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Death ID: Certificate Location: Certificate Number: Death Location: Death Address: Death Date: Informant: Decedent Name: Immigrant ID: Sex: Marital Status: Age (Birth Date): Occupation: Home Address: Birth Place: Residence Years: Spouse Name: Immigrant ID: Father Name: Immigrant ID: SICN-02JUL1913-3-C24-0015 Birth Place: Mother Name: Immigrant ID: SUSQ-02JUN1920-3-14-0018 Birth Place: Burial Place: Death Cause: bronchopneumonia (contributory: measles, otitis media)Comments: [first name Robert crossed out]