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Death ID: Certificate Location: Certificate Number: Death Location: Death Address: Death Date: Informant: Decedent Name: Immigrant ID: DEVO-17MAY1914-2-15-0017 Sex: Marital Status: Age (Birth Date): Occupation: Home Address: Birth Place: Residence Years: Spouse Name: Immigrant ID: Father Name: Immigrant ID: LLRN-31OCT1908-3-16-0016 Birth Place: Mother Name: Immigrant ID: DEVO-17MAY1914-2-15-0017 Birth Place: Burial Place: Death Cause: struck by automobile, accident (contributory: fracture of 3 ribs, rupture of lung)Comments: