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Death ID: Certificate Location: Certificate Number: Death Location: Death Address: Death Date: Informant: Name of Decedent: Immigrant ID: JNJD-01NOV1930-1-1-0002 Sex: Marital Status: Age (Birth Date): Occupation: Home Address: Birth Place: Residence Years: Name of Spouse: Immigrant ID: JNJD-01NOV1930-1-1-0001 Name of Father: Immigrant ID: Birth Place: Name of Mother: Immigrant ID: Birth Place: Burial Place: Death Cause: cardiac failure due to hypertensive cardio-vascular disease (other: rheumatic heart disease)Comments: