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From transcribe
- Name in full Mr Charters Alexander Allen
- Date of birth Day 21 Month 04 Year 1881
- Place of birth Twp of Walpole County of Haldimand Ontario
- Wife’s full maiden name Louisa Magdeline Kern
- Father Charters Alexander Maxwell
- Mother Meaby Mary Ann
- Given names of brothers or sisters Clifford Margaret Wallace
