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Death Location:              
Death Date:                  
Informant:                   

Name of Decedent:            
Immigrant ID:                MGHL-06FEB1923-3-2-0003 
Sex:                         
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Age (Birth Date):            
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Residence Years:             

Name of Spouse:              
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Name of Father:              
Immigrant ID:                MGHL-06FEB1923-3-2-0001 
Birth Place:                 

Name of Mother:              
Immigrant ID:                MGHL-06FEB1923-3-2-0002 
Birth Place:                 

Burial Place:                

Death Cause:
                             broncho pneumonia (contributory: heart failure)

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