USA > Massachusetts > Suffolk County > Winthrop > Town of Winthrop : Record of Deaths 1962 > Part 44
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A physician or officer furnishing a certificate of death as required by the preceding section or hy section forty-five of chapter one hundred and four- te 'n, shall, if the deceased, to the best of his knowledge and belief, served in the army, navy or marine corps of the United States in any war in which it has been engaged. insert in the certificate a recital to that effect, specifying the war, and shall also certify in such certificate both the primary and the secondary or imme- diate cause of death as nearly as he can state the same. For neglect to comply with any provision of this section, such physician or officer, shall forfeit ten dollars. For the purposes of this section and of sections forty-five, forty-six and forty-seven of said chapter one hundred and fourteen, the word "war" shall include the China relief expedition and the Philippine insurrection, which shall, for said purposes, be deemed to have taken place between February fourteenth, eighteen hundred and ninety-eight and July fourth, nineteen hundred and two, and the Mexican border service of nineteen hundred and sixteen and nineteen hundred and seventeen. G. L. Chap. 46, Sec. 10.
No undertaker or other person shall bury or otherwise dispose of a human body in a town, or remove therefrom a human body which has not been buried, until he has received a permit from the board of health, or its agent appointed to issue such permits, or if there is no such board, from the clerk of the town where the person died; and no undertaker or other person shall exhume a human body and remove it from a town, from one cemetery to another, or from one grave or tomb other than the receiving tomb to another in the same cemetery, until he has received a permit from the board of health or its agent aforesaid or from the clerk of the town where the body is buried. No such permit shall be issued until there shall have been delivered to such board, agent or clerk, as the case may be. a satisfactory written statement containing the facts required by law to be returned and recorded, which shall be accompanied, in case of an original inter- ment, by a satisfactory certificate of the attending physician, if any, as required by law, or in lieu thereof a certificate as hereinafter provided. If there is no attending physician, or if, for sufficient reasons, his certificate cannot be obtained early enough for the purpose, or is insufficient, a physician who is a member of the board of health, or employed by it or by the selectmen for the purpose, shall upon application make the certificate required of the attending physician. If death is caused by violence, the medical examiner shall make such certificate. If such a permit for the removal of a human body, not previously interred, from one town to another within the commonwealth cannot be obtained early enough for the purpose. the certificate of death made as above provided and in the possession of the undertaker desiring to make such removal shall constitute a permit for such removal; provided, that such body shall be returned to the town from which it was removed within thirty-six hours after such removal, unless a permit in the usual form for the removal of such body has been sooner obtained hereunder. If the
death certificate contains a recital, as required by section ten of chapter forty-six. that the deceased served in the army, navy or marine corps of the United States in any war in which it has been engaged, such recital shall appear upon the permit. The board of health, or its agent, upon receipt of such statement and certificate. shall forthwith countersign it and transmit it to the clerk of the town for registra- tion. The person to whom the permit is so given and the physician certifying the cause of death shall thereafter furnish for registration any other necessary information which can be obtained as to the deceased, or as to the manner or cause of the death, which the clerk or registrar may require .- Chap. 114. Sec. 45, G. L., (Tercentenary Edition).
Medical examiners shall make examination upon the view of the dead bodies of persons as are supposed to have died by violence, or by the action of chemical, thermal or electrical agents or following abortion, or from diseases resulting from injury or infection relating to occupation, or suddenly when not disabled by recognizable disease, or when any person is found dead. .. - General Laws, Chap. 38, Sec. 6., as amended by Chap. 632, Sec. 4, Acts of 1945.
No undertaker or other persons shall bury a human body or the ashes thereof which have been brought into the commonwealth until he has received a permit so to do from the board of health or its agent appointed to issue such permits, or if there is no such board, from the clerk of the town where the body is to be buried or the funeral is to be held, or from a person appointed to have the care of the cemetery or burial ground in which the interment is made.
Chap. 114, Sec. 46, G. L., (Tercentenary Edition).
RECEIV RULES OF PRACTICE
The fulfillment of the purpose of these laws calls for the observance of the follow- ing 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 unrelated to any form of injuryju
(2) Board of Health physicians will certify to such deaths only as those of persons whol though disabled.by recognized disease unrelated to any form of injury, have dled without recent medical attendance or whose physician is absent from home when the certificate of death is needed.
(3) Medici) Examiner, will investigate and certify to all deaths supposably due to injury.These Include not only deaths caused directly or indirectly by traumatism (motoding, resulting septicemia), and by the action of chemical (drugs or pojsens) thermal, or electrical agents, and deaths following abortion. but also deaths front disease resulting from injury or infection related to occupation, the sudden deaths of persons not disabled by recognized disease, and those of persons found deadPROF.
Statement.of Caup of Death .- Physicians: see explanatory instructions
of death.
Statement of Occupation .- Precise statement of occupation is very import- ant, 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. Children 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.
SPACE FOR ADDITIONAL INFORMATION
DATE OF ENTERING MILITARY SERVICE DATE OF DISCHARGE RANK, RATING ORGANIZATION AND OUTFIT
SERVICE NUMBER
......
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
Registered No.
223
[(If death occurred in a hospital or institution, St. { give its NAME instead of street and number)
2 FULL NAME
Edith Hamilton Croxford (Hamilyon)
t
( If deceased is a married, widowed or divorced woman, give also maiden Haine.)
(a) Residence. No.
1 Washington Terrace
(Usual place of abode)
St.
(If nonresident, give city or town and State)
Length of stay: In place of death ... (years .......... months .......... days. In place of residence,
55ars.
....... months .......... days.
MEDICAL CERTIFICATE OF DEATH
PERSONAL AND STATISTICAL PARTICULARS
3 DATE OF
DEATH
December
6
1962
(Month)
(Day)
(Year)
4 IHEREBY CERTIFY, That I attended deceased from
JULY 1
1960
to.
DECEMBER 6
1962
I last saw h ...... alive on
DECEMBER 6
19.6.4, death is said to
have occurred on the date stated above, at 4:10 Pm.
DEATH WAS CAUSED BY: IMMEDIATE CAUSE
ACUTE CEREBRAL HEMORRHAGE
(a)
INTERVAL BETWEEN ONSET AND DEATH
45 MIN
10YRS
Due To (c)
OTHER
LEFT HEMIPARESIS.
SIGNIFICANT RIGHT HEMIPABEEN
CONDITIONS
Was autopsy performed?
No
What test confirmed diagnosis ?
5 Was disease or injury in any way related to occupation of deceased? . If so, specify
(Signature)
Dorothy Chaney appleton
M. D.
DOROTHY CHENEY APPLETON
(Print or Type Name)
(Address)
197 Woodside AVE Date Decy 1962
WINTHROP AASS
Mayflower Cemetery Duxbury, Mass
Place of Burial or Cremation
(City or Town)
DATE OF BURIAL
December 10.
196.2
(Address)
7 NAME OF
FUNERAL DIRECTOR
Ceefred B. March
ADDRESS 174 Winthrop St. Winthrop
Received and filed 0 01032 19
(Registrar)
8 SEX
9 COLOR
10 SINGLE
MARRIED WI'ddWegd)
WIDOWED
DIVORCED
UNKNOWN
female white
11 If married, widowed, or divorced
HUSBAND of
(Give_maiden name of wife in full)
John Sanborn Croxford
(Husband's name in full)
12
AGE.7.9 ... Years
4 ... Months ...
1.6 Days
If under 24 hours
Hours .......
.Minutes
13 Usual
housework
Occupation :
(Kind of work done during most working life)
14 Industry
or Business :.
ow .... home
15 Social Security No.
none
16 BIRTHPLACE (City)
(State or country )
Duxbury, Massachusetts
17 NAME OF
FATHER
John Walter Hamilton
18 BIRTHPLACE OF
FATHER (City)
Quincky
(State or country)
Massachusetts
19 MAIDEN NAME
OF MOTHER
Georgianna Prior
20 BIRTHPLACE OF
MOTHER (City)
Duxbury
(State or country)
Massachusetts
21 Informant
Mrs ....... Eugene .... Martinez
1 Washington Terrace
I HEREBY CERTIFY that a satisfactory standard certificate of death Masas filed with me BEFORE the burial or transit permit was issued: Halkle & Sercanne x (Signature of Agent of Board of Health or other) Health Affiche 12/18/62
(Official Designation)/
(Date of Issue of Permit)/
2-932382
ERM R-301
edor burial permit Bard of Health r ; Agent. STJCTIONS OR ALCERTIFICATE
TOR TYPE ER CAUSES FEATH oft enter r:han one is for each ), b) and (c)
es not mean 10 of dying, s seart failure, a,etc. It means az, or compli- Which caused
uns, if any, have rise to e cause (a), the under- cause last.
ntions contrib- toleath but not the terminal ndition given
U. C
PARENTS
PHYSICIAN - IMPORTANT
(Was deceased a
U. S. War Veteran,
if so specify WAR)
No. BayView Nursing Home
(City or Town making this return)
-
(b) HYPERTENSION
1YEAR smos.
(or) WIFE of
SPACE FOR ADDITIONAL INFORMATION
DATE OF ENTERING MILITARY SERVICE
DATE OF DISCHARGE RANK, RATING
ORGANIZATION AND OUTFIT
SERVICE NUMBER.
RECEIVED
OF TOWA
"Yar. .
CLERK
9-
NIW!
CA! !
3
5
ES
0
HRO
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.
DEC 1 01962 PM . 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.
AR-301A 1
STJCTIONS OR AICERTIFICATE
Ingiving EOF DEATH ot enter n:han one is for each b) and (c)
Mes not mean of dying, Freart failure, 1,etc. It means a', or compli- hich caused
iins, if any, h'ave rise to cause (a), the under- cause last.
ntions contrib- cleath but not the terminal ndition given
C.
Chapter 137, f954. requires is to print or cause or of death on tificates, and 48, Acts of rquires Physi- print or type ler signature.
6-59-925686
PLACE OF DEATH
Suffolk
(County) "Winthrop
(City or Town) 16 Woodside Park
The Commonwealth of Massachusetts JOSEPH D WARD SECRETARY OF THE COMMONWEALTH DIVISION OF VITAL STATISTICS
STANDARD CERTIFICATE OF DEATH
Registered No. 224
[(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)
2 FULL NAME
James F Evans
(If deceased is a married, widowed or divorced woman, give also maiden name.)
(a) Residence. No. 16 woodside Park (Usual place of abode) 15
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
3 DATE OF
DEATH
December 6, 1962
(Month)
(Day)
(Year)
4 I HEREBY CERTIFY,
That I attended deceased from
August 12, 1962
to ..
December 6, 1962,
I last saw himalive on
December 5. 1962
death is said to
have occurred on the date stated above, at
7:40 a. m.
INTERVAL
BETWEEN
ONSET AND
DEATH
11 IF STILLBORN, enter that fact here.
12
av 1962AGE61
Years.
5
Months
26
Days
If under 24 hours
Hours ..
Minutes
13 Usual
Occupation :
Engineer
(Kind of work done during most of working life)
14 Industry
or Business :
Locomotive Railroad
15 Social Security No.
025-09-7799
16 BIRTHPLACE (City).
(State or country)
Lass
Lynn
17 NAME OF
FATHER
Robert Evans
Was autopsy performed ?
no
What test confirmed diagnosis Cranial of
GMJoratory
operat-on dune 5 Was disease or injury in any way related to occupation of deceased ? no. If so, specify
(Signed)
film 7. Colline Vito
M. D.
John F . Collins , M.D. (PRINT OR TYPE SIGNATURE) (Address) 37 Bennington Street ate Dec. 7, 1962
6 Winthrop Cemetery Winthrop
(City or Town)
Place of Burial or Cremation
DATE OF BURIAL
Dec. 10.
1962
19
7 NAME OF
FUNERAL DIRECTOR
Howard S Reynolds
ADDRESS inthrop Mass.
Received and filed DES 7-1962 19
(Registrar)
PARENTS
18 BIRTHPLACE OF FATHER (City) (State or country) Newfoundland
19 MAIDEN NAME
OF MOTHER
Isabel Stidstone
20 BIRTHPLACE OF
MOTHER (City)
(State or country)
Newfoundland
21 Marion Evans
Informant
(Address)
10 woodside Fark, inhrop, Mass.
I HEREBY CERTIFY that a satisfactory standard certificate of death was filed with me BEFORE the burial or transit permit was issued: Talble 6 precauus x (Signature of Agent of Board of Health or other) 12/7/62 Health Aficar
(Official Designation)
(Date of Issue of Permit)
MARRIED
WIDOWED
or DIVORCEDCarried
10a If married, widowed, or divorced
HUSBAND of
Larion Cosgrove
(Give maiden name of wife in full)
(or) WIFE of
(Husband's name in full)
DEATH WAS CAUSED BY : IMMEDIATE CAUSE
(a) Glioblastoma of .Basal ..... Ganglion ..
Due To (b)
Due To (c)
OTHER
SIGNIFICANT
CONDITIONS
none.
8 SEX
Male
9 COLOR
White
10 SINGLE
(write the word)
St.
(If nonresident, give city or town and State)
61
To be filed for burial permit with Board of Health or its Agent.
No.
RECEIVED
SPACE FOR ADDITIONAL INFORMATION
DATE OF ENTERING MILITARY SERVICE
TOW
DATE OF DISCHARGE
RANK, RATING
OFF
ORGANIZATION AND OUTFIT
6
SERVICE NUMBER
DEC :71962 PM
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.
MR-301A 1
R:TIONS R ERTIFICATE
ving F DEATH 1 enter an one or each 1) and (c)
o not mean of dying, art failure, :. It means s or compli- uich caused
G, if any, the rise to use (a), se under- use last.
ons contrib- with but not he terminal lition given C.
Chapter 137, 954. requires is to print or :
cause or f death on tificates, and 48, Acts of uires Physi- print or type er signature.
6
Place of Burial or Cremation James Cemetery Haverhill (City or Town)
DATE OF BURIAL December 10, 1962
7 NAME OF
FUNERAL DIRECTOR
Arthur J. O'Maley
ADDRESS Winthrop. Mass.
Received and filed
DE0 7-1082
.19
( Registrar)
PERSONAL AND STATISTICAL PARTICULARS
8 SEX
Female
9 COLOR
White
10 SINGLE
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 75 ... Years ... .Months ... Days
If under 24 hours Hours ............ Minutes
13 Usual
Occupation !
Practical Nurse
(Kind of work done during most of working life)
14 Industry
or Business :
Nursing
15 Social Security No.
020-09 -9438
16 BIRTHPLACE (City) (State or country) Ireland
17 NAME OF
FATHER
Michael Murphy
18 BIRTHPLACE OF
FATHER (City)
(State or country)
Ireland
19 MAIDEN NAME
OF MOTHER
Mary Mccarthy
20 BIRTHPLACE OF MOTHER (City) (State or country) Treland
21 John Fitzgerald
Informant
(Address) 75 5th Ave., Haverhill
I HEREBY CERTIFY that a satisfactory standard certificate of death was filed with me BEFORE the burial or transit permit was issued: Table E percance g (Signature of Agent of Board of Health or other) Health Officie 12/7/62
(Official Designation)
(Date of Issue of Permit)
28145
PLACE OF DEATH
Suffolk
(County)
Winthrop (City or Town)
No.
Winthrop Community 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 Agent.
225
S(If death occurred in a hospital or institution, St. ¿ give its NAME instead of street and number)
PHYSICIAN - IMPORTANT
2 FULL NAME Margaret (First Name) ( Middle Name)
Murphy
(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.)
(a) Residence. No. .
9 Tewksbury
(Usual place of abode)
Length of stay: In place of death.
.years.
.. months.18.
days. In place of residence .years. months. .days.
MEDICAL CERTIFICATE OF DEATH
3 DATE OF
DEATH
December 6, 1962
(Month)
(Day)
(Year)
4 I HEREBY CERTIFY,
That I attended deceased from
June 20, 1962
19
to December 6, 1962
, 19.
I last saw hellive on December 6, 1963 death is said to
have occurred on the date stated above, at
6:55 m.m.
INTERVAL BETWEEN ONSET AND DEATH
DEATH WAS CAUSED BY: IMMEDIATE CAUSE
Metastatic carcinoma - primary in
the siomold
Due To
(b)
Hypertensive heart disease
Due To
(c)
Hypertension
OTHER SIGNIFICANT CONDITIONS
Was autopsy performed?
no
What test confirmed diagnosis?X-rayfindings.
5 Was disease or injury in any way related to occupation of deceased?no. If so, specify
(Signed) John F. Collins, N.D. (PRINT OR TYPE SIGNATURE)
M. D.
(Addr 2.7 ... Bennington St .. .. Date. De.c ....... 7., .. 191962
Revere, Mass.
Hay 196
2 yrs.
4 yrs.
.. St.
20
(If nonresident, give city or town and State)
(write the word)
PARENTS
Registered No.
SPACE FOR ADDITIONAL INFORMATION
DATE OF ENTERING MILITARY SERVICE
RECEIVED
DATE OF DISCHARGE
RANK, RATING
ORGANIZATION AND OUTFIT
SERVICE NUMBER
11.12
UFFI
. 5.00
6
HROP MA
RULES OF PRACTICE DEC -71962 PM
The fulfillment of the purpose of these laws calls for the observance of the following rules of practice:
(1) Attending physicians will certify to such deaths only as those of persons to whom they have given bedside care during a last illness from disease un- related to any form of injury.
(2) Board of Health physicians will certify to such deaths only as those of persons who, though disabled by recognized disease unrelated to any form of injury, have died without recent medical attendance or whose physician is absent from home when the certificate of death is needed.
(3) Medical Examiners will investigate and certify to all deaths supposably due to injury. These include not only deaths caused directly or indirectly by traumatism (including resulting septicemia), and by the action of chemical (drugs or poisons) thermal, or electrical agents, and deaths following abortion, but also deaths from disease resulting from injury or infection related to occu- pation, the sudden deaths of persons not disabled by recognized disease, and those of persons found dead.
Statement of Cause of Death .- Physicians: see explanatory instructions on face side of standard certificate of death.
Statement of Occupation .- Precise statement of occupation is very impor- tant, so that the relative healthfulness of various pursuits can be known. Make some entry in this section for every person aged 10 years or over. If the occupa- tion had been given up or changed, or if the deceased had retired from business, report the kind of work done during most of working life even if retired. Chil- dren not gainfully employed may be returned as at school or at home. For a woman whose only occupation was that of home housework, write housework. For a person engaged in domestic service for wages, however, designate the occupation by the appropriate terms, as housekeeper-private family, cook- hotel, etc. For a person who had no occupation whatever write none.
X
SUFFOLK
1
(County) WINTHROP
(City or Town)
The Commonwealth of Massachusetts KEVIN H. WHITE SECRETARY OF THE COMMONWEALTH DIVISION OF VITAL STATISTICS MEDICAL EXAMINER'S CERTIFICATE OF DEATH
(City or Town making this return)
Registered No.
226
39 Banks Street, Winthrop
(If death occurred in a hospital or institution, St. ¿ give its NAME instead of street and number)
PHYSICIAN - IMPORTANT
2 FULL NAME
( First Name)
(Middle Name)
(Last Name)
( If deceased is a married, widowed or divorced woman, give also maiden name.)
39 Banks Street, Winthrop
(a) Residence. No.
(Usual place of abode)
Length of stay: In place of death ..
years ............ months.
.days. In place of residence.
9
.years
... months.
.days.
MEDICAL CERTIFICATE OF DEATH
PERSONAL AND STATISTICAL PARTICULARS
3 DATE OF
December
7,
1962
DEATH
(Month)
(Day)
(Year)
4 I HEREBY CERTIFY that I have investigated the death of the person above-named and that the CAUSE AND MANNER thereof are as follows: (If an injury was involved, state fully.) Asphyxia due to strangulation by ligature.
5 Accident, suicide, or homicide (specify)
Homicide.
Date and hour of injury
December 7,
62
IF ACCIDENTAL, was injury causally related to the death ?
Where did
Winthrop, Mass.
Injury occur ?
(City or town and State)
Did injury occur in or about home, on farm, in industrial place, or
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