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Death ID: Certificate Location: Certificate Number: Death Location: Death Date: Informant: Name of Decedent: Immigrant ID: LBRT-06NOV1905-3-5-0025 Sex: Marital Status: Age (Birth Date): Occupation: Home Address: Birth Place: Residence Years: Name of Spouse: Immigrant ID: Name of Father: Immigrant ID: BOHE-26SEP1896-3--0139 Birth Place: Name of Mother: Immigrant ID: LBRT-06NOV1905-3-5-0023 Birth Place: Burial Place: Death Cause: lobar pneumonia (contributory: influenza)Comments: