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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: Birth Place: Mother Name: Immigrant ID: Birth Place: Burial Place: Death Cause: asphyxia neonatorum / prolapsed funisComments: age: [blank] stillborn / [last name written as Kachadoorian by physician / father's first name spelled Gabriel by physician / mother's first name spelled Tarquia by physician