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| From Birth Record Volume 3 1897-1908 Page 263b |
| Child Given Name | Clarence | Thompson | Child Surname |
| Child Sex | Male | Child Race | |
| Date of Birth | 14 Oct 1901 | Howard Twp | Place of Birth |
| Father's Given Name | Thos | Thompson | Father's Surname |
| Mother's Given Name | Celia | Surson | Mother's Maiden Name |
| Transcription Comment... |
| Mother's given name difficult to read and may be incorrect. |
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