Town of Winthrop : Record of Deaths 1925-1927, Part 83

Author: Winthrop (Mass.)
Publication date: 1925
Publisher:
Number of Pages: 1340


USA > Massachusetts > Suffolk County > Winthrop > Town of Winthrop : Record of Deaths 1925-1927 > Part 83


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).


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PATE OF , BURIAL 12/7/25


(Cemetery) (City or town)


19 UNDERTAKER


14 .216: 31.


DEC - 51925


Filed L (Month) (Day) (Year) REGISTRAR


20 | HEREBY CERTIFY that a satisfactory says derd certificate of death was hied with me BEFORE the burial or transit permit was issued


Official position


DER &


Date of


ADDRESS Laugura


Party 3933


of permit


3-200,000


3 SEX Female PARENTS ( Address) N. B .- WRITE PLAINLY, WITH UNFADING BLACK INK-THIS IS A PERMANENT RECORD. Every item of information 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 (b) Name of employer


....


. .


13 Nettie G Bunnell (Mother)


Informant. 123 Hermon St Winthrop


CONTRIBUTORY


(SECONDARY)


(duration)


.yrs.


.mos. .ds.


Months


2


Days


If LESS than


1 day, hrs.


of ___ min.


6 AGE


Years


22


4 COLOR OR RACE


Whibe


5


SINGLE, MARRIED, WIDOWED, OR


DIVORCED (write the word)


single


5a If married, widowed or divorced


HUSBAND of


(or) WIFE of


.St.,


Ward.


Winthrop


(If non-resident give city or town and state)


State Fla,


(duration)


yrs.


_mos.


ds


REVISED UNITED STATES STANDARD CERTIFICATE OF DEATH


(Approved by U. S. Census and American Public Health Association)


Statement of occupation .- Precise etatement of occupation is very important, so that the relative healthfulness of various pursuite can be known. The question applies to each and every person, irre- spective of age. For many occupations a single word or term on the first line will be eufficient, e. g., Farmer or Planter, Physician, Com- positor, Architect, Locomotive engineer, Civil engineer, Stationary fire- man, 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. Ae examplee: (a) Spinner, (b) Cotton mill; (a) Salesman, (b) Grocery; (a) Foreman, (b) Automobile factory. The material worked on may form part of the second etatement. Never return "Laborer," "Fore- man," "Manager," "Dealer," etc., without more precise specification, ae 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 House- wife, Housework, or At home, and children, not gainfully employed, ae At school or At home. Care should be taken to report epecifically the occupations of pereone 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, etate occupa- tion at beginning of illness. If retired from business, that fact may be indicated thus: Farmer (retired, 6 yrs.). For pereons 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. Exam- ples: Cerebrospinal fever (the only definite synonym is "Epidemic cerebroepinal meningitis"); Diphtheria (avoid use of "Croup"); Typhoid fever (never report "Typhoid pneumonia"); Lobar pneu- monia; Bronchopneumonia ("Pneumonia," unqualified, is indefinite); Tuberculosis of lungs, meninges, peritoneum, etc., Carcinoma, Sarcoma, etc., of . . ... (name origin; "Cancer" is less definite; avoid uee of "Tumor" for malignant neoplasms); Measles; Whooping cough; Chronic valvular heart disease; Chronic interstitial nephritis, etc. The contributory (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 conditions, euch as "Asthenia," "Anemia" (merely symptomatic), "Atrophy," "Collapee," "Coma," "Convul- sions," "Debility" ("Congenital," "Senile," etc.), "Dropsy," "Ex- haustion," "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 childbirth or miscarriage, as "PUERPERAL 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 "primary"; 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, miscarriage, 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 forth- with, 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 registra- tion a standard certificate of death, etating to the best of his knowl- edge and belief the name of the deceased, his supposed age, the disease of which he died, defined as required 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 pereon ehall 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 pereon 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, in case of an original interment, 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 pur- pose, or is insufficient, a physician 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 certificate. . . The person to whom the permit is so given and the physician 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 re- quire .- 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; otherwise a description as full as may be, with the cause and manner of death .- Gen. Laws, Chap. 38, Sec. 7.


RULES OF PRACTICE


The fulfilment of the purpose of these laws calls for the obeervance of the following rulee of practice:


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


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


(3) Medical examiners will investigate and certify to all deathe supposably due to injury. Theee include not only deaths caused directly or indirectly by traumatism (including reeulting septicemia), and by the action of chemical (drugs or poisone), 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 pereone found dead.


County


Dade


STATE BOARD OF HEALTH OF FLORIDA


Permit No.


1605


Precinct.


(Write name, not number)


or


Inc. Town or


City.


miami


Reg. Dist. No. 110/


Full name


Virginia Bunmese 22


; Sex.


7


; Color


Disease causing Death ....


Den Veritanto


Date of death 11- 28-25


19


Removal to


Boston Mass


via HE CtaC.J. - R. J.P. +Pen nyn. Ho-H


Undertaker


Address


A Certificate of Death haymg been filed in my office in accordance with the Laws of Florida, I hereby authorize the removal and burial of the body of said deceased person as stated above.


Dated now. 29 192 5 Perictrar's Signature or, nr. 2


Burial Permits must be delivered by the undertaker to the sexton or other persons in charge of the burial ground or cemetery where burial takes place. When the body is to be shipped to a distant point, requiring the service of a common carrier, in addition to the Removal Permit, the body must be accompanied by a Transit Label as required by the State Board of Health. For full particulars see Rules and Regulations governing the transportation of dead bodies.


Sexton's Signature


Date of Interment 192 ........


This permit must be indorsed by the sexton and returned to the Local Registrar of his district within ten days. If there is no sexton or person in charge of burial ground. the undertaker or person acting as such, shall sign same as sexton, giving date of interment. Write across face of permit the words, "NO PERSON IN CHARGE." and return to Local Registrar of the district in which interment is made within ten days.


express it must be attached to the Waybill to destination.


BUREAU OF VITAL STATISTICS


Removal and Burial Permit


INSTRUCTIONS TO PASSENGER ACCOMPANYING REMAINS


This Burial and Removal Permit must be filled out by the Local Registrar of the registration district in which the death occurred from in- formation stated on the Death Certificate, over his signature.


The transportation company's agent or baggagemaster must detach this portion of the permit and hand it to the person authorized to accompany the remains.


If the body is shipped by express, the express agent must detach this portion of the Transit Permit and attach it to the Waybill, as it must ac- company the remains to its destination. The receiving agent to turn over this Permit to tbe receiving undertaker, or person to whom the body is delivered ..


The passenger accompanying the remains must deliver this Perinit to the undertaker or person having charge of the burial of the body.


This permit authorized the burial of the body of the deceased named on the reverse side of this Permit at any place in the State of Florida.


Vov. dr. 1920.


ORM R-302


SUFFOLK


BOSTON


(City or Town) mari Homo Hocp. No.


The Commonwealth of Massachusetts OFFICE OF THE SECRETARY DIVISION OF VITAL STATISTICS COPY OF CERTIFICATE OF DEATH


(City or town making return) 212 +124


Registered No.


S (If death occurred in a hospital or institution, St.


give its NAME instead of street and number)


Howard E. Hodydon


(If deceased is a married, widowed or divorced woman, give also fraiden name.)


(a) Residence. No.


(Usual place of abode)


21 Summit Que. st


mars


(If nonresident, give city or town and State)


Length of stay: In hospital or Institution ..


(Before death)


(Specify whether)


.... years


months


days.


In this community


yrs.


mos.


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)


man.


5a If married, widowed, or divoroed HUSBAND of


(Give maiden name of wife in full)


(or) WIFE of


(Husband's name in full)


6 Age of husband or wife If allve years


7 IF STILLBORN, enter that faot here.


8 AGE 29 Years 8 Months 3 Days


If less than 1 day


.Hours


.Minutes


Usual


9 Occupation :


Salesman


Industry 10 or Business :


11 Sooiei Security No.


12 BIRTHPLACE (City)


(State or country)


Watertun


13 NAME OF FATHER alicante E. Hodydon"


14 BIRTHPLACE OF


FATHER (City)


Sacome.


(State or country)


15 MAIDEN NAME


OF MOTHER


Minnie Leavitt


16 BIRTHPLACE OF


MOTHER (City)


Saca, me.


(State or country)


1


17 mas. 2 Haddede Relation, if any


Informant.


(Address)


A TRUE COPY.


ATTEST :


(Registrar_of pity or town where death occurred)


DATE FILED


3/2/25


19


18 DATE OF


DEATH


Feb. 26, 1925


(Month)


(Day)


(Year)


19 | HEREBY CERTIFY,


That I attended deceased from


19


19


i last saw h ...


......


.. alive on


19


death Is sald to


have ooourred on the date stated above, at


m.


Duration


Immedlate cause of death


Chronic chole cypotatis


Due to


Broncho Pneumonia


(gall stones


Due to.


Other conditions.


(Include pregnancy within 3 months of death)


Physician


Major findings:


Of operations


apr. 2/25/25


Cholecontact


Date of


Underline the cause to which death should be charged sta- tistically.


Of autopsy


What test confirmed diagnosis ?.


20 Was disease or Injury in any way related to oooupetion of deceased ?


If so, spooify


H. m. Pollock


M. D.


...


(Signed)


(Address)


Date.


19


21 PLACE OF BURIAL,


[Winthrop - With


(City or Town)


DATE OF BURIAL


CREMATION OR REMOVAL.


(Cemetery)


/2/25


19


22 NAME OF


FUNERAL DIRECTOR


ADDRESS


.....


Received and filed


19


3


(Registrar of City or Town where deccased resIded)


of the city or town in which the deceased resided. (See Chap. 46, Sec. 12, G. L.)


PARENTS


50m-(b)-6-44-14607


resided in another city or town at the time of death should be made forthwith and transmitted on Form R-802 to the clerk


WRITE PLAINLY, WITH UNFADING BLACK INK - THIS IS A PERMANENT RECORD


Copies of returns of deaths recorded during the previous month which occurred in your city or town in case the deceased


1


PLACE OF DEATH


2 FULL NAME


(If U. S.


War Veteran,


spoolfy WAR)


to


RM R-303


OFFICE OF THE SECRETARY DIVISION OF VITAL STATISTICS


The Commonwealth of Massachusetts


Medical Examiner's Certificate of Death (ISSUED UNDER THE PROVISIONS OF GENERAL LAWS, CHAPTER 38)


14,668


(City or town)


Registered No.


No. 82 Fremont St., Ward


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


Sarah amelia Williams.


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


82


d'remont


St.,


.Ward.


(If non-resident, give city or town and state)


Length of residence in city or town where death occurred


17


years


months


days


How long In U. S., If of toreign birth?


years


months days


PERSONAL AND STATISTICAL PARTICULARS


MEDICAL CERTIFICATE OF DEATH


15 DATE OF DEATH January 1


(Month)


(Day)


(Year)


16 I HEREBY CERTIFY that I have investigated the death of the person above-named and that the CAUSE AND MANNER thereof are as follows :


Natural Causes: Presunbl cardio- vascular disease.


(Did Suddenk )


(See reverse side for description for unknown person)


17 Where was injury sustained


if not at place of death ?


(Signed)


Lenz Burgers Magath


M.D.


(Address)


Medical Examiner for


Suffolk.


Pate


Jan


1


1926


(Month)


(Year)


18 PLACE OF BURIAL, CREMATION, or REMOVAL Willen


(Day) Miller.


DATE OF BURIAL Max. 4-26 (Month) (Day) (Year)


(Cemetery) ~


(City or town)


19 UNDERTAKER


ADDRESS


20 Burial permit issued by


Albert S. Smith


Official


position.Hkd. w.


Secretary ...


21 Date of issue 1/4/26


Permit . No. 1000


MARGIN RESERVED FOR BINDING


1 PLACE OF DEATH


County


Suffolk-


City or Town


Withings


2 FULL NAME


(a) Residence. No


(Usual place of abode)


3 SEX


4 COLOR OR RACE


5a If married, widowed, or divorced


HUSBAND of


Satura


(or) WIFE of


6 AGE


Years


Months


Days


78


,5


10


IF STILLBORN, enter that fact hera


7 OCCUPATION OF DECEASED


(a) Trade, profession, or


aTheme.


particular kind of work


(b) Name of employer


(State or country)


9 NAME OF


FATHER


10 BIRTHPLACE OF


FATHER (City)


(State or country)


PARENTS


12 BIRTHPLACE OF


MOTIIER (City)


(State or country)


N.Y.


13


( Address


14


15/26


Filed


Death. See reverse side for extracts from the laws relative to the return of certificates of death.


DEATH in plain terms, so that it may be properly classified under the International Classification of Causes of


information should be carefully supplied. MEDICAL EXAMINERS should state CAUSE AND MANNER OF


(Month) (Day)/ (Year)


N. B. - WRITE PLAINLY, WITH UNFADING BLACK INK-THIS IS A PERMANENT RECORD. Every item of


8 BIRTHPLACE (City)


Sant Besten


5 SINGLE, MARRIED, WIDOWED, OR


DIVORCED (write the word)


widow


If less than 1 day ...... hrs. or ...... min.


11 MAIDEN NAME


OF MOTHER


Sarah frates.


Informant


Ilu Ettul à Walters


REGISTRAR


4


State mas.


1926


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


A physiclan or registered hospital medical officer shall forthwith, after the death of a person whom he has at- tended during hls last illness, at the request of an under- taker 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 olas- sified under the international classification of causes of death), 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. . . .- General Laws, Chapter 46, Section 9.


No undertaker or other person shall bury or other- wise dispose of a human body in a town, or remove there- from a human body which has not been buried, until he has received a permit from the board of health . . . , or if there is no such board, from the clerk of the town where the person died; and no undertaker or other person shall exhume a human body and remove it from a town, or from one cemetery to another, until he has received a permit from the board of health . . . or from the clerk of the town where the body Is buried. No such permit shall be Issued until there shall have been dellvered to such board, . . . or clerk .... a satisfactory written statement containing the facts required by law to be returned and recorded, which shall be accompanied . . . by a satisfac- tory certificate of the attending physician, if any, as required by law, or in lieu thereof a certificate as herein- after provided. If there is no attending physician, or IT, 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 physiclan. If death is caused by violence, the medical examiner shall make such certificate. The board of health or its agent, upon receipt of such statement and certificate, shall forthwith countersign it and transmit it to the clerk of the town for registration. The per- son to whom the permit is so given and the physician 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 man- ner or cause of the death, which the clerk or regis- trar may require .- General Laws, Chap 111, Sec. 45 a8 amended.


Medical examiners shall make examination upon the view of the dead bodies of only such persons as are sup- posed to have died by vlolence. If a medical examiner has notice that there is within his county the body of such & person, he shall forthwith go to the place where tha body lies and take charge of the same. . . . General Lasos, Ohap, 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; otherwise a description as full as may be, with the cause and manner of death .- General Laws, Chap. 38, Scc. 7.


RULES OF PRACTICE


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


(1) Attending physiclans 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 dlsease unrelated to any form of injury, have died without recent medical attendance or whose physi- clan is absent from home when the certificate of death is needed.


(3) Medical Examiners will investigate and certify to all deaths supposably due to violence. These include not only deaths caused directly or indirectly by traumatlsm (in- cluding resulting septicemia), and by the action of chemi- cal (drugs or poisons), thermal, or electrical agents, and deaths following abortion, but also deaths from disease re- sulting 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


Medical Examiners in certifying to a death will state the cause and manner thereof, and will specify: (1) Under cause, the nature of an injury and of its consequences; and (2) under manner, the mode of its production together with the circumstances when these are known. For ex- ample: "Compound fracture of the femur with ensuing. septicemia (gas bacillus) caused by a steam railway accident." "Pistol shot wound of the chest with associated hemorrhage, homicidal." "Asphyxiation by suspension, suicidal." "Syncope while under the influence of ether administered as a surgical anæsthetic." "Fracture of the skull with associated internal injury sustained under cir- cumstances unknown."


If investigation shows the death to have been due to disease, specify: (1) Under cause, its known or presumable nature; and (2) under manner, indicate the circumstances leading to medico-legal inquiry. For example: "Hemor- rhage spontaneous, of the brain (basal ganglia) (found dead in bed)." "Heart disease, presumably coronary sclerosis. (Sudden death.)"


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 met his death by violence, until a permit, signed by the Medical Examiner, has first been obtained .- General Laws, Chap. 38, Sec. 14.


THIS CERTIFICATE CONSTITUTES SUCH PERMIT


Jan. 1. 1926


ORM R-301


OFFICE OF THE SECRETARY DIVISION OF VITAL STATISTICS


The Commonwealth of Massachusetts


STANDARD CERTIFICATE OF DEATH


Winthrop


(City or town)


Registered No.


City or Town Winthrop


No.


19, Bater ave


St ..


Ward


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


2 FULL NAME


James Dempsey.


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


(a) Residence./No.


(Usua( place of abode)


19 Rates are St.


Ward.


(If non-resident give city or town and state)


Length of residence in city or town where death occurred


years


months


days.


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


years


months deys


PERSONAL AND STATISTICAL PARTICULARS


3 SEX


male


4 COLOR OR RACE


White


5 SINGLE, MARRIED, WIDOWED, DR


DIVORCED (write the word)


married


5a If married, widowed or divorced


HUSBAND of


(or) WIFE of


nellie F.


AGE


Years


51


Months


Days


if LESS than


1 day, _._ hrs.


or ___ min.


M STILLBORN, enter that fact hora


7 OCCUPATION OF DECEASED


(a) Trade, profession, or


particular kind of work


(b) Name of employer


manager


Brancher - faremmona


(duration)


5


8 BIRTHPLACE (City)


(State or country)


Muddletour


CONTRIBUTORY


(SECONDARY)


(duration)


.yrs.


mos. ds


17 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 ?. Edward 8. Fraingen


(Signed)


(Address)


4


1924.


0 (Month) (Day) (Year)


18 PLACE OF BURIAL, CREMATION DR REMOVAL


Staty Cross Malden


(Cemetery) (City or town)


DATE OF BURIAL


1/5/26


19 UNDERTAKER Hohe J. I Maley.


ADDRESS Winthrop


20 | HEREBY CERTIFY that a satisfactory stan- dard certificate of death was Ided with me BEFORE the burial or transit por mit was issued


albert J. Smith


Official position Secretary


Date of issu of permit 1/4/26


Pormit ND ._


1007-


23-200.000


MEDICAL CERTIFICATE OF DEATH


15 DATE OF DEATH


tau


3


1926


(Month)


(Day)


(Year)


16


HEREBY CERTIFY, That I attended deceased from


I


DEC. 28


19


25, to


Jan 3


19


26


that I last saw h


im


alive on


Jan. 3


, 19 26,


.yrs ..


mos.


ds.


9 NAME OF


FATHER


michael


10 BIRTHPLACE OF


FATHER (City)


(State or country)


Ireland


11 MAIDEN NAME


OF MOTHER


Margaret mann


12 BIRTHPLACE OF


MOTHER (City)


(State or country)


Ireland.


13 To Helliet. Dempay


Informant


(Address)


19 Bates az.




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