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Death ID: Certificate Location: Certificate Number: Death Location: Death Address: Death Date: Informant: Name of Decedent: Immigrant ID: CTRO-05AUG1922-3-8-0007 Sex: Marital Status: Age (Birth Date): Occupation: Home Address: Birth Place: Residence Years: Name of Spouse: Immigrant ID: Name of Father: Immigrant ID: CTRO-05AUG1922-3-8-0005 Birth Place: Name of Mother: Immigrant ID: CTRO-05AUG1922-3-8-0006 Birth Place: Burial Place: Death Cause: struck by auto, fractures vault base of skull, concussion brain (contributory: hemorrhage brain, shock)Comments: