USA > Massachusetts > Suffolk County > Winthrop > Town of Winthrop : Record of Deaths 1960 > Part 25
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50M-9-59-926111
X PLACE OF DEATH
.... (County ) Danvers
The Commonwealth of Massachusetts JOSEPH D. WARD SECRETARY OF THE COMMONWEALTH DIVISION OF VITAL STATISTICS COPY OF CERTIFICATE OF DEATH
Danvers
( City or Town making this return)
111
.Danvers .... State .... Hosp ......... fathorno, ...... last.s .give its NAME instead of street and number) No.
2 FULL NAME Finn, Anna P. (Anna F. Gunn)
( If deceased is a married, widowed or divorced woman, give also maiden name.)
10 .... Palmyra .... S.t. ......
St .......... Tinthro (If nonresident, give city or town and State)
Length of stay: In place of death 3 years. 5 months 22 days. In place of residence ......... years.
.. months .......... days.
MEDICAL CERTIFICATE OF DEATH
PERSONAL AND STATISTICAL PARTICULARS
3 DATE OF
DEATH
May
( Month)
(Day )
( Year)
8 SEX
Female
White
10 SINGLE
( write the word)
MARRIED
WIDOWED
or DIVORCEDHarried
4 I HEREBY CERTIFY.
That
attended deceased from
Mcr. 12, 19.56, to ...
Jay.4,
I last saw h .. C.tive on
May 4
1960, death is said to
have occurred on the date stated above, 1:20a. .. m.
INTERVAL BETWEEN ONSET AND DEATH
(or) WIFE of .... WilliamJ ...... Finn.
[Husband's name in full)
11 IF STILLBORN, enter that fact here.
12
1 monthAGE7.O ... YearsL.O .. Months.211.Days
If under 24 hours
.Hours ........ Minutes
13 Usual
Occupation:
Housewife
(Kind of work done during most of working life)
14 Industry
or Business :
15 Social Security No.
Unknown
16 BIRTHPLACE (City)
(State or country )
Boston, Hass.
OTHER
SIGNIFICANT
CONDITIONS
Eponchopneumonia .. days
Was autopsy performed ?
No
What test confirmed diagnosis ?
Clinical & Lab.
5 Was disease or injury in any way related to occupation of deceased ? If so, specify
( Signed )
Ruth M. Crossfield
M. D.
( Addre
Hathorne., .... Mass .....
Date ...
5/4/
1960
Winthrop Com.
Winthrop, Mass.
Place of Burial or Cremation
(City or Town)
DATE OF BURIAL
Ma.y ..... 9.,
19.60
7 NAME OF
FUNERAL DIRECTOR
Morris W. Kirby
ADDRESS Winthrop, Mass.
Received and filed JUN 10 1960 19
( Registrar of City or Town where deceased resided)
PARENTS
19 MAIDEN NAME OF MOTHER Mary Ellen Waters
20 BIRTHPLACE OF
MOTHER (City)
( State or country)
Mass.
Mary L. Sheehan
21
Informant
( Address)
Hathorne, Lass.
A TRUE COPY
Daniel J. Toomey
ATTEST :
( Registrar of City or Town where death occurred )
Hay 4,
60
... 19.
DATE FILED
1
(City or Town)
Registered No.
S (If death occurred in a hospital or institution,
( Was deceased a
U. S. War Veteran.
if so specify WAR ......
Nio
(a) Residence. No ( Usual place of abode)
4.
1960
19.60 ...
10a If married, widowed, or divorced HUSBAND of (Give maiden name of wife in full)
DEATH WAS CAUSED BY: IMMEDIATE CAUSE (a) Cerebral thrombosis ......
GeneralizedArteriosclerosis
yrs.
17 NAME OF
FATHER
James T. Gunn
18 BIRTHPLACE OF
Boston, Mass.
FATHER (City)
(State or country )
Boston
5.
9 COLOR
SPACE FOR ADDITIONAL INFORMATION
DATE OF ENTERING MILITARY SERVICE DATE OF DISCHARGE RANK, RATING ORGANIZATION AND OUTFIT SERVICE NUMBER
JUN 1 01960 /1
I R-301A 1
RUCTIONS FOR I CERTIFICATE
I giving IOF DEATH Dot enter s than one n for each 0(b) and (c)
es not mean IL of dying, s heart failure, atc. It means se?, or compli- hich caused
stas, if any, have rise to e ause (a), ng'he under- Pause last.
mions contrib- beath but not I the terminal dition given
hapter 137, 54. requires ; to print or tr
cause or death on ficates, and 8, Acts of ires Physi- int or type r signature.
- 9-925686
PLACE OF DEATH
SUFFOLKL (County) WINTHROP (City or Town)
The Commonwealth of Massachusetts JOSEPH D WARD SECRETARY OF THE COMMONWEALTH DIVISION OF VITAL STATISTICS
STANDARD CERTIFICATE OF DEATH
-
f. \ give its NAME instead of street and number)
PHYSICIAN - IMPORTANT
[(Was deceased a ¿ U. S. War Veteran, (if so specify WAR) NO
(a) Residence. No. (U'sual place of abode)
Length of stay : In place of death .. .... ..
.. years ...... . .. months
/ days. In place of residence 46 years. months days.
PERSONAL AND STATISTICAL PARTICULARS
8 SEX
FITMALL
9 COLOR
WHITE
10 SINGLE
MARRIED
WIDOWED
V DOUVED
4 I HEREBY
CERTIFY, That I attended deceased from
Feb
1960, to.
MAY
60
19.
I last saw he Yalive on
May
4
19.
60
death is said to
have occurred on the date stated above, at 11:45 Pm.
INTERVAL
BETWEEN
ONSET ANO
(a)
DEATH
6 hrs
10a If married, widowed, or divorced
HUSBAND of
JOSEPH Y MINAHAN.
(Give maiden name of wife in full)
(or) WIFE of
(Husband's name in full)
11 IF STILLBORN, enter that fact here.
12
AGE.
70 Years.
Months.
.Days
If under 24 hours
Hours.
.........
Minutes
13 Usual
Occupation :
JusquitE
(Kind of work done during most of working life)
14 Industry
or Business :
110 MF
15 Social Security No.
WICHERN DON
17 NAME OF
FATHER
JUHTil EAGAN
18 BIRTHPLACE OF
LEOMININSTER
FATHER (City)
(State or country)
MASS
19 MAIDEN NAME
M. D.
OF MOTHER
MARY EVANS
20 BIRTHPLACE OF
MOTHER (City)
CHICOPEE
(State or country)
MASS
21
Informant
(Address)
JOHN MUNALIAN
HERMON ST WINTHROP
---
IHEREBY
CERTIFY that a) satisfactory standard certificate of death
was /filed with me BEFORE the burial or transit permit was issued:
Calleh . Sureanu
(Signature of Agept of/Board of Health_orother)
Health Officer
5/6 /60
(Date of Issue of Permit)
(Official Designation)
PARENTS
(Signed)
Charles
Charles Liberman
(PRINT, OR TYPE SIGNATURE)
(Address)
Winthrop,
Date ....... ......... 5/6/1960
6
WINTHROP
Place of Burial or Cremation
(City or Town)
WINTHROP.
DATE OF BURIAL
MAY 1
160
7 NAME OF
MAURICE WV KIRBY
FUNERAL DIRECTOR
ADDRESS WINTHROP
Received and filed MAY-6 -1960 19
(Registrar)
2yrs
Due To
Coronary Artery Heart
(b)
Disease
Due To
Anemia, Mipochromic
(c)
Normo@ytic
OTHER
SIGNIFICANT
CONDITIONS
-
Was autopsy performed?
NO
What test confirmed diagnosis ?
Clinical
5 Was disease or injury in any way related to occupation of deceased ? VO If so, specify
To be filed for burial permit with Board of Health or its Agent.
112
Registered No.
MOUNTS REST HOME HIGHLAND ALE! ELLEN I. MONAHAN EAGAN
2 FULL NAME
(If deceased is a married, widowed or divorced woman, give also maiden name.) 17 TRWIN ST St. (If nonresident, give city or town and State)
MEDICAL CERTIFICATE OF DEATH
3 DATE OF
DEATH
(Month)
(Day)
MAY
4
1960
(Year)
(write the word)
DEATH WAS CAUSED BY: IMMEDIATE CAUSE
Coronary Occlusion
Heutle
6 mos
16 BIRTHPLACE (City)
(State or country)
V
SPACE FOR ADDITIONAL INFORMATION
DATE OF ENTERING MILITARY SERVICE
DATE OF DISCHARGE
RANK, RATING
ORGANIZATION AND OUTFIT
SERVICE NUMBER
-10
RULES OF PRACTICE
The fulfillment of the purpose of these laws calls for the observance of the following rules of practice :
(1) Attending physicians will certify to such deaths only as those of persons to whom they have given bedside care duringla Tast)illness from disease un- related 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 occu- pation, 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 impor - tant, 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. Chil- dren 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.
X PLACE OF DEATH
Suffolk (County) 37213!
Winthrop (City or Town)
Winthrop Community Hospital No.
f(If death occurred in a hospital or institution,
St. Į give its NAME instead of street and number)
PHYSICIAN - IMPORTANT [(Was deceased a { U. S. War Veteran,
(if so specify WAR)
(If deceased is a married, widowed or divorced woman, give also maiden name.)
31 Elmwood St., Revere
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
3 DATE OF
DEATH
.5
1962.
(Month)
(Day)
(Year)
4 I HEREBY CERTIFY,
That I attended deceased from
5 5
19 60, to
M 0.1
5
1960
I last saw h.l.Malive on
E
mar
5
1960, death is said to
have occurred on the date stated above, at 12:15 p.m.
INTERVAL
BETWEEN
DEATH WAS CAUSED BY : IMMEDIATE CAUSE
ONSET AND
DEATH
(a)
STILL BORN SONGS2 til
ATCjiTa-15
Due To (b)
Due To (c)
OTHER SIGNIFICANT CONDITIONS
Was autopsy performed?
No
What test confirmed diagnosis ?
5 Was disease or injury in any way related to occupation of deceased ? If so, specify
(Signed)
Marion C Scotia
M. D.
MARION C. SABIA
(PRINT OR TYPE SIGNATURE) CM
(Address) 24) marerit S. Da Date May 5 1964
6
Holy Cross Cemetery malden
(City or Town)
Place of Borial or Cremation
DATE OF BURIAL
may 6,
19.60
7 NAME OF
FUNERAL DIRECTOR
Paul Buonfiglio
ADDRESS 128 Severe Le Severe
Received and filed
May 27 1960
(Registrar)
PERSONAL AND STATISTICAL PARTICULARS
8 SEX
Male
9 COLOR
White
10 SINGLE
MARRIED
WIDOWED
or DIVORCED
(write the word)
Single
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.
Statham
12
AGE ..
Years.
.......
.. Months
Days
If under 24 hours
Hours 115
.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)
Winthrop, Mass.
17 NAME OF
FATHER
Canadido Spacone
18 BIRTHPLACE OF
FATHER (City)
(State or country)
Italy
19 MAIDEN NAME
OF MOTHER Concetta Lavillotti
20 BIRTHPLACE OF
MOTHER (City)
(State or country)
Italy
21
Informant
(Address)
Candido
Spacone
3) Elmwood It Bevere
I HEREBY CERTIFY that a satisfactory standard certificate of death was filed with me/ BEFORE the burial or transit permit was issued:
-
(Signature of Agent of/Board of Health or other
(fallto pieces
15/6/60
(Date of Issue of Permit>
U
|(Official Designation)
1
1 R-301A 1
RUCTIONS FOR CERTIFICATE
J giving OF DEATH o ot enter M than one u for each (b) and (c)
es not mean .? of dying, I heart failure, aetc. It means see, or compli- which caused
dins, if any, have rise to e cause (a), ngthe under- g ause last.
on ions contrib- to eath but not A the terminal Isdition given
Chapter 137, of 54. requires cits to print or tl cause or death on ceificates, and er 8, Acts of re :ires Physi- torint or type un r signature.
M-59-925686
The Commonwealth of Massachusetts JOSEPH D WARD 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.
113
Registered No.
2 FULL NAME Spacone, Baby Boy
(a) Residence. No. (l'sual place of abode)
45 MiAl.
PARENTS
--
SPACE FOR ADDITIONAL INFORMATION
DATE OF ENTERING MILITARY SERVICE
DATE OF DISCHARGE RANK, RATING
ORGANIZATION AND OUTFIT
SERVICE NUMBER
1.
6
1ROR
RULES OF PRACTICE
The fulfillment of the purpose of these laws calls for the observance of the following 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 un- related 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 occu- pation, 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 impor- tant, 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. Chil- dren 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.
MAY 271960 AM
× PLACE OF DEATH
Suffolk Dunty
is
SE
The Commonwealth of Massachusetts JOSEPH D WARD SECRETARY OF THE COMMONWEALTH DIVISION OF VITAL STATISTICS
STANDARD CERTIFICATE OF DEATH
Registered Vo .
114
No. Winthrop Convalescent Home
2 FULL NAME Generoso Repucci
(If deceased is a married, widowed or divorced woman, give also maiden name.)
63 Monmouth St.
East Boston
St
'li nonresident, give city or town and State)
Length of stay : In place of death .......... .. years .........
.months.
3
days. In place of residence / Oyears.
months
.days.
MEDICAL CERTIFICATE OF DEATH
PERSONAL AND STATISTICAL PARTICULARS
8 SEX
male
9 COLOR
white
10 SINGLE
MARRIED)
WIDOWEDOwed
or DIVORCED
(write the word)
3 DATE OF
DEATH
May
3,
1960
(Month)
(Day)
(Year)
That I attended deceased from
I last saw h.l.m.alive on
MAY
ـل
19.6.6
death is said to
have occurred on the date stated above, at
6 30 pm.
DEATH WAS CAUSED BY: IMMEDIATE CAUSE
1ª CARCINOMA of Prostate
Due To (b)
Due To (c)
OTHER
SIGNIFICANT
CONDITIONS
SENILITY
YPS.
Was autopsy performed?
NO
What test confirmed diagnosis ?
PATL. LAB .- M.G.H.
5 Was disease or injury in any way related to occupation of deceased ? Y.O. If so, specify
4 2. Thomas Stoffer
(Signed)
Thomas Staff
19 Breaking OR TYPE SIGNATURE) May 9. Date
1960
6
Holy Cross
Malden
Place-of Buriat or Cremation May 11
(City or Town) 60
19
7 NAME OF
FUNERAL DIRECTOR
Frederick J. Magrath
ADDRESS 43 Jaldemar Ave. S. Boston
Received and filed MAY 9 1960 19
(Registrar)
PARENTS
18 BIRTHPLACE OF
FATHER (City) (State or country)
19 MAIDEN NAME
Mary Coppola
M. D.
OF MOTHER
20 BIRTHPLACE OF MOTHER (City) (State or country)
21 Alfred Hepucci
Informant
(Address)
I HEREBY CERTIFY that a satisfactory standard certificate of death was filed with me BEFORE the/Burial or transit permit was issued:
(Signature of Agent of Board of Health or ethers
Health office 5/9/60
(Official Designation)
(Date of Issue of Permit)
X
10a If married,
obsdyrene Moschella
HUSBAND of
(Give maiden name of wife in full)
(or) WIFE of
(Husband's name in full)
INTERVAL
11 IF STILLBORN, enter that fact here.
BETWEEN
12
93
ONSET AND
DEATH
1955
Years ..
Months
Days
If under 24 hours
Hours
Minutes
13 Usual
Occupation :
expressman
(Kind of work done during most of working life)
14 Industry
or Business :
retired
15 Social Security No.
16 BIRTHPLACE (City)
(State or country)
Italy
17 NAME OF
FATHER Arcangelo Renucci
on'ions contrib- to eath but not t the terminal adition given
e: Chapter 137, of 54. requires cias to print or tl cause or death on ceificates, and er 18, Acts of retires Physi- rint or type ·r signature.
M-59-925686
1time
I R 301 - 1
2- 6.30PM
1
RUCTIONS FOR I CERTIFICATE
a Residence. No.
. [ sual place oi abode )
f(If death occurred in a hospital or institution,
St Į give its NAME instead of street and number)
PHYSICIAN - IMPORTANT
[(Was deceased a { U. S. War Veteran, [if so specify WAR)
no
4 I HEREBY CERTIFY,
OCTOBER
59
to.
MAY 8
19
66
To be filed for burial permit with Board of Health or its Agent.
Winthrop (City of Town)
DATE OF BURIAL
(Address)
di.ns, if any, have rise to etause (a), nithe under- g ause last.
jes not mean Bt? of dying, usheart failure, aetc. It means see, or compli- which caused
1 giving JOF DEATH o ot enter i than one u for each )(b) and (c)
SPACE FOR ADDITIONAL INFORMATION
DATE OF ENTERING MILITARY SERVICE
DATE OF DISCHARGE RANK, RATING ORGANIZATION AND OUTFIT SERVICE NUMBER
RULES OF PRACTICE 1.01 -
The fulfillment of the purpose of these laws calls for the observance of the following 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 un- related 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 rece.it 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 occu- pation, 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 impor- tant, so that the relative healthfulness of various pur uits 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. Chil- dren 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.
.
IM R-303 1
D-WRITE PLAINLY, WITH UNFADING BLACK INK-THIS IS A PERMANENT RECORD. Every item of of Death. See reverse side for additional information. See also Chap. 38, §§ 6, 20; Chap. 46, §§ 9, 10; Chap. 114, DEATH in plain terms, so that it may be properly classified under the International Classification of Causes information should be carefully supplied. MEDICAL EXAMINERS should state CAUSE AND MANNER OF
If deceased was a U. S. War Veteran, G.L. Chap. 46, Section 10, requires physicians to insert a recital to that effect.
35M-11-59-926662
PLACE OF DEATH
Suffolk (County)
Boston (City or Town)
The Commonwealth of Massachusetts JOSEPH D. WARD SECRETARY OF THE COMMONWEALTH DIVISION OF VITAL STATISTICS MEDICAL EXAMINER'S CERTIFICATE OF DEATH
To be filed for burial permit with Board of Health or its Agent.
Registered No.
115
No. en route to Winthrop Community HogyIf death occurred in a hospital or institution. gove its NAME instead of street and number)
2 FULL NAME
WILLIAM M. MCLAUGHLIN
(If deceased is a married, widowed or divorced woman, give also maiden name.)
PHYSICIAN - IMPORTANT
(Was deceased a
U. S. War Veteran,
WW II
(if so specify WAR)
(a) Residence. No.
149 Bowdoin Street .
St
Winthrop,
Masso
(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.
MEDICAL CERTIFICATE OF DEATH
PERSONAL AND STATISTICAL PARTICULARS
3 DATE OF
DEATH
May
10
1960
(Month)
(Day)
(Year)
9 SEX
male
10 COLOR
white
11 SINGLE
MARRIED
WIDOWED)
or DIVORCED
(write the word)
married
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.) Coronary sclerosis;
11a If married, widowed, or divorced
HUSBAND of
Magorie .N.
Nelson
(Give maiden name of wile in full)
(or) WIFE of
(Husband's name in full)
12 IF STILLBORN, enter that fact here.
AGE
Years
Months.
9
Days
Hours .
.Minutes
Date and hour of injury 19
IF ACCIDENTAL, was injury causally related to the death ? 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 ?
(Specify type of place)
Manner of
Injury
(How did injury occur ?)
Nature of
Injury
While at work ?
Yes
Was autopsy performed?
No
6 Was diseres or injury in any way related to occupation of deceased? If so, speciy
(Signed
Michael A. Luongo, M. D.,
(Print or Type Signature)
M. D.
(Address) Boston, Mass. Date 5/10 .19.60
Winthrop Cemetery, Winthrop 7
Place of Burial, or Cremation. (City or Town)
DATE OF BURIAL May 13,
8 NAME OF
FUNERAL DIRECTOR
Ernest C. Caggiano
ADDR
147 Winthrop St., Winthrop
Received and filed
MAY 12-1960
19
PARENTS
19 BIRTHPLACE OF
Madison
FATHER (City)
(State or country)
Indiana
20 MAIDEN NAME
OF MOTHER
Nora Feeney
Galway
21 BIRTHPLACE OF
MOTHER (City)
(State or country)
Ireland
22 Informant (Address) 149 Bowdoin St. ,Winthrop
I HEREBY CERTIFY that a satisfactory standard certificate of death was Aled with me BEFORE the burial or transit permit was issued :
(Signature of Agent of Board of Health or other) Hedlea Officer 5/12/60
(Official Designation) /
(Date of Issue of Permit)
If under 24 hours
13
46
4
14 Usual
Occupation :
Police Officer
(Kind of work done during most of working life)
15 Industry
or Business :
Town of Winthrop
16 Social Security No.
032-09-3410
17 BIRTHPLACE (City)
(State or country)
Mass.
Winthrop
18 NAME OF
FATHER
William H. Mclaughlin
Mrs. Marjorie N. Mclaughlin
§§ 44-48.
IV. 4.5 .
5 Accident, suicide, or homicide (specify)
Acute myocardial infarction.
M
SPACE FOR ADDITIONAL INFORMATION
DATE OF ENTERING MILITARY SERVICE October .. 23,.1942
DATE OF DISCHARGE
May 27, 1946
RANK, RATING
Boatswain's Mate second class M-1
ORGANIZATION AND OUTFIT
U .... S .... N ... R.
400 41 56
SERVICE NUMBER
RULES OF PRACTICE
The fulfillment of the purpose of these laws calls for the observance of the following 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. MAY 1,21960
(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 poison) 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
Medical Examiners in certifying to a death will state the cause and manner thereof, and will specify: (1) Under cause the nature of an injury and of its consequences; and (2) under manner the mode of its production together with the circumstances when these are known. For example: "Compound fracture of the femur with ensuing septicemia (gas bacillus) caused by a collision of railroad train and automobile." "Pistol shot wound of the chest with associated hemorrhage, homicidal." "Asphyxiation by suspension, suicidal." "Syncope while under the influence of ether administered as a surgical anaesthetic for (enter name of operation and disease or condition requiring surgery)." "Fracture of the skull with associated internal injury sustained under circumstances unknown."
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