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From transcribe
- Name in full Mr Charlton Clifford Atley
- Date of birth Day 20 Month 08 Year 1893
- Place of birth Manitowaning Ont
- Husband’s given names Clifford Atley
- Wife’s full maiden name Blair Mabel Francies
- Father Charlton Thomes Ralph
- Mother Roue Margaret
- Given names of brothers or sisters Olive Stella Mary Wesley Ernest Viola
