Death ID:                    

Certificate Location:        
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Death Location:              
Death Date:                  
Informant:                   

Name of Decedent:            
Immigrant ID:                LSVO-27JUN1903-3-AA-0013 LTRN-02JUL1911-3-3-0025 
Sex:                         
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Name of Father:              
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Birth Place:                 

Name of Mother:              
Immigrant ID:                
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Burial Place:                

Death Cause:
                             suicide by firearms

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