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From transcribe
- Name in full is Doerksen Anna
- Date of birth Day 03 Month 08 Year 1890
- Place of birth Rheinland Municipality, Manitoba
- Maiden name Anna Koethler
- Husband's given name Salomon
- Wife's full maiden name
- Father Henry Koethler
- Mother Justina Abrams
- Given names of brothers or sisters Elizabeth, Mary, Justina, Lena, Jacob, Peter, John, Henry, Cornelius