USA > Massachusetts > Suffolk County > Winthrop > Town of Winthrop : Record of Deaths 1939 > Part 48
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St.,
Ward
-
(If U. S.
War Veteran,
specify WAR)
mos.
days. How long in U. S., if of foreign birth?
yTs.
21
this occupation (month and
year)
TI
OFFICE OF
N CL
11 12
3
9 -
ERK
1
7
5
SS.
6
HA
3
JUN1 41939 AM
R-302
Middlesex
(County)
Tewksbury
(City or Town) State Infirmary
The Commonwealth of Massachusetts OFFICE OF THE SECRETARY DIVISION OF VITAL STATISTICS STANDARD CERTIFICATE OF DEATH
State Infirmary Tewksbury
(City or town making return)
Registered No.
124
(If death occurred in a hospital or institution, give its NAME instead of street and number) ~
2 FULL NAME
Helen Lorena Remington
(If deceased is a married, widowed or divorced woman, give also maiden name.)
specify WAR)
(a)
Residence.
No.
(Usual place of abode)
(Not learned)
St.,
Ward,
Winthrop
(If nonresident, give city or town and state)
Length of residence in city or town where death occurred
16
yrS.
9 mos.2
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
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
AGE
74
8
Months-
Days
19
Years
If less than 1 day
Hours
Minutes
OCCUPATION|
8 Trade, profession, or particular
kind of work done, as spinner,
sawyer, bookkeeper, etc.
None
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)
Springfield
(State or country)
Massachusetts
13 NAME OF
FATHER
Lorenzo Nomington
14 BIRTHPLACE OF
FATHER (City)
Akron
(State or country)
Ohio
15 MAIDEN NAME
OF MOTHER
Harriet Plynn
16 BIRTHPLACE OF
MOTHER (City)
Hartford
(State or country)
Connecticut
17 Hospital Record
Informant
(Address)
A TRUE COPY.
ATTEST:
Samence H. Shelley M. S. Supt.
(Registrar of city or town where death occurred)
DATE FILED
April 14
.19 ... 39
MEDICAL CERTIFICATE OF DEATH
18 DATE OF
DEATH
April
74
(Month)
(Day)
(Year)
19 I HEREBY CERTIFY, That I attended deceased from
July 11
19 22 to April 14
19 .....
39
19 .... 3.9, death is said
l last saw h.Q ........ alive on.
April 13
to have occurred on the date stated above, at.
6:10 m.A. I.
The principal cause of death and related causes of importance in order of onset were as follows:
Dateofonset
Hypertensive Icart Discase
+ .... yrs
Contributory causes of importance not related to principal cause:
.Cretini.sm
Ilental Deficiency
+
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)
Edward J. O'Donoghue
M. D.
(Address)
State Infirmary
Date
4/14 19
39
21 PLACE OF BURIAL,
CREMATION OR REMOVAL
Springfield
Sorin fick
(Cemetery)
(City or town)
DATE OF BURIAL
April17
193.9
22 NAME OF
UNDERTAKER
C. R. Bennison
ADDRESS
174 Winthroy St.
Winthrop
Received and filed
April 14
19 ... 39
(Registrar of City or Town where deceased 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-9-'31. No. 3385_₥
Li
1
PLACE OF DEATH
No.
St.,
Ward
(If U. S.
War Veteran,
1939
(write the word)
PARENTS
RECEIVED
TOWN
OFFICE OF
CLEAN
6
ASS
OP
JUN191939 AM
R-302
Suffolk
(County)
Chelsea
(City or Town)
The Commonwealth of Massachusetts OFFICE OF THE SECRETARY DIVISION OF VITAL STATISTICS STANDARD CERTIFICATE OF DEATH
Chelsea
(City or town making return)
Registered No. .....
312 ... ..
(If death occurred in a hospital or institution, give its NAME instead of street and number)
2 FULL NAME
Alfred T. Bagnoos
(If deceased is a married, widowed or divorced woman, give also maiden name.)
(L U. S.
War Veteran,
specify WAR)
SW
(a)
Residence. No .... 2 ... Highland ... Avc.
(Usual place of abode)
.St.,.
Ward,
Winthrop
(If nonresident, give city or town and state)
Length of residence in city or town where death occurred
yrs.
MOS.
5 days. How long in U. S., if of foreign birth?
yTS.
mos.
days.
PERSONAL AND STATISTICAL PARTICULARS
MEDICAL CERTIFICATE OF DEATH
18 DATE OF
DEATH
Dny 6. 1959
(Month)
(Day)
(Year)
5a If married, widowed, or divorced
HUSBAND of
Louisa M. Bantor
(or) WIFE of
(Husband's name in full)
6 IF STILLBORN, enter that fact here.
7 AGE G Year's Mont Days
If less than 1 day Hours Minutes
8 Trade, profession, or particular kind of work done, as spinner, sawyer, bookkeeper, etc ...... Packor (choos)
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)
Halifax
(State or country)
Canada
13 NAME OF
FATHER
Charles Wr
14 BIRTHPLACE OF
FATHER (City)
Essox
(State or country)
England
15 MAIDEN NAME
OF MOTHER
Mary Ann Boyer
16 BIRTHPLACE OF
MOTHER (City)
(State or country)
Newfoundland
Relation, if any
( Address)
A TRUE COPY.
ATTEST:
(Registrar of city of town where death occurred)
BADALED
May 6, 1939
19
19
I HEREBY CERTIFY, That I attended deceased from
1939, to.
1930 ..
I last saw halive on.
May -6:
19 .... death Is said
to have occurred on the date stated above,cat?
.. m.
The principal cause of death and related causes of importance in order of Daleofonset onset were as follows: Hypertensive ht. discaso Hypertension
Cardiac decompensation
?
Contributory causes of importance not related to principal cause:
Name of operationons
What test confirmed diagnosis? ... Clinical ... Was there an autopsymo
Date of.
20 Was disease or injury in any way related to occupation of deceased? .. )
If so, specify
M. D.
(Signed) Lewis Glazer
(Address) Soldiers. ... Home
Date5-6 ...
.1939 ..
21Winthrop
Winthrop Less
Place of Burial, Cremation or Removal.
7City or Town)
DATE OF BURIAL
May 9 1939
19
22 NAME OF
UNDERTAKER
C. R. Bennison
R ... Kirby
ADDRESS
170 Winthrop St., Winthrop
Received and filed
May 8 1939
19
Doseple a. Vierill
(Registrar of City or Town where deceased resided)
=
3 SEX
4 COLOR OR RACE
5 SINGLE
MARRIED
WIDOWED
or DIVORCED
married
(write the word)
11020
OCCUPATION 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 PARENTS
important.
50m.11.'36. No. 9080-g
1
PLACE OF DEATH
No. Soldiengl .... Homo. .....
.....
St.,
Ward
130
..
e
..
17
Inforhospital Records
(
FICE
2,7
12
CLERK
5
MASS
JUN151939
M R-305
PLACE OF DEATH
SUFFOLK BOSTON
(City or Town)
Boston City Hos p
No
The Commonwealth of Massachusetts OFFICE OF THE SECRETARY DIVISION OF VITAL STATISTICS MEDICAL EXAMINER'S CERTIFICATE OF DEATH
BOSTON (City or town making return) 4852
Registered No. (If death occurred in a hospital or institution, give its NAME instead of street and number)
2 FULL NAME
Edward J Hoey
(If deceased is a married, widowed or divorced woman, give also maiden name.)
(a)
Residence. No.
(Usual place of abode)
52 Revere
St.,
.....
Ward,
(If nonresident, give city or town and state)
Length of residence in city or town where death occurred
nos.
days. How long in U. S., if of foreign birth?
TTI.
mos. dayı.
PERSONAL AND STATISTICAL PARTICULARS
MEDICAL CERTIFICATE OF DEATH
3 SEX
M
4 COLOR OR RACE
5 SINGLE
MARRIED
WIDOWED
or DIVORCED
Single
18 DATE OF
DEATH
May 17 1939
(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 .. 37 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 ....
longshoreman
9 Industry or business In which
work was done, as alk mill,
saw mill, bank, etc.
Cunard Line
10 Date deceased last worked at
this occupation (month and
year)
6/38
11 Total time (years)
Suicide or
spent in this
Homtofde ?
occupation.
10
XXXXX
Date of Injury
5/17/399
12 BIRTHPLACE (City)
(State or country)
Boston
Where did
Injury occur?
East Boston
(City or town and State)
Manner of
Injury
presumably struck by a train
Nature of
Injury
Was there an autopsy ?.
21 Was disease or injury in any way related to occupation of deceased? If so, specify
(Signed)
WHWatters
M. D.
(Address)
Boston
Date/79
1930
22
Place of Burial. CremationHORRymocarOSS (City Madan
DATE OF BURIAL
5/21/39
19
28 NAME OF
UNDERTAKER
F.J.Magrath
ADDRESS
Boston
Received and filed. 19
(Registrar of City or Town where deceased resided)
PARENTS
14 BIRTHPLACE OF
FATHER (City)
(State or country)
Ireland
15 MAIDEN NAME
OF MOTHER
Elizabeth Mckevitt
16 BIRTHPLACE OF
MOTHER (City)
(State or country)
Inolana
Relation, if any (
17
Informantather.
(Address)
TRUE COPY.
ATTEST :.
James Q. Burke
DATE FILED
(Registrar of city or town where death occurred)
5/23/39
19
25m.11.'36. No. 9080-h
1
St.,
Ward
(If U. S.
War Veteran,
specify WAR)
121
Winthrop
(write the word)
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) crushing wounds of chest & frac- ture of spine
20 If death was due to external causes (VIOLENCE) fill in the following: Accident,
13 NAME OF
FATHER
Matthew Hoey
RECEIVED
il
CE Gr
CE
2.1 1.2
CLERK
3
7ª
5
6
ROP MASS
JUN151939
RM R-305
PLACE OF DEATH
SUFFOLK. BOSTON
(City or Town) NoBoston City Hosp
The Commonwealth of Massachusetts OFFICE OF THE SECRETARY DIVISION OF VITAL STATISTICS MEDICAL EXAMINER'S CERTIFICATE OF DEATH
BOSTON (City or town making return) 4852
Registered No. (If death occurred in a hospital or institution, give its NAME instead of strect and number)
2 FULL NAME
Edward J Hoey
(If deceased is a married, widowed or divorced woman, give also maiden name.)
(a)
Residence. No.
(Usual place of abode)
52 Revere
.St., ..
Ward,
Winthrop
(If nonresident, give city or town and state)
Length of residence in city or town where death occurred
mos.
days. How long in U. S., if of foreign birth?
Jrs.
mos.
dayı.
PERSONAL AND STATISTICAL PARTICULARS
MEDICAL CERTIFICATE OF DEATH
18 DATE OF
May 17 1939
DEATH
(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.
37
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 ......
longshoreman
9 Industry or business In which
work was done, as wilk mill,
saw mill, bank, etc ..
Cunard Line
10 Date deceased last worked at
this occupation (month and
year)
6/38
11 Total time (years)
spent in this 10
occupation.
12 BIRTHPLACE (City)
(State or country)
Boston
13 NAME OF
FATHER
Matthew Hoey
PARENTS
(State or country)
Ireland
15 MAIDEN NAME
OF MOTHER
Elizabeth Mckevitt
16 BIRTHPLACE OF
MOTHER (City)
(State or country)
Imolana
17
Informantather
(Address)
Relation, if any
-
25m-11-36. No. 9080-h
A TRUE COPY.
ATTEST:
James Q. Burke
(Registrar of city of town where death occurred)
5/23/39
19
DATE FILED
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) crushing wounds of chest & frac- ture of spine
20 If death was due to external causes (VIOLENCE) fill in the following: Accident,
Suicide or
Date of Injury .
5/17/399
Homicide?
XXX
Where did
Injury occur?
East Boston
(City or town and State)
Manner of
Injury
presumably struck by a train
Nature of
Injury
Was there an autopsy ?..
21 Was disease or injury in any way related to occupation of deceased? If so, specify.
(Signed)
W.H .... Watterg.
M. D.
(Address)
Boston
Dato/19
197.€ ...
22
Place of Burial, Cremation
Holy Cross (City Baldan
DATE OF BURIAL
5/21/39
18
23 NAME OF
UNDERTAKER
F.J.Magrath
ADDRESS
Boston
Received and filed. 19
(Registrar of City or Town where deceased resided)
3 SEX
M
4 COLOR OR RACE
5 SINGLE
MARRIED
WIDOWED
or DIVORCED
(write the word)
Single
St.,
Ward
(L U. S.
War Veteran,
specify WAR)
121
1
14 BIRTHPLACE OF
FATHER (City)
RECEIVED
TO
30
9
6
JUL-31939 AM
M R-302
SUFFOLK
(County) BOSTON
(City or Town)
No. 10 Abbott
The Commonwealth of Massachusetts OFFICE OF THE SECRETARY DIVISION OF VITAL STATISTICS STANDARD CERTIFICATE OF DEATH
BOSTON
(City or town making return)
Registered No.
4799
(If death occurred in a hospital or institution,
5
Ward
give its NAME instead of street and number)
Sallie Marden
2 FULL NAME
(If deceased is a married, widowed or divorced woman, give also maiden name.)
565 Shirley
St.,.
days. How long in U. S., if of foreign birth?
Jrs.
mos.
days.
PERSONAL AND STATISTICAL PARTICULARS
3 SEX
4 COLOR OR RACE
F
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
Abram ... Marden
(Husband's name in full)
6 IF STILLBORN, enter that fact here.
7
74
AGE
Years Months Days
If less than 1 day Hours .Minutes
8 Trade, profession, or particular
kind of work done, as spinner,
housewife
sawyer, bookkeeper, etc ....
9 industry or business in which
work was done, as silk mill,
saw mill, bank, etc ..
at ì
ome
10 Date deceased last worked at
11 Total time (years)
spent in this
occupation
12
this occupation (month and
year)
4/39
12 BIRTHPLACE (City)
(State or country)
Austria Hungary
13 NAME OF
FATHER
Aron L Aron
14 BIRTHPLACE OF
FATHER (City)
(State or country)
Austria Hungary
15 MAIDEN NAME
OF MOTHER
Resiel
--
16 BIRTHPLACE OF
MOTHER (City)
(State or country)
Austria Hungary
17
Sadie Seigel ( dau ..
(Address)
A TRUE COPY.
ATTEST:
(Registrar of city or town where death occurred)
DATE FILED 5/20/39
19
18 DATE OF
DEATH
May 17 1939
(Day)
(Monthly"
(Year)
19 I HEREBY CERTIFY, That i attended deceased from
2/39
19
..... , to
5/17/39. 19
death Is said
I last saw h ...
alive on
5/17/39"
.. m.
The principal cause of death and related causes of
onset were as follows:
Dateofonset
cardiac .... decompensation
1938
arteriosclerotic heart dis.
1938
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.
(Signed)
M. D.
(Address)
C Liberman
Date
19
26 Wave Way Av
5/17 39
21
Place of Burial, ugatigloa Rimantariffiy or Town)
DATE OF BURIAL
19
22 NAME OF
UNDERTAKER
JH Levine
ADDRESS.
Boston
1
Received and filed.
19
(Registrar of City or Town where deceased resided)
PARENTS important. 50m-11-'36. No. 9080-g 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 OCCUPATION
1
PLACE OF DEATH
122
(Lf U. S.
War Veteran,
specify WAR)
inthrop
(a)
Residence. No.
(Usual place of abode)
Length of residence in city or town wbere death occurred
yrs.
Ward,
(If nonresident, give city or town and state)
MEDICAL CERTIFICATE OF DEATHI
mos.
St., ............
Relation, if any
5/19/39
to have occurred on the date stated above,
10:15
importance in order of
TO
11 1
7
7
5
3
0
MITHR
JUL-31939 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
1
PLACE OF DEATH
SUFFOLK BOSTO
(Futur Bent Brighan Hosp
The Commonwealth of Alassarhusetta OFFICE OF THE SECRETARY DIVISION OF VITAL STATISTICS STANDARD CERTIFICATE OF DEATH
BOSTON
(City or town making return) 4924
Registered No.
(If death occurred in a hospital or institution, give its NAME instead of street and number)
2 FULL NAME
(If deBoel istria lewidowed or divorced woman, give also maiden name.)
.St.
Ward,
days. How long in U. S., if of foreign birth?
yrs.
mos.
days.
PERSONAL AND STATISTICAL PARTICULARS
MEDICAL CERTIFICATE OF DEATH
3 SEX
F
4 COLOR OR RACE
5 SINGLE
MARRIED
WIDOWED
or DIVORCED
Married
18 DATE OF
DEATH
Hay ... 22/39.
(Day)
(Month)
( Year )
5a If married, widowed, or divorced
HUSBAND of
WilliamGie madrepymes wife in full)
(or) WIFE of
(Husband's name in full)
6 IF STILLBORN, enter that fact here.
AGE
7
24
G
Years
Months
7
. Deys
If less than 1 day Hours Minutes
OCCUPATION
8 Trade, profession, or particular
kind of work done, as spinner,
sawyer, bookkeeper, etc ..
at home
9 Industry or business in which
work was done, as silk mill,
saw mill, bank, etc ..
10 Date deceased last worked at
this occupetion (month and
year)
5/39
11 Total time (years) 9
spent in this
occupation.
12 BIRTHPLACE (City)
(State or country)
Washington DC
PARENTS
14 BIRTHPLACE OF
FATHER (City)
Washington DC
(State or country)
15 MAIDEN NAME
OF MOTHER
Sue Ridgeley
16 BIRTHPLACE OF
MOTHER (City)
Washington DC
(State or country)
17
Informant
(Address)
Relation, if any
-
A TRUE COPY.
ATTEST:
(Registrar of city or town where death occurred)
DATE FILED 19
19 I HEREBY CERTIFY, That I ettended deceased from
5/21/59
19
to
5/28/39
19
i last saw h .....
alive on
19
death is said
5/22/39
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:
Dateofonset
Ac .. yellow .. atrophy ... of ... liver.
5/9/39
Contributory causes of importance not related to principal cause:
Name of operation
What test confirmed diagnosis?
Was there an autopsy ?..
Date of.
20 Was disease or injury in any way related to occupation of deceased?
If so, specify.
(Signed)
M. D.
(Address)
W B Osgood
FJ Bailpy approgod
Potor B B Hosp
5/22/39
21
Place of Burial. Ordmaligmorfomovie shing torr Down)
DATE OF BURIAL
5/22/30
19
22 NAME OF
UNDERTAKER
P ........ Brown
ADDRESS
Medford
Received and filed
5/24/39
19
(Registrar of City or Town where deceased resided)
important.
50m-11-'36. No. 9080-g
No.
.St.,
......
.....
Ward
Mary I L Flammer
(If U. S.
War Veteran,
123
(a)
Residence.
No.
(Usual place of abode)
Length of residence in city or town where death occurred
(If nonresident, give city or town and state)
yrs.
mos.
(write the word)
13 NAME OF
FATHER
Clarence B Thompson
RECEIVED
0
11 12
1.10
٢٠١
5
6
ES
УРОР.
JUL-31939 AM
M R-302
PLACE OF DEATH
SUFFOLK BOSTONTraol' Hospital
The Commonwealth of Massachusetts OFFICE OF THE SECRETARY DIVISION OF VITAL STATISTICS STANDARD CERTIFICATE OF DEATH
BOSTON
(City or town making return) 3972
Registered No
(If death occurred in a hospital or institution,
give its NAME instead of street and number)
(If U. S.
War
War Veteran,
124
specify WAR)
(a) Residence. No ...
(Usual place of abode)
Length of residence in city or town where death occurred
yrs.
St.,
Ward,
days.
How long in U. S., if of foreign birth?
mrs.
mos.
days.
PERSONAL AND STATISTICAL PARTICULARS
4 COLOR OR RACE
White
5 SINGLE
MARRIED
WIDOWED
or DIVORCED
(write the word)
Married
5a If married, widowed, or divorcedRobocca Schneider 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 ...
Grocer
9 Industry or business In which
work was done, as silk mill,
saw mill, bank, etc.
For Himself
10 Date deceased last worked at 1939
this occupation (month and
year)
11 Total time (years)
spent in this?'0
occupation
Morris Liberman
Russia
--- --
17 Dr C Liborman
Informant 26 Wave Tay Ave Winthrop
ATTEST: James Q.0 Brunch
(Registrar of city or town where death occurred)
DATE FILED 19
MEDICAL CERTIFICATE OF DEATH
18 DATE OF
April 22,1939
DEATH
(Month)
(Day)
(Year)
19 I HEREBY CERTIFY, That I attended deceased from April April 22 39
I last saw
alive on
19
death is said
to have occurred on the date stated above 55A m.
The principal cause of death and related causes of Importance in order of onset, were as follows: Chronic cholecystitis Dateofonset
Cholelithiasis
Aula. '38
Choledocholithiasis
Cyst of pancreas
Hepato ronal failuro 4-19.39.
Contributory causes of importance not related to principal cause:
Benign Prostatic hypertrophy
?
Name of operation
Chelesystectory common bile duct
exploration excision of Bile duct
What test confirmed diagnosiAutopsy
Was there an auton _39
20 Was disease or injury in any way related to occupation of deceased? If so, specify.
M. D.
(Signed)
L ... Rosenfeld
(Address) BethIsrael ... Hospt
DỐI ·· 22
...
21
Winthrop Com-Winthrop. Lass
Place of Burial, Cremation or Removal.
(City or Town)
Relatidn, if any DATE OF BURMAIr11.23 1939 19
22 NAME OF
Manuel Stanctaky
UNDERTAKER
ADDRESS
10 Washington St Boston Mass
April 25,1939
Received and filed
19
!
(Registrar of City or Town where deceased resided)
1 No 2 FULL NAME 3 SEX Male (or) WIFE of 7 58 AGE OCCUPATION 12 BIRTHPLACE (City) (State or country) 13 NAME OF FATHER 14 BIRTHPLACE OF FATHER (City) 15 MAIDEN NAME OF MOTHER 16 BIRTHPLACE OF PARENTS MOTHER (City) (State or country) (Address) A TRUE COPY. 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-11 -* 36. No. 9080-g N. B .- WRITE PLAINLY, WITH UNFADING INK-THIS IS A PERMANENT RECORD. Every item of informa- (State or country)
Max Liborman
St.,.
........
Ward
(LOdscerisechina married, widowed or divgreet wergp give alsg maiden name.)
mos.
(If nonresident, give city or town and state)
April 22
39.
19.
C
1.2
9
CLERK
WIN
*
5
0
THROP MASS.
JUN141939 AM
R-301A
Suffolk (County)
BOSTON NOTIFIES 7/7/39
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.
125
(If death occurred in a hospital or institution, Ward ( give its NAME' instead of street and number)
2 FULL NAME
Leonard Gordon Greenwood
(If deceased is a married, widowed or divorced woman, give also maiden name.)
(a) Residence.
No.17 Monmouth
(Usual place of abode)
St ....
1
Ward,
BORKEN
(If nonresident, give city or town and state)
Length of residence in city or town where death occurred
years
months
30 days.
How long in U.S., if of foreign birth?
months
days.
PERSONAL AND STATISTICAL PARTICULARS
4 COLOR OR RACE
White
5 SINGLE
(write the word)
MARRIED
WIDOWED
or DIVORCED
Married
5a If married, widowed, or divorced
HUSBAND of
Margafet .P.Taylor
(Give maiden name of wife in full)
(or) WIFE of
(Husband's name in full)
6 IF STILLBORN, enter that fact hare.
Years. 3 .Months
2 Days
If less than 1 day Hours .. Minutes
8 Trade, profession, or particular kind of work done, as spinn Pattern-maker sawyer, bookkeeper, etc ....
9 Industry or business in which work was done, as silk milAtlantic Works saw mill, bank, etc.
10 Dete deceesed last worked et
11 Total time (years)
this occupation (month end
spant in this
1933
occupation
3
12 BIRTHPLACE (City)
East .... Boston
(State or country) Mass.
13 NAME OF
FATHER
William Greenwood
14 BIRTHPLACE OF FATHER (City) ... Yorkshire
(State or country) England
15 MAIDEN NAME
OF MOTHER
Hannah Carr
16 BIRTHPLACE OF
MOTHER (City)
Rotheran
(State or country) England
Relation, if any
17 Margaret P.Greenwood wife (Address) 17 Monmouth St. E. Boston Mass
I HEREBY CERTIFY that a satisfactory standard cartificate of deeth was fled with me BEFORE the bunaf. of transit permit was issued: m. D. Childress (Signature of Agent of Board of Health or other)
Health Officer 6/5/39 (Date of Issue of Permit)
(Official Designation)
MEDICAL CERTIFICATE OF DEATH
18 DATE OF
DEATH
June
4,
1939
(Month)
(Day)
(Year)
19 I HEREBY CERTIFY , That i attended deceased from
1939, to June
1939
I last saw h.d.
19 .... , death Is sald
to have occurred on the date stated above, at ..... 10.com. The principal cause of death and related causes ot Importance In order ot onset were as follows: Date of Onset IMPORTANT
...
Luna alvesso
May 1/4g
malacandito
1980 1980
Tubetti Labas (N) por ...
Contributory causes of Importance not releted to principal causa:
Name of operetion
name
What test confirmed diagnosis? * Ren + Sporte
Was thera an eutopsy .......
20 Was disaasa or Injury in any way related to occupation of deceased? DAL
If so, spacify ...
(Signed)
19 Bannyel Date The 4, 19.89.
(Addres
M. D.
21. Woodlawn Everett
Place of Burial, Cremation or Removal.
June 6.
(City or Town)
19
39
22 NAME OF
UNDERTAKER
Rall
ADDRESS
300 Meridian St., E.Boston
19
Received and filed .....
JUNG
(Registrar)
:
100m 11-'36. No. 9080.F
1 8 SEX Male 7 AGE 54 PARENTS OCCUPATION Informant important. See instructions and extracts from the laws on back of certificate. in plain terms, so that it may be properly classified. Date of onset and exact statement of OCCUPATION are very tion should be carefully supplied. Age should be stated EXACTLY. PHYSICIANS should state CAUSE OF DEATH уеег)
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