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Death ID: Certificate Location: Certificate Number: Death Location: Death Date: Informant: Name of Decedent: Immigrant ID: LGSC-27SEP1886-2--0169 PANN-17MAR1921-2-3-0015 Sex: Marital Status: Age (Birth Date): Occupation: Home Address: Birth Place: Residence Years: Name of Spouse: Immigrant ID: LGSC-27SEP1886-2--0168 LPRV-08MAY1909-1-4-0011 PANN-17MAR1921-2-3-0014 Name of Father: Immigrant ID: Birth Place: Name of Mother: Immigrant ID: Birth Place: Burial Place: Death Cause: ovarian tumor (sarcoma), metastatis in left breast (contributory: myocarditis)Comments: