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From transcribe
- Name in full is Campbell Gordon Tillard
- Date of birth Day 15 Month 07 Year 1885
- Place of birth Montreal, Que.
- Maiden name
- Husband's given name
- Wife's full maiden name Jessie Eleanor Perry
- Father George Allen Campbell
- Mother Mary Halsnad Ward
- Given names of brothers or sisters Gladys, Margret, Covernton, Mildred, Ward, Campbell
