USA > Massachusetts > Suffolk County > Winthrop > Town of Winthrop : Record of Deaths 1932 > Part 88
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1932
19
important.
50m-2-30. No. 7997.
Suffolk
The Commonwealth of Massachusetts OFFICE OF THE SECRETARY DIVISION OF VITAL STATISTICS STANDARD CERTIFICATE OF DEATH
225
Boston
(City or town making return)
Registered No ..... 1.0644
(If death occurred in a hospital or institution,
(If U. S.
War Veteran,
specify WAR)
5a If married, widowed, or divorced
HUSBAND of
Nettie.Schwartz
(Give maiden name of wife in full)
(or) WIFE of
(Husband's name in full)
6 IF STILLBORN, enter that fact here.
7
55
AGE
Years
Months
Days
If less than 1 day
Hours
Minutes
OCCUPATION|
8 Trade, profession, or particular kind of work done, as spinner, sawyer, bookkeeper, etc.
Hardware Store
9 Industry or business in which
work was done, as silk mill,
saw mill, bank, etc.
For ... Himself.
10 Date deceased last worked at
11 Total time (years)
this occupation (month and
spent in this
year)
Jan ... 1931
occupation .. y.r.s ..
12 BIRTHPLACE (City)
(State or coRussia
13 NAME OF
FATHER
Simon J. Borarsky
PARENTS
14 BIRTHPLACE OF
FATHER (City)
(State or country Russia
15 MAIDEN NAME
OF MOTHER
Nettie
16 BIRTHPLACE OF
MOTHER (City)
(State or country)
Russia
22 NAME OF
UNDERTAKER
M
Stanetsky
ADDRESS
Boston, Mass.
Received and filed
1933
19
fRegistrar of City or Town where deceased residcd)
1
(Usual place of abode)
MEDICAL CERTIFICATE OF DEATHI
(write the word)
M R-302
1
3 SEX
M
(or) WIFE of
7
33
AGE
OCCUPATION
(State or country)
14 BIRTHPLACE OF
FATHER (City)
PARENTS
(Address)
A TRUE COPY.
ATTEST :..
tion should be 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.
50m-2-'30. No. 7997-đ
N. B .- WRITE PLAINLY, WITH UNFADING INK-THIS IS A PERMANENT RECORD. Every item of informa-
(State or country)
PLACE OF DEATH
Suffo1 County)
Boston
(City or Town)
No.
Boston State Hospital
The Commonwealth of Massachusetts OFFICE OF THE SECRETARY DIVISION OF VITAL STATISTICS STANDARD CERTIFICATE OF DEATH
221
Boston (City or town making return)
Registered No.
6166
(If death occurred in a hospital or institution,
give its NAME instead of. street and number)
2 FULL NAME
William T
Dwyer
(If deceased is a married, widowed or divorced woman, give also maiden name.)
specify WAR)
(a)
Residence. No.
152 Cottage Pk Rd
.St.,
Ward,
Winthrop
(If nonresident, give city or town and state)
Length of residence in city or town where death occurred
yrs.
mos.
days.
How long in U. S., if of foreign birth?
yrs.
mos. days.
PERSONAL AND STATISTICAL PARTICULARS
4 COLOR OR RACE
W
5 SINGLE
MARRIED
WIDOWED
or DIVORCED
single
5a If married, widowed, or divorced
HUSBAND of
(Give maiden name of wife in full)
(Husband's name in full)
6 IF STILLBORN, enter that fact here.
Years
Months
Days
If less than 1 day
.Hours
Minutes
8 Trade, profession, or particular
kind of work done, as spinner,
sawyer, bookkeeper, etc.
electrician
9 Industry or business in which
work was done, as silk mill,
saw mill, bank, etc ..
10 Date deceased last worked at 11 Total time (years) spent in this occupation .... 4
this occupation (month and
year)
192.3
12 BIRTHPLACE (City)
East Boston
Mass
13 NAME OF
FATHER
John J Duryer
Boston
Mass
15 MAIDEN NAME
OF MOTHER
Alice J Garvey
16 BIRTHPLACE OF
MOTHER (City)
(State or country)
Mass
Boston
17
Informant
Mrs ... M Sullivan
Winthrop
DATE FILED July 15
1932
MEDICAL CERTIFICATE OF DEATH
18 DATE OF
DEATH
July
11
(Month)
(Day)
(Year)
19 I HEREBY CERTIFY, That I attended deceased from Aug 5 19 ... 32 t July .11 19 .. 3.2. I last saw h .... 1m. alive on ..... July. 1.1 19 .. 32 .. , death is said to have occurred on the date stated above, at. 2.45P.m. The principal cause of death and related causes of importance in order of onset were as follows: broncho ... pneumonia
Datpofonset 7/10/32
Contributory causes of importance not related to principal cause:
dementia praecox
Sept/24
Name of operation
Date of
What test confirmed diagnosis ?... clinical
Was there an autopsy? no
20 Was disease or injury in any way related to occupation of deceased?
If so, specify
(Signed)
F ... LaDrew
M. D.
(Address)
Boston State HosDate 7 /11 19 32
21 PLACE OF BURIAL,
CREMATION OR REMOVAL
Holy Cross.
Maldon
(Cemetery)
(City or town)
DATE OF BURIAL
July
13
19 32
22 NAME OF
UNDERTAKER
M.J ..... Kelly
ADDRESS
East Boston
Received and filed 19
MAR 1 1000
(Registrar of City or Town where deceased resided)
St.,
.......
Ward
(If U. S. War Veteran,
(Usual place of abode)
(Registrar øf cury or town where death occurred)
(write the word)
1.932
RM R-302
N. B .- WRITE PLAINLY, WITH UNFADING INK-THIS IS A PERMANENT RECORD. Every item of informa- OF DEATH in plain terms, so that it may be properly classified. Exact statement of OCCUPATION is very tion should be carefully supplied. AGE should be stated EXACTLY. PHYSICIANS should state CAUSE MARGIN RESERVED FOR BINDING
PLACE OF DEATH
Suffolk
The Commonwealth of Massachusetts OFFICE OF THE SECRETARY DIVISION OF VITAL STATISTICS STANDARD CERTIFICATE OF DEATH
227
Boston
(City or town making return)
1
Boston (City or Town)
No. .Mass .... General .. Hospital
St.,
.Ward
.give its NAME instead of street and number)
2 FULL NAME
Michael H Fitzgerald
(If deceased is a married, widowed or divorced woman, give also maiden name.)
(a)
Residence.
No.
55 .Atlantic.Street
St., ..
.....
Ward,
Winthrop.
...
(Usual place of abode)
Length of residence in city or town wbere death occurred
yrs.
mos.
days.
How long in U. S., if of foreign birth?
yrs.
mos. days.
PERSONAL AND STATISTICAL PARTICULARS
3 SEX
Y
4 COLOR OR RACE
(write the word)
married
5a If married, widowed, or divorced HUSBAND of Mary E.Daley (Give maiden name of wife in full)
(or) WIFE of
(Husband's name in full)
6 IF STILLBORN, enter that fact here.
7 AGE 60 Years Months Days
If less than 1 day
Hours
.Minutes
OCCUPATION
8 Trade, profession, or particular kind of work done, as spinner, sawyer, bookkeeper, etc. attorney
9 Industry or business in which work was done, as silk mill, saw mill, bank, etc.
10 Date deceased last worked at
11 Total time (years)
spent in this
occupation ...... 3.5
12 BIRTHPLACE (City)
Boston
(State or country)
Mass
13 NAME OF
FATHER
Patrick Fitzgerald
PARENTS
15 MAIDEN NAME
OF MOTHER
16 BIRTHPLACE OF
MOTHER (City)
(State or country)
Boston
Mas 8
17
Informant Mrs E G Fitzgerald
(Address)
Winthrop
A TRUE COPY.
ATTEST :...........
(Registrar of city or town where death occurred)'
19
32
MEDICAL CERTIFICATE OF DEATH
18 DATE OF
DEATH
July
1.5
1932
(Month)
(Day)
(Year)
19 I HEREBY CERTIFY, That I attended deceased from
July
12
32
19
32,
July
15
19
I last saw h.1m .... alive on
July
19 32 death is said to have occurred on the date stated above, atl . 5.7.P .... m. The principal canse of death and related causes of importance in order of onset were as follows:
Dateofonsat
rheumatic heart disease
4 yr
& insufficiency
4 yr
Contributory canses of importance not related to principal cause: auricular fibrillation
ánk
congestive failure
3-4 wk
Name of operation
Date of
What test confirmed diagnosis?
clinical
... Was there an autopsy? no
20 Was disease or injury in any way related to occupation of deceased? If so, specify
(Signed)
L-VRagsdale
M. D.
(Address)
Agat Dir
21 PLACE OF BURIAL,
CREMATION OR REMOVAL
Holy Cross
Malden
DATE OF BURIAL
,(Cemetery)
July
'18
(City or town)
,32
19.º.
22 NAME OF
UNDERTAKER
M J Kelly
ADDRESS
East Boston
Received and filed
PAAR 27-1923
19
(Registrar of City or Town where deceased resided)
important.
50m-2-'30. No. 7997-đ
(County)
Registered No.
626.7.
(If death occurred in a hospital or institution,
(If U. S. War Veteran, specify WAR)
(If nonresident, give city or town and state)
15
mitral stenosis
this occupation (month and
year)
April 32.
14 BIRTHPLACE OF
FATHER (City)
Ireland
(State or country)
Margaret Hayes
Date 7/15/ .19 32
DATE FILED July 19
5 SINGLE
MARRIED
WIDOWED
or DIVORCED
ORM R-305
PLACE OF DEATH
Suffolk
(County)
Boston
(City or Town) No. Mass ... General Hospital
The Commonwealth of Massachusetts OFFICE OF THE SECRETARY DIVISION OF VITAL STATISTICS MEDICAL EXAMINER'S CERTIFICATE OF DEATH
228
Boston
(City or town making return)
Registered No. 6502
(If death occurred in a hospital or institution, give its NAME instead of street and number)
2 FULL NAME
Arnold ... A.
(If deceased is a married, widowed or divorced woman, give also maiden name.)
specify WAR)
(a)
Residence.
No.
(Usual place of abode)
273a.Shirley
.St.,.
Ward,
Winthrop
(If nonresident, give city or town and state)
Length of residence in city or town where death occurred
yrs.
mos.
days.
How long in U. S., if of foreign birth?
yrs.
mos.
days.
PERSONAL AND STATISTICAL PARTICULARS
3 SEX
M
4 COLOR OR RACE
5 SINGLE
MARRIED
WIDOWED
or DIVORCED
(write the word)
-
5a If married, widowed, or divorced
HUSBAND of
(Give maiden name of wife in full)
(or) WIFE of
(Husband's name in full)
6 IF STILLBORN, enter that fact here.
7 AGE 5 Years 5 Months Days
If less than 1 day Hours Minutes
OCCUPATION
8 Trade, profession, or particular
kind of work done, as spinner,
sawyer, bookkeeper, etc.
9 Industry or business in which
work was done, as silk mill,
saw mill, bank, etc ..
10 Date deceased last worked at
this occupation (month and
year)
11 Total time (years)
spent in this
occupation.
12 BIRTHPLACE (City)
(State or country)
Boston
Mass
13 NAME OF
FATHER
Morris Epstein
14 BIRTHPLACE OF
FATHER (City)
(State or country)
Russia
15 MAIDEN NAME
OF MOTHER
Sarah Levine
16 BIRTHPLACE OF
MOTHER (City)
(State or country)
Boston
Mass
17 Informant (Address)
Father
Winthrop
A TRUE COPY.
ATTEST :...
+2.(Registrar of city or town where death occurred)
July 28
1932
MEDICAL CERTIFICATE OF DEATH
18 DATE OF
DEATH
July
25
1932
(Month)
(Day)
(Year)
19 I HEREBY CERTIFY that I have investigated the death
of the person above-named and that the CAUSE AND MANNER thereof are
as follows:
(If an injury was involved, state fully)
rupture of kidney and uraemia
accidental fall to ground
20 If death was due to external causes (VIOLENCE) fill in the following :
Accident,
Suicide or
Homicide ?
Date of injury.
19
Where did
injury occur ?
(City or town and Statc)
Manner of
Injury
Nature of
Injury
21 Was disease or injury in any way related to occupation of deceased?
If so, specify
(Signed)
W H Watters
M. D.
(Address)
Boston
Date
7/25/1932 ..
22 PLACE OF BURIAL
CREMATION OR REMOVAL
Sharo Tefio Cem W Rox
(Cemetery)
(City or town)
DATE OF BURIAL
July
26
19 .... 32
23 NAME OF
UNDERTAKER
B ... Schlossberg
ADDRESS
Dorchester
Received and filed 19
MAR 27 1933
(Registrar of City or Town where deceased resided)
MARGIN RESERVED FOR BINDING
PARENTSI
25m-2-'30. No. 7997-e
DATE FILED
St.,
.Ward
Epstein
(If U. S.
War Veteran,
1
RM R-302
N. B .- WRITE PLAINLY, WITH UNFADING INK-THIS IS A PERMANENT RECORD. Every item of informa- OF DEATH in plain terms, so that it may be properly classified. Exact statement of OCCUPATION is very tion should be carefully supplied. AGE should be stated EXACTLY. PHYSICIANS should state CAUSE MARGIN RESERVED FOR BINDING
PLACE OF DEATH
SUFFOLK
(County)
BOSTON
(City or Town)
The Commonwealth of Massachusetts OFFICE OF THE SECRETARY DIVISION OF VITAL STATISTICS STANDARD CERTIFICATE OF DEATH
229 BOSTON
(City or town making return) 7226
Registered #626
(If death occurred in a hospital or institution,
give its NAME instead of street and number)
2 FULL NAME
Joseph W
Nolan
(If deceased is a married, widowed or divorced woman, give also maiden name.)
(a)
Residence.
No ..
389 ... Pleasant
St.,
.........
Ward,
Winthrop
(If nonresident, give city or town and state)
(Usual place of abode)
Length of residence in city or town where death occurred yrs.
mos.
days.
How long in U. S., if of foreign birth?
yrs.
mos. days.
PERSONAL AND STATISTICAL PARTICULARS
3 SEX M
4 COLOR OR RACE
VÝ
5 SINGLE
MARRIED
WIDOWED
or DIVORCED
(write the word)
married
5a If married, widowed, or divorced
HUSBAND of
Sarah L.MoDermott
(Give maiden name of wife in full)
(or) WIFE of
(Husband's name in full)
6 IF STILLBORN, enter that fact here.
7
AGE 49
Years. Months Days
If less than 1 day .Hours. .Minutes
OCCUPATION
8 Trade. profession, or particular kind of work done, as spinner, sawyer, bookkeeper, etc. iron worker
9 Industry or business in which work was done, as silk mill, saw mill, bank, etc.
10 Date deceased last worked at
11 Total time (years)
(month
Jan 1932
spent in this
occupation.
19
12 BIRTHPLACE (City)
East Boston
(State or country)
Mass
13 NAME OF
FATHER
Florence Nolan
PARENTS
14 BIRTHPLACE OF
FATHER (City)
(State or country)
Ireland
20 Was disease or injury in any way related to occupation of deceased?
If so, specify
(Signed)
C ... L ... Clay.
M. D.
(Address)
P.B Brigham Hos Dat8 25 .19.32
21 PLACE OF BURIAL
CREMATION OR REMOVAL
Holy Cross
Malden
(Cemetery)
(City or town)
19
32
22 NAME OF
ADDRESS
Boston
Received and filed
APR .........
1933
19
DATE FILED
Aug
28
32
.19
MEDICAL CERTIFICATE OF DEATH
18 DATE OF
DEATH
Aug 25
1932
(Month)
(Day)
(Year)
19 I HEREBY CERTIFY, That I attended deceased from
Aug.
5
28
......
19 ... 32.
I last saw h.im .... alive on
Aug
25
1932 .... , death is said
to have occurred on the date stated above, at ... 8 .. 55P.m.
The principal cause of death and related causes of importance in order of onset were as follows: duodenal ulcer
Dateefensst
Feb/32.
cerebral accident
8/24
broncho pneumonia
8/25
yr Contributory causes of importance not related to principal cause:
sub total gasterectomy April-26
Name of operation
Date of.
What test confirmed diagnosis?
olin
Was there an autopsy ?...... no
15 MAIDEN NAME
OF MOTHER
Hannah M Buckley
16 BIRTHPLACE OF
MOTHER (City)
(State or country)
Ireland
17
Informant
(Address)
Mrs Jos Nolan
op
UNDERTAKER
R ... C .... Kirby.
A TRUE COPY.
ATTEST:
James J. Mulvey
(Registrar of city d
own where death occurred
important.
50m-2-30. No. 7997-d
1
No. Peter .... Bent ... Brigham ... Hosp. .. St.,
Ward
5
(If U. S. War Veteran, specify WAR)
(Registrar of City or Town where deceased resided)
DATE OF BURIAL
Aug
28
year)
م
RM R-302
SUFFOLK
(County)
BOSTON
(City or Town)
No. Boston City Hospital
The Commonwealth of Massachusetts OFFICE OF THE SECRETARY DIVISION OF VITAL STATISTICS STANDARD CERTIFICATE OF DEATH
BOSTON
(City or town making return)
8088
(If death occurred in a hospital or institution,
give its NAME instead of street and number)
2 FULL NAME
Bertha
Purcell
(If deceased is a married, widowed or divorced woman, give also maiden name.)
(a) Residence. No ...
(Usual place of abode)
66 ... Sargent .. St ... Winthrop
St.,
........
Ward,
(If nonresident, give city or town and state)
Length of residence in city or town where death occurred yTs.
mos.
days. How long in U. S., if of foreign birth?
yrs.
mos.
days.
PERSONAL AND STATISTICAL PARTICULARS
3 SEX F
4 COLOR OR RACE
W
5 SINGLE
MARRIED
WIDOWED
or DIVORCED
single
5a If married, widowed, or divorced HUSBAND of
(Give maiden name of wife in full)
(or) WIFE of
(Husband's name in full)
6 IF STILLBORN, enter that fact here.
7
55
Years Months
Days
.Hours. Minutes
OCCUPATION
9 Industry or business in which work was done, as silk mill,
saw mill, bank, etc .. a.t ... home.
11 Total time (years)
Sept 32
spent in this
occupation ..... 30 ... yrs
12 BIRTHPLACE (City)
Boston
(State or country)
Mass
13 NAME OF
FATHER
John H McNally
PARENTS
14 BIRTHPLACE OF
FATHER (City)
Boston
(State or country)
15 MAIDEN NAME
OF MOTHER
Catherine Murphy
Troy
NY.
17
Informant
Frank .. Mc.Na.l.l.y.
(Address)
Cambridge
A TRUE COPY.
ATTEST:
.....
(Registrar of city town where death occurred
DATE FILED
Oct
1
1932
MEDICAL CERTIFICATE OF DEATH
18 DATE OF DEATH Sent ... 28 .. ].932. (Day)
(Month)
(Year)
19 I HEREBY CERTIFY, That I attended deceased from
Sept
19
Sept
28
I last saw h .. alive on 19 death is said to have occurred on the date stated above, at ... 1.2 ... 10m. The principal cause of death and related causes of importance in order of onset were as follows:
Dateefonset
terminal broncho pneumonia
3 dys
pernicious anemia
5 yrs
Contributory causes of importance not related to principal cause:
Name of operation
Date of
What test confirmed diagnosis?
Was there an autopsy ?.. no ..
20 Was disease or injury in any way related to occupation of deceased? If so, specify
(Signed)
J ... G.Arent
M. D.
(Address)
B .... C .... H
Dat9.28 ....... 19.32 ...
21 PLACE OF BURIAL
CREMATION OR REMOVAL
Calvary Boston
(Cemetery)
(City or town)
DATE OF BURIAL
Sept
30
19 ...
32
22 NAME OF
UNDERTAKER
F E Flaherty
ADDRESS
Somerville
Received and filed
MAY 2 5 1933
19
(Registrar of City or Town where deceased residcd)
important.
50m-2-'30. No. 7997-đ
N. B .- WRITE PLAINLY, WITH UNFADING INK-THIS IS A PERMANENT RECORD. Every item of informa- OF DEATH in plain terms, so that it may be properly classified. Exact statement of OCCUPATION is very tion should be carefully supplied. AGE should be stated EXACTLY. PHYSICIANS should state CAUSE MARGIN RESERVED FOR BINDING
PLACE OF DEATH
1
Registered No.
230
St.,
...... Ward
(If U. S. War Veteran,
specify WAR)
(write the word)
If less than 1 day
AGE
8 Trade, profession, or particular
kind of work done, as spinner,
sawyer, bookkeeper, etc ....
10 Date deceased last worked at
this occupation (month and
year)
Mass
16 BIRTHPLACE OF
MOTHER (City)
(State or country)
James
A. Mulvey
19
32 to
RM R-302
N. B .- WRITE PLAINLY, WITH UNFADING INK-THIS IS A PERMANENT RECORD. Every item of informa- OF DEATH in plain terms, so that it may be properly classified. Exact statement of OCCUPATION is very tion should be carefully supplied. AGE should be stated EXACTLY. PHYSICIANS should state CAUSE MARGIN RESERVED FOR BINDING
important.
50m-2-30. No. 7997-đ
A TRUE COPY.
ATTEST :.
Pasco
(Registrar of city frown where death occurred
DATE FILED 10/8/32
19
MEDICAL CERTIFICATE OF DEATH
18 DATE OF
October 7/32
DEATH
(Month)
(Day)
(Year)
19 I HEREBY
9/29/32
CERTIFY, That I attended deceased from
er
10/7/32
I last saw h
alive on
19
death is said
8:30
m.
to have occurred on the date stated above, a The principal cause of death and related causes of importance in order of onset were as follows:
Dateofonsst
femoral ... hernia., strangulated
pulmonary ... thrombosis
arteriosclerosis, gen'l
yr.s ..
Contributory canses of importance not related to principal cause:
Name of operation
repair of hernia
Date of
9/29/32
What test confirmed diagnosis?
autopsy ..
Was there an autopsy ?...... yes
20 Was disease or injury in any way related to occupation of deceased?
If so, specify.
(Signed)
C ... L .. Clay
M. D.
(Address) Boston
Date 10/8/1932
21 PLACE OF BURIAL,
CREMATION OR REMOVAL
Winthrop
Winthrop
(Cemetery)
(City or towa)
DATE OF BURIAL
Oct
10
19
32
22 NAME OF
UNDERTAKER
R H White
ADDRESS
Winthrop
Received and filed 19
JUN 1.5 1933
(Registrar of City or Town where deceased resided)
1
BOSTON
The Commonwealth of Massachusetts OFFICE OF THE SECRETARY DIVISION OF VITAL STATISTICS STANDARD CERTIFICATE OF DEATH
23$
BOSTON
(City or town making return)
Registered No.
8358
(If death occurred in a hospital or institution,
give its NAME instead of street and number)
2 FULL NAME
Louise Terrill (Hunt )
(If deceased is a married, widowed or divorced woman, give also maiden name.)
(a) Residence.
No
118 Sunnyside Ave
St.,
Ward,
Winthrop
(If nonresident, give city or town and state)
Length of residence in city or town where death occurred
10 yrs.
mos.
days. How long in U. S., if of foreign birth?
yrs.
mos.
days.
PERSONAL AND STATISTICAL PARTICULARS
3 SEX
F
4 COLOR OR RACE
5 SINGLE
(write the word)
MARRIED
WIDOWED
OF DIVORCED Widowed
5a If married, widowed, or divorced
HUSBAND of
HSTrydereTA pfern full)
6 IF STILLBORN, enter that fact here.
7
AGE
93
Years
5
Months
Days
12
If less than 1 day Hours Minutes
OCCUPATION
8 Trade, profession, or particular kind of work done, as spinner, sawyer, bookkeeper, etc ..
Housewife
9 Industry or business in which
work was done, as silk mill,
At home
saw mill, bank, etc.
10 Date deceased last worked at
11 Total time (years)
this occupation (month a@ /29/32
spent in this
occupation
year)
70
12 BIRTHPLACE (City)
(State or country)
England
13 NAME OF
FATHER
Henry Hunt
PARENTS
14 BIRTHPLACE OF
FATHER (City)
(State or country)
England
15 MAIDEN NAME
OF MOTHER
Unknown
16 BIRTHPLACE OF
MOTHER (City)
(State or country)
England
17 Son- T. J. Terrill
Informant
(Address)
PLACE OF DEATH
SUFFOLK
(County)
No.
(City or Town) Peter Bent Brigham Hosp. St.,
Ward {
(If U. S.
War Veteran,
specify WAR)
(Usual place of abode)
(or) WIFE of
(Husband's name in full)
10/7/32
19
9/29/32
unk ...
RM R-302
SUFFOLK
The Commonwealth of Massachusetts OFFICE OF THE SECRETARY DIVISION OF VITAL STATISTICS STANDARD CERTIFICATE OF DEATH
23%
BOSTON
(City or town making return)
Registered No
8533
(If death occurred in a hospital or institution,
give its NAME instead of street and number)
2 FULL NAME
TRE ISMAN REBECCA
(If deceased is a married, widowed or divorced woman, give also maiden name.)
specify WAR)
270 SHIRLEY ST.
.St.,
Ward,
WINTHROP
(If nonresident, give city or town and state)
Length of residence in city or town where death occurred
yrs.
mos.
days. How long in U. S., if of foreign birth?
yrs.
mos.
days.
PERSONAL AND STATISTICAL PARTICULARS
3 SEX
FEMALE
4 COLOR OR RACE
WHITE
5 SINGLE
MARRIED
WIDOWED
or DIVORCED
WED
5a If married, widowed, or divorced HUSBAND of
(or) WIFE of
(Give maiderd name of wife i full) THESSMAN
(Husband's name in full)
6 IF STILLBORN, enter that fact here.
7
AGE 68 .Years Months Days
If less than 1 day Hours Minutes
OCCUPATION
8 Trade, profession, or particular
kind of work done, as spinner,
sawyer, bookkeeper, etc ..
HOUSEWORK
9 Industry or business in which
work was done, as silk mill,
saw mill, bank, etc.
AT HOME
10 Date deceased last worked at
11 Total time (years)
this occ
spent in this
year)
SEPT 1932
occupation
12 BIRTHPLACE (City)
(State or country)
RUSSIA
13 NAME OF
FATHER
SAMUEL TRIASMAN
14 BIRTHPLACE OF
FATHER (City)
(State or country) RUSSIA
15 MAIDEN NAME
OF MOTHER
I DA
16 BIRTHPLACE OF
MOTHER (City)
(State or country)
RUSSIA
DR. GOLDBERG,
17
Informant
(Address)
4 SEA FOAM AVE. WIN
A TRUE COPY.
ATTEST: James J. Mulvey
(Registrar of city derown where death occurred
DATE FILED OCT. 14, 1932
19
MEDICAL CERTIFICATE OF DEATH
18 DATE OF
DEATH
OCT. 13, 1932
(Month)
(Day)
(Year)
19 I HEREBY CERTIFY, That I attended deceased from
10/6/32
19
.... , to ...
10/13/32
19
[ last saw h.
ER
alive on
10/13/32
19.
..... , death is said
to have occurred on the data stated above, at. .. O .;..... OmPM The principal cause of death and related causes of importance in order of onset were as follows:
Dateofonset
pulmonary ... ombolism
10/13/32
perforated ... gastric ... ulcer.
10/6/32
.diffuse .. peritonitis
10/6/32
Contributory causes of importance not related to principal cause:
Name of operation . closure .... of .... perforatedate of. What test confirmed diagnosis? gastric ulcerthere an auto 017/32
20 Was disease or injury in any way related to @chpadon of deceased? .... non .... If so, specify.
(Signed)
A ... L.Hermanson
M. D.
(Address)
Boston
Dat1 0/14/1932
21 PLACE OF BURIAL,
CREMATION OR REMOVAL
Pride of Boston
Woburn
(Cemetery)
(City or town)
DATE OF BURIAL
Oct
14
19 ... 32
22 NAME OF
UNDERTAKER
M.Stanetsky
Boston
ADDRESS
Received and filed 19
UN 1-5 1933
(Registrar of City or Town where deccased resided)
tion should be 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. 50m-2-'30. No. 7997-d N. B .- WRITE PLAINLY, WITH UNFADING INK-THIS IS A PERMANENT RECORD. Every item of informa- PARENTS
PLACE OF DEATH
(County)
1
BOSTON
(City or Town)
No.
BETH ISRAEL HOSPITAL
St.,
....... ....... Ward
(If U. S.
(a) Residence.
No.
(Usual place of abode)
(write the word)
1
1
1
1
1
1
1
1
-
1
RM R-302
N. B .- WRITE PLAINLY, WITH UNFADING INK-THIS IS A PERMANENT RECORD. Every item of informa- OF DEATH in plain terms, so that it may be properly classified. Exact statement of OCCUPATION is very tion should be carefully supplied. AGE should be stated EXACTLY. PHYSICIANS should state CAUSE MARGIN RESERVED FOR BINDING
important.
50m-2-'30. No. 7997-d
17
Informant
.THOMAS .... F. BAGLEY.
(Address)
503 PLEASANT ST
A TRUE COPY.
ATTEST:
James J. Mulvey
(Registrar of city ofown where death occurred
DATE FILED
Ост 25 Тн
1932
19
MEDICAL CERTIFICATE OF DEATH
3 SEX
4 COLOR OR RACE
W
5 SINGLE
MARRIED
WIDOWED
or DIVORCED
(write the word)
MARRIED
5a If married, widowed, or divorced HUSBAND of
(Give maiden name of wife in full)
(or) WIFE of
THOMAS F. BAGLEY
(Husband's name in full)
6 IF STILLBORN, enter that fact here.
7
AGE
51
Years Months Days
Hours. . Minutes
OCCUPATION
8 Trade, profession, or particular kind of work done, as spinner, sawyer, bookkeeper, etc.
HOUSEWIFE
9 Industry or business in which
work was done, as silk mill,
AT HOME
saw mill, bank, etc.
10 Date deceased last worked at
11 Total time (years)
spent in this
occupation
6YRS
12 BIRTHPLACE (City)
(State or country)
EAST BOSTON, MASS
13 NAME OF
FATHER
PATRICK MACKIN
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