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From transcribe
- Name in full is Roy Wells Borden
- Date of birth Day 01 Month 11 Year 1889
- Place of birth Philipsburg, Que.
- Maiden name
- Husband's given name
- Wife's full maiden name
- Father Asa Herbert Borden
- Mother Lorretta Sims
- Given names of brothers or sisters Ernest, Maud, Mattie, May
