USA > Massachusetts > Suffolk County > Winthrop > Town of Winthrop : Record of Deaths 1960 > Part 27
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
PLACE OF DEATH
Suffolk ( minty
Winthrop (City or Town)
0.7-857
The Commonwealth of Massachusetts JOSEPH D WARD SECRETARY OF THE COMMONWEALTH DIVISION OF VITAL STATISTICS
STANDARD CERTIFICATE OF DEATH
Registered Vo
f(If death occurred in a hospital or institution, St | give its NAME instead of street and number)
PHYSICIAN - IMPORTANT
[( Was deceased a {U S. War Veteran, (if so specify WAR)
215 Leyden
East Boston St
(If nonresident give city or town and State)
Length of stay : In place of death.
years ..
3
months.
......... days. In place of residence
......... years.
..
.. months
days.
MEDICAL CERTIFICATE OF DEATH
3 DATE OF
DEATH
May
23,
1960
8 SEX
female
9 COLOR
white
10 SINGLE
(write the word)
MARRIED
WIDOWERridowed or DIVORCEN
10a If married, widowed, or divorced
HUSBAND of
(Give maiden name of wife in full)
(or) WIFE of
Anthony Favello
(Husband's name in full)
11 IF STILLBORN, enter that fact here.
12
79
AGE
Years
Months ...
... Days
Hours ........
Minutes
13 Usual
Occupation :
housework
ife
14 Industry
or Business :
own home
15 Social Security No.
16 BIRTHPLACE (City) ..... Boston, ...... Masso (State or country)
17 NAME OF
FATHER
John Dondero
18 BIRTHPLACE OF
FATHER (City)
(State or country)
Italy
19 MAIDEN NAME
OF MOTHER
unknown
20 BIRTHPLACE OF MOTHER (City) (State or country)
Italy
21 Louis Favello
Informant (Address) 20 Waldemar Ave. E. Boston
I HEREBY CERTIFY that a satisfactory standard certificate of death was filed with me BEFORE the burial or transit permit was issued: Thatkee Pereanne.D (Signature, of Agent of Board of Health or other)
Health & Rice 5/23/60
(Official Designation)
(Date of Issue of Permit)
TRUCTIONS FOR CI CERTIFICATE
1 giving IOF DEATH
o ot enter o1 than one u for each a)(b) and (c)
les not mean Be' of dying, as heart failure, jaetc. It means see, or compli- which caused
di.ns, if any, chave rise to re pause (a), mithe under- g ause last.
m'ions contrib- lo cath but not 1 the terminal usdition given
Chapter 137, 54. requires s to print or -
cause or death on Beificates, and r .8, Acts of elires Physi- o rint or type nr signature.
6
Place of Burial or Cremation
DATE OF BURIAL
May
25
19
7 NAME OF
Frederick J. Magrath
FUNERAL DIRECTOR
ADDRESS 5 Waldemar Ave. E. Boston
Received and filed -MAY-24-1960 19.
(Registrar)
PARENTS
5 Was disease or injury in any way related to occupation of deceased ? If so, specify
thedanh ofegen M. D.
Frederick B. O) Resal
Date. 113 Plea SBRINT ORTYPESIGNATURE5, 23 (Address)
5g
Due To (c)
OTHER SIGNIFICANT CONDITIONS
Was autopsy performed ?
0
What test confirmed diagnosis ?
INTERVAL
BETWEEN
ONSET AND
DEATH
3 DAYS
Due To ARTERIOSCLERUTIC (b)
HEART DISEASE
That I attended deceased from
11 u 23
19
60
I last saw n. ... alive on
5/2.3
, 1960,
death is said to
have occurred on the date stated above, at ....
6.30 Am.
DEATH WAS CAUSED BY: IMMEDIATE CAUSE
BRONCHO-PNEUMONIA
(a)
CERTIFY,
4 I HEREBY 1/1 58,10
(Month)
(Day)
(Year)
Nellie Favello
2 FULL NAME.
( If deceased is a married, widowed or divorced woman, give also maiden name.)
(a) Residence No. (I sual place of abode)
To be filed for burial permit with Board of Health or its Agent.
121
Mayflower Nursing Home
No.
AI R-301A 1
I-59-925686
Everett (City or Town) 60
19 60
PERSONAL AND STATISTICAL PARTICULARS
1f under 24 hours
(Kind of work done during most of working life)
SPACE FOR ADDITIONAL INFORMATION
DATE OF ENTERING MILITARY SERVICE
DATE OF DISCHARGE
RANK, RATING
ORGANIZATION AND OUTFIT
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 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 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.
1.1
MAY 2 4 1960 AN
X
PLACE OF DEATH
1.30X
(County)
1
Tonvors
(City or Town)
The Commonwealth of Massachusetts JOSEPH D. WARD SECRETARY OF THE COMMONWEALTH DIVISION OF VITAL STATISTICS COPY OF CERTIFICATE OF DEATH
Dangers
(City or Town making this return)
122
Registered No.
State Hore, Hathorne, Lass . (If death occurred in a hospital or institution, give its NAME instead of street and number)
Ceix, Marion
2 FULL NAME
( If deceased is a married, widowed or divorced woman, give also maiden name.)
U. S. War Veteran,
if so specify WAR
lus Grandview Avenue
St
Winthrop, Lacs.
(If nonresident, give city or town and State)
Length of stay: In place of death .......... years ..
2
months .......... days. In place of residence .......... years .......... months .......... days.
MEDICAL CERTIFICATE OF DEATH
3 DATE OF
DEATH
( Month )
(Day)
( Year)
from
I last saw h.
Galive on
Q7 23,
19.
.. , death is said to
1000
have occurred on the date stated above, at
7:45am
INTERVAL BETWEEN ONSET AND DEATH
11 IF STILLBORN, enter that fact here.
12
,70
AGE ...
Years ..
.Months ..
Days
1
If under 24 hours
.. Hours ........ Minutes
13 Usual
Occupation :
Natimed Bookkeeper
(Kind of work done during most of working life)
14 Industry
or Business :
15 Social Security No.
016-03-5858
16 BIRTHPLACE (City)
(State or country)
DOCten
17 NAME OF
FATHER
Icil Seix
18 BIRTHPLACE OF
Un' nômm
FATHER (City)
( State or country )
Ireland
19 MAIDEN NAME
OF MOTHER
Mary Young
20 BIRTHPLACE OF
Un' nown
MOTHER (City)
Ireland
(State or country)
Mary . Shechan
21 Informant ( Address ) thorne, Dass.
A TRUE COPY
Posily Toomey
ATTEST :
Received and filed
JUN 10-1960
.19
( Registrar of City or Town where deceased resided )
PERSONAL AND STATISTICAL PARTICULARS
8 SEX
9 COLOR
white
1
10a If married, widowed, or divorced
HUSBAND of
( Give maiden name of wife in full )
(or) WIFE of ...
( Husband's name in full)
DEATH WAS CAUSED BY: IMMEDIATE CAUSE
Corobial Arteriosclerosis
(a)
with
Due To
Arteriosclerotic Heart
(b)
Disease
Due ToConerulized Arterioscler- (c)
OSIS
years
OTHER SIGNIFICANT CONDITIONS
Was autopsy performed ?
yes
What test confirmed diagnosis ?
antoncy
5 Was disease or injury in any way related to occupation of deceased ?
If so, specify
Androw Nichols, III
(Signed) Hat Horne, Dass,
M. D.
( Address ) .Date. 5/237,60
Holy Cross Cen. aniden, .1css.
Place of Burial or Cremation
(City,
May 27,
>Town) 60
DATE OF BURIAL
7 NAME OF
FUNERAL DIRECTOR
Bernard I. Lullin
ADDRESS
Waltham, Mass.
5.
resided as soon as possible, after the close of the month in which the death occurred. (See Chap. 46, Sec. 12. G. L.)
50M-9-59-926111
Copies of returns of deaths which occurred in your city or town in case the deceased resided in another city or town
THIS IS A PERMANENT RECORD
at the time of death should be transmitted on Form R-302 to the clerk of the city or town in which the deceased
23,
1960
10 SINGLE
(write the word)
MARRIED
WIDOWED
or DIVORCED
Cinrle
4 I HEREBY
March
CERTIFY.
-19
to.
Thata .I attended
"lay 23,
deceased
19
years
PARENTS
19
(Registrar of City or Town where death occurred )
DATE FILED
May 31,
.19.60
RM R-302
No ... Denvor
( Was deceased a
(a) Residence. No. ( Usual place of abode)
SPACE FOR ADDITIONAL INFORMATION
DATE OF ENTERING MILITARY SERVICE DATE OF DISCHARGE RANK, RATING ORGANIZATION AND OUTFIT SERVICE NUMBER
1
X PLACE OF DEATH 1
1
Suffolk (County )
Winthrop (City or Town) Winthrop Community Hosp. No.
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.
123
f(If death occurred in a hospital or institution, St. } give its NAME instead of street and number)
2 FULL NAME
Thomas Hogan
(If deceased is a married, widowed or divorced woman, give also maiden name.)
(a) Residence. No.
193 Everett Street
( U'sual place of abode)
St.
East Boston, Mass
(If nonresident. give city or town and State)
Length of stay: In place of death
....
.. years.
... months
days. In place of residence
.. years.
. months.
days.
MEDICAL CERTIFICATE OF DEATH
PERSONAL AND STATISTICAL PARTICULARS
8 SEX
male
9 COLOR
white
10 SINGLE
(write the word)
MARRIED
WIDOWED
or DIVORCED
Marrie
I HEREBY CERTIFY
au !
1959
to ...
May 26
60
I last saw h ... Mlive on
May. rb,
, 1960, death is said to
have occurred on the date stated above, at
N/A.m.
DEATH WAS CAUSED BY : IMMEDIATE CAUSE
Acute Pulmonary EdEinq
(a)
INTERVAL
BETWEEN
ONSET AND
11 IF STILLBORN, enter that fact here.
12
DEATH
2 days
67
AGE.
Years
Months ..
Days
If under 24 hours
Hours. .Minutes
13 Usual
Occupation :
Porter
(Kind of work done during most of working life)
14 Industry
or Business :
Retired
15 Social Security No.
023-10-5816
16 BIRTHPLACE (City)
(State or country)
Ireland
17 NAME OF
FATHER
John Hogan
18 BIRTHPLACE OF FATHER (City) (State or country) Ireland
19 MAIDEN NAME
M D. OF MOTHER Catherine Ryan
20 BIRTHPLACE OF MOTHER (City) ¿.. (State or country) Ireland
Anastasia Horan
21
Informant
(Address)
193 Everett St. E. Poston
HEREBY CERTIFY that a satisfactory standard certificate of death was hled with me BEFORE the burial or transit permit was issued:
(Signature of Agent of Board of Health of other)
Health Afec 5/27/60
(Official Designation)
(Date of Issue of Permit)
UCTIONS OR CERTIFICATE
giving OF DEATH ot enter than one for each ,b) and (c)
e's not mean of dying, Heart failure, tc. It means e, or compli- hich caused
lis, if any, ve rise to use (a), the under- use last.
-
Hypertension
2yrs
OTHER SIGNIFICANT CONDITIONS
Was autopsy performed?
No
What test confirmed diagnosis ?
5 Was disease or injury in any way related to occupation of deceased :O. If so, specify
(Signed)
19
George. It. Schwarte M.D
(Address) 19 Primkayastr Date ....
BRINT OR TYPE SIGNATUS 26 2,60
6 HolyCross
Malden
(City or Town)
Place of Burial or Cremation
DATE OF BURIAL
May 30,
,60
7 NAME OF
FUNERAL DIRECTOR
Frederick J. Magrath
ADDRESS
East ..... Boston, ..... Mass ..
May 27, 1960
Received and filed
(Registrar)
2 yrs
(b)
Due To
Chronic Myocarditis
Due To
(c)
May
26.
60
(Month)
(Day)
(Year)
That I attended deceased from
10a If married, widowed, or divorced
HUSBAND of
Anastasia Ryan
(Give maiden name of wife in full)
(or) WIFE of
(Husband's name in full)
-
ra ons contrib- ath but not the terminal c dition given
hapter 137, 164. requires to print or a h cause or death on erficates, and 1 3. Acts of res Physi- int or type signature.
9-925686
5 3021-66 18:60% 2600
-
Registered No.
PHYSICIAN - IMPORTANT [(Was deceased a { U. S. War Veteran, [if so specify WAR) No
3 DATE OF
DEATH
PARENTS
--
SPACE FOR ADDITIONAL INFORMATION
DATE OF ENTERING MILITARY SERVICE
DATE OF DISCHARGE RANK, RATING
ORGANIZATION AND OUTFIT
SERVICE NUMBER
6
MAY 2 71960 PM
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.
1
R-301A I
TICTIONS OR L'ERTIFICATE
living F DEATH
r: enter ehan one e or each ›) and (c)
ds not mean d of dying, art failure, c. It means 4sor compli- tich caused
ic, if any, De rise to use (a), ge under- Rase last.
dims contrib- oth but not to he terminal co ition given
apter 137, 1!1. requires anto print or he cause or o: death on er cates, and r , Acts of eqi es Physi- ) Ent or type ndrsignature.
-6- - 925686
PLACE OF DEATH
Suffolk (County)
Winthrop
(City or Town)
15-60
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.
124
2 FULL NAME
John Coleman
(If deceased is a married, widowed or divorced woman, give also maiden name.)
313 Meridian St.
St.
East Boston
(a) Residence. No.
(Usual place of abode)
(If nonresident, give city or town and State)
Length of stay: In place of death .............. years ....
-
.. months
2
16
days. In place of residence
.years
months
.. days.
MEDICAL CERTIFICATE OF DEATH
PERSONAL AND STATISTICAL PARTICULARS
3 DATE OF
DEATH
5
29
1960
(Month)
(Day)
(Year)
4 I HEREBY CERTIFY,
That I attended deceased from
MAX 25
19 60, to MAY 2%
19.60
I last saw hl.M.t.alive on
11Hx
28, 1926), death is said to
have occurred on the date stated above, at
730 Am.
(or) WIFE of
(Husband's name in full)
11 IF STILLBORN, enter that fact here.
.62
12
AGE
Years .............. Months ...
.. Days
If under 24 hours
Hours .............. Minutes
13 Usual
Occupation :
Shipper
(Kind of work done during most of working life)
14 Industry
or Business :
Photo Supplies
15 Social Security No.
023 .09 1018
Newton
16 BIRTHPLACE (City)
(State or country)
Mass.
17 NAME OF
FATHER
William R. Coleman
Boston
18 BIRTHPLACE OF
FATHER (City)
(State or country)
Mass.
19 MAIDEN NAME
OF MOTHER
Margaret A. Cannon
20 BIRTHPLACE OF
Co. Mayo
Ireland
21
Richard W. Coleman
89 Hobart Rd. Brighton, Mass.
Informant
(Address)
I HEREBY CERTIFY that a satisfactory standard certificate of death was filed with me BEFORE the burial or transit permit was issued:
ADDRESS
439 Washingtonft newton
Received and filed
MAY-3-1 1960
19
(Registrar)
PARENTS'
(Signed)
TTO Caplan
A. M. CAPLAN MD
"(PRINT OR TYPE SIGNATURE)
M. D.
(Address) 86PRINCETON ST
Date 5-29
19.60
MOTHER (City)
(State or country)
St. Joseph tanttery
W. Roxbury-
6
Place of Burial or Cremation
(City or Town)
DATE OF BURIAL
June 2, 1960
19
6 MONTHS
(c)
Due To
CARDIOMEGALY
OTHER
CORONARY ARTERY
CONDITIONS
DISEASE
FYEARS
Was autopsy performed ?
What test confirmed diagnosis ?
INTERVAL
BETWEEN
ONSET AND
DEATH
5 DAYS
DEATH WAS CAUSED BY: IMMEDIATE CAUSE
(a)
BRONCHO PNEUMONIA
(b)
Due
CARDIAC DECOMPENSATION
5 DAYS
8 SEX
M
9 COLOR
White
10 SINGLE
(write the word)
MARRIED
WIDOWED Married
or DIVORCEN
PHYSICIAN - IMPORTANT
[(Was deceased a
U. S. War Veteran,
NO
{if so specify WAR)
[(If death occurred in a hospital or institution,
St: { give its NAME instead of street and number)
Registered No.
Winthrop Community Hospital No.
(Signature of Agent of Board of Health or other)
Aécrit
5/31/10
(Official Designation)
(Date of Issue of Permit)
5 Was disease or injury in any way related to occupation of deceased ?
If so, specify
7 NAME OF
FUNERAL DIRECTOR Martins Curry
10a If married, widowed of divorceBradley
HUSBAND of
(Give maiden name of wife in full)
SPACE FOR ADDITIONAL INFORMATION
DATE OF ENTERING MILITARY SERVICE
DATE OF DISCHARGE RANK, RATING
ORGANIZATION AND OUTFIT
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 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.
MAY 311950 ***
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.
R-301A 1
PLACE OF DEATH -
Suffolk
Winthrop (City ir lown) No. 287 Main St.
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.
125
[{If death occurred in a hospital or institution, St Į give its NAME instead "i street and number)
PHYSICIAN - IMPORTANT
[(Was deceased a RU S. War Veteran, {if so specify WAR)
No
, If deceased is a married, widowed or divorced woman, give also maiden name.)
a Residence 81 Gladstone St. [ sual place of abode )
St
East . Foston
( li nonresident. give culv 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
May
29.
1960
(Month)
(Day)
(Year)
4 I HEREBY CERTIFY,
That I attended deceased from
ma y 8.
19
60
to.
,50
death is said to
have occurred on the date stated above, at
11: 30pm.
INTERVAL
BETWEEN
ONSET AND
DEATH 2mos
12
AGE
68
Years.
.Months.
Days
If under 24 hours
.Hours.
.Minutes
13 Usual
Occupation :
Housewife
(Kind of work done during most of working life)
14 Industry
or Business :
at home
15 Social Security No.
16 BIRTHPLACE (City) (State or country) Italy
17 NAME OF
FATHER
Ferdinado Fatturelli
18 BIRTHPLACE OF
FATHER (City) (State or country)
Italy
19 MAIDEN NAME
OF MOTHER
Giovanina Mardillo
20 BIRTHPLACE OF MOTHER (City) (State or country) Italy
21 Informant
Gerald Martino
(Address)
287 Main St. Winthrop
7 NAME OF
FUNERAL DIRECTOR
Frederick J. Nagrath
ADDRESS
East Feston
Received and filed MAY 3-1-1960 19.
(Registrar)
PERSONAL AND STATISTICAL PARTICULARS
8 SEX
9 COLOR
female
white
10 SINGLE
(write the word)
MARRIED)
WIDOWED Widowe
or DIVORCED
10a If married, widowed, or divorced
HUSBAND of
(Give maiden name of wife in full)
(or) WIFE of
Eliseo Martino
(Husband's name in full)
DEATH WAS CAUSED BY : IMMEDIATE CAUSE
(a)
Cancer of Liver
Due To (b)
Due To (c)
OTHER
SIGNIFICANT
CONDITIONS
none
Was autopsy performed?
no
What test confirmed diagnosis ? pathological-surgical
5 Was disease or injury in any way related to occupation of deceased? NO. If so, specify
(Signed)
Clientes
Fetromania, M. D.
Charles .... Liberman
(Address)
(PRINT OR TYPE SIGNATURE) Winthrop, Mass.
5-30-60 Date
6
HolyCross
Malden
Place of Burial or Cremation
(City or Town)
DATE OF BURIAL
June 11 19.60
PARENTS
I HEREBY CERTIFY that a satisfactory standard certificate of death was fred with me BEFORE the burial or transit permit was issued: Halble C. pereauxy. (Signature of Agent of Board of Healthor other
healthy Slices 5/3/160 (Official Designation) (Date of Issue of Permit)
TICTIONS OR CERTIFICATE
iving F DEATH
it enter enan one for each ›) and (c)
ds not mean d of dying, art failure, c. It means : or compli- ¡ich caused
ies, if any, De rise to use (a), e under- use last.
dions contrib- ith but not o he terminal co'ition given
apter 137, 1!4. requires anto print or he cause or o death on cates, and , Acts of qres Physi- Int or type d signature.
-6-9-925686
60
May 20
19
I last saw h
e alive on
Hay 29,
11 IF STILLBORN, enter that fact here.
Registered No
2 FULL NAME Alfonsina Martino
SPACE FOR ADDITIONAL INFORMATION
DATE OF ENTERING MILITARY SERVICE.
DATE OF DISCHARGE RANK, RATING
ORGANIZATION AND OUTFIT
SERVICE NUMBER
..
MAY 311960 /M
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 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.
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.