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From transcribe
- Name in full Laura Melina Fagan
- Date of birth 6 01 1884
- Place of birth Eden Mills Ont
- Maiden name Laura Melina Leybourne
- Husband’s given names Norman Garfield Fagan
- Wife’s full maiden name Laura Melina Leybourne
- Father Joseph Treverton Leybourne
- Mother Ellen Elizebeth Connelly
- Given names of brothers or sisters Mabel Leslie Ashton Milton Alexander