Town of Winthrop : Record of Deaths 1963, Part 51

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


USA > Massachusetts > Suffolk County > Winthrop > Town of Winthrop : Record of Deaths 1963 > Part 51


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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15 Social Security No .... .


078-24-


16 BIRTHPLACE (City) .. .


(State or country )


17 NAME OF


FATHER


2 (1.32)


18 BIRTHPLACE OF


FATHER (City)


(State or country)


? (CBL)


19 MAIDEN NAME


OF MOTHER


2.


3 20 BIRTHPLACE OF


MOTHER (City)


(State or country)


3 (C BL)


27 L'aca


6


Mintterah


Wetterof


(City or Town)


DATE OF BURIAL


7 NAME OF


FUNERAL DIRECTOR


Grucit Playpenne 1471 intheright 62


ADDRESS


DEC 18 19631x //24cf.


Received and filed 19


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


STANDARD CERTIFICATE OF DEATH


Registered No.


261


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


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


54 Centre St


(a) Residence. No ..


(Usual place of abode)


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


14 days. In place of residence: 2 years.


.months.days.


MEDICAL CERTIFICATE OF DEATH


3 DATE OF


DEATH


December 17, 1953


(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


2:55 Dam.


DEATH WAS CAUSED BY: IMMEDIATE CAUSE


(a) Fre umar le cornme Conclusion


INTERVAL BETWEEN ONSET AND DEATH


Due To


(b)


Front Condition treated of


Due To


(c)


OTHER


SIGNIFICANT


1627th.


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)


M. D. John I Colling, MD


(Print or Type Name)


(Address)


27 Termination 26


Date.


Tere. 19 2


1


PARENTS


21 Informant


Stena Wallace


(Address)


130 Proveio Que Wentorf


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


(Signature of Agent of Board of Health or other)


Health officer


december 18 1963


(Official Designation) /


(Date of Issue of Permit)


X


PLACE OF DEATH


Suffolk (County)


1


Minttisch (City or Town)


54 CentreSt No El Patrice F/ 1rondevatio 2 FULL NAME .....


......


.St


(Was deceased a


U. S. War Veteran,


if so specify WAR).


Wantheraf Wieso


(City or town and State)


(City or Town making this return)


(Registrar)||


Place of Burial or Cremation


Die 20 23


in Trop


nove c


SPACE FOR ADDITIONAL INFORMATION


DATE OF ENTERING MILITARY SERVICE June 1 1919


DATE OF DISCHARGE.


June 16 1947


RANK, RATING Chef Pharmacist Mite


ORGANIZATION AND OUTFIT.


SERVICE NUMBER 276-61-80


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.


OF TO:


KLERK


6


ITHROP.


DEC 1 81963 PM


X 1 PLACE OF DEATH


Suffolk


(County)


Winthrop


(City or Town)


ALLORA


The Commonwealth of Massachusetts EDWARD J. CRONIN 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


262


(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)


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


(If nonresident, give city or town and State)


Length of stay: In place of death. ......... years. months. 7 days. In place of residence. .years. months. ... days.


MEDICAL CERTIFICATE OF DEATH


3 DATE OF


DEATH


December 18


1963


(Month) (Day)


(Year)


4 I HEREBY CERTIFY,


That I attended deceased from


Jan


19.55,


to ......


18


Dec.


1963


I last saw h.i .. )Malive on


Dec


18


19.4.3., death is said to


have occurred on the date stated ahove, at


10 ° am.


DEATH WAS CAUSED BY: IMMEDIATE CAUSE


(a) congestive heart failure


INTERVAL BETWEEN ONSET AND DEATH


6 metros


Due To (c)


OTHER SIGNIFICANT 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. NO


(Signed)


M. D.


(Address) 447 Shulin St


„Date


12-18


19.63


Winthrop mass throp


6


Place of Burial or Cremation


Dc, 20


19.


7 NAME OF


FUNERAL DIRECTOR


Howard & Menoldu


....


ADDRESS.


inthrop, lass.


Received and filed.


DEC 19 1963


19


(Registrar)


PERSONAL AND STATISTICAL PARTICULARS


8 SEX Male


9 COLOR


White


10 SINGLE


MARRIED


WIDOWED


or DIVORCED


(write the word)


iGU ....


10a If married, widowed, or divorced ,


1 L, Dyer


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


93


Years


1


Months.


3


.Days


If under 24 hours


Hours ........ Minutes


13 Usual


Occupation :


Plasterer


r.tir-d


(Kind of work done during most of working life)


14 Industry


or Business :


Contractor


15 Social Security No ..


025-14-7240


16 BIRTHPLACE (City).


(State or country)


Prince Edward Island


17 NAME OF


FATHER


Joseph Thompson


PARENTS


18 BIRTHPLACE OF


FATHER (City).


(State or country)


Ireland


19 MAIDEN NAME


OF MOTHER


Esther Torchon


20 BIRTIIPLACE OF


MOTHER (City)


(State or country)


Unohlo to obtain


21


Informant


Lerion LA kell


(Address) } Cor. of. Winthrop, 1255.


I HEREBY CERTIFY that a satisfactory standard certificate of death was filed with me BEFORE The burial or transit permit was issued : Ralph /6. Sirianni (B)


(Signature of Agent of Board of Health or other)


Health Officer


Dou. 19,1963


(Official Designation )


(Date of Issue of Permit)


ONS


TIFICATE


ng DEATH nter one each nd (c)


sot mean dying, failure, It means compli- caused


if any, rise to (a), under- last.


contrib. but not terminal on given


pter 137, requires print or ause or leath on cates.


100M.11.55.916:45


301A


No.


Bay View Nursing Home


2 FULL NAME


John Thompson


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


29 Cora Street


St


50


DATE OF BURIAL


(City or Town) 63


(h)


Due To


arteriosclerosis


1


EXTRACTS FROM THE LAWS OF THE COMMONWEALTH OF MASSACHUSETTS GOVERNING THE


RETURN OF CERTIFICATES OF DEATH


A physician or registered hospital medical officer shall forthwith. after the death of a person whom he has attended during his last illness, at the request of an undertaker or other authorized person or of any member of the family of the deceased, furnish for registration a standard certificate of death, stating to the best of his knowledge and belief the name of the deceased, his supposed age, the disease of which he died, defined as required by section one, where same was contracted, the duration of his last illness, when last seen alive by the physician or officer and the date of his death. . . Gen. Laws, Chap. 46, Sec. 9.


A physician or officer furnishing a certificate of death as required by the preceding section or by 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 of 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 tas ; are supposed to have died by violence, or by the action of chemical''thermafor 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).


DEC 1 91963 AFRULES 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 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 occupation, 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 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


PLACE OF DEATH


SUFFOLK (County)


WINTHROF


(City or Town)


The Commonwealth of Massachusetts EDWARD J. CRONIN 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)


2 FULL NAME


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


29 FAIRFIELD ST.


St


(If nonresident, give city or town and State)


2


Length of stay: In place of death


years


6


months


days. In place of residence


years


months.


days.


35


9 COLOR


WHITE


10 SINGLE


(write the word)


MARRIED


WIDOWED


SINGLE


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


.30 Years ... 9


Months


4 Days


If under 24 hours


....... Hours .......


Minutes


13 Usual


Occupation :


None


(Kind of work done during most of working life)


14 Industry


or Business:


15 Social Security No.None


16 BIRTHPLACE (City)


(State or country)


ITALY


17 NAME OF


FATHER


DOMENIC IANNELLO


18 BIRTHPLACE OF


FATHER (City)


(State or country)


ITALI


19 MAIDEN NAME


OF MOTHER


ROSE FERRARA


20 BIRTHPLACE OF


MOTHER (City).


(State or country)


ITALI


21 DOMENIC CARNABUSCI ( NEPHEW )


Informant


(Address)


29 FAIRFIELD ST. REVERE, MASS.


7 NAME OF


FUNERAL DIRECTOR


LAWRENCE BRUNO


ADDRESS


291 REVERE ST. REVERE, MASS.


Received and filed


DEC 20 1963


19


(Registrar)


PERSONAL AND STATISTICAL PARTICULARS


3 DATE OF


DEATH


Dec


1414


(Month)


(Day)


1563


(Year)


A I HEREBY CERTIFY,


19.


55


to


Dec 14


19


That I attended deceased from 6 3


Plast saw hayalive on


14,, 19 63 death is said to


have occurred on the date stated above, at


320P.


... m.


INTERVAL BETWEEN ONSET AND DEATH


Due To MENERALiZES ARTERIOSCLEROSIS 10 /1


(b)


HYPERTENSive HEART Disease 5700


(c)


Due To


HYPERTENSION


10 412


OTHER


SIGNIFICANT


CONDITIONS


CARDIAC FAILURE


Was autopsy performed?


What test confirmed diagnosis ?.


5 Was disease or injury in any way related to occupation of deceased: 121 If so. specify ....


ANDREW PIETRO MED


(Signed)


andun


M. D.


(Address) 603 Branding Resi Date


Dec 201963


HOLY CROSS CEMETERY , MALDEN, MASS. 6


Place of Burial or Cremation


DECEMBER 23, 19gr Town)


19


DATE OF BURIAL


REVERE 1-7-64


MAYFLOWER NURSING HOME -39 GROVERS' AVE.


No.


MARIA IANNELLO


PHYSICIAN - IMPORTANT


(Was deceased a


U. S. War Veteran,


NO


REVERE


if so specify WAR)


(a) Residence.


No.


(Usual place of abode)


TIONS ₹ RTIFICATE


ring DEATH enter an one r each and (c)


not mean of dying, rt failure, It means or compli- ch caused


if any, rise to se


(a), under- se last.


s contrib -- th but not e terminal tion given C.


apter 137, , requires to print or cause or death on cates.


. 46, 55 9 & 114 $$ 45, . 38$6.)


8.923888


-301A 1-7-04 HIS IS A IT RECORD. only PROVED or black r ribbon.


1


MEDICAL CERTIFICATE OF DEATH


8 SEX


FEMALE


PARENTS


I HEREBY CERTIFY that a satisfactory standard certificate of death was filed with me BEFORE the burial or transit permit was issued: Cumple 6. Livanni (8)


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


Health officer


December 20, 1963


(Official Designation)


(Date of Issue of Permit)


1


..


DEATH WAS CAUSED BY: IMMEDIATE CAUSE


CEREBRAL HerERKlage


(a)


To be filed for burial permit with Board of Health or its Agent. 263


SPACE FOR ADDITIONAL INFORMATION


DATE OF ENTERING MILITARY SERVICE


DATE OF DISCHARGE RANK, RATING


ORGANIZATION AND OUTFIT


SERVICE NUMBER


OF TOW 11.12


5


LERK


WIN


6.5


THROP.


DEC 2 01963 AM


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 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 occupation, 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 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.


301A 1


IONS


TIFICATE


ng DEATH nter 1 one each and (c)


ot mean f dying, : failure, It means compli- caused


if any, rise to (a), under- : last.


contrib- but not terminal on given


pter 137, requires print or ause or cath on ates, and Acts of s Physi- t or type ignature.


.


925686


PLACE OF DEATH


Auffach (County) Winthrop (City or Town) Bayview Nursing Home No.


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.


264


[(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)


(If deceased is a married, widowed or divorced woman, give also maiden name.) 16 Sunset Road St.


(a) Residence. No. (U'sual place of abode)


Length of stay: In place of death. 2 years. ... ... . months


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


PERSONAL AND STATISTICAL PARTICULARS


8 SEX


male


9 COLOR


White


10 SINGLE > (write the word)


MARRIED


Nadawed


or DIVORCED


HUSBAND of


Hoy dendivorced Berchansky


(Give maiden name of wife in full)


(or) WIFE of


(Husband's name in full)


11 IF STILLBORN, enter that fact here.


INTERVAL BETWEEN ONSET ANO DEATH 5 MIN 87 12 Years


.Months ....


Days


If under 24 hours


Hours .............. Minutes


13 Usual


Occupation :


Tailor


(Kind of work done during most of working life)


14 Industry


or Business :


Clothing M/s.


15 Social Security No.


032-10-1655


16 BIRTHPLACE (City)


(State or country)


Russia


17 NAME OF


FATHER


Caron Wallace


18 BIRTIIPLACE OF


FATHER (City)


(State or country)


Russe


19 MAIDEN NAME


OF MOTHER


E.B.Z.


20 BIRTHPLACE OF


MOTHER (City)


(State or country)


Russia


21 Informant (Address)


Eleanor Allians,


,


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)


:1 21. 1963


(Official Designation)


(Date of Issue of l'ermit)


- X


19


I last saw himalive on


12/25/639.


death is said to


have occurred on the date stated above, at


1205 Pm.


DEATH WAS CAUSED BY : IMMEDIATE CAUSE


(a)


CORONARY OCCLUSION


Due To ARTERIO-SCLEROTIC HEART (b)


12yes


DISEASE


Due To GENERAL ARTERIOSCLEROSIS


(c)


12/2)


OTHER


SIGNIFICANT


CONDITIONS


NONE


Was autopsy performed?


No


What test confirmed diagnosis? CLINICAL


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


(Signed)


Myron b. King


M. D.


MYRON N.KLINGM.D


(PRINT OR TYPE SIGNATURE) (Address) 222 PLEUTSONT 51 Date. WINTHROP


Price ) Besten


6 l'lace of Burial or Cremation (City or Town)


DATE OF BURIAL


Dec 26


163


7 NAME OF


FUNERAL DIRECTOR VEL tunucal Ques sec


ADDRESS Chelsea


Received and filed


ĐC 26 1963


(Registrar)


4


MEDICAL CERTIFICATE OF DEATH


3 DATE OF


DEATH


DEC


25 1963


(Month)


(Day)


(Year)


4 I HEREBY CERTIFY


FEB


.51


to ...


That I attended deceased from


DEC


25


2 FULL NAME .....


Velik Wallace


(If nonresident, give city or town and State)


PARENTS


12/25 1063


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 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.




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