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Death ID: Certificate Location: Certificate Number: Death Location: Death Address: Death Date: Informant: Name of Decedent: Immigrant ID: LSNE-11JUN1909-3-2-0004 OLMP-11DEC1913-3-C38-0016 CALA-15MAY1921-3-9-0020 Sex: Marital Status: Age (Birth Date): Occupation: Home Address: Birth Place: Residence Years: Name of Spouse: Immigrant ID: CALA-15MAY1921-3-9-0021 Name of Father: Immigrant ID: Birth Place: Name of Mother: Immigrant ID: Birth Place: Burial Place: Death Cause: myocarditis (contributory: urinary suppression)Comments: