There is no way to know how the names are used. Speculate that Mack, Wanda, and Mary are siblings, family name Jacobs, and Orah George is married to Mary Jacobs.
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BillionGraves.com record for Wanda E. Jacobs-George (1903 - 1970), BillionGraves Record Mount Zion Church Cemetery, Elliottsburg Spring Township, Perry, Pennsylvania, United States, North America