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Death ID: Certificate Location: Certificate Number: Death Location: Death Address: Death Date: Informant: Decedent Name: Immigrant ID: SICI-11NOV1895-3--0405 Sex: Marital Status: Age (Birth Date): Occupation: Home Address: Birth Place: Residence Years: Spouse Name: Immigrant ID: SPRN-28NOV1899-0-B-0010 Father Name: Immigrant ID: SPRE-13SEP1897-0-2-0001 Birth Place: Mother Name: Immigrant ID: SPRE-13SEP1897-0-2-0002 Birth Place: Burial Place: Death Cause: toxic (terminal stage) myelogenous leukemia (other: heart failure & acute nephritis)Comments: age of wife: 58 years