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From transcribe
- Name in full is Mr. Michell William Robert Charles
- Date of birth Day 17 Month 12 Year 1893
- Place of birth Victoria, B.C.
- Maiden name
- Husband's given name
- Wife's full maiden name Nellie Grace New
- Father Michell John Ralph
- Mother Armstrong Martha Jane
- Given names of brothers or sisters Adella, Ralph, Herbert, Irene