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Death ID: Certificate Location: Certificate Number: Death Location: Death Address: Death Date: Informant: Name of Decedent: Immigrant ID: FLRD-02NOV1910-3-7-0016 Sex: Marital Status: Age (Birth Date): Occupation: Home Address: Birth Place: Residence Years: Name of Spouse: Immigrant ID: Name of Father: Immigrant ID: Birth Place: Name of Mother: Immigrant ID: Birth Place: Burial Place: Death Cause: phthisis pulmonalis [tuberculosis] (contributory: ischio rectual fistulae)Comments: filed in Vol. 34, p. 156 (see also Northbridge record 26 in Vol. 61, p. 26)