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From transcribe
- Name in full Mr Benson John Percie
- Date of birth Day 21 Month 03 Year 1887
- Place of birth Fort Que-Appelle Sask
- Maiden name Bumstead
- Husband's given names John Percie
- Wife's full maiden name Bumstead Bella Jane
- Father Benson John
- Mother Bolton Julia
- Given names of brothers or sisters Archie Effie
