USA > Massachusetts > Suffolk County > Winthrop > Town of Winthrop : Record of Deaths 1961 > Part 11
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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., asamended 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 heldrar 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 Fertify 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,11
(3) Medical Examineresinintestyhtelahd certify to all deaths supposably due to injury. These include Hot 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
X PLACE OF DEATH
Suffolk (County)
Winthrop (City or Town)
The Commonwealth of Massachusetts JOSEPH D WARD SECRETARY OF THE COMMONWEALTH DIVISION OF VITAL STATISTICS
STANDARD CERTIFICATE OF DEATH
Registered No. 50
No. Mayflower Nursing Home
Howard Dexter Sprague SPRAGUE, HOWARD
2 FULL NAME
(If deceased is a married, widowed or divorced woman, give also maiden name.)
9 Surfside Road
Lym, Mass
St.
Lynn Mass
(a) Residence. No. (Usual place of abode)
(If nonresident, give city or town and State)
Length of stay: In place of death
.. years.
months.
3
days. In place of residence.
7.1 years.
.. .. months.
.days.
MEDICAL CERTIFICATE OF DEATH
PERSONAL AND STATISTICAL PARTICULARS
8 SEX
9 COLOR
White
10 SINGLE
MARRIED
WIDOWED
or DIVORCED
(write the word)
3 DATE OF
DEATH
March
16
1961
(Month)
(Day)
(Year)
4 I HEREBY CERTIFY,
Nov
19
....
60, 10.
March 13
1951
That I attended deceased from
I last saw h ... Inalive on
Mid, chy13 19 61, death is said to
8. 4 0.7
(or) WIFE of
(Husband's name in full)
11 IF STILLBORN, enter that fact here.
12
AGE .. 7.1 ... Years.
.O.Months ....
9 Days
If under 24 hours
Hours ..........
Minutes
13 Usual
Occupation :
Dipper
(Kind of work done during most of working life)
14 Industry
or BusinessGen Elec. Co. River Works
15 Social Security No. 015-09-4147
16 BIRTHPLACE (City)
(State or country)
Mass
17 NAME OF
FATHER
Albert E. Sprague
Albany
18 BIRTHPLACE OF
FATHER (City)
(State or country)
New York
19 MAIDEN NAME
20 BIRTHPLACE OF
MOTHER (City)
(State or country)
Maine
Peabody Mass 21 Harold D. Sprague
DATE OF BURIAL
March
18
(City or Town) 1961
7 NAME OF
FUNERAL DIRECTORWilliam C. Goodrich
ADDRESS
128:Washington St Lynns Mass
Received and filed MAR 16-1961 19.
(Registrar)
PARENTS
(Signed)
Arthur H. Bunling
M. D.
OF MOTHER
Carrie Jackson
ArthurH.Bunting
(Address)
(PRINT OR/ TYPE SIGNATURE)
26 (read J / Lynn Date.
3-16061
6
Puritan ..... Lawn
..... Place of Burial or Cremation
Informant
(Address)
9 Surfside Rd, Lynn Mass
I HEREBY CERTIFY that a satisfactory standard certificate of death was filed with me BEFORE the burial or transit permit was issued: Nacht, E. Sircarne
(Signature of Agent of Board of Health or other)
att
march 16-1961
0
(Date of Issue of Permit)
(Official Designation)
:TIONS R RTIFICATE
ning DEATH enter an one r each and (c)
not mean of dying, rt failure, It means or compli- caused
if any, rise to se
(a), under- last.
se
is contrib- th but not e terminal vion given
ipter 137, requires o print or cause or death on i:ates, and Acts of des Physi- fit or type signature.
+92 5686
Corinari
Due To
Huleric clerosis
(b)
Due
Co Generalized Pi Terioscher
(c)
OTHER
SIGNIFICANT
CONDITIONS
Hnemia
Was autopsy performed?
0 0
What test confirmed diagnosis ?
Physical EX217
5 Was disease or injury in any way related to occupation of deceased? /UC If so, specify
Suis
10a If married, widowed, or divorced
HUSBAND of
Blanche ...
LAvingston
(Give maiden name of wife in full)
have occurred on the date stated above, at
INTERVAL
BETWEEN
ONSET AND
DEATH
DEATH WAS CAUSED BY: IMMEDIATE CAUSE
(a)
Thrombosis
[(If death occurred in a hospital or institution,
St. Į give its NAME instead of street and number)
PHYSICIAN - IMPORTANT
Dexter
f(Was deceased a
U. S. War Veteran,
{if so specify WAR)
No
Divorced
Male
To be filed for burial permit with Board of Health or its Agent.
R-301A 1
Lynn
SPACE FOR ADDITIONAL INFORMATION
DATE OF ENTERING MILITARY SERVICE
DATE OF DISCHARGE
RANK, RATING
ORGANIZATION AND OUTFIT
SERVICE NUMBER
TO!
1-3
6
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.
MAR 1 61961 PM
PLACE OF DEATH
Suffolk (County)
Winthrop (City or Town)
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.
Registered No.
51
S(If death occurred in a hospital or institution, St. ( give its NAME instead of street and number) PHYSICIAN - IMPORTANT
2 FULL NAME
John J. Mccarthy
( First Name)
(Milddle Name)
(Last Name)
(If deceased is a married, widowed or divorced woman, give also maiden name.)
(a) Residence. No.
(Usual place of abode)
16 Bowdoin Street
St
(1f 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
March 12 ..... 1961.
(Month)
(Day)
(Year)
4 I HEREBY CERTIFY,
That I attended deceased from
.. Mar.ch ..... 1.6 ...
19 ... 6.1, to ....... Ma.r.ch ..... 1.7.
19.6.1.
1 last saw himlive on
March ...... 1.7 .... , 19 .. 6.1., death is said to
have occurred on the date stated above, at
4:50 PM
(or) WIFE of
(Husband's name in full)
11 IF STILLBORN, enter that fact here.
12
59
1 dayAGE
.. Years
Months.
Days
If under 24 hours
Hours.
Minutes
13 Usual
Occupation :
Attorney at Law
(Kind of work done during most of working life)
14 Industry
or Business:
Law
15 Social Security No.
16 BIRTHPLACE (City)
Winthrop
(State or country)
Mass
17 NAME OF
FATHER
John McCarthy
18 BIRTHPLACE OF
FATHER (City)
(State or country)
Ireland
19 MAIDEN NAME
OF MOTHER
Annie McDade
20 BIRTHPLACE OF
MOTHER (City)
(State or country)
Ireland
21 Eva McCarthy
Informant
(Address)
16 Bowdoin St., Winthrop
I HEREBY CERTIFY that a satisfactory standard certificate, of death was filed with me BEFORE the burial or transit permit was issued :- Malke & Direanni (Signature of Agent of Board of Health or other)
11000
13/20/6/
(Official Designation)
(Date of Issue of Permity
145
R-301A 1
TIONS I RTIFICATE
'ing DEATH enter n one each and (c)
not mean of dying, rt failure, It means or compli- k caused
if any, rise to ie
(a), under- e
last.
s contrib- sh but not · terminal ion given
lapter 137, 4. requires n to print or e cause or death on cates, and , Acts of res Physi- int or type signature.
6
Place of Burial or Cremation
(City or Town)
DATE OF BURIAL March ... 21 19.61.
7 NAME OF
FUNERAL
DIRECTOR
Arthur J. O' Maley
ADDRESS Winthrop .... Mas.s.
Received and filed
MAR 2-0-1961-
.. 19.
(Registrar)
8 SEX
Male
9 COLOR
White
10 SINGLE
(write the word)
MARRIED
WIDOWER
or DIVORCarried
10a If married, widowed, or diverged
HUSBAND of
Kenney
(Give maiden name of wife in full)
DEATH WAS CAUSED BY: IMMEDIATE CAUSE
A
(a) sub arachnoid hemorrhage
.........
INTERVAL BETWEEN ONSET AND DEATH
Due To
ruptured cerbral aneurism
Due To (c)
OTHER
SIGNIFICANT
CONDITIONS
Was autopsy performed?
.no.
What test confirmed diagnosis?
clinical
5 Was disease or injury in any way related to occupation of deceasedano If so, specify
(Signed)
Charly Palermo( M. D
Charles Salemi MD
(PRINT OR TYPE SIGNATURE)
(Address)
241 Main St
Date
3/17/
1961
Winthrop, Mass.
Winthrop .... Cemetery
Winthrop
PARENTS
f(Was deceased a U. S. War Veteran,
(if so specify WAR)
59
1 day
No. 16 Bowdoin Street
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 hate given bedside care during a last illness from disease un. related to any formof injury 10
(2) Board of Health physiciang 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) WINTHROP (City or Town)
FN'S
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.
52
§(If death occurred in a hospital or institution, St. ¿ give its NAME instead of street and number)
PHYSICIAN - IMPORTANT
2 FULL NAME
(First Name)
(Middle Name) (Last Name)
(If deceased is a married, widowed or divorced woman, give also maiden name.)
12 SEAFOAM AVE
St.
WINTHROP
(If nonresident, give city or town and State)
Length of stay:
In place of death.
years
months.
8
.days.
In place of residence 3/
years.
months.
.days.
MEDICAL CERTIFICATE OF DEATH
3 DATE OF
DEATH
MARCH
19
1961
(Month)
(Day)
(Year)
4 I HEREBY CERTIFY,
oct
That I attended deceased from
95%, to MARCH 19
19.61
I last saw hi Walive on
March
18, 1961, death is said to
have occurred on the date stated above, at
7:15 Am
DEATH WAS CAUSED BY : IMMEDIATE CAUSE
(a)
Pneumonia Lefthung
Due To
(b)
Due To (c)
OTHER
SIGNIFICANT
CONDITIONS
Cardiac Decompensation
6wks. 2 days
Was autopsy performed?
/10
What test confirmed diagnosis?
Clinical
5 Was disease or injury in any way related to occupation of deceased? No If so, specify
(Signed)
Charles
CHARLES LIBERMAN
(PRINT OR TYPE SIGNATURE)
(Address)
WINTHROP, MAS Date 3/19/ 16/
PINEGROVE CEMETERY LYNN, MASI. 6
Place of Burial or Cremation (City or Town) MARCH 21, DATE OF BURIAL 16/
7 NAME OF FUNERAL DIRECTOR frutay C. Haricots
AD R 1642 Commonwealth Ave Boston
Received and filed
MAR 2-0-1961
19.
(Registrar)
PARENTS
18 BIRTHPLACE OF
FATHER (City) (State or country)
GREETE
19 MAIDEN NAME
OF MOTHER
VASILIME GOULOULE
20 BIRTHPLACE OF
MOTHER (City)
(State or country)
GREECE
GEORGE D. KARAGIANNIS
21
Informant
(Address) 12 SEAFIAM RIE WINTAND MASS
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)
HO
march 20-1961
(Official Designation)
(Date of Issue of Permit)
145
₹-301A 1
TIONS
RTIFICATE
ing DEATH enter n one each and (c)
not mean of dying, 't failure, It means or compli- h caused
if any, rise to e (a), under- last. e
contrib- but not terminal ion given
apter 137, , requires o print or cause or death on cates, and Acts of es Physi- it or type signature.
PERSONAL AND STATISTICAL PARTICULARS
8 SEX
MALE
9 COLOR
WHITE
10 SINGLE
MARRIED
WIDOW PO
or DIVORCEKHIED
(write the word)
10a If married, widows
HUSBAND of
PANAGIOTISA PAPATHANOS
(Give maiden name of wife in full)
(or) WIFE of
(Husband's name in full)
11 IF STILLBORN, enter that fact here.
12
AGE 8 Years
Months ....
Days
If under 24 hours
Hours
Minutes
13 Usual
Occupation :
SCORLHELPER
(Kind of work done during most of working life)
14 Industry
or Business :
VARIETY
15 Social Security No.
Harve
16 BIRTHPLACE (City)
(State or country)
GRELLE
SPARTA
No.
MAYFLOWER NURSING HOME DIONISiOS KARAGIANIS
Registered No.
[(Was deceased a U. S. War Veteran,
(if so specify WAR)
110
(a) Residence. No.
(Usual place of abode)
.
Cellulitis Rt. Leg
INTERVAL BETWEEN ONSET ANO DEATH 36hrs
17 NAME OF
FATHER
ANASTASIS KARAGRANIS
diyorced
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.
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.
×
PLACE OF DEATH
Suffolk (County)
PINSE ITT
Winthrop (City or Town)
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.
2 FULL NAME
Rose (Yavitz) Weiner
(If deceased is a married, widowed or divorced woman, give also maiden name.)
(a) Residence. No. 14 Wave Way Ave
St.
Winthrop
(Usual place of abode)
Length of stay: In place of death.
.......
.... years.
2
.. months ..
days. In place of residence.
30 years.
months
.. days.
MEDICAL CERTIFICATE OF DEATH
PERSONAL AND STATISTICAL PARTICULARS
8 SEX
Female
9 COLOR
Write
10 SINGLE
(write the word)
Widowed
MARRIED
or DIVORCED
10a If married, widowed, or divorced
HUSBAND of
(Give maiden name of wife in full)
(or) WIFE of
Wolf
Weiner
(Husband's name in full)
11 IF STILLBORN, enter that fact here.
12
AGE 82
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.
None
16 BIRTHPLACE (City)
(State or country)
Russia
17 NAME OF
FATHER
Samuel Javitz
18 BIRTHPLACE OF
FATHER (City)
(State or country)
Russia
19 MAIDEN NAME
OF MOTHER
CBL
20 BIRTHPLACE OF
MOTHER (City)
(State or country)
Russia
6
Golden Crown Lodge
Woburn
Place of Burial or Cremation
(City or Town)
DATE OF BURIAL March 23
7 NAME OF
FUNERAL DIRECTOR
TORF Funeral Service duc
ADDRESS 151 Washington Ave Chelsea
Received and filed MAR 23 1961
.... 19 ..
(Registrar)
PARENTS
Eva B Bould
21
Informant
(Address)
14 Wave Way Winthrop
I HEREBY CERTIFY that a satisfactory standard certificate of death was filed with me BEFORE the burial or transit permit was issued: talkh E. Sirianni
CHONSignature of Agent of Board of Health or other) march 23-1961
(Official Designation)
(Date of Issue of Permit)
UBV
CTIONS )R ERTIFICATE
iving F DEATH : enter han one or each ·) and (c)
i not mean of dying, art failure, c. It means or compli- ich caused
if any, e rise to use (a), e under- use last.
ons contrib- ith but not he terminal 'ition given
apter 137, . requires o print or cause or death on cates, and Acts of es Physi- nt or type signature.
19-926662
3 DATE OF
MARCH
22
1961
DEATH
(Year)
(Month)
(Day)
4 I HEREBY CERTIFY,
Sept.
19 50
to ..
March
22
19
That I attended deceased from
61
I last saw h&.Y .. alive on
march 22, 1961, death is said to
have occurred on the date stated above, at
8:15 P.m.
DEATH WAS CAUSED BY : IMMEDIATE CAUSE
(a)
Coronary Occlusion, conte
Due
To Arterios clerotic Heart
Disease
(b)
5 yrs.
Due To (c)
OTHER
SIGNIFICANT
CONDITIONS
None
Was autopsy performed?
no
What test confirmed diagnosis ?
Clinical
5 Was disease or injury in any way related to occupation of deceased? No If so, specify Charles Liberman (Signed) M. D. CHARLES LIBERMAN (PRINT QR TYPE SIGNATURE)
(Address)
WINTHROP
Date 3/23/
1961
Registered No.
53
Winthrop Community Hospital No.
[(If death occurred in a hospital or institution,
St. } give its NAME instead of street and number)
NO
PHYSICIAN - IMPORTANT
[(Was deceased a
U. S. War Veteran,
if so specify WAR)
(If nonresident, give tity or town and State)
INTERVAL
BETWEEN
ONSET AND
DEATH
2 days
R-301A 1
SPACE FOR ADDITIONAL INFORMATION
DATE OF ENTERING MILITARY SERVICE
1)
DATE OF DISCHARGE
RANK, RATING
ORGANIZATION AND OUTFIT
SERVICE NUMBER
5
MAR 2 31961 AM
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.
X PLACE OF DEATH -
Suffolk (County)
Winthrop
(City or Town)
The Commonwealth of Massachusetts JOSEPH D. WARD SECRETARY OF THE COMMONWEALTH DIVISION OF VITAL STATISTICS
STANDARD
CERTIFICATE OF DEATH
Registered No.
[(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)
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