USA > Massachusetts > Suffolk County > Winthrop > Town of Winthrop : Record of Deaths 1961 > Part 42
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
(a) Residence No. . ... ( l'sual place of abode)
85 Shore Drive
.St.
Winthrop
Length of stay: In place of death. 0 years. 0 months. 2 .days. In place of residence .... ..... years, months .. days.
MEDICAL CERTIFICATE OF DEATH
3 DATE OF
DEATH
August
13
1961
(Mouth) (Day)
(Year)
HEREBY CERTIF
August 12
. 1961
, to ...
August
13
That 1 attended deceased from
.
19
61
I last saw hl M.alive on
August 13
19 Gl, death is said to
have occurred on the date stated above, at . 12:55 p.m.
INTERVAL
(or) WIFE of
(Husband's name in full)
11 IF STILLBORN, enter that fact here.
12
AGE
.. Years
Months ...
Inmy 7 hrs.
Days
If under 24 hours
Hours ..
Minutes
13 Usual Occupation : (Kind of work done during most of working life)
14 Industry
or Business :
15 Social Security No.
16 BIRTHPLACE (City)
(State or country)
1
1
17 NAME OF
FATHER
DAVID Williams
18 BIRTHPLACE OF
FATHER (City)
BOSTON, MASS.
(State or country)
19 MAIDEN NAME
OF MOTHER
MARIL JONNSM
20 BIRTHPLACE OF-
MOTHER (City)
(State or country)
Träninghan, Mass.
21
Informant
(Address)
St. Elizabeth's ofteital
I HEREBY CERTIFY that a satisfactory standard ortificate of death was filed with me BEFORE the burial -- or-wansit permit was issued:
(Signature of Agent of Board of Health or other) 3290
-
1.1
harkes It mack an
PERSONAL AND STATISTICAL PARTICULARS
8 SEX
M
9 COLOR
W
10 SINGLE
(write the word)
MARRIED
WIDOWED
or DIVORCED
SINGLE
10a If married, widowed, or divorced
HUSBAND of
(Give maiden name of wife in full)
DEATH WAS CAUSED BY: IMMEDIATE CAUSE
(a) Prematurity Atelectasis
DETWEEN ONSET AND DEATH
Due To tb)
Due To (c)
OTHER
SIGNIFICANT
CONDITIONS
Was autopsy performed?
Yes
What test confirmed diagnosis?
5 Was disease or injury in any way related to occupation of deceased? If so, specify William L. Babacan M. D.
(Signed)
William L. Babaian
(Address)
OR TYPE SIGNATURE) c/o St. Eliz, Hosp Date August 13 19 61
Mit Bene dicteen Wist her bu 6
Place of Burial or Cremation
(City or Town)'
DATE OF BURIAL
august 18.
1961
7 NAME OF
FUNERAL DIRECTOR
27 Sullivans (Was)
360 Market St. Button
Record hin rich A AUG 22 1961 R ... 19
ADDRESS
27 190
1
R-301A 97 S Roz.
CTIONS JR ERTIFICATE
iving F DEATH enter an one or each ) and (e)
not mean of dying. art failure. . It means or compli. ich caused
. if any. rise to use (a). · under- use last.
ns contrib- th but not se termine ition 62.5
Chapter 137. 54. requires s to print or cause or death on ficates, and 8. Acts of ires Physi- int or type r signature.
PARENTS
U. S. War Veteran.
lif so specify WAR)
(If nonresident, give fity or town and State)
(Official Designation) (Date of Issue of Permit)
8145
1. 3.
A TRUE COPY ATTEST: Charles it mackie City Registrar
1
PLACE OF DEATH
Suffolk Conyty) Boston (C'ity or Town)
No.
BOSTON CITY HOSPITAL
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 Åpent
Registered No.
f(If death occurred in a hospital or institution, St. } give its NAME instead of street and number)
PHYSICIAN - IMPORTANT
[ (W'as deceased a {C. S. War Veteran. lif so specify WAR)
(a) Residence. No. ( l'sual place of abode)
1.ength 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
August
17
1961
8 SEX Lemale
9 COLOR
white
10 SINGLE
Juste the wordy
MARRIED/Manuel
WIDOWED
or DIVORCED
4 I HEREBY
CERTIFY,
Aug ....... 14
19.
61
to
August
17
1961
/10a If married, widowed, or divorced HUSBAND of
(Give maiden nood of wife if full)
(or) WIFE of
Husband's name in full
(a)
Due
b. Cachoxia
1 to 2 y
Due Iv
(c)
Reticulum coll sarcoma, gororali
OTHER
SIGNIFICANT
CONDITIONS
2 to 3
B Social Security No.
022-10-5990
Winthrop
Was autopsy performed?
What test confirmed diagnosis?
Autopay
5 Was disease or injury
If so, specify
inany way related to occupation of deceased?
(Signed)
M. D.
M. WINTHROP ... O' CONNELL. .... D.
(PRINT OR TYPE SIGNATURE)
BOSTON CITY HOSPITAL!
AUGUST 17
19
61
(City or Town)
DATE OF BURIAL
7 NAME OF
FUNERAL DIRECTOR
Gebed 13. Stanchi
ADDRESS
174 Winthrop St Winthro
C
AUG 22 1967 arles H. Mackie". ( Registrar)
PARENTS
18 BIRTHPLACE OF
FATHER (City)
...
(State or country)
(mais.
19 MAIDEN NAME
OF MOTHER
Lavina Emma true
20 BIRTHPLACE OF MOTHER (City) (State or country)
21
Informant
(Address)
mabel T Williams.
205 329 Pleasant 29 Wirdvia
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)
(Official Designation)
(Date of Issue of Permit)
T
R-301A -
TIONS
RTIFICATE
ring DEATH enter n one r each and (c)
nai mean of dying, " failure. It means or compli- h caused
if any, rise to se (a), under- se last. as contrib- th but not e terminal tion given ,001 hapter 137, 4. requires to print or cause or death on ficates, and 8, Acts of ires Physi- int or type signature.
27 196
8145
2 FULL NAME
Graco Loring Ci ---
( First Name) (Middle Name)
(Last .Came)
(If deceased is a married, widowed or divorced woman, give also maiden name.)
329 Pleasant Stroot
St.
Winthrop, Mass.
( If nonresident, give city or town and State)
1
death is said to
DEATH WAS CAUSED BY: IMMEDIATE CAUSE
Bronchopneumonia
have occurred on the date stated above, at
iWILL.VAL
DETWEEN
10:15AM
ONSET AND
I1 IF STILLBORN, enter that fact here.
DEATH
3 0 03
12
AGE 70
Years.
Months.
Days
Occupation :
(Kind of work done during most of working life)
zecidustry
or Business :
Bundet College
16 BIRTHPLACE (City)
(State or country)
17 NAME OF
FATHER
Herbert Wendel Piece ofany
Winthrop
Southport
6
Place of Duriel or Cremation
aurait 19
19
If under 24 hours
Hours.
Minutes
(Month)
(Day)Loro provient.
'A TRUE COPY ATTEST: Charles it Mackie City Registrar
X PLACE OF DEATH
SUFFOLK
(County)
DOSTON
(City or Town)
The Comenmuralth 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 Ageot.
02907
Registered No.
S(If death occurred in a hospital or institution, St. 7 give its NAME instead of street and number)
PHYSICIAN - IMPORTANT ( ( Was deceased a U. S. War Vetetao.
{if so specify WAR)
Mass.
(a) Residence. No.
( l'sual place of abode)
Length of stay: In place of death. years. months. days. In place of residence. .years.
MEDICAL CERTIFICATE OF DEATH
PERSONAL AND STATISTICAL PARTICULARS
8 SEX
male
white
9 COLOR
10 SINGLE
(write the word)
DEATH
(Month)
(Day)
(Year)
'Auf:
HEREBY
CERTIFY
Augat vegyended deceased
.
61
19
welast saw h ...
Imive on AUG. 20,
19.
death is said to
12:35a.m.
have occurred on the date stated above, at
INTERVAL
BETWEEN
ONGET AND
DEATH WAS CAUSED BY: IMMEDIATE CAUSE
Basilar Artery Occlusion
(a)
Due To (b)
Due To (c)
OTHER
Diabetes Mellitus
SIGNIFICANT
CONDITIONS
Was autopsy performed?
What test confirmed diagnosis?
clinical
S Was disease or injury in any way related to occupation of deceased?
If so, specify
(Signed)
M. D
Charles.L ... Clar, .! '.D.
(PRINT OR TYPE SIGNATURE)
Aug. 20, 61
(Address) Ass't. Dle, Maas .. Gan'l. Harp. Date.
Winthrop Cemetery
Winthrop
6
I'lace of Burial or Cremation
(City or Town)
DATE OF BURIAL
August 23
1.67
7 NAME OF
FUNERAL DIRECTOR
Frederick J. Magrath
ADDRESS
East Boston
AUG 2 3 1961 Charles & Mackin
(Kegistrar)
PARENTS
18 BIRTHPLACE OF
FATHER (City)
(State or country)
Ireland
19 MAIDEN NAME
OF MOTHER
Julia Turke
20 BIRTHPLACE OF
MOTHER (City)
(State or country)
Ireland
21
Serveret Driscoll
Informant
(Address)
20 Pico AVE. Winthroo
IFREBY CERTIFY that a satisfactory standard certificate of death hled with me BEFORE rAsit permit was issued:
(Signature of Agent of Board of Health or other)
A 19233
aug 21, 4161
(Official Designation)
(Date of Issueof Permit)
CTIONS R ERTIFICATE
ving DEATH enter an one r each and (e)
not mean of dying. ut failure. . It means or compli- ch caused
if any. e rise ro use (0). e under. se last.
as contrib- th but nat e terminal tion given
32
hapter 137. 54. requires to print or cause or death on hcates, and 8, Acts of ires Physi- int or type r signature. C. rector · only Ink. 27 196
18145
11 IF STILLBORN, enter that fact here.
AGE.69
„Years.
Months.
Days
If under 24 hours
Hours .............. Minutes
13 Usual
Occupation :
Purchasing Agent
(Kind of work done during most of working life)
14 Industry
or Business :
retired
013-45-3845
East Poston
16 BIRTHPLACE (City)
(State or country)
Lass.
17 NAME OF
FATHER
Florence Priscoll
8 yings Social Security No.
10a If married, widowed,& diverssd o' Donnell
HUSBAND of
(Give maiden name of wife in full)
(or) WIFE of
St
( If oonresident, give city or town and State)
months ......... .. days.
3 DATE OF
August
20
1961
MARRIED
WIDOWED married
or DIVORCED
19
to.
61
TOWN
R-301A 1
No. .MASSACHUSETTS.GENERAL .. C.OSPITAL
2 FULL NAME John L. Driscoll ( First Name) (Middle Name) ( Last Name) (If deceased is a married, widowed or divorced womao, give also maideo name.) 28 Pico Avenue, Winthrop
(Husband's name in full)
A TRUE COPY ATTEST: Charles it mackie City Registrar
-
X
PLACE OF DEATH
SUFFOLK (County) BOSTON (City or Town)
Che Commonwealth of Massachusetts JOSEPH D. WARD SECRETARY OF THE COMMONWEALTH DIVISION OF VITAL STATISTICS MEDICAL EXAMINER'S CERTIFICATE OF DEATH
OUT - O
To be hled for burial permit with Board of Health er ila Agent. fy
Registered No.
§(If death occurred in a hospital or institution, St. ¿ give its NAME instead of street and number) No. 87 Faywood Avenue, East Roston
2 FULL NAME
FRANK L HEALY
(First Name)
(Middle Name)
(Last Name)
PHYSICIAN - IMPORTANT
[(Was deceased a
(If deceased is a married. widowed or divorced woman, give also maiden name.)
18 Tileston Road,
St.
Winthrop, Massachusetts
(a) Residence No.
( L'sual place of abode)
Length of stay: In place of death
years.
months.
.days. In place of residence ..
30
years
months
days.
MEDICAL CERTIFICATE OF DEATH
PERSONAL AND STATISTICAL PARTICULARS
3 DATE OF
DEATH
August
25,
1961
(Month)
(1)ay)
(Year)
9 SEX
10 COLOR
Male
White
MARRIED)
WIDOWED
or DIVORCE Maried
4I HEREBY CERTIFY that I have investigated the death of the person above. named and that the CAUSE AND MANNER thereof are as follows : (If an injury was involved, state fully.)
lla If married, widowssordist ......
(Schwarz).
Coronary .... occlusion
(or) WIFE of
(Husband's name in full)
12 IF STILLBORN, enter that i ct here.
13
AGE 58 Years 1 Months. 3
... Days
If under 24 hours
Hours ..........
Minutes
IF ACCIDENTAL, was injury causally related to the death?
14 Usual
Occur tion:
(Kind of work done tuning most of working life)
15 Indu try
or Bo ness :
Morze1 ... Meat Packers
Social Security No.
013-01-3076
17
RTHPL.\CE (City)
East Boston
te or cont y)
18 NAME OF
FATHER
Joseph T. Healy
19 BIRTHPLACE OF
FATHER (City)
New Jersey
(State or country)
20 MAIDEN NAME
OF MOTHER
Lillian Tanner
21 BIRTHPLACE OF
MOTHER (City)
(State or country)
East .... Boston
(Address) Boston
Date
7 Winthrop Cem. Winthrop Mass Place of Burial, or Cremation. (City or Town)
DATE OF BURIAL
August .... 2.9
1967
Ar ..
8 NAME OF
FUNERAL DIRECTOR
Richard C .. .. Kirby Inc
ADDRESS917 Bennington
t. E.B.
AUG 29 1961
Received and filed
27 19 Charles 21 Mache
(Registrar)
r
1
OM R.303 A
information should be careful!, supplied. MEDICAL EXAMINERS should state CAUSE AND MANNER OF
DEATH in plain terms, so that it may be properly classified under the International Classification of Causes
11 44-48.
SOM-6-50-928145
In.C.
0.1
of Death. See reverse side for additional information. See also Chap. 38. 11 6. 20; Chap. 46, 11 ), 10; Chap. 114,
6 Was disease or injury in any way relase
patiני
Jeceased ?
......
M. D.
(Signed)
Michael A. Luongo,
(Print or Type . natt
)
8/20
.19.61
PAREN
22
Informant
Mrs. Doris E. Healy
(Address)
18 Tileston Rd. Winthrop
1 HEREBY CERTIFY that a satisfactory standard certificate of death (was filed with me BEFORE the burial or transf perprit was issued: Dufth Ven Histas (Signature of Agent of Board of Health or other ),
Q19 352
8/27/61
(Official Designation)
(Date of Issue of Fermny
T VI/
S Accident, suicide, or homicide (specify)
Date and hour of injury
19
Did injury occur in or about home, on farm, in industrial place, or in
public place ?
(Specify type of place)
Manner of
Injury
(How did injury occur ?)
Nature of
Injury
While at work ?
Was autor sy per
Where did
Injury occur ?
(City or town and State)
HUSBAND of
(Give maiden name of wife in full)
(lf nonresident, give city or town and State)
11 SINGLE
(write the word)
U. S. War Veteran. (if so specify WAR) No
ALLUAV. Every item ot
If deceased was a U. S. War Veteran, G.L. Chap. 46, Section 10, requires physicians to insert a recital to that effect.
A TRUE COPY ATTESTI Charles it Mackie City Registrar
1
f(If death occurred in a hospital or institution, XX) give its NAME instead of street and number)
2 FULL NAME
( First Name) ( Middle Name) (Last Name)
(If deceased is a married, widowed or divorced woman, give also maiden name.)
(a) Residence. No.
( l'sual place of abode)
Length of stay: In place of death. 0 years. O. months 3 days. In place of residence
years.
months ..
.Iva.
MEDICAL CERTIFICATE OF DEATH
PERSONAL AND STATISTICAL, PARTICULARS
8 SEX
9 COLOR
Whito
10 SINGLE
(write the word)
MARRIED YAcc
WIDOWED
or DIVORCED
IOa If married, widovilcoy 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 73 Years 7 Months
11Days
If under 24 hours
Hours .... ..
.. alinutes
13 Usual
Occupation :
(Kind of work done during most of working life)
14 Industry
or Business :
15 Social Security No. .
1021-20-2208
16 BIRTHPLACE (City)
(State or country)
Italy
17 NAME OF
FATHER
Ciriaco Lucilla
18 BIRTHPLACE OF
FATHER (City)
(State or country)
19 MAIDEN NAME
OF MOTHER
Maria Baresso
20 BIRTHPLACE OF
MOTHER (City)
(State or country)
21
Informant
V. A. Hospital Records, 150 S.
(Address) Huntingera la Bais Sa
I HEKERY CERTIFY that a satisfactory standard certificate of death was filed with me BEFORE the burial or transit permir was issued: vequelana varato (Signature of Agent of Board of Health or other) 3624 9/14/61
(Official Designation) (Date of Issue of Permit)
A:TIONS . ERTIFICATE
ving F DEATH H enter an one for each () and (e)
@ mot mean 'e of dying, lut failure, e. It means se or compli- och caused
if any. sup rise to ( se (a). · under. Ose last.
it's contrib. di & but mot e terminal option given
20.1
Chapter 137. 14. requires ar to print or he cause or o death on ricates, and . Acts of ·gres Physi- Int or type d' signature. C.
27 196
PLACE OF DEATH
Suffol': (County) Boston .
(City or Town)
No. Votosama hinatrenden Dospital
Che Onuamiralth 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 15
Registered No.
PHYSICIAN - IMPORTANT
[ ( Was deceased a
U. S. War Veteran. lif so specify WAR, LAI
Winthrop, Mass.
( If nonresident, give city of town and State)
DEATHI
(Month)
(Day)
7
(Year)
4I HEREBY
CERTIFY ..
61
19
to ..
19
, death is said to
have occurred on the date stated above, at
122:20m.
DEATH WAS CAUSED BY : IMMEDIATE CAUSE
Acute myocardial infarction
(a)
Due Tos
(b)
ght lower loto peumonia
Due To (c)
OTHER SIGNIFICANT CONDITIONS
Was autopsy performed?
What test confirmed diagnosis?
Actor
5 Was disease or injury in any way related to occupation of deceased? If so, specify
(Signed)
(Ad
VAH DOLCI, .. .- 3.
Date Li JN. 23 19 67
Winthrop Com., Winthrop, Inc. 6 Place of Burial or Cremation (City or Town)
DATE OF BURIAL
Sort. 16
61
19
7 NAME OF
FUNERAL DIRECTOR
Jecoph Langers, Jr.
ADDRESS 58 Morrirac St., Doston, Mass. SEP 15 1967 ..... ....... 19 Charles & Mack
PARENTS
MR-301A 1
-9:145
PUCILLO
3 DATE OF
Soptontor
13
1952
That L,attended deceased from
61
DET .. CEN
C" __ T AND
Retirer
(PRIMA OR TYPE SIGNATURE)
A TRUE COPY ATTEST: Charles it. Mack City Registra
X PLACE OF DEATH
Suffolk (County)
Boston
(City of Town)
Ti Cocanamwraith of Massachusetts JOSEPH D. WARD SECRETARY OF THE COMMONWEALTH DIVISION OF VITAL STATISTICS STANDARD CERTIFICATE OF DEATH
OUT - OF - TOWI
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 U. S. War Veteran. IL {if we specify WAR;
2 FULL NAME . SAMUEL ABRANCON ( First Name) (Middle Name) (Last Name) ( If deceased is a married, widowed or divorced woman, kive also maiden name.)
24 Dolphin Acro
Ix Winthrop, Mass.
( If nonresident, give city or town and State)
Length of stay:
In place of death
. years .....
.. months. ... days.
In place of residence.
Lifpars.
.months.
day's.
MEDICAL CERTIFICATE OF DEATH
3 DATE OF
September
17
1951
DEATH
(Month)
(Day)
(Year)
4 I HEREBY
CERTIFY
Th
atterded deceased
from
September 17 19 61
61
19
., to ....
........... , death is said to 1
have occurred on the date stated above, at
5:00 2
... m.
L
DEATH WAS CAUSED BY : IMMEDIATE CAUSE
(a) Subarachnoid he-or -: 00
GIATH curs
Due To
(b)
Diabetos.
Due To
(c)
Coronary Artery Disease.
OTHER SIGNIFICANT CONDITIONS
Was autopsy performed? No. What test confirmed diagnosis? Clinical Pardines
S Was disease or injury in any way related to occupation of deceased? If so, specify
(Signed)
M. D
(PRIN. OR TYPE SIGNATURE)
37 10 67
Tiforoth
6
Place of Burial or Cremation (City or Town) .
DATE OF BURIAL
Contombor 20
7 NAME OF
FUNERAL
DIRECTOR
ARNOLD GULOV
1658 Beacon Sso
ADDRESS
De cive) and filed
J ... A: NOT
O .. .19,
(Registrar)
¿Y PARENTS
21 VA Hospital Records, 150 South
Informant
(Address) Huntington -Con Particolare
I HEREBY CERTIFY that a satisfactory standard certificate of death was filed with me BEFORE the burlal or transit permit, was issued:
(Sjanpaure of Agent of Board of Health of other) 2653
9/18/
FICTIONS
L ERTIFICATE
Ving F DEATH n enter an one for each ) and (c)
not mean of dying. ut failure. . It means For rompli- ich caused
if any, e rise to se (a), e under- se last.
'Uns contrib. Ath but not ole terminal Dition given
Tiapter 137. 54. requires . to print or cause or death on ficates. and 8. Acts of Sires Pbysi- nt or type ir signature.
01 for fod
0 8145
PERSONAL AND STATISTICAL PARTICULARS
8 SEX
Male
9 COLOR
Thito
10 SINGLE
MARRIEIL
WIDOWEMarried
or DIVORCED
10a If married, widowed, or divorced.
HUSBAND of
Rose .... Moff
(Give maiden name of wife in full)
(or) WIFE of
(Husband's name in full)
11 IF STILLBORN, enter that fact here.
ACE.
ars .. en.
Months.
If under 24 hours
Hours.
Minutes
13 Usual
Occupation :
Pharmacist
(Kind of work done during most of working life)
14 Industry
or Business :
BISHOP DRUG BUSTON
15 Social Security No. ..
010-03-3986
16 BIRTHPLACE (City)
(State or country)
Facocchusotto
17 NAME OF
FATHER
Morris
ABRAAISON
18 BIRTHPLACE OF
FATHER (City)
(State or country)
Russia
19 MAIDEN NAME
OF MOTHER
Eva Shanker
20 BIRTHPLACE OF MOTHER (City) (State or country) Russia
.....
(Official Designation) (Date of Issue of Pr-
VR-30IA -
Veterans Administration Hospital No.
(a) Residence No. ( l'sual place of abode)
(write the word)
12
1,8.
1.
Days
(Address) VIH BOSTON. 1 200 Date
.. ..
A TRUE COPY ATTESTI Charles it Mackie City Registrar
X PLACE OF DEATH
SUFFOLK
(County)
COSTON
(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 of us Aprot.
No. MASSACHUSETTS .. GENERAL.HOSPITAL
......
[(If death occurred in a hospital or institution. St. } give its NAME instead of street and number) PHYSICIAN - IMPORTANT
2 FULL NAME Giovanni Freccero ( First Name) (Middle Name) ( Lası Namr)
[ ( Was deceased ] U. S. War Veteran.
lif so specify WAR) non
( If deceased is a married, widowed or divorced woman, give also maiden name.)
(a) Residence. No. ( l'sual place of abode)
39. Grovers Avenue
.St
Winthrop, Massachusetts
(lf 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
Mala
9 COLOR
10 SINGLE
MARRIED
WIDOWED
(write the word)
( Month) (1)ay)
(Year)
4I HEREBY CERTIFY,
That :"attended deceased from ptember 24 19 61 September 25 61
welast saw h.
imive on ..
September 25 61
death is said to
have occurred on the date stated above, at 11:30am.
DEATH WAS CAUSED BY: IMMEDIATE CAUSE
BETWEEN
ONSET AND
DEATH
Due To (b) CORONARY HEART DISEASE
10 YEARS
Due To (c)
OTHER SIGNIFICANT CONDITIONS
Was autopsy performed?
What test confirmed diagnosis?
5 Was disease or injury in any way related to occupation of deceased? If so, specify
(Signed)
M. D
Charles L. G.m .. .. D. (PRINT OR TYPE SIGNATURE) (Address) Aus's Dir., Loss Gen'L Hasp. Date Sent. 25 6
It michael C meter 6 Place of Burial or Cremation (City or Town)
DATE OF BURIAL
19.
7 NAME OF
S.
ADDRESS 58 SEP 28 600
PARENTS
16 BIRTHPLACE (City) (State or country)
17 NAME OF
FATHER
Lawrence Vaccaro
18 BIRTHPLACE OF FATHER (City) (State or country)
19 MAIDEN NAME E Catherine Dabou
OF MOTHER
20 BIRTHPLACE OF
MOTHER (City)
(State or country)
Mary
Italy
21 Informant (Address)
I HEREBY CERTIFY that satisfactory standard certificate of death was filed /with me BEFORE the burial or dansit permit was med. acqueline Dosolo .... (Signature of Agent of Board of Health or other) A 3784 9/26/61
Received Charles 21-Mach (Registrar) (Official Designation) (Date of Issue of Permit)
R:TIONS IR RTIFICATE
1/Ing C· DEATH center jan one ir each and (c)
a Not mean & of dying. Art foilure. e It means Cor compli- och caused
if any, rise to se (a). à under- ase lass.
Gis contrib- &h but not e terminal Ciom given 20.1
hapter 137. 14. requires to print or cause or death on ricates, and , Acts of gres Physi- int or type d
signature.
Lector i only Kink. 27 195!
91145
S
19
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.
..... Years .. .......... Months .. ..... Days
If under 24 hours
.Ilours ..
Minutes
13 Usual
Occupation :
(Kind of work done during most of working life)
14 Industry
or Business :
Retired
15 Social Security No. 012-07-3170
of DIVORCEALONG
3 DATE OF
DEATH
September 25
1961
Registered No.
AR-301A I
A TRUE COPY ATTEST: Charles it Mackie City Registrar
X Suffolk (County )
The Conunomuralth of Massachusetts JOSEPH D. WARD SECRETARY OF THE COMMONWEALTH DIVISION OF VITAL STATISTICS STANDARD
OUT - OF TOWN To be hled for burial permit with Board of Healths # 01 :ts Agent.
CERTIFICATE OF DEATH
Registered No.
09170
No.
2 1.011. NAME
S(If death occurred in a hospital or institution. St. ¿ give it« NAME instead of street and number) Stolpe PHYSICIAN - IMPORTANT MRS Minerva f ( Was deceased a ( First Name) ( Middle Nanie) JU S War Arteian. (Last Name) ( If deceased is a married, widowed or divorced woman, give also maiden name.) lif wo specify WAR) 10 PROSPECT Ave
WINTHROP
( If nonresident, give city of town and State)
months.
.days.
MEDICAL CERTIFICATE OF DEATH
PERSONAL AND STATISTICAL PARTICULARS
3 DATE OF
DEATH
SEDI
27
1961
(Month) (Day)
(Year)
41 HEREBY CERTIFY
That I attended deceased from
.27 19 61 to. SEPT 2)
61
I last saw h. W.Valive on Sept. 27 19 of death is said to
have occurred on the date stated above, at 2:15Pm.
DEATH, WAS CAUSED BY : IMMEDIATE CAUSE
(a) Acute Myocardial IntereTio
Due To
(b) ARTERIOSClerotic HA. Disease
Due To (c)
OTHER
SIGNIFICANT
CONDITIONS
Was autopsy performed?
NO
What test confirmed diagnosis?
EKG
5 Was disease or injury in any way related to occupation of deceased? If so, specify NO
(Signed)
Lucian n. Balucian
M. D
(Address)
CARNey
Winthrop - BisHara 6
Place of Burial or Cremation
DATE OF BURIAL Sept. 30 1961 21 Informant (Address)
7 NAME OF
FUNERAL DIRECTOR
Housed S.Tioned's
LINUS Rop, MASS
ADDRESS
Received And/hled Charles St.
(egistrar)
8 SEX
9 COLOR
Female
White
10 SINGLE
MARRIED)
WIDOWED
or DIVORCED
(write the word)
MARCI
10a If married, widowed, or divorced HUSBAND of
(or) WIFE of
Albert V. Brolpe
(Husband's name in full)
11 IF STILLBORN, enter that fact here.
12
10
AGE ...
Years ...
/
Mor
12
.Days
If under 24 hours
Hours ...... ..
hiinutes
13 Usual
Occupation :
House Wife
(Kind of work done during most of working life)
14 Industry
or Business :
OWN Home
15 Social Security No. NONE
16 BIRTHPLACE (City) SE-JOHN,
(State or country)
HeuFour ClAnd
17 NAME OF
FATHER
PAYRick Scott
18 BIRTHPLACE OF FATHER (City) (State or country) NewFoundland
19 MAIDEN NAME
OF MOTHER
Elizabeth Condy
20 BIRTHPLACE OF
MOTHER (City)
(State or country)
NewFoundland
Albert V. Stolpe
I HEREBY CERTIFY that a satisfactory standard certificate of death was filed With me BEFORE the burial or transit permit was issued: Jacqueline Dorata (Signature of Agent of Board of Health or other) A3821 9-28-61
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.