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Death ID: Certificate Location: Certificate Number: Death Location: 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: Birth Place: Mother Name: Immigrant ID: Birth Place: Burial Place: Death Cause: auto accident, was run over by her own car while opening a gate (broken left shoulder, left leg above knee, burns from exhaust & muf[f]ler from head completely down left side)Comments: