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From transcribe
- Name in full Mr George George Stanley Madill Madill
- Date of birth Day 28 Month 01 Year 1891
- Place of birth [Mark from?] York County Ontario
- Maiden name [yes]
- Wife’s full maiden name Freda Annie Oriestner
- Father Joseph [Wyrson?] Madill
- Mother Martha Burnham
- Given names of brothers or sisters Herbert Oliver Rhode [Leo Geo?] Annie Hazel Henry Ernest Earle
