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From transcribe
- Name in full Mr Coates James Henry
- Date of birth Day 19 Month 01 Year 1879
- Place of birth Blenheim County Ont
- Maiden name Mary Catherine
- Husband's given names James Henry
- Wife's full maiden name Mary Catherine McGillivary
- Father Robert P Coates
- Mother Eunice Annette Currier
- Given names of brothers and sisters Frank Louise James Nellie Herbert
