Town of Winthrop : Record of Deaths 1963, Part 16

Author: Winthrop (Mass.)
Publication date: 1963
Publisher:
Number of Pages: 574


USA > Massachusetts > Suffolk County > Winthrop > Town of Winthrop : Record of Deaths 1963 > Part 16


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 | Part 52 | Part 53 | Part 54


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.



RM R-303


1


SUFFOLK (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


Registered No.


No. 390 Winthrop St., Winthrop


[(If death occurred in a hospital or institution,


St. ( give its NAME instead of street and number)


PHYSICIAN - IMPORTANT


2 FULL NAME


DONALD


MCDOUGALL


[(Was deceased a


(First Name)


(Middle Name)


(Last Name)


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


390 Winthrop Street,


Winthrop, Massachusetts


(a) Residence. No.


(Usual place of abode)


(If nonresident, give city or town and State)


Length of stay : In place of death.


30


.. years.


.. months ..............


days. In place of residence.


30


.. months ....


.davs.


MEDICAL CERTIFICATE OF DEATH


PERSONAL AND STATISTICAL PARTICULARS


3 DATE OF


DEATH


April


20,


1963


9 SEX


Liale


10 COLOR


White


11 SINGLE


MARRIED


WIDOWED


DIVORCED


UNKNOWN


(write the word) Single


(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.) PORTAL CIRRHOSIS OF LIVER


(77)


5 Accident, suicide, or homicide (specify)


Date and hour of injury 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


public place ?


(Specify type of place)


Manner of


Injury


(How did injury occur ?)


Nature of


Injury


While at work?


Was autopsy performed 120


tion of deca


(Signed)


Michael A. Luongo


...... D.


(Address)


Date


19


22


Elizabeth Bradford


7 .oodlawn


Everett


Place of Burial or Cremation.


(City or Town)


DATE OF BURIAL


April 19 22. 53


8 NAME OF


FUNERAL DIRECTOR


Howard S Mevnolds


ADDRESS 'inthron, lass


Received and filed


APR 22 1963


19


....


A TRUE COPY ATTEST:


(Registrar)


(Official Designationy


(Date of Issue of l'ermit) Tolv


...


If under 24 hours Hours .. Minutes


14 Usual


Occupation :


.....


(Kind of work done during most of working life)


Repairs


15 Industry 0 Business :


......... ........


024-12-1243


K Social Security No.


17 BIRTHPLACE (City) (state of country)


Last Boston Lass


18 NAME OF FATHER William LcDougall


19 BIRTHPLACE OF FATHER (City) (State or country) Lass


East Boston


20 MAIDEN NAME OF MOTHER Kary hammerer


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


Boston


Informant


(Address)


ت


Surfside " inthron, lass


I HEREBY CERTIFY that a satisfactory standard certificate of death was filed with me BEFORE the burial or transit permit was issued : Crepho E. fizianna (a) .


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


He a itt, Officer


Gujarat .2.2, 1963


. If deceased was a U. S. War Veteran, G.L. Chap. 46, Section 10, requires physicians to insert a recital to that effect. ...


§§ 44-48.


100M - 3-62-932695


PLACE OF DEATH


led for burial permit Board of Health r its Agent.


Un LIFE INE CAUSE OR CAUSES OF DEATH ON DEATH CERTIFICATES.


information should be carefully supplied. MEDICAL EXAMINERS should state CAUSE AND MANNER OF N. B .- WRITE PLAINLY, WITH UNFADING BLACK INK-THIS IS A PERMANENT RECORD. Every item of of Death. See reverse side for additional Information. See also Chap. 38, §§ 6, 20; Chap. 46, §§ 9, 10; Chap. 114, DEATH in plain terms, so that it may be properly classified under the International Classification of Causes


12 If married, widowed, or divorced HUSBAND of


(Give maiden name of wife in full)


(or) WIFE of


(Husband's name in full)


13 AGE. Years


50


12


Months ..... ........ Days


PARENTS


or injury in


..... , M. D.


Boston ( Print or Typo Name)


(City or Town making this return)


U. S. War Veteran,


if so specify WAR)


St


SPACE FOR ADDITIONAL INFORMATION


DATE OF ENTERING MILITARY SERVICE


DATE OF DISCHARGE


RANK, RATING


ORGANIZATION AND OUTFIT


SERVICE NUMBER


RULES OF PRACTICE


The fulfillment of the purpose of these laws calls for the observance of the following rules of practice:


(1) Attending physicians will certify to such deaths only as those of persons to whom they have given bedside care during a last illness from disease unrelated 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 poison) , thermal, or electrical agents, and deaths following abortion, but also deaths from disease resulting from injury or infection related to occupation, the sudden deaths of persons not disabled by recognized disease, and those of persons found dead.


STATEMENT OF CAUSE OF DEATH


Medical Examiners in certifying to a death will state the cause and manner thereof, and will specify: (1) Under cause the nature of an injury and of its consequences; and (2) under manner the mode of its production together with the circumstances when these are known. For example: "Compound fracture of the femur with ensuing septicemia (gas bacillus) caused by a collision of railroad train and automobile." "Pistol shot wound of the chest with associated hemorrhage, homicidal." "Asphyxiation by suspension, suicidal." "Syncope while under the influence of ether administered as a surgical anaesthetic for (enter name of operation and disease or condition requiring surgery)." "Fracture of the skull with associated internal injury sustained under circumstances unknown."


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


FORM R-301


ed for burial permit Board of Health r its Agent. NSTRUCTIONS FOR CAL CERTIFICATE


NT OR TYPE E OR CAUSES OF DEATH


do not enter ore than one use for each (a), (b) and (c)


is does not meon mode of dying, as heart foilure, nia, etc. It meons discose, or compli- as which caused .


nditions, if ony, ich gove rise to ove couse (o), ling the under- ng cause last.


Conditions contrib- to death but not 'd to the terminal le condition given . ).


1


medical exam


6


HOLY CROSS


MALDEN


Place of/Burial or Cremation


(City or Town)


DATE OF BURIAL


APPIL


24


19.63


7 NAME OF


FUNERAL DIRECTOR


MAURICE W KIRBY


ADDRESS


WINTHROP


Received and filed


APR 23 1963


19


The Commonwealth of Massachusetts KEVIN H. WHITE SECRETARY OF THE COMMONWEALTH DIVISION OF VITAL STATISTICS


STANDARD CERTIFICATE OF DEATH


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. WILFRED & JOHNSON


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


(a) Residence. No


26 BEACON ST


(Usual place of abode)


Length of stay: In place of death 5 years months


days. In place of residence 485 2.years


.. months ...


.days.


MEDICAL CERTIFICATE OF DEATH


PERSONAL AND STATISTICAL PARTICULARS


8 SEX


9 COLOR


10 SINGLE


MARRIED


WIDOWED


DIVORCED


(write the word)


MALE


WHITE


DIVORCED


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


(Husband's name in full)


13 Usual


LABORER


(RETIRED)


(Kind of work done during most of iworking life)


14 Industry


or Business :.


TOWN OF WINTHROP.


15 Social Security No ....


16 BIRTHPLACE (City). FAST BOSTON


(State or country )


MISS


17 NAME OF


FATHER


ERICK W JOHNSON


18 BIRTHPLACE OF


FATHER (City) ..


(State or country)


EAST BOSTON.


MASS


19 MAIDEN NAME


OF MOTHER


ALICE L SCOTT.


20 BIRTHPLACE OF


MOTHER (City)


(State or country)


BOSTON


MASS


21 Informant FREDERICK LAIDLAW (Address) 141 COTTAGE PARD 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)


Health Officer


April -25, 19613


X VIA V


A TRUE COPY ATTEST:


5-62-933404


( Registrar)| (Official Designation)


(Date of Issue of Permit)


1


PLACE OF DEATH


SUFFOLK (County)


WINTHROP. (City or Town)


No.


26 BEACON ST WINTHROP.


WINTHROP MASS


St


(City or town and State)


3 DATE OF


DEATH


APRIL


(Month)


(Day)


That I attended deceased from


4 IHEREBY CERTIF


APRIL 241959


to APRIL 21


19.


63


I last saw himalive on


APRIL


1


19.1.3death is said to


have occurred on the date stated above, at


(a)


Due To z


ARTERIO- SELCRITIC


HEERE


PHEN


4YES


Due To


(c)


GENERAL ARTERIOSCLEROSIS


4YRS.


OTHER SIGNIFICANT CONDITIONS


3 PREVIOUS INFARCTION


4 YRS


No


Was autopsy performed?


What test confirmed diagnosis ?


CLINICAL


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


(Signature)


Ingrown. King


M. D.


MYRININ KING !


(Print or Type Name)


222 PLEASANT ST. Date APRIL 23 ,63


(Address)


WINTHROP MISS


PARENTS


INTERVAL BETWEEN ONSET AND (or) WIFE of 12 3 DEATH 15 MIN AGE Years .. .. . Months. ...... Days


If under 24 hours


Hours


.Minutes


Occupation :.


(b)


DEATH WAS CAUSED BY: IMMEDIATE CAUSE


ACUTE MYOCARDIAL


FARETION


21


1963


(Year)


(Was deceased a


U. S. War Veteran,


if so specify WARKU W 2


(City or Town making this return,


IDERTATEL AVILTEM


SPACE FOR ADDITIONAL INFORMATION


DATE OF ENTERING MILITARY SERVICE MARCH 21 1941


DATE OF DISCHARGE OCT 4 1943


RANK, RATING CPL,


ORGANIZATION AND OUTFIT ARMY =150


SERVICE NUMBER. 31032389 T !!!


1


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 mrecognized disease unrelated to any form of injury, have died without fecent modicall 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.


ORM R-301


for burial permit oard of Health its Agent. TRUCTIONS FOR L CERTIFICATE


TOR TYPE OR CAUSES 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, if any, gave rise to cause (a), g the under- cause last.


ditions contrib- o death but not to the terminal condition given


11C.


12-932382


X 1


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. ..............


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


PHYSICIAN - IMPORTANT


2 FULL NAME


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


(a)


Residence. No ..


27 Vine Avenue


Winthrop, Mass. St


(Usual place of abode)


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


.. days. In place of residence ..


PERSONAL AND STATISTICAL PARTICULARS


8 SEX


Female


9 COLOR


.. nite


10 SINGLE


MARRIED


WIDOWED


DIVORCED


UNKNOWN


(write the word)


.. idoy


11 If married, widowed, or divorced


HUSBAND of


(Give maiden name of wife in full)


Maisey


(Husband's name in full)


12


77


10


Months ..


.....


... Days


If under 24 hours


.Hours ........ Minutes


13 Usual


Occupation :


Housewife


(Kind of work done during most working life)


14 Industry


or Business :


Oun home


15 Social Security No ....


None


16 BIRTHPLACE (City) (State or country ) Scotland


17 NAME OF


FATHER


John Reid


PARENTS


18 BIRTHPLACE OF


FATHER (City)


(State or country) cotlaud


19 MAIDEN NAME


OF MOTHER


Jannett Dain


20 BIRTHPLACE OF


MOTHER (City).


(State or country)


Scotland


21 Informant


Join R.Reid


( Address) 1025 Co . Onybelth Ave. Moston,


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) Zenith, officer april 23, 1963


(Official Designation)


(Date of Issue of Permit)


2 V.S.V


A TRUE COPY ATTEST:


21


1963


(Month)


(Day)


(Year)


4 IHEREBY CERTIFY, That I attended deceased from 4/20 1963 to ... 4/2/ 19 ,63


I last saw helalive on


4/21


196


death is said to


have occurred on the date stated above, at


11 05 Pm.


DEATH WAS CAUSED BY: IMMEDIATE CAUSE


(a)


Due To


GENERAL ARTERIOSCLEROSIS


(b)


Due To (c)


OTHER


SIGNIFICANT


CONDITIONS


SENILE PSYCHOSIS


CLINICAL & LEG


5 Was disease or injury in any way related to occupation of deceased? No If so, specify


(Signature)


.....


M. D). MYRON N.KING


(Address) .


222 PLEASANT


4/21


1965


. inthron


Winthrop


6


Place of Burial or Cremation


April 27,


19


7 NAME OF


FUNERAL DIRECTOR


Howard & Remolds


Lars


ADDRESS


Received and filed


APR 2-3 1963


19


(Registrar)


,50


.years ...


... months.


... days.


MEDICAL CERTIFICATE OF DEATH


3 DATE OF


DEATH


APRIL


ACUTE MYOCARDIAL INFARCT


INTERVAL BETWEEN ONSET AND DEATH 11 days


5YRS.


Was autopsy performed?


No


What test confirmed diagnosis ?


(Print or Type Name)


(City or Town) 62


DATE OF BURIAL


No


inthrop Community Hospital


Marcaret (Reid)


Ramsey


(Was deceased a


U. S. War Veteran,


if so specify WAR)


(If nonresident, give city or town and State)


(or) WIFE of


AGE.


Years


5


Walter D


(City or Town making this return)


SPACE FOR ADDITIONAL INFORMATION


DATE OF ENTERING MILITARY SERVICE


DATE OF DISCHARGE.


RANK, RATING


ORGANIZATION AND OUTFIT


SERVICE NUMBER


RULES OF PRACTICE APR 2 31963 AM


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.


ORM R-301


for burial permit oard of Health its Agent. TRUCTIONS FOR L CERTIFICATE


T OR TYPE OR CAUSES DEATH


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


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


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


nditions contrib- o death but not to the terminal condition given M.C.


PLACE OF DEATH


Suffolk


(County)


inthrop


(City or Town)


The Commonwealth of Massachusetts KEVIN H. WHITE SECRETARY OF THE COMMONWEALTH DIVISION OF VITAL STATISTICS


STANDARD CERTIFICATE OF DEATH


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.


(Usual place of abode)


Length of stay: In place of death ..


..... years ......


.... months ..


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


MEDICAL CERTIFICATE OF DEATH


PERSONAL AND STATISTICAL PARTICULARS


3 DATE OF


DEATH


acril


23,


1963


(Month)


(Day)


(Year)


IHEREBY CERTIFY, That I attended deceased from


July 2, 19 56


to


April


23.


196.3


I last saw h.e. Flive Apr ... 22 1963, death is said to


have occurred on the date stated above, at


2:09 am.


DEATH WAS CAUSED BY: IMMEDIATE CAUSE


BETWEEN ONSET AND DEATH


(a)


Due To


Arteriosclerotic and


(b) hypertensive .... heart disease


Due To


Generalized arterio-


(c) .... sclerosis


OTHER SIGNIFICANT CONDITIONS


Was autopsy performed?


no


What test confirmed diagnosis ? Clinical & labora-


5 Was disease or injury in any way related to occupation of deceased ? NO If so, specify.


(Signature) Mr. Traunstein fr. M. D. M. Traunstein, Jr( M. D. (Print or Type Name) (Address) 73 Bartlett Rd. Winthrop 52, Mass. Apr. 23, 63


6


Place of Burial or Cremation


(City or Town)


DATE OF BURIAL


April 25 1963


19.


7 NAME OF


FUNERAL DIRECTO


alfred & Marsh


ADDRESS


174 Winthrop St. Winthrop, Mass


Received and filed APR 24 1963 19


8 SEX


female


9 COLOR


white


10 SINGLE


MARRIED


WIDOWED


DIVORCED


UNKNOWN


(write the word)


widowed


11 If married, widowed, or divorced HUSBAND of


(Give maiden name of wife in full)


AlbertFELeon Ayer (Husband's name in full)


12


Massive cerebral .... hemorrhage18hrs AGE7.8 Years ..... 2 ... Months .....


Days


If under 24 hours


Hours ..


Minutes


13 Usual


Occupation :


housework


(Kind of work done during most working life)


14 Industry


10 yrs . or Business:


own home


15 Social Security No .. Boston


16 BIRTHPLACE (City)


(State or country )


Massachusetts


17 NAME OF


FATHER


Stephen Fopiano


18 BIRTHPLACE OF


FATHER (City)


(State or country)


Italy


19 MAIDEN NAME


OF MOTHER


unable to ascertaine


20 BIRTHPLACE OF


MOTHER (City)


"


(State or country)


=


21 Informant


John L. Ayer


( Address)


176 Woodside Avenue


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


(Signature of Agent of Board of Health or other)


Shaft offrei


Cipal 24 1963


(Date of Issue of Permit)


V


1


No .......


inthron Com unity Hos ital


Madeline


(Fopiano) ;


2 FULL NAME.


Louise


Aver


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


176 Woodside Avenue


St.


winthrop Hass


(If nonresident, give city or town and State)


52-932382


A TRUE COPY ATTEST:


( Registrar ) | (Official Designation)


(City or Town making this return)


I


Mt. Calvery Cemetery


Boston, Mass


PARENTS


Genoa


8 yrs


4


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 (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.


ORM R-302


WRITE PLAINLY, WITH UNFADING BLACK INK OR USE APPROVED BLACK TYPEWRITER RIBBON - THIS IS A PERMANENT RECORD


, resided as soon as possible, after the close of the month in which the death occurred. (See Chap. 46, See. 12, G. L.) at the time of death should be transmitted on Form R-302 to the elerk of the eity or town in which the deceased


PLACE OF DEATH


Middlesex


(County)


Cambridge


(City or Town)


Guardian Hospital


The Commonwealth of Massachusetts KEVIN H. WHITE SECRETARY OF THE COMMONWEALTH DIVISION OF VITAL STATISTICS COPY OF QUIL CERTIFICATE OF DEATH


Cambridge


(City or Town making this return)


584- 178


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


Mary Finneran


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


46 Washington Ave.


(a) Residence. No ..


(Usual place of abode)


1


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


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


.days.


PERSONAL AND STATISTICAL PARTICULARS


8 SEX


Female


9 COLOR


White


10 SINGLE


(write the word)


MARRIED


WIDOWED


DIVORCED


UNKNOWN


Widowed


11 If married, widowed, or divorced


HUSBAND of


(or) WIFE of.


Joseph


(Give maiden name of wife in full)


Finneran


(Husband's name in full)


12


AGE


Years.


.. Months.


.Dayz


If under 24 hours


.....


.Hours ........ Minutes


13 Usual


Occupation :


(Kind of work done during most working life)


14 Industry


Nursing Home


or Business:


15 Social Security No ....


Boston


16 BIRTHPLACE (City)




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