Town of Winthrop : Record of Deaths 1951, Part 42

Author: Winthrop (Mass.)
Publication date: 1951
Publisher:
Number of Pages: 614


USA > Massachusetts > Suffolk County > Winthrop > Town of Winthrop : Record of Deaths 1951 > 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 | 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 | Part 103 | Part 104


SPACE FOR ADDITIONAL INFORMATION


DATE OF ENTERING MILITARY SERVICE DATE OF DISCHARGE RANK, RATING ORGANIZATION AND OUTFIT SERVICE NUMBER


M R-301 1


PLACE OF DEATH


Suffolk (County)


Winthrop (City or Town)


The Commonwealth of Massachusetts EDWARD J. CRONIN SECRETARY OF THE COMMONWEALTH DIVISION OF VITAL STATISTICS


STANDARD


CERTIFICATE OF DEATH


Winthrop (City or town making return)


Registered No.


110


No. ..


152 Cottage Park Road


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


MinnieJane (Smith) ..... Straw 2 FULL NAME


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


(a) Residence. No. (Usual place of abode)


152 Cottage Park Road


St.


(If nonresident, give city or town and State)


Length of stay: In place of death. . years. ... .. months. .days. In place of residence years .. months. days.


MEDICAL CERTIFICATE OF DEATH


PERSONAL AND STATISTICAL PARTICULARS


3 DATE OF


DEATH


May


(Month)


(Day)


16


1951


(Year)


female


9 COLOR OR RACE


white


10 SINGLE


(write the word)


MARRIEDmarried


WIDOWED


or DIVORCED


4 I HEREBY CERTIFY.


That I attended deceased from


march 30


1951


to.


May 16


19 51


10a If married, widowed, or divorced


HUSBAND of


(Give maiden name of wife in full)


(or) WIFE of.


Arthur Hale Straw


(Husband's name in full)


DISEASE OR CONDITION


DIRECTI


APPLEute Commary


TO DEATH (a)


trombosis


ANTE


arteriosclerotic


CEDENT (b) ..


CAUSE Least Disease


Due To (c)


OTHER


SIGNIFICANT


CONDITIONS


Senility


1 year


Major findings:


Of operations


none


Date of operation."


. Was autopsy performed ?.


What test confirmed diagnosis?


clinical + lab.


no


(Address)562


July It Date 5/17/125/


6 Woodlawn Cemetery ..... Everett, Mass. Place of Burial or Cremation (City of Town)


DATE OF BURIAL. May 19 1951


7 NAME OF


FUNERAL DIRECTOR


alfred B. Marit


ADDRESS


174 Winthrop St Winthrop


Received and filed


MAY 18 1951


19


(Registrar)


PARENTS


17 NAME OF FATHER James Brooks Smith


18 BIRTHPLACE OF


FATHER (City)


London


(State or country)


England


19 MAIDEN NAME OF MOTHER Jane Middleton Hunt


(State or country)


England


Informant. Mrs. Herbert ... L. .. Budreau,


(Address)


152 Cottage Park Road


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


Walter f- Bakery.


(Signature of Agent of Board of Health of other


Healthe Office


6/17/01


(Official Designation)


(Date of Issue of Permit)


RUCTIONS FOR L CERTIFICATE


giving OF DEATH


not enter than one for each (b) and (c)


does not mean of dying, such silure, asthenia, ans the disease. ications which ath.


bid conditions. ving rise to the se (a) stating erlying cause


itions contrib- e death but not the disease or causing death.


40% (A). 12.49.900722


A TRUE COPY ATTEST


11 IF STILLBORN, enter that fact here.


.Days


If under 24 hours


Hours ........ Minutes


13 Usual


Occupation:


housewife


(Kind of work done during most of working life)


1 year 14 Industry or Business :. own home


15 Social Security No ........ ].o.n.e


London


16 BIRTHPLACE (City).


(State or country)


England


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


If so, specify


(Signed)here


20 BIRTHPLACE OF


M. D


MOTHER (City)


London


INTERVAL BE- TWEEN ONSET AND DEATH 1 hour 12 LAGE.8.3 .... Years .. 1 .Months2.5


I last saw


her alive on.


May 16, 1951, death is said to


have occurred on the date stated above, at 11:30 Quily


8 SEX


18


(Was deceased a U. S. War Veteran, if so specify WAR) N.Q ..


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 behef 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, specifying the war, and shall also certify in such certificate hoth the primary and the secondary or imme- diate 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 se 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 expedition and the Philippine insurrection, which shall, for said purposes, b. deemed to have taken place between February fourteenth, eighteen hundred and minety-eight and July fourth, nineteen hundred and two, and the Mexican border service of nineteen hundred and sixteen and nineteen hundred and seventeen. G. L. Chap. 46. Sec. 10.


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 (lied; 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 perniit 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 inter- ment, 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 carly enough for the purpose, 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 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 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 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 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 registra- tion. The person to whom the permit is so given and the physician certifying 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., (Tercentenary 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. 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.


No undertaker or other persons shall bury a human body or the ashes thereof which have been hrought 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 hody 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 observance of the follow- ing 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 deathsonly 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 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 hy recognized disease, and those of persons found dead.


Statement of Cause of Death. - Physicians: see explanatory instructions on face side of standard certificate of death.


Statement of Occupation .- Precise statement of occupation is very import- ant, 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 occupa- tion had been given up or changed, or if the deceased had retired from business, report the kind of work done during most of working life even if retired. 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


DATE OF ENTERING MILITARY SERVICE DATE OF DISCHARGE RANK, RATING ORGANIZATION AND OUTFIT SERVICE NUMBER


RM R-301 1


PLACE OF DEATH


Suffolk (County)


Winthrop (City or Town) 142 Pleasant Street No.


The Commonwealth of Massachusetts EDWARD J. CRONIN SECRETARY OF THE COMMONWEALTH DIVISION OF VITAL STATISTICS STANDARD CERTIFICATE OF DEATH


(City or town making return)


Registered No.


111


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


2 FULL NAME


£


Ruby C Taylor


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


(a) Residence. No.


142 Pleasant St


(Usual place of abode)


St.


(If nonresident, give city or town and State)


Length of stay: In place of death .. .5 years.


.. months .days. In place of residence 5 .years .months. .days.


MEDICAL CERTIFICATE OF DEATH


PERSONAL AND STATISTICAL PARTICULARS


3 DATE OF


DEATH


May (Month)


16 (Day)


1951 (Year)


8 SEX


F


9 COLOR OR RACE


White


10 SINGLE


MARRIED


WIDOWED


or DIVORCED


(write the word)


Jidow


4 I HEREBY CERTIFY,


28 april


1000


to ..


16


May


19


51


I last saw her alive on 12 May, 1951, death is said to


have occurred on the date stated above, at. 11:55 P.


INTERVAL BE. TWEEN ONSET AND DEATH


3 yrs


12


AGE.C ..... .. Years.


Months.


Days


If under 24 hours


Hours ......


Minutes


13 Usual


Medical Assistant


Occupation :


(Kind of work done during most of working life)


14 Industry


or Business:


octors Office


15 Social Security No.


16 BIRTHPLACE (City)


(State or country)


Canada


17 NAME OF


FATHER


rank ". Howe


18 BIRTHPLACE OF


FATHER (City)


(State or country)


In land


19 MAIDEN NAME


OF MOTHER


Tane


Veitch


20 BIRTHPLACE OF


ontroal


MOTHER (City)


(State or country)


Canada


21 Informant (Address) 700 77 brond Ave Verdun


I HEREBY CERTIFY that a satisfactory standard certificate of death was filed with me BEFORE the burial or transit permit was issued: ontecal, Canada


Malter G.


Sigmature of Muent of Board of


[ Health or other)


Thealth affiche 5/18/01


(Official Designation)


(Date of Issue of Permit)


Y


50W (A). 12.49.900722


7 NAME OF


FUNERAL DIRECTOR Judeich q. Volan


ADDRESS 1420 rchesty Ave. Doston


Received and filed MAY 18 1951 19 ..


(Registrar)


A IRCE COPY ATTEST


2 yrs


11 IF STILLBORN, enter that fact here.


ANTE


CEDENT


CAUSES


(b) Due Metastasis to lungs


Due To


(c)


OTHER


SIGNIFICANT


CONDITIONS


Major findings:


Of operations.


Date of operation.


What test confirmed diagnosis?


Was autopsy performed? no clinical


5 Was disease or injury in any way related to occupation of deceased? no


f so, s


arthur C. Murray


(Signed)


M. D.


(Address) Winthrop Man Date 170May 1951


Forest Hills Crematory Boston (City or Town) Place of Burial or Cremation DATE OF BURIAL Nav 10. 1051 19 ...


PARENTS


10a If married, widowed, or divorced


HUSBAND of


(Give maiden name of wife in full)


(or) WIFE of


Justin


. ..


Paulor


(Husband's name in full)


DISEASE OR CONDITION


DIRECTLY LEADING O


TO DEATH


(a)


Carcinoma of breast


That I attended deceased from


(Was deceased a U. S. War Veteran, if so specify WAR) no


STRUCTIONS FOR AL CERTIFICATE


n giving E OF DEATH not enter re than one se for each ), (b) and (c)


is does not mean de of dying, such failure, asthenia. > means the disease, plications which death.


rbid conditions, giving rise to the suse (a) stating derlying cause


ditions contrib- the death but not to the disease or n causing death.


John C. Rowe (Brother)


ontreal


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 ur 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 effe. t, specifying the war, and shall also certify in such certificate both the primary and the secondary or imine- diate 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 section and of sections forty-five, forty-six and forty-seven of said chapter one hundre land fourteen, the word "war" shall include the China relief expedition and the Philippine insurrection, which shall, for said purposes, br (leemed to have taken place between February fourteenth, eighteen hundred and ninety-eight and July fourth, nineteen hundred and two, and the Mexican border service of nineteen hundred and sixteen and nineteen hundred and seventeen. G. L. Chap. 46. Sec. 10.


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 chied; 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 deliverel 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 inter- ment, 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 purpose, shall upon application make the certificate required 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 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 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 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 registra- tion. The person to whom the permit is so given and the physician certifying 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., (Tercentenary 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. 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.


No undertaker or other persons 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 froni 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 observance of the follow- ing 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 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 .- Physicians: see explanatory instructions on face side of standard certificate of death,


Statement of Occupation .- Precise statement of occupation is very import- ant, 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 occupa- tion had been given up or changed, or if the deceased had retired from business, report the kind of work done during most of working life even if retired, 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


DATE OF ENTERING MILITARY SERVICE DATE OF DISCHARGE RANK, RATING ORGANIZATION AND OUTFIT


SERVICE NUMBER


RM R-301 1


PLACE OF DEATH


Suffolk (County)


Winthrop (City of Town)


The Commonwealth of Massachusetts EDWARD J. CRONIN SECRETARY OF THE COMMONWEALTH DIVISION OF VITAL STATISTICS STANDARD CERTIFICATE OF DEATH


Winthrop


(City or town making return)


Registered No. 112


No.


240 Pleasant .... Street


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


2 FULL NAME. Frederick Albert Tewksbury (If deceased is a married, widowed or divorced woman, give also maiden name.)


(a) Residence. No. 240Pleasant Street


St.


(Usual place of abode)


(If nonresident, give city or town and State)


Length of stay: In place of death. years. .. months. .days. In place of residence 8.2.


.. years. 7


months


2.3days.


MEDICAL CERTIFICATE OF DEATH


PERSONAL AND STATISTICAL PARTICULARS


8 SEX male white


9 COLOR OR RACE


10 SINGLE


(write the word) MARRIED married WIDOWED or DIVORCED


4 I HEREBY CERTIFY, Jan 19


to


may 16


1945 /.


I last saw h. U. alive on , 194./., death is said to


have occurred on the date stated above, at.


980 p


INTERVAL BE- TWEEN ONSET AND DEATH 7 days


11 IF STILLBORN, enter that fact here.


12 AGE Years 7 Months. .23 82


Days


If under 24 hours


.. Hours


Minutes


13 Usual Occupationretired Supt of Streets (Kind of work done during most of working life)


14 Industry or Business:l'OwnOf Winthrop


15 Social Security No.


none


16 BIRTHPLACE (City)


Winthrop


(State or country)


Mass.


17 NAME OF FATHER Albert Tewksbury


18 BIRTHPLACE OF


FATHER (City)


Winthrop


(State or country)


Mass.


19 MAIDEN NAME


OF MOTHER


Ellen Tewksbury (ok)


20 BIRTHPLACE OF


MOTHER (City)


unable to obtain


(State or country)


11


DATE OF BURIAL. May 19 1951


7 NAME OF


FUNERAL DIRECTOR


alfred 13 Marste


ADDRESS


174 Winthrop St, Winthrop


Received and filed


19


MAY 18 1951


(Registrar)


PARENTS


21 Informant John E. Hayes


(Address) 205 Somerset Avenue Winth


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


Walter F. Baker


Signature of Agent of Board of Health or other)


Realthe


5/7/57


(Official Designation)


(Date of Issue of Pernity


TRUL. COPY ATTEST


16 19.51


(Month)


(Day)


(Year)


That I attended deceased from


10a If married, widowed_


Alvetta Lorena Williams


HUSBAND of.


(Give maiden name of wife in full)


(or) WIFE of


(Husband's name in full)


DISEASE OR CONDITION


DIRECTLY LEADING


TO DEATH


(a) Cishop /armanlage


ANTE CEDENT (b) CAUSES


Due To Sem, Outro Selecion


Eges


Due To (c)


OTHER SIGNIFICANT CONDITIONS


Major findings:


Of operations


Date of operation


Was autopsy performed? 200


What test confirmed diagnosis?


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


(Signed)


city Fancy ately


M. D.


(Address 2 Cop Codan)


6 . Winthrop Cemetery Place of Burial or Cremation


Winthrop (City or Town)


50M (A). 12 49-900722


TRUCTIONS FOR IL CERTIFICATE




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.