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From transcribe
- Name in full is Mr. Poirier Leo [Stanislaws]
- Date of birth Day 24 Month 04 Year 1892
- Place of birth Prince Edward Island
- Maiden name
- Husband's given name
- Wife's full maiden name
- Father Poirieb Casimir Joseph
- Mother Arsenault Susan
- Given names of brothers or sisters Edmund, May, Alice, Ruth, Martha, [Cyrws]