USA > Massachusetts > Suffolk County > Winthrop > Town of Winthrop : Record of Deaths 1952 > Part 93
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A TRUE COPY
ATTEST:
(Registrar of City or Town where death occurred)
DATE FILED
December 19
19 52
(Give maiden name of wife in full)
have occurred on the date stated above,
alive on
2:30 A.
m.
INTERVAL BE- TWEEN ONSET AND DEATH 10 days
33
Stitcher
10 days 10 days
12/18/ 32D.
Date Maiden
6
R-302 1
No.
(Usual place of abode)
That I attended deceased
from
RECEIVES
TON
11 12
9
5
THROR
JAN20
AM
T
1 SUFFOLK BOSTON
(City or Town)
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 N
2-3 11307
J (If death occurred in a hospital or institution, Veterans Administration Hospital Staygive its NAME instead of street and number) No.
2 FULL NAME
THOMAS A FOULKES
(If deceased is a married, widowed or divorced woman, give also maiden name.) 29 Atlantic
St.
(Was deceased a
U. S. War Veteran, Sp-Am.
if so specify WAR),
Winthrop, Lass.
(a) Residence. No.
(Usual place of abode)
(If nonresident, give city or town and State)
Length of stay: In place of death
......
.years.
months.
29 ... days. In place of residence.
......
... years ..
months
.. days.
MEDICAL CERTIFICATE OF DEATH
3 DATE OF
DEATH
December
21
1952
(Month)
(Day)
(Year)
4I HEREBY CERTIFY, 11/23 19
to.
That Iattended Ideceased from
12/21.
19 .. 5.2.
I last saw h
alive on
19
death is said to
have occurred on the date stated above, at.7 .... 40.p .... .. m.
INTERVAL BE-
TWEEN ONSET
AND DEATH
ANTE Due To CEDENT (b) CAUSES
Due To (c)
OTHER
SIGNIFICANT
CONDITIONS
uremia due Tar nephrosclerosis
arterid
1mon
Major findings:
Of operations ..
Date of operation
Was autopsy performed?
no
What test confirmed diagnosis?
clin records
no
5 Was disease or injury in any way related to occupation of deceased ?. If so, specify. (Signed) a Dere
M. D.
(Address). VAH
Date. 12/22 19 52
winthrop Cem.
Winthrop , dass.
6
Place of Burial or Cremation
Dec 26
19 52
DATE OF BURIAL
7 NAME OF
FUNERAL DIRECTOR
J O'Maley
ADDRESS Winthrop, Ma.s.s.
JAN 19 KOU
Received and filed 19
(Registrar of City or Town where deceased resided)
PERSONAL AND STATISTICAL PARTICULARS
8 SEX
M
9 COLOR OR RACE
10 SINGLE
(write the word)
MARRIED
WIDOWED
or DIVORCED
Married
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.
72
12
AGE.
Years
8
Months.
12
Days
If under 24 hours
Hours ........ Minutes
13 Usual
Occupation :
Rigger
(Kind of work done during most of working life)
14 Industry
or Business:
U > Naval Shipyard
15 Social Security Now.
-
16 BIRTHPLACE (City).
(State or country)
England
17 NAME OF
FATHER
Peter Foulkes
18 BIRTHPLACE OF
FATHER (City).
(State or country)
England
19 MAIDEN NAME
OF MOTHER
Sarah Bonney
20 BIRTHPLACE OF
MOTHER (City)
(State or country)
England
21
Informant
(Address)
Hospital Records
A TRUE COPY
Charles & Mack.
ATTEST:
(Registrar of City or Town where death occurred)
DATE FILED
Dec 26
19 52
........
......
1
T.
-302
1
PLACE OF DEATH
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, after the close of the month in which the death occurred. (See Chap. 46, Sec. 12, G. L.)
25M .(B)-11-51-905807
DISEASE OR CONDITION DIRECTLY LEADING TO DEATH (a) hypertensive antonio- sclerotic heart disease
-15yr
PARENTS
(City or Town)
1.5.
DATE OF ENTERING MILITARY SERVICE - 3/11/97 DATE OF DISCHARGE RANK, RATING ORGANIZATION & OUTFIT
5/20/01 Gunner's Mate 3/c U S Navy
NEĆEIVE
F TO.
11 92
6
JAN19
-
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, after the close of the month in which the death occurred. (See Chap. 46, Sec. 12. G. L.)
PLACE OF DEATH
SUFFOLK BOSTON
(City or Town)
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.
11306 275
f(If death occurred in a hospital or institution, St. { give its NAME instead of street and number)
2 FULL NAME ..
FRANCIS P O'CONNOR
(If deceased is a married, widowed or divorced woman, give also maiden name.)
(a) Residence.
No.
470 Winthrop
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.
months.
.days.
MEDICAL CERTIFICATE OF DEATH
PERSONAL AND STATISTICAL PARTICULARS
3 DATE OF
DEATH
December
22
1952
(Month)
(Day)
(Year)
4I HEREBY CERTIFY,
12/22
19
to
12 /22
19.
52
I last saw h
alive on
19
death is said to
have occurred on the date stated above, at 7.300 ... m.
INTERVAL BE-
DISEASE OR CONDITION
DIRECTLY LEADING
Nessecting aneurysm
TWEEN ONSET AND DEATH
TO DEATH (a).
of ascending aorta
days
ANTE
Due To
heart disease
mos.
11 IF STILLBORN, enter that fact here.
12
AGE56
Years
Months.
Days
If under 24 hours
Hours.
Minutes
13 Usual
Occupation:
Testman
(Kind of work done during most of working life)
14 Industry
or Business:
Telephone
15 Social Security No. 077-07-8282
16 BIRTHPLACE (City).
(State or country)
Mass
17 NAME OF
FATHER
Bartholomew O'Connor
PARENTS
18 BIRTHPLACE OF
FATHER (City).
(State or country)
Ireland
19 MAIDEN NAME
OF MOTHER
Nam Shea
20 BIRTHPLACE OF
MOTHER (City)
(State or country)
Ireland
J O'Connor
DATE OF BURIAL.
Dec26
19.52
21
Informant
(Address)
A TRUE COPY
Charles 91 7
ATTEST:
....
(Registrar of City or Town where death occurred)
DATE FILED
Dec 26
.....
.....
19
52
25M.(B)-11-51-905807
7 NAME OF
FUNERAL DIRECTOR
JO'Maley
ADDRESS
Winthrop, Mass.
Received and filed
JAN 19 1953
19
(Registrar of City or Town where deceased resided)
8 SEX
M
9 COLOR OR RACE
W
10 SINGLE
MARRIED
WIDOWED
or DIVORCED
(write the word)
Married
10a If married, widowed, or divorced
(Give maiden name of wife in full)
arteriosclerotic
CEDENT (b)
CAUSES
Due To (c)
OTHER
SIGNIFICANT
CONDITIONS
Major findings:
Of operations
Date of operation.
.Was autopsy performed?
What test confirmed diagnosis ?.
autopsy
5 Was disease or injury in any way related to occupation of deceased?
If so, specify
(Signed) .............. W.
(Address)
Q: Connoll
M. D.
BCH
Date
12/23/1952
Malden
6
Holy Cross
Place of Burial or Cremation
(City or Town)
No.
Boston City Hospital
(Was deceased a
U. S. War Veteran,
No
if so specify WAR).
(Usual place of abode)
3.6 years.
That WE attended Udeceased
from
HUSBAND of.
Julia Sheerin
(or) WIFE of
(Husband's name in full)
Cambridge,
PREe. 1
-302
11 12
1
117 6
JAN19
3
X
3
.302
1
BOSTON
(City or Town)
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.
11464
Mass Memorial Hospitals No.
2 FULL NAME
MIRIAM S DAVIS
(If deceased is a married, widowed or divorced woman, give also maiden name.)
62 Park Ave.,
XXX XX
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
3 DATE OF
DEATH
December
2.6
1952
(Month)
(Day)
(Year)
4I HEREBY CERTIFY,
That I attended deceased from
12/21
19
....
to
12/26
19 .... 52
I last saw
h
....... . alive on
12/26
19 ..... 52death is said to
have occurred on the date stated above. at ... 9:58p.
.. m.
10a
If married, widowed, or divorced
HUSBAND of
(Give maiden name of wife in full)
James Davis
(or) WIFE of
(Husband's name in full)
DISEASE OR CONDITION
DIRECTLY LEADING
TO DEATH (a) ... ruptureofheart
INTERVAL BE- TWEEN ONSET AND DEATH
11 IF STILLBORN, enter that fact here.
12
AGE
63 Years 3 Months 26 Days
If under 24 hours
Hours .....
Minutes
Due To
CEDENT (b) ...
CAUSES
.posterior ... myocardial
infarction
Due To
(c)
coronary occlusion
arteriosclerotic
heart disease
OTHER
SIGNIFICANT
CONDITIONS
diabetes mellitus
Major findings:
Of operations.
Date of operation
.Was autopsy performed?
What test confirmed diagnosis ?.
autopsy
5 Was disease or injury in any way related to occupation of deceased?
If so, specify ...
P Bonnet
M. D.
(Signed).
(Address) M M H
12/27
..... 19.52.
odlaven
Everett, Mass.
6 Place of Burial or Cremation (City or Town)
DATE OF BURIAL.
Dec 30
1952
21
Informant
(Address)
Daughter
7 NAME OF
FUNERAL DIRECTOR
J E Henderson Co.
ADDRESS
Everett, Mass.
Received and filed.
JAN 14
19
(Registrar of City or Town where deceased resided)
PARENTS
17 NAME OF
FATHER
Charles E Rice
18 BIRTHPLACE OF
FATHER (City)
(State or country)
Digby, N.S
19 MAIDEN NAME
OF MOTHER
Amanda S Cunningham
20 BIRTHPLACE OF
MOTHER (City)
(State or country)
Nova Scotia
A TRUE COPY
ATTEST: Larla
(Registrar of City of Town where death occurred)
DATE FILED
Dec 30
19 52
25M.(B)-11-51-905807
PLACE OF DEATH
SUFFOLK (County)
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, after the close of the month in which the death occurred. (See Chap. 46, Sec. 12, G. L.)
ANTE
wall
5mins
13 Usual
Occupation :
Housework
(Kind of work done during most of working life)
6days
14 Industry
or Business:
Own home
15 Social Security No.
everett,
16 BIRTHPLACE (City)
(State or country)
Mass
6days years
8 SEX
F
10 SINGLE
MARRIED
WIDOWED
or DIVORCED Widowed
(write the word)
9 COLOR OR RACE
(Was deceased a
U. S. War Veteran,
if so specify WAR)
(a) Residence. No.
(Usual place of abode)
L(If death occurred in a hospital or institution,
X.XSt. / give its NAME instead of street and number)
15.
RECEM. LO
11.72
A
1
1
6
JAN19
305
1
Boston
(City or Town)
The Commonwealth of Massachusetts EDWARD J. CRONIN SECRETARY OF THE COMMONWEALTH DIVISION OF VITAL STATISTICS COPY OF MEDICAL EXAMINER'S CERTIFICATE OF DEATH
Bos ton
(City or town making return)
Registered No.
11493 277
2 FULL NAME
Jane Griffiths
(If deceased is a married, widowed or divorced woman, give also maiden name.)
(a) Residence. No.
100 Fremont St
St.
Winthrop
Mass.
(Usual place of abode)
(If nonresident, give city or town and State)
Length of stay: In place of death.
.years.
months.
3
days. In place of residence.
3
.years
months.
.. days.
MEDICAL CERTIFICATE OF DEATH
3 DATE OF
DEATH
Dec.27/52
(Month)
(Day)
(Year)
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.) Fracture of skull subdural
hematoma frac ture of mandible
accidentally incurred
PERSONAL AND STATISTICAL PARTICULARS
9 SEX
F
10 COLOR OR RACE!
W
11 SINGLE
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.
20
.Years.
3
.Days
Months.
If under 24 hours
Hours ....
Minutes
14 Usual
Occupation :
Typist
(Kind of work done during most of working life)
15 Industry
or Business:
Insurance Co.
16 Social Security No.
034-24-4291
Boston Mass.
17 BIRTHPLACE (City)
(State or country)
18 NAME OF
FATHER
John A Griffiths
19 BIRTHPLACE OF
East Boston Mass.
FATHER (City)
(State or country)
20 MAIDEN NAME
OF MOTHER
Delia E Ford
21 BIRTHPLACE OF
MOTHER (City)
(State or country)
Dublin Ireland
Holy Cross-Malden Mass.
7
Place of Burial, or Cremation.
Dec. 31/5[City or Town)
DATE OF BURIAL. 19
8 NAME OF
FUNERAL DIRECTOR
J C Kelly
ADDRESS.
East Boston Mass
Received and filed.
JAN-1-9-1953
19
(Registrar of City or Town where deceased resided)
PARENTS
22 Informant (Address)
Father
A TRUE COPY.
ATDESharben & Zacke
(Registrar of City or Town where death occurred)
DATE FILED
Dec. 31/52
......
.19
of death should be transmitted on Form Redes to the clerk of the city of town in Which the deceased resided as soon as possible after the close of the month in which the death occurred. (See Chap. 46, Sec. 12, G. L.)
25m-(c)-11-49-900.475
PLACE OF DEATH
Suffolk
(County)
No.
Mass. General Hospt.
J(If death occurred in a hospital or institution,
St. [ give its NAME instead of street and number)
5 Accident, suicide, or homicide (specify).
accident
Date and hour of injury
Dec.25
19
52
Where did
Injury occur?
Winthrop Mass.
(City or town and State)
Did injury occur in or about home, on farm, in industrial place, or in public place? Public Highway
Manner of
Motor
(Specify type of pleaseuck pole
Injury
(How did injury occur?)
Nature of
Fracture of skull
Injury
While at work?
Was autopsy performed?
No
6 Was disease or injury in any way related to occupation of deceased?
If so, specify
(Signed)
Michael A Luongo
M. D.
(Address)
25 Shattuck St Boston
Date ... 12 ... 27 .. 1952
....
(Was deceased a
U. S. War Veteran,
if so specify WAR)
(write the word)
RECEIVED
.1 1.2
"
6
JAN19
X
PLACE OF DEATH
Essen
(County) alem (City or Town) Salem Hospital No.
The Commonwealth of Massachusetts EDWARD J. CRONIN SECRETARY OF THE COMMONWEALTH DIVISION OF VITAL STATISTICS COPY OF MEDICAL EXAMINER'S CERTIFICATE OF DEATH
273
Salem
(efty or town making return)
Registered No. 471
f(If death occurred in a hospital or institution,
St. [ give its NAME instead of street and number)
2 FULL NAME
nelson Berger Johnson
(If deceased is a married, widowed or divorced woman, give also maiden name.)
11 natant ane
(a) Residence. No. (Usual place of abode)
(If nonresident, give city of 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
Deu 0 1952
(Month)
Day)
(Year)
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.) sudden death- Verst Diese presumably coronary theombres Secured at worth
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
Injury
(How did injury occur?)
Nature of Injury
While at work?
Was autopsy performed?
2
6 Was disease or injury in any way related to occupation of deceased? .
If so, specify.
(Signed)
(Address) Salem made
Date 12-2 1950
M. D.
7 Winthrop com ..... quinteros Place of Burial, or Cremation. (City or Town)
DATE OF BURIAL Dec. 5 1950
8 NAME OF FUNERA
IREC Rallied@marek
ADDRESS
Received and filed IAN 21 19
(Registrar of City or Town where deceased resided)
PERSONAL AND STATISTICAL PARTICULARS
9 SEX
10 COLOR OR RACE
11 SINGLE
(write the word)
MARRIED
WIDOWEDharrel
or DIVORCED
lla If married, widowed, OF divorced estethere
HUSBAND of.
Carne
(Give maiden name of wife in full)
(or) WIFE of
(Husband's name in full)
12 IF STILLBORN, enter that fact here.
13
AGE 74 Years
4
Months 15 Days
If under 24 hours
Hours
.Minutes
14 Usual
Occupations
Infa of Heating Equipment
(Kind of work done during most of working life)
15 Industry or Business:
16 Social Security No.
17 BIRTHPLACE (City).
(State or country)
Strekholm, Suelen
18 NAME OF FATHER
Johnson.
19 BIRTHPLACE OF
Sweden
FATHER (City). (State or country)
20 MAIDEN NAME,
OF MOTHER
Cannot be Learned
21 BIRTHPLACE OF MOTHER (City) (State or country)
Cannotbe Learned
22
(Address)
A TRUE COPY.
0
ATTEST:
(Registrar of City or Town where death occurred)
/
DATE FILED
Der 3
a 52
T.
305
1
...
of death should be transmitted on Form R-30 to the clerk of the city of town in which the deceased resided as soon as possible after the close of the month in which the death occurred. (See Chap. 46, Sec. 12, G. L.)
5.
25m-(c)-11-49-900.475
(Specify type of place)
PARENTS
(Was deceased a
U. S. War Veteran.
if so specify WAR) ..
RECEIVED
3.
12
1
9:
6 5
THROP
JAN21/
X
PLACE OF DEATH
Suffolk
(County)
1
Boston
The Commonwealth of Massachusetts EDWARD J. CRONIN SECRETARY OF THE COMMONWEALTH DIVISION OF VITAL STATISTICS COPY OF CERTIFICATE OF DEATH
Bos ton
(City or town making return) 11516
Registered No.
Mass.Memorial Hospt.
J(If death occurred in a hospital or institution,
St. [ give its NAME instead of street and number)
2 FULL NAME
(If deceased is a married, widowed or divorced woman, give also maiden name.)
135 Read St
St.
Winthrop
(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
Dec.26/52
8 SEX
F
9 COLOR OR RACE
W
10 SINGLE
MARRIED
WIDOWED
or DIVORCED
Single
4IHEREBY CERTIFY.
Dec.25 19.
52to
That
I
attended deceased from
Dec.26
52
19
I last saw h
Clive on
Dec.26, 52
death is said to
have occurred on the date stated above, at. 12:55A
INTERVAL BE- TWEEN ONSET AND DEATH
11 IF STILLBORN, enter that fact here.
12
AGE
.Years.
Months.
.. Days
ILunder 24 hours
12
. Minutes
13 Usual
Occupation :.
(Kind of work done during most of working life)
14 Industry or Business:
15 Social Security No ..
16 BIRTHPLACE (City)
(State or country)
Boston Mass.
17 NAME OF
FATHER
Andrew J Reagan Jr.
18 BIRTHPLACE OF
FATHER (City)
(State or country)
East Boston Mass.
19 MAIDEN NAME
OF MOTHER
Edna I Manning
20 BIRTHPLACE OF
MOTHER (City)
(State or country)
Brockton Mass ..
Holy Cross-Malden Mass.
6
Place of Burial or Cremation
(City or Town)
DATE OF BURIAL
Dec.30/52 19
7 NAME OF
FUNERAL DIRECTOR
J F O'Maley
Winthrop 499.
ADDRESS
Received and filed 19
Dec. 31/52
(Registrar of City or Town where deceased resided)
NPARENTS
10a
If married, widowed, or divorced
HUSBAND of
(or) WIFE of
(Give maiden name of wife in full) (Husband's name in full)
DISEASE OR CONDITION DIRECTLY LEADING
TO DEATH (a)
Prematurity
ANTE
Due To
CEDENT (b)
CAUSES
Due To (c)
OTHER
SIGNIFICANT
CONDITIONS
Major findings:
Of operations
Date of operation.
.Was autopsy performed?
No
What test confirmed diagnosis?
5 Was disease or injury in any way related to occupation of deceased? If so, specify
(Address)
(Signed)
P.M. Wadpan
Mass.Men.HospDate
12-26
M.
21 Informant (Address)
Andrew J Reagan.
A TRUE COPY les 4. 2020
ATTEST!
(Registrar of City or Town where death occurred)
DATE FILED
.....
.................. 19
X
25M.(B) 11-51-905807
302
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, after the close of the month in which the death occurred. (See Chap. 46, Sec. 12. G. L.)
No.
Baby Girl Roagan
(Was deceased a
U. S. War Veteran,
if so specify. WAR)
(write the word)
(Month)
(Day)
(Year)
(a) Residence. No. (Usual place of abode)
(City or Town)
6
JAN20 AM
R-302 1
PLACE OF DEATH
Suffolk (County)
Boston.
(City or Town)
The Commonwealth of Massachusetts EDWARD J. CRONIN SECRETARY OF THE COMMONWEALTH DIVISION OF VITAL STATISTICS COPY OF CERTIFICATE OF DEATH
Boston
280
(City or town making return)
Registered No.
11515
J(If death occurred in a hospital or institution, St. [ give its NAME instead of street and number)
2 FULL NAME
(If deceased is a married, widowed or divorced woman, give also maiden name.)
(a) Residence. No.
135 Read
(Usual place of abode)
Winthrop Mass.
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
(Month)
Dec. 26/52
(Day)
(Year)
4I HEREBY CERTIFY,
That I attended deceased from
Dec.26
52
Dec. .2.5. 19 .. 5.2
to
Dec.26
19.52
death is said to
have occurred on the date stated above, at.
INTERVAL BE-
TWEEN ONSET AND DEATH
11 IF STILLBORN, enter that fact here.
12
AGE
Years.
Months.
Days
If under 24 hours
1.2 Hours.
O Minutes
13 Usual
Occupation :.
(Kind of work done during most of working life)
14 Industry
or Business:
15 Social Security No.
16 BIRTHPLACE (City)
(State or country)
Boston Mass.
17 NAME OF
FATHER
Andrew J Reagan Jr.
18 BIRTHPLACE OF
East Boston Mass.
FATHER (City)
(State or country)
19 MAIDEN NAME
OF MOTHER
Edna L Manning
20 BIRTHPLACE OF
MOTHER (City)
(State or country)
Brockton Mass.
6
Place of Burial or Cremation
(City or Town)
DATE OF BURIAL
7 NAME OF
FUNERAL DIRECTOR
J F O'Maley
ADDRESS
Winthrop Magg
Received and filed
JAN Z V
19
(Registrar of City or Town where deceased resided)
8 SEX
F
9 COLOR OR RACE
W
10 SINGLE
MARRIED
WIDOWED
or DIVORCED
(write the word)
Single
I last saw h
e.Talive on
12;23A
.m.
10a If married, widowed, or divorced
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).
Prematurity
ANTE
Due To
CEDENT (b)
CAUSES
Due To (c)
OTHER
SIGNIFICANT
CONDITIONS
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?
If so, specify.
P W Wadman
(Signed)
Mass. Mem. Hospt:
Date
Dec:26M.
(Address)
Holy Cross-Malden Mass.
PARENTS
21 Informant (Address)
A. J Regan Jr.
A TRUE COPY
arles H Mack
ATTEST:
(Registrar of City or Town where death occurred) Dec.31/52
DATE FILED
19.
25M-(B)-11-51-905807
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, 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.)
No.
Mass.Memorial Hospt.
Baby Girl #2
Reagan
--
(Was deceased a
U. S. War Veteran,
if so specify WAR)
19
Dec.30/52
19
JAN20
R-302 1
Boston
(City or Town)
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.
11501-
281
J(If death occurred in a hospital or institution, St. [ give its NAME instead of street and number)
2 FULL NAME.
.Baby .... Girl ... Dunbar
(If deceased is a married, widowed or divorced woman, give also maiden name.)
(Was deceased a
U. S. War Veteran.
if so specify WAR)
(a) Residence. No.
41 Nahant Ave.
St.
(If nonresident, give city or town and State)
Length of stay: In place of death ........
... years.
months.
4 days. In place of residence.
.years.
months.
days.
MEDICAL CERTIFICATE OF DEATH
PERSONAL AND STATISTICAL PARTICULARS
3 DATE OF
DEATH
(Month)
Dec.28/52
(Day)
(Year)
8 SEX
F
9 COLOR OR RACE
10 SINGLE
MARRIED
WIDOWED
or DIVORCED
(write the word)
Single
4I HEREBY CERTIFY,
That I attended deceased from
Dec.28
52
Dec. 24
19
52
to
Dec.28
52
19
death is said to
have occurred on the date stated above, at
12;40AM
INTERVAL BE-
DISEASE OR CONDITION
DIRECTLY LEADING
Prematurity
TO DEATH (a)
TWEEN ONSET AND DEATH
11 IF STILLBORN, enter that fact here.
12
AGE
.Years
Months.
3 Days
If under 24 hours
4 Hours
Minutes
13 Usual
Occupation:
(Kind of work done during most of working life)
14 Industry
or Business:
15 Social Security No.
16 BIRTHPLACE (City)
(State or country)
Boston Mass.
17 NAME OF
FATHER
Richard Dunbar
18 BIRTHPLACE OF
FATHER (City)
(State or country)
Winthrop Mass.
Date of operation.
Was autopsy performed?
Yes
What test confirmed diagnosis ?.
5 Was disease or injury in any way related to occupation of deceased? If so, specify.
(Signed)
T J McDonald
Boston Mass.
„Dațe
12=28"
(Address)
Winthrop Cem-Winthrop Mass.
6 Place of Burial or Cremation (City or Town)
DATE OF BURIAL.
Dec.29/52
19
7 NAME OF
FUNERAL DIRECTOR
H S Reynolds
ADDRESS
Winthrop Mass.
Received and filed.
JAN 2 8 1000
19
(Registrar of City or Town where deceased resided)
PARENTS
19 MAIDEN NAME
OF MOTHER
Jean C O'Neil
20 BIRTHPLACE OF
MOTHER (City)
(State or country)
21
Informant.
(Address)
Richard Dunbar
A TRUE CORY Les H. Mache
ATTEST:
(Registrar of City or Town where death occurred)
DATE FILED
Dec.31/52
19
.......
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
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,
after the close of the month in which the death occurred. (See Chap. 46, Sec. 12, G. L.)
25M-(B)-11-51-905807
PLACE OF DEATH
Suffolk (County)
No.
St ... Elizabeth's ... Hospt
.......
10a If married, widowed, or divorced
HUSBAND of
(Give maiden name of wife in full)
(or) WIFE of.
(Husband's name in full)
ANTE
CEDENT (b)
CAUSES
Due To
Atelectasis
Due To (c)
OTHER
SIGNIFICANT
CONDITIONS
Major findings:
Of operations.
19
I last saw h ............. alive on
(Usual place of abode)
Winthrop Mass.
Somerville Mass.
.ECEIYAN
10
.....
6
JAN23
4
...
...
790444年
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ـاجديد-
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444605年
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上上上書的書名十
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