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From transcribe
- Name in full Mrs Fortier Marie Anne
- Date of birth Day 14 Month 09 Year 1890
- Place of birth St Isidore Cte Dorchester Quebec
- Maiden name Fournier
- Husband's given names Philias Joseph
- Father Fournier Joseph Alphonse
- Mother Mary Coulombe
- Given names of brothers or sisters Donat Jean T
- Dosithee Imelda Lucienne