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From transcribe
- Name in full is Clarke, Samuel
- Date of birth Day 08 Month 11 Year 1889
- Place of birth Perry's Cove, Nfld.
- Maiden name
- Husband's given name
- Wife's full maiden name Bachelor
- Father John Clarke
- Mother Ellen Clarke
- Given names of brothers or sisters John William, Thomas, Edward, Leaha, Lavina
