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Death ID: Certificate Location: Certificate Number: Death Location: Death Address: Death Date: Informant: Decedent Name: Immigrant ID: STAT-19MAY1903-3-EEE-0003 Sex: Marital Status: Age (Birth Date): Occupation: Home Address: Birth Place: Residence Years: Spouse Name: Immigrant ID: SARD-17OCT1908-3-C2-0010 Father Name: Immigrant ID: SARD-17OCT1908-3-C2-0008 Birth Place: Mother Name: Immigrant ID: SARD-17OCT1908-3-C2-0009 Birth Place: Burial Place: Death Cause: chronic myocarditis due to arteriosclerosis & hypertension (contributory: chronic nephritis)Comments: