USA > Massachusetts > Suffolk County > Winthrop > Town of Winthrop : Record of Deaths 1933 > Part 53
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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.
No undertaker or other person shall bury a human body or the ashes thereof which have been brought into the commonwealth until he has received a permit so to do from the board of health or its agent appointed to issue such permits, or if there is no such board, from the clerk of the town where the body is to be buried or the funeral is to be held, or from a person appointed to have the care of the ceme- tery or burial ground in which the interment is made .... Chap. 114, Sec. 46, G. L. as amended.
RULES OF PRACTICE
The fulfillment 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 un- related to any form of injury, have died without recent medical attend- ance 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 (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.
RM R-301A
N. B .- WRITE PLAINLY, WITH UNFADING BLACK INK-THIS IS A PERMANENT RECORD. Every item of is very important. See instructions and extracts from the laws on back of certificate. CAUSE OF DEATH in plain terms, so that it may be properly classified. Exact statement of OCCUPATION information should be carefully supplied. AGE should be stated EXACTLY. PHYSICIANS should state
PLACE OF DEATH
Suffolk (County)
The Commonwealth of Massachusetts OFFICE OF THE SECRETARY DIVISION OF VITAL STATISTICS STANDARD CERTIFICATE OF DEATH
To be filed for burial permit with Board of Health or its Agent.
Registered No.
133
(If death occurred in a hospital or institution, give its NAME instead of street and number)
& Johnson
Ihf deceased is a married, widowed or divorced woman, give also maiden name.)
94 Gmail Rd
.St., ............... Ward,
(If nonresident, give city or town and state)
mos. days.
PERSONAL AND STATISTICAL PARTICULARS
3 SEX Female
4 COLOR OR RACE
White
5 SINGLE
MARRIED
WIDOWED
or DIVORCED
(write the word) Widowed
5a If married, widowed, or divorced
HUSBAND of
give meragh nandoof wine in full)
(or) WIFE of
(Husband's name in full)
6 IF STILLBORN, enter that fact here.
AGE
Years
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)
chfaire
13 NAME OF
FATHER
William Berrett
PARENTS
14 BIRTHPLACE OF FATHER (City) (State or country)
15 MAIDEN NAME
OF MOTHER
ever Known
16 BIRTHPLACE OF MOTHER (City) (State or country)
17
Son Dr Clarence A. elever
Informant (Address) BandoinST.
I HEREBY CERTIFY that a satisfactory standard certificate of death was filed with me BEFORE the burial or transit permit was issued: Was D. Childress (Signature of Agent of Board of Health or other) Healthe officer 7/1/33
(Official Designation)
(Date of Issue of Permit)
MEDICAL CERTIFICATE OF DEATH
18 DATE OF
DEATH
June
(Month)
29 (Day)
1933
(Year)
19 I HEREBY CERTIFY, That I attended deceased from
OCT.
28
1930 to
29
19.3.3
I last saw her alive on
June
29
., 193.3 ..... , death is said
TP
.. m.
to have occurred on the date stated above, at .. The principal cause of death and related causes of importance in order of onset were as follows:
Date of Onset IMPORTANT 19.30
Chronic Myocarditis
Contributory causes of importance not related to principal cause:
Name of operation.
What test confirmed diagnosis? @beamten .... Was there an autopsy? No
.Date of.
No
20 Was disease or injury in any way related to occupation of deceased? if so, specify!
(Signed)
(Address) Withinof Mass
M. D.
Date July 1 19 83.
21 PLACE OF BURIAL,
CREMATION OR REMOVAL
(Cemetery)
(City or town) 1933
DATE OF BURIAL
22 NAME OF
Sfechald & White
UNDERTAKER
ADDRESS
151 Planas 88 - 9 alle
1933
Received and filed
19
(Registrar)
1
(City op Town) 94 Percent Rd No.
2 FULL NAME
Mary Susan (Ba)
Ward
(a) Residence. No ... (Usual place of abode) Length of residence in city or town where death occurred
14 Th
mos.
days. How long in U. S., if of foreign birth? yıs.
(If U. S. War Veteran, specify WAR)
7 95 4 Month 20 .Days
Bridger.
75m-5-'32. No. 5469
Revised United States Standard Certificate of Death
Statement of occupation .- Precise statement of occupation is very important, so that the relative healthfulness of various pursuits can be known. Make some entry in this section for every person aged 10 years or over. If the occupation had been given up or changed on account of the disease causing death, report the occupation prior to illness. If the deceased had retired from business, report the occupation prior to retirement. Children not gainfully employed may be returned as at school or at home. For a woman whose only occupation was that of home housework, write housework in answer to Question 8 and own home in answer to Question 9. For a person engaged in domestic service for wages, however, designate the occupation by the appropriate terms, as housekeeper-private family, cook-hotel, etc. For a person who had no occupation what- ever write none.
To be complete, an occupation return must state:
8 .- The trade, profession, or particular kind of work done.
9 .- The industry or business in which the work was done.
10 .- The month and year the deceased last worked at the occupation.
11 .- The number of years the deceased followed the occupation.
In stating the occupation, avoid the use of such indefinite terms as "employee." "worker." "operative," etc. Find out the parti- cular kind of work done and return that, as spinner, weaver, etc.
In stating the industry or business, avoid the use of such general terms as "store," "factory, " etc. State the particular kind of store, factory, mill, etc., as grocery store, soap factory, cotton mill, etc.
Distinguish carefully the different kinds of engineers by stating the full descriptive titles, as civil engineer, mechanical engineer, mining engineer, stationary engineer, etc. Avoid the term "laborer" when a more precise statement of the occupation can be secured. Do not use the word " mechanic." but give the exact occupation, as carpenter. Đainter, machinist, etc. Distinguish carefully between retail merchants and wholesale merchants. A person who sells goods should be called a salesman and not a clerk.
Statement of cause of death .- Cause of death means the disease, or complication which causes death, not the mode of dying, e. g., heart failure, asphyxia, asthenia, etc. As principal cause name the disease causing death. As related causes, name earlier morbid conditions, if any, related to the principal cause and any important complication of the principal cause. Under contributory causes of importance not related to principal cause, name other important diseases.
Example
The principal cause of death and related causes of importance in order of onset were as follows:
Date of onset
Arteriosclerosis
1915
Chronic interstitial nephritis
1921
Cerebral hemorrhage
July 5, 1927
Contributory causes of importance not related to principal cause:
In a group of causes containing the principal cause and related causes, the causes should be given in the order of onset, so that in a group of three causes the principal cause may appear in either first, second, or third position. The principal cause in the above example happens to be the second cause given.
CAINAVIS I
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 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 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 person shall bury or otherwise dispose of a human body in a town, or remove therefrom a human body which has not been buried, until he has received a permit from the board of health, or its agent appointed to issue such permits, 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, from one cemetery to another, or from one grave or tomb other than the receiving tomb to another in the same cemetery, until he has received a permit from the board of health or its agent aforesaid or from the clerk of the town where the body is buried. No such permit shall be issued until there shall have been delivered to such board, agent or clerk, as the case may be, a satis- factory 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 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, 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. If such a permit for the removal of a human body. not previously interred from one town to another within the common- wealth cannot be obtained early enough for the purpose, the certificate of death made as above provided and in the possession of the undertaker desiring to make such removal shall constitute a permit for such re- moval; provided, that such body shall be returned to the town from which it was removed within thirty six hours after such removal, anless a permit in the usual form for the removal of such body has been sooner obtained hereunder. If the death certificate contains a recital, as re- quired by section ten of chapter forty-six, that the deceased served in the army, navy or marine corps of the United States in any war in which it has been engaged, such recital shall appear upon the permit. 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 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 require. - Chap. 114, Sec. 45. G. L., as amended by Chap. 48, Acts of 1927 and Chap. 414, Acts of 1931.
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.
No undertaker or other person shall bury a human body or the ashes thereof which have been brought into the commonwealth until he has received a permit so to do from the board of health or its agent appointed to issue such permits, or if there is no such board, from the clerk of the town where the body is to be buried or the funeral is to be held, or from a person appointed to have the care of the ceme- tery or burial ground in which the interment is made .. .. Chap. 114, Sec. 46, G. L. as amended.
RULES OF PRACTICE
The fulfillment 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 un- related to any form of injury, have died without recent medical attend- ance 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 (including resulting septicemia), and by the action of chemical (drugs or poisons), thermal, or electrical agents, and deaths following abortion, but also deaths from discase resulting from injury or infection related to occupation, the sudden deaths of persons not disabled by recognized disease, and those of persons found dead.
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
important.
50m-2-'30. No. 7997-đ
17 W/hs. & A felson
Informant
(Address)
186 Bartlett Rd Winthrop Plass
A TRUE COPY.
ATTEST:
Harry Z. allen
(Registrar of city or town where death occurred)
DATE FILED
lune 9
19.33
MEDICAL CERTIFICATE OF DEATH
18 DATE OF
DEATH
June
8
19.33
(Month)
(Day)
(Year)
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
72
Years
8
Months
16 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)
Chatham
(State or country)
22. B. Canada
13 NAME OF
FATHER
William a. etson
14 BIRTHPLACE OF
FATHER (City)
Chatham
(State or country)
71. B. Canada
15 MAIDEN NAME
OF MOTHER
Emily Clark
Chatham
16 BIRTHPLACE OF
MOTHER (City)
(State or country)
) B. Canada
20 Was disease or injury in any way related to occupation of deceased? 215
If so, specify.
(Signed)
8. 731 Standen
M. D.
(Address)
( 7) orthbowl
Date June q 1933
21 PLACE OF BURIAL,
CREMATION OR REMOVAL
Cambridge Cambridge
(Cemetery)
(City or towa)
19 33
DATE OF BURIAL
Juni 10
22 NAME OF
UNDERTAKER
S. Standish Stephenson
ADDRESS
19 Pleasant St Houthbour 1/1 as)
Received and filed
19
mp 12 1933
(Registrar of City or Town where deceased resided)
1
PLACE OF DEATH
Worcester (County) northborough (City or, Town) U ann Judson Ross Hone
The Commonwealth of Massachusetts OFFICE OF THE SECRETARY DIVISION OF VITAL STATISTICS STANDARD CERTIFICATE OF DEATH
1
(City or town making return)
134
Registered No. (If death occurred in a hospital or institution,
give its NAME instead of street and number)
Margaret E. Letson
(If deceased is a married, widowed or divorced woman, give also maiden name.)
(a)
Residence.
No. 186 Bartlett Rd
(Usual place of abode)
Length of residence in city or town where death occurred
yrs.
1
mos.
days.
How long in U. S., if of foreign birth?
JTs.
mos.
days.
PERSONAL AND STATISTICAL PARTICULARS
3 SEX
Female
4 COLOR OR RACE
Culite
5 SINGLE
MARRIED
WIDOWED
or DIVORCED
(write the word)
Single
19 I HEREBY CERTIFY, That I attended deceased from
2) au 8
19.2.3 .. , to.
June 8
19.33
I last saw h Cer alive on June (8 19.3.3 .... , death is said to have occurred on the date stated above, at 3:30 12 m. The principal cause of death and related causes of importance in order of onset were as follows: Chronic Who. carditis Portie Stenosis Cerebral Hemorrhage
Dateofonset unknown
aug.
1931
Contributory causes of importance not related to principal cause:
Cardiac decompensation with
pulmonary ordenar
1933
Name of operation
What test confirmed diagnosis?
Clinical
Was there an autopsy? )/s
Date of
PARENTS
No.
.Ward
St.,
2 FULL NAME
(If U. S. War Veteran, specify ,WAR)
St.,
Ward,
Withion. 1/ass
(If nonresident, give city or town and state)
RM R-302
7 OCCUPATION important. 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 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 Sex
The Commonwealth of Massachusetts OFFICE OF THE SECRETARY DIVISION OF VITAL STATISTICS STANDARD CERTIFICATE OF DEATH
anni ........ ""ity or town making return)
135
Registered No. 762
(If death occurred in a hospital or institution,
Ward give its NAME instead of street and number)
2 FULL NAME,
(If deceased is a married, widowed or divorced woman, give also maiden name.)
specify WAR)
(a)
Residence.
No ........ Forthe ives
(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?
yTS.
mos.
days.
PERSONAL AND STATISTICAL PARTICULARS
3 SEX
4 COLOR OR RACE
5 SINGLE
MARRIED
WIDOWED
or DIVORCEMarried
5a If married, widowed, or divorced
HUSBAND of
(Give maiden name of wife in full)
(or) WIFE of
Philip PA Ley
6 IF STILLBORN, enter that fact here.
AGE
6.7
8 Trade, profession, or particular
kind of work done, as spinner,
sawyer, bookkeeper, etc.
Hougework
9 Industry or business in which work was done, as silk mill, saw mill, bank, etc ....
Own home
10 Date deceased last worked at
this occupation (month and
year)
June 1933
50-
11 Total time (years)
spent in this
occupation.
12 BIRTHPLACE (City)
(State or country)
Ireland
13 NAME OF
FATHER
John Gannon
14 BIRTHPLACE OF
FATHER (City)
(State or country)
Ireland
15 MAIDEN NAME
OF MOTHER
Bridget Gannon
ok
16 BIRTHPLACE OF
MOTHER (City)
(State or country)
Ireland
17
Informant
(Address)
Mre Lillian Bishọp
Le wartleave.
NAthrop
A TRUE COPY.
Frederick H. Burker
ATTEST:
June 3 1933
(Registrar of city or town where death occurred)
DATE FILED 19
MEDICAL CERTIFICATE OF DEATH
18 DATE OF
DEATH
June .......
19.33
(Month)
(Day)
(Year)
19 I HEREBY CERTIFY, That I attended deceased from June 1
I last saw
alive on. Jurre 1
83
.....
death is said
to have occurred on the date stated above, at4 .... 30 .F The principal cause of death and related causes of importance in order of onset were as follows:
Dateofonset
Arteriosclerosis ... heartdisease
Contributory causes of importance not related to principal cause:
.Congestion ... o.f .... lungs
Name of operation
Date of
What test confirmed diagnosis?
Was there an autopsyio
20 Was disease or injury in any way related to occupation of deceased?
If so, specify.
(Signed) William .. R.Morrison
(Address)) con wealth dates /1
M. D.
21 PLACE OF BURIAL.
CREMATION OR REMOVAL
Inthrop Cem.
Winthrop
(Cemetery)
(City or town)
DATE OF BURIAL.
June 5 1933
19
22 NAME OF
UNDERTAKER
ADDRESS
11 Meridian **. .. Boston
Received and filed
.....
JUL 20 1023
19
(Registrar of City or Town where deceased resided)
1
Nocharlene Hospital
.. St.,
.....
(If U. S.
St.,
Ward,
(If nonresident, give chtToPilwn and state)
(write the word)
Years ... Months .Days
If less than 1 day Hours Minutes
RM R-305
PLACE OF DEATH
SUFFOLK (County)
BOSTON
(City or Town)
No. 1 Maple P1
The Commonwealth of Massachusetts OFFICE OF THE SECRETARY DIVISION OF VITAL STATISTICS MEDICAL EXAMINER'S CERTIFICATE OF DEATH
BOSTON
136 (City or town making return)
Registered No.
5865
(If death occurred in a hospital or institution, give its NAME instead of street and number)
2 FULL NAME
Morris
Taplan
(If deceased is a married, widowed or divorced woman, give also maiden name.)
(a)
Residence. No.
(Usual place of abode)
47 Nevada .. St.
Winthrop ..
St.,
Ward,
(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
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
Ethel Taplinovitz
(Husband's name in full)
6 IF STILLBORN, enter that fact here.
7 AGE 64 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.
tailor
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) Dec ... 1932
11 Total time (years)
spent in this occupation .. 40 .Vi Homicide ?
12 BIRTHPLACE (City)
(State or country)
Russia
13 NAME OF
FATHER
Jacob Taplan
14 BIRTHPLACE OF
FATHER (City)
(State or country) Russia
15 MAIDEN NAME
OF MOTHER
Minnie Stavitzky
16 BIRTHPLACE OF MOTHER (City) (State or country)
Russia
17
Informant
Ethel Taplan
(Address)
Winthrop
A TRUE COPY.
ATTEST: James J. Mulvey (Registrar of city town where death occurreds
DATE FILED
July 5
19 33
MEDICAL CERTIFICATE OF DEATH
18 DATE OF
DEATH
June 30 1933
(Month)
(Day)
(Year)
19 | 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)
·hypertensiveheart ... disease ... with
myocarditis.
Found dead.
20 If death was due to external causes (VIOLENCE) fill in the following :
Accident,
Suicide or
Date of injury.
19
Where did injury occur ?
Manner of
Injury.
Nature of
Injury.
21 Was disease or injury in any way related to occupation of deceased? If so, specify
(Signed)
Timothy Leary
M. D.
(Address)
Boston
7/1/
19.33
22 PLACE OF BURIAL,
CREMATION OR REMOVAL
Kaminski
W Roxbury
(Cemetery)
(City or town)
DATE OF BURIAL
July
2
19.33.
23 NAME OF
UNDERTAKER
Manuel Stanetsky
Boston
ADDRESS
Received and filed.
JUL 1.9 1933
19
(Registrar of City or Town where deceased resided)
25m-2-'30. No. 7997-8
1
St.,
Ward
(If U. S. War Veteran, specify WAR)
(City or town and State)
PARENTS
is very important. See instructions and extracts from the laws on back of certificate. CAUSE OF DEATH in plain terms, so that it may be properly classified. Exact statement of OCCUPATION information should be carefully supplied. AGE should be stated EXACTLY. PHYSICIANS should state
75m-5-'32. No. 5469
I HEREBY CERTITY that a satisfactory standard certificate of death was filed with me BLFORE the burial or transit permit was issued: Www. D Childres (Signature of gent of Board of Health or other)
Health Officer 7/7/33
"fofficial Designation) (Date of Issue of Permits
18 DATE OF
DEATH
July
10
(Month)
(Day)
1933 (Year)
19
I HEREBY CERTIFY,
Than I attended deceased from
July 5
1933,
file.
6
, 19 33
! last saw h ..... Malive on
Jul 6 I .. m.
1. 19.33 death is said
to have occurred on the date stated above, at.
The principal cause of death and related causes of importance in order of onset were as follows:
Date of Onset IMPORTANT
premature delury
Contributory causes of importance not related to principal cause:
Name of operation.
What test confirmed diagnosis?
Date of.
Was there an autopsy?
20 Was disease or injury in any way related to occupation of deceased? If so, specify.
(Signed)
17 Centrally
(Address)
Date 7/7/
M. D 19 3
21 PLACE OF BURIAL
CREMATION OR REMOVAL
It michael
(Cemetery)
DATE OF BURIAL
22 NAME OF UNDERTAKER
July (City or town) 23 Frederick G. magrath 64 meridian the East Boston
ADDRE
Received and filed.
11H 12 2002
19
(Registrar)
1
PLACE OF DEATH
County Manchrok
(City or Town) Winthrop Community No. .
St.,
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