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From transcribe
- Name in full is Clarke Charlotte - Henrietta
- Date of birth Day 14 Month 04 Year 1886
- Place of birth Winnipeg, Man.
- Maiden name Clarke
- Husband's given name Reginald William Henry
- Wife's full maiden name Clarke Charlotte - Henrietta
- Father Clarke Frederick [?]
- Mother Richardson Cecelia Frances
- Given names of brothers or sisters Beatrice, Louise, Edgiva
