Town of Winthrop : Record of Deaths 1961, Part 26

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


USA > Massachusetts > Suffolk County > Winthrop > Town of Winthrop : Record of Deaths 1961 > Part 26


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


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 thegofluence 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."


If disease or injury was related to occupation, specify. If investigation shows the death to have been due to disease, specify: (1) Under cause its known or presumable nature; and (2) under manner Indicate the circumstances leading to medico-legal inquiry. For example: "Hemorrhage spontaneous of the brain basal gangkali (found dead in bed)."


"Heart disease, presumably coronary sclerosis. (Sudden death.)".


(


155


MIN


OF TO


CLERK


RECEIVED


X


PLACE OF DEATH


Suffolk (County )


Winthrop (City or Town) , No. 142 Pleasant St.


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


STANDARD CERTIFICATE OF DEATH


1.02/


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


PHYSICIAN - IMPORTANT f(Was deceased a { U. S. War Veteran, { if so specify WAR)


2 FULL NAME Helena ........ ... Harvey.


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


(a) Residence. No.


(L'sual place of abode)


30 Waldemar Ave St.


(If nonresident, give city or town and State)


Length of stay: In place of death.


.. years .. 2


months days. In place of residence.5.0 .years. months. days.


MEDICAL CERTIFICATE OF DEATH


3 DATE OF


DEATH


July12 1961


(Month) (Day)


(Year)


8 SEX


Female


9 COLOR


White


10 SINGLE


(write the word)


MARRIED


WIDOWEDSingle


or DIVORCED


10a If married, widowed, or divorced


HUSBAND of


(Give maiden name of wife in full)


(or) WIFE of


(Husband's name in full)


11 IF STILLBORN, enter that fact here.


12


AGE 77 Years.


Months.


Days


If under 24 hours


Hours.


.......


.Minutes


13 Usual


Occupation :


At Home


(Kind of work done during most of working life)


14 Industry


or Business :


15 Social Security No.


Waltham


16 BIRTHPLACE (City)


(State or country)


Mass


17 NAME OF


FATHER


Charles J. Harvey


18 BIRTHPLACE OF


FATHER (City)


Waltham


(State or country)


Mass


19 MAIDEN NAME


OF MOTHER


Ellen L. Lanagan


20 BIRTHPLACE OF


MOTHER (City)


Waltham


(State or country)


Mass


21 Margaret Wilson


Informant


(Address)


30 Waldemar Ave., Winthrop


7 NAME OF


FUNERAL DIRECTOR


Arthur J. O' Maley


Winthrop Mass


ADDRESS


Received and filed JUL-14-1961 19


(Registrar)


PARENTS


(Signed)


M. D.


John Collins MD (PRINT OR TYPE SIGNATURE) 27 Bennington Street July 13, 19 61


(Address)


6


Winthrop Cemetery


Winthrop


Place of Burial or Cremation


DATE OF BURIAL


July 15


19.61


(City or Town)


I HEREBY CERTIFY that a satisfactory standard certificate of death was filed with me BEFORE the burial or transit permit was issued: ValkRS Jescanne (Signature of Agewych Heard of Health or other) July 14-1961


(Official Designation)


(Date of Issue of Permit)


TVP.


TRUCTIONS FOR L CERTIFICATE


n giving OF DEATH not enter e than one se for each , (b) and (c)


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


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


ditions 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 · 48, Acts of ¿quires Physi- ) print or type idensignature. L.


-6-59-925686


PERSONAL AND STATISTICAL PARTICULARS


DEATH WAS CAUSED BY : IMMEDIATE CAUSE


(a)


Cerebral. Hemorrhage


6 days


Due


(b)


Hypertension


Several rears


Due To (c)


OTHER


SIGNIFICANT Generalized arteriosclerosis


CONDITIONS


Was autopsy performed?


no


What test confirmed diagnosis ?


clinical


5 Was disease or ipjury in any way related to occupation of deceased? no If so, specify lohn 7- Coccus met


death is said to


have occurred on the date stated above, at 7:15 P Mig.


INTERVAL


BETWEEN


ONSET AND


DEATH


4 I HEREBY


CERTIFY,


That I attended deceased from


196.1


July 1,


to.


July ... 12


I last saw h.elalive on


July 7,


1961


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


Registered No.


:32


M R-301A 1


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 · les 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 instruction on face side of standard certificate of death. JUL 1 4199


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 basmess, 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.


6


P


5


11. 12. 1


TOWĄ


CL


RECEIVED


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.


133


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


2 FULL NAME


Michael J .Moynihan


(First Name)


(Middle Name)


(Last Name)


[ (Was deceased a U. S. War Veteran,


(if so specify WAR)


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


45 Atlantic Street


.St.


(If nonresident, give city or town and State)


Length of stay: In place of death. years .. months. days. In place of residence 35 years


months.


days.


MEDICAL CERTIFICATE OF DEATH


PERSONAL AND STATISTICAL PARTICULARS


3 DATE OF


DEATH


July


12


1961


(Month)


(Day)


1


(Year)


4 I HEREBY CERTIFY


July 5


19.61, to


July


17


That I attended deceased from


1961


I last saw h.j.xtalive on


July


11


19 ... 6.2 .. , death is said to


have occurred on the date stated above, at 5:00 A.m.


INTERVAL


BETWEEN


ONSET AND


DEATH


5YRS


10a If married


HUSBAND of


sedan Alexander


(Give maiden name of wife in full)


(or) WIFE of


(Husband's name in full)


11 IF STILLBORN, enter that fact here.


12


AGE9.3


Years


Months.


Days


If under 24 hours Hours ..... Minutes


Due To


(b)


GENERALIZED ARTERIOSCLEROSIS 10YRS.


Due To


(c)


OTHER


SIGNIFICANT


CONDITIONS


HYPERTROPHIC ARTHRITIS


4YES:


Was autopsy performed?


What test confirmed diagnosis? CLINICALY LABORATORY


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


NO.


(Signed) M. Traunstein fr. M. D M.TRAUNSTEIN JR. M.D (PRINT OR' TYPE SIGNATURE) (Address) 73 BARTLETT RO, Date. July 12, 1961


PARENTS


17 NAME OF


FATHER


Timothy Moynihan


18 BIRTHPLACE OF


FATHER (City)


(State or country)


Ireland


19 MAIDEN NAME


OF MOTHER


Ellen Lynch


20 BIRTHPLACE OF MOTHER (City) (State or country)


Ireland


Mary Moynihan


21


Informant


(Address)


45 Atlantic St., Winthrop


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


(Signature of Agent of Board of-Health or other)


4.O


July 14-1961


(Official Designation)


(Date of Issue of Permit)


TVB


TRUCTIONS FOR L CERTIFICATE


giving , OF DEATH


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


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


ions, if any, gave rise to cause (a), : the under- cause last.


ditions contrib- death but not o the terminal condition given


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


6


Place of Burial or Cremation


(City or Town)


DATE OF BURIAL July15 1961


7 NAME OF


FUNERAL DIRECTOR


Arthur J. O'Maley


ADDRESS


Winthrop, Mass.


Received and filed JUL-14-1961 19


(Registrar)


8 SEX


Male


9 COLOR


White


10 SINGLE


(write the word)


MARRIED


WIDOWEDi dowed


or DIVORCED


DEATH WAS CAUSED BY : IMMEDIATE CAUSE


(a)


ARTERIOSCLEROTic HEART


DISEASE


13 Usual


Occupation :


Retired Clerk


(Kind of work done during most of working life)


14 Industry


or Business :


Am. Agriculture Corp


15 Social Security No.


032-01-4873


Boston


16 BIRTHPLACE (City) (State or country) Mass


NO


WINTHROP MAST


Holy Cross


Malden Mass


-


0-928145


M R-301A 1


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


No. 45 Atlantic St.


(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


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. TILL: 1 44961 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.


UFF


TOW


LASS.


E


X


PLACE OF DEATH


Suffolk (County)


Winthrop


(City or Town)


No. Mayflower Rest Home


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


STANDARD CERTIFICATE OF DEATH


Registered No. 134


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


2 FULL NAME


Henry H Mc Laughlin


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


(a) Residence.


No.


130 Grovers Ave


St.


(If nonresident. give city or town and State)


Length of stay: In place of death ........ ... years.


.6


months


days. In place of residence.


38years


. months.


days.


MEDICAL CERTIFICATE OF DEATH


3 DATE OF


DEATH


July


13


1961


(Month)


(Day)


(Year)


4 I


HEKEBY


CERTIFY,


19


to.


19


I last saw h ... alive on


19 ............ , death is said to


have occurred on the date stated above, at


7:05 A.m.


INTERVAL


BETWEEN


ONSET AND


DEATH


Due To


Arteriosclerotic Heart Disease yrs


(b)


Due


(c)


Generalized Arteriosclerosis


OTHER


SIGNIFICANT


CONDITIONS


Prostatism


yrs


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


Arthur C. Murray M.D.


(PRINT OR TYPE SIGNATURE) (Winthrop Board of Health 13 July 61


6


Winthrop


Winthrop


Place of Burial or Cremation (City or Town)


DATE OF BURIAL July ..... 15 ..... 1961 19


7 NAME OF


FUNERAL DIRECTOR


Ernest P Caggiano


ADDRESS 147WinthropSt Winthrop


Received and filed 19.


JUL-14-1961


(Registrar)


PERSONAL AND STATISTICAL PARTICULARS


8 SEX


Male


9 COLOR


White


10 SINGLE


(write the word)


MARRIED


WIDOWED


or DIVORCED


10a If married, widowed, or divorced HUSBAND of (Give maiden name of wife in full)


(or) WIFE of


(Husband's name in full)


11 IF STILLBORN, enter that fact here.


12


AGE ..


83


.Years.


8


Months


Days


If under 24 hours


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


13 Usual


Occupation :


Retired Gardener


(Kind of work done during most of working life)


14 Industry


or Business :


Landscaping


15 Social Security No.


022-16-7610


New York


16 BIRTHPLACE (City)


(State or country)


New York


17 NAME OF FATHER Henry E Mc Laughlin


18 BIRTHPLACE OF


FATHER (City)


(State or country)


Vermont


20 BIRTHPLACE OF


MOTHER (City)


(State or country)


I reland


Amy.BMcLaughlin


21 Informant (Address) 64. Vinal Ane Somerville


I HEREBY CERTIFY tbat a satisfactory standard certificate of death was filed with me BEFORE the burial or' transit permit was issued: Ralph E


(Signature of Agent of Board of Health or other)


HO


July 14 1961


(Official Designation)


(Date of Issue of Permit)/


V.B.


A R-301A 1


RUCTIONS FOR . CERTIFICATE


giving OF DEATH not enter than one e for each (b) and (c)


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


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


litions contrib- death but not o the terminal ondition given


Chapter 137, 1954. requires .ns to print or le cause or of death on rtificates, and 48, Acts of quires Physi- print or type der signature. 11.0.


6-59-92 5686


Arthur @. Murrayl


M. D.


OF MOTHER


Margaret Thompson


19 MAIDEN NAME


PARENTS


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


PHYSICIAN - IMPORTANT [(Was deceased a { U. S. War Veteran, lif so specify WAR)


(Usual place of abode)


That I attended deceased from


Single


DEATH WAS CAUSED BY : IMMEDIATE CAUSE


(a)


Natural Causes


20


yrs


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 us related to any form of injury.


(2) Board of Health physicians will certify to such deaths only as those'd persons who, though disabled by recognized disease unrelated to any form injury, have died 'without recent medical attendance or whose physician 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.


JUL 1 41961 AM


OFF


OF


TOW


.


SS.


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.


t


PLACE OF DEATH


Suffolk. (County)


Winthrop (City or Town) 40 Cutler


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)


PHYSICIAN - IMPORTANT


[(Was deceased a


no.


U. S. War Veteran,


(if so specify WAR)


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


(a) Residence. No.


40 Cutler


(Usual place of abode)


Length of stay :


In place of death ..


20


months.


days. In place of residence.


25


.. years


months ........


.days.


PRINT


MEDICAL CERTIFICATE OF DEATH BLACK INK


PERSONAL AND STATISTICAL PARTICULARS


8 SEX female


9 COLOR


white


10 SINGLE


MARRIED


WIDOWED


(write the word)


or DIVORCED married


10a If married, widowed, or divorced


HUSBAND of


(Give maiden name of wife in full)


(or) WIFE of


Jacob Mover


(Husband's name in full)


11 IF STILLBORN, enter that fact here.


12


AGE


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 :


15 Social Security No. ..... .none


16 BIRTHPLACE (City)


(State or country)


Russia


17 NAME OF


FATHER


Myer' Abramhoff


18 BIRTHPLACE OF


FATHER (City) (State or country) Russia


19 MAIDEN NAME


OF MOTHER


Mollie


(unknown)


20 BIRTHPLACE OF MOTHER (City) (State or country) Russia


Jacob Nover


21 Informant (Address) 40 Cutler Street, winthrop, Lass.


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


4.0


(Signature of Agent of Board of Health or other)


am


tily 17, 1961


(Official Designation)


(Date of Issue of Permit)


KI.B.


TRUCTIONS FOR L CERTIFICATE


giving OF DEATH not enter than one e for each (b) and (c)


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


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


ditions contrib- death but not o the terminal ondition given


:- Chapter 137, 1954. requires ians to print or the cause or death on ertificates, and r 48, Acts of equires Physi- o print or type nder signature.


. C.


0-928145


-


-


Due To (c)


OTHER


SIGNIFICANT


CONDIT


Rheumatoid Arthritis


Parkinson's Syndrome


15 yrs. 15 yrs,


no


Was autopsy performed?


What test confirmed diagnosis Clinical


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


(Signed)


Charles Liberay


M. D


Liberman


also .... print ... nameCharles


(PRINT OR TYPE SIGNATURE)


(Address)


.283 Shore ... Drive., .... Date.July 17, 19 61


¿Jorkmens Circle(Lebanon) West Roxbury Place of Burial or Cremation (City or Town)


DATE OF BURIAL


July .... 18m. 19 61


7 NAME OF


FUNERAL DIRECTOR


Benjamin F.Solomon


ADDRESS


120 Harvard Street, Brookline.


Received and filed 1111 17 1067 19


(Registrar)


PARENTS


2 FULL NAME


Mary Mover


(First Name)


(Middle Name)


(Last Name)


St.


(If nonresident, give city or town and State)


3 DATE OF


DEATH


July 17, 1961


(Month)


(Day)


(Year)


4 I HEREBY CERTIFY,


October 1940


to July


17


That I attended deceased from


1961


I last saw hệ.Y .. alive on


July 16.


1961


.. , death is said to


have occurred on the date stated above, at


7:45 A,m.


DEATH WAS CAUSED BY: IMMEDIATE CAUSE


(a)


Cerebral Hemorrhage


Due To


(b)


Cerebral Arteriosclerosis


INTERVAL BETWEEN ONSET AND DEATH 6 days


5 grs.


77


Odessa,


135


No.


M R-301A 1


SPACE FOR ADDITIONAL INFORMATION


DATE OF ENTERING MILITARY SERVICE


DATE OF DISCHARGE. RANK, RATING


ORGANIZATION AND OUTFIT


SERVICE NUMBER


OF


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.


6


HROP


JUL 1 71961 PM


PLACE OF DEATH


Suffolk


Winthrop (City or Town)


CERTIFICATE OF DEATH


Registered No.


136


[(If death occurred in a hospital or institution, St. ( give its NAME instead of street and number) No.


Home


PHYSICIAN - IMPORTANT


[(Was deceased a


U. S. War Veteran,


(if so specify WAR)


2 FULL NAME


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


46 Washington Ave.


St.


20


(If nonresident, give city or town and State)


Length of stay: In place of death .............. years.


.. months.


7


days. In place of residence


.. years.


months ..


.days.


PERSONAL AND STATISTICAL PARTICULARS


8 SEX


Female


9 COLOR


White


10 SINGLE


(write the word)


MARRIED


WIDOWED Widow


or DIVORCED


10a If married, widowed, or divorced


HUSBAND of


Michael Meehan


(Give maiden name of wife in full)


(or) WIFE of


(Husband's name in full)


11 IF STILLBORN, enter that fact here.


12


88


8


22


AGE


Years.


Months.


.Days


If under 24 hours


Hours.


Minutes


13 Usual


Occupation :


None


(Kind of work done during most of working life)


14 Industry


or Business :


At home


15 Social Security No.


None


Chelsea


16 BIRTHPLACE (City)


(State or country)


Mass


17 NAME OF


FATHER


John Welch


18 BIRTHPLACE OF


FATHER (City)


(State or country)


Unable to obtain


19 MAIDEN NAME


OF MOTHER


Annie


20 BIRTHPLACE OF


MOTHER (City)


(State or country)


Unable to obtain


21 William Welch


Informant


(Address)


30 Red Barn Rd. Wayland


7 NAME OF


FUNERAL DIRECTOR


Howard S Reynolds


ADDRESS Winthrop, ..... Mass


Received and filed


JUL 20 1961


19


(Registrar)


PARENTS


(Signed)


MYRONO N. KING


(PRINT OR TYPE SIGNATURE)


(Address) LIVPLEASANT SI.




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