ont.
- Maiden name Myers
- Husband's given name Alton Roy
- Wife's full maiden name
- Father Thomas Wallace Myers
- Mother Elizabeth Grace (Wallace)
- Given names of brothers or sisters Kenneth, Wallace, James, Maud, Grace
