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Death ID: Certificate Location: Certificate Number: Death Location: Death Address: Death Date: Informant: Name of Decedent: Immigrant ID: LRNT-20NOV1899-3-5-0024 Sex: Marital Status: Age (Birth Date): Occupation: Home Address: Birth Place: Residence Years: Name of Spouse: Immigrant ID: LAUR-29DEC1910-3-44-0008 Name of Father: Immigrant ID: Birth Place: Name of Mother: Immigrant ID: Birth Place: Burial Place: Death Cause: skull fracture, acute cardiac dilatation secondary to chr[onic] myocarditis (accidental fall down stairs, collapsed on stairway at American Tool Company)Comments: