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From transcribe
- Name in full is Mr. Curtis Henry William
- Date of birth Day 25 Month 10 Year 1893
- Place of birth Victoria, B.C.
- Maiden name
- Husband's given name
- Wife's full maiden name Amorsten Maud Evelyn
- Father Curtis John Edward
- Mother James Alice Maud
- Given names of brothers or sisters Lilian Sarah, John Charles