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Death ID: Certificate Location: Certificate Number: Death Location: Death Address: Death Date: Informant: Decedent Name: Immigrant ID: LBRT-19JUL1909-3-5-0018 Sex: Marital Status: Age (Birth Date): Occupation: Home Address: Birth Place: Residence Years: Spouse Name: Immigrant ID: ORBI-04NOV1921-3-C2-0014 Father Name: Immigrant ID: Birth Place: Mother Name: Immigrant ID: Birth Place: Burial Place: Death Cause: hypertrophy & dilatation of heartComments: birth date: 7-Aug [year blank]