Town of Winthrop : Record of Deaths 1961, Part 2

Author: Winthrop (Mass.)
Publication date: 1961
Publisher:
Number of Pages: 542


USA > Massachusetts > Suffolk County > Winthrop > Town of Winthrop : Record of Deaths 1961 > Part 2


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


(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 1961 PM (drugs or poisons) thermal, or electrical agents, and deaths following &run but also deaths from disease resulting from injury or infection relat d'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)


17-100


The Commonwealth of Massachusetts JOSEPH D. WARD SECRETARY OF THE COMMONWEALTH DIVISION OF VITAL STATISTICS


STANDARD


CERTIFICATE OF DEATH Mayflower Beat Home 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)


Briton mars


(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


Jan.8 1961.


(Day)


(Year)


That I attended deceased from


61


I last saw h.M alive on JAN 8


61


19. death is said to


have occurred on the date stated above, at


9 20 PM.


DEATH WAS CAUSED BY : IMMEDIATE CAUSE


CEREBRAL HEMORRHAGE


(a)


Due To GENERALIZED ARTERIO- (b)


SCLEROSIS


Due To (c)


OTHER SIGNIFICANT DIABETES CONDITIONS


3YRS


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


Doyl Hacima M. D.


(Signed) JOSEPHO J. PALERMO


(PRINT OR TYPE SIGNATURE)


(Address) Revere. Mars DaNAN 10 1961 It. Miguel Cemetery


6


Place of Burial or Cremation DATE OF BURIAL


19.6.1


7 NAME OF


ADDRESS


Received and filed JAN 10-1961


(Registrar)


PERSONAL AND STATISTICAL PARTICULARS


8 SEX


Male


9 COLOR Haute


10 SINGLE MARRIED WIDOWER or DIVORCED


(write the word) Matrah


10a If married, widowed, or divorced HUSBAND of ...


angelina Di Rienzo (Give maiden name of wife in fu d)


(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 :


Retired


(Kurd of work done during most of working life)


14 Industry


or Business :


Self Employed.


15 Social Security No.


16 BIRTHPLACE (City)


(State or country)


Italy


17 NAME OF


FATHER


Giovanni Colabelli


18 BIRTHPLACE OF


Italy


FATHER (City)


(State or country)


19 MAIDEN NAME


OF MOTHER


Unlavoron


Italy


20 BIRTHPLACE OF


MOTHER (City)


(State or country)


Reta Inteso


21 Informant (Address)


Mintharper, Mel


I HEREBY CERTIFY that a satisfactory standard certificate of death as filed with ple BEFORE the burial or transit permit was issued; Ralph 5


(Signature of Agentsof Board of Health or other)


HOU


Jan 10/6/


(Official Designation)


(Date of Issue of Permit)


X


ISTRUCTIONS FOR :AL CERTIFICATE


In giving E OF DEATH o not enter re than one use for each .), (b) and (c)


does not mean sode of dying, is heart failure, a, etc. It means rease, or compli- which caused


litions, if any, h gave rise to e cause (a), ng the under- cause last.


nditions contrib- o death but not to the terminal condition given


:- Chapter 137, f 1954. requires ians to print or the cause or of death on certificates, and fer 48, Acts of requires Physi- to print or type inder signature.


146-59-925686


RM R-301A 1


2 FULL NAME


Frank Colabelli


(If deceased is a married, widowed or divorced woman, give also maiden name.) 224 Hanovel ....... St.


(a) Residence. No. (Usual place of abode)


(Month)


4 I HEREBY CERTIFY, NOV 5 19 5% to VAN 8


19 ..


INTERVAL BETWEEN ONSET AND DEATH 5 DAYS


10 YRS


PARENTS


19.


To be filed for burial permit with Board of Health or its Agent.


Registered No. 6


SPACE FOR ADDITIONAL INFORMATION


DATE OF ENTERING MILITARY SERVICE


DATE OF DISCHARGE


RECE YED


RANK, RATING


ORGANIZATION AND OUTFIT


SERVICE NUMBER


RULES OF PRACTICE


0


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 illa 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. 1


(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.


JAN 1 01961 PM


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 i( ounty )


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.


[(If death occurred in a hospital or institution,


St. ? give its NAME instead of street and number)


2 FULL NAME ..


James L. Butler


(If deceased is a married, widowed or divorced woman, give also maiden name.)


143 Revere Street, Winthrop


St.


(If nonresident, give city or town and State)


Length of stay: In place of death ..


2


years


months


days. In place of residence.


2.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 DIVORCEDMarried


4 I HEREVY CERTIFY, That


511


, 19.62 .. , to


119


attended deceased from


I last saw h ....... alive on


119


1961


.... ,


death is said to


have occurred on the date stated above, at


8.15Pm.


INTERVAL BETWEEN ONSET AND DEATH


(or) WIFE of


(Husband's name in full)


11 IF STILLBORN, enter that fact here.


12 AGE 50 .. Years ... 9. Months.2.9 .. .Days


If under 24 hours


Hours .............. Minutes


13 Usual


Occupation :


Yard .... man


(Kind of work done during most of working life)


14 Industry


or Business :


Oil ... Co.


15 Social Security No. .


028-03-2420


16 BIRTHPLACE (City) (State or country) Mass.


Everett


17 NAME OF


FATHER


Richard Butler


18 BIRTHPLACE OF


FATHER (City)


(State or country)


P.E.I.


19 MAIDEN NAME


OF MOTHER


Annie Johnston


20 BIRTHPLACE OF


MOTHER (City)


(State or country)


PE.I.


21 Mrs. Theresa M. Butler-wife


Informant


(Address 1 43 Revere St., Winthrop


I HEREBY CERTIFY that a satisfactory standard certificate of death was filed with me BEFORE, the burial or transit permit was issued: TackLE Serianni


(Signature of Agent of Board of Health or other)


HO


1/ 12/6/


(Official Designation)


(Date of Issue of Permit)


STRUCTIONS FOR AL CERTIFICATE


n giving E OF DEATH


not enter re than one se for each ), (b) and (c)


does not mean ode of dying, heart failure, , etc. It means ase, or compli- which caused


tions, if any, gave rise to cause (a), g the under- cause last.


iditions contrib- ) death but not to the terminal condition given


- Chapter 137, 1954, requires ans to print or he cause or of death on ertificates, and r 48, Acts of equires Physi- › print or type nder signature.


2.1.6


7 NAME OF FUNERAL DIRECTORIchard C. Kirby, Inc. ADDRES.917 Bennington St. , E. Boston.


Received and filed JAN 1% 105 19


(Registrar)


PARENTS


Fred d' Regan FRIED O'REIGAN AND


(Signed) M. D.


AWEERTHROL 113PLEASANT Date 1/12


(Address)


........... SCLEROSIS


Due To (c)


OTHER SIGNIFICANT CONDITIONS


Was autopsy performed ?


0


What test confirmed diagnosis ?


19


10a If married, widewed, or divorced


HUSBAND of


Theresa M. Ruggiero


(Give maiden name of wife in full)


DEATH WAS CAUSED BY : IMMEDIATE CAUSE


CORONARY OCCLUSION


(a)


Due To CORONARY


(b)


Jan


11


1961


3 DATE OF


DEATH


(Month)


(Day)


(Year)


PHYSICIAN - IMPORTANT (Was deceased a U. S. War Veteran lif so specify WARCBL


(a) Residence. No. ( U'sual place of abode)


No. Onsidewalk ... at 143 Revere Street


M R-301A 1


[-6-59-925686


5 Was disease or injury in any way related to occupation of deceased ? O If so, specify


Holy Cross Cemetery, Malden


Place of Burial or Cremation


(City or Town)


DATE OF BURIAL


January


14th


61


Medical &jamas Informmay my 1 /11/6,


SPACE FOR ADDITIONAL INFORMATION


DATE OF ENTERING MILITARY SERVICE


DATE OF DISCHARGE


RANK, RATING


ORGANIZATION AND OUTFIT


SERVICE NUMBER


1


: 1


2


63


THROT


JAN 1 21961 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.


·


IM R-301A 1


STRUCTIONS FOR AL CERTIFICATE


In giving E OF DEATH


› not enter re than one ise for each ), (b) and (c)


does not mean ode of dying, s heart failure, , etc. It means ease, or compli- which caused


itions, if any,


gave rise to


cause (a),


ig the under-


cause last.


-


arteriosclerosis -


Due To


generalized


(c)


Senility


OTHER


Fracture of Humerus-SV,


CONDITIONS


2 cases


16 BIRTHPLACE (City)


(State or country)


Nova Scotia


17 NAME OF


FATHER


Dougal Mackinnon


18 BIRTHPLACE OF


FATHER (City)


Cape Breton


(Signed)


Joseple Aregone


M. D.


(State or country)


Nova Scotia


JOSEPH GREGORIE


(PRINT OR TYPE SIGNATURE)


(Address)


194 Washugh Date.


1/11


61


Winthrop Cemetery


6


Place of Burial or Cremation


(City or Town)


DATE OF BURIAL


January 13


19


61


7 NAME OF


FUNERAL DIRECTOR


Arthur J O'Maley


ADDRESS


Winthrop Mass


Received and filed


JAN 1 6 130


19


(Registrar)


-60-928145


PLACE OF DEATH


Suffolk (County)


ENSE PETIT


Winthrop


The Commonwealth of Massachusetts JOSEPH D. WARD SECRETARY OF THE COMMONWEALTH DIVISION OF VITAL STATISTICS STANDARD


CERTIFICATE OF DEATH


Registered No.


S(If death occurred in a hospital or institution, St. { give its NAME instead of street and number)


PHYSICIAN - IMPORTANT


2 FULL NAME


Florence


Mackinnon


(First Name)


(Middle Name)


(Last Name)


{if so specify WAR)


(1f deceased is a married, widowed or divorced woman, give also maiden name.)


(a) Residence. No.


556 Shirley Street


.....


St.


(1f nonresident, give city or town and State)


Length of stay: In place of death ...


.years .......... months .........


.days. In place of residence.50 ... years ..


.. months ..


days.


MEDICAL CERTIFICATE OF DEATH


3 DATE OF


January 11 1961


DEATH


(Month)


(Day)


(Year)


4 I HEREBY CERTIFY


19 60, to Jan. 11


19.4


...


....... ..


I last saw heralive on


Jan 10


1968


death is said to


have occurred on the date stated above, at


7.19Am.


INTERVAL BETWEEN ONSET AND DEATH


11 IF STILLBORN, enter that fact here.


12


AGE


81


Years


Months ...........


Days


If under 24 hours


Hours .............


Minutes


13 Usual


Occupation :


Dressmaker


(Kind of work done during most of working life)


14 Industry


or Business :


Clothing


15 Social Security No.


028-16-6743


CapeBreton


Was autopsy performed?


cal Examinehat test confirmed diagnosis?


5 Was disease or injury in any way related to occupation of deceased?


If so, specify


PARENTS


19 MAIDEN NAME


OF MOTHER


Margaret Maceachern


20 BIRTHPLACE OF


Winthrop


MOTHER (City)


Cape Breton


(State or country)


Nova Scotia


21


Isabelle Mackinnon


Informant


(Address)


556Shirley St., Winthrop


I HEREBY CERTIFY that a satisfactory, standard certificate of death was filed with me BEFORE the burial of transit permit was issued:


(Signature of Agent of Board of Health or other)


1.01


1/12/6/


(Official Designation)


(Date of Issue of Permit)


MARRIED


WIDOWED


or DIVORCEng le


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


(a)


Myocardial Wear


Due To


(b)


-


nditions contrib- o death but not to the terminal condition given


ed Juris- ion


e :- Chapter 137, of 1954. requires icians to print or the cause or s of death on certificates, and ter 48, Acts of requires Physi- to print or type under signature.


PERSONAL AND STATISTICAL PARTICULARS


8 SEX


9 COLOR


White


10 SINGLE


(write the word)


Female


That I attended deceased from


[ (Was deceased a


U. S. War Veteran,


No


(Usual place of abode)


To be filed for burial permit with Board of Health or its Agent.


(cito EHPop Convalescent Home No. 142 Pleasant St.


SPACE FOR ADDITIONAL INFORMATION


DATE OF ENTERING MILITARY SERVICE


DATE OF DISCHARGE


RANK, RATING


ORGANIZATION AND OUTFIT


SERVICE NUMBER


6


HROP.


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 pers Af 121961 AM 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.


DRM R-301A 1


INSTRUCTIONS FOR ICAL CERTIFICATE


In giving SE OF DEATH


do not enter more than one ause for each (a), (b) and (c)


is does not mean mode of dying, as heart failure, nia, etc. It means lisease, or compli- 15 which caused


nditions, if any, ich gave rise to we cause (a), ting the under- cause last. ng


Conditions contrib- to death but not d to the terminal e condition given ).


e :- Chapter 137, of 1954, requires cians to print or the cause or s of death on certificates, and ter 48, Acts of requires Physi- to print or type under signature.


21.0


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.


Winthrop Community Hospital 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)


(If deceased is a married, widowed or divorced woman, give also maiden name.)


41 Temple Ave


St.


Winthrop


(a) Residence. No.


(Usual place of abode)


Length of stay: In place of death ........... years ... .. months. 1 days. In place of residence. 45 years ... .... months .. .... days.


MEDICAL CERTIFICATE OF DEATH


PERSONAL AND STATISTICAL PARTICULARS


3 DATE OF


DEATH


Jan ..


11 1961


(Year)


4 I HEREBY CERTIFY,


That I attended deceased from


1961


Dec ........ 30 ...


19.5.5 ... , to.I.an ....


11


1-11-


19 ..


61


death is said to


10a If married, widowed, or divorced


HUSBAND of


(Give maiden name of wife in full)


(or) WIFE of


Victor Emanuel .... Nelson


(Husband's name in full)


11 IF STILLBORN, enter that fact here.


12


2 yrsAGE96 .... Years.


11. Months ..


28 Days


If under 24 hours


Hours.


Minutes


13 Usual


Occupation :


house work


(Kind of work done during most of working life)


5 yrs 14 Industry


or Business:


own .... home


15 Social Security No.


none


16 BIRTHPLACE (City)


(State or country)


Norway


17 NAME OF


FATHER


Johan Enholm


18 BIRTHPLACE OF


FATHER (City)


(State or country)


Norway


19 MAIDEN NAME Kar ay MaThea


20 BIRTHPLACE OF


MOTHER (City)


(State or country)


Norway


Nils Victor Nelson


I HEREBY CERTIFY that a satisfactory standard certificate of death was filed with me BEFORE the burial or transit permit was issued: Ralph E Mariann (Signature of Agent of Board of Health or other) Luften 1/13/6/


(Official Designation)


(Date of Issue of Permit)


(Registrar)


PARENTS


5 Was disease or injury in any way related to occupation of deceased NO. If so, specify


(Signed)


In. Traunstein


M. 1).


OF MOTHER


unable to obtain


M. Traunstein Jr M. (PRINT'OR TYPE SIGNATURE)]-11- 61


19


73AUsst lett Rd Winthrop Mass


Place of Burial or Cremation (City or Town)


DATE OF BURIAL January 14 1961


7 NAME OF


FUNERAL DIRECTOR


alfred B. March


19


ADDRESS 174 Winthrop St. Winthrop,


Received and filed JAN 13 "". 19


8 SEX


F


9 COLOR


W


10 SINGLE


(write the word)


MARRIED


WIDOWED


or DIVORCED


widowed


I last savueralive on


have occurred on the date stated above, at 1 0.45 A.M.


DEATH WAS CAUSED BY : IMMEDIATE CAUSE


Arteriosclerotic heart


(a)


disease


INTERVAL BETWEEN ONSET AND DEATH


Due To


Generalized arterioscler


(b)


osis


Due To


(c)


None


OTHER


SIGNIFICANT


CONDITIONS


None


Was autopsy performed?


No


What test confirmed diagnosis ?


Clinical and Lab.


6 Winthrop Cemetery winthrop, Mass 21 Informant (Address) 8 Temple Avenue, Winthrop


lass


40


To be filed for burial permit with Board of Health or its Agent.


Emilie Martine Nelson(Enholm) Enne Erhole Hexson


2 FULL NAME


(If nonresident, give city or town and State)


(Month)


(Day)


OM-11-59-926662


1


WIFE


Loss


SPACE FOR ADDITIONAL INFORMATION


DATE OF ENTERING MILITARY SERVICE


...........


DATE OF DISCHARGE


RANK, RATING


ORGANIZATION AND OUTFIT


SERVICE NUMBER E


.........


THRON


RULES OF PRACTICE


JAN 3.1961 AM


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


Middlesex


(County)


Winchester


(City or Town)


The Commonwealth of Massachusetts EDWARD J. CRONIN SECRETARY OF THE COMMONWEALTH DIVISION OF VITAL STATISTICS COPY OF MEDICAL EXAMINER'S CERTIFICATE OF DEATH


Winchester


(City or town making return)


Registered No.


10


J(If death occurred in a hospital or institution, St. [ give its NAME instead of street and number)


Dorothy M. Howe (Marshall)


2 FULL NAME. (If deceased is a married, widowed or divorced woman, give also maiden name.)


834/ H& MMOR AVE 42 Floyd Street


Winthrop,


U. S. War Veteran,


iffra specify WAR)


(a) Residence. No.


(Usual place of abode).


1


4


(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


January


3 DATE OF


DEATH


(Month) (Day) (Year)


4 I HEREBY CERTIFY that I have investigated the death of the person above-named and that the CAUSE AND MANNER thereof


of .. "Suritat*"Ether Anesthesia used as anesthetic for closure of perforated te.cum .... caused .... b.y .... cancer ...


5 Accident, suicide, or homicide (specify)


Date and hour of injury


19


Where did Injury occur ?. (City or town and State)




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.