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Death ID: Certificate Location: Certificate Number: Death Location: Death Address: Death Date: Informant: Decedent Name: Immigrant ID: VEST-28SEP1916-3-2-0026 MGHL-01AUG1921-3-U1-0005 Sex: Marital Status: Age (Birth Date): Occupation: Home Address: Birth Place: Residence Years: Spouse Name: Immigrant ID: Father Name: Immigrant ID: Birth Place: Mother Name: Immigrant ID: Birth Place: Burial Place: Death Cause: cardiac failure (chr[onic] myocarditis) (contributory: primary hyperthyroidism)Comments: