USA > Massachusetts > Suffolk County > Winthrop > Town of Winthrop : Record of Deaths 1919-1921 > Part 46
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30 1884
St.,
.Ward.
(If non-resident give city or town and State)
County
Su folk
EXTRACTS
tetanus.
FROM THE LAWS OF THE COMMONWEALTH OF MASSACHUSETTS
GOVERNING THE
RETURN OF CERTIFICATES OF DEATH
A physician shall forthwith, after the death of a person whom he has attended during his last illness, at the request of an undertaker or other authorized person or of any member of the family of the deceased, furnish for registration a stand- ard certificate of death, stating to the best of his knowledge and belief the name of the deceased, his supposed age, the discase of which he died [defined so that it can be classified under the international classification of eauses of death], where contracted, the duration of his last illness, when last seen alive by the physician, and the date of his death .. . - Revised Laws, Chap. 29, Secs. 10 and 1, as amended by Acts of 1910, Chap. S22.
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 eity or town in which 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 by a satisfactory certificate of the attending physician, if any, as required by law, or in lieu 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, the chairman of the board of health, if a physician, or any physician employed by said board or by the selectmen for the purpose, shall upon application make such certificata as is required of the attending physician. If death is caused by vio- lence, the medical examiner only shall make such certificate. . . . The person to whom the permit is so given and the physician who certifics to the cause of death shall thereafter furnish for registration any other necessary infor- mation which can be obtained as to the deceased, or as to the manner or cause of the death, which the elerk or registrar may require. - Revised Laws, Chap. 78, Sec. 38.
Medical examiners shall, in all eases, certify to the eity or town clerk or to the eity registrar in the place where the deceased died, his name and residence, if known, otherwise a description of such person as full as may be, with the cause and manner of his death, and shall make examination upon the view of the dead bodies of only such persons as are sup- posed to have come to their death by violence. - Revised Laws, Chap. 24, Sec. 8.
RULES OF PRACTICE
The fulfilment of the purpose of these laws ealls 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 eertify 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 attendanee or whose physician is absent from home when the certificate of death is needed.
(3) Medical Examiners will investigate and certify to all deaths supposably due to injury. These include not only deaths caused directly or indirectly by traumatism (ineluding 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.
STATEMENT OF CAUSE OF DEATH
For VIOLENT DEATHS STATE MEANS OF INJURY and qualify as ACCIDENTAL, SUICIDAL, or HOMICIDAL, or as probably sueh, 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) should also be stated.
DESCRIPTION (for unknown person)
NOTICE TO UNDERTAKERS: No embalming fluid, or any substitute therefor, shall be injected into the body of any person supposed to have come to his death by violence, until a permit in writing, signed by the Medical Examiner, has first been obtained. - Revised Laws, Chap. 24, Sec. 20.
THIS CERTIFICATE CONSTITUTES SUCH PERMIT
The Commonwealth of Massachusetts
CERTIFICATE OF DEATH OF NON-RESIDENT
BOSTON ...................
( City or town) 80 70
1 PLACE OF DEATH
Registered No
(Place of death)
Registered No.
(Place of residence)
City or Town
Boston
No.
MASS.CHAR.E.& E.INF.
St.,
Ward
(If death occurred in a hospital or institution, give its NAME instead of street and number)
2 FULL NAME
JOHN ATLAS
MASS.
City or Town
WINTHROP
No.
26 WAVEWAY AVE.
St.
(a) Residence. State.
(Usual place of abode)
Length of residence in city or town wbere death occurred
years
months
days
How loog io U. S., if of foreign birth?
years
months days
PERSONAL AND STATISTICAL PARTICULARS
MEDICAL CERTIFICATE OF DEATH
3 SEX
M
4 COLOR OR RACE
W
5 SINGLE, MARRIED, WIDOWED, OR
DIVORCED (write the word)
SIN.
5a If married, widowed, or divorced
HUSBAND of
(or) WIFE of
6 DATE OF BIRTH (month, day, and ycar) 1906
7 AGE
12
Years
Months
Days
If LESS thao
1 day, ........ hrs.
or ........ min.
If STILLBORN, enter that fact bere
8 OCCUPATION OF DECEASED (a) Trade, profession, or particolar kind of work
(b) General nature of industry,
business, or establishment in
which employed (or employer )
(c) Name of employer
9 BIRTHPLACE (clty or town) BOSTON
(State or country)
CONTRIBUTORY
(SECONDARY)
(duration)
....... yrs.
mos.
3
ds.
10 NAME OF FATHER
BARNET ATLAS
18 Where was disease contracted
if not at place of death ?
Did an operation precede death ?.
YES
Date of
AUG .20
Was there an autopsy?
What test confirmed diagnosis?
(Sigoed)
H.M .FROST
M.D.
, 1919 (Address)
19 PLACE OF BURIAL, CREMATION, OR REMOVAL
WOBURN(BETH JOSEPH)
DATE OF BURIAL
AUG . 249 19
15 AUG.25.
Filed
1919
Registrar of city or towo where death occorsed
Filed.
Sept. 9
19 19 Eulalie Churchill
Des Registrar of city or town where deceased resided
carefully supplied. AGE should be stated EXACTLY. PHYSICIANS should state CAUSE OF DEATH in plain terms, so that it may be properly classified. Exact statement of OCCUPATION is very important. See instructions on back
of certificate.
PARENTS
11 BIRTHPLACE OF FATHER (city or town)
(State or country)
RUSSIA
12 MAIDEN NAME OF MOTHER JENNIE ATLAS
13 BIRTHPLACE OF MOTHER (city or town)
(State or country)
RUSSIA
14 FATHER
Informant
(Address)
(duration) ..
2
yrs.
mos
.ds.
· 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.) RT.& LT.OTITIS MEDIA WITH RT.MAS-
TOIDITIS -- OPR.DRAINAGE RT.MASTOID LIGATION RT. JUGULAR VEIN
16 DATE OF DEATH (month, day, and year)
AUG.22
1919
17
I HEREBY CERTIFY, That I attended deceased from
AUG 18
19.19 ...... ,
to
AUG.22
19.19 ..
..... ,
that I last saw h ...
1.M. alive on.
AUG.22
19.19 ..
and that death occurred, on the date stated above, at
2.30P
m.
The CAUSE OF DEATH* was as follows :
STREPTOCOCCUS MENINGITIS
AUG. 18
20 UNDERTAKER
MANUEL STANETSKY
ADDRESS
BOSTON
County
Suffolk
State
Massachusetts
.........
(If in the Army or Navy of the United States, give rank, organization, etc.)
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 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, 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 factory. The ma- terial worked on inay form part of the second statement. Never return "Laborer," "Forcinan," "Manager," "Dealer," etc., without inore precise specification, as Day laborer, Farm laborer, Laborer - Coal mine, etc. Wonen at hioine, 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 cinployed, as At school or At home. Care should be taken to report spe- cifically thic 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 DEATII, state occupation at beginning of illness. If retired from business, that fact may be iudi- cated thus: Farmer (retired, 6 yrs.). For persons who have no occupation whatever, write None.
Statement of causo of death .- Nainc, first, tlic DISEASE CAUSING DEATH (the primary affection with respect to time and causation), using always the same accepted tern 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," unquali- fied, is indefinite); Tuberculosis of lungs, meninges, peri- toneum, etc., Carcinoma, Sarcoma, etc., of_
(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- tous or terminal conditions, such as "Asthenia," "Anemia" (merely symptomatic), "Atrophy," "Col- lapse," "Coma," "Convulsions,"" "Debility" ("Con- genital," "Senile," etc.), "Dropsy," "Exhaustion," "Heart failure," "Hemorrhage," "Inanition," "Maras- Inus," "Old age," "Shock," "Uremia," "Weakness," etc., when a definite disease can be ascertained as the cause. Always qualify all diseases resulting from ehild- birth or miscarriage, as "PUERPERAL septicemia," "PUER- P'ERAL 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 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.)
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 Examincrs:
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 discase, as A death upon the street, or one supposed to be due to Alcoholism, etc.
4. Deaths under circumstances unknown, as A person found dead, etc.
ADDITIONAL SPACE FOR FURTHER STATEMENTS
PIIYSICIAN.
BY
R& 303. 6-'18. 50.000.
-
R-301
The Commonwealth of Massachusetts
STANDARD CERTIFICATE OF DEATH
OFFICE OF THE SECRETARY DIVISION OF VITAL STATISTICS
1 PLACE OF DEATHY LLOR County.
State
Registered No.
City or Town
No ..
St.
Ward
If death occurred In a hospital or institution, give its NAME instead of street and number)
2 FULL NAME
(If in the Army or Navy of the United States, give rank, organization, etc.)
(a) Residence. No.
(Usual place of abode)
55 Sumany
Se le 50,25 Ward.
(If non-resident give city or town and State)
Length of residence in any er town where death occurred
X
years
3
months
days.
How long in U. S., if of foreign birth ?
years
mooths days
PERSONAL AND STATISTICAL PARTICULARS
3 SEX
4 COLOR OR RACE
5 SINGLE, MARRIED, WIDOWED, OR
DIVORCED (write the word)
of late
5a Hf murwied, widowed, or divorced
HUSBAND f
(or) WIFE of
Daniel. E. Saumon
6 DATE OF BIRTH
( Month)
.... (Year) 12 - 1833 (Day)
7 AGE
Months
Days
If LESS than 1 day, hrs.
8 OCCUPATION OF DECEASED (a) Trade, profession, or particular kind of work (b) General nature of industry, business, or establishment in which employed ( or employer)
(c) Name of employer
9 BIRTHPLACE (City ) (State or country)
10 NAME OF
FATHER
PARENTS
11 BIRTHPLACE OF FATHER (City). (State or country)
theblack
12 MAIDEN NAME OF MOTHER
13 BIRTHPLACE OF MOTHER (City) (State or country)
thatlejte
14
Informant Mrs . I. E. Emmons
(Address)
55 Quay Side are
15
Filed au9, 30 1919 Eulalie Churchill
(Months (Day) (Year)
ais REGISTRAR
21 I HEREBY CERTIFY that a satisfactory stan- dard certificate of death was filed with me BEFORE the burial or transit permit was issued ... .1. pour
Official position. É'salte Eljuez?
: Date of issue of burial or transit permit
DATE OF BURIAL amy 27 1919
20 UNDERTAKER
ADDRESS
100,000.
MEDICAL CERTIFICATE OF DEATH
16 DATE OF DEATH
aug. (Montły)
(Day)
1919. (Year)
17
I HEREBY CERTIFY, That I attended deceased from
aug, 18.
19/9, to
24, 1919.
that Hast saw her alive on augte 23.
and that death occurred, on the date stated above, at . .. m. The CAUSE OF DEATH was as follows :
or min. arteriosclerosis.
Indef.
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 ?
no.
clinical
What test confirmed diagnosis ?
If Parte
(Signed)
, M.D.
( Address ).
Winthrop, Mexa.
Date
augs ret.
( Month)
(Day)
yrs.
moş .. .
ds.
(duration) Catarrhat Handec.
Shopleigh
mos.
&5 Years
If STILLBORN, enter that fact here
If STILLBORN, state period of uterogestation
nov
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
19 PLACE OF BURIAL, CREMATION, OR REMOVAL
Jacol me Laurel Hace
(Cemetery)
(City or town)
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, 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 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 mine, etc. Women at home, who arc 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, etc. If the occupation has been changed or given up on account of the DISEASE CAUSINO 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 "Epidemic 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, etc., of .. . (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 .; 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 shall forthwith, after the death of a person whom he has attended during his last illness, at the request of an undertaker or other authorized person or of any member of the family of the deceased, furnish for registration a standard certificate of death, stating to the best of-his knowledge and belief the name of the deceased, his supposed age; the disease of which he died [defined so that it can be classified under the international classification of causes of death], where contracted, the duration of his last illness, when last seen alive by the physician, and the date of his death. . . . - Revised Laws, Chap. 29, Secs. 10 and 1, as amended by Acts of 1910, Chap. 322.
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 city or town in which 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 con- taining the facts required by law to be returned and recorded, which ... shall be accompanied by a satisfactory certificate of the at- tending physician, if any, as required by law, or in lieu thereof a certifi- cate 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, the chairman of the board of health, if a physician, or any physician employed by said board or by the selectmen for the purpose, shall upon application make such certificate as is required of the attending physician. If death is caused by violence, the medical examiner only shall make such certificate. . . . The person to whom the per- mit is so given and the physician who certifies to 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. - Revised Laws, Chap. 78, Sec. 38.
Medical examiners shall, in all cases, certify to the city or town clerk or to the city registrar in the place where the deceased died, his name and residence, if known, otherwise a description of such person as full as may be, with the cause and manner of his death, and shall make examination upon the view of the dead bodies of only such persons as are supposed to have come to their death by violence. - Revised Laws, Chap. 24, Sec. 8.
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 diseasc 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 clectrical 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-301
The Commonwealth of Massachusetts
STANDARD CERTIFICATE OF DEATH
OFFICE OF THE SECRETARY DIVISION OF VITAL STATISTICS
1 PLACE OF DEATH Ludfolk
County.
.
... State .. Man
Registered No.
St ..
Ward
(If death occurred in a hospital or institution, give its NAME instead of strect and number)
2 FULL NAME
Lester Hamilton Belchen
(If in the Army or Navy of the United States, give rank, organization, etc.)
(a) Residence. No.
(Usual place of abode)
119 Harmon
St.,
Ward.
(If non-resident give city or town and State)
Leogth of residence in city or town where death occorred 26 years 5 months " days . How loog in U. S., if of fereigo hirth ? years
months days
PERSONAL AND STATISTICAL PARTICULARS
4 COLOR OR RACE
While
5 SINGLE, MARRIED, WIDOWED, OR
DIVORCED (write the word)
mascul
5a If married, widowed, or divorced HUSBAND of fort WIFE of Florence. M. Belcha
6 DATE OF BIRTH
mas ( Month)
(bay)
(Year)
7 AGE 2C Ycars 5 Months " Days
If STILLBORN, eoter that fact here If STILLBORN, state period of uterogestatioo mos.
or
min.
8 OCCUPATION OF DECEASED (a) Trade, profession, or particular kiod of work. (b) Geoeral oature of industry, business, or establishment io which employed (or employer)
Brada 8 Kyun R.R
9 BIRTHPLACE (City ) (State or country) mars
10 NAME OF
FATHER
warm - 1.
11 BIRTHPLACE OF
FATHER (City)
(State or country) Mars
12 MAIDEN NAME
OF MOTHER
Ella Pension
13 BIRTHPLACE OF MOTHER (City) (State or country)
14 Wife thoresen M. Belchen
Informant (Address) 119 Human dla
15 Filed aug.20. 1919 Eulalie Churchill
(Monthy (Day) (Year) 1 asal REGISTRAR
21 I HEREBY CERTIFY that a satisfactory stao- dard certificate of death was filed with me BEFORE the borial or transit permit was issued-
1
MEDICAL CERTIFICATE OF DEATH
16 DATE OF DEATH august
(Month)
24
Way)
19 19
Year)
17
I HEREBY CERTIFY, That I attended deceased from
Jul
J
,19 19
aug 24
,19./7,
to.
alive on august 24, 1919, and that death occurred, on the date stated above, at
2 P m. The CAUSE OF DEATH was as follows : Chemie Endocarditis Chemin interstitial ntploitis
(duration)
yrs ...
5
mos.
ds.
CONTRIBUTORY. ( SECONDARY)
(duration)
yrs ....
.mos.
ds.
18 Where was disease contracted
if not at place of death ?
Did an operation precede death?
no
Date of.
Was there an autopsy ?
no
What test confirmed diagnosis ?
Personal examinations
(Signed)
, M.D.
( Address ).
man.
Date
august
Month)
(Day)
25
1919.
,
(Year)
19 PLACE OF BURIAL, CREMATION, OR REMOVAL
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