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Death ID: Certificate Location: Certificate Number: Death Location: Death Date: Informant: Name of Decedent: Immigrant ID: Sex: Marital Status: Age (Birth Date): Occupation: Home Address: Birth Place: Residence Years: Name of Spouse: Immigrant ID: Name of Father: Immigrant ID: LSVO-10FEB1906-3-9-0005 MJST-20NOV1913-3-C34-0027 Birth Place: Name of Mother: Immigrant ID: LSVO-30AUG1920-3-7-0010 Birth Place: Burial Place: Death Cause: acute ileo colitis (contributory: ileus)Comments: