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From transcribe
- Name in full is Clarke Thomas Wallace
- Date of birth Day 09 Month 04 Year 1889
- Place of birth
- Maiden name
- Husband's given name
- Wife's full maiden name Crawford Jeanne Jamison
- Father Clarke William Henry
- Mother Fluker Annie
- Given names of brothers or sisters Clarke Frederick Fieldhouse, John Morrison Gibson, Albert Ross, May Isabel, Harriet Grace Caroline Victoria, Annie Beatrice