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Death ID: Certificate Location: Certificate Number: Death Location: Death Date: Informant: Decedent Name: Immigrant ID: NIAG-06SEP1910-3-7-0005 Sex: Marital Status: Age (Birth Date): Occupation: Home Address: Birth Place: Residence Years: Spouse Name: Immigrant ID: Father Name: Immigrant ID: NIAG-06SEP1910-3-7-0002 Birth Place: Mother Name: Immigrant ID: NIAG-06SEP1910-3-7-0003 Birth Place: Burial Place: Death Cause: coronary occlusion due to coronary arteriosclerosis (found dead on beach)Comments: