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From transcribe
- Name in full Mr LaRoy John Wm [William] Wesley
- Date of birth Day 18 Month 11 Year 1892
- Place of birth Shannonvill Ont
- Wife’s full maiden name Janet Miller
- Father LaRoy Herbert Lafayette
- Mother Matilda Walroth
- Given names of brothers or sisters Chas [Charles] Stanley Percival Louise Elizabeth Patrica Marguerite