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From transcribe
Particulars of
(1)
Next of Kin Mrs. Ada Mary Swannell
and address 564 Dallas Road
Victoria BC Canada
(2)
Person to who Assigned pay is payable wife
Mrs. Ada Mary Swannell
and Address 564 Dallas Road
Victoria BC
(3)
Children (if any), number, age and sex
Minnie Ada S (girl) 10 years
Charles Frederick (boy) 8
Lorne Forster S (boy) 6
BC Archives, MS-0392 Box 1 Volume 4 / FRANK SWANNELL PAPERS / Diary and enclosures, 1915.