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| Mother | Female Minnie Churchill |
| Born | Jan 1919 | Hodge's Cove, Trinity Bay, Nfld. |
| Died | 7 Mar 1940 | St. Jone's Without, Trinity Bay, Nfld. |
| Buried | St. Jone's Without, Trinity Bay, Nfld. |
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| Father | John Churchill | F044 Group Sheet | |
| Mother | Elizabeth Ann Shaw | F044 Group Sheet | |