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From transcribe
- Name in full Clark Cassie
- Date of birth Day 06 Month 02 Year 1889
- Place of birth Havelock Ont
- Maiden name Richardson
- Husband’s given names Hazael
- Wife’s full maiden name Catherine Richardson
- Father Robert Richardson
- Mother Margaret Brown
- Given names of brothers of sisters Charles Saramae Maud Henry Brown Fred Brooks Laura Belle Gordon Elgin Francis Melville