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Probably the below:
NAME: Adams, Charles Edwin
RANK: Private
UNIT: Wiltshire Regiment
BATTALION ETC: 6th Battalion
REGIMENTAL NUMBER: 12209
HOW DIED/DATE OF DEATH: Died of wounds 6th October 1915
WHERE BURIED/COMMEMORATED: St Sever Cemetery, Rouen, France
OTHER INFORMATION: Age 37. Son of the late John Lewis Adams and Eliza Jane Adams, of Bristol. Born: Bristol. Enlisted & resided: Bradford-on-Avon, Wilts.