USA > Massachusetts > Suffolk County > Winthrop > Town of Winthrop : Record of Deaths 1954 > Part 39
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
SPACE FOR ADDITIONAL INFORMATION
DATE OF ENTERING MILITARY SERVICE
DATE OF DISCHARGE RANK, RATING ORGANIZATION AND OUTFIT
SERVICE NUMBER
X PLACE OF DEATH
Suffolk (County)
Winthrop
(City or Town)
No. 33 Circuit Road
f(If death occurred in a hospital or institution, St. ¿ give its NAME instead of street and number)
2 FULL NAME .. Alice E. Mulcahy
( Grady )
-
PHYSICIAN ~ IMPORTANT
(Was deceased a
No
U. S. War Veteran,
(if so specify WAR)
(a) Residence.
No.
33 Circuit Road
(Usual place of abode)
St.
Winthrop
(If nonresident, give city or town and State)
Length of stay: In place of death 12 years months. days. In place of residence .years .months .days.
12
MEDICAL CERTIFICATE OF DEATH
PERSONAL AND STATISTICAL PARTICULARS
3 DATE OF
DEATH
May 13
(Month)
(Day)
1954
(Year)
8 SEX
emale
9 COLOR OR RACE
White
10 SINGLE
(write the word)
MARRIED
WIDOWEDMA
or DIVORGEBrried
4 I HEREBY CERTIFY ,
That I attended deceased from
June 9.
1952
to
may 13
54
last saw h
elalive on
may 13 1954
h is said to
10a If married, widowed, or divorced
HUSBAND of ..
(Give maiden name of wife in full)
(or) WIFE of
William L. Mulcahy
(Husband's name in full)
DISEASE OR CONDITION
DIRECTLY LEADING Chowany
TO DEATH (a)
Theboss
INTERVAL BE- TWEEN ONSET ANO DEATH 24
11 IF STILLBORN, enter that fact here.
Years
12
AGE 66
2
.Months
20 Days
If under 24 hours
Hours
..
.Minutes
ANTE
Due To Hypertension
CEDENT (b)
CAUSES
Due To
Hypertucine
(c)
Heart Larsena
OTHER
SIGNIFICANT
CONDITIONS
Major findings:
Of operations.
Lune
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 ....
(Signed)
(Address)
M. D.
Date.
13 May 2057
6
Woodlawn Cemetery
Everett
Place of Burial or Cremation (City or Town)
DATE OF BURIAL
May ... 15
1954
7 NAME OF
FUNERAL DIRECTOR
Alice M. Kelly
ADDRESSIl Meridian St. East Boston
Received and filed
4
19
(Registrar)
PARENTS
18 BIRTHPLACE OF
FATHER (City)
(State or country)
Burlington Vermont
19 MAIDEN NAME
OF MOTHER
Margaret E. Kerr
20 BIRTHPLACE OF MOTHER (City) Boston (State or country) Massachusetts
21
Informant
(Address)
33 Circuit Road, Winthrop
I HEREBY CERTIFY that a satisfactory standard certificate of death was filed with me BEFORE the burial or transit permit was issued: Ajalter Af Hookers. (Signature of Agent of Board of Health or other)
(Official Designation)
Thatthe Price 5/14/54 (Date of Issue of Permit) 1.V
RUCTIONS FOR CERTIFICATE
giving OF DEATH ot enter than one for each (b) and (c)
does not mean of dying, such ilure, asthenia, ans the disease, ications which uth.
id conditions, ing rise to the se (a) stating rlying cause
itions contrib- e death but not the disease or causing death.
50M-2-19-25666
The Commonwealth of Massachusetts EDWARD J. CRONIN, SECRETARY DIVISION OF VITAL STATISTICS
STANDARD CERTIFICATE OF DEATH
To be filed for burial permit with Board of Health or its Agent.
Registered No.
114
(If deceased is a married, widowed or divorced woman, give also maiden name.)
have occurred on the date stated above, at
3:18 AM
2 years
Home Maker
13 Usual
Occupation:
(Kind of work done during most of working life)
14 Industry
or Business:
Own .. Home
15 Social Security No ..
None
16 BIRTHPLACE (City)
(State or country)
EastBortsetts
17 NAME OF
FATHER
Edmund T. Grady
William L. Mulcahy
A R-301A 1
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, specifying the war, and shall also certify in such certificate both 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 China relief expedition 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 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 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 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 he 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 arc supposed to have died by violence, or by the action of chemical, thermal or electrical agents or following abortion, or from diseases resulting fromn 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 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 occup :.- 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
PLACE OF DEATH
Suffolk (County) Winthrop (City or Town)
No. Louis
The Commonwealth of Massachusetts EDWARD J. CRONIN SECRETARY OF THE COMMONWEALTH DIVISION OF VITAL STATISTICS STANDARD CERTIFICATE OF DEATH
WINTHROP. (City or Town making this return)
115
f(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.
(Usual place of abode) 20
176 Shore Drive
St. Winthrop
(If nonresident, give city or town and State)
Length of stay: In place of death .years. months days. In place of residence 20 .years months days.
MEDICAL CERTIFICATE OF DEATH
PERSONAL AND STATISTICAL PARTICULARS
8 SEX
Male
9 COLOR OR RACE
White
10 SINGLE
MARRIED
WIDOWED
or DIVORCED
(write the word)
Widowed
4 I HEREBY CERTIFY.
19 .-
to
19 ...***
10a If married, widowed, or divorced HUSBAND of
Lillian Klarfaen
(Give maiden name of wife in full)
(or) WIFE of
(Husband's name in full)
11 IF STILLBORN, enter that fact here.
12
AGE.
63
Years
5
Months
Days
If under 24 hours
Hours
Minutes
13 Usual
Occupation:
pipe-fitter
14 Industry
or Business:
Marine shipyard
15 Social Security No.
16 BIRTHPLACE (City).
(State or country)
East Boston, Mass
17 NAME OF
FATHER
Fishel Letterman
18 BIRTHPLACE OF FATHER (City) (State or country)
Russia
19 MAIDEN NAME
OF MOTHER
Leah (unknown)
20 BIRTHPLACE OF MOTHER (City) (State or country)
Russia
21 Informant (Address) 176 Shore Dr. Withro
I HEREBY CERTIFY that a satisfactory standard certificate of death was filed with me BEFORE the burial or transit permit was issued:
Halter & laker . (Signature of Agent of Board of Health or other) Health Mucho 5/14/54
(Official Designation)
(Date of Issue of Permit)
A TRUE COPY ATTEST:
May
16 19.54
DATE OF BURIAL
7 NAME OF FUNERAL DIRECTOR ...
Paul R Levine
ADDRESS. 470 Harvard St., Brookline
Received and filed.
MAX 1 4 1955
19
(Registrar)
PARENTS
5 Was disease or injury in any way related to occupation of deceased? No
If so, specify?
(Address) Manthrop Board of
Health M. D.
Date 14 MMdy 1954
6 Price of Boston Place of Burial or Cremation
Woburn (City or Town)
50M-3-53-909098
.
UCTIONS OR CERTIFICATE iving OF DEATH t enter han one For each ) and (c)
oes not mean f dying, such ure, asthenia. is the disease, ations which
conditions, ng rise to the (a) stating ying cause
ons contrib- death but not e disease or using death.
Major findings:
Of operations.
Date of operation
.Was autopsy performed?
No
What test confirmed diagnosis ?.
INTERVAL BE- TWEEN ONSET AND DEATH
DISEASE OR CONDITION
DIRECTLY LEADING
TO DEATH (a)
TO Natural Causes
ANTE
CEDENT (b)
CAUSES
Due To
Presumably Coronar
Occlusion
Due To (c)
OTHER
SIGNIFICANT
CONDITIONS
3 DATE OF
DEATH
May
14
1954
(Month)
(Day)
(Year)
That I attended deceased from
I last saw h ............
.alive on
19 ........ , death is said to
have occurred on the date stated above, at
5:30 Am.
Letterman
J (Was deceased a
U. S. War Veteran,
( if so specify WAR)
No
1760 Shore DI
R-301 1
Registered No.
Frank Letterman
(Kind of work done during most of working life)
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, specifying the war, and shall also certify in such certificate both 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 China relief expedition 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 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 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 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 niade 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 from the board of health or its agent appointed to issue such permits, or if there is no such board, from the clerk of the town where the body is to be buried or the funeral is to be held, or from a person appointed to have the care of the cemetery or burial ground in which the interment is made.
Chap. 114, Sec. 46, G. L., (Tercentenary Edition).
RULES OF PRACTICE
The fulfillment of the purpose of these laws calls for the 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
.
M R-302 -
PLACE OF DEATH
SUFFOLK BOSTON"
(City of Town) Vet Adm Hosp No.
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)
4381 116
Registered No.
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.)
113 Tevere St.
Winthropf so specify WAR)
(a) Residence. No.
(Usual place of abode)
15
Length of stay: In place of death
... years
months. .days. In place of residence. ..... .years. months. .days.
PERSONAL AND STATISTICAL PARTICULARS
8 SEX
9 COLOR OR RACE
10 SINGLE
(write the word)
MARRIEDDi vorced
WIDOWED
Geff DIVORCED
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.
77
15
If under 24 hours
Hours.
Minutes
Carpenter
13 Usual
Occupation :
(Kind of work done during most of working life)
ch b1.
14 Industry
or Business:
on.bl.
15 Social Security No .....
Mapleton, Me
16 BIRTHPLACE (City).
(State or country)
John A Stewart
17 NAME OF
FATHER
18 BIRTHPLACE OF
Farmington, Me
FATHER (City). (State or country)
19 MAIDEN NAME
OF MOTHER
Theresa E Hume
20 BIRTHPLACE OF
MOTHER (City)
(State or country)
Rockland
Hosp records
21 Informant (Address)
A TRUE COPY
Charles H. Mackie
ATTEST:
(Registrar of City or Town where death occurred)
DATE FILED
MAY 20 1954
19
.....
L
i
INTERVAL BE- TWEEN ONSET BAY SDEATH
DISEASE OR CONDITION, DIRECTLY LEADING emLa TO DEATH (a)
Adenocarcinoma of
ANTE
Due To
CEDENT
CAUSES
Pancreas with metastases. ........ 2 yrs
Due To
Polycystic kidneys
(c)
OTHER
Myocardial infarct, old
SIGNIFICANT CONDITIONS
Major findings:
Of operations
ye's
Date of operation.
aut & autopsy performed?
What test confirmed diagnosis?
5 Was disease or injury in any way related to occupation of deceased? If so, specify .. HAchenbach
(Signed).
VAH-Boston
5/19/54M. D.
(Address) Oak Grove Com. Helword
19
6 Place of Burial or Cremationg/22/521 (City or Town)
DATE OF BURIAL 19
7 NAME OF
FUNERAL DIRECTOR
Finthrop
L PCaggiano
ADDRESS.
Received and filed. one 1,1954 19
(Registrar of City or Town where deceased resided)
PARENTS
25M-10-53-910621
May 18/5h
3 DATE OF
DEATH
(Month)
(Day)A
(Year)
4 I HEREBY CERTIFY,
5/3/5/
19
to.
19
I last saw
h
alive on ..
death is said to
3.35p19
have occurred on the date stated above, at
.m.
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.) 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,
Marchant HStewart
(Was deceased a
Sp-Am
U. S. War Veteran,
St.
(If nonresident, give city or town and State)
MEDICAL CERTIFICATE OF DEATH
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.