USA > Massachusetts > Suffolk County > Winthrop > Town of Winthrop : Record of Deaths 1959 > Part 1
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٠١٨٠١٨٥٠
ستينية
ــ البعيد
Peyキャーー
----
தீா்ச்சி
中午
مهـ
-. 4
بو موسى
٢٧ بامد
தோற்களை
حمـ
THOMAS GROOM & CO.INC. STATIONNERS. AND ACCOUNT BOOK MANUFACTURERS 105 State Street. BOSTON.
To duplicate this Book send number 5-18290
Digitized by the Internet Archive in 2016 with funding from Boston Public Library
https://archive.org/details/townofwinthropre 1959wint
ORM R-301A
N.B .- THIS IS A ¿MANENT RECORD. Use only TATE APPROVED lack ink or black pewriter ribbon.
INSTRUCTIONS FDR DICAL CERTIFICATE
In giving JSE OF DEATH do not enter more than one cause for each (a), (b) and (c)
This does not mean mode of dying, as heart failure, nia, etc. It means disease, or compli- which caused 1.
nditions, if any, ich gave rise to rue cause (a). ting the under- ng cause last.
-
Due To (c)
OTHER SIGNIFICANT CONDITIONS
Was autopsy performed?
no
What test confirmed diagnosis? none
5 Was disease or injury in any way related to occupation of deceased? no If so, specify
(Signe
Louis 7, Salerno
M. D.
(Address) 175 PLEASANT ST Date JAN 5
19.59
6
New Harbor Cemetery Bristol Maine Place of Burial or Cremation (City or Town)
DATE OF BURIAL January 7 1959 19
7 NAME OF
FUNERAL DIRECTOR ached D Mark
ADDRESS
174 Winthrop St. Winthrop
Received and filed JAN
19
(Registrar)
PERSONAL AND STATISTICAL PARTICULARS
8 SEX
female
9 COLOR
white
10 SINGLE
(write the word)
MARRIED married
WIDOWED
or DIVORCED
10a If married, widowed, or divorced
HUSBAND of
(Give maiden name of wife in full)
(or) WIFE of.
William Rosferd Kelsey
(Husband's name in full)
11 IF STILLBORN, enter that fact here.
12
AGE .76 Years.
6
Months.
16.Days
If under 24 hours
.Hours ...... Minutes
13 Usual
Occupation :
housewife
(Kind of work done during most of working life)
14 Industry
or Business:
own home
15 Social Security
No. 020-14-7403
16 BIRTHPLACE (City)
(State or country)
Mathe
Bristol
17 NAME OF
FATHER
Almon Davis
18 BIRTHPLACE OF
FATHER (City).
Bristol
(State or country)
Laine
19 MAIDEN NAME
OF MOTHER
Ella Villa
20 BIRTHPLACE OF
MOTHER (City)
Loudsville
(State or country) Laine
21
Informant.
William R.Zelsey
(Address)
41 Belcher St. Tinthrop
I HEREBY CERTIFY that a satisfactory standard certificate of death was filed with me BEFORE the burial of transit permit was issued: Mass. Ralfali C. Perannex
(Signature of Agent of Board of Health or other> Health Officer
(Official Designation)
(Date of Issue of Permit) 1/6/59
OM-10-58-923886
PLACE OF DEATH
Suffolk (County)
Winthrop
(City or Town)
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.
No. 41 Belcher Street
[(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)
NQ
(a) Residence. No. 41 Belcher Street
St.
(If nonresident, give city or town and State)
Length of stay: In place of death 30 years.
months.
days. In place of residence.3Q.years ........... months. ... .. days.
MEDICAL CERTIFICATE OF DEATH
3 DATE OF
DEATH
January
$ 5
1959
(Month)
(Day)
(Year)
4 I HEREBY CERTIFY,
JAN 29, 1945
to.
JAN
That I attended deceased from
59
I last saw h &Aalive on
JAN. 5
1959, death is said to
have occurred on the date stated above, at
1 A
.m.
DEATH WAS CAUSED BY: IMMEDIATE CAUSE
CEREBRAL HEMORRHAGE
(a)
INTERVAL BETWEEN ONSET AND DEATH IDAY
Due To
HYPERTENSION
- (b)
5 YRS
PARENTS
Registered No.
2 FULL NAME Emma Helen Kelsey
(If deceased is a married, widowed or divorced Woman, give also maiden name.)
(Usual place of abode)
1
Conditions contrib -- > to death but not d to the terminal e condition given ).
.e :- Chapter 137, of 1954, requires Icians to print or the cause :s of death on i certificates.
CHAP. 46, šš 9 & CHAP. 114 §§ 45, CHAP. 38 $ 6.)
-
SPACE FOR ADDITIONAL INFORMATION
DATE OF ENTERING MILITARY SERVICE
DATE OF DISCHARGE RANK, RATING.
ORGANIZATION AND OUTFIT
SERVICE NUMBER
RECEIVED
12
RULES OF PRACTICE
The fulfillment of the purpose of these laws calls for the observan ing rules of practice:
JAN the fo110959 AM
(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.
PLACE OF DEATH
Suffolk (County)
Winthrop (City or Town)
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.
2
Registered No.
f(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.)
116 Quincy Ave.
St.
(If nonresident, give city or town and State)
(a) Residence. No.
(Usual place of abode)
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)
MARRIEDidowed
WIDOWED-
or DIVORCED
10a If married, widowed, or divorced
HUSBAND of
Elme foivemaidenname gfewife in full)
(or) WIFE of.
(Husband's name in full)
11 IF STILLBORN, enter that fact here.
12
AGE 79
_Years
Months
.Days
If under 24 hours
...._ Hours ...._ Minutes
13 Usual
Occupation :
(Kind of work done during most of working life)
14 Industry
or Business:
own home
15 Social Security No.
Prince Edward Island
16 BIRTHPLACE (City)
(State or country)
17 NAME OF
FATHER
Angus Morrison
18 BIRTHPLACE OF
FATHER (City)
(State or country)
P.E. I.
19 MAIDEN NAME
OF MOTHER
Mary Robertson
20 BIRTHPLACE OF
MOTHER (City)
(State or country)
P.E.I.
St. James Georgetown P.E. I.
0
Place of Burial or CrematioJanuary
DATE OF BURIAL
1'City or Town) 59
19
7 NAME OF
FUNERAL DIRECTOR
Frederick J. Magrath
East Boston
ADDRESS
Received and filed
19
(Registrar)
INTERVAL BETWEEN ONSET AND DEATH
Due To
- (b)
Due To
(c)
OTHER
SIGNIFICANT
CONDITIONS
l'erasiple gia 10ft
Was autopsy performed?
What test confirmed diagnosis?
5 Was disease or injury in any way related to occupation of deceased? 13 If so. specify.
(Signed) 120 ENUL
M. D.
(Address).
Date. 1-81/19
PARENTS
21
InformantMargaret M. Butler
(Address) 176 Quincy Ave. Winthrop
I HEREBY CERTIFY that a satisfactory standard certificate of death was filed with me BEFORE the burial or transit permit was issued: alkha- Percance (Signature of Agent of Board of Health or other)
Heater Alfecer
(Oficial Designation)
(Date of Issue of Permit)/
1/5/59
RM R-301A 1
INSTRUCTIONS FOR CAL CERTIFICATE
In giving E OF DEATH
o not enter ore than one use for each a), (b) and (c)
is does not mean mode of dying, as heart failure, ia, etc. It means isease, or compli- s which caused
ditions, if ony, ch gove rise to ve couse (o). ing the under- g cause lost.
Conditions contrib- - to death but not d to the terminal se condition given
te :- Chapter 137, ; of 1954, requires sicians to print or : the cause or jes of death on th certificates.
50M-1-58-921876
MEDICAL CERTIFICATE OF DEATH
3 DATE OF
January
6,
1959
DEATH
(Month)
(Day)
(Year)
4 I HEREBY CERTIFY,
1956
to
Vai4
, 1959
-1
, 19 37, death is said to
I last saw hez_alive on
61.30Pm.
have occurred on the date stated above, at
DEATH WAS CAUSED BY: IMMEDIATE CAUSE
(a)
That I attended deceased from
-
(Was deceased a
U. S. War Veteran,
if so specify WAR).
no
2 FULL NAME
116 Quincy Ave. No.
Margaret E. Lindsey
4,
housework wit
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- teen, 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 revital to that effect, specifying the war, and shall also certify in such certificate both the primary and the secondary or imine- diate eause 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 elerk, as the case may be, a satisfactory written statement containing the faets 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 perinit. The board of health, or its agent. upon receipt of such statement and certificate, shall forthwith countersign it and transmit it to the clerk of the town for registra- tion. The person to whom the permit is so given and the physician certifying the cause of death shall thereafter furnish for registration any other necessary information which can be obtained as to the deceased, or as to the manner or cause of the death, which the clerk or registrar may require .- Chap. 114. Sec. 45. G. L .. (Tereentenary Edition).
Medical examiners shall make examination upon the view of the dead bodies of persons as are supposed to have died by violence, or by the action of chemieal, thermal or electrical agents or following abortion, or from diseases resulting from injury or infection felating 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 Merk of the town where the body is to be buried or the funeral is to be theldl. 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).
RULES OF PRACTICE
The fulfillment of the purpose of these laws calls for the observance of the follow- ing rules of practice: 0
(1) Attending physicians will, certify to such deaths only as those of persons to whom they have given bedside eare during a last illness fron disease unrelated to any form of injury.
(2) Board of Health physicians will certify to such deathsonly as those of persons who. though disabled hy recognized disease unrelated to any form of injury, have died withonthecent 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 oeeupation. 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 oceupation 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 oeeupa- 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, ete. For a person who had no occupation whatever write none.
SPACE FOR ADDITIONAL INFORMATION
DATE OF ENTERING MILITARY SERVICE
DATE OF DISCHARGE
RANK, RATING
ORGANIZATION AND OUTFIT
SERVICE NUMBER
x SUFFOLK (County) WINTHROP (City or Town)
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.
3
WINTHROP COM, HOSP No. ALICE F. SULLIVAN
2 FULL NAME
(If deceased is a married, widowed or divorced woman, give also maiden name.)
107 BOWDOIN
St
(If nonresident, give city or town and State)
Length of stay: In place of death years 10 months days. In place of residence 50 years months . days.
MEDICAL CERTIFICATE OF DEATH
3 DATE OF
DEATH
January 6,
1959
(Month)
(Day)
(Year)
4 I HEREBY CERTIFY,
That I attended deceased from
January
19.
50, to ....
January 6,
19.5.9
I last saw helalive on
January 6,, 1959, death is said to
have occurred on the date stated above, at 12 : 55 ano M INTERVAL
DEATH WAS CAUSED BY: IMMEDIATE CAUSE
BETWEEN
ONSET AND
(a)
Acute myocardial infarction DEATH
1 mo
Due
Coronary sclerosis
Due To
Arteriosclerotic and
(c) hypertensive heart disease
5 yrs
OTHER
Arteriosclerosis
SIGNIFICANT
CONDITIONS
Hypertrophic arthritis
Was autopsy performed?
no
What test confirmed diagnosis ?.
clinical
5 Was disease or injury in any way related to occupation of deceased ?
If so, specify ...
no
(Signed)
Maurice Traunstein de
(Address).
M. D.
73 Bartlett RoadDate 1/8/
195.9
6
Place of Burial or Cremation
(City or Town)
DATE OF BURIAL
VAN
9
1959
7 NAME OF
FUNERAL DIRECTOR
Maurice # 1 July
ADDRESS
Received and filed
(Registrar)
PERSONAL AND STATISTICAL PARTICULARS
8 SEX
FEMALE WHITE
9 COLOR
10 SINGLE
(write the word)
MARRIED
WIDOWED
or DIVORCED
SINGLE
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
AGES 0 Years
Months
Days
If under 24 hours
Hours.
.Minutes
13 Usual
HOME MAKER
3 yrs
.
Occupation :
(Kind of work done during most of working life)
14 Industry
or Business :
HOME
15 Social Security No ....
VONED
BOSTON
% BIRTHPLACE (City)
(State or country)
MASS
17 NAME OF
FATHER
JOHN SULLIVAN
18 BIRTHPLACE OF
BOSTON
FATHER (City)
(State or country)
MASS
19 MAIDEN NAME
OF MOTHER
ELLEN CLANCY
20 BIRTHPLACE OF
MOTHER (City)
(State or country)
MASS
Que Lindau4
21
Informant
(Address)
il 7 BOUDIN WINTHROP
I HEREBY CERTIFY that a satisfactory standard certificate of death was filed with me BEFORE the burial or transit permit was issued: Ralph c. Sercanust. (Signature) of Agent Of Board of Health of other)
Thealche officer
1/7/59
(Official Designation)
(Date of Issue of Permity
un
PLACE OF DEATH
RM R-301A 1
NSTRUCTIONS FOR CAL CERTIFICATE
In giving SE OF DEATH lo not enter ore than one use for each a), (b) and (c)
is does not mean mode of dying, as heart failure, ia, etc. It means iscase, or compli- s which caused
ditions, if any, ch gave rise to cause ve
(a), ing the under- cause last. g
onditions contrib -- to death but not d to the terminal e condition given ).
e :- Chapter 137, of 1954, requires Icians to print or the cause or s of death on certificates.
SOM-11-56-916978
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)
19
PARENTS
BESTO.Y
HOLY CROSS
MALDEN
- (b)
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- teen, shall, if the deceased, to the best of his knowledge and belief, served in the army, navy or marine corps of the United States in any war in which it has been engaged, insert in the certificate a recital to that effect, specifying the war, and shall also certify in such certificate both the primary and the secondary or imme- diate cause of death as nearly as he can state the same. For neglect to comply with any provision of this section, such physician or officer, shall forfeit ten dollars. For the purposes of this section and of sections forty-five, forty-six and forty-seven of said chapter one hundred and fourteen, the word "war" shall include the China relief expedition and the Philippine insurrection, which shall, for said purposes, be deemed to have taken place between February fourteenth, eighteen hundred and ninety-eight and July fourth, nineteen hundred and two, and the Mexican border service of nineteen hundred and sixteen and nineteen hundred and seventeen. G. L. Chap. 46. Sec. 10.
No undertaker or other person shall bury or otherwise dispose of a human body in a town, or remove therefrom a human body which has not been buried, until he has received a permit from the board of health, or its agent appointed to issue such permits, or if there is no such board, from the clerk of the town where the person died; and no undertaker or other person shall exhume a human body and remove it from a town, from one cemetery to another, or from one grave or tomb other than the receiving tomb to another in the same cemetery, until he has received a permit from the board of health or its agent aforesaid or from the clerk of the town where the body is buried. No such permit shall be issued until there shall have been delivered to such board, agent or clerk, as the case may be, a satisfactory written statement containing the facts required by law to be returned and recorded, which shall be accompanied, in case of an original inter- ment, by a satisfactory certificate of the attending physician, if any, as required by law, or in lieu thereof a certificate as hereinafter provided. If there is no attending physician, or if, for sufficient reasons, his certificate cannot be obtained early enough for the purpose, or is insufficient, a physician who is a member of the board of health, or employed by it or by the selectmen for the purpose, shall upon application make the certificate required of the attending physician. If death is caused by violence, the medical examiner shall make such certificate. If such a permit for the removal of a human body, not previously interred, from one town to another within the commonwealth cannot be obtained early enough for the purpose, the certificate of death made as above provided and in the possession of the undertaker desiring to make such removal shall constitute a permit for such removal; provided, that such body shall be returned to the town from which it was removed within thirty-six hours after such removal, unless a permit in the usual form for the removal of such body has been sooner obtained hereunder. If the
death certificate contains a recital, as required by section ten of chapter forty-six, that the deceased served in the army, navy or marine corps of the United States in any war in which it has been engaged, such recital shall appear upon the permit. The board of health, or its agent, upon receipt of such statement and certificate, shall forthwith countersign it and transmit it to the clerk of the town for registra- tion. The person to whom the permit is so given and the physician certifying the cause of death shall thereafter furnish for registration any other necessary information which can be obtained as to the deceased, or as to the manner or cause of the death, which the clerk or registrar may require .- Chap. 114, See, 45, G. L., (Tercentenary Edition).
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