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Death ID: Certificate Location: Certificate Number: Death Location: Death Date: Informant: Decedent Name: Immigrant ID: PTRS-02NOV1920-2-5-0011 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: Comments: no doctor attended, cause of death: [blank]