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From transcribe
- Name in full is Docking Jane Agnes
- Date of birth Day 01 Month 04 Year 1889
- Place of birth Pilot Mound, Man.
- Maiden name Blackburn, Jane Agnes
- Husband's given name James Edwin
- Wife's full maiden name Blackburn, Jane Agnes
- Father Blackburn, Mathew
- Mother Sinclair, Jane Couper
- Given names of brothers or sisters Margaret Bathea; Robert Sinclair; William; Elizabeth Ann; Andrew Ronald; Mathew James