USA > Massachusetts > Suffolk County > Winthrop > Town of Winthrop : Record of Deaths 1958 > Part 65
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
1
PLACE OF DEATH
Suffolk (County)
Winthrop (City or Town)
No.
Winthrop Com.
The Commonwealth of Massachusetts EDWARD J. CRONIN SECRETARY OF THE COMMONWEALTH DIVISION OF VITAL STATISTICS STANDARD CERTIFICATE OF DEATH Hospital
To be filled for burial permit with Board of Health or its Agent.
Registered No.
183
[(If death occurred in a hospital or institution, St. (give its NAME instead of street and number)
2 FULL NAME Baby .... Girl Matwiczyk
(If deceased is a married, widowed or divorced woman, giv also maiden name.)
(a) Residence. No. 81 Crystal Ave.
St
Revere
(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 ......... years ........ .. months. days. 2 hrs. 12min.
MEDICAL CERTIFICATE OF DEATH
3 DATE OF
DEATH
September 18,
1958
(Month) (Day)
(Year)
4 I HEREBY CERTIFY,
That I attended deceased from
Sept. 18,, 19.58 ...
to.
Sept.
1958
I last saw Lalive on
Sept.
18,, 19 50, death is said to
have occurred on the date stated above, at 4:00- 2.m.
INTERVAL
BETWEEN
ONSET AND
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
Years
Months
.Days
Ig under 24 hours
2Hours 1 .. Minutes
13 Usual
Occupation :
(Kind of work done during most of working life)
14 Industry
or Business:
15 Social Security No. None
16 BIRTHPLACE (City)
(State or country)
Winthrop, Mass.
17 NAME OF
FATHER
John Matwickyk
18 BIRTHPLACE OF
FATHER (City)
Carnegie
(State or country) Penna.
19 MAIDEN NAME OF MOTHER Lillian Barnes
158
BIRTHPLACE OF
MOTHER (City)
(State or country)
Revere
Place of Burial or Cremation
Malden (City or Town)
DATE OF BURIAL Sept. 19. 19.58
7 NAME OF
FUNERAL DIRECTOR
Arthur S. Porcella
ADDRESS
876 Winthrop Ave., Revere
SEP 18 1958 19
(Registrar)
PERSONAL AND STATISTICAL PARTICULARS
8 SEX
Femal
9 COLOR
White
10 SINGLE
MARRIED
WIDOWED
or DIVORCED
Single
DEATH WAS CAUSED BY: IMMEDIATE CAUSE
(a)Hydrocephaly, marked, severe .DEATH
Prematurity - 7 months.
Due To (b)
Due To (c)
OTHER SIGNIFICANT CONDITIONS
Was autopsy performed? What test confirmed diagnosis?
5 Was disease or injury in any way related to occupation of deceased? If so, specify
(Signed)
M. Traunstein M. D.
(Addre 73 Bartlett Rd.,
Date.
Sept. 18
6
Holy Cross
throp kass.
Nass.
21 Informant John Matwickyk
(Address) 81 Crystal Ave., Revere
I HEREBY CERTIFY that a satisfactory standard certificate of death
was filed with me BEFORE the buyfal or transit permit was issued :
Ralph E. Sirianni
4Signature
Siesent of Board of Health or other)
HO Elefe
Left 18/5 8
(Official Designation) (Date of Issue of Permit)
>
S
CATE
ATH
le
(c) mean dying, ailure, means ompli- caused
any, to (a), der- last.
-
trib- t not minal given
137, uires nt or Of
50M-11-56-918978
Received and filed
PARENTS
PHYSICIAN - IMPORTANT
(Was deceased a
U. S. War Veteran,
if so specify WAR).
No
(write the word)
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 seventecn. 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 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 dierk of the town where the body is to be huried or the funeral is to he 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) deathsicaused 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
= 1
PLACE OF DEATH
Suff 1k (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 filled for burlal permit with Board of Health or Its Agent.
Registered No.
181
J(If death occurred in a hospital or institution, St. [give its NAME instead of street and number)
2 FULL NAME
Roseann Crosby
(If deceased is a married, widowed or divorced woman, give also maiden name.)
(a) Residence. No.
20 Centre St.
St
(If nonresident, give city or town and State)
(Usual place of abode)
Length of stay: In place of death 5 0years
months
days. In place of residence 20 years
months.
days.
MEDICAL CERTIFICATE OF DEATH
3 DATE OF
DEATH
September
18
1958
(Month)
(Day)
(Year)
4 I HEREBY CERTIFY,
That I attended deceased from
august
19.52
to ..
Sept
17
19
I last saw holalive on
sept 17,
1968
, death is said to
have occurred on the date stated above, at
4:00 A.
.m.
INTERVAL
BETWEEN
ONSET AND
DEATH
DEATH WAS CAUSED BY: IMMEDIATE CAUSE
Bronchial Pneumonia
(a)
Due To
(b)
Cardiac Insufficiency
Due To (c)
OTHER
SIGNIFICANT
CONDITIONS
Uremia .
Was autopsy performed? What test confirmed diagnosis?
5 Was disease or injury in any way related to occupation of deceased ? If so. specify .
(Signed) ...
nathaniel P. Danoff
M. D.
(Address)
37 Princeton St
Date 9/18/58
6 Holy Cross
Place of Burial or Cremation
(City or Town)
Malden
DATE OF BURIAL
September
20
19
7 NAME OF
FUNERAL DIRECTOR Frederick_J. Magrath
East Boston
ADDRESS
Received and filed
SEP 22 1958 19
(Registrar)
PERSONAL AND STATISTICAL PARTICULARS
8 SEX
female
white
9 COLOR
10 SINGLE
(write the word)
MARRIED
WIDOWEDidowed
or DIVORCED
10a If married, widowed, or divorced
HUSBAND of
(Give maiden name of wife in full)
Michael Crosby
(or) WIFE of
(Husband's name in full)
11 IF STILLBORN, enter that fact here.
12
88
AGE
Years
Months
Days
If under 24 hours
_._. Hours .... Minutes
13 Usual
Occupation :
(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)
Mystic, Conn.
|17 NAME OF
FATHER
Alexander Mackinnon
18 BIRTHPLACE OF
FATHER (City).
(State or country)
Nova Scotia
19 MAIDEN NAME
OF MOTHER
Ann
--
20 BIRTHPLACE OF
MOTHER (City)
(State or country)
Ireland
21
Informant
(Address)
Catherine Crosby
20 Centre St. Winthrop
I HEREBY CERTIFY that a satisfactory standard certificate of death was filed with me BEFORE the burialor transit permit was issued:
HO WH
(Signature of Agent of Board of Health or other)
Jeff 19-195 8
(Official Designation) (Date of Issue of Permit) V X
E 1
50M-1-58-921876
1
LA
CATE
ATH
Le h (c) mean dying, silure, means ompli - caused
zny, 10 (a), der- last.
trib .- t not minal given
₹ 137, uires Int or e or b on
PARENTS
58
20 Centre St.
No.
PHYSICIAN - IMPORTANT
(Was deceased a
no
U. S. War Veteran,
if so specify WAR)
58
housework wife
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 effeet, 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 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 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 derk 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
SEP 2 21953 PR
:
1
302
1
PLACE OF DEATH
Suffolk
(County)
Revere
(City or Town)
The Commonwealth of Massachusetts EDWARD J. CRONIN SECRETARY OF THE COMMONWEALTH DIVISION OF VITAL STATISTICS COPY OF
Revere
(City or Town making this return)
Registered No. 185
$(If death occurred in a hospital or institution,
St. ¿ give its NAME instead of street and number)
2 FULL NAME Ella Gertrude Menchin (Dyer)
(If deceased is a married, widowed or divorced woman, give also maiden name.)
114 Lincoln
sWinthrop
(If nonresident, give city or town and State)
Length of stay: In place of death ............ years ........
months
1
days. In place of residence
43 ars
months.
days.
MEDICAL CERTIFICATE OF DEATH
3 DATE OF
DEATH
Sortember 23.
1958
(Month)
(Day)
(Year)
4 I HEREBY CERTIFY,
That I attended deceased from
Se t. 22
to ..
Sert. 23
19 ....... 8
I last saw h.f.lalive on
Ser.t.
22, 1958, death is said to
have occurred on the date stated above, at
6:30h.m.
DEATH WAS CAUSED BY: IMMEDIATE CAUSE
Cerebral Infarct.
(a)
Due To Gangrene Both feet
2mos.
Due ToDiabetes
2yrs.
OTHER SIGNIFICANT
Was autopsy performed?
no
What test confirmed diagnosis ?
Clinical signs
no
5 Was disease or injury in any way related to occupation of deceased? If so, specify
(Signed)
James F. Burns
M. D.
Everett
Date
9/23
1958
winthrop Cemetery 6
winthrop
Place of Burial or Cremation
(City gr Town)
DATE OF BURIAL
September 25
58
19
7 NAME OF FUNERAL DIRECTOR 174 Winthrop St., Winthrop
Received and filed.
/ 1929 19
(Registrar of City or Town where deceased resided)
PERSONAL AND STATISTICAL PARTICULARS
8 SEX
Female
9 COLOR
White
10 SINGLE
MARRIED
WIDOWEDILowed
or DIVORCED
10a If married, widowed, or divorced
HUSBAND of
(Give maiden name of wife in full)
Arthur
Webster lenchin
(or) WIFE of.
(Husband's name in full)
11 IF STILLBORN, enter that fact here.
12
AGE 3 X ea
.8
Years
Months
10 Days
If under 24 hours
Hours ........ Minutes
13 Usual
Housewife
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)
west New Portland
Maine
17 NAME OF
FATHER
Dexter Dyer
18 BIRTHPLACE OF
New Portland
FATHER (City)
(State or country)
Maine
19 MAIDEN NAME
OF MOTHER
Sarah Ellen Stephenson
20 BIRTHPLACE OF
Belfast
MOTHER (City).
(State or country)
Maine
21 Miss Corlys M. Dyer
Informant.
(Address) Chadbourn id., Lewiston.
Maine
A TRUE COPY
ATTEST:
(Registrar of City or Town where death occurred)
DATE FILED
Ser tember
2,
58
19
AVE
(b) (c) (Address) 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.) Copies of reterms of ocathis which occurred if your city of town fil cast the deceased restecu tif another City Of town CONDITIONS
25M-8-56-916227
ADDRESS
Alfred B. Marsh
CERTIFICATE OF DEATH
No. Grover Manor Hospital, Inc.
(a) Residence.
No ..
(Usual place of abode)
(Was deceased a
U. S. War Veteran,
if so specify WAR)
(write the word)
19. 50
INTERVAL BETWEEN ONSET AND DEATH 2days
PARENTS
OCT -71958 ZM
LA
1
PLACE OF DEATH
Winthrop (County) Suffolk
(City or Town)
The Commonwealth of Massachusetts EDWARD J. CRONIN SECRETARY OF THE COMMONWEALTH DIVISION OF VITAL STATISTICS STANDARD CERTIFICATE OF DEATH
To be filled for burial permit with Board of Health or its Agent.
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.