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From transcribe
- Name in full Mr Lever Russell Goldwin
- Date of birth Day 23 Month 03 Year 1894
- Place of birth Flesherton Grey Co Ontario
- Maiden name Bloye
- Wife's full maiden name Edna Louise Bloye
- Father Lever Thomas Roger
- Mother Clarke Margaret Ellen
- Given names of brothers or sisters Elva Harold Clara Gladys Gertrude Ida
