Town of Winthrop : Record of Deaths 1963, Part 31

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


USA > Massachusetts > Suffolk County > Winthrop > Town of Winthrop : Record of Deaths 1963 > Part 31


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).


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None


Was autopsy performed?


What test confirmed diagnosis ? ....


ClinicaNo


5 Was disease or injury in any way related to occupation of deceased /3 If so, specify 7/7


(Signed),


CHARLES LIBERMAN


(PRINT QR TYPE SIGNATURE)


(Address)


WINTHROP,MASS Date.


8/4/1963


PARENTS


21


Informant


(Address)


Veronica Preg


15 Pleasant Park Rd


I HEREBY CERTIFY that a satisfactory standard certificate of death was filed with me BEFORE the burial or transit permit was issued: Neph o Sirianni (B) (Signature of Agent of Board of Health or other)


Deseth Officer


Reggio 6, 19613


(Date of Issue of Permit)


1 X


1


151


PHYSICIAN - IMPORTANT [(Was deceased a U. S. War Veteran, [if so specify WAR)


:


ATE


TH


:


c) nean ying, lure, eans npli- used


y, to ), er- st.


trib- not ninal iven


137 ires It or or on and s of ysi- type ture.


86


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.


Registered No.


§(If death occurred in a hospital or institution,


St.


(If nonresident, give city or town and State)


(write the word)


Female


65


109:4


.3


Boston,


England


ADDRESS


(Official Designation)


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 dafe 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.


PLACE OF DEATH


SUFFOLK (County) Chelsea £9-92-8 CENSEPIT


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.


WINTHROP COMMUNTY HOSPITAL


St. Į give its NAME instead of street and number) No.


2 FULL NAME


FRANCES CARSTENSEN


(First Name)


(Middle Name)


(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.)


54 ELEANOR ST. CHELSEA


St.


(If nonresident, give city or town and State)


Length of stay: In place of death ...


... years ...


months5 days. In place of residence 65 years.


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


days.


MEDICAL CERTIFICATE OF DEATH


PERSONAL AND STATISTICAL PARTICULARS


3 DATE OF


DEATH


....


(Morin)


CERTIFY


That I attended deceased from


192


I last saw he ffalive on


8


1963 death is said to


have occurred on the date stated above, at


6:55 a.m


INTERVAL


BETWEEN


ONSET AND


DEATH


8 SEX


9 COLOR


10 CITIZEN


OF U.S.


YES


NO


11 SINGLE


MARRIED


WIDOWED


DIVORCED


UNKNOWN


FEMALE


WHITE


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


(or) WIFE of


(Husband's name in full)


DEATH WAS CAUSED BY : IMMEDIATE CAUSE,


Septicemia / Clinical


(a)


Due To


(b)


Due To


(c)


CholecysteCTOMY


Sall Stones


Hypertension


5 day


13


AGE 65 Years S.


Months /2 Days


, FE


14 Usual


Occupation :


HOUSE WORK


(Kind of work done during most of working life)


15 Industry


or Business :


OWN HOME


16 Social Security No. 031-34-1758


CHELSEA


17 BIRTHPLACE (City)


(State or country)


MASS.


18 NAME OF


FATHER


EDWARD CARSTENSEN


19 BIRTHPLACE OF


FATHER (City)


E, BOSTON


(Signed)


John H


(Print or Thpe Name)


0 Comm Ave . Date. Aug 5 .... 19.


Bosch


WOODLAWN


EVERETT (City or Town)


Place of Burial or Cremation


DATE OF BURIAL AU.E. D.


19.63


7 NAME OF


Mendel M. Deshimano


ADDRESS


2.


Gary ave. Chelsea


Received and filed


AUG 6 1963


19


PARENTS


1


20 MAIDEN NAME


OF MOTHER


MARIAN ELDER


21 BIRTHPLACE OF


MOTHER (City)


(State or country)


MAINE


MRS. MARIAN FRANK


22


Infor mant


(Address)


5 COURTRAI WINTHROP


I HEREBY CERTIFY that a satisfactory standard certificate of death was filed with me BEFORE the burial or transit permit was issued: Carph Es Sereanna (3)


(Signature of Agent of Board of Health or other)


Spaeth Officer


august 6,1963


(Official Designation) / (Date of Issue of Permit)


·X


:


CATE


ATH


e


h (c) mean ying, ilure, neans mpli- aused


ny, to a), er - ist.


ntrib- t not minal given


er 137, equires rint or se or ath on es, and Acts of Physi- or type nature.


01


1


WINTHILOP (City or Town)


Registered No.


152


....


S(If death occurred in a hospital or institution,


PHYSICIAN - IMPORTANT


(a) Residence. No.


(Usual place of abode)


AUGUST 5


(Day)


(Year)


1963


A TRUE COPY ATTEST:


(Registrar)


done


5 Was disease or injury) in any way related to ogeypation of deceased?


If so, specify


NO


John th Grande


Grandon


Blood cultures being


Was autopsy performed?


What test confirmed diagnosis?


Yes


OTHER SIGNIFICANT CONDITIONS


12 DATE OF BIRTI


APRIL 24, 1898


If under 24 hours


Hours .........


Minutes


·M. D.


(State or country)


MASS


6


-


4 I HEREBY


7-30


19.63.


to


SPACE FOR ADDITIONAL INFORMATION


DATE OF ENTERING MILITARY SERVICE.


DATE OF DISCHARGE


RANK, RATING


ORGANIZATION AND OUTFIT


SERVICE NUMBER


RECE VED


TO !!


OF


11.12. 1


.2


(MIN)


iv


ILERK


6.5


100


HROP


AUG 61963 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 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.


A


1


Winthrop (City or Town)


The Commonwealth of Massachusetts JOSEPH D WARD SECRETARY OF THE COMMONWEALTH DIVISION OF VITAL STATISTICS STANDARD CERTIFICATE OF DEATH


To be filed for burial permit with Board of Health or its Agent.


Registered No.


153


[(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.


243 Winthrop Street 4/ Washington AVE


St.


(If nonresident, give city or town and State)


.. days. In place of residence4.0.


.. years.


months.


.. days.


MEDICAL CERTIFICATE OF DEATH


PERSONAL AND STATISTICAL PARTICULARS


3 DATE OF


DEATH


August


11


1963


(Month)


(Day)


(Year)


4 I HEREBY CERTIFY, NOV 195€ to ...


That I attended deceased from


August 11, 1963


10a If married, widowed, or divorced HUSBAND of


(Give maiden name of wife in full)


(or) WIFE of


Edmind Thompson Roach


(Husband's name in full)


11 IF STILLBORN, enter that fact here.


12


AGE ... 7.1 Years.


Q .... Months


.2.7 .... Days


If under 24 hours


Hours ..........


.Minutes


13 Usual


Occupation :


housework


(Kind of work done during most of working life)


14 Industry


or Business :


own home


15 Social Security No.none.


16 BIRTHPLACE (City)


(State or country)


Erving


Massachusetts


17 NAME OF


FATHER


Charles F. Noyes


18 BIRTHPLACE OF


FATHER (City)


Jefferson


(State or country)


Maine


19 MAIDEN NAME


OF MOTHER


Josephine Clary


20 BIRTHPLACE OF


MOTHER (City)


(State or country)


Maine


Jefferson


6 Winthrop commentary, Winthrop, Mass.


Place of Burial or Cremation (City or Town)


August 13.1963 19


Informant


(Address)


Alstead, New Hampshire


I HEREBY CERTIFY that a satisfactory standard certificate of death was filed with me BEFORE the burial .or transit permis was issued: Casper & fireanni (0)


(Signature of Agent of Board of Health or other)


Health officer Cuq 13,1963


(Date of Issue Of Permit)


TV. B. V


ATE


TH


c)


nean ing. lure, eans pli- used


y, 10 ), st.


trib- not tin al riven


137. ires it or or on and s of ysi- type ure.


86


× PLACE OF DEATH


Suffolk (County)


Bay View Nursing Home No. REACH.


2 FULL NAME ...


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


(a) Residence. No. (Usual place of abode)


Length of stay : In place of death .. . ... years. 8 months :


8 SEX


Female


9 COLOR


White


10 SINGLE


(write the word)


MARRIED WIC Owed


WIDOWED


or DIVORCED


I last saw h.EX .. alive on


Aug. 11,1, 1963


death is said to


have occurred on the date stated above, at 11/2011 m.


INTERVAL


BETWEEN


ONSET AND


DEATH


DEATH WAS CAUSED BY : IMMEDIATE CAUSE


(a) Cerebrovascular Occhision


(b) Due Cerebro Arterios clerosis


Due To (c)


OTHER


SIGNIFICANT


CONDITIONS


Was autopsy performed ?


200


What test confirmed diagnosis? Clinical


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


(Signed) I. D. CHARLES LIBERMAN


(Address)


(PRINT OR TYPE SIGNATURE) WINTHROP 14055 Date. 8/11/163


7 NAME OF


FUNERAL, DIRECTOR


alfred B. March


ADDRESS


174 .winthropSt .... Winthrop, Mass.


Received and filed


August 1319 63


(Registrar)


(Official Designation)


Ralph E Roach


DATE OF BURIAL


PARENTS


3 yrs


Violet Estelle


SPACE FOR ADDITIONAL INFORMATION


DATE OF ENTERING MILITARY SERVICE.


DATE DE DISCHARGE


RANK, RATING


ORGANIZATION AND OUTFIT


SERVICEN


NROD NETBER


AUC 1 31963 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.


-301


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.


154


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


PHYSICIAN - IMPORTANT


2 FULL NAME


Amy


Gertrude


Hea rn


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


(a) Residence. No.


265 Newbury


(Usual place of abode)


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


6


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


.. years.


.. months.


.. days.


MEDICAL CERTIFICATE OF DEATH


PERSONAL AND STATISTICAL PARTICULARS


8 SEX


F.


9 COLOR


W.


10 SINGLE


MARRIED


WIDOWED


DIVORCED


UNKNOWN


SINgle


11 If married, widowed, or divorced


HUSBAND of


(Give maiden name of wife in full)


(or) WIFE of


(Husband's name in full)


12


AGES 3


Years


4


Months 23 Days


If under 24 hours


Hours.


Minutes


13 Usual


Occupation :


NURse (Ret.)


(Kind of work done during most working life)


14 Industry


or Business:


Boston State Hosp


15 Social Security No.


16 BIRTHPLACE (City) ENglAnd (State or country)


17 NAME OF


FATHER


Rebun HearN


18 BIRTHPLACE OF


FATHER (City)


(State or country)


ENGLAND


19 MAIDEN NAME


OF MOTHER


CAROLINE J. Elkins


20 BIRTHPLACE OF


MOTHER (City)


(State or country)


ENGLAND


William Hearn


21 Informant


( Address)


Clementsport, siLA SE.tin


I HEREBY CERTIFY that a satisfactory standard certificate of death was;fled with me BEFORE the burial or transit permit was issued: Mephisto Serianie(2)


...


(Signature of Agent of Board of Health or other) Der th, office


Curq. 13,963


( Registrar)| (Official Designation)


(Date of Issue of Permit)



A TRUE COPY ATTEST:


1963 (Year)


4IHEREBY CERTIFY , That I attended deceased from


July 26


19 .. 6 ...


to August 12


I last saw hfralive on


August 12, 1963, death is said to


have occurred on the date stated above, at 5:10P.m.


INTERVAL


BETWEEN


ONSET AND


DEATH


(a)


f)ue To (b)


Due To (c)


Arteriosclerosis At.


3 yrs.


No


Was autopsy performed?


What test confirmed diagnosis ?


Charsal y Las


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


(Signature)


M. Tranneseine dr. M. D. M. TRAUNSTEIN! VIR.M.D. (Print or Type Name) ! .


(Address)


AUG 12 1963


73 BARTLET 21 Win THROp FERNCliff COM. HARtsDAR, N.Y. Place of Burial or Cremation (City of Town)


DATE OF BURIAL August 12 19 63


7 NAME OF


FUNERAL DIRECTOR


JISWATERMANAJUNS


ADDRESS


Boston


Received and filed August 13, 1963


(City or Town making this return)


No. Bay View Nursing Home


·


1 permit calth


ATE


E SES


:


(c) nean ying, lure. eans npli- used


ty, 10 1), er- st. trib- ! not ninal given


PARENTS


Boston


St


(If nonresident, give city or town and State)


35-


3 DATE OF


DEATH


AUGUST


12


(Day)


(Month)


Postone


OTHER


SIGNIFICANT


CONDITIONS


DISEASE


DEATH WAS CAUSED BY: IMMEDIATE CAUSE


Bilateral Bronchopnsamonie IwK.


(write the word)


(Was deceased a


U. S. War Veteran,


(if so specify WAR)


No


SPACE FOR ADDITIONAL INFORMATION


DATE OF ENTERING MILITARY SERVICE.


DATE OF DISCHARGE


RANK, RATING


ORGANIZATION AND OUTFIT


SERVICE NUMBER.


RECEIVED


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.


OF


TOWN


OFFICE


11 12


10.


GLERA


11SE


CHRO


AUG 1 31963 PM


PLACE OF DEATH


Suffolk


I


(County) Winthrop


(City or Town)


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


(City or Town making this return)


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


Sarah Ciccarelli (Marino)


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


(a)


Residence. No ..


67 Marshall


(Usual place of abode)


Length of stay: In place of death ..


3years ......... months ........


days. In place of residence 31


... years ..


... months.


... days.


MEDICAL CERTIFICATE OF DEATH


3 DATE OF


DEATH


August


14.


1963


(Month)


(Day)


(Year)


4 IHEREBY 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


1:10 Pm.


DEATH WAS CAUSED BY: IMMEDIATE CAUSE


Death presumably due


(a)


Due


(b)


to natural causes


Due


(c)


probably acute coronary


SIGNIFOR Clusion on basil CONDITIONS clientey.


Was autopsy


What test confirmed diagnosis 2


Wuttrap Boardy Hurtig


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


(Signature)


Charles Liberman


, M. D.


Charles Liberman I. D.


(Print or Type Name)


(Address)


.Date


8/17


1969


......


6


Holy Cross Cemetery, Malden


Place of l'urial or Cremation


(City or Town)


August 17,


19.


DATE OF BURIAL


7 NAME OF


FUNERAL, DIRECTOR


Ernest P. Caggiano


147


winthrop st., winthrop


ADDRESS


Received and filed


AUG 16 1963


19


( Registrar)}


A TRUE COPY ATTEST:


PERSONAL AND STATISTICAL PARTICULARS


8 SEX


female


9 COLOR


white


10 SINGLE


(write the word)


MARRIED


WIDOWEDmarried


DIVORCED


UNKNOWN


11 If married, widowed, or divorced


HUSBAND of


(Give maiden name of wife in full)


(or) WIFE of


Richard Ciccarelli


(Husband's name in full)


12


70


11


13


If under 24 hours


Hours ........ Minutes


13 Usual


housewife


Occupation :


(Kind of work done during most working life)


14 Industry


CON


or Business :...


at home


15 Social Security No ..


16 BIRTHPLACE (City)


(State or country )


Italy


17 NAME OF


FATHER


Flaminio Marino


18 BIRTHPLACE OF


FATHER (City)


(State or country) Italy


19 MAIDEN NAME


OF MOTHER Maria Grazia Savino


20 BIRTHPLACE OF MOTHER (City) (State or country) Italy


21 Informant


Robert Ciccarelli


( Address)


69 Marshall St., 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 ficar Quy 16,1963


(Official Designation)


(Date of Issue of Permit)


V.B


2


R-301


I permit ealth


CATE


PE SES


e h (c) mean lying, tilure, means mpli- aused


ny, to a), der - ast. ntrib- t not minal given


PARENTS


PHYSICIAN - IMPORTANT


(Was deceased a


U. S. War Veteran,


if so specify WAR).


no


Winthrop


St


(If nonresident, give city or town and State)


2 FULL NAME.


Registered No.


155


No.


67 Marshall


63


INTERVAL


BETWEEN


ONSET AND


DEATH


AGE


Years


Months.


Days


SPACE FOR ADDITIONAL INFORMATION


DATE OF ENTERING MILITARY SERVICE


DATE OF DISCHARGE


RANK, RATING


ORGANIZATION AND OUTFIT


SERVICE NUMBER


RULES OF PRACTICE


RECEIVED


TOW


10


Mill


2


CLERK


8


15


THROP NASS


AUG 1 61963 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 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.


. . ... ---


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


(City or Town making this return)


Registered No.


156


[(If death occurred in a hospital or institution,


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


2 FULL NAME.


Charlotte (Walsh) .Tobin


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


(Was deceased a


U. S. War Veteran,


(if so specify WAR)


(a)


Residence. No ..


18 Haviland


St


Boston, .... Mass


(If nonresident, give city or town and State)


Length of stay: In place of death ........ years ......... months ... 6 days. In place of residence: 50 years


.months ..


.. days.




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