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From transcribe
- Name in full is Mr. Park, James M.
- Date of birth Day 17 Month 08 Year 1892
- Place of birth Dalhousie Twp., Lanark Co., Ontario
- Maiden name
- Husband's given name
- Wife's full maiden name
- Father Park John H
- Mother Montgomory Mary (Minnie)
- Given names of brothers or sisters