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From transcribe
- Name in full Mr Adshead James William Charles
- Date of birth Day 25 Month 07 Year 1895
- Place of birth Winnipeg Man
- Maiden name Forster
- Husband's given names James William Charles Adshead
- Wife's full maiden name Marguerita Ratcliffe Forster
- Father Adshead Charles Norman
- Mother Green Rose
- Given names of brothers or sisters Lillian Elizabeth Bessie Rachel Belle Isabel Laurence Frederick Norman Allan Clarence