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Death Location:              
Death Address:               
Death Date:                  
Informant:                   

Name of Decedent:            
Immigrant ID:                NOOR-21JUN1920-3-104A-0004 
Sex:                         
Marital Status:              
Age (Birth Date):            
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Name of Spouse:              
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Name of Father:              
Immigrant ID:                LTRN-21OCT1912-3-13-0019 NOOR-21JUN1920-3-104A-0002 
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Name of Mother:              
Immigrant ID:                NOOR-21JUN1920-3-104A-0003 
Birth Place:                 

Burial Place:                

Death Cause:
                             generalized tuberculous infection (contributory: myocardial failure)

Comments: