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Death ID: Certificate Location: Certificate Number: Death Location: Death Date: Informant: Name of Decedent: Immigrant ID: KFJI-17JUN1913-3-52-0022 POLO-29JUN1913-3-40-0012 Sex: Marital Status: Age (Birth Date): Occupation: Home Address: Birth Place: Residence Years: Name of Spouse: Immigrant ID: LBRT-07NOV1906-3-7-0014 FRAN-20AUG1914-3-11-0001 Name of Father: Immigrant ID: Birth Place: Name of Mother: Immigrant ID: Birth Place: Burial Place: Death Cause: myocarditis, coronary diseaseComments: