Town of Winthrop : Record of Deaths 1919-1921, Part 204

Author: Winthrop (Mass.)
Publication date: 1919
Publisher:
Number of Pages: 1192

USA > Massachusetts > Suffolk County > Winthrop > Town of Winthrop : Record of Deaths 1919-1921 > Part 204

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).

REGISTRAR

11-3184 I.A. Mowy Health offices

20 UNDERTAKER John F.O Maley, Wenthuge

MTM122

70 2

1 PLACE OF DEATH City 3 SEX Male 7 AGE Years 64 business, or establishment In PARENTS 14 mation should be carefully supplied. AGE should be stated EXACTLY. PHYSICIANS should state (c) Name of employer 15 N. B .- WRITE PLAINLY, WITH UNFADING INK-THIS IS A PERMANENT RECORD. Every item of infor- TION is very important. See instructions on back of certificate. CAUSE OF DEATH in plain terms, so that It may be properly classified. Exact statement of OCCUPA- which employed (or employer)

4 COLOR OR RACE

White

5 SINGLE. MARRIED, WIDOWED.

OR DIVORCED (write the word)

Married.

5a If married, widowed, or divorced

HUSBAND of

(or) WIFE of

Argaret C.Kearney

6 DATE OF BIRTH (month, day, and year)Cannot be learned

Months

Days

8 OCCUPATION OF DECEASED

(a) Trade, profession, or

Inspector of Construction

particular kind of work --.

(b) General nature of Industry,

.. M. Dept. U.S.Army

9 BIRTHPLACE (city or town)

(State or country)

Maryland.

10 NAME OF FATHER

ichsel Kearny

11 BIRTHPLACE OF FATHER (city or town)

(State or country)

Ireland

12 MAIDEN NAME OF MOTHER Ellen Cosgro e.

13 BIRTHPLACE OF MOTHER (city or town).

(State or country)

Ireland.

Informant ..

Mrs.Margaret_C Kearney

(Address) 270 Tain St. wint ron Mass,

(SECONDARY)

(Usual place of abode)

Nov. 25. 1921

REVISED UNITED STATES STANDARD CERTIFICATE OF DEATH [Approved by U. S. Census and American Public Health Association]

Statement of occupation .- Precise statement of occupa- tion is very important, so that the relative healthfulness of various pursuita can be known. The question applies to each and every person, irrespective of age. For many occupations a single word or term on the first line will be sufficient, e. g., Farmer or Planter, Physician, Compos- itor, Architect, Locomotive engineer, Civil engineer, Stationary fireman, etc. But in many cases, especially in industrial employments, it is necessary to know (a) the kind of work and also (b) the nature of the business or industry, and therefore an additional line is provided for the latter statement; it should be used only when needed. As examples: (a) Spinner, (b) Cotton mill; (a) Salesman, (b) Grocery; (a) Foreman, (b) Automobile faciory. The ma- terial worked on may form part of the second statement. Never return "Laborer," "Foreman," "Manager,"" "Dealer," etc., without more precise specification, as Day laborer, Farm laborer, Laborer-Coal mine, etc. Women at home, who are engaged in the duties of the household only (not paid Housekeepers who receive a definite salary), may be entered as Housewife, Housework, or At home, and children, not gainfully employed, as At school or At home. Care should be taken to report spe- cifically the occupations of persons engaged in domestic service for wages, as Servant, Cook, Housemaid, etc. Ifthe occupation has been changed or given up on account of the DISEASE CAUSING DEATH, state occupation at beginning of illness. If retired from business, that fact may be indi- cated thus: Farmer (retired, 6 yrs.). For persons who have no occupation whatever, write None.

Statement of cause of death .- Name, first, the DISEASE CAUSING DEATH (the primary affection with respect to time and causation), using always the same accepted term for the same disease. Examples: Cerebrospinal fever (the only definite synonym is "Epidemic cerebrospinal menin- gitis"); Diphtheria (avoid use of "Croup"); Typhoid fever (never report "Typhoid pneumonia''); Lobar pneumonia; Bronchopneumonia ("Pneumonia," unqualified, is indefi- nite); Tuberculosis of lungs, meninges, peritoneum, etc., Car- cinoma, Sarcoma, etc., of .. (name origin; “Can- ccr" is less definite; avoid use of "Tumor" for malignant neoplasms); Measles; Whooping cough; Chronic valvular heart disease; Chronic interstitial nephritis, etc. The con- tributory (secondary or intercurrent) affection need not be stated unless important. Example: Measles (disease causing death), 29 ds .; Bronchopneumonia (secondary), 10 ds. Never report mere symptoms or terminal condi- tions, such as "Asthenia," "Anemia'? (merely symptom-

atic), "Atrophy,". "Collapse,"" "Coma," "Convulsions," "Debility" ("Congenital," "Senile," etc.), "Dropsy," "Exhaustion," "Heart failure," "Hemorrhage," "Inani- tion," " Marasmus," "Old age," "Shock," "Uremia,"' "Weakness," etc., when a definite disease can be ascer- tained as the cause. Always qualify all diseases result- ing from childbirth or miscarriage, as "PUERPERAL septi- cemia," "PUERPERAL peritonitis," etc. State cause for which surgical operation was undertaken. For VIOLENT DEATHS state MEANS OF INJURY and qualify as ACCIDENTAL, SUICIDAL, or HOMICIDAL, or as probably such, if impossible to determine definitely. Examples: Accidental drowning; Struck by railway train-accident; Revolver wound of head- homicide; Poisoned by carbolic acid-probably suicide. The nature of the injury, as fracture of skull, and consequences (e. g., sepsis, tetanus) may be stated under the head of "Contributory." (Recommendations on statement of cause of death approved by Committee on Nomenclature of the American Medical Association.)

NOTE .- Individual offices may add to above list of undesirable terms and refuse to accept certificates containing them. Thus the form in use in New York City states: "Certificates will be returned for additional information which give any of the following diseases, without explana- tion, as the sole cause of death: Abortion, cellulitis, childbirth, convul- sions, hemorrhage, gangrene, gastritis, erysipelas, meningitis, miscar- riage, necrosis, peritonitis, phlebitis, pyemia, septicemia, tetanus." But general adoption of the minimum list suggested will work vast improve- ment, and its scope can be extended at a later date.

11-3184

ADDITIONAL SPACE FOR FURTHER STATEMENTS

BY PHYSICIAN.

R-301

OFFICE OF THE SECRETARY DIVISION OF VITAL STATISTICS

1 PLACE OF DEATH County.

State

Registered No. 178

City or Town

Winthrop,

No ...

156 Washington Choc.

St ... Ward (If death occurred in a hospital or institution, give its NAME instead of street and number)

2 FULL NAME

William 6.

Wright

(If in the Army or Navy of the United States, give rank, organization, etc. )

(a) Residence. No.

( Usual place of abode)

Leogth of residence in city or town where death occurred

years

months

days.

How long io U. S., if of foreign birth ?

years

months days

PERSONAL AND STATISTICAL PARTICULARS

3 SEX Male

4 COLOR OR RACE

White

5 SINGLE, MARRIED, WIDOWED, OR

· DIVORCED (write the word)

Married

5a If married, widowed, or divorced HUSBAND of (or) WIFE

6 DATE OF BIRTH

1848 ( Yeaf)

7 AGE Years

Months

Days

If LESS than

1 day ......... hrs. or ....... min.

If STILLBORN, enter that fac Mere

8 OCCUPATION OF DECEASED

(a) Trade, profession, or

particular kind of work

(b) Name of employer

Retired Treasure

9 BIRTHPLACE (City)

( State or country)

England

10 NAME OF

FATHER

George Wright

11 BIRTHPLACE OF

FATHER (City ).

(State or country)

England

12 MAIDEN NAME OF MOTHER Conn Huntington

13 BIRTHPLACE OF MOTHER (City) (State or country) England

14 Mr. albert Wright

Informant

(Address )

156 Washington ave.

15 Nov. 30 1921

Filed (Month) (Day) (Year)

REGISTRAR

21 | HEREBY CERTIFY that a satisfactory stan- dard certificate of death was filed with me BEFORE the burial or transit permit was issned S.a. maury

Official position.

Date of issoe

Wealth officer 11/25/21

Permit 363

000

The Commonwealth of Massachusetts STANDARD CERTIFICATE OF DEATH ....

(City or Town)

.. ds.

CONTRIBUTORY

( SECONDARY)

(duration)

.yrs ......... mos. .ds.

18 Where was disease contracted

if not at place of death ?

Did an operation precede death ?

Date of

Was there an autopsy ?

What test confirmed diagnosis ? -

(Sigoed)

, M.D.

(Address)

Date

uru

200 Pleasures 1

1921

( Month)

( Day)

(Year)

19 PLACE OF BURIAL, CREMATION, OR REMOVAL

DATE OF BURIAL

Woodlawn Everett nov. 28, 2h

(Cemetery)

(City or town)

20 UNDERTAKER

Grank & Brawn Cast Rodon

instructions and extracts from the laws on back of certificate. in plain terms, so that it may be properly classified. Exact statement of OCCUPATION is very important. See should be carefully supplied. AGE should be stated EXACTLY. PHYSICIANS should state CAUSE OF DEATH

MEDICAL CERTIFICATE OF DEATH

16 DATE OF DEATH

(Month)

(Day)

1921

(Year)

17 I HEREBY CERTIFY, That I attended deceased from Vor 10 19.2. / ..... , to. 1201 24 , 1922

that I last saw h in alive on Nor 26 19 .2. ), and that death occurred, on the date stated above, at. 8 8m. The CAUSE OF DEATH was as follows:

Dilatation y heart

( duration) arterio Sclerosis

PARENTS

156 Washington ve.

.Ward. (If non-resident give city or town and State)

Ilov. 26. 192 REVISED UNITED STATES STANDARD CERTIFICATE OF DEATH

[Approved by U. S. Census and American Public Health Association]

Statement of occupation. - Precise statement of occupation is very important, so that the relative healthfulness of various pursuits can be known. The question applies to each and every person, irrespective of age. For many occupations a single word or term on the first line will be sufficient, e. g., Farmer or Planter, Physician, Compositor, Architect, Locomotive engineer, Civilengineer, Stationary fireman, ete. But in many cases, especially in industrial employments, it is necessary to know (a) the kind of work and also (b) the nature of the business or industry, and therefore an additional line is provided for the latter statement; it should be used only when needed. As examples: (a) Spinner, (b) Cotton mill; (a) Salesman, (b) Grocery; (a) Foreman, (b) Automobile factory. The material worked on may form part of the second statement. Never return "Laborer," "Foreman," "Manager," "Dealer," etc., without more precise specification, as Day laborer, Farm laborer, Laborer - Coal minc, ete. Women at home, who are engaged in the duties of the house- hold only (not paid Housekeepers who receive a definite salary), may be entered as Housewife, Housework, or At home, and children, not gainfully employed, as At school or At home. Care should be taken to report spe- cifically the occupations of persons engaged in domestic service for wages, as Servant, Cook, Housemaid, ete. If the occupation has been changed or given up on account of the DISEASE CAUSING DEATH, state occupation at beginning of illness. If retired from business, that fact may be indicated thus: Farmer (retired, 6 yrs.). For persons who have no occupation whatever, write None.

Statement of cause of death. - Name, first, the DISEASE CAUSING DEATH (the primary affection with respect to time and causation), using always the same accepted term for the same disease. Examples: Cere- brospinal fever (the only definite synonym is "Epidemie cerebrospinal meningitis"); Diphtheria (avoid use of "Croup"); Typhoid fever (never report "Typhoid pneumonia"); Lobar pneumonia; Bronchopneumonia ("Pneumonia," unqualified. is indefinite); Tuberculosis of lungs, men- inges, peritoneum, etc., Carcinoma, Sarcoma, ete., of .......... (name origin; "Cancer" is less definite; avoid use of "Tumor" for malignant neoplasms); Measles; Whooping cough; Chronic valvular heart disease; Chronic interstitial nephritis, ete. The contributory (secondary or inter- current) affection need not be stated unless important. Example: Measles (disease causing death), 29 ds .; Bronchopneumonia (secondary), 10 ds. Never report mere symptoms or terminal conditions, such as "Asthenia," "Anemia" (merely symptomatic), "Atrophy," "Col- lapse,""Coma," "Convulsions,""Debility" ("Congenital,""Senile." ete.), "Dropsy,""Exhaustion,""Heart failure,""Hemorrhage,""Ina- nition," "Marasmus," "Old age," "Shock," "Uremia,""Weakness," etc., when a definite disease can be ascertained as the cause. Always qualify all diseases resulting from childbirth or miscarriage, as "PUER- PERAL septicemia," "PUERPERAL peritonitis," etc.

State cause for which surgical operation was undertaken.

(Recommendations on statement of cause of death approved by Com- mittee on Nomenclature of the American Medical Association.)

Bronchopneumonia: If primary cause, write the word "pri- mary" ; if secondary, give primary cause.

Certificates will be returned for additional information which give any of the following diseases, without explanation, as the sole cause of death: Abortion, cellulitis, childbirth, convulsions, hemorrhage, gangrene, gastritis, erysipelas, meningitis, miscar- riage, necrosis, peritonitis, phlebitis, pyemia, septicemia, tetanus.

EXTRACTS FROM THE LAWS OF THE COMMONWEALTH OF MASSACHUSETTS GOVERNING THE RETURN OF CERTIFICATES OF DEATH

A physician or registered hospital medical officer shall forthwith, after the death of a person whom he has attended during his last illness, at the request of an undertakeror otherauthorized person or of any member of the family of the dcccased, furnish for registration a standard certificate of deatlı, stating to the best of his knowledge and belief the name of the deceascd, his supposed age, the disease of which he died, defined as re- quired by section one, where same was contracted, the duration of his last illness, when last seen alive by the physician or officer and the date of his death. ...- Gen. Laws, Chap. 46, Sec. 9.

No undertaker or other person shall bury a human body . . . until he has received a permit from the board of health or its agent . . . or . . . from the clerk of the town where the person died; . . . No such permit shall be issued until there shall have been delivered to such board, agent or clerk ... a satisfactory written statement containing the facts required by law to be returned and recorded, which shall be accompanied, in case of an original interment, by a satisfactory certi- fieate of the attending physician, if any, as required by law, or in licu thereof a certificate as hereinafter provided. If there is no attending physician, or if, for sufficient reasons, his certificate cannot be obtained early enough for the purpose, or is insufficient, a physi- cian who is a member of the board of health, or employed by it or by the selectmen for the purpose, shall upon application make the certificate required of the attending physician. If death is caused by violence, the medical examiner shall make such certi- ficate. .. . The person to whom the permit is so given and the physi- cian certifying the cause of death shall thereafter furnish for registration any other necessary information which can be obtained as to the deceased, or as to the manner or cause of the death, which the clerk or registrar may require. - Gen. Laws, Chap. 114, Sec. 45.

Medical examiners shall make examination upon the view of the dead bodies of only such persons as are supposed to have died by violence. - Gen. Laws, Chap. 38, Sec. 6.

. . He shall in all cases certify to the town clerk or registrar in the . place where the deceased died his name and residence, if known; other- wise a description as full as may be, with the cause and manner of death. -Gen. Laws, Chap. 88, Sec. 7.

RULES OF PRACTICE

The fulfilment of the purpose of these laws calls for the observance of the following rules of practice:

(1) Attending physicians will certify to such deaths only as those of persons to whom they have given bedside care during a last illness from disease unrelated to any form of injury.

(2) Board of Health Physicians will certify to such deaths only as those of persons who, though disabled by recognized disease unrelated to any form of injury, have died without recent medical attendance or whose physician is absent from home when the certificate of death is needed.

(3) Medical examiners will investigate and certify to all deaths sup- posably due to injury. These include not only deaths caused directly or indirectly by traumatism (including resulting septicemia), and by the action of chemical (drugs or poisons), thermal, or electrical agents, and deaths following abortion, but also deaths from disease resulting from injury or infection related to occupation, the sudden deaths of persons not disabled by recognized disease, and those of persons found dead.

R-302

The Commonwealth of Massachusetts

STANDARD CERTIFICATE OF DEATH

BOSTON ( City or town) 9116

1 PLACE OF DEATH

County

.............

Suffolk

State

Massachusetts

Registered No.

(Place of death)

Registered No.

184

City or Town

Boston

No.

PSYCHOPATHIC HOSPT.

St.,

Ward

(If death occurred in a hospital or institution, give its NAME instead of street and number)

2 FULL NAME

HARRY GOLDSTEIN

(If in the Army or Navy of the United States, give rank, organization, etc.)

(a) Residence. State.

(Usual place of abode)

MASS.

City or Town

WINTHROP - No.

23 TRIDENT AVE. - St.

Leogth of residence in city or town where death occurred

years

months

days

How long in U. S., if of foreign birth?

years

months

days

PERSONAL AND STATISTICAL PARTICULARS

MEDICAL CERTIFICATE OF DEATH

16 DATE OF DEATH (month, day, and year)

NOV. 26

19 21

I HEREBY CERTIFY, That I attended deceased from

APR.10

1921. ..

NOV.26

1 M

NOV . 26

that I last saw h

alive on

19.21.

and that death occurred, on the date stated above, at 11.55P .m. The CAUSE OF DEATH* was as follows :

* State the DISEASE CAUSING DEATH, or in deaths from VIOLENT CAUSES, state (1) MEANS AND NATURE OF INJURY, and (2) whether ACCIDENTAL, SUICIDAL, or HOMICIDAL. (See reverse side for additional space.) GENERAL PARESIS

(duration)

. yrs

mos.

ds.

CONTRIBUTORY

INTESTINAL HEMORRHAGE

(SECONDARY)

(duration)

...... yrs.

mos.

Ìs.

N8 Where was disease contracted

if not at place of death ?

Did an operation precede death ?.

Date of

Was there an autopsy?

What test confirmed diagnosis?

(Signed)

A.G PATHELL

, 19

( Address)

NOV.27

M.D.

19 PLACE OF BURIAL, CREMATION, OR REMOVAL

WOBURN (OHEL JACOB)

DATE OF BURIAL

NOV . 2719 21

ADDRESS

Filed NOV . 29 19 21 ...

ErMSlenen

Registrar of city or towo where death occurred

Filed

um 11

Registrar of city or towo where deceased resided

9. 25,000

3 SEX N 7 AGE 36 PARENTS 14 Informant (Address) 15 of certificate. carefully supplied. AGE should be stated EXACTLY. PHYSICIANS should state CAUSE OF DEATH in plain terms. so that it may be properly classified. Exact statoment of OCCUPATION is very important. See instructions on back I.D. WILL PLANLI, WHITE VITALINO HAN HIN IN A TEAMANENT AEUUND. Every item of Information should be (b) Name of employer

4 COLOR OR RACE

5 SINGLE, MARRIED, WIDOWED, OR

DIVORCED (write the word)

MAR

5a If married, widowed, or divorced

HUSBAND of

(or) WIFE of

6 DATE OF BIRTH (month, day, and year)

Years

Months

Days

If LESS thao

1 day,. ...... brs.

or ....... min.

If STILLBORN, enter that fact bere

8 OCCUPATION OF DECEASED

(a) Trade, professioo, or

particular kiod of work

TAILOR

9 BIRTHPLACE (eity or town)

RUSSIA

(State or country)

10 NAME OF FATHER

BERKEY GOLDSTE

11 BIRTHPLACE OF FATHER (city or town)

(State or country) RUSSIA

12 MAIDEN NAME OF MOTHER

BECKY BRODSKY

13 BIRTHPLACE OF MOTHER (city or town).

(State or country)

RUSSIA

HOSPT.RECORDS

20 UNDERTAKER

MANUEL STANETSKY

(Place of residence)

12.'

nov. 26.1921

REVISED UNITED STATES STANDARD CERTIFICATE OF DEATH [Approved by U. S. Census and American Public Health Association]

Statement of occupation. - Precise statement of occupa- tion is very important, so that the relative healtlifulness of various pursuits can be known. The question applies to each and every person, irrespective of age. For many occupations a single word or terin on the first line will be sufficient, e. g., Farmer or Planter, Physician, Compos- itor, Architect, Locomotive engincer, Civil engineer, Stationary fireman, etc. But in many cases, especially in industrial employments, it is necessary to know (a) the kind of work and also (b) the nature of the business or industry, and therefore an additional line is provided for the latter statement; it should be used only when needed. As examples: (a) Spinner, (b) Cotton mill; (a) Salesman, (b) Grocery; (a) Foreman, (b) Automobile factory. The ma- terial worked on may form part of the second statement. Never return "Laborer,"

"Foreman," "Manager," "Dealer," etc., without more precise specification, as Day laborer, Farm laborer, Laborer - Coal mine, etc. Women at home, who are engaged in the duties of the household only (not paid Housekeepers who receive a definite salary), may be entered as Housewife, Housework, or At home, and children, not gainfully employed, as At school or At home. Care should be taken to report spe- eifically the occupations of persons engaged in domestic service for wages, as Servant, Cook, Housemaid, etc. If the occupation has been changed or given up on account of the DISEASE CAUSING DEATH, state occupation at beginning of illness. If retired from business, that fact may be indi- eated thus: Farmer (retired, 6 yrs.). For persons who have no occupation whatever, write None.

(name origin; "Cancer" is less definite; avoid use of "Tumor" for malignant neoplasms); Measles; Whooping cough; Chronic valvular heart disease; Chronic interstitial nephritis, etc. The contributory (secondary or inter- current) affection need not be stated unless important. Example: Measles (disease causing death), 29 ds .; Broncho- pneumonia (secondary), 10 ds. Never report mere symp- toms or terminal conditions, such as "Asthenia," "Anemia" (merely symptomatic), "Atrophy," "Col- lapse," "Coima," "Convulsions," "Debility" (“Con- genital," "Senile," etc.), "Dropsy," "Exhaustion," "Heart failure," "Hemorrhage," "Inanition," "Maras- mus," "Old age," "Shock," "Uremia," "Weakness," etc., when a definite disease can be ascertained as the cause. Always qualify all diseases resulting from child- birth or miscarriage, as "PUERPERAL septicemia," "PUER- PERAL peritonitis," etc. State cause for which surgical operation was undertaken. For VIOLENT DEATHS STATE MEANS OF INJURY and qualify as ACCIDENTAL, SUICIDAL, or HOMICIDAL, or as probably such, if impossible to de- termine definitely. Examples: Accidental drowning; Struck by railway train - accident; Revolver wound of d - homicide; Poisoned by carbolic acid - probably Je. The nature of the iniune as fondens

under the head of "Contributory." (Recommendations on statement of eause of death approved by Committee on Nomenclature of the American Medical Association.)

Cases for the Medical Examiners. - Under the provi- sions of chapter 24 of the Revised Laws deaths under the following conditions must be referred to the Medical Examiners:

1. Deaths following injury or violence, as Burns, Falls, Drowning, Gas poisoning, Suicide, Homicide, etc.

2. Deaths supposedly caused by violence, as Criminal abortion, Poisoning, Starvation, Suffocation, Exposure, etc.

3. Sudden deaths of persons not disabled by recognized disease, as A death upon the street, or one supposed to be duc to Alcoholism, etc.

4. Deaths under eircumstances unknown, as A person found dead, etc.

ADDITIONAL SPACE

FOR FURTHER STATEMENTS BY PHYSICIAN.

R-301

OFFICE OF THE SECRETARY DIVISION OF VITAL STATISTICS

STANDARD CERTIFICATE OF DEATH ........

Worthnot

(City or Town)

1 PLACE OF DEATH

County

Suffolk

State Man

Registered No.

179

City or Town

No.

46 Lower Road

.Ward

(If death occurred in a hospital or institution, give its NAME instead of street and number)

Rebecca. Jane. Williams

(If in the Army or Navy of the United States, give rank, organization, etc.)

(a) Residence.

46 Loures Rds

( Usual place of abode)

Length of residence io city or town where death occurred

years

months

days.

How long in U. S., if of foreign birth ?

years

months

days

PERSONAL AND STATISTICAL PARTICULARS

MEDICAL CERTIFICATE OF DEATH

16 DATE OF DEATH

(Month)

(Day)

(Year)

5a If married, widowed, or divorced

HUSBAND of

(or) WIFE of

Waller. H. Williams

6 DATE OF BIRTH

Cech

1832

( Month)

(Day)

(Year)

Years

Months

Days

If STILLBORN, eoter that fact here

8 OCCUPATION OF DECEASED

(a) Trade, professioo, or

particular kind of work

at Home

Randolph

9 BIRTHPLACE (City)

(State or country)

mais

11 BIRTHPLACE OF

FATHER (City)

(State or country)

Parlament

12 MAIDEN NAME

OF MOTHER

Mary Jackson

Palamut

13 BIRTHPLACE OF MOTHER (City) (State or country) n.M.

14 Walter. H. il Minis

(Address)

46. Powell Ru

Filed Nov. 30.1921

(Month) (Day) (Year)

REGISTRAR

21 | HEREBY CERTIFY that a satisfactory stan- dard certificate of death was filed with me BEFORE the burial or transit permit was issued I. G. Maury

19 PLACE OF BURIAL, CREMATION, OR REMOVAL

DATE OF BURIAL

(Cemetery)

(City or town)

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.

Town of Winthrop : Record of Deaths 1919-1921, Part 204

Author: Winthrop (Mass.) Publication date: 1919 Publisher: Number of Pages: 1192

Author: Winthrop (Mass.)
Publication date: 1919
Publisher:
Number of Pages: 1192