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Death ID: Certificate Location: Certificate Number: Death Location: Death Address: Death Date: Informant: Name of Decedent: Immigrant ID: Sex: Marital Status: Age (Birth Date): Occupation: Home Address: Birth Place: Residence Years: Name of Spouse: Immigrant ID: Name of Father: Immigrant ID: NIAG-12AUG1920-3-23-0009 Birth Place: Name of Mother: Immigrant ID: MGHL-29MAY1921-3-18-0008 Birth Place: Burial Place: Death Cause: suppurative arthritis, r[igh]t hip joint (contributory: septicemia)Comments: