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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: LGSC-27DEC1900-0-A-0004 Birth Place: Mother Name: Immigrant ID: SAXO-26FEB1904-3-E-0024 Birth Place: Burial Place: Death Cause: probable cause: perforation of intestinesComments: filed in Vol. 61, p. 56