USA > Massachusetts > Suffolk County > Winthrop > Town of Winthrop : Record of Deaths 1962 > Part 27
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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 terins, as housekeeper-private family, cook- hotel, etc. For a person who had no occupation whatever write none.
X -
PLACE OF DEATH
Suffolk (County)
Winthrop
(City or Town)
The Commonwealth of Massachusetts KEVIN H. WHITE SECRETARY OF THE COMMONWEALTH DIVISION OF VITAL STATISTICS
STANDARD CERTIFICATE OF DEATH
195
Registered No.
((If death occurred in a hospital or institution,
St. ¿ give its NAME instead of street and number)
PHYSICIAN - IMPORTANT
(Was deceased a U. S. War Veteran, (if so specify WAR) NO
(a)
Residence. No ...
St
155 Pauline Street
(Usual place of abode)
8 Hrs
Length of stay: In place of death .......... years .......... months .......... days. In place of residence .......... years .......... months .......... days.
(If nonresident, give city or town and State)
MEDICAL CERTIFICATE OF DEATH
3 DATE OF
DEATH
JULY
21
1962
(Month)
(Day)
(Year)
4 IHEREBY CERTIFY, That I attended deceased from
JAN
1954
to ......
JULY
21
19
62
I last saw himalive on
JULY 20 1962 death is said to
have occurred on the date stated above, at
71° Am.
DEATH WAS CAUSED BY: IMMEDIATE CAUSE
(a)
GENERAL CARCINOMATOSIS
INTERVAL BETWEEN ONSET AND DEATH 3 1/2 010
4 1/ 140
1YR.
Was autopsy performed?
10
What test confirmed diagnosis? CLINICAL & X-ray.
5 Was disease or injury in any way related to occupation of deceased No If so, specify
(Signature)
M. D.
MYRiN
N . KING IN.D
(Print or Type Name)
(Address) 222 PLEASANT SI 7/21 /06/2
Ho Ffer, War.Date .....
Winthrop Winthrop 6
Place of Turial or Cremation
(City or Town)!
DATE OF BURIAL
July 24
. 1962
7 NAME OF
FUNERAL DIRECTOR
Frederick & Magrath
ADDRESS
325 Chelsea ST E, Boston
Received and filed JUL 23-1962 19.
8 SEX
Male
9 COLOR
White
10 SINGLE
(write the word)
MARRIED
WIDOWED
DIVORCED
UNKNOWN Wiclowed
11 If married, widowed, or divorced
HUSBAND of
Elizabeth A. Mollen
(Give maiden name of wife in full)
(or) WIFE of.
(Husband's name in full)
12
68
Years ..
.. Months.
Days
If under 24 hours
Hours .....
Minutes
13 Usual
Occupation :.
Steamship Clerk
(Kind of work done during most working life)
14 Industry
or Business:
Retired
15 Social Security No ...
CNBL
16 BIRTHPLACE (City)
(State or country )
mass
LAST BOSTON
17 NAME OF
FATHER
MARTIN Kelly
18 BIRTHPLACE OF
FATHER (City)
(State or country)
Ireland
19 MAIDEN NAME
OF MOTHER
MARY
BRENNAN
20 BIRTHPLACE OF MOTHER (City). (State or country)
Ireland
Patricia E. Kelly
21 Informant
(Address)
155 Pauline St Winthrop
I HEREBY CERTIFY that a satisfactory standard certificate of death was bled with/me BEFORE the burial or transit permit was issued: Talkh & Percanus (Signature of Agent of Board of Health or othery Health Alecce 7/27/63
(Date of Issue of Permit)
A TRUE COPY ATTEST:
(Registrar)|| (Official Designation) 16
>2-932382
FRM R-301
dor burial permit Brd of Health s Agent. SUCTIONS :OR A CERTIFICATE
COR TYPE ER CAUSES DEATH dot enter r than one n for each (b) and (c)
Does not mean de of dying, Is heart failure, aetc. It means see, or compli- which caused
lims, if any, Agave rise to e cause (a), n the under- cause last.
nitions contrib- tideath but not the terminal ondition given
OTHER
MYOCARDIAL DISEASE
CONDITIONS ARTERIOSCLERITIC HEART DIS
SIGNIFICANT
(b) CARCINOMA OF STOMACH
Due To (c)
PERSONAL AND STATISTICAL PARTICULARS
PARENTS
(City or Town making this return)
No Winthrop Community Hospital
2 FULL NAME
Patrick
(If deceased is a married, widowed or divorced woman, give also maiden name.)
Kelly
LIBERTATE
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 betsons 3 1962 PM 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 froin disease resulting from injury or infection related to occu- pation, the sudden deaths of persons not disabled by recognized disease, and those of persons found dead.
Statement of Cause of Death .- Physicians: see explanatory instructions on face side of standard certificate of death.
Statement of Occupation .- Precise statement of occupation is very impor- tant, so that the relative healthfulness of various pursuits can be known. Make some entry in this section for every person aged 10 years or over. If the occupa- tion had been given up or changed, or if the deceased had retired from business, report the kind of work done during most of working life even if retired. Chil- dren not gainfully employed may be returned as at school or at home. For a woman whose only occupation was that of home housework, write housework. For a person engaged in domestic service for wages, however, designate the occupation by the appropriate terms, as housekeeper-private family, cook- hotel, etc. For a person who had no occupation whatever write none.
X
PLACE OF DEATH
Suffolk (County)
Winthrop (City or Town)
No ... BayView Nursing Home
§(If death occurred in a hospital or institution, St. ¿ give its NAME instead of street and number)
PHYSICIAN - IMPORTANT
2 FULL NAME.
Sarah Whort (Lee)
(If deceased is a married, widowed or divorced woman, give also maiden name.)
(a) Residence. No ...
9.4Somerset ..... Avenue
St
(If nonresident, give city or town and State)
Length of stay: In place of death ...?. ears 9
months .......... days. In place of residence. 70 years.
.months .......... days.
MEDICAL CERTIFICATE OF DEATH
3 DATE OF
DEATH
July
24
19.62
(Month)
(Day)
(Year)
4 IHEREBY CERTIFY , That I attended deceased from
OCTOBER 13
1959
to
JULY 24
19.
62
I last saw h.C.Malive on
July 2cf
1962, death is said to
have occurred on the date stated above, at
3:30 Pm
INTERVAL BETWEEN ONSET AND DEATH
2 DAYS
Due To
(b)
ARTERIOSCLEROTIC HEART DISEASE
(c)
Due To
GENERALIZED ARTERIOSCLEROSIS
2/2 years
OTHER
SIGNIFICANT
CONDITIONS
Was autopsy performed?
No
What test confirmed diagnosis ?
5 Was disease or injury in any way related to occupation of deceased? NO If so, specify
(Signature).
Dorothy Chaney appleton
M. D.
DARANHy Cheney APPLETON
(Print or Type Name)
ss) 197Woodside DUE Date July 25 1962
Winthrop Cemetery Winthrop, Mass.
6
Place of Burial or Cremation
(City or Town)
DATE OF BURIAL July27 1962
7 NAME OF
FUNERAL DIRECTOR
alfred B. Marsh
ADDRESS
Received and filed
July 27
19 62
(Signature of Agent of Board of Health or other) Healthy Alice 7/26/62
(Date of Issue of Permit)
VX
A TRUE COPY ATTEST:
PERSONAL AND STATISTICAL PARTICULARS
8 SEX
female
9 COLOR
white
10 SINGLE
(write the word)
MARRIED Widowed
WIDOWED
DIVORCED
UNKNOWN
11 lf married, widowed, or divorced HUSBAND of
(Give maiden name of wife in full)
(or) WIFE of.
Harry ..... C ....... Whorf
(Husband's name in full)
12
AGE.90 Years ... 8
Month 2.9 ... Days
If under 24 hours
. Hours ... . .. Minutes
13 Usual
Occupation :
housework
14CAR.
(Kind of work done during most working life)
14 Industry
or Business :
own ... home
15 Social Security No ........ 30.ne
16 BIRTHPLACE (City) .. (State or country ) Maine
Milford
17 NAME OF
FATHER
James Lee
18 BIRTHPLACE OF
FATHER (City)
Pittston
(State or country)
Maine
19 MAIDEN NAME
OF MOTHER
Nancy Stewart
20 BIRTHPLACE OF
MOTHER (City).
Charlestown
(State or country)
Maine
21 Informant
Richard .... C ....... Whorf
( Address)
375 North Saltair St.
Hollywood, California
I HEREBY CERTIFY that a satisfactory standard certificate of death
174 Winthrop St. Winthrop, Massas filed with me BEFORE the burial or transit permit was issued:
1
ed or burial permit E rd of Health rs Agent. STUCTIONS OR ACERTIFICATE
TOR TYPE R CAUSES F EATH not enter ethan one Is for each b) and (c)
es nat mean to: of dying, is heart failure, detc. It means see, or campli- which caused
uns, if any, have rise ta ecause (a), inthe under- cause last.
ntians contrib- teleath but nat the terminal nditian given
The Commonwealth of fassarhusets KEVIN H. WHITE SECRETARY OF THE COMMONWEALTH DIVISION OF VITAL STATISTICS
STANDARD CERTIFICATE OF DEATH
Winthrop
(City or Town making this return)
Registered No.
(Was deceased a
U. S. War Veteran,
(if so specify WAR)
(Usual place of abode)
1
RM R-301
22-932382
(Registrar)|| (Official Designation)
PARENTS
wIte:
DEATH WAS CAUSED BY: IMMEDIATE CAUSE
(a) ACUTE MYOCARDIAL INSUFFICIENCY
SPACE FOR ADDITIONAL INFORMATION
DATE OF ENTERING MILITARY SERVICE
DATE OF DISCHARGE RANK, RATING
ORGANIZATION AND OUTFIT
SERVICE NUMBER
1.
RULES OF PRACTICE
TI
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 AH to whom they have given bedside care during a last illness from disease un- related to any form of injury.
(2) Board of Health physicians will certify to such deaths only as those of persons who, though disabled by recognized disease unrelated to any form of injury, have died without recent medical attendance or whose physician is absent from home when the certificate of death is needed.
(3) Medical Examiners will investigate and certify to all deaths supposably due to injury. These include not only deaths caused directly or indirectly by traumatism (including resulting septicemia), and by the action of chemical (drugs or poisons), thermal, or electrical agents, and deaths following abortion, but also deaths from disease resulting from injury or infection related to occu- pation, the sudden deaths of persons not disabled by recognized disease, and those of persons found dead.
Statement of Cause of Death .- Physicians: see explanatory instructions on face side of standard certificate of death.
Statement of Occupation .- Precise statement of occupation is very impor - tant, so that the relative healthfulness of various pursuits can be known. Make some entry in this section for every person aged 10 years or over. If the occupa- tion had been given up or changed, or if the deceased had retired from business, report the kind of work done during most of working life even if retired. Chil- dren not gainfully employed may be returned as at school or at home. For a woman whose only occupation was that of home housework, write housework. For a person engaged in domestic service for wages, however, designate the occupation by the appropriate terms, as housekeeper-private family, cook- hotel, etc. For a person who had no occupation whatever write none.
= X PLACE OF DEATH
Suffolk (County)
INSE PET
Winthrop (City or Towh)
The Commonwealth of Massachusetts KEVIN H. WHITE 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.
137
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 John R. Sullivan (First Name) (Middle Name) (Last Name) [if so specify WAR) ... (If deceased is a married, widowed or divorced woman, give also maiden name.)
(a) Residence. No. 88 Brookfield Road St.
(Usual 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 .... Q ... years ..
... months ....
.. days.
PERSONAL AND STATISTICAL PARTICULARS
8 SEX
Male
9 COLOR
White
10 CITIZEN
OF U.S.
YES NO
11 SINGLE MARRIED WIDOWED DIVORCED UNKNOWN
1la If married, widowed. or divorced
HUSBAND of
Katherine T. Cody
(Give maiden name of wife in full)
(or) WIFE of
(Husband's name in full)
12 DATE OF BIRTH
Oct 22, 1873
13
AGE88
Years ......
9
Months .....
OX
... Days
If under 24 hours Hours. Minutes
14 Usual
Occupation :
Retired Superintendant
(Kind of work done during most of working life)
15 Industry
or Business :
B. B. B. & L. BR
16 Social Security No.
17 BIRTHPLACE (City)
(State or country)
Mass
PARENTS
18 NAME OF
FATHER
Jeremiah Sullivan
19 BIRTHPLACE OF
FATHER (City)
(State or country)
Ireland
20 MAIDEN NAME
OF MOTHER
Bridget Davis
21 BIRTHPLACE OF
MOTHER (City)
(State or country)
Ireland
TE
22 Ruth McCaffery
Informant
(Address) 88 Brookfield Rd Winthrop
I HEREBY CERTIFY that a satisfactory standard certificate of death was frled with me BEFORE the burial of transit permit was issued:
(Signature of Agent of Board of Health or other>7 Healthe Officer
8/1/62
(Official Designation)
(Date of Issue of Permit)/
A V.E.
O
aus not mean of dying, cart failure, c. It means or compli- ich caused
Los, if any, De rise to tuse (a), he under- use last.
1 ons contrib- ath but not tcthe terminal dition given C.
te Chapter 137, 01954 requires ins to print or le cause or 's of death on rtificates, and tu: 48, Acts of quires Physi- print or type der signature.
.- 930213
A TRUE COPY ATTEST:
MEDICAL CERTIFICATE OF DEATH
3 DATE OF
July 31 1962
DEATH
(Month)
(Day)
(Year)
4 I HEREBY CERTIFY,
That I attended deceased from
19
., to ..
19
I last saw h ........ alive on
19
death is said to
have occurred on the date stated above, at
7:35a.m.
INTERVAL
BETWEEN
ONSET AND
DEATH WAS CAUSED BY: IMMEDIATE CAUSE
(a)
Sudden Death - Coronary OcclusionDEATH
Due To (b)
Due To (c)
OTHER SIGNIFICANT CONDITIONS
Was autopsy performed?
What test confirmed diagnosis?
no
none
no
5 Was disease or injury in any way related to occupation of deceased? If so, specify John 7 Collins moto M. D.
(Signed)
John F .. .. Collins ..... M.D.
(Address)
27 Bennington St. Date.July 31 1962
Revere, Mass or
6 St Winthrop Cemeten
Board of Health
Lynn, Mass
Place of Burial or Cremation
(City or Town)
DATE OF BURIAL
August ..... 2 ..
1962
7 NAME OF
FUNERAL DIRECTOR
Arthur J. O'Maley
ADDRESS Winthrop, Mass.
Received and filed
AUG 1.1982
19
(Registrar)
No. 88 Brookfield Road
[(Was deceased a U. S. War Veteran,
TICTIONS IR IL ERTIFICATE
naving CF DEATH enter chan one se or each ,>) and (c)
₹1 R-301 1
Print or Type Name)
-
1
SPACE FOR ADDITIONAL INFORMATION
DATE OF ENTERING MILITARY SERVICE
DATE OF DISCHARGE.
RANK, RATING
6
ORGANIZATION AND OUTFIT
SERVICE NUMBER
AUG ..-.:. 1.1962.FH
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 froin 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.
MR-305 1
Copies of returns of deaths which occurred in your city or town in case the deceased resided in another city or town at
as soon as possible after the close of the month in which the death occurred. (See Chap. 46, Sec. 12, G. L.)
25M-3-61-930213
PLACE OF DEATH
Middlesex (County)
Lexington
(City or Town)
The Commonwealth of Massachusetts KEVIN H. WHITE SECRETARY OF THE COMMONWEALTH DIVISION OF VITAL STATISTICS COPY OF MEDICAL EXAMINER'S CERTIFICATE OF DEATH
Lexington
(City or town making return)
Registered No.
138
[(If death occurred in a hospital or institution, St. ¿ give its NAME instead of street and number)
2 FULL NAME
PERCY H. M ORTI MER
(If deceased is a married, widowed or divorced woman, give also maiden name.)
(if so specify WAR)
no
457 Shirley Street
St.
Winthrop Mass
(a) Residence. No. (Usual place of abode)
(If nonresident, give city or town and State)
Length of stay: In place of death ....
-
.. months ...
3
days. In place of residence.
............ years.
.......... months.
... days.
MEDICAL CERTIFICATE OF DEATH
PERSONAL AND STATISTICAL PARTICULARS
3 DATE OF
DEATH
May
8 ...
19.62
(Month)
(Day)
(Year)
9 SEX
male
10 COLOR
white
11 CITIZEN
OF U.S.
YES
NO
12 SINGLE MARRIED WIDOWED DIVORCED UNKNOWN
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.) Sudden Death- natural causes.
12a If married, widowed, or divorced
HUSBAND of
Katherine C. Morrissey
(or) WIFE of
(Husband's name in full)
13 DATE OF BIRTH
14
AGE
Years
81
10
Months.
7
Days
If under 24 hours
Hours ...
Minutes
Date and hour of irfjury
19.
If accidental, was injury causally related to the death?
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 ?
(Specify type of place)
Manner of
Injury
(How did injury occur?)
Nature of
Injury
While at work ?
Was autopsy performed?
no
6 Was disease or injury in any way related to occupation of deceasedFLO. If so, specify
PARENTS
20 BIRTHPLACE OF
FATHER (City)
(State or country)
Scotland
21 MAIDEN NAME
OF MOTHER
(CBL)
22 BIRTHPLACE OF
MOTHER (City)
(State or country)
(CBL)
Winthrop Cemetery, Winthrop 7
Place of Burial or Cremation.
(City or Town)
May 11,
62
19
A TRUE COPY.
ATTEST:
James 1. Cananti
(Registrar of City or Town where death occurred)
DATE FILED
May 9,
62
19
(Registrar of City or Town where deceased resided)
15 Usual
Occupation :
Machinist
(Kind of work done during most of working life)
16 Industry
or Business :
Ship building
17 Social Security No.
024 07 2779
Boston, 22top
18 BIRTHPLACE (City)
(State or country)
Massachusetts.
19 NAME OF
FATHER
Henry Mortimer
(Signed)
Joseph V. Di Rago, M.D. M. D.
(Address Woburn ...... Mass
Date May 8,62
DATE OF BURIAL
8 NAME OF
FUNERAL DIRECTOR
Richard C. Kirby , In
ADDRESS 917 Bennington St E .Boston
Received and filed
AUG 17 1952
19
23
Katherine C. Mortimer (Widow)
Informant
(Address) 157 Shirley St. Winthrop
....
(Give maiden name of wife in full)
Coronary Occlusion; Coronary athero sclerosis; Heart Disease
5 Accident, suicide, or homicide (specify)
the time of death should be transmitted on Form R-305 to the clerk of the city or town in which the deceased resided
No. 34 Fairlawn Lane
[(Was deceased a U. S. War Veteran,
-
SPACE FOR ADDITIONAL INFORMATION
DATE OF ENTERING MILITARY SERVICE DATE OF DISCHARGE RANK, RATING ORGANIZATION AND OUTFIT SERVICE NUMBER
AUG 1-71902.FM
X
FRM R-302
resided as soon as possible, after the close of the month in which the death occurred. (See Chap. 46, Sec. 12. G. L.) at the time of death should be transmitted on Form R-302 to the clerk of the city or town in which the deceased Copies of returns of deaths which occurred in your city or town in case the deceased resided in another city or town THIS IS A PERMANENT RECORD
PLACE OF DEATH
Suffolk
Chelsea (City or Town)
Chelsea .... Memorial Hospital
The Commonwealth of Massachusetts KEVIN H. WHITE SECRETARY OF THE COMMONWEALTH DIVISION OF VITAL STATISTICS COPY OF CERTIFICATE OF DEATH
Chelsea. (City of Town making this return)
Registered No.
3.56
139
[(If death occurred in a hospital or institution, St. { give its NAME instead of street and number)
2 FULL NAMEMollie .... Sinkovitz
(If deceased is a married, widowed or divorced woman, give also maiden name.)
29 Mermaid Ave.
(a)
Residence. No ..
(Usual place of abode)
Length of stay: In place of deathen ..... year ....... month10 ... days. In place of residenceQ years ... months ... .. days.
MEDICAL CERTIFICATE OF DEATH
3 DATE OF
DEATH
June ...... 28,1962
(Month)
(1)ay)
(Year)
4 I HEREBY CERTIFY , That 1 attended deceased from
une 20
62
to ...
June ..... 28
62
I last saveme ... alive on
"June 27 .196.219 ....
have occurred on the date stated above, at 7.2.55
.m.
.. , death is said to
DEATH WAS CAUSED BY: IMMEDIATE CAUSE
(a) Cerebral thrombosis
Due To
(b)
Hypertension
Due To
(c)
Hemi plegi&
4 yr
OTHER SIGNIFICANT CONDITIONS
Was autopsy performed ?
....
What test confirmed diagnosis ?
.clinical ..... signs
5 Was disease or injury in any way related to occupation of deceased ? If so, specify
(Signed) M.J .. Greenfield M. D.
(Address) Chelsea, Mass ..... .Date .. 6/28/62
Community of Chelsea, Danvers, Maas 6 Place of Burial or Cremation (City or Town)
DATE OF BURIAL June 29 1962 19
7 NAME OF
FUNERAL DIRECTOR B.S .. Solomon
ADDRESS
420 Harvard Ave. ,Brookline, MasTRUE COPY
Received and filed Aug. 24, 1962
19
(Registrar of City or Town where deceased resided)
8 SEX
Female
9 COLOR
White
10 SINGLE
MARRIED
WIDOWED
DIVORCEVIL dowed
UNKNOWN
11 If married, widowed. or divorced
HUSBAND of
(Give maiden name of wife in full)
(or) WIFE of.
William Sinkowitz
(Husband's name in full)
12
Date of birth 1881
Months ..
.Days
If under 24 hours
Hours .....
Minutes
13 L'sual
Occupation :..
Housewife
(Kind of work done during most working life)
14 Industry or Business:
15 Social Security No.
16 BIRTHPLACE (City) .. (State or country ) Austria
17 NAME OF
FATHER
Abraham Waldman
18 BIRTHPLACE OF
FATHER (City)
(State or country)
Austria
19 MAIDEN NAME
OF MOTHER
Ester Seidman
20 BIRTHPLACE OF
MOTHER (City).
(State or country)
Austria
Evelyn Sinkovitz
21 Informant
(Address)
29 Mermaid Ave.,Winthrop, Mass.
popis a Vyrelis
ATTEST:
(Registrar of City or Town where death occurred)
DATE FILED
June 28,1962
.19
(Was deceased a U. S. War Veteran, (if so specify WAR
Winthrop,
tirionresident, gire city of town and State)
PERSONAL AND STATISTICAL PARTICULARS
(write the word)
INTERVAL BETWEEN ONSET ANO DEATH
das
AGE
81
?
PARENTS
50M1 - 10-61-931673
I
SPACE FOR ADDITIONAL INFORMATION
DATE OF ENTERING MILITARY SERVICE DATE OF DISCHARGE RANK, RATING ORGANIZATION AND OUTFIT SERVICE NUMBER
6
TROP
AUG 2 41962 AM
PLACE OF DEATH
Suffolk
(County)
Boston
(City or Town)
The Commonwealth of Massachusetts KEVIN H. WHITE
SECRETARY OF THE COMMONWEALTH DIVISION OF VITAL STATISTICS STANDARD CERTIFICATE OF DEATH
OUT - OF - TOWN To be filed for burial permit with Board of Health or its Agent. 140
Registered No.
S(If death occurred in a hospital or institution,
XXX give its NAME instead of street and number)
2 FULL NAME
Harry
Abrams
(First Name )
(Middle Name)
( Last Name)
(lí deceased is a married, widowed or divorced woman, give also maiden name.)
46 Bellevue Ave.
Winthrop, ... Mass.
(Usual place of abode)
Length of stay: In place of death ... Q ...... years ... O ... .months-1 .days. In place of residence. .. years ..
... months.
.days.
MEDICAL CERTIFICATE OF DEATH
PERSONAL AND STATISTICAL PARTICULARS
8 SEX
Male
9 COLOR
White
10 CITIZEN
OF U.S.
YES
NO
S
11 SINGLE
MARRIED
WIDOWED
DIVORCED
UNKNOWN
4 I HEREBY
CERTIFY,
That Iattended deceased from
July 23
19 .. 62.
to.
July 24
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