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From transcribe
- Name in full Mr Macdonell Henry Waterford Beverly
- Date of birth Day 05 Month 06 Year 1879
- Place of birth St Andrews Quebec
- Wife's full maiden name Margaret Alberta Pepper
- Father Macdonell Anaes Donald Octavus
- Mother Moody Elizabeth
- Given names of brothers or sisters Mabel Macdonell Mildred McNamara
