USA > Massachusetts > Suffolk County > Winthrop > Town of Winthrop : Record of Deaths 1907-1909 > Part 6
Note: The text from this book was generated using artificial intelligence so there may be some errors. The full pages can be found on Archive.org (link on the Part 1 page).
Part 1 | Part 2 | Part 3 | Part 4 | Part 5 | Part 6 | Part 7 | Part 8 | Part 9 | Part 10 | Part 11 | Part 12 | Part 13 | Part 14 | Part 15 | Part 16 | Part 17 | Part 18 | Part 19 | Part 20 | Part 21 | Part 22 | Part 23 | Part 24 | Part 25 | Part 26 | Part 27 | Part 28 | Part 29 | Part 30
How long at
Place of Death ?
years.
. months. . days
Where was disease contracted,
If not at place of death ?
Filed
.190
Cler
* City or town, street and number, if any. If death occurs away from USUAL RESI- DENCE, give facts called for under "Speclal Information." If in a Hospital of institution, give Its NAME instead of street and number.
t In case of married or divorced woman, or widow. # State or country ; also city, town or county, If known.
§ Name and address of person giving statistical details. Il Name of cemetery.
ALL NAMES TO BE IN FULL
Death * Winthrop Mass
Olien Olsen Seja1 6, 1907
COMMONWEALTH OF MASSACHUSETTS
RETURN OF A DEATH Jackson
(CITY OR TOWN.)
FULL NAME
Perchã M.
Place of l
Death *
S
Winchrol Mais
Residence
235 Court Rout
20
2
.months.
.days
STATISTICAL DETAILS
SEX
Female
COLOR
Mute
SINGLE, MARRIED, WIDOWED, OR DIVORCED
Manuel
MAIDEN NAME 1
Bercha. m. allen
HUSBAND'S NAME t
albert. R. Jackson
BIRTHPLACE # Fairhaven Mars
NAME OF
FATHER
Rico. F. allen
BIRTHPLACE
OF FATHER+
Hanharen
MAIDEN NAME
OF MOTHER
Sarah, E. Dunham
BIRTHPLACE
OF MOTHER #
OCCUPATION
INFORMANT §
Husband
PHYSICIAN'S CERTIFICATE
I HEREBY CERTIFY that I attended deceased during last illness, from Sept 1st sept 7 ... 190 .... ), 190 .... ).to that to the best of my knowledge and belief death occurred on the date stated above, and that the CAUSE OF DEATH was as follows : Primary : Confinement (Incident to)
.(DURATION)
.. 0AY8
Contributory :
Septe Infection
(OURATION)
6
. DAY8
(Signed).
Birmetcalf
M.D.
Sept 8
190 ... ). . (Address) ..
SPECIAL INFORMATION only for Hospitals, Institutions, Translents, or Recent Residents.
How long at
Place of Death ?
... . years ...
months.
...........
.. days
Where was disease contracted,
If not at place of death ?.
Filed
190
Clerk
* City or town, street and number, If any. If death occurs away from USUAL RESI- DENCE, give facts called for under "Speclal Information." If In a Hospital or Institution, give Its NAME instead of street and number.
t In case of married or divorced woman, or widow. # State or country; also city, town or county, If known.
§ Name and address of person giving statistical details. Il Name of cemetery.
ALL NAMES TO BE IN FULL
PLACE OF BURIAL OR REMOVAL !!
Fanharen mars
DATE OF BURIAL
Luft 9
>
190.
UNDERTAKER
G. R. Bensin
ADDRESS
Winitwoh Mars
1,84
Registered No.
Date of ¿
Left-
.190
Death S
Ag
.. years.
7
1
Bertha m. ackern! Sekt 7-1907
[3.'06 37-LM.]
Permit No.
RETURN OF DEATH.
Il interrato
BOSTON, MASS.
Name in full,
Date of Death
alexander Douglas
Byer 8:190mg
(If married or divorced woman give malden name, also name of husband.)
Sex, male Color, While
Condition,
Married
(Single, Married, Widowed or
Divorced.)
Age, 77 Years, Months,
Days. Occupation,
Ward,.
Place of Death,
228 main Street
Place of Birth,
Renfrew Scotland Date of Birth,
(State year, month and day.)
Name and Birthplace ! of Father,
Unknown, Sortland
Maiden Name and 1 Unknown, Scotland
Birthplace of Mother, S
Place of Interment,
Qvintual. Cemetery Winthrope Mars
Cumuler Floyd
Undertaker.
PHYSICIAN'S CERTIFICATE OF THE CAUSE OF DEATH.
Diciturajo
Boston,
Sess
9
190
Name and Age ? of Deceased,
Douglas Age, 77 years.
I hereby certify that I attended deceased from ciprie 1907, to Sett
190 ,that I last saw -him
alive on the.
.day of
190%,
that. died on the 8 day of 190 ), about 9 o'clock
A.M., or P.M., and that, to the best of my knowledge and belief, the cause of me death was as follows : Multiple undanimal Cancer
Disease
S chief cause, Contributing cause,
Duration
Chief Cause, Contributing cause,
* If an Institution, state how long an Inmate and previous residence.
М. П.
(White, Black, Mixed, Chinese,
Indian, etc.)
Petired
Residence,*
Winthrop Mase
Alexander Mougla.
Sept 8-1907
[3.'06 37-LM.]
Permit No.
RETURN OF DEATH. BOSTON, MASS.
Date of Death, Dejetente 11" 1907
Name in full, Mary Elizabeth Ingalls
(If married or divorced woman give maiden name, also name of husband.)
Sex, Otimale .Color, White
(White, Black, Mixed, Chinese, Indian, etc.) Condition, Single.
(Single, Married, Widowed or Divoreed.)
Age,. 16 Years, 5 Months, 2/ Days. Occupation,
Residence, *. Winthrop mass
Ward,
Place of Death, Buchanan Steel
Place of Birth, Boston Mass
(State year, month and day.)
Name and Birthplace of Father,
Moses Angades = Carlisle Masz
Maiden Name and Elizabeth C. Mansfield- Massachuset
Birthplace of Mother,
Place of Interment,
Summer Flatych
Undertaker.
PHYSICIAN'S CERTIFICATE OF THE CAUSE OF DEATH.
Winthrop Boston, Bff 12th 190%.
of Deceased, Mary Elizabeth Ingalls Age, 76 years.
I hereby certify that I attended deceased from May 1712 .. 190/ , to
Sfr. 111h
1907, that I last saw her alive on the 1115 day of Seff 190/,
the
that died on the day of Sift 190/, about 4 o'clock
I.M., or P.M., and that, to the best of my knowledge and belief, the cause of .. her death was as follows :
Disease Chief cause, Apoplus
Contributing cause,. age !
Chief Cause, ..
Duration Contributing cause,
M. D.
* If an institution, state how long an inmate and previous residence.
621
Name and Age ?
Date of Birth, Mar 21"
mary Elizabeth vieralle Sept 11-1907
[3.'06 37-LM.]
Permit No.
RETURN OF DEATH.
BOSTON, MASS.
Name in full,
Date of Death, Novace PP. Sentching
Sepet 15.1907
(If married or divorced woman give maiden name, also name of husband.)
Sex, Male .Color While
Condition,
Married
(Single, Married, Widowed or Divorced.)
Age, J2 Years, 5 Months,~
Days. Occupation,
Ward, ....
Place of Death, 18, Warehace Street
Place of Birth,
Nathrop, Mass Date of Birth,
(State year, mouth and day.)
ajanie 16"18:55
Name and Birthplace of Father,
Maiden Name and adaline Richardson Moultonbrought
Birthplace of Mother, )
Place of Interment, Printtrop Centery Lt intuito mass Qunner Cloud
Undertaker.
PHYSICIAN'S CERTIFICATE OF THE CAUSE OF DEATH.
Name and Age ?
of Deceased,
Age, 6 2 years.
I hereby certify that I attended deceased from 1906 190 , to Sept 15
1907, that I last saw he
- alive onthe. 15ª day of Sept 190),
that died on the. 15
day of Sept 190) , about . .o'clock
945
A.M., or P.M., and that, to the best of my knowledge and belief, the cause of his death was as follows : Persitions anaemias Chief cause,
Disease Contributing cause,
Chief Cause, one year
Duration Contributing cause,
M. D.
* If an institution, state how long an inmate and previous residence.
(White, Black, Mixed, Chinese, Indian, etc.) Salesman
Residence,* Winthrop Mass
Thomas & Jerkshun - Chelsea
Boston,
Sept 17
190) .
Traces. Tewksbury Sepet 15-1907
-
[4.'07-37-I.M.]
Permit No.
RETURN OF DEATH.
Winthrop
BOSTON, MASS.
1
Date of Death,
Dejeli 21" 190%.
Name in full, Drue 6. Milchese
(If married or divorced woman give maiden name, also name of husband.)
Sex, Female Color,
Black
Condition,
(White, Black, Mixed, Chinese, Indian, etc.) (Single, Married, Widowed or Divorced.)
Age, Years,
Months, 15 Days. Occupation,
Residence, *.. Sinttuoto Mars
Ward,
Place of Death, 19, Oakland Street
Place of Birth, Afinthrop
Date of Birth, June 6"1907
adolphus a. Mitchele=Stor mare
Name and Birthplace } of Father, Maiden Name and Birthplace of Mother,
Florence Y, Janow- Boston mass
Place of Interment, Winthrop Cemetery- Vinttusk mass Summer floyd Undertaker.
PHYSICIAN'S CERTIFICATE OF THE CAUSE OF DEATH.
Winthrop Boston, Seht 22 1907 .
Name and Agel
of Deceased, Doris E. Mitchell
Age,3/2 Myear
I hereby certify that I attended deceased from Aug 19 1907, to. Sel221
1907, that I last saw per alive on the. 18 day of Self 1907,
that Ale died on the 21 day of .. Selt 190 , about. 2 o'clock
¿t.H. or P.M., and that, to the best of my knowledge and belief, the cause of.
Chief cause,
Cholera Infantum
Disease Contributing cause,.
Chief Cause, cholera Infantun
Duration Contributing cause, hraniti.
EZY M. D.
· If an Institution, state how long an Inmate and previous residence.
mouths.
herdeath was as follows :
(State year, month and day.)
Doris &. Mitchell Leti 21-1907
[3.'06-37-LM.]
Permit No.
RETURN OF DEATH. Handtuch BOSTON, MASS.
Date of Death,
261907
Name in full,. Georgi anna
Heargianna Sial
(If married or divorced woman give maiden name, also name of husband.)
Sex, termale Color, White Condition, Zidane ~ (White, Black, Mixed, Chinese, (Single, Married, Widowed or Divorced.)
Indian, etc.)
Age, 65 Years,. 1 Months, 22 Days. Occupation, Hotel Keeper
Residence, *. Hatie Shirley Ward,.
Place of Death, Hotel Schinken Winthrop (State year, month and day.) Date of Birth, any 4 18 42
Place of Birth, assique
Name and Birthplace \ William Sias Greifer V. H.
of Father, Maiden Name and Belinda B. Thurston arefree UN Birthplace of Mother,
Place of Interment,
Undertaker.
PHYSICIAN'S CERTIFICATE OF THE CAUSE OF DEATH.
Bostono Left 26 1909 Name and Age Georgionna Thestone of Deceased,
I hereby certify that I attended deceased from
Sef 17 1907 , to ..
Self 26
190/, that I last saw her alive on the. 25 day of Left 1907, that she died on the ... 26 day of Seft 190 7, about. 10.1o'clock
A.M., or P.M., and that, to the best of my knowledge and belief, the cause of. death- was as follows:
Chief cause, ..... Cerebral Embolism
.
Disease ?
Contributing cause,
Chief Cause, nine days
Duration Contributing cause,
M. D.
* If an Institution, state how long an inmate and previous residence.
C
21
65
Age, years.
11 Seargentina Thrustoria Sepet 26-1909
COMMONWEALTH OF MASSACHUSETTS
RETURN OF A DEATH
(CITY OR TOWN.)
FULL NAME
Mari I. Nadeau
Registered No.
Death *
5
Residence
54 Buchanan St Winthrop Age.
823
years
.... months. .............. days
STATISTICAL DETAILS
SEX
COLOR
CHOLE,MARRIED, WIDOWED, OM DIVORCED
MAIDEN NAME +
Sunknown
HUSBAND'S NAME + Damos M.
BIRTHPLACE #
Montreau Canada
NAME OF FATHER Emknown
BIRTHPLACE OF FATHER$
Sunknown
MAIDEN NAME OF MOTHER
Unknown
BIRTHPLACE OF MOTHER $ Unknown
OCCUPATION
INFORMANT §
PLACE OF BURIAL OR REMOVAL II
Woodlawn burs Everett
DATE OF BURIAL bet. 6 7
190.
UNDERTAKER ADDRESS E. G. Brown . Boston
PHYSICIAN'S CERTIFICATE
| HEREBY CERTIFY that I attended deceased during last iliness, from. cep. 2%. 1907 .... to Oct. 4 190 .. 2, that to the best of my knowledge and belief death occurred on the date stated above, and that the CAUSE OF DEATH was as follows : Primary : Cerebral Hemostage
(DURATION).
DAYS
Contributory : arteria- Aclerosis
(OURATION) . 0AY3
(Signed)
H.J. Partir
M.D.
Oof. 5. 1907 (Address)
Nietrafi, Mais
SPECIAL INFORMATION only for Hospitais, Institutions, Transients, or Recent Residents.
How long at Place of Death ? . years.
months
....... days
Where was disease contracted, if not at place of death ?
Filed
190
Clerk
* City or town, street and number, If any. If death occurs away from USUAL RESI- DENCE, give facts called for under "Special Information." If in a Hospital or institution, give Its NAME instead of street and number.
t In case of married or divorced woman, or widow.
# State or country ; also city, town or county, If known.
§ Name and address of person giving statistical details. Il Name of cemetery.
A
ALL NAMES TO BE IN FULL
Place of 54 Buchanan St Winthrop
Date of l
Oct 4
190
Death 1
78 mais de hadean Data-1901
[4.'07.37.I.M . ]
Permit No.
RETURN OF DEATH. BOSTON, MASS.
Date of Death, ....
190
Name in full, Erna. I.
Whichan anden names. Jina. M. Main wife of Jesse 13. Whicham
(If married or divorced woman give maiden name, also name of husband.)
Sex, ...... Color,
Condition Himmel
(White, Black, Mixed, Chinese, Indian, etc.)
(Single, Married, Widowed or Divorced.) .
Age, 25 Years, / Months, x Days. Occupation,
Residence,* 15 Marshack for
Place of Death, Initially tothelat
Place of Birth, It Solens new foundland Date of Birth, 1882
Name and Birthplace of Father,
Maiden Name and Birthplace of Mother, Wwechiit Contains Wincent Mars Place of Interment,
Undertaker.
PHYSICIAN'S CERTIFICATE OF THE CAUSE OF DEATH.
Boston, october 7th 7 190
Name and Age !
. la mit han
Age, 25 years,
I hereby certify that I attended deceased from .. Myml 2/ 190 7, to. 5/-
1907, that, I last saw
She
5
day of
octotu
1907, about 4 o'clock
JE, or P.M., and that, to the best of my knowledge and belief, the cause of her her death.
was as follows :
auto refection incidental to comment 1 Disease ‹ Chief cause,
Contributing cause,
Chief Cause,
Duration
Contributing cause, 6 week
0 3:„Вигля 7
M. D.
· If an Institution, state how long an Inmate and previous residence.
C
-
of Deceased,
alive on the. sth
day of october 190 7
that
died on the.
(State year, month and day.)
Verna m. Withan Caro- 190%.
-
1)
[4.'07-37-LM.]
RETURN OF DEATH. BOSTON, MASS.
Date of Death,
October 7" 1907
Name in full,. Gelten Jane Gray Marin
Pe Kin's
(If married or divorced woman give maiden name, also name of husband.)
Sex, Female. Color,
(White, Black, Mixed, Chinese, Indian, etc.) Condition, Maned
Age, 80 Years, ~ Months, ~Days. Occupation,
Residence,* Mantrap mars
Ward,
Place of Death, 95 Sommeset Chence
(State year, month and day.)
Place of Birth, Jaunton Mass Date of Birth,
Name and Birthplace of Father,
John Perkniz - Beckley Mass
Maiden Name and Betsy Hastings Heeton Mars
Birthplace of Mother, 1 Place of Interment, Withup
Demeter
Dimmel Iloud
Undertaker.
PHYSICIAN'S CERTIFICATE OF THE CAUSE OF DEATH.
Boston, Oct, 7th 1907.
of Deceased, Esther Y. , Masau
Age, 80% yearx.
I hereby certify that I attended deceased from. Oct 5 1907, to Cat. 7
190 Mthat I last saw
alive on the. 6th
day of. Ocl 190 7
that sie . died on the. 7 th Oct
day of 1907, about 9 o'clock
A.M., or E.AR, and that, to the best of my knowledge and belief, the cause of. her death was as follows :
Disease - S Chief cause, Softening of Brain Contributing cause, .. old age
Duration
Chief Cause, 2 years
Contributing cause, George A French. M. D.
* If an institution, state how long an inmate and previous residence.
Name and Age
Permit No.
11
(Single, Married, Widowed or Divorced.)
leather Janne Gray masow Oct-7, 1907
: NORTH CHE 1788 :
CHEL
RETURN OF A DEATH
(CITY OR TOWN.)
FULL NAME Susan C. foster
.Registered No.
Place of ) Metcalf Hos.
Death *
S
Residence
Bellingham are
Age
42
.years
months.
.days
STATISTICAL DETAILS
SEX FI
COLOR
SINGLE, MARRIED, WIDOWED, OR DIVOPGED
MAIDEN NAME + Susan la Marks
HUSBAND'S NAME t
Lekel I Foster
BIRTHPLACE # Nova Scotia,
NAME OF
FATHER
reich Weeks marks
BIRTHPLACE
OF FATHER#
O Viva Leolía
MAIDEN NAME >
OF MOTHER
Rejeiali Wake
BIRTHPLACE
OF MOTHER#
Nova Scotia
OCCUPATION
INFORMANT §
Herand
PHYSICIAN'S CERTIFICATE
I HEREBY CERTIFY that I attended deceased during last illness, from .. Sept 30 190.7 to Ocx 9 1907, that to the best of my knowledge and belief death occurred on the date stated above, and that the CAUSE OF DEATH was as follows :
Primary : Pulmonary Embalus
1
(DURATION).
.. DAY8
Contributory :
Had been operated
hoeide (ii) litern,
(DURATION)
17
DAYO
(Signed) W& Winelink
M.D.
04. 12
1907 (Address) 398 Wirdborndet, Borla
SPECIAL INFORMATION only for Hospitals, Institutions, Transients, or Recent Residents.
How long at
Place of Death ?
years
.... ....
months. .days
Where was disease contracted,
If not at place of death ?
Filed
190
Clerk
* City or town, street and number, If any. If death occurs away from USUAL RESI- DENCE, give facts called for under "Special Information." If In a Hospital or Institution, give Its NAME Instead of street and number.
t In case of married or divorced woman, or widow.
# State or country; also city, town or county, If known.
§ Name and address of person giving statistical detalis. Il Name of cemetery.
TILL VVI WIIN INK. - INIS IS A PERMANENT RECORD
ALL NAMES TO BE IN FULL
PLACE OF BURIAL OR REMOVAL I
Woodlawn Ceni.
DATE OF BURIAL
act. 12
1907
UNDERTAKER
ADDRESS
WalterT. White 368 B way Revere
COMMONWEALTH' OF MASSACHUSETTS
REVERE.
Winthrop
Date of ¿
Oct 9
190
Death
81 Susan to Foster Lect 9 :- 1907
[3.'06-37-LM.]
Permit No.
RETURN OF DEATH. BOSTON, MASS. Wultrik main
Date of Death,
Qct 18-190M
Name in full, William de. Barter
(If married or divorced woman give maiden name, also name of husband.)
Sex, male Color, White
Condition, Pringle
(White, Black, Mixed, Chinese, Indian, etc.)
(Single, Married, Widowed or Divorced.)
Age,~ Years, /
.Months,
18 Days. Occupation,
Residence,* 5 lebarles St
Ward,
Place of Death,
5 lacharles Se
Place of Birth,
Mancherfa Hass Date of Birth,
(State year month and day.) Sept 11907
Name and Birthplace of Father, Maiden Name and Birthplace of Mother,
William of Bacter Boston
Margaret le CallahanBoston
Place of Interment,
Calvary Boston
/ Kg leacids
Undertaker.
PHYSICIAN'S CERTIFICATE OF THE CAUSE OF DEATH.
Nurthu Mas Cleb. 18/1 1907 -Boston,
Name and Age William N. Barter fr. Age, 48 da years
I hereby certify that I attended deceased from. .... 190 , to 6. 17th
190 7, that I last saw
died on the 18th-
alive on the. 17th day of. cech. 1907,
day of . Och. 1907, about .. .. o'clock that he
death was as follows :
Contributing cause,. malnutrition.
Duration Contributing cause,.
L.R. Dovulan M.D.
· If an Institution, state how long an Inmate and previous residence.
021
of Deceased,
A.M., or HH, and that, to the best of my knowledge and belief, the cause of L Disease " 1 Chief cause, Premature birth
Chief Cause, ..
Willeauer 76. 1 Farten Qat 18-1907
{4-'07-37-L.M.]
Permit No.
Winthrop
BOSTON, MASS.
Date of Death,
7, Co Lober 20"
1907.
Name in full, Robert Bruce Grail
(If married or divorced woman give maiden name, also name of husband.)
Sex, male Color, White Condition, Widower
(White, Black, Mixed, Chinese, Indian, etc.)
(Single, Married, Widowed or
Divorced.)
Age, 52 Years, 10 Months, ~ Days. Occupation, Mechanical Engineer
Residence,* It cuittrop mass
Ward,
Place of Death,. 2kg Pleasant Street
Place of Birth, Borel Canada
(State year, month and day.)
Date of Birth,
Jan 31 " 1854
Name and Birthplace of Father,
William Corail=Perth Scotland
· Maiden Name and Mary D. Duggan = Ireland (Not)
Birthplace of Mother, S
Place of Interment,
Edson Cocheley
Candle Mass
Undertaker.
PHYSICIAN'S CERTIFICATE OF THE CAUSE OF DEATH.
Winthrop Boston. oct 212 190
of Deceased, Robert Bruce Crail
Age,. , 32 years.
I hereby certify that I attended deceased from .. 1906 , to oct 20'
1907 that I last saw
alive on the.
day of Gatily 190 ),
that Le died on the .. 201 .day of .. 190), about 10.30' clock
A.M., or P.M., and that, to the best of my knowledge and belief, the cause of .. his death. was as follows :
Chief cause,
Lo camentos ataxia
Disease Contributing cause, .
General Parasis
Chief Cause, .. Several years
Duration Contributing cause,
M. D.
· If an institution, state how long an inmate and previous residence.
21
..
Name und Age ?
RETURN OF DEATH.
Oct 20 .- 1901 Arbeit Bruce lerait
1
COMMONWEALTH OF MASSACHUSETTS
RETURN OF A DEATH
(CITTY OR TOWN.)
FULL NAME Joseph Mardi
.Registered No ..
Place of )
150 Sea forum are
Date of l
Get- 22ª
.190
Death
1
2
.. years.
.months .....
11 .days
STATISTICAL DETAILS
SEX mall
COLOR
White
SINGLE, MARRIED, WIDOWED, OR DIVORCED
Maria
MAIDEN NAME +
HUSBAND'S NAME Ť
BIRTHPLACE #
NAME OF FATHER
BIRTHPLACE OF FATHER$
-
MAIDEN NAME OF MOTHER - 0 24 190) (Address)
BIRTHPLACE OF MOTHER #
OCCUPATION myr -
INFORMANT §
Wife
PHYSICIAN'S CERTIFICATE
I HEREBY CERTIFY that I attended deceased during last illness, from 190.7 ... to
at 22 1907, that to the best of my knowledge and belief death occurred on the date stated above, and that the CAUSE OF DEATH was as follows : Primary : Chrmic Guesswhat Thefun
nephites
.... (DURATION)
3ay yen 2 ... DAYS-
Contributory :
(DURATION). .. DAY8
(Signed)
M.D.
SPECIAL INFORMATION only for Hospitals, Institutlons, Transients, or Recent Residents.
How long at Place of Death ? years
months. days
Where was disease contracted, If not at place of death ?.
Filed
.190
Clerk
* City or town, street and number, If any. If death occurs away from USUAL RESI- DENCE, give facts callod for under "Special Information." If In a Hospital or Institution, glve Its NAME Instead of street and number.
t In case of marrled or divorced woman, or widow. State or country; also city, town or county, If known,
§ Name and address of person giving statistical details. Il Name of cemetery.
ALL NAMES TO BE IN FULL
PLACE OF BURIAL OR REMOVAL !!
DATE OF BURIAL Cecr 24.
1907
UNDERTAKER C.R Denman
ADDRESS
7
Residence
11
Age
358
Death *
1.
84 Josepho Mardi. Oct 22-197
JORT
LSEA 1849
REVERE LOT
COMMONWEALTH OF MASSACHUSETTS
REVERE.
(CITY OR TOWN.)
FULL NAME Benjamin G. Palfrey
Place of )
Death * 5
..
100 Sargent
Residence
100 Sainget St
Age
82
.. years.
months. days
STATISTICAL DETAILS
SEX Male
COLOR White
SINGLE, MARRIED, WIDOWED, OR DIVORCED
MAIDEN NAME +
..
2
HUSBAND'S NAME +
BIRTHPLACE +
NAME OF
FATHER
BIRTHPLACE OF FATHER# Unknown
MAIDEN NAME
OF MOTHER
Unknown
BIRTHPLACE
OF MOTHER #
Unknown
OCCUPATION
INFORMANT §
PHYSICIAN'S CERTIFICATE
1 HEREBY CERTIFY that I attended deceased during last
illness, from .. ......... 190
... to ........ that to the best of my knowledge and belief death occurred on the date stated above, and that the CAUSE OF DEATH was as follows :
Primary :
Pois ani
illuminati
(DURATION). .............. DAY8
Contributory :
(DURATION). .. DAYS
(Signed)
Senza Gruppen Mano
.. M.D.
a41 22 1907 (Address) 224 Boylston 88
SPECIAL INFORMATION only for Hospitais, MAstitutions, Transients, or Recent Residents. Lid
How long at Place of Death ? . years.
months. Sufolded
Where was disease contracted, if not at place of death ?
Filed
190
Clerk
* City or town, street and number, If any. If death occurs away from USUAL RESI- DENCE, give facts called for under "Special Information." If In a Hospital or Institution, give its NAME Instead of street and number.
t In case of married or divorced woman, or widow.
# State or country; also city, town or county, If known.
§ Namo and address of person giving statistical details. || Name of cemetery.
PLACE OF BURIAL OR REMOVAL I
DATE OF BURIAL
Cect-24 1907
UNDERTAKER
& R. Bennison:
ADDRESS
Registered No.
Date of l Oct 22. .190
2
Death S
390
RETURN OF A DEATH
85 Benjamin lo Valfray Oct 22-1907
7
COMMONWEALTH OF MASSACHUSETTS
Monthoh
(CITY OR TOWN.)
FULL NAME
amne & mccarthy
Registered No.
Date of
Oct 24 th
Death
.190
8
.months.
ys
STATISTICAL DETAILS
Female Mitista
SINGLE, MARRIED, WIDOWED, OR DIVORCED
MAIDEN NAME +
annia E
Rower
HUSBAND'S NAME +
BIRTHPLACEİ
South Boston
NAME OF
FATHER
Francis Power
BIRTHPLACE
OF FATHER$
New Foundland
MAIDEN NAME
OF MOTHER
Margaret Rowe
BIRTHPLACE
OF MOTHER #
n. 1fr
OCCUPATION
INFORMANT §
PLACE OF BURIAL OR REMOVAL I Hob, Crow Maldau
DATE OF BURIAL
..............
ADDRESS
123Marsruchs
PHYSICIAN'S CERTIFICATE
I HEREBY CERTIFY that I attended deceased during last illness, from oct.18 190% to Oct 24 1907 .... , that to the best of my knowledge and belief death occurred on the date stated above and that the CAUSE OF DEATH was as follows : Primary : Vreamoura-
.(DURATION). . DAYS
Contributory :
(Signed)
HE Pragdom.
(OURATION). .. OAYS
M.D.
oct 24
Address) Of Central Ay
SPECIAL INFORMATION only for Hospitais, Institutions, Transients, or Recent Residents.
How long at
Place of Death ?
. years.
.. months ...
...... . days
Where was disease contracted, If not at place of death ?.
Filed
.190
Clerk
* City or town, street and number, If any, If death occurs away from USUAL RESI- DENCE, give facts called for under "Speclal Information." If in a Hospital or Institution, give Its NAME Instead of street and number.
t in case of married or divorced woman, or widow. # State or country; also city, town or county, If known.
§ Name and address of person giving statistical detalis, Il Name of cemetery.
ALL NAMES TO BE IN FULL
Place of
Withich Ia22
Death *
5
Residence
92 Marshall
Age
29
years.
UNDERTAKER Frank of Maloney?
RETURN OF A DEATH
86 Come to mis learthay (let 24, 1307
[4.'07-37-I.M.]
Permit No.
RETURN OF DEATH.
Timetro fo
BOSTON, MASS.
Date of Death,
October 2.5"
190.7 ...
Name in full, Margaret freeman ........
(If marrled or divorced woman give malden name, also name of husband.)
(White, Black, Mixed, Chinese, Indian, etc.) Condition, Sex, Female Color While
(Single, Married, Widowed or
Divorced.)
Age, 1 Years, 6 Months, 21 Days. Occupation,
Residence,* Winthrop Mass Ward,
Place of Death, Hy Summit avenue
Place of Birth, Winthrop Mass Date of Birth,
(State year, month and day.)
Dean G. Freeman-Acra Sortia
Name and Birthplace of Father, Maiden Name and Birthplace of Mother, 5
Jena Hayden - Heuttrop Mass
Place of Interment, Stintinoto banetery - Dumider Floyd
Undertaker.
PHYSICIAN'S CERTIFICATE OF THE CAUSE OF DEATH.
Winthrofs
Boston
oct 26
190)
Name and Age ?
of Deceased, majoret "fueman Age,. years.
I hereby certify that I attended deceased from. oct 12 190) , to
1 190 ,that I last saw
alive on the .. 25 day of 190 ,
that she died on the. 25 day of .. oct. 190 ), about. 6 Proclock
.A.M., or P.M., and that, to the best of my knowledge and belief, the cause of. death was as follows : Parmians. anaemia Chief cause,
Disease Contributing cause,
Chief Cause, 2 mois
Duration
Contributing cause,
M. D.
· If an Institution, state how long an Inmate and previous residence.
21
margaret Freeman Clar 25-1907
COMMONWEALTH OF MASSACHUSETTS
RETURN OF A DEATH
Need help finding more records? Try our genealogical records directory which has more than 1 million sources to help you more easily locate the available records.