Town of Winthrop : Record of Deaths 1938, Part 102

Author: Winthrop (Mass.)
Publication date: 1938
Publisher:
Number of Pages: 522


USA > Massachusetts > Suffolk County > Winthrop > Town of Winthrop : Record of Deaths 1938 > Part 102


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732


AGE


Years


Months


Days


If lass than 1 day


Hours


Minutes


8 Trade, profession, or particular kind of work done, as spinner, sawyer, bookkeeper, etc.


clerk


Public .. Norka ... Dept ..


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)


12/38


11 Total time (years)


spent in this


occupation ..


3


12 BIRTHPLACE (City)


Boston


Edward Leary


14 BIRTHPLACE OF


FATHER (City)


Boston


15 MAIDEN NAME


OF MOTHER


Annie McGrath


16 BIRTHPLACE OF


MOTHER (City)


Boston


Belentop, if any (


A TRUE COPY.


James Q. OSurhe


ATTEST:


(Registrar of city or town where death occurred)


St., .................... .Ward


James L Leary


BU deusgdæ & married, widowed or divorced woman, give also maiden name.)


St.,.


...........


Ward,


(If nonresident, give city or town and state)


(Registrar of C of City or Town where deceased resided)


M. D.


MANOTIT REOGRYGE FOR DINVINO


4 COLOR OR RACE


1.1


7


5


HROP.


JAN241933 AM


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 TON


(CifxorTaip) omorial Hosp


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


BOSTON


(City or town making return)


Registered No


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


2 FULL NAME


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


10 Beach ha


St., ..............


. Ward,


days.


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


yrs.


mos.


days.


PERSONAL AND STATISTICAL PARTICULARS


3 SEX


F


-


4 COLOR OR RACE


(write the word)


Married


5a If married, widowed, or divorced


HUSBAND of


Isador@iskolniakof wife in full)


(or) WIFE of


(Husband's name in full)


6 IF STILLBORN, enter that fact here.


7


40


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 ....


nousowife


9 Industry or business in which


at home


work was done, as silk mill,


saw mill, bank, etc.


10 Date deceased last worked at


this occupation (month and


year)


1937


11 Total time (years)rs


spent in this


occupation.


12 BIRTHPLACE (City)


(State or country)


PARENTS


(State or country)


15 MAIDEN NAME


OF MOTHER


Rose


Brint


16 BIRTHPLACE OF


MOTHER (City)


(State or country)


Russie


17 Informant ( Address)


Relation,, if any


husband


V


A TRUE COPY.


ATTEST:


James Q. Burke


(Registrar of city or town where death occurred)


DATE FILED 19


MEDICAL CERTIFICATE OF DEATHI


18 DATE OF


DEATH


Doc 27/38


(Month)


(Day)


(Year)


19 I HEREBY CERTIFY, That I attended deceased from


11/1/38


19


12/27/38


19


., to .....


I last saw h ... ar .... alive on


12/07/38


, 19 ..


death Is said


to have occurred on the date stated above, at.Q. m.


The principal cause of death and related causes of importance in order of onset were as follows:


Dateofonset


br pneumonia


Contributory causes of importance not related to principal cause:


fracture of spine with transverse cord injury & incontinence of


6/30/3'


urir


COS


"Name of operation .... ]aminoctomy


Dag /31/37


What test confirmed diagnosis?


Was there an autopsy?


20 Was disease or injury in any way related to occupation of deceased? If so, specify


(Signed)


D. Giunta


M. D.


(Address) .


& Frenklin Garden


Data 2/27/18


21


Montifiore-Everett


Place of Burial. Cremation or Removal.


(City or Town)


DATE OF BURIAL


12/27/30


19


22 NAME OF


UNDERTAKER


M Stanotoiy


ADDRESS


Bouton


Received and filed


12/23/38


JAN.24 1399


19


1


No.


Sarah Skolnick


St.,


Ward


1


(If U. S.


War Veteran,


256


Win


specify WAR)


(a)


Residence. No.


(Usual place of abode)


Length of residence in city or town where death occurred


yrs.


mos.


(If nonresident, give city or town and state)


(Registrar of City or Town where deceased resided)


important.


50m-11.'36. No. 9080-8


13 NAME OF


FATHER


Mendel Bloomberg


14 BIRTHPLACE OF


FATHER (City)


Russia


AGE


5 SINGLE


MARRIED


WIDOWED


or DIVORCED


1.


1 )


1


G


JAN2&1939 AM


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)


Chelsea


(City or Town)


No ...


Soldiers' Home


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


257


Chelsea


(City or town making return)


Registered No.


736


(If death occurred in a hospital or institution,


.Ward


give its NAME instead of street and number)


2 FULL NAME


George N. Seifert


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


specify WAR)


(a)


Residence. No.


(Usual place of abode)


24 Sunnyside Ave. St., Ward, Winthrop, Mass.


(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


male


4 COLOR OR RACE


white


5 SINGLE


MARRIED


WIDOWED


or DIVORCED


married


5a If married, widowed, or divorced


HUSBAND of


Jose hine Leonard


(Give maiden name of wife in full)


(or) WIFE of


(Husband's name in full)


6 IF STILLBORN, enter that fact here.


AGE


7


66


Years


6


.. Months


17


Days


If less than 1 day Hours Minutes


OCCUPATION


8 Trade, profession, or particular


kind of work done, as spinner,


sawyer, bookkeeper, etc .....


Master Mariner


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)


Rega


(State or country)


Latvia


13 NAME OF


FATHER


Ludwig


14 BIRTHPLACE OF


FATHER (City)


(State or country)


Germany


15 MAIDEN NAME


OF MOTHER


Vilemina frescovrous


16 BIRTHPLACE OF


MOTHER (City)


Rega


(State or country)


Latvia


17


Infor mant


Hospital .hecords


(


Relation, if any


( Address)


A TRUE COPY.


ATTEST:


Lewis Glazer, Ii.D.


(Registrar of city or town where death occurred)


Agent 12-28-38


DATE FILED .19


MEDICAL CERTIFICATE OF DEATH


18 DATE OF


DEATH


December 28, 1938


(Month)


(Day)


(Year)


19 I HEREBY CERTIFY, That i attended deceased from


Oct. 18,


38


Dec. 28,


38


i last saw h ... ].m.alive on


Dec. 28


1938


death is said


9:564


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 ofonset


Broncho -pneumonia


12-24-


Pyelo-nephritis


?


Chronic .... Cystistis


?


Coutributory causes of importance not related to principal cause: Arterio-sclerotic heart


?


disease


two state Prostatectomy


Name of operation


Date of.


12-6-35


What test confirmed diagnosis? clinical


Was there an autopsy ?..... O


20 Was disease or injury in any way related to occupation of deceased? If so, specify.


(Signed) Lewis Glazer


(Address) Soldiers' Home


M. D.


Date.2 .-. 2.8. 1938


21 Woodlawn Cemetery, Everett


Place of Burial, Cremation or Removal.


(City or Town)


DATE OF BURIAL


Dec. 30,1938


19


22 NAME OF


UNDERTAKER


C. R. Dennison


ADDRESS


Winthrop ...... Mass.


Received and filed


Dec. 30, 1938


19


important.


50m.11.'36. No. 9080-8


PARENTS


1


St.,


(If U. S.


War Veteran,


World


(write the word)


to.


19


-


3


7


JAN11|339 AM


STANDARD CERTIFICATE OF DEATH


DEPARTMENT OF COMMERCE BUREAU OF THE CENSUS


1. PLACE OF DEATH


County


State


Township


or Village Malta Rue Benford 03 Ward


City


No.


(If death occurred in a hospital or institution, give its NAME instead of street and number) .mos. _____ ds. How long In U. S. If of foreign birth? -yrs.


.. mos. .ds.


2. FULL NAME


James B. Exercidas


(a) Residence: No. Muitas,


MasSt.,


Ward.


(Usual place of abod. )


(If nonresident give city or town and State)


PERSONAL AND STATISTICAL PARTICULARS


MEDICAL CERTIFICATE OF DEATH


3. SEX


m


4. COLOR OR RACE


21


5. SINGLE, MARRIED, WIDOWED.


OR DIVORCED (write the word)


tomand


21 DATE OF DEATH (month, day, and ) 27.18


.1018


5a. If married, widowed, or divorced


HUSBAND of


(or) WIFE of


I last saw h


Lalive on.


9-18


1212; death Is said


to have occurred on the date stated above, at. 12:06 Am.


6. DATE OF BIRTH (month, day, and year) 3-2-8-831


7. AGE


55


Years


Months


5


Days


20


If LESS than


__ ITrs.


1 day, ___


Date of onsel


or


min


arteriosclerosis generalados


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 or town)


Each Boston


(State or country)


13. NAME


14. BIRTHPLACE (city or town). (Stato or country) 11


15. MAIDEN NAME E Margaret Robincan


16. BIRTHPLACE (city or tormn).


(State or country)


17. INFORMANT


(Address)


18. BURIZZCREMATION, OR REMOVAL


im Date 9-19


19. UNDERTAKER


(Address)


4217-9th &F .-


20. FILED 19


Registrar.


Name of operation none Date of


What test confirmed diagnosis ?.


Was there an autopsy?


220


23, If death was due to external causes (viclence) fill In also the following:


Accident, sulclde, or homicide?


Date of Injury.


19


Where did Injury occur ?.


Coccify city or town. county, and State)


Specify whether Injury occurred In Industry, In home, or In public place.


Manner of Injury


Nature of Injury


24.


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


If so, specify alvas Mekie M. D.


(Signed).


(Address) Salter Runden Hop


The principal cause of death and related causes of Importance Were as follows:


with enmany involvement with Coronary Occlusion acute greece 3 /28/38 and congest heart faccine duration and Other contributory causes of Importance: none


MOTHER


011-10931 OCCUPATION Is very Important. See Instructions en back of certificate. state CAUSE OF DEATH in plain terms, so that it may be properly classified. Exact statement of information should be carefully supplied. AGE should be stated EXACTLY. PHYSICIANS should N. B .- WRITE PLAINLY, WITH UNFADING INK-THIS IS A PERMANENT RECORD. Every item of FATHER


376331


Length of residence In city or town where death occurred


__ yrs.


IHEREBY CERTIFY, What I attended deceased from 7-3 122, to. 9-18 19/


UNITED STATES STANDARD CERTIFICATE OF DEATH


Statement of occupation .- Precisc 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 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 housewife 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 servant-private family, cook-hotel, etc. For a person who had no occupation whatever write none. To be complete, an occupation return must statc:


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," "opcrative," etc. Find out the particular 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," "mill," 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, painter, 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, injury, or complication which causes death, not the mode of dying, e. g., heart failure, asphyxia, asthenia, etc. As principal cause name the disease or injury 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 other contributory causes of importance, name other important diseases or injuries. Examples:


Example I


Example II


The principal cause of death and related causes of importance were as follows:


Date of onset


The principal cause of death and related causes of importance were as follows:


Date of onset


Arteriosclerosis


1915


Attack of epilepsy


1 week ago


Chronic interstitial nephritis


1921


Run over by street car


1 week ago


Cerebral hemorrhage


July5, 1927


Peritonitis


3 days ago


Other contributory causes of importance:


Other contributory causes of importance:


Gallstones


May 1, 1923


Gastroenteritis


1 year


ADDITIONAL SPACE FOR FURTHER STATEMENTS BY PHYSICIAN


W


9


10


6


R.


TOWN.


c11-3184


U. S. GOVERNMENT PRINTING OFFICE: 1900


APR-161939 MM


OFFICE


RECEIVED


1


-


بوفيمـ


الود


وفيطمـ


٠ ١٠٠


4جم


ـابيب ونوا بهية احمد


٣٩٠٨٠


محلية بيا كيف


بب ساخ بالج بن


الرحلة من.


ميم.


عبر بكر سيوعوي


مايوباب بصـ


ـة السبب عامية


يحب ساعدة


بحدبنيهاجر


٠٠ ماسة مساء


ـعب بينعسل ا.


ـالحية


ـطياس عاد ) بلوزمد


باجوب


يوني و٠١٥


سعدة مخ


سلوب


أيومة مهم


ـوديـ جد


درجة بيس


موبا جس +سبات.


ـدية جديد


ـبية-


مولو


د معلومـ


كاجراء حـ


ـي باه


موجز +


مدسبب




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