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Death ID: Certificate Location: Certificate Number: Death Location: Death Address: Death Date: Informant: Decedent Name: Immigrant ID: Sex: Marital Status: Age (Birth Date): Occupation: Home Address: Birth Place: Residence Years: Spouse Name: Immigrant ID: Father Name: Immigrant ID: Birth Place: Mother Name: Immigrant ID: Birth Place: Burial Place: Death Cause: fracture of skull & laceration of brain with brain hemorrhage caused by revolver bullet fired in head (suicide, was mentally depressed on account of his deafness, stated in a letter)Comments: filed in Vol. 61, p. 101 / served as a Private in the Spanish War