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Death ID: Certificate Location: Certificate Number: Death Location: Death Address: Death Date: Informant: Name of Decedent: Immigrant ID: STLO-08JUL1912-3-C8-0018 Sex: Marital Status: Age (Birth Date): Occupation: Home Address: Birth Place: Residence Years: Name of Spouse: Immigrant ID: LSVO-27JUN1903-3-AA-0013 LTRN-02JUL1911-3-3-0025 Name of Father: Immigrant ID: Birth Place: Name of Mother: Immigrant ID: Birth Place: Burial Place: Death Cause: l[eft] cerebral hemorrhage due to high blood pressure & diseased kidneys & heartComments: