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From transcribe
- Name in full Mr Clement Frederick Moore
- Date of birth Day 21 Month 11 Year 1884
- Place of birth Virgil Ontario (Niagara-on-the-Lake)
- Wife's full maiden name Margaret Isabel
- Father Clement John P
- Mother Zimmerman Lillia Edith
- Given names of brothers or sisters Della Laura Clement Norton Hedley Clement
