To The Cause(s) Stated.
  21e.       7 15 PM.
  CERTIFICATION--MEDICAL EXAMINER OR CORONER: 
\On The Basis of The Examination of
The Body and/or The Investigation, 
In My Opinion, Death Occurred on 
The Date and Due To The Cause(s) Stated. 
HOUR OF DEATH
  22a.   M.
  THE DECEDENT WAS PRONOUNCED DEAD
    Month   Day  Year  Hour
  22b.    M.
  CERTIFIER--NAME (Type or Print)
  23a.    Wm. P. Crowley, Jr.M.D.
  SIGNATURE--CERTIFIER  Title
  23b.    Wm P. Crowley, Jr, MD.
  DATE SIGNED    Month    Day    Year
  23c.    April 8, 1970
  MAILING ADDRESS--CERTIFIER 
  Street or R.F.D. No.    City or Village    State    Zip
  23d.    20 S Park St.    Madison,    Wisconsin    53715
       X  BURIAL
  CREMATION
  24a.         REMOVAL 
  CEMETERY OR CREMATORY--NAME
  24b.    CATHOLIC CEMETERY
  LOCATION    City    State
  24c.    OCONTO, WISCONSIN
  BURIAL--DATE    Month    Day    Year
  24d.    April 10, 1970
  FUNERAL HOME--NAME AND ADDRESS 
  Street or R.F.D. No.    City or Village    State    Zip 
  25a.    PINKART FUNERAL HOME 
553 MAIN ST  OCONTO WIS 54153
  FUNERAL DIRECTOR--SIGNATURE
  25b.    RPinkart 
  REGISTRAR--SIGNATURE
  26a.    Harold K. Hill.
  DATE RECEIVED By Local Registrar
           Month            Day            Year
  26b.    4-21-70 
 
 
 
 
 
 
 
 

5b. Mos.         Days 
UNDER 1 DAY 

5c. Hours        Mins. 
DATE OF BIRTH 
November 9, 1910 
6.    Month    Day    Year 
COUNTY OF DEATH 
7a.    OCONTO 
INSIDE CITY OR 
VILLAGE LIMITS 
X  Yes     No 
7b. 
CITY, VILLAGE OR TOWNSHIP OF DEATH 
7c.    OCONTO 
HOSPITAL OR OTHER INSTITUTION--Name 
Hospital     Nursing Home     Other Instit. 
(If none of these, give street and number) 
7d.    121 MOTT STREET 
IF HOSP OR INST 
DOA 
sp; OP/Emer Rm 
7e.         Inpatient 
STATE OF BIRTH (If Not in 
U.S.A., name country) 
8.    WISCONSIN 
CITIZEN OF WHAT COUNTRY 
9.    USA 
MARITAL STATUS 
X  1. Married           4. Never Married 
2. Separated       5. Widowed 
10.     3. Divorced 
SURVIVING SPOUSE (If wife, give maiden name) 
11.    MARY HELEN LA COMBE 
WAS DECEDENT EVER IN U.S. 
ARMED FORCES? 
12.    Yes    X  No 
SOCIAL SECURITY NUMBER 
13.    394-10-1640 
USUAL OCCUPATION (Give kind of 
work done during most of working 
life, even if retired) 
14a.    LABORER 
KIND OF BUSINESS OR INDUSTRY 
14b.    CANNING 
RESIDENCE-STATE 
15a.    WISCONSIN 
COUNTY 
15b.    OCONTO 
CITY, VILLAGE OR 
TOWNSHIP OF RESIDENCE 
15c.    OCONTO 
INSIDE CITY OR 
VILLAGE LIMITS 
X  Yes     No 
15d. 
STREET AND NUMBER 
15e.    121 MOTT STREET 
FATHER-NAME    First    Middle    Last 
16.  THOMAS JAMES MC NULTY 
MOTHER-MAIDEN NAME 
First    Middle    Last 
17.        AGNES           MC CLEAN* 
INFORMANT-NAME (Type or Print) 
18a.    MARY HELEN MC NULTY 
MAILING ADDRESS 
Street or R.F.D. No.    City or
Village    State    Zip 
18b.    121 MOTT  STREET 
OCONTO WISCONSIN
54153 
X  1. Burial              4. Removal 
2. Cremation        5. Other 
19a.    3. Entombment 
CEMETERY OR CREMATORY-NAME 
19b.    OCONTO CATHOLIC CEMETERY 
LOCATION    City or Village    State 
19c.    OCONTO    WISCONSIN 
FUNERAL SERVICE LICENSEE 
Or Person Acting As Such 
Signature 
20a.    D E Webber 
NAME OF FACILITY 
20b.    Webber Funeral Home 
ADDRESS OF FACILITY 
Street or R.F.D. No.    City or
Village    State    Zip 
20c.    121 Chicago Street 
Oconto, Wisconsin 54153 
To be Completed by 
CERTIFYING PHYSICIAN 
Only 
21a. To the best of my knowledge, 
death occurred at the
time, date and place 
and due to the cause(s) stated. 
Signature and Title 
DATE SIGNED 

21b.    Month    Day    Year 
HOUR OF DEATH 
21c.  M 
NAME OF ATTENDING PHYSICIAN 
IF OTHER THAN
CERTIFIER (Type or Print) 
21d. 
To be Completed by 
MEDICAL EXAMINER 
or CORONER Only 
22a. On the basis of examination 
and/or investigation, in
my opinion death occurred at the 
time, date and place and
due to the cause(s) stated. 
Signature and Title    Clem H Dozer 
 CORONER 
DATE SIGNED 
APRIL 21, 1984 
22b.    Month    Day    Year 
HOUR OF DEATH 
22c.    UNK  M 
PRONOUNCED DEAD 
APRIL 21, 1984 
22d.    Month    Day    Year 
PRONOUNCED DEAD (Hour) 
22e.    5:45    PM 
NAME AND ADDRESS OF CERTIFIER (PHYSICIAN,
MEDICAL EXAMINER OR 
CORONER) (Type or Print) 
23.    Clem H. Dozer    CORONER    352 QUINCY ST. 
OCONTO, WIS 54153 
REGISTRAR 
24a. Signature    Elizabeth Sucharda, Dep. C.H.O. 
DATE RECEIVED BY REGISTRAR 
Apr. 24 1984 
24b.    Month    Day    Year 
25. 
PART 
I 
Conditions if any which  gave rise toImmediate Cause
stating the underlying cause last 
IMMEDIATE CAUSE [ENTER ONLY ONE CAUSE PER LINE
FOR (a), (b), AND 
(c).] 
Interval between onset and death 
(a)    MYOCARDIAL INFARCTION  Seconds 
DUE TO, OR AS A CONSEQUENCE OF:      Interval
between onset and death 
(b)    ARTERIOSCLEROTIC HEART DISEASE           Years 
DUE TO, OR AS A CONSEQUENCE OF:      Interval
between onset and death 
(c) 
PART 
II 
OTHER SIGNIFICANT CONDITIONS-Conditions
contributing to death but not 
related to cause given in PART I (a) 
AUTOPSY 
26.      Yes  X  No 
WAS MEDICAL EXAMINER OR 
CORONER NOTIFIED? 
27.      X  Yes   No 
1. Accident     4. Undet. 
2. Suicide   5. Pend. Invest 
3. Homicide 
28a. 
DATE OF INJURY 

28b.     Month    Day    Year 
HOUR OF INJURY 
M 
28c. 
DESCRIBE HOW INJURY OCCURRED 
28d. 
INJURY AT WORK 
Yes     No 
28e. 
PLACE OF INJURY-At home, farm, street, 
factory, officebuilding, etc. 
(Specify) 
28f. 
LOCATION    Street or R.F.D. No. 
City or Village    State 

  6 DATE OF BIRTH 
(month, day and year) 
Oct 24-1925 
  7 AGE    Years    Months    Days
 
     If LESS than 1
     day, ........hrs.
     or ...........min.
  8 OCCUPATION
  (a) Trade, profession, or    --- 
  particular kind of work. 
  (b) General nature of industry,
  business, or establishment in    ---
  which employed or (employer) 
  9 BIRTH PLACE 
  (State or country) 
     Wisconsin
  PARENTS
  10 NAME OF
      FATHER    Thomas McNulty
  11 BIRTHPLACE 
      OF FATHER 
  (State or country)    Wisconsin*
  12 MAIDEN NAME 
       OF MOTHER    Agnes McLean
  13 BIRTHPLACE 
      OF MOTHER 
  (State or country)    Wisconsin
  14 THE ABOVE IS TRUE 
TO THE BEST OF MY KNOWLEDGE
        (Informant)    Mrs T. McNulty
           (Address)    Oconto Wis. 
  15 Filed   Oct.28, 1925   C.W. Stoelting
  REGISTRAR
  , 19
  SUB-REGISTRAR
  MEDICAL CERTIFICATE OF DEATH
  16 DATE OF DEATH 
  Oct          24 ,     1925
   (Month)    (Day)    (Year)
  17        I HEREBY CERTIFY, 
That I attended deceased from 
  .................................., 19........, to................................, 19........
  that I last saw 
h............ alive on...., 19........ 
  and that death occurred 
on the date stated above, at    1   a m
  The CAUSE OF DEATH* was as follows:
StillBorn (7Mo)
  (Detached Placenta)
    (Duration)        yrs.  mos. dys.
  Contributory 
  (SECONDARY)
     (Duration)        yrs.  mos. dys.
  18 Where was disease contracted
       if not at place of death? 
  Did an operation precede death?  ;
Date of
  Was there an autopsy? 
  What test confirmed diagnosis? 
  (Signed)    WC Watkins    ,  M. D.
       Coroner
        Oct 24  , 1925 
Address)    Oconto Wis 
* State the disease causing death, 
or in deaths from VIOLENT CAUSES
  state (1) means and nature of injury;
and (2) whether accidental, suicidal or
  homicidal. (See reverse side for 
additional space.) 
  19 PLACE OF BURIAL, CREMATION OR REMOVAL    DATE OF BURIAL 
       Oconto Wis    10-24   1925
  20 UNDERTAKER         ADDRESS 
       N.J. Gagnon.  Oconto Wis
Buried with grandfather 
Thomas McNulty, 
who died May 11, 1916.

  Pneumonia

     (DURATION)   DAYS
  Contributory
     (DURATION)   DAYS
  (Signed)    WC Watkins    M.D.
  5/18 1909   (Address)    Oconto Wis
         SPECIAL INFORMATION only for Hospitals, Institutions, Transients,
  or Recent Residents.

  Former or
  Usual Residence
  How long at 
  Place of Death?     Days

  Where was disease contracted,
  if not at place of death?
  PLACE OF BURIAL 
OR REMOVAL  DATE OF BURIAL
  Catholic Cem Oconto   May 19  1909
  UNDERTAKER     ADDRESS
  M F Manning      Oconto 
 

  5b. Mos.         Days
       UNDER 1 DAY

  5c. Hours        Mins.
  DATE OF BIRTH
         Dec. 18, 1899
  6.    Month    Day    Year 
  COUNTY OF DEATH
  7a.    Oconto
  INSIDE CITY OR
  VILLAGE LIMITS
     X  Yes     No
  7b.
  CITY, VILLAGE OR TOWNSHIP OF DEATH
  7c.    Oconto
  HOSPITAL OR OTHER INSTITUTION--Name 
  X  Hospital     Nursing Home     Other Instit.
  (If none of these, give street and number)
  7d.    Oconto Memorial Hospital
  IF HOSP OR INST
   DOA
   OP/Emer Rm
  7e.     X  Inpatient 
  STATE OF BIRTH (If Not in
  U.S.A., name country)
  8.    Wisconsin
  CITIZEN OF WHAT COUNTRY
  9.    USA
  MARITAL STATUS
        X  1. Married           4. Never Married
            2. Separated       5. Widowed
  10.     3. Divorced
  SURVIVING SPOUSE (If wife, give maiden name)
  11.    Bernice Gunderson
  WAS DECEDENT EVER IN U.S.
  ARMED FORCES?
  12. X Yes  No
  SOCIAL SECURITY NUMBER
  13.    394-03-8419A
  USUAL OCCUPATION (Give kind of work done during most of working 
  life, even if retired)
  14a.    Laborer
  KIND OF BUSINESS OR INDUSTRY
  14b.    Hardware Store
  RESIDENCE-STATE
  15a.    Wisc.
  COUNTY
  15b.    Oconto
  CITY, VILLAGE OR TOWNSHIP OF RESIDENCE
  15c.    Oconto
  INSIDE CITY OR
  VILLAGE LIMITS
         Yes  X No
  15d.
  STREET AND NUMBER
  15e.    Collins Ave; Route #2
  FATHER-NAME    First    Middle    Last
  16.  Thomas  McNulty
  MOTHER-MAIDEN NAME    First    Middle    Last
  17.  Agnes     McLean
  INFORMANT-NAME (Type or Print)
  18a.    Mrs. James Leneau
  MAILING ADDRESS    Street or R.F.D. No.    City or Village    State    Zip
  18b.    407 Jackson St; Oconto, Wi. 54153
   X  1. Burial   4. Removal
  2. Cremation        5. Other
  19a.       3. Entombment
  CEMETERY OR CREMATORY-NAME
  19b.    Oconto Catholic
  LOCATION    City or Village    State
  19c.    Oconto, Wisconsin 
  FUNERAL SERVICE LICENSEE Or Person Acting As Such
  Signature
  20a.    William Gallagher
  NAME OF FACILITY
  20b.    Gallagher-Pinkart
  ADDRESS OF FACILITY    Street or R.F.D. No.    City or Village    State    Zip
  20c.    217 Congress; Oconto, Wi. 54153
       To be Completed by
  CERTIFYING PHYSICIAN
   Only
  21a. To the best of my knowledge, death occurred at the time, date and place
  and due to the cause(s) stated
  Signature and Title    John S. Honish, MD
  DATE SIGNED
       9/8/80
  21b.    Month    Day    Year
  HOUR OF DEATH
  21c.    6:50     A  M
  NAME OF ATTENDING PHYSICIAN IF OTHER THAN CERTIFIER (Type or Print)
  21d.
     To be Completed by
  MEDICAL EXAMINER
     or CORONER Only
  22a. On the basis of examination and/or investigation, in my opinion death
  occurred at the time, date and place and due to the cause(s) stated.
  Signature and Title
  DATE SIGNED

  22b.    Month    Day    Year
  HOUR OF DEATH
  22c.    ; M
  PRONOUNCED DEAD

  22d.    Month    Day    Year
  PRONOUNCED DEAD (Hour)
  22e. 
  NAME AND ADDRESS OF CERTIFIER (PHYSICIAN, MEDICAL EXAMINER OR
  CORONER) (Type or Print)
  23.    John S Honish, M.D., 1113 Main St., Oconto, Wi. 54153
  REGISTRAR
  24a. Signature    Ernest Sucharda City Health Officer
  DATE RECEIVED BY REGISTRAR
   9    80
  24b.    Month    Day    Year
        25.
      PART
          I
  Conditions
      if any
  which gave
      rise to
  Immediate
      Cause
  stating the
  underlying
   cause last
  IMMEDIATE CAUSE [ENTER ONLY ONE CAUSE PER LINE FOR (a), (b), AND
(c).] 
    Interval between onset and death
  (a)    Aspiration Pneumonia    1 month
       DUE TO, OR AS A CONSEQUENCE OF:      Interval between onset and death
  (b)    Chronic Brain Syndrome   3 months
       DUE TO, OR AS A CONSEQUENCE OF:      Interval between onset and death
  (c)
      PART
         II 
  OTHER SIGNIFICANT CONDITIONS-Conditions contributing to death but 
  not related to cause given in PART I (a) 
  Arteriosclerotic Heart Disease
  AUTOPSY 
  26.      Yes  X  No
  WAS CASE REFERRED TO MEDICAL
  EXAMINER OR CORONER
  27.         Yes  X No
      1. Accident   4. Undet.
      2. Suicide  5. Pend. Invest
      3. Homicide
  28a.
  DATE OF INJURY
  28b.     Month    Day    Year
  HOUR OF INJURY
  M
  28c.
  DESCRIBE HOW INJURY OCCURRED 
  28d.
  INJURY AT WORK
      Yes     No
  28e.
  PLACE OF INJURY-At home, farm, street, factory, office building, etc.
  (Specify)
  28f. 
  LOCATION    Street or R.F.D. No.    City or Village    State 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 

9. Birthplace   Holyoke   Mass. 
(City, town, or county)    (State or foreign country) 
10. Occupation and industry or business 
City Assessor 
Father 
11. Name   Thomas McNulty 
12. Birthplace  Ireland (City, town, or county) 
(State or foreign country) 
Mother 
13. Maiden name    Mary Burns 
14. Birthplace  Ireland 
(City, town, or county)     (State or foreign country) 
15. (a) Informant    Mrs Agnes McNulty 
(b) Address    Oconto, Wis 
16. (a)    Burial 
(Burial, cremation, or other) 
(b) Date thereof 2-11-42 
(Mo.)(Da.)(Yr.) 
(c) Place: burial or cremation    Oconto, Wis. 
17. (a) Signature of funeral director 
N.J. Gagnon 
(b) Address    Oconto,    Wis. 
18. (a)    2/10/42 
(b)    Dr. C.R. Kenapy 
(Date received local registrar) 
(Registrar's signature) 
(c)    (d)    per M.H. 
(Date received sub-registrar) 
(Sub-registrar's signature) 
MEDICAL CERTIFICATION    93d 
19. Date of death: 
Month   Feb. Day 8 Year 1942 
20. I hereby certify that I attended the deceased from 
Aug 1, 1941 
to    Feb. 8, 1942; I last saw him alive on 
Feb. 8, 1942  and that death occurred
on the date stated above at 1:15 P.M. 
Immediate cause of death 
Cerebral  hemorrhage 
Due to    Arteriosclerotic  Heart Disease 
Duration 
Other conditions 
Include pregnancy within 3 months of
death 
Name of 
Date operation 
Major
findings: Of Physician 
operation 
-------
Underline the  cause to which death should 
be charged  Of autopsy statistically. 
21. If death was due to external causes,
fill in the following: 
(a) Accident, suicide or homicide  (b)
Date 
(c) Where did injury occur? 
(City, village or township,
county and state) 
(d) Did injury occur in or about home, 
on farm, in
industrial place, 
in public place?  While at
work? 
(Specify type of place) 
(e) Means of injury 
(Fall? Auto? Machinery?
etc.) 
22. Signature    H. Augeson M.D  (M. D.
or other) 
Address    1113 
Main Date signed 
2-10-42 

  6 DATE OF BIRTH (month, day and year)    March 6-1904 
  7 AGE    Years    Months    Days
        19       12
     If LESS than 1
     day, .........hrs.
     or ............min.
  8 OCCUPATION 
     (a) Trade, profession, or 
     particular kind of work.    Day Laborer 
     (b) General nature of industry,
     business, or establishment in
     which employed or (employer) 
  9 BIRTH PLACE 
  (State or country) 
     Wisconsin
  PARENTS
  10 NAME OF
      FATHER    Thomas McNulty
  11 BIRTHPLACE 
      OF FATHER 
  (State or country)    Massachuttes*
  12 MAIDEN NAME 
       OF MOTHER    Agnes McLean.
  13 BIRTHPLACE 
      OF MOTHER 
  (State or country)    Wisconsin
  14 THE ABOVE IS TRUE TO THE BEST OF MY KNOWLEDGE 
(Informant)    Thomas McNulty.
 (Address)    Oconto Wis. 
  15 Filed   Dec. 19    , 1923
M L Boland REGISTRAR  Filed   Dec. 19    , 1923   C.W. Stoelting
  SUB-REGISTRAR
  MEDICAL CERTIFICATE OF DEATH
  16 DATE OF DEATH    Dec  18,  1923
   (Month)    (Day)    (Year)
  17 I HEREBY CERTIFY, That I attended deceased from 
  .................................., 19........, to................................, 19........
  that I last saw h............ alive on............. 19........ 
and that death occurred on the date stated above, at 145 P.M.
  The CAUSE OF DEATH* was as follows:
  By falling tree striking
  and crushing skull
 (Duration)        yrs.       mos.        dys.
  Contributory 
  (SECONDARY)
      (Duration)        yrs.  mos.        dys.
  18 Where was disease contracted  if not at place of death? Did an operation precede death? 
Date of
  Was there an autopsy? 
  What test confirmed diagnosis? 
  (Signed)    Clyde M Davis ,  M. D.Coroner
  ......., 19.......... (Address) ...................
* State the disease causing death, or in deaths from VIOLENT CAUSES
  state (1) means and nature of injury; and 
(2) whether accidental, suicidal or homicidal. (See reverse side for additional space.) 
  19 PLACE OF BURIAL, CREMATION OR REMOVAL    DATE OF BURIAL
       Cath Cem    12-21 1923 
       Oconto Wis 
  20 UNDERTAKER   ADDRESS
       N.J. Gagnon   Oconto Wis