USA > Massachusetts > Suffolk County > Winthrop > Town of Winthrop : Record of Deaths 1952 > Part 78
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
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 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 persons as are supposed to have died by violence, or by the action of chemical, thermal or electrical agents or following abortion, or from diseases resulting from injury or infection relating to occupation, or suddenly when not disabled by recognizable discase, or when any person is found dead. .. - General Laws, Chap. 38, Sec. 6., as amended by Chap. 632, Sec. 4, Acts of 1945.
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 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 funeralas to be held, or from a person appointed to have the care of the cemeteryor burialground in which the interment is made.
Chap: 114,'Sec. 46, G. L., (Tercentenary Edition).
OFF
"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 giyen bedside care during a last illness from disease unrelated to anyform
(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.
ausio! Medical Examipers will investigate and certify to all deaths supposably Ingary4. 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
R-302 1
PLACE OF DEATH
SUFFOLK
(City or Town)
Boston City Hospital
The Commonwealth of Massachusetts EDWARD J. CRONIN SECRETARY OF THE COMMONWEALTH DIVISION OF VITAL STATISTICS COPY OF CERTIFICATE OF DEATH
BOSTON
(City or town making return)
Registered No.
9337 229
J(If death occurred in a hospital or institution, XXX [ give its NAME instead of street and number)
FLORENCE RUNDQUIST
(If deceased is a married, widowed or divorced woman, give also maiden name.)
(a) Residence. No.
93 Locust
(Usual place of abode)
St.
Winthrop Mass
(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
8 SEX
F
9 COLOR OR RACE
W
10 SINGLE
MARRIED
WIDOWED
or DIVORCED
(write the word)
Married
10a If married, widowed, or divorced
HUSBAND of
HarSIdaiden Rundquist
(or) WIFE of
(Husband's name in full)
11 IF STILLBORN, enter that fact here.
12
AGE ... 5.A.Years.
Months.
.. Days
If under 24 hours
Hours.
Minutes
13 Usual
Occupation :
Housewife
(Kind of work done during most of working life)
14 Industry
or Business:
Own home
15 Social Security No .....
16 BIRTHPLACE (City)
(State or country)
East BostonVass
17 NAME OF
FATHER
William J Campbell
18 BIRTHPLACE OF
FATHER (City)
W.e.s.t .... Roxbury.
(State or country)
Mass.
19 MAIDEN NAME
OF MOTHER
Catherine Dale y
20 BIRTHPLACE OF
MOTHER (City)
(State or country)
Mass
21 H Rundquist
Informant
(Address)
A TRUE COPY
5 A. Mackie
ATTEST:
(Registrar of City or Town where death occurred)
DATE FILED
Oct. 28
19 ....
52 ...
X
25M .(B)-11-51-905807
No.
2 FULL NAME
3 DATE OF
DEATH
(Month)
4 I HEREBY CERTIFY,
10/22
19
to
DISEASE OR CONDITION
DIRECTLY LEADING
TO DEATH (a)
Uremia
CEDENT (b)
Due To
(c)
OTHER
SIGNIFICANT
CONDITIONS
Major findings:
Of operations
Date of operation.
What test confirmed diagnosis?
(Address)
BCH
Winthrop
6
Place of Burial or Cremation
DATE OF BURIAL
Oct. 27
of death should be transmitted on Form R-302 to the clerk of the city or town in which the deceased resided as soon as possible,
CAUSES
cancer of cervix
October
23
19.52
(Day)
(Year)
Thaw& sattended deceased from
18/2 3/52
I last saw h ...
........
... alive on
19
death is said to
have occurred on the date stated above, at.
4:20p.
m.
INTERVAL BE- TWEEN ONSET AND DEATH
unk.
bm -unk
Nc
5 Was disease or injury in any way related to occupation of deceased?
If so, specify.
(Signed)
M W O' Connell
M. D.
Date
10/249.52
Winthrop. (City or Town)
19 .... 5
7 NAME OF
FUNERAL DIRECTOR
F Magrath
ADDRESS E ... Boston
Received and filed.
NOV 3 .1952
19
(Registrar of City or Town where deceased resided)
Copies of returns of deaths which occurred in your city or town in case the deceased resided in another city or town at the time after the close of the month in which the death occurred. (See Chap. 46, Sec. 12. G. L.)
Urinary obstruction
ANTE
Due To a
due to metastases fr
Was autopsy performed?
Clinical
PARENTS
East Boston
....
(Was deceased a
U. S. War Veteran,
if so specify WAR)
RECEIVED
OF
TOWN
1: 1.2 1
9
0
MISS
Emir
6
NOV-3 AM
-
3 lass. 2-305 MasT. BK ·Book
X
PLACE OF DEATH
SUFFOLK BOSTON
The Commonwealth of Massachusetts EDWARD J. CRONIN SECRETARY OF THE COMMONWEALTH DIVISION OF VITAL STATISTICS COPY OF MEDICAL EXAMINER'S CERTIFICATE OF DEATH
BOSTON
(City or town making return)
Registered No.
9327 230
enroute to Peter Bent Brigham Hospitaldeath occurred in a hospital or institution, No.
give its NAME instead of street and number)
2 FULL NAME.
FOREST N PARK
(If deceased is a married, widowed or divorced woman, give also maiden name.)
10 Beacon
Winthrop,
Mass
(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
3 DATE OF
DEATH
October 24. 1952
(Month) (Day)
(Year)
9 SEX M
10 COLOR OR RACE
W
11 SINGLE
(write the word)
MARRIED
WIDOWED
or DIVORCED
Single
11a If married, widowed, or divorced
HUSBAND of.
(Give maiden name of wife in full)
(or) WIFE of.
(Husband's name in full)
12 IF STILLBORN. enter that fact here.
13
AGE .... 7.3.Years
10
Months.
2.4Days
If under 24 hours
Hours ........ Minutes
14 Usual
Occupation :
(Kind of work done during most of working life)
15 Industry
or Business:
16 Social Security No ....
17 BIRTHPLACE (City)
(State or country)
Norwich, conn.
18 NAME OF
FATHER
Amos R Park
19 BIRTHPLACE OF
Franklin,
FATHER (City).
(State or country)
Conn.
20 MAIDEN NAMEOlive Smith
OF MOTHER
21 BIRTHPLACE OF
MOTHER (City)
(State or country)
Ledyard,
Conn.
7 Maplewood Place of Burial, or Cremation.
Norwich Conn (City or Town)
DATE OF BURIAL.
Oct ....... 2.7 ...
19 .. 52
8 NAME OF
FUNERAL DIRECTOR
E Caggiani
ADDRESS
Winthrop Mass.
Received and filed.
19
NOV 3 1952
...
(Registrar of City or Town where deceased resided)
N PARENTS
22
Informant.
(Address)
O A A
A TRUE COPY/
Charles H. Mackie
ATTEST:
(Registrar of City or Town where death occurred)
DATE FILED
Oct. 28
,19 ..
52
Injury Copies of returns of deaths which occurred in your city of town in case the deceased resided in another city of town at the time Nature of Injury after the close of the month in which the death occurred. (See Chap. 46, Sec. 12, G. L.) of death should be transmitted on Form R-305 to the clerk of the city or town in which the deceased resided as soon as possibley
5 Accident, suicide, or homicide (specify) Date and hour of injury 19
Where did Injury occur?
(City or town and State)
Did injury occur in or about home, on farm, in industrial place, or in public place?
Manner of
(Specify type of place)
(How did injury occur?)
While at work?
.Was autopsy performed?
6 Was disease or injury in any way related to occupation of deceased? If so, specify
(Signed)
W Brickley
M. D.
(Address)
Boston
Date ...
10/25 ...... 52
25m-(c)-11-49-900.475
1
(City or Town)
(a) Residence.
No.
(Usual place of abode)
St.
(Was deceased a
U. S. War Veteran.
( if so specify WAR)
4 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.) Arteriosclerosis heart disease probably coronary sclerosis Carcinoma prostate
PERSONAL AND STATISTICAL PARTICULARS
...
RECEIVED
OF
TOWN
OFFICE
1/ 12
9
NIW
SUM
CLERK
3
*
WI
16.5
MASS
NOV-3 -
AM
-
50M (B)-1-51 903586
6
Winthrop
Place of Burial or Cremation
(City or Town)
DATE OF BURIAL Oct. 27
1952
7 NAME OF
FUNERAL DIRECTOR
Howard S Arnaldo
ADDRESS
Received and filed.
OCT 27 1952
19
(Registrar)
PERSONAL AND STATISTICAL PARTICULARS
8 SEX
Male
9 COLOR OR RACE
White
10 SINGLE
MARRIED
WIDOWED
or DIVORCED
(write the word)
Widowed
Sarah L
Steeves
10a If married, widowed, or divorced
HUSBAND of.
(Give maiden name of wife in full)
(or) WIFE of
(Husband's name in full)
11 IF STILLBORN, enter that fact here.
12
AGE ..
74 ears
2
Months
O
Days
If under 24 hours
.Hours .. . Minutes
13 Usual
Occupation :
Sheet Metal Worker
(Kind of work done during most of working life)
14 Industry
or Business:
Roofing
15 Social Security No. .
022-10-4790
16 BIRTHPLACE (City)
(State or country)
Mass
Boston
17 NAME OF
FATHER
John C Thompson
PARENTS
18 BIRTHPLACE OF
FATHER (City)
(State or country)
England
19 MAIDEN NAME
OF MOTHER
Margaret McDermott
20 BIRTHPLACE OF
MOTHER (City)
(State or country)
Canada
21
Florence Auburn
Informant
(Address)
37 Banks st. Winthrop
I HEREBY CERTIFY that a satisfactory standard certificate of death was filed with me BEFORE the burial ontransit permit was issued: Walter &. Baker.
(Signature of Ageft of Board of Health or other)
Theatthe Offices
10/27/52
(Official Designation)
(Date of Issue of Permit)
231
Charles Francis Thompson 2 FULL NAME ..
(If deceased is a married, widowed or divorced woman, give also maiden name.)
37 Banks St (a) Residence. No. (Usual place of abode)
(If nonresident, give city or town and State)
Length of stay: In place of death years. months. 14.
days.
In place of residence ..
35
.months
.days.
MEDICAL CERTIFICATE OF DEATH
3 DATE OF
DEATH
October 24
(Day)
(Month)
1952
(Year)
4 I HEREBY CERTIFY.
That
I
attended deceased from
19
47.
to
009. 24
1952
Oct. 24, 1952 death is said to
I last saw h &M alive on
9:55 P.
m.
INTERVAL BE-
TWEEN ONSET
AND DEATH
2 Wks
ANTE
Due To
·Hypertension
CEDENT (b) ..
CAUSES
years
¿ Deneralized arterio - years
sclerosis
OTHER
SIGNIFICANT
CONDITIONS
rout
5 years
Major findings:
Of operations.
Date of operation
Was autopsy performed ?.
no
What test confirmed diagnosis ?.
clinical
5 Was disease or injury in any way related to occupation of deceased? no
If so, specify
(Signed) ochus @. Arand
(Address) Winthrop
M. D.
Date 25 OCR
1952
1
PLACE OF DEATH
Suffolk (County)
ENT
-301A 1 Winthrop (City or Town)
142 Pleasant St No.
The Commonwealth of Massachusetts EDWARD J. CRONIN SECRETARY OF THE COMMONWEALTH DIVISION OF VITAL STATISTICS STANDARD CERTIFICATE OF DEATH
To be filed for burial permit with Board of Health or its Agent.
Registered No.
j(If death occurred in a hospital or institution,
St. [ give its NAME instead of street and number)
-
PHYSICIAN - IMPORTANT (Was deceased a U. S. War Veteran, (if so specify WAR)
St.
ONS
IFICATE g DEATH ter one ach nd (c)
ot mean ng. such asthenia, e disease, s which
ditions. se to the stating cause
contrib- but not sease or g death.
Vor.
.
1
Winthrop
have occurred on the date stated above. at
DISEASE OR CONDITION
DIRECTLY LEADING
TO DEATH (a)
Cerebral Hemorrhage
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 helief, 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 section and of sections forty-five, forty-six and forty-seven of said chapter one hundred and fourteen, the word "war" shall include the Ching relief expedition and the Philippine insurrection, which shall, for said purposes, he deemed 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 nincteen hundred and sixteen and ninetcen hundred and seventeen. G. L. Chap. 46. Scc. 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 8 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 hody 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 beUrsFound dead
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 whichit 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 deccased, 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 persons as are supposed to have died by violence, or by the action of chemical, thermal or electrical agents or following abortion, or from diseases resulting from injury or infection relating to occupation, or suddenly when not disabled by recognizable disease, or when any person is found dead. . - General Laws, Chap. 38, Sec. 6., as amended by Chap. 632, Sec. 4. Acts of 1945.
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 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 Frale faneralus 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).
TOWN 1.2
RULES OF PRACTICE
the afhillbent of the purpose of these laws calls for the observance of the follow- rules of pran Attendingiphysicians will certify to such deaths only as those of persons ey frdigit en bedside care during a last illness from disease unrelated mn of mhuy Board of Health physicians will certify to such deaths only as those of sons who. Hough disabled by recognized disease unrelated to any form of nesten without recent medical attendance or whose physician is absent en the certificate of death is needed.
MecrearExaminers will investigate and certify to all deaths supposably AP These include not only deaths caused directly or indirectly by Run Gacluding 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
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
X
0-
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
To be filed for burial permit with Board of Health or its Agent.
Registered No. 232
J(If death occurred in a hospital or institution, St. \ give its NAME instead of street and number)
PHYSICIAN - IMPORTANT
(Was deceased a
U. S. War Veteran,
( if so specify WAR) .
no
St.
(If nonresident, give city or town and State)
Length of stay: In place of death years. months 2 days. In place of residen 15 years
months
.days.
MEDICAL CERTIFICATE OF DEATH
PERSONAL AND STATISTICAL PARTICULARS
8 SEX
male
white
9 COLOR OR RACE
10 SINGLE
(write the word)
MARRIED
WIDOWED
or DIVORCED
married
10a If married, widowed, or divorced
HUSBAND of
Katherine M. Cummings
(Give maiden name of wife in full)
(or) WIFE of
(Husband's name in full)
11 IF STILLBORN, enter that fact here.
12
67
.Years
-
Months
4
Days
If under 24 hours
Hours . . Minutes
13 Usual
Occupation:
Traffic Manager
(Kind of work done during most of working life)
14 Industry
or Business:
U.S.Army Base Boston
15 Social Security No.
none
16 BIRTHPLACE (City)
(State or country)
Massachusetts
17 NAME OF
FATHER
William J. Gallagher
18 BIRTHPLACE OF
FATHER (City)
Boston
(State or country)
Massachusetts
19 MAIDEN NAME OF MOTHER Susan Cronin
20 BIRTHPLACE OF
Boston
Massachusetts
21 Katherine. M. Cummings wife
Informant (Address) 1052 Bennington st East Bost
I HEREBY CERTIFY that a satisfactory standard certificate of death was filed with me BEFORE the burial or transit permit was issued:
Whater & Wakerey (Signature of Agent of Board of Health br other)
...
Seattle Oficer
10/17 52
-
(Official Designation) (Date of Issue of Permit) 1
(Registrar)
190-2
(Year)
AI HEREBY CERTIFY,
That I attended deceased from
Oct. 19-, 191457,
to Rev.26
I last saw h/ alive on
Det. 26
.. 19 2 death is said to
have occurred on the date stated above, at
7:000 m.
DISEASE OR CONDITION
DIRECTLY LEADING)
TO DEATH
formany thrombosis
INTERVAL BE- TWEEN ONSET AND DEATH
ANTE
CEDENT (b)
CAUSES
disease
Due To
(c)
hent disease
OTHER
SIGNIFICANT
CONDITIONS
Chaselitriosio
7
Major findings:
Of operations
Date of operation.
Was autopsy performed?
What test confirmed diagnosis?
5 Was disease or injury in any way related to occupation of deceased? Do
(Signed).
specify seple Garzone
M. D.
Calvary
6 Place of Burial or Cremation (City or Town)
DATE OF BURIAL
October 29 1952
19
7 NAME OF FUNERAL DIRECTOR ... Richard ... C .. ... Kirby ADDRESS17 Bennington St East Boston
Received and filed.
OCT 2 4 1952
19
50M (B)-1-51 903586
301A 1
ONS IFICATE 8 DEATH ter one ach nd (c)
sol mean ng, such asthenia, e disease. s which
ditions, se to the stating cause
contrib- but not sease or g death.
PLACE OF DEATH
Bos 20 11/6/52
No.
2 FULL NAME.
(If deceased is a married, widowed or divorced woman, give also maiden name.)
(a) Residence. No. .
1000
(Usual place of abode)
26
DEATH
(Month)
(Day)
Due To manesde lacont
Jean
classeciclicatos
Boston
PARENTS
(Address) 200 Wa calculo que Date 10-26
1952
MOTHER (City)
(State or country)
Boston.
AGE
EXTRACTS FROM THE LAWS OF THE COMMONWEALTH OF MASSACHUSETTS GOVERNING 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
RETURN OF CERTIFICATES OF DEATH REC 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).
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.