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From transcribe
- Name in full Mr Black David Moore
- Date of birth Day 24 Month 09 Year 1887
- Place of birth Dutton Ontario
- Wife’s full maiden name Margaret June Cook
- Father Black Archibald Neil Campbell
- Mother Moore Sarah Cecelia
- Given names of brothers or sisters Ada Alan Fred Edith J Lena Clair R John R Lorne C Minnie L M Ina
