USA > Massachusetts > Suffolk County > Winthrop > Town of Winthrop : Record of Deaths 1961 > Part 51
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itions, i! omy, gov. rise to ... & the under- cause last
xditions contrib- a droth but not to the terminal condition given
2.0.1
te :- Chapter 137. of 1954 requires icians to print or the cause or :\ of death of i certificates, and ter 48, Acts of requires Physi- to print or type under signature.
Directon To use only ACK Ink. 3 14 1962 61.930213
Due To (c)
OTHER
Atbaressigrotic Coronary
SIGNIFICANT Seare .. Nephrosclerosis
CONDITIONS
10 y
8 SEX
4DeUEBER Y
19
to ..
IR TIEY
December 5
That 1 attended deceased from
6
19
Plast saw h.e.Lilive on
December 5, 19 61, death is said to
have occurred on the date stated above, at 5:40pm.
LEITEN VAL
BETWEEN
ONSET AND
DEATH
5 day
DEATH WAS CAUSED BY: IMMEDIATE CAUSE
Bronchopneumonia
(i)
i:ue To (b)
17 BIRTHPLACE (City)
(State or country)
Kent England
18 NAME OF
FATHER
Thomas Hyland
19 BIRTHPLACE OF
FATHER (City)
(State or country)
England
M. D.
( Address)
PLACE OF DEATH
No.
MASSACHUSETTS GENERAL VOCPITAL
f ( Was deceased a U. S. War Veteran. ....
No
Winthrop, Massachusetts St.
RM R-301 1
A TRUE COPY ATTEST:
(Official Designation)
It under 24 hours
A TRUE COPY ATTEST:
Charles . Mackie
City Registrar
TOW
OF
OFFI.
n
NICI!
LCKK
a
6
135
NTHROR MA
FEB 1 41962 AM
PLACE OF DEATH
SUFFOLK
(County)
-
BOSTON (City or Town)
CERTIFICATE OF DEATH
To be filed for burial permit with Board of Health or its Agent. 11873
Registered No.
f(If death occurred in a hospital or institution, St. Į give its NAME instead of street and number)
Stamatios
Booras
[(Was deceased a
U. S. War Veteran.
No
(1f deceased is a married, widowed or divorced woman, give also maiden name.)
82 Locust St
Sı.
Winthrop, Massa
( L'sual place of abode)
(1f nonresident, give city or town and State)
Length of stay:
In place of death.
years.
months
3
days. In place of residence 60 years.
.days.
MEDICAL CERTIFICATE OF DEATH
PERSONAL AND STATISTICAL PARTICULARS
8 SEX
MALE
9 COLOR
WHITE
(write the word)
10 SINGLE
MARRIED
MARRIED
or DIVORCETY
10a If married, widowed, of diyorces
HUSBANI
ANNA PAPPADOPOULOS
(Give maiden name ct wife in full)
(or) WIFE of
(Husband's name in full)
11 IF STILLBORN, enter that fact here.
AGE 16 Years
.. Months .........
Days
If under 24 hours Hours ........... .. Minute»
Occupation :
IMPUNTER
(Kind of work done during most of working life)
14 Industry
or Business :
OLIVE OIL
15 Social Security No. ..
012-01-4972
16 BIRTHPLACE (City)
(State or country)
EPELCE
17 NAME OF
FATHER
PARASKEVAS BOORAS
18 BIRTHPLACE OF
FATHER (City)
(State or country)
GREECE
19 MAIDEN NAME
OF MOTHER
MARINA KAMARENOS
20 BIRTHPLACE OF
MOTHER (City)
(State or country)
GREECE
21 ANNA BOORAS
Informant (Address) 82LOCUST ST. WINTHROPMASS
I HEREBY CERTIFY that a satisfactory standard certificate of death
BEFORE the burial or transit permit was- issued:
(Signature of Agent of Board of Heaith or otherY A4937 12/13/01
(Registrar) (Official Designation) (Date cf/Issue of Permit)
V.BV
RUCTIONS FOR CERTIFICATE
giving OF DEATH ot erter than one for each b) and (c)
e; not mean of dying. heart failure. tc. It means : or compli- which caused
xs, ij any,
the under- ause last.
ions con cath bul Lor the terminal idition given
Chapter 137. 954. requires ns to print or e cause or of death on tificates, and 48, Acts of quires Physi- print or type ler signature.
B 14 1962
Recolod Lad filed
C, 1 1 1961
JOSEPH D. WARD SECRETARY OF THE COMMONWEALTH DIVISION OF VITAL STATISTICS STANDARD
Low England Center Hospital
No.
2 FULL NAME
( First Name)
(Middle Name)
(Last Name)
(if so specify WAR)
(a) Residence. No.
DEATH
December
10
1961
(Month)
(Day)
(Year)
4I HEREBY CERTIFY, That I attended deceased from 19.61 December 7 1961
n .... to December 10
I last saw h.Allalive on
December 10
19.67
....... , death is said to
have occurred on the date stated above, at
6 .. 00g
.m.
DEATH WAS CAUSED BY : IMMEDIATE CAUSE
(a)
BRONCHIO PNEUMONIA
Due To (b)
Due To (c)
OTHER
SIGNIFICANT
CONDITIONS
APLASTIC ANEMIA
Was autopsy performed?
YES
What test confirmed diagnosis?
YES
5 Was disease or injury in any way related to occupation of deceased?
If so, specify
NO
(Signed)
In Gamleton
M.
F. M. ADVERTON
(PRINT OR TYPE SIGNATURE)
(Address)
NECHOSPITAL
Date ....
12/10
19 .. 61
BOSTON, MASS
WINTHROP CENY WINTHROP MASS. Place of Bufial or Cremation (City or Town)
DATE OF BURIAL DECEMBER 13 19 61
7 NAME OF FUNERAL DIRECTOR Faux, Hassas $642 Commonwealth aux Boston, 20
928145
I R-301A 1
.
INTERVAL
BETWEEN
ONSET AND
DEATH
. PARENTS
PHYSICIAN - IMPORTANT
A TRUE COPY ATTEST: Charles it Mackie City Registrar
TO:
FL.iZ
OFFI
CLERK
in
6
THBORN
FEB 1 41962 AM
PLACE OF DEATH
SUFFOLK
(County)
DOSTON
(City of Town)
KEVIN H. WHITE SECRETARY OF THE COMMONWEALTH DIVISION OF VITAL STATISTICS STANDARD CERTIFICATE OF DEATH
232
To be need for burial permit with Board of Health or 12191
Registered No.
No. .
Mae Hale
(Corson)
PHYSICIAN -- IMPORTANT f ( Was deceased a
2 FULL NAME
( First Name) (Middle Name) ( Last Name)
(If deceased is a married, widowed or divorced woman, give also maiden name.)
10 Perkins Street
Winthrop, Massachusetts St.
(If nonresident, give city of town and State)
Length of stay: In place ol death .. years. months ... .... .days. In place of residence.
years ...... ..... months. days.
MEDICAL CERTIFICATE OF DEATH
PERSONAL AND STATISTICAL PARTICULARS
8 SEX
Female White
9 COLOR
10 CITIZEN
OF U.S.
YES AO
NO O
11 SINGLE MARRIED WIDOWED DIVORCED UNKNOWN
lla li married, will yod or divorced
HUSBAND of
1-0
(or) WIFE of
Percy
(Give maiden namefof wile in full) Male
(Husband's name in luil)
12 DATE OF BIRTH Oct. 23, 1906
13 AG 55% 1
Y'cars ..
.. Days
If under 24 hours Ilcurs
14 Usual
Occupation :
Fiouse with
(Kind of work done during most of working lile)
15 Industry
or Business :
at
Exeter
What test confirmed diagnosis?
autopsy
5 '%'as disease or injury in any way related to occupation ol deceased? Il so, specily
(Signed)
Cheriea.L. Cl ........ 1,D. (Print or Tyre Name) (Address) Aca's. Dif.I:200. C __ º1. Moc2. Date ..
Dec .... 20161
Pinettill Cemetery Dar, N.M. Place of Burial or Cremation Dec. 23
(City or Town)
DATE OF BURIAL
7 NAME OF
FUNERAL DIRECTOR
Ernest P. Casciano
ALDRESS 147 Wiethrown At. Winthrop
RecaVed whid filed
DEC .... 2.6/1961
:: imachen.
19.
(Signature of Agent of Board of Health of other)
5091 12/21/6/
(Official Designation)
(Date of Issue of Permit)
X
(
Maine
22 Informant (Address)
Percy Hale
12 Parking 54. Qualme
I HEREBY CERTIFY that a satisfactory standard certificate of death was filed with me BEFORE the burial ontransit permit was issued:
Directen use only ICK Ink.
361 - dos 1962
A TRUE COPY ATTEST:
(Registrar)
PARENTS
17 BIRTHPLACE (City)
(State or country)
NU. H.
18 NAME OF FATHER Call Corson
19 BIRTHPLACE OF
FATHER (City)
(State or country)
N.H.
20 MAIDEN NAME
OF MOTHER
Ida Mae Littlefield
1 d.
OTHER
Pulmonary Edema
CONDITIONS
December
20
1961
(Month)
(1)ay)
(Ycar)
41 HEREBY Dec 19 to ..
CERTIFY
December
20
That theattended deceased drum
19
Kelast saw h.2.lalive on
December 20 19 61
death is said to
have occurred on the date stated above, at 6:55pm.
DEATH WAS CAUSED BY : IMMEDIATE CAUSE
(a) Myocardial
Infarction
Dur To
INTERVAL BETWEEN ONSET AND DEATH la.
0
Due To (c)
.
S(Il death occurred in a hospital or institution. St. { give its NAME instead ol street and number)
{U. S War Veteran.
(if so specify WAR)
TRUCTIONS FOR L CERTIFICATE
n 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
tions ij ony,
(crise iv). the under- cause last.
ditions contrib- death but mot to the terminal condition given m.c. 201
e :- CHapte: 137. ol 1954 requires cians to print or the cause Of ol death on certificates, and er 48. Acts of requires Physi- to print or type under signature
IM R-301 1
16 Social Security No.
Was autopsy perlormed?
yes
M. D.
21 BIRTHPLACE OF
MOTHER (City)
(State or country)
(a) Residence. No. (L'sual place of abode)
3 DATE OF
DEATH
A TRUE COPY ATTEST:
Charles it Mackie.
City Registrar
TON
12
CLERK
00
6
ANTHROP.
FEB 1 41962 AM
PLACE OF DEATH
SUFFOLK (County) BOSTON
(City or Town) NEW ENGLAND
JOSEPH D. WARD SECRETARY OF THE COMMONWEALTH DIVISION OF VITAL STATISTICS STANDARD
CERTIFICATE OF DEATH HOSPITAL
To be filed for burial permit with Board of Health or its Agent. 1
Registered No.
f(If death occurred in a hospital or institution, St. ( give its NAME instead of street and number)
PHYSICIAN - IMPORTANT
( Was decravril a
C. S. War Veteran.
no
(if so specify WAR)
89 COTTAGE Xxxxxxxx Ave. Winthrop
(a) Residence. No.
( l'sual place of abode)
Length of stay :
In place of death.
.. yrars
.months.
days.
30
In place of residence 50
years.
.. months.
.days.
MEDICAL CERTIFICATE OF DEATH
25
1951
(Year)
8 SEX
male
9 COLOR
white
10 SINGLE
(write the word)
MARRIED
WIDOWEndowed
or DIVORCED
4I HEREBY CERTIFY,
61
11. 26-
19.
That I attended deceased Irom
12
25
1961
10a If married, widowed, or dixercedy Cassidy
HUSBAND of
(or) WIFE of
(Husband's name in full)
11 IF STILLBORN, enter that fact here.
12
AGE .. 7.7
Years.
Months ....
.Days
if under 24 hours
.. Hours ..........
.Minutes
13 Usual
Occupation :
class business
(Kind of work done during most of working life)
14 Industry
or Business :
proprietor
15 Social Security No.
027-28-4595
16 BIRTHPLACE (City) Somerville, Masc. (State or country)
17 NAME OF
FATHER
Ny + hen
18 BIRTHPLACE OF
FATHER (City)
(State or country)
Enpland-
19 MAIDEN NAME
OF MOTHER
Catherine Hoye
20 BIRTHPLACE OF
MOTHER (City)
(State or country)
Ire Land
21 Informant
Phyllis Mythen
(Address) ( Cottage Ave, Winthrop
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)
17.51417,
15/11/61
(Official Designation)
(Date of Issue of Permit)
(Registrar)
PARENTS
6
Holy Cross
Malden
Place of Burial or Cremation
( City or Town)
DATE OF BURIAL Dec. 28
1967
7 NAME OF
FUNERAL DIRECTOR
Frederick J. Magrath
ADDRESS
East Boston
Received
and filed
DEC 2-8. 1961
.19
MACHAR
JOSEPH
MYTHEN
( First Name)
(I[ deceased is a married, widowed or divorced woman, give also maiden name.)
(Middle Name)
(Last Name)
RUCTIONS FOR CERTIFICATE
Riving OF DEATH ot enter than one for each (b) and (c
es not mean of dying. heart failure. tr. It means 2, 01 compli- kich caused
ns. i/ amy. uMir :21. the under- ause last.
ions contrib- eath but not the terminal dition given
153.3
Chapter 137. 954. requires is to print or esuse of f death on tifcstes, and 48. Acts of uires Physi- print or type er signature.
14 1962
R-301A 1
No.
WILLIAM
2 FULL, NAME
3 DATE OF
DEATII
(Month)
(Day)
I last saw helalive on
12-
24, 19.
, 61
.. , death is said to
to.
have occurred on the date stated above, at 7.50 A.m.
INTLAVAL
BETWEEN
ONSET AND
DEATH
DEATH WAS CAUSED BY: IMMEDIATE CAUSE
(a)
URAEMIA
lige Ti RESECTION CANCER SIGMOD
:h!
Due To (c)
OTHER
SIGNIFICANT
CONDITIONS
CARCINOMA CLIUM
Was autopsy performed?
NO
What test confirmed diagnosis?
S Was disease or injury in any way related to occupatinp of deceased?
If so, specify
NO
(Signed)
M. D 1. T. KHUOCHENDAWI
(PRINT OR TYPE SIGNATURE)
( Address)
NEW ENGLAND HOSPIT, Date. 12/25/1961
PERSONAL AND STATISTICAL PARTICULARS
(Give maiden name of wile in full)
... St
( If nonresident, give city or town and State)
28145
A TRUE COPY ATTEST:
Charles H. Mackix City Registrar
SECEIVED
TOW.
1. 12
10.
8
10
17:
CLERK
WINTHROP
6
FEB 1 41962 AM
E
IM R-301 1
PLACE OF DEATH
SUFFOLK
(County ) COSTON
(City or Town)
KEVIN H. WHITE ALCRETARY OF THE COMMONWEALTH DIVISION OF VITAL STATISTICS
STANDARD CERTIFICATE OF DEATH
254
To be hled for banal permit with Board of Health or its Agent. 12626
Registered No.
S(If death occurred in a hospital or institution, St. } give its NAME instead of street and number)
2 FULL NAME
Charles ..... Smith
( First Name)
(Middle Name)
(Last Name)
( If deceased is a married, widowed or divorced woman, xive also maiden name.)
PHYSICIAN - IMPORTANT [ { Was deceased a U. S. War Veteran, {if so specify WAR)
(a) Residence, No. 165 Woodside Avenue
St. Winthrop,Massachusetts
( L'sual place of abode)
(If nonresident, give city or town and State)
Length of stay :
In place of death.
.years.
months ..
days. In place of residence 55 years.
.months.
.. days.
MEDICAL CERTIFICATE OF DEATH
PERSONAL AND STATISTICAL PARTICULARS
3 DATE OF
DEATH
December 31, 1961
(Month)
(Day)
(Year)
8 SEX
Male
9 COLOR
Thite
10 CITIZEN
OF U.S.
YES
NO
11 SINGLE
MARRIED
WIDOWED
DIVORCED
UNKNOWN
L
Wf last saw
h. imlive on December 31, 1961, death is said to
have occurred on the date stated above, at 2.1.2.0.p.
.. m.
lla If married, widowed, or divorced
.thel .... Adams
HUSBAND of
(Give maiden name of wife in full)
(or) WIFE of
(Husband's name in full)
DEATH WAS CAUSED BY : IMMEDIATE CAUSE
(a)
Pulmonary edema
Due To
Arteriosclerotic
(b)
heart disease.
Due To
(c)
Aortic stenosis
OTHER
SIGNIFICANT
CONDITIONS
no.
? 10y 10
15 Industry
or Business :
Railroad
16 Social Security No.
027-10-9793
Biddeford
Was autopsy performed?
no.
clinical.
17 BIRTHPLACE (City)
(State or country)
laine
18 NAME OF
FATHER
Andrew Smith
19 BIRTHPLACE OF
FATHER (City)
Biddeford
(State or country)
Maine
20 MAIDEN NAME
OF MOTHER
Valire Lewis
21 BIRTHPLACE OF
MOTHER (City)
(State or country)
Maine
Biddeford
Place of Burial or Cremation
Peabody (City or Town)
DATE OF BURIAL
Jan. 3
19 62
7 NAME OF FUNERAL DIRECTOR Howard & Reynolds Winthrop, Mass.
ADDRESS
Received and Shled
JAN 4 1962
(Siznature of Agent of Board of Health or other)
..... 19 Char ?! Mack
5221
1-2-62
(Date of Issue of Permit)
V.BV
TRUCTIONS 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 use, or compli- which caused
ic1. if any. R & rise in : "se (=). the under- cause last.
dicions contrib- death had not o the airminal condition given
120
:- Chapter 137. of 1934 requires cians to print or the cause of of death on certificates, and er 48. Acts of requires Phyel- to print or type under signature.
Director use only SK Ink. 14.1962 61-930213
A TRUE COPY ATTEST:
PARENTS
6
Puritan Lawn
(Signed)
M. D.
Charles L. Cky, M.D.
(Print or Type Name)
(Address) Ass's. Dir., Moso. Goa'l. Hocp. Dat Dec. 31, 61
BETWEEN
ONCET ANO
CEATH
10 h
12 DATE OF BIRTH
93
AGE 35 Years 5 Months. 26
.Days
If under 24 hours
. Hours ... .....
_. Minutes
14 Usuai
Occupation :
Surinee :
(Kind of work done during most of working life)
What test confirmed diagnosis?
5 Was disease or injury in any way related to occupation of deceased? If so, specify
(Registrar) : (Official Designation)
22
Informant
Ethel Smith
(Address) 155 Woodside Ave. Winthrop
OF HEREBY CERTIFY that a satisfactory standard certificate of death was filed with me BEFORE the burial or transit permit was issued:
No.
6
4] HEREBY CERTIFY
That attended deceased from
December 25, 01 December 31
61
'A TRUE COPY ATTEST: Charles it Mackie
City Registrar
TOW.
OFFL
Quin CLERK
5
6
WIN
THROP NA
FEB 1 41962 AM
M R-305 1
Injury 25M-5.52.907046 Copies of returns of deaths which occurred in your city or town in case the deceased resided in another city or town at the time after the close of the month in which the death occurred. (See Chap. 46, Sec. 12, G. L.) of death should be transmitted on Form R-305 to the clerk of the city or town in which the deceased resided as soon as possible Injury
PLACE OF DEATH .
Suffolk (County)
Chelsea
The Commonwealth of Massachusetts EDWARD J. CRONIN SECRETARY OF THE COMMONWEALTH DIVISION OF VITAL STATISTICS COPY OF MEDICAL EXAMINER'S CERTIFICATE OF DEATH
Chelsea
(City or town making return)
Registered No.
447
J(If death occurred in a hospital or institution, St. [ give its NAME instead of street and number)
2 FULL NAME.
(If deceased is a married, widowed or divorced woman, give also maiden name.)
91 Winthrop
St.
(If nonresident, give city or town and State)
Length of stay: In place of death
.. years.
months.
1
.days. In place of residence.
20
.years.
.. months.
days.
MEDICAL CERTIFICATE OF DEATH
PERSONAL AND STATISTICAL PARTICULARS
3 DATE OF
DEATH
September
8
1961
(Month)
(Day)
(Year)
9 SEX
Female
White
11 SINGLE
(write the word)
MARRIED
WIDOWED
I DIVORCED Married
11a If married, widowed, or divorced
HUSBAND of.
(Give maiden name of wife in full)
(or) WIFE of
Harry S. Marden
(Husband's name in full)
12 IF STILLBORN. enter that fact here.
13
AGE.7.2
Years
1
Months.
27 Days
If under 24 hours
Hours ......
Minutes
14 Usual
Occupation :
Housewife
(Kind of work done during most of working life)
15 Industry
or Business:
Own home
16 Social Security No.
029-22-2905
17 BIRTHPLACE (City).
(State or country)
Maine
18 NAME OF
FATHER
Milford Delano
PARENTS
19 BIRTHPLACE OF
FATHER (City).
(State or country)
Maine
20 MAIDEN NAME
OF MOTHER
Lillian Reynolds
21 BIRTHPLACE OF
MOTHER (City)
(State or country)
Maine
22
Harry S. Marden
Informant
(Address)
91 Winthrop St. , Winthrop, Mas
A TRUE COPY ..
8 NAME OF FUNERAL DIRECTOR .. Reynolds .... Funeral ..... Home ADDRESS.180Winthrop St. Winthrop, Ma BETTEST:
M. D.
(Address)
U. S. Naval Hosp., Chel. 9/9661
7 Winthrop Cem. Winthrop, Mass.
Place of Burial, or Cremation.
(City or Town)
DATE OF BURIAL .... 11
September
19.61
Received and filed.
MAR 15 1962
19
(Registrar of City or Town where deceased resided)
DATE FILED
9/11
19
61
4 I 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.) Myocardial Infarction due to
Arteriosclerotic Heart Disease
5 Accident, suicide, or homicide (specify).
Date and hour of injury
.19
Where did
Injury occur ?.
(City or town and State)
Did injury occur in or about home, on farm, in industrial place, or in public place?
Manner of
(Specify type of place)
Nature of
(How did injury occur?)
While at work?
Was autopsy performed?
y.e.s.
6 Was disease or injury in any way related to occupation of deceased?
If so, specify
no
(Signed)
Lockhart B. McGuire
10 COLOR OR RACE
(Was deceased a
U. S. War Veteran.
if so specify WAR)
Winthrop, Mass.
(a) Residence. No.
(Usual place of abode)
(City or Town) U. S. Naval Hosp. No. Annie Almira Marden
(Delano)
Til. DEL
(Registrar of City or Town where death occurred)
Fairfield
6
MAR 151962 AM
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