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Death ID: Certificate Location: Certificate Number: Death Location: Death Address: Death Date: Informant: Name of Decedent: Immigrant ID: OCNC-10OCT1912-3-UC31-0004 Sex: Marital Status: Age (Birth Date): Occupation: Home Address: Birth Place: Residence Years: Name of Spouse: Immigrant ID: LCHM-02JUL1899-0-Q-0001 ROCH-19DEC1911-3-6-0002 Name of Father: Immigrant ID: Birth Place: Name of Mother: Immigrant ID: Birth Place: Burial Place: Death Cause: acute myocarditis (contributory: hypostatic pneumonia, passive congestion)Comments: