USA > Massachusetts > Suffolk County > Winthrop > Town of Winthrop : Record of Deaths 1942 > Part 42
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
SPACE FOR ADDITIONAL INFORMATION
RM R-302
NORFOLK (County)
1 .BROOKLINE (City or Town) 23 SUMNER ROAD
The Commonfocalth of Massachusetts OFFICE OF THE SECRETARY DIVISION OF VITAL STATISTICS COPY OF CERTIFICATE OF DEATH
BROOKLINE (City or town making return)
Registered No.
368125
5 (If death occurred in a hospital or institution, 1 give its NAME instead of street and number)
2 FULL NAME.
ANNE E. THIDEMANN (Ossawy)
(If deceased is a married, widowed or divorced woman, give also maiden name.)
(a) Residence. No.
81 SOMERSET AVENUE
(Usual place of abode)
Conv Home
years
months
5
days.
In this community
yrs.
48
mos.
days.
PERSONAL AND STATISTICAL PARTICULARS
3 SEX
Female
4 COLOR OR RACE|
White
5 SINGLE
(write the word)
MARRIED
WIDOWED
or DIVORCED
Widowed
5a If married, widowed, or divorced HUSBAND of
(or) WIFE of
Harold"
maiden name of wife in full)
(Husband's name in full)
6 Age of husband or wife if alive years
7 IF STILLBORN, enter that fact here.
8
77
21
AGE
Years
Months.
Days
If less than 1 day
Hours
Minutes
Usual
9 Occupation :
Housewife
Industry
10 or Business :
At home
11 Social Security No.
12 BIRTHPLACE (City)
(State or country)
Norway
PARENTS
14 BIRTHPLACE OF
FATHER (City)
(State or country)
Norway
15 MAIDEN NAME
OF MOTHER
16 BIRTHPLACE OF
MOTHER (City)
(State or country)
Norway
17 Informant.William Thidemann
Relation, if any
(Address)
106 Hamilton St. Cambridge
A TRUE COPY.
anthony
Shimmer
ATTEST :
(Registrar of city pr town where death occurred)
DATE FILED
July 13,
19
42
MEDICAL CERTIFICATE OF DEATH
18 DATE OF
DEATH
July
12
1942
(Month)
(Day)
(Year)
19 1 HEREBY CERTIFY,
July 6
19
42
.. ,
That I attended deceased from
to
July 11
19
42
I last saw h .... @r ...... alive on.
July .... 11
19.42, death Is sald to
have occurred on the date stated above, at.
7:40
A.m
Duracion
Immediate oause of death Apoplexy
6 dys.
Due to.
Arteriosclerosis
Due to
Other conditions.
(Include pregnancy within 3 months of death)
Physician
Major findings :
Of operations.
Date of
should be
Of autopsy.
What test confirmed diagnosis ?.
Clinical
20 Was disease or Injury in any way related to oocupation of deceased ?..... no
If so, specify
(Signed).
C ...... A ..... Nelson
M. D.
(Address) 27 Clinton St.
Camb . Dat
7/12 19 42
21 PLACE OF BURIAL,
CREMATION OR REMOVAL.
Cambridge,
Cambridge
DATE OF BURIAL
(Cemetery)
July 14,
19.
(City or Town
22 NAME OF
FUNERAL DIRECTOR
Christian J. Berglund
ADDRESS
Arlington
Received and filed 19
(Registrar of City or Town where deceased resided)
Copies of returns of deaths recorded during the previous month which occurred in your city or town in case the deceased
of the city or town in which the deceased resided. (See Chap. 46, Sec. 12, G. L.)
50m (e).1-41-4667
PLACE OF DEATH
No.
St.
(If U. S.
War Veteran,
specify WAR)
St.
WINTHROP,
MASS .
(If nonresident, give city or town and State)
Length of stay: In hospital or Institution.
(Before death)
(Specify whether)
resided in another city or town at the time of death should be made forthwith and transmitted on Form R-302 to the clerk
13 NAME OF
FATHER
( Ossawy)
Underline the cause to which death
charged sta- tistically.
›
RM R-301
Winthrop Bylin 7 (City of Town) No. Community Hospital
The Commonwealth of Massachusetts OFFICE OF THE SECRETARY DIVISION OF VITAL STATISTICS STANDARD CERTIFICATE OF DEATH
(City or town making return)
Registered No
186
(If death occurred in a hospital or institution, St. { give its NAME instead of street and number)
2 FULL NAME.
SARDARA
Campbell) C. BEIchER
(If deceased is a married, widowed or divorced woman, give also maiden name.)
(a) Residence.
No
301 Winthrop
(Usual place of abode)
Length of stay : In hospital or institution
(Specify whether)
Ifoglital
years
months 20
days.
In this community 59 yrs. mos.
days.
PERSONAL AND STATISTICAL PARTICULARS
5 SINGLE
MARRIED
WIDOWED
or DIVORCED
(write the word)
Married
HUSBAND of Frank NBelcher
"full)
(or) WIFE of
(Husband's name in full)
77
6 Age of husband or wife if alive. .years
AGE 71 Years 6 Months ... I.l. Days
lf less than 1 day
Hours
Minutes
Il Social Security No. None
Cape Britton
Breton
13 NAME OF
FATHER
?
Campbell
(State or country) Cape Britton Breton
15 MAIDEN NAME
OF MOTHER
Unable to Cbtain
16 BIRTHPLACE OF MOTHER (City) (State or country) Cape Britton Breton
17 Frank N Belcher
Informant.
(Address)
301 Winthrop St Winthrop
I HEREBY CERTIFY that a satisfactory standard certificate of death was filed with me BEFORE the burial or transit permit was issued: Mm. De Chile es
(Signature of Agent of Board of Health of other)
Health officer 1/20142 ( (Official Designation) (Date of Issue of Permit) (
MEDICAL CERTIFICATE OF DEATH
18 DATE OF
DEATH
July
(Month)
19, 1942
(Day)
(Year)
19
J HEREBY CERTIFY. That I attended deceased from
19.41, to
Sept 5
July 19
1942
I last saw hun alive on.
July 18, 1942, death is said
to have occurred on the date stated above, at.
5.40 Pm.
Duration
Immediate cause of death. Carcinoma of figura
Due to
Due to
Other conditions
(Include pregnancy within 3 months of death)
Major findings :
Of operations
Date of
Of autopsy
What test confirmed diagnosis ?
20 Was disease or lojury lo any way related to occupatioo of deceased ?
If so, specify.
city Louis 7. Salerno
M. D.
(Signed)
tion, if any (Address) 175 Pleasant St
Date, ..
July 191942
21 Winthrop
Winthrop
Place of Burial, Cremation gr Removal.
2 [City or Town)
1542
DATE OF BURIAL
22 NAME OF
FUNERAL DIRECTOR
ADDRESS
Received and filed. JUL 2 1 1942
19
À TRUE COPY ATTEST:
(Registrar)
N. B .- WRITE PLAINLY, WITH UNFADING BLACK INK-THIS IS A PERMANENT RECORD. Every item of PARENTS 200m-10-'39. No. 8427-d
1 PLACE OF DEATH - 3 SEX Female 8 Usual is very important. See instructions and extracts from the laws on back of certificate. information should be carefully supplied. AGE should be stated EXACTLY. PHYSICIANS should state 10 or Business:
Suffolk
(County)
4 COLOR OR RACE
White
5a lf married, widowed, or divorced
7 IF STILLBORN, enter that fact here.
9 Occupation:
Housewife
12 BIRTHPLACE (City)
(State or country)
14 BIRTHPLACE OF
FATHER (City)
CAUSE OF DEATH in plain terms, so that it may be properly classified. Exact statement of OCCUPATION
Industry
Own Home
St.
(If U. S.
War Veteran.
specify WAR)
Winthrop, MASS
(If nonresident, give vity or town and state)
...
PHYSICIAN Underline the cause to which death should be charged sta- tistically.
EXTRACTS FROM THE LAWS OF THE COMMONWEALTH OF MASSACHUSETTS GOVERNING THE
RETURN OF CERTIFICATES OF DEATH
A physician or registered hospital medical officer shall forthwith, 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 regis- tration 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 hy the physician or officer and the date of his death ... Gen. Laws, Chap. 46, Sec. 9.
No underlaker or other person shall hury or otherwise dispose of a human body in a town, or remove therefrom a human body which has not heen huried, 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 tomh 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 de- livered to such hoard, agent or clerk, as the case may be, a satisfac- tory written statement containing the facts required by law to he returned and recorded, which shall he 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 pur- pose, shali upon application make the certificate required of the at- tending physician. If death is caused hy violence, the medical exam- iner 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 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 removed 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 appear upon the permit. The hoard 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 fur- nish 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, Seo. 45, G. L., (Tercentenary Edition. )
No undertaker or other person shall bury a buman 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 observ- ance 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 ill- ness 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 attendance or whose physician is ahsent from home when the certificate of death is needed.
(3) Medical Examiners will investigate and certify to all deaths supposably due lo injury. These include not only deaths causcd directly or indirectly by traumatism (including resulting septice- mia), and by the action of chemical (drugs or poisons), thermal, or electrical agents, and deaths following abortion, hut also deaths from disease resulting from injury or infeclion relaled lo occupa- tion, the sudden deaths of persons not disabled by recognizod disease, and those of persons found dead.
Slatemeni of Canse 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 morhid con- ditions, if any, related to the principal cause and any important complication of the principal cause.
Stalement of Occupallon .- 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 heen given up or changed on account of the disease causing death, report the usual occupation prior to iliness. If the deceased had retired from husi- ness, report the usual 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. 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.
SPACE FOR ADDITIONAL INFORMATION
RM R-301
REVERE NOTIFIEDAUG 1 0 1342
Suffolk (County) Wenthoud (City or Town) Winthang Communityforge, St. No.
The Commonwealth of Massachusetts OFFICE OF THE SECRETARY DIVISION OF VITAL STATISTICS STANDARD CERTIFICATE OF DEATH
(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
aleck, Guverdinghy
(If deceased is a married, widowed or divorced woman, give also majden name.)
208 Walnut ave
(write the word) Widowed
Goldie Cohen
6 Age of husband or wife if alive. .years
Minutes
13 NAME OF
FATHER
Harrie Soverdensby
200m-10-'39. No. 8427-d
I HEREBY CERTIFY that a satisfactory standard certificate of death was filed with me BEFORE the burial or transit permit was issued:
agent July 21/42
(Official Thesignation) (Date of Issue of Permit)
MEDICAL CERTIFICATE OF DEATH
18 DATE OF
DEATH
July
21
1942
(Month)
(Day)
( Year)
19 | HEREBY CERTIFY. That I attended deceased from
fully
1
1942, to.
July 21
19 42
I last saw .......... alive on Jul 21, 942, death is said
to have occurred on the date stated above, at :20Pm. Immediate cause of death adenocarcinoma stranasene acon
Due to
Due to
Other conditions
(Include pregnancy within 3 months of death)
Major findings :
Of operations
adenvención of
transaction
.Date of
7/11/42
Of autopsy
What test confirmed diagnosis ?..
operation
PHYSICIAN Underline the cause to which death should be charged sta- tistically.
20 Was disease or lojury in any way related to occupation of deceasad ?.
If so, specify.
M. D.
(Signed)
) 56 8link al Peres Man Date 7/2/1942
21
Chelseacent Montvale
Place of Burial, Cremation or Removal
DATE OF BURIAL
1942
22 NAME OF
FUNERAL DIRECTOR
Beyenin Ffoloman
ADDRESS
420 Howard It Brookline
Received and filed 19 ....
11 9 ~ 1047
A TRUE COPY ATTEST:
(Registrar)
(If U. S.
War Veteran.
specify WAR)
Revere mas.
St.
(If nonresident, give city or town and state)
Length of stay: In hospital or institution
Harpital
- years
-
months
11
days.
In this community - yrs. - mos. days"
1 PLACE OF DEATH (a) Residence. No .... (Usual place of abode) (Specify whether) PERSONAL AND STATISTICAL PARTICULARS 3 SEX Male 4 COLOR OR RACE White 5 SINGLE MARRIED WIDOWED or DIVORCED 5a If married, widowed, or divorced HUSBAND of (Give maiden name of wife in full) (or) WIFE of. (Husband's name in full) 7 IF STILLBORN, enter that fact here. 8 AGE lf less than 1 day Hours ... 64 Years - Months .***** Days Usual Painter 9 Occupation :. 11 Social Security No. 12 BIRTHPLACE (City) (State or country) Russia 14 BIRTHPLACE OF FATHER (City) (State or country) Queria 15 MAIDEN NAME OF MOTHER unable to learn PARENTS 16 BIRTHPLACE OF MOTHER (City) Quesic (State or country) 17 Berg, L Barron ,Non-in. (Address) 2018 Walnut are Revere Informant William D. Childress information should be carefully supplied. AGE should be stated EXACTLY. PHYSICIANS should state (Signature of Agent, of Board of Health or other) 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 Industry 10 or Business: Own Business
Relation, if any
Duration
EXTRACTS FROM THE LAWS OF THE COMMONWEALTH OF MASSACHUSETTS GOVERNING THE
RETURN OF CERTIFICATES OF DEATH
A physician or registered hospital medical officer shall forthwith, 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 regis- tration a standard certificate of death, stating to the best of his knowledge and belief the name of the deceased, his supposed agc, the disease of which he died, defined as required hy section one, where same was contracted, the duration of his last illness, when last seen alive hy the physician or officer and the date of his death ... Gen. Laws, Chap. 46, Sec. 9.
No undertaker or other person shall hury or otherwise dispose of a human body in a town, or remove therefrom a human body which has not been huried, until he has received a permit from the board of health or its agent appointed to issuc 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 hody and remove it from a town, from one cemetery to another, or from one grave or tomh other than the receiving tomh 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 huried. No such permit shall be issued until there shall have been de- livered to such board, agent or clerk, as the case may be, a satisfac- tory written statement containing the facts required by law to be returned and recorded, which shall be accompanied, in case of an original interment, hy 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 hy the selectmen for the pur- pose, shall upon application make the certificate required of the at- tending physician. If death is caused hy violence. the medical exam- iner 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 commonwealth cannot be obtained early enough for the purpose, the certificate of death made as ahove 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 removed 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 hy 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 fur- nish 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., (Tercentenary Edition.)
No undertaker or other person shall hury a human body or the ashes thereof which have been brought into the coirmonwealth 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 made .... Chap. 114, Sec. 46, G. L., (Tercentenary Edition.)
RULES OF PRACTICE
The fulfillment of the purpose of these laws calls for the ohserv- ance 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 ill- ness 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 hy recognized disease un- related 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 septice- mia), and hy the action of chemical (drugs or poisons), thermal, or electrical agents, and deaths following abortion, hut also deaths from disease resulting from injury or infection related to occupa- tion, the sudden deaths of persons not disabled by recognized disease, and those of persons found dead.
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 morhid con- ditions, if any, related to the principal cause and any important complication of the principal cause.
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 usual occupation prior to illness. If the deceased had retired from husi- ness, report the usual 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. For a person engaged in domestic service for wages, however, designate the occupation hy the appropriate terms, as housekeeper-private family, cook-hotel, etc. For a person who had no occupation whatever write nons.
SPACE FOR ADDITIONAL INFORMATION
!
A R-301 A
PLACE OF DEATH
Suffolk (County) Winthrop (City or Town) 83 Duyuruguide
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.
§ (If death occurred in a hospital or institution, St. ¿ give its NAME instead of street and number)
2 FULL NAME
Thomas a. Quelloney
(If deceased is a married, widowed or divorced woman, give also maiden name.)
83 Sunnyside Que
St
(If nonresident, give city or town and state)
at home
years
months
days.
In this community 35 yrs.
mos.
days.
PERSONAL AND STATISTICAL PARTICULARS
3 SEX
Hale
4 COLOR OR RACE
White
5 SINGLE
(write the word)
Widowed
MARRIED
WIDOWED
or DIVORCED
5a If married, widowed,or diyorced
HUSBAND of
Margaret a schaefer
(Give/maiden name of wife in full)
(or) WIFE of
(Husband's name in full)
6 Age of husband or wife if alive. .years
7 IF STILLBORN, enter that fact here.
8
AGE ........ Years.
6
.Months.
6
Days
If less than 1 day
Hours
Minutes
9 Occupation :
Retired
10 or Business :
manager Plumbing
11 Social Security No.
12 BIRTHPLACE (City)
(State or country)
Boston, Thats.
13 NAME OF
FATHER
Frank H Mulloney
14 BIRTHPLACE OF
FATHER (City) .....
Porcompu
(State or country) Ireland
15 MAIDEN NAME
OF MOTHER
Many Doualine
16 BIRTHPLACE OF MOTHER (City) .. (State or country) Ireland
17 Frederic a. Mullowey ford -
Relation, if any
Informant. (Address) 83 Sunnyside ave. fruttuo pe lucas
I HEREBY CERTIFY that a satisfactory standard certificate of death was filed with me BEFORE the burial or transit permit was issued:
(Signature of Agent of Board of Health of other)
Healthe Officer (Official Designation) / (Date of Issue of Permit)
7/23/42
18 DATE OF
DEATH.
July 21
1942
(Month)
(Day)
(Year)
I HEREBY CERTIFY, That I attended deceased from
march 19, 194/0 July 21 , 19:42
I last saw how alive on July 21, 1942 death is said to have occurred on the date stated above, at. 10P. m.
Immediate cause of death. acute Coronary Trombosis
Due to.
anana Pectoris
buffles
Due to.
Arteriosclerosis
Other conditions more (Include pregnancy within 3 months of death)
Major findings: Of operations.
Date of.
Of autopsy
What test confirmed diagnosis? Chencalx
Lubnauery
20 Was disease or injury in any way related to occupation of deceased? 000
Jacob Straws
(Signed) .....
(Address) 062 erturley
.Date ...
M. D.
July 22942
21.
Place of Burial, Cremation or Removal.
DATE OF BURIAL Muy 24.
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.