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From transcribe
- Name in full Black Alyery Hugh
- Date of birth Day 24 Month 08 Year 1896
- Place of birth Bruce Township Ont
- Wife’s full maiden name Dagg Alma Hazel
- Father Black Hugh
- Mother Passmore Jane Mary
- Given names of brothers or sisters Donald Sandy John Ray Sahra 1 Sahra 2 Kate Maggie Mary Edith