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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: DOMI-29NOV1911-2-E-0017 Birth Place: Mother Name: Immigrant ID: ASIA-14FEB1921-3-20-0003 Birth Place: Burial Place: Death Cause: carbon monoxide gas poisoning (illuminating gas), found in kitchen of home (suicide)Comments: