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Death Location:              
Death Date:                  
Informant:                   

Name of Decedent:            
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Sex:                         
Marital Status:              
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Occupation:                  
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Name of Father:              
Immigrant ID:                PWIL-26FEB1920-3-5-0023 
Birth Place:                 

Name of Mother:              
Immigrant ID:                PWIL-26FEB1920-3-5-0024 
Birth Place:                 

Burial Place:                

Death Cause:
                             gastro enteritis

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