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Death ID: Certificate Location: Certificate Number: Death Location: Death Date: Informant: Name of Decedent: Immigrant ID: KNAV-24NOV1907-3-55-0012 Sex: Marital Status: Age (Birth Date): Occupation: Home Address: Birth Place: Residence Years: Name of Spouse: Immigrant ID: TEUT-17NOV1910-3-C31-0014 Name of Father: Immigrant ID: Birth Place: Name of Mother: Immigrant ID: Birth Place: Burial Place: Death Cause: lobar pneumonia, bilateral (contributory: chr[onic] bronchitis, colds)Comments: