USA > Massachusetts > Suffolk County > Winthrop > Town of Winthrop : Record of Deaths 1938 > Part 40
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).
Part 1 | Part 2 | Part 3 | Part 4 | Part 5 | Part 6 | Part 7 | Part 8 | Part 9 | Part 10 | Part 11 | Part 12 | Part 13 | Part 14 | Part 15 | Part 16 | Part 17 | Part 18 | Part 19 | Part 20 | Part 21 | Part 22 | Part 23 | Part 24 | Part 25 | Part 26 | Part 27 | Part 28 | Part 29 | Part 30 | Part 31 | Part 32 | Part 33 | Part 34 | Part 35 | Part 36 | Part 37 | Part 38 | Part 39 | Part 40 | Part 41 | Part 42 | Part 43 | Part 44 | Part 45 | Part 46 | Part 47 | Part 48 | Part 49 | Part 50 | Part 51 | Part 52 | Part 53 | Part 54 | Part 55 | Part 56 | Part 57 | Part 58 | Part 59 | Part 60 | Part 61 | Part 62 | Part 63 | Part 64 | Part 65 | Part 66 | Part 67 | Part 68 | Part 69 | Part 70 | Part 71 | Part 72 | Part 73 | Part 74 | Part 75 | Part 76 | Part 77 | Part 78 | Part 79 | Part 80 | Part 81 | Part 82 | Part 83 | Part 84 | Part 85 | Part 86 | Part 87 | Part 88 | Part 89 | Part 90 | Part 91 | Part 92 | Part 93 | Part 94 | Part 95 | Part 96 | Part 97 | Part 98 | Part 99 | Part 100 | Part 101 | Part 102
.... 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 hody 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 huried or the funeral is to be held, or from a person appointed to have the care of the cemetery or burial ground in which the interment is madc. . . .- CHAP. 114, SEC. 46, G. L. (TERCENTENARY EDITION.)
RULES OF PRACTICE
The fulfillment of the purpose of these laws calls for the ob- servance 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 unrelated to any form of injury, have died without recent medical attendance or whose physician is absent from home when the certificate of death is needed.
(3) Medical Examiners will investigate and certify to all deaths supposably due to injury. These include not only deaths caused clirectly or indirectly by traumatism (including resulting septi- cemia), 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.
.
MR-302
Middlesex
(County) Cambridge
(City or Town) No ... Holy .... Ghost .... Hos.pi.tal
.St.,
The Commonwealth of Massachusetts OFFICE OF THE SECRETARY DIVISION OF VITAL STATISTICS STANDARD CERTIFICATE OF DEATH
Mambridge
(City or town making return)
Registered No
653
(If death occurred in a hospital or institution,
.Ward
give its NAME instead of street and number)
2 FULL NAME
Edward Keenan
(If deceased is a married, widowed or divorced woman, give also maiden name.)
11 Locust St.
.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
MEDICAL CERTIFICATE OF DEATH
18 DATE OF
DEATH
Ma.y ..... 17
1938
(Month)
(Day)
(Year)
19 I HEREBY CERTIFY, That I attended deceased from
May 1
1938., to ..
May 17
1938.
I last saw h.
alive on
im
May 16
38
to have occurred on the date stated above, at
.m.
The principal canse of death and related Buse lof Anportance in order of onset were as follows:
Dateofonset
Arterio Sclerosis
about
1930
Contributory causes of importance not related to principal cause:
Name of operation
Date of
What test confirmed diagnosis?
Was there an autopsy ?.
20 Was disease or injury in any way related to occupation of deceased? .... ]
If so, specify
M. D.
(Signed) ..... Daniel Mac Killop
(Address)
Cambridge
5/17
38
21 PLACE OF BURIAL
CREMAGOULOT REM:08.8 .Gem. .. Malden city or town)
(Cemetery)
19
22 NAME OF
UNDERTAKER
R .... Kirby
ADDRESS
Fast Roston
MATr 10 1020
Received and filed
19
NR.
ATTEST:
May 19 1938
(Registrar of city or town where death occurred)
DATE FILED Frederick It. Burke
19
....
50m-9-31. No. 3385-g
1
(a) Residence.
No.
(Usual place of abode)
3 SEX
4 COLOR OR RACE
M
.
(or) WIFE of
(Husband's name in full)
6 IF STILLBORN, enter that fact here.
7
AGE
88
Years
Months
Days
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
OCCUPATION
year)
12 BIRTHPLACE (City)
Dublin
13 NAME OF
FATHER
John Keenan
14 BIRTHPLACE OF
FATHER (City)
(State or country)
Ireland
16 BIRTHPLACE OF
PARENTS
MOTHER (City)
(State or country)
Ireland
17
Mra Jos Fldridge
A TRUE COPY.
WDITE PI AINI Y WITH LINFADING 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
(State or country)
Ireland
important.
5 SINGLE
MARRIED
WIDOWED
or DIVORCED
(write the word)
Widowed
5a If married, widowed, or divorced
HUSBAND of
Sarah.Deacey
(Give maiden nanse of wife in full)
If less than 1 day
.Hours Minutes
Sail Maker
Ship yard
11 Total time (years)
spent in this
occupation.
15 MAIDEN NAME
OF MOTHER
Bridget Connolly
Informant
(Address) 11 Locust St. Winthrop
daughter
DATE OF BURIAL
May .. 19
1988
Date
19
(Registrar of City or Town where deceased resided)
PLACE OF DEATH
(If U. S.
War Veteran,
specify WAR)
inthrop
death is said
FBO1A
JIMTION are very
1
PLACE OF DEATH
SUFFOLK (County) WINTHROP , MASS.
(City or Town)
WINTHROP COMMUNITY HOSPITAL. No.
The Commonwealth of Alassachusetts 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.
98
f (If death occurred in a hospital or institution,
St., .. Ward ( give its NAME' instead of street and number)
2 FULL NAME
BABY MALE KEARNEY.
(If deceased is a married, widowed or divorced woman, give also maiden name.)
specify WAR)
25 GORDON
ROAD,
LYNN . .
St.,
Ward,
(If nonresident, give city or town and state)
Length of residence in city or town wbere death occurred
years
months
days.
How long in U.S., if of foreign birth?
years
months
days.
PERSONAL AND STATISTICAL PARTICULARS
MEDICAL CERTIFICATE OF DEATH
3 SEX
MALE
4 COLOR OR RACE
WHITE
5 SINGLE
(write the word)
MARRIED
WIDOWED
OF DIVORCED
SINGLE
6a If married, widowed, or divorced HUSBAND of
(or) WIFE of
(Give maiden name of wife in full)
(Husband's name in full)
6 IF STILLBORN, enter that fact here.
STILLBORN.
If less than 1 day
Hours .. Minutes
OCCUPATION
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.
12 BIRTHPLACE (City).
WINTHROP , MASS.
(State or country)
13 NAME OF
FATHER
FREDERICK KEARNEY.
14 BIRTHPLACE OF
FATHER (City)
BOSTON , MASS.
(State or country)
15 MAIDEN NAME
OF MOTHER
MARGARET CURTIN.
16 BIRTHPLACE OF MOTHER (City) (State or country)
BOSTON , MASS.
(Address)
19 Piment-Sr 23 Date 5/19
.19:3.8.
GARDEN.
CHELSEA , MASS.]
21.
Place of Burial,
Removal.
(City or Town)
38
Informant
(Address)
25 GORDON ROAD, LYNN , MASS.
I HEREBY CERTIFY that a satisfactory standard certificate of death was filed with me BEFORE the burial or transit permit was issued:
mielía 2. Children
(Signature of Agent of Board of Health or other) agent may 20/38
(Official DesignAtion) (Date of Issue of Permi
18 DATE OF
DEATH
way
19,1938
(Year)
(Month)
(Day)
That I attended deceased from
May 19
I HEREBY
DERTIF
1000
to
thay 19
1938
,
I last saw h ..... allve on ludy 19 1938 death Is sald to have occurred on the date stated above, at ... 3 .... m. The principal cause of death and related causes of Importance In order of onset were as follows: Data of Onset IMPORTANT Still Losu
Contributory causes of Importance not related to principal cause: Transmise position with contracted pellico. Version.
Name of operation
What test confirmed diagnosis?
Was there an autopsy ?.
20 Was disease or Injury in any way related to occupation of deceased?
If so, specify.
Frozen. It. Schwartz
(Signed)
M. D.
22 NAME OF
William 9: Treanor
UNDERTAKER
559 SARATOGA STREET E.B. MASS.
ADDRESS
Received and filed. MAY 2-6-192
19
(Registrar)
1001-12 '35. No. 6156F
PHYSICIANS bould stata CALISE OF DEATH
important. See instructions and extracts from the laws on back of certificate.
17 FREDERICK KEARNEY.
FATHER!
DATE OF BURIAL
MAY 20
Date of.
5/9/38
PARENTS
this occupation (month and
year)
7
AGE
Years
.Months.
.Days
8 Trade, profession, or particular
kindofwork done, as spinner,
sawyer, bookkeeper, etc ...
(If U. S.
War Veteran
(a) Residence.
No.
(Usual place of abode)
Statement of occupation. - Precise statement of occupation is- very important, so that the relative healthfulness of various pur- suits 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 bus- iness, 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 whatever 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 partic- ular kind of work done and return that, as SPINNER, WEAVER, etc.
In stating the industry or business, avoid the use of such gen- eral ternis 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 ENGIN- EER, 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, 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:
Dste of Onset
Arteriosclerosis
1915
Chronic interstitial nepbritis
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.
with, alter 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 sup- posed 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 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 re- quired by law, or in lieu thereof a certificate as hereinafter pro- vided. If there is no attending physician, or if, for sufficient rea- sons, his certificate cannot be obtained early enough for the pur- pose, or is insufficient, a physician who is a member of the hoard of health, or employed by it or by the selectmen for the purpose, shall upon application make the certificate required of the attend- ing 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 an- other within the commonwealth 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 a removal shall constitute a permit for such removal; provided, that such body shall be returned to the town from which it was re- moved within thirty-six hours after such removal, unless 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 required 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 ap- pear upon the permit. The board of health, or its agent, upon receipt of such statement and certificate, shall forthwith counter- sign it and transmit it to the clerk of the town for registration. The person to whom the permit is so given and the physician cer- tifying 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. (TER- CENTENARY EDITION.)
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 cemetery or burial ground in which the interment is made. . . .- CHAP. 114, SEC. 46, G. L. (TERCENTENARY EDITION.)
RULES OF PRACTICE
The fulfillment of the purpose of these laws calls for the ob- servance 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 unrelated to any form of injury, have died without recent medical attendance or whose physician is absent from home when the certificate of death is needed.
(3) Medical Examiners will investigate and certify to all deaths supposably due to injury. These include not only deaths caused directly or indirectly by traumatism (including resulting septi- cemia), 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.
KN R-302
PLACE OF DEATH
(County)
(City or Town)
The Commonwealth of Massachusetts OFFICE OF THE SECRETARY DIVISION OF VITAL STATISTICS STANDARD CERTIFICATE OF DEATH
(City or town making return)
Registered No.
99
(If death occurred in a hospital or institution. give its NAME instead of street and number)
St.,
Ward
(If deceased is a married, widowed or divorced woman, give also maiden name.)
(a)
Residence. No.
(Usual place of abode)
Length of residence in city or town where death occurred
yrs.
St.,.
. Ward,
(If nonresident, give city or town and state)
mos. days.
PERSONAL AND STATISTICAL PARTICULARS
MEDICAL CERTIFICATE OF DEATH
18 DATE OF
DEATH
ny 10 2050
(Month)
(Day)
(Year)
19 I HEREBY CERTIFY, That I attended deceased from
33
19 ..
* }:, to.
,19 ..
I last saw h ....... Calive on
19.
death is said
to have occurred on the date stated above, af ...... O.m. The principal cause of death and related causes of importance In order of onset were as follows:
Dateofonset
Contime :1 boule
Naturel a mediatic
2 .... 13?
Contributory causes of importance not related to principal cause:
Name of operation
Date of.r.Y?
What test confirmed dlagnosis?
Was there an autopsy ?........
20 Was disease or injury in any way related to occupation of deceased?
If so, specify.
(Signed)
., M. D.
(Address)
Date ..
5/219 33
21 PLACE OF BURIAL,
CREMATION OR REMOVAL
(Cemetery),
(City or town)
DATE OF BURIAL
19.
22 NAME OF
UNDERTAKER
ADDRESS
Received and filed
Imay 19
38
19
111
DATE FILED
June
.. 19 38 .....
7-
A TRUE COPY. 1
ATTEST:
(Registrar of city or town where death occurred)
2
important.
50m-9-31. No. 3.3.8 ª_₪
1 No. 2 FULL NAME 3 SEX ... (or) WIFE of 7 Frau itam of infrom OCCUPATIONI 13 NAME OF FATHER 15 MAIDEN NAME OF MOTHER PARENTS 17 Informant (Address) Lon snui ve caresuny Suppucu. W/DITE DI AINI V WITH LINFANING INK.THIS IS A PERMANENT RECORD OF DEATH in plain terms, so that it may be properly classified. Exact statement of OCCUPATION is very (State or country)
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)
(Husband's name in full)
6 IF STILLBORN, enter that fact here.
AGE ... Years .Months ...... Days
If less than 1 day .. Hours ...... Minutes
8 Trade, profession, or particular kind of work done, as spinner, sawyer, bookkeeper, etc. 150
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
this occupation (month and
year)
12 BIRTHPLACE (City)
14 BIRTHPLACE OF FATHER (City)
(State or country)
16 BIRTHPLACE OF MOTHER (City) (State or country)
mos.
days. How long in U. S., if of foreign birth?
yrs.
(If U. S. War Veteran, specify WAR)
(Registrar of City or Town where deceased residen)
..
...... .....
MR-302
SUFFOLK
-(County)
BOSTUY
(City or Town)
No Boston City 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
.4391 100
(If death occurred in a hospital or institution,
give its NAME instead of street and number)
Rose Cohon
2 FULL NAME
(If deceased is a married, widowed or divorced woman, give also maiden name.)
(a)
Residence.
No
(Usual place of abode)
38 ... Trident .. Av.
.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
4 COLOR OR RACE
5 SINGLE
MARRIED
WIDOWED
or DIVORCED
(write the word)
DEATH
Larr
(Month)
(Day)
(Year)
19 I HEREBY CERTIFY, That I attended deceased from
5/20/38
,19
to
5/01/38
., 19.
[ last saw h
.. alive on ..
19
death is said
XXX XXXXXXXXXXXXX to have occurred on the date stated above, at. m.
The principal cause of death and related causes of importance in order of onset were as follows:
... arachnoidal fibroblastoma of ..
brain
mos.
Contributory causes of importance not related to principal cause:
cerebral odeme
Name dropegatina logram
Date of ....
5/20/38
What test confirmed diagnosis?
Was there an autopsy
yes
20 Was disease or injury in any way related to occupation of deceased?
If so, specify.
(Signed)
uw O'Connell
(Address)
Boston City Losp
Date
5/21
19
21 PLACE OF BURIAL,
CREMATION OR REMOVALMese:1 .... Igrapl
(Cemetery)
(City of town)
DATE OF BURIAL
4/00/00
19
22 NAME OF
UNDERTAKER
Stanetsky
ADDRESS
Boston
Received and filed
JUN 1 1 1938
19
(Registrar of City or Town where deceased resided)
important.
A TRUE COPY.
ATTEST:
James Q. Burke
DATE FILED
(Registrar of city or town where death occurred)
5/24/38
19
MEDICAL CERTIFICATE OF DEATH
18 DATE OF
May 21/38
5a If married, widowed, or divorced
HUSBAND of
(Give maiden name of wife in full)
Jacob Cohen
(or) WIFE of
(Husband's name in full)
6 IF STILLBORN, enter that fact here.
AGE
Years Months Days
If less than 1 day Hours .Minutes
OCCUPATIONI
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,
saw mill, bank, etc ...
at home
10 Date deceased last worked at
this occupation (month and
year)
1 1 Total time (years)
spent in this
occupation.
12 BIRTHPLACE (City)
(State or country)
Russia
13 NAME OF
FATHER
Isasc Lurensky
PARENTS
14 BIRTHPLACE OF
FATHER (City)
(State or country) Russia
15 MAIDEN NAME
OF MOTHER
Annie ---
16 BIRTHPLACE OF
MOTHER (City)
(State or country)
Russia
17 Norris
Informant
(Address)
son
50m-9-'31. No. 3385-₪
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
1
PLACE OF DEATH
St.,
.......... Ward
(If U. S.
War Veteran,
specify WAR)
M. D.
Toburn.
Dateofonset
7
54
M ?- 301 À
WRITE PIAINI.Y. WITH UINFADING BLACK INK THIS IS A PERMANENT RECORD. 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
is very important.
75m-5-'32. No. 5469
I HEREBY CERTIFY, that a satisfactory standard certificate of death was filed with me BEFORE the burial or transit permit was issued: Wim. D. Childrens (Signature of Agent of Board of Health or other)
Health Officer 5/22/38
(Official Designation)
(Date of Issue of Permit)
MEDICAL CERTIFICATE OF DEATH
18 DATE OF
DEATH
may 22 - 1938
(Month)
(Day)
(Year)
19. I HEREBY CERTIFY, That I attended deceased from
May 8
1938 to.
may 22
1938
I last saw her alive on
may
2/
, 1938, death is said
to have occurred on the date stated above, at. 9 a.m.
The principal cause of death and related causes of importance in order of onset were as follows:
Date of Onset IMPORTANT
may 221938
Contributory causes of importance not related to principal cause: Fibraid uterus
may 1938
Name of operation
Paulinaterectomy
What test confirmed diagnosis?,
Was there an autopsy? no no
20 Was disease or injury in any way related to occupation of deceased?
If so, specify.
M. D.
Charles Melon
(Signed)
(Address) 905 Havre S DBisty Date May2 70-1938
21 PLACE OF BURIAL,
CREMATION OR REMOVAL
Il Vareicius Framingham
DATE OF BURIAL
May
(Cemetery)
25
(City or town) ml 193.8 ..
22 NAME OF
Manchino Hollander
UNDERTAKER
ADDRESS
122 Hollis St. Framingham
Received and filed 19
MAY 26 1938
(Registrar)
1
PLACE OF DEATH
(County) Winthrop
(City of Town)
Winthrop Community Hospital
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 ..... 0.1.
(If death occurred in a hospital or institution,
Ward give its NAME instead of street and number)
2 FULL NAME
Sala Descope
(If deceased is a married, widowed or divorced woman, giye also maiden name.)
44Bridges It Spannings011
Ward,
(If nonresident, give city or town and state)
mos. days.
PERSONAL AND STATISTICAL PARTICULARS
3 SEX
4 COLOR OR RACE
Female While
5 SINGLE
(write the word)
Need help finding more records? Try our genealogical records directory which has more than 1 million sources to help you more easily locate the available records.