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From transcribe
- Name in full is Clarke Henry Percy
- Date of birth Day 27 Month 05 Year 1884
- Place of birth Whitewood, Saskatchewan
- Maiden name
- Husband's given name
- Wife's full maiden name Oliver Dorothy Ann
- Father Clarke Norman Percy
- Mother Curry Laura
- Given names of brothers or sisters Fred, Norman, Noel, Hilda, Ethel, Susan
