The surname Ripatti appears in parentheses before Anna Fredrika's maiden name - "(Ripatti) o.s. Matiskainen" This could possibly be her surname by a previous marriage.
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BillionGraves.com record for Otto Vilhelm Meinander (12 March 1871 - 27 February 1923), BillionGraves Record Rouhialan hautausmaa, Mikkeli, Mikkeli, Etelä- Savo, Etelä-Savo, Finland, Europe