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From transcribe
- Name in full is Mr. Coy Albert
- Date of birth Day 24 Month 12 Year 1890
- Place of birth Hamilton, Ont.
- Maiden name
- Husband's given name
- Wife's full maiden name Orva Payne
- Father Coy Charles
- Mother Mary
- Given names of brothers or sisters Lily, Louise, Mary, Kate, Charles, Joseph, William