Death on in Leiden (Netherlands)

You're about to report an error in the following record:

Death, 12-10-1903, Leiden, Gerardus Janse van Mangem, Hendrika Gilbert, Albertus Leendert Gilbert, Hendrika Krap, Heritage Leiden and environs (Netherlands): Civil registration deaths

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On both the detail page on the website of the archive as well on Open Archives, the report will be sent to Erfgoed Leiden en omstreken.
Only on Open Archives, the report will be sent to Open Archives.

What is wrong?

Describe which information of the document is incorrect and what you think is the correct information (the link of the deed on Open Archives and the archive website are automatically included in the message, so you do not need to include them here):

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