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Death ID: Certificate Location: Certificate Number: Death Location: Death Address: Death Date: Informant: Name of Decedent: Immigrant ID: GERM-24NOV1912-3-7-0004 Sex: Marital Status: Age (Birth Date): Occupation: Home Address: Birth Place: Residence Years: Name of Spouse: Immigrant ID: Name of Father: Immigrant ID: BELV-30MAR1921-3-47-0006 Birth Place: Name of Mother: Immigrant ID: BELV-30MAR1921-3-47-0007 Birth Place: Burial Place: Death Cause: influenza (contributory: lobar pneumonia)Comments: also known as Val Yerganian