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From transcribe
- Name in full Mr Clarke William
- Date of birth Day 24 Month 12 Year 1896
- Place of birth Lemberg Sask
- Maiden name Balfour
- Husband's given names William
- Wife's full maiden name Mable Marjorie Balfour
- Father Clarke Thomas
- Mother [Jally?] Jessie Sophia
- Given names of brothers or sisters Thomas Fred Jim Edwin Bessie Jessie Molly