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Death Certificate for Theresa Masik Skrivanek

Name: Mrs. Theresa Skrivanek
Gender: Female
Race: White
Age: 75
Birth Date: 9 Jun 1841
Birth Place: Bohemia, Austria
Death Date: 5 Nov 1916
Death Place: Caldwell, Burleson, Texas, USA
Father: Joseph Mashik
Mother: Theresa Balcar
Cause of Death: Pulmonary Exhaustion

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