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Death ID: Certificate Location: Certificate Number: Death Location: Death Address: Death Date: Informant: Decedent Name: Immigrant ID: PANN-17MAR1921-2-3-0021 Sex: Marital Status: Age (Birth Date): Occupation: Home Address: Birth Place: Residence Years: Spouse Name: Immigrant ID: PANN-17MAR1921-2-3-0020 Father Name: Immigrant ID: Birth Place: Mother Name: Immigrant ID: Birth Place: Burial Place: Death Cause: broncho pneumonia (contributory: acute nephritis) (disease contracted en route to Detroit from NY)Comments: in country 1 month, 19 days