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Death Address:               
Death Date:                  
Informant:                   

Name of Decedent:            
Immigrant ID:                PANN-11AUG1920-3-30-0007 
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Name of Spouse:              
Immigrant ID:                PANN-26OCT1920-3-T50-0021 

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Death Cause:
                             chronic endocarditis / chronic interstitial nephritis (contributory: arterio sclerosis with hypertension)

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