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From transcribe
- Name in full Mr Smith Alex Stanley
- Date of birth Day 30 Month 12 Year 1886
- Place of birth Elgin County Dunwich Ontario
- Husband’s given names Alex Stanley Smith
- Wife’s full maiden name Myra Viola Chrites Aschbulla Ohio USA
- Father Smith Alex Stanley
- Mother Thompson Margret
- Given names of brothers or sisters Flora Archie Dan Herbert Stanley Jim Clifford