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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: CARO-18NOV1909-3-13-0011 PHIL-08JUN1920-3-U1-0027 Birth Place: Mother Name: Immigrant ID: PHIL-08JUN1920-3-U1-0028 Birth Place: Burial Place: Death Cause: second degree burns to right side & arm due to pulling pail of hot water on self accid[entally]Comments: