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Death ID: Certificate Location: Certificate Number: Death Location: Death Address: Death Date: Informant: Decedent Name: Immigrant ID: DOMI-23OCT1904-3-A-0003 Sex: Marital Status: Age (Birth Date): Occupation: Home Address: Birth Place: Residence Years: Spouse Name: Immigrant ID: DOMI-23OCT1904-3-A-0004 Father Name: Immigrant ID: Birth Place: Mother Name: Immigrant ID: Birth Place: Burial Place: Death Cause: carcinoma of transverse colon (contributory: chr[onic] myocarditis & decompensation, peritonial carcinomatosis)Comments: [information obtained from Record of Funeral] / wife's age: 55 years