Town of Winthrop : Record of Deaths 1946, Part 89

Author: Winthrop (Mass.)
Publication date: 1946
Publisher:
Number of Pages: 526


USA > Massachusetts > Suffolk County > Winthrop > Town of Winthrop : Record of Deaths 1946 > Part 89


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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 furnish for registration any other neces- sary 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).


Medical examiners shall make examination upon the view of the dead hodies of only such persons as are supposed to have died hy violence. If a medical examiner has notice that there is within his county the hody of such a person, he shall forthwith go to the place where the body lies and take charge of the same; .. . - General Laws, Chap. 38, Sec. 6.


No undertaker or other person shall hury a human hody or the ashes thereof which have been brought into the commonwealth until he has re- ceived 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 hody 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 observance of the following rules of practice:


(1) Attending physicians will certify to such deaths only as those of persons to whom they have given bedside care during a last illness from disease unrelated to any form of injury.


(2) Board of Health physicians will certify to such deaths only as those of persons who, though disabled by recognized disease unrelated to any form of injury, have died without recent medical attendance or whose phy- sician is absent from home when the certificate of death is needed.


(3) Medical Examiners will investigate and certify to all deaths sup- posably due to injury. These include not only deaths caused directly or indirectly hy traumatism (including resulting septicemia), and by the action of chemical (drugs or poisons), thermal, or electrical agents, and deaths following abortion, but also deaths from disease resulting from injury or infection related to occupation, the sudden deaths of persons not disabled by recognized disease, and those of persons found dead.


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.


Statement of Occupation .- Precise statement of occupation is very im- portant, so that the relative healthfulness of various pursuits can he 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 illness. If the deceased had retired from business, 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, how- ever, 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


DATE OF ENTERING MILITARY SERVICE


DATE OF DISCHARGE


RANK, RATING


ORGANIZATION AND OUTFIT


SERVICE NUMBER


303-A


If deceased was a U. S. War Veteran, G. L. Chap. 46, Section 10, requires physicians to Insert a recital to that effeot.


50m (g)-1-41-4667


7 Sullkk (County) Kathrin. 1 (City or Town). No. 61 Birch Rd PLACE OF DEATH Mary a. Scallevan


The Commonwealth of Massachusetts OFFICE OF THE SECRETARY DIVISION OF VITAL STATISTICS MEDICAL EXAMINER'S CERTIFICATE OF DEATH


To be filed for burial permit with Board of Health A or its Agent.


Registered No.


251


[ (If death occurred in a hospital or institution, St. [ give its NAME instead of street and number) 1


2 FULL NAME


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


(a) Residence. No.


61 Bach Ord. Winthrop


St.


(If nonresident, give city or town and State)


Length of stay : In hospital or Institution


(Before death)


(Specify whether)


PERSONAL AND STATISTICAL PARTICULARS


3 SEX


Female


4 COLOR OR RACEJ


White


5 SINGLE


(write the word)


MARRIED


WIDOWED


or DIVORCED


Single


5a If married, widowed, or divoroed


HUSBAND of


(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 faot here.


AGE.


8


76


Years


Months.


Days


If less than 1 day


Hours.


Minutes


Usual


9 Occupation :


Insurance


10 or Business :


industry


Mass Bonding Ins Co.


11 Social Security No. 012 -- 12 -- 5825


12 BIRTHPLACE (City)


Newton


(State or country)


Massachusetts


13 NAME OF


FATHER


John Sullivan


PARENTS


14 BIRTHPLACE OF


FATHER (City)


(State or country)


Ireland


15 MAIDEN NAME


OF MOTHER


Bridget Slyne


16 BIRTHPLACE OF


MOTHER (City)


(State or country)


Ireland


17


Arthur J Sullivan (Newthat any


Informant.


(Address)455 East 51st Street N. Y. C.


I HEREBY CERTIFY that a satisfactory standard certificate of death was filed with me BEFORE the burial or transit permit was Issued: Walter of - Maviliça


(Signature of Agent of Board of Health of other) ....


1/2/47


(Official Designation) (Date of Issue of Permit)


MEDICAL CERTIFICATE OF DEATH


18 DATE OF


DEATH


December - 30 -1946


(Month)


(Day)


(Year)


19 | HEREBY CERTIFY that I have Investigated the death of the person above-named and that the CAUSE AND MANNER thereof are as follows: {If an injury was involved, state fully.) acute cardiac Failure: Hypertensive Heart Disease


20 Accident, suicide, or homicide (specify)


Date of occurrence.


19


Where did


Injury occur?


(City or town and State)


Did injury ooour in or about home, on farm, in Industrial place, or In publio


place ?


(Specify type of place) Manner of Collapsed etter walking in


Injury


Nature of


cold winds day


Injury


While at work ?


Was there an autopsy?


21 Was disease or injury In any way related to ocoupation of deceased?


If so, specify.


(Signed)


......


M. D.


(Address)


Boston


beate-31 -19 46


Boston


22


Calvary


Place of Burial, Cremation or Removal.


(City or Town)


DATE OF BURIAL


January 3


1947


23 NAME OF


FUNERAL DIRECTOR


John . O Malley


ADDRESS


Winthrop ..... Mass.


Received and filed JAN 3 -19-4-7


19


(Registrar)


PHYSICIAN - IMPORTANT


{{was deceased a


U. S. War Veteran,


If so specify WAR)


(Usual place of abode)


... years


months


days.


In this community 20 yrs.


mos.


days.


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 registration a standard certificate of death, stating to the best of his knowledge and belief the name of the deceased, his supposed age, the disease of which he died, defined as required by section one, where same was contracted, the duration of his last illness, when last seen alive by the physician or officer and the date of his death ... Gen. Laws, Chap. 46, Sec. 9.


A physician or officer furnishing a certificate of death as required by the preceding section or by section forty-five of chapter one hundred and four- teen, shall, if the deceased, to the best of his knowledge and belief, served in the army, navy or marine corps of the United States in any war in which it has been engaged, insert in the certificate a recital to that effect, speci- fying the war, and shall also certify in such certificate both the primary and the secondary or immediate cause of death as nearly as he can state the same. For neglect to comply with any provision of this section, such physician or officer shall forfeit ten dollars. For the purposes of this sec- tion and of sections forty-five, forty-six and forty-seven of said chapter one hundred and fourteen, the word "war" shall include the China relief ex- pedition and the Philippine insurrection, which shall, for said purposes, be deemed to have taken place between February fourteenth, eighteen hundred and ninety-eight and July fourth, nineteen hundred and two, and the Mexi- can border service of nineteen hundred and sixteen and nineteen hundred and seventeen. G. L. Chap. 46, Sec. 10.


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 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 containing the facts required by law to be returned and recorded, which shall be accompanied, in case of an original interment, by a satisfactory certificate of the attending physician, if any, as required by law, or in lieu thereof a certificate as hereinafter provided. If there is no attending physician, or if, for sufficient reasons, his certificate cannot be obtained early enough for the purpose, or is insufficient, a physi- cian who is a member of the board of health, or employed by it or by the selectmen for the purpose, shall upon application make the certificate re- quired of the attending physician. If death is caused by violence, the medical examiner shall make such certificate. If such a permit for the removal of a human body, not previously interred, from one town to an- other within the commonwealth cannot be obtained early enough for the purpose, the certificate of death made as above provided and in the pos- session of the undertaker desiring to make such removal shall constitute a permit for such removal; provided, that such hody shall be returned to the town from which it was removed within thirty-six hours after such re- moval, 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 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 regis- tration. 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 re- quire .- Chap. 114, Sec. 45, G. L., (Tercentenary Edition).


No undertaker or other person shall bury a human body or the ashes thereof which have been brought into the commonwealth until he has re- ceived 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 per- son appointed to have the care of the cemetery or burial ground in which the interment is made. ... Chap. 114, Sec. 46, G. L., (Tercentenary Edi- tion).


Medical examiners shall make examination upon the view of the dead bodies of only such persons as are supposed to have died by violence. If a medical examiner has notice that there is within his county the body of such a person, he shall forthwith go to the place where the body lies and take charge of the same; ... - General 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 .- General Laws, Chap. 38, Sec. 7.


... The medical examiner certifies the cause and manner of death to the best of his knowledge and belief.


RULES OF PRACTICE


The fulfillment of the purpose of these laws calls for the observance of the following rules of practice :


(1) Attending physicians will certify to such deaths only as those of persons to whom they have given bedside care during a last illness from disease unrelated to any form of injury.


(2) Board of Health physiclans 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 physi- cian is absent from home when the certificate of death is needed.


(3) Medical Examiners will investigate and certify to all deaths sup- posably due to injury. These include not only deaths caused directly or in- directly by traumatism (including resulting septicemia), and by the action of chemical (drugs or poisons), thermal, or electrical agents, and deaths following abortion, but also deaths from disease resulting from Injury or Infection related to occupation, the sudden deaths of persons not disabled by recognized disease, and those of persons found dead.


STATEMENT OF CAUSE OF DEATH


Medical Examiners in certifying to a death will state the cause and manner thereof, and will specify : (1) Under cause, the nature of an injury and of its consequences; and (2) under manner, the mode of its production together with the circumstances when these are known. For example: "Com- pound fracture of the femur with ensuing septicemia (gas bacillus) caused by a steam railway accident." "Pistol shot wound of the chest with asso- ciated hemorrhage, homicidal." "Asphyxiation by suspension, suicidal." "Syncope while under the influence of ether administered as a surgical anaesthetic." "Fracture of the skull with associated internal injury sus- tained under circumstances unknown."


If disease or injury was related to occupation, specify. If investigation shows the death to have been due to disease, specify: (1) Under cause its known or presumable nature; and (2) under manner, indicate the circum- stances leading to medico-legal inquiry. For example : "Hemorrhage spon- taneous of the brain (basal ganglia) (found dead in bed)." "Heart disease, presumably coronary sclerosis. (Sudden death. )"


DESCRIPTION (for unknown person)


NOTICE TO UNDERTAKERS: No embalming fluid, or any substitute therefor, shall be injected into the body of any person supposed to have met his death by violence, until a permit, signed by the Medical Examiner, has first been obtained .- General Laws, Chap. 38, Sec. 14.


THIS CERTIFICATE CONSTITUTES SUCH PERMIT


H


+


DEPARTMENT OF COMMERCE BUREAU OF THE CENSUS


STANDARD CERTIFICATE OF DEATH


State File No. 252


Registrar's No.


State of maine


1. PLACE OF DEATH:


2. USUAL RESIDENCE OF DECEASED:


(a) State 27das (b) County Jaffa


(c) City or town


Winthropl


(If outside city or town limita, write RURAL)


(d) Street No.


(If rural, give location)


(If not in hospital or institution, write street number or location)


(d) Length of stay: In hospital or institution


In this community


Imot


(Specify whether


years. months or days)


3. (a) FULL NAME Come D. Field


20. Date of death: Month Slept day


27


Year 1946 hour


minute


No.010-09- 8906 21. I hereby certify that I attended the deceased from


19


== , to


19


4. Sex


6. (b) Name of husband or wife


6. (a)Single, widowed, married


divorced


Div


6. (c) Age of husband or wife if


alive


3


1899


that I last saw h _____ alive on


19 ____:


and that death occurred on the date and hour stated above.


-


_ year


Immediate cause of death


7. Birth date of deceased May (Monthy


(Day) (Year)


8. AGE:


Years


Months


Days


If less than one day


47


4


24 -hr.


miri,


9. Birthplace Lewiston Mai e Due to


10. Usual occupation Waithead


11. Industry or business


12. Name Charles Loved


13. Birthplace (Oky. town, or county ) of foreign country ) 14. Maiden name Zilla allen


Major findings:


Of operations


Of autopsy


Underline the cause to which death should be charged sta- tistically.


22. If death was due to external causes, fill in the following:


(a) Accident, suicide, or homicide (specify)


1 (b) Date of occurrence


(c) Where did injury occur?


(City or town)


(County) (State)


place?


While at work?


(Specify type of place) (e) Means of injury


19. (a) act. 1, 1946 (b) C. Walter abbott 23 Signature freephi


(Date received local registrar)


(Registrar's signature)


Address South Paria Me. Date signed


JAN 2 3 1947


V


8-6917


U. S. GOVERNMENT PRINTING OFFICE 16-13493


Other conditions Might hemiplegial (Include pregnancy within 5 months of death)


PHYSICIAN


MOTHER FATHER


15. Birthplace Hartford me. (City. town, or country (State or foreign country)


16. (a) Informant's own signature


Patie Home


(b) Address _.....


17. (a) Burial (Burial, cremation, or removal)


(b) Date thereof Slept 29,1944 (Month) (Day) (Year) (c) Place; burial or cremation South Maria, me


18. (a) Signature of funeral director Clarence 13. Huff ) Did injury occur in or about home, on farm, in industrial place, in public


(b) Address South La arie me ..


2 4. Villa (M. D. or other ) m.L


County Luffek


(a) County


(b) City or town South Paris (mal)


ffoutside city or town limits, write RURAL) (c) Name of hospital or institution:


k If foreign born, how long in U. S. A .?


years.


MEDICAL CERTIFICATION


3. (b) If veteran, name war


3. (c) Social Security


5. Color or


race


Duration


mary throm frais


Coronaryartery


ity./town, or counte) (State or foreign country)


1f


R-302


Essex


(County)


Danvers


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


Danvers


(City or town making return)


Registered No.


253


(If death occurred in a hospital or institution,


give its NAME instead of street and number)


2 FULL NAME


Julia E. Howe (Julia E. Tabor)


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


(a) Residence. No.


125 Cliff Ave.


(Usual place of abode)


Winthrop, Mass.


(If nonresident, give city or town and State)


Length of stay : In hospital or institution


(Before death)


(Specify whether)


years


months


28 days.


in this community


yrs.


mos.


days.


PERSONAL AND STATISTICAL PARTICULARS


MEDICAL CERTIFICATE OF DEATH


3 SEX Female


4 COLOR OR RACE


White


5 SINGLE


(write the word)


Widowed


5a if married, widowsd, or divorced HUSBAND of


(or) WIFE of


Frank Howe


(Give maiden name of wife in full)


(Husband's name in full)


6 Age of husband or wife if allve years


7 IF STILLBORN, enter that fact here.


8


AGE ....


72 Years.


Months. Days


If less than 1 day Hours. .Minutes


Usual


9 Occupation :


Unable to work


Industry 10 or Business :


11 Soolal Security No ........ None


12 BIRTHPLACE (City)


(State or country)


New York


13 NAME OF


FATHER


Arthur Tabor


14 BIRTHPLACE OF


Troy


FATHER (City)


(State or country)


N. Y.


15 MAIDEN NAME


OF MOTHER


Mary A. Jones


16 BIRTHPLACE OF


Troy


MOTHER (City)


(State or country)


New York


17 Ii. K. McPhillips


Relation, if any


Informant.


(Address)


Hathorne Mass.


A TRUE COPY.


ATTEST :


Chcetehan


(Registrar of city or town where death occurred)


1946


18 DATE OF


DEATH


November 16,


1946.


(Month)


(Day)


(Year)


19 | HEREBY CERTIFY,


Oct. 19


1940


to NOV. 16


That I attended deceased from


19


40


I last saw h .............. allve on.


Nov 16


19 46


death is sald to


have occurred on the date stated above, at 11:50 P. .m.


Duration


Immediate cause of death.


Generalized Arteriosclerosis


5 yrs


Chronis Myocarditis


2 yrs


Due to


Due to.


Other conditions.


(Include pregnancy within 3 months of death)


Physician


Underline the cause to which death should be charged sta- tistically.


What test confirmed diagnosis ?.


Clinical


20 Was disease or Injury in any way related to oooupation of deceased ?.


If so, specify ..


Francis X. Sullivan


(Signed)


M. D.


(Address)


Hathorne, Mass. Date] ]-221946


21 PLACE OF BURIAL, Winchendon Cemetery, CREMATION OR REMOVAL .... Winchendon ...... 9.9.s ....


DATE OF BURIAL


November 20


(Cemetery)


(City or Town)


19


46


Richard H. white


22 NAME OF


FUNERAL DIRECTOR


Winthrop, Lass


ADDRESS


Received and filed


JAN 1 21941


.19


DATE FILED


NOV. 25,


(Registrar of City or Town where deceased resided)


50m. (b) -6-44-14607


of the city of town in which the deceased resided. (see Umap. so, sec. 12, U. L.) PARENTS


PLACE OF DEATH


(City or Town) Hanvers State Hospital, Hathorne , Mass .. No.


1


-


Major findings:


Of operations


Date of


Of autopsy


Troy


MARRIED


WIDOWED


or DIVORCED


(if U. S.


War Veteran,


specify WAR)


2-302 1


PLACE OF DEATH


Suffolk (County)


Revere


No.


(City or Town) Sunnyside Home


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


REVERE


(City or town making return)


Registered No.


254


-.


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


2 FULL NAME


Gitano Carnicelli


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


(a) Residence. No.


106 Shirley



Winthrop


(Usual place of abode)


(If nonresident, give city or town and State)


Length of stay: In hospital or Institution.


Home


1years - months -


in this community


20yrs. - mos. - days.


(Before death)


(Specify whether)


PERSONAL AND STATISTICAL PARTICULARS


MEDICAL CERTIFICATE OF DEATH


3 SEX


Male


4 COLOR OR RACEJ


5 SINGLE


(write the word)


MARRIED


WIDOWED


or DIVORCEDWidowed


5ª If married, widowed,


HUSBAND of


(Give maiden name of wife in full)


Marta DiBiase


(or) WIFE of


(Husband's name in full)


6 Age of husband or wife if alive years


7 IF STILLBORN, enter that faot here.


8 AGE.9.2 .. Years - .. Months .. Days


if less than 1 day


Hours ............ Minutes


Usual


9 Ocoupatlon:


Tailor


Industry


10 or Business :


Retired


11 Social Security No. None.


12 BIRTHPLACE (City)


(State or country)


Italy


PARENTS


14 BIRTHPLACE OF


FATHER (City)


(State or country)


Italy


15 MAIDEN NAME


OF MOTHER


Louise Bartelli


16 BIRTHPLACE OF


MOTHER (City)


(State or country)


Italy


17 Peter Carnicelli


Relation, if any Son


informant (Addreee) 1060Shirley St .. Winthrop


A TRUE COPY.


ATTEST:


DATE FILED


(Regietrar of city or town where death occurred)


December 4,


1946


18 DATE OF


DEATH


December 3 1946


(Month)


(Day)


(Year)


19 | HEREBY CERTIFY,


Nov. 29


1946


...


That i attended deceased


from


to


Dec. 3


19


46


I last saw h.im ...... ailve on


Dec


3


.... , 19.4.6, death Is sald to


have occurred on the date stated above, at.


12


m.


Duration


Immediate cause of death


Bronchopneumonia


5 days ....


Due to


Due to


Other conditions


(Include pregnancy within 3 months of death)


Physician


Major findings :


Of operations


Date of


Underline the cause to which death should be charged sta- tistically.


What test confirmed diagnosis ?.


clinical


20 Was disease or Injury in any way related to oooupation of deceased ?.


If so, specify


(Signed)


H. L. Masters


M. D.


(Address)


62 Revere St.


tere


Date 12/3 19.


46


21 PLACE OF BURIAL,


CREMATION OR REMOVAL Holy Cross,


Malden ..


(Cemetery )


(City or Town)


DATE OF BURIAL


Dec. 6,


1946


22 NAME OF


FUNERAL DIRECTOR


Patsy Rapino


ADDRESS


9 Chelsea St. ,


Boston


Received and filed. JAN 1-1017 19


(Registrar of City or Town where deceased resided)


50m-(b)-6-44-14607


1


13 NAME OF


FATHER


Vincent Carnicelli


Of autopsy


.No


White


(If U. S.


War Veteran,


speolfy WAR)


None


-


R-302


Essex


(County)


Danvers (City or Town) Danvers Sate Hospital


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


Danvers


(City or town making return)


Registered No.


255


MA


(If death occurred in a hospital or institution,


St.


give its NAME instead of etreet and number)


2 FULL NAME


Catherine Cobb


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


(a) Residenoe. No.


(Usual place of abode)


St.


(If nonresident, give city or town and State)


Length of stay: In hospital or institution ..


(Before death)


(Specify whether)


years


9


months


days.


In this community


yre.


moe.


days.


PERSONAL AND STATISTICAL PARTICULARS


MEDICAL CERTIFICATE OF DEATH


3 SEX


F.male


4 COLOR OR RACE| 5 SINGLE


White


(write the word)




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