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From transcribe
- Name in full Mr Clarke Horace George
- Date of birth Day 04 Month 09 Year 1895
- Place of birth Nicomen Island BC
- Wife’s full maiden name Olsen Grace Olive
- Father Clarke Horace Chamberlain
- Mother Gilman Emma Racheal
- Given names of brothers or sisters John Willian Clarence Gilman Mary Aseneth Emma Lillian
