Town of Winthrop : Record of Deaths 1919-1921, Part 117

Author: Winthrop (Mass.)
Publication date: 1919
Publisher:
Number of Pages: 1192

USA > Massachusetts > Suffolk County > Winthrop > Town of Winthrop : Record of Deaths 1919-1921 > Part 117

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Cases for the Medical Examiners. - Under the provi- sions of chapter 24 of the Revised Laws deaths under the following conditions must be referred to the Medical Examiners:

1. Deaths following injury or violence, as Burns, Falls Drowning, Gas poisoning, Suicide, Homicide, etc.

2. Deaths supposedly caused by violence, as Criminal abortion, Poisoning, Starvation,

Suffocation, Exposure, etc.

3. Sudden deaths of persons not disabled by recognized disease, as A death upon the street, or one supposed to be due to Alcoholism, etc.

4. Deaths under circumstances unknown, as A person found dead, etc.

ADDITIONAL SPACE

FOR FURTHER STATEMENTS

PHYSICIAN.

rm R-302

The Commonwealth of Massachusetts

CERTIFICATE OF DEATH OF NON-RESIDENT

( City or town)

1 PLACE OF DEATH

Registered No.

County Suffolk State

Massachusetts

Registered No.

159

(Place of residence)

HEBREW LADIES HOME FOR AGED

. Ward

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

2 FULL NAME

MASS

City or Town

WINTHROP

No.

5 PAULINE

.St.

Length of residence in city or town wbere death occurred

years

months

days

How long in U. S., if of foreign birth?

years

mooths

days

PERSONAL AND STATISTICAL PARTICULARS

MEDICAL CERTIFICATE OF DEATH

3 SEX

4 COLOR OR RACE

5 SINGLE, MARRIED, WIDOWED, OR

DIVORCED (write the word)

WID.

5a If married, widowed, or divorced

HUSBAND of

(or) WIFE of

ABRAHAM

6 DATE OF BIRTH (month, day, and year)

7 AGE

Years

Months

Days

If LESS than

1 day ......... brs.

or ....... min.

8 OCCUPATION OF DECEASED

(a) Trade, profession, or

particular kiod of work.

NONE

.....

(b) General nature of industry, business, or establisbmeot in which employed ( or employer) (c) Name of employer

9 BIRTHPLACE (city or town)

RUSSIA

(State or country)

10 NAME OF FATHER SOLOMON YAFFE

PARENTS

11 BIRTHPLACE OF FATHER (city or town) ..

(State or country) RUSSIA

12 MAIDEN NAME OF MOTHER SARAH

13 BIRTHPLACE OF MOTHER (city or town)

(State or country)

RUSSIA

, 19 20(Address)

MR.GILMAN

Informant (Address)

LO MASS AVE , QUINCY

Filed OCT .2

·19

20. ErMSlenen

Registrar of city or town where death occurred

Filed .. a Lor- 13, 19 20

Registrar of city or town where deceased resided

16 DATE OF DEATH (month, day, and year)

SEPT .2 79 20

I HEREBY CERTIFY, That I attended deceased from

SEPT.20

SEPT.27

19.20

19 .. 20

that I last saw h.

alive on

SEPT .26

19.20

and that death occurred, on the date stated above, a : +4.30 P .m.

The CAUSE OF DEATH* was as follows :

* 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.)

CEREBRAL HEMORRHAGE - APOPLEXY

.(duration).

... yrs.

mos.

ds.

CONTRIBUTORY

ARTERIOSCLEROSIS.

(SECONDARY)

(duration)

... yrs ..

mos.

.ds.

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)

H.R.NORTON

M.D.

19 PLACE OF BURIAL, CREMATION, OR REMOVAL DATE OF BURIAL WOBURN(KENESSETH ISRAEL )SEP. 309 20

20 UNDERTAKER

MANUEL STANETSKY

ADDRESS

of certificate.

N. B .- WRITE PLAINLY, WITH UNFADING INK-THIS IS A PERMANENT RECORD. Every item of information should be so that it may be properly classified. Exact statement of OCCUPATION is very important. See instructions on back carefully supplied. AGE should be stated EXACTLY. PHYSICIANS should state CAUSE OF DEATH in plain terms,

(Place of death)

City or Town

BOSTON

No ..

(If in the Army or Navy of the United States, give rank, organization, etc.)

(a) Residence.

State

(Usual place of abode)

REBECCA GILMAN

8993

If STILLBORN, enter that fact bere

Sept. 27. 1920 REVISED UNITED STATES STANDARD CERTIFICATE OF DEATH [Approved by U. S. Census and American Public Health Association]

Statement of occupation. -- Precise statement of occupa- tion is very important, so that the relative healthifulness of various pursuits can be known. The question applies to cachi and every person, irrespective of age. For many occupations a single word or terin on the first line will be sufficient, e. g., Farmer or Planter, Physician, Compos- ilor, Architect, Locomotive engincer, Civil engineer, Stationary fireman, etc. But in many cases, especially in industrial employments, it is necessary to know (a) the kind of work and also (b) the nature of the business or industry, and therefore an additional line is provided for the latter statement; it should be used only when needed. As examples: (a) Spinner, (b) Cotton mill; (a) Salesman, (b) Grocery; (a) Forcman, (b) Automobile factory. The ma- terial worked on may form part of the second statement. Never return "Laborer," "Foreman," "Manager," "Dealer," ctc., without more precise specification, as Day laborer, Farm laborer, Laborer - Coal mine, etc. Women at home, who are engaged in the duties of the household only (not paid Housekeepers who receive a definite salary), may be entered as Housewife, Housework, or At home, and children, not gainfully employed, as At school or At home. Care should be taken to report spe- cifically the occupations of persons engaged in domestic service for wages, as Servant, Cook, Housemaid, etc. If the occupation has been changed or given up on account of the DISEASE CAUSING DEATII, state occupation at beginning of illness. If retired from business, that fact may be indi- cated thus: Farmer (retired, 6 yrs.). For persons who have no occupation whatever, write None.

Statement of cause of death. - Name, first, the DISEASE CAUSING DEATH (the primary affection with respect to time and causation), using always the same accepted term for the saine disease. Examples: Cerebrospinal fever (the only definite synonym is "Epidemic cerebrospinal menin- gitis"); Diphtheria (avoid use of "Croup"); Typhoid fever (never report "Typhoid pneumonia"); Lobar pneumonia; Bronchopneumonia ("Pneumonia," unquali- fied, is indefinite); Tuberculosis of lungs, meninges, peri- toncum, etc., Carcinoma, Sarcoma, etc., of_

(name origin; "Cancer" is less definite; avoid use of "Tumor" for malignant neoplasms); Measles; Whooping cough; Chronic valvular heart disease; Chronic interstitial nephritis, etc. The contributory (secondary or inter- current) affection need not be stated unless important. Example: Measles (disease causing death), 29 ds .; Broncho- pneumonia (secondary), 10 ds. Never report mere symp- toms or terminal conditions, such as "Asthenia," "Anemia" (merely symptomatic), "Atrophy," "Col- lapse," "Coma," "Convulsions," "Debility" (“Con- genital," "Senile," etc.),

"Dropsy," "Exhaustion," "Heart failure," "Hemorrhage," "Inanition," "Maras-

mus," "Old age," "Shock," "Uremnia," "Weakness," etc., when a definite disease can be ascertained as the cause. Always qualify all diseases resulting from child- birth or miscarriage, as "PUERPERAL septicemia," "PUER- PERAL peritonitis," etc. State cause for which surgical operation was undertaken. For VIOLENT DEATHIS STATE MEANS OF INJURY and qualify as ACCIDENTAL, SUICIDAL, or HOMICIDAL, or as probably such, if impossible to de- termine definitely. Examples: Accidental drowning; Struck by railway train - accident; Revolver wound of head - homicide; Poisoned by carbolic acid - probably suicide. The nature of the injury, as fracture of skull, and consequences (e. g., sepsis, tetanus) may be stated

under the head of "Contributory." (Recommendations on statement of cause of death approved by Committee on Nomenclature of the American Medical Association.)

Cases for the Medical Examiners. -- Under the provi- sions of chapter 24 of the Revised Laws deaths under the following conditions must be referred to the Medical Examiners:

1. Deaths following injury or violence, as Burns, Falls Drowning, Gas poisoning, Suicide, Homicide, etc.

2. Deaths supposedly caused by violence, as Criminal abortion, Poisoning, Starvation, Suffocation, Exposure, etc.

3. Sudden deaths of persons not disabled by recognized discase, as A death upon the street, or one supposed to be due to Alcoholism, etc.

4. Deatlıs under circumstances unknown, as A person found dead, etc.

ADDITIONAL SPACE

FOR FURTHER STATEMENTS

PHYSICIAN.

The Commonwealth of Massachusetts

CERTIFICATE OF DEATH OF NON-RESIDENT

BROOKLINE

1 PLACE OF DEATH

Registered No.

29.9

(Place of death)

City or Town

Brookline

.No.

BrooklineContagious Hosp

-Str ...

Ward

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

2 FULL NAME

Robert

Rushby

(If in the Army or Navy of the United States, give rank, organization, etc.)

(a) Residence.

State

Massachusetts ....... City or Town

Winthrop ...... No.

94 Locust

St.

(Usuai piace of abode)

Length of resideoce in city or town where death occorred

years

1 8months

days

How long in U. S., if of foreign birth?

years

mooths

days

PERSONAL AND STATISTICAL PARTICULARS

MEDICAL CERTIFICATE OF DEATH

16 DATE OF DEATH (month, day, and year). Sept 28

1920

3 SEX

Male

4 COLOR OR RACE

White

5 SINGLE, MARRIED, WIDOWED, OR

DIVORCED (write the word)

Widowed

5a If married, widowed, or divorced

HUSBAND of

(or) WIFE of

Charlotte

6 DATE OF BIRTH (month, day, and year)June 27 1853

7 AGE 67

Years

3 Months 1 Days

If LESS thao

I dsy, ........ hrs.

or ....... min.

8 OCCUPATION OF DECEASED

(s) Trade, profession, or

particular kind of work

Grinder of Tools

(b) General oature of industry, business, or establishment in which employed (or employer) (c) Nsme of employer

9 BIRTHPLACE (city or town)

(State or country)

Sheffield

CONTRIBUTORY

(SECONDARY)

(duration)

.... yrs.

mos.

.........

ds.

10 NAME OF FATHER James Rushby

PARENTS

11 BIRTHPLACE OF FATHER (city or town)

Sheffield

(State or country) England

12 MAIDEN NAME OF MOTHER Mary Ann Wixon

What test confirmed diagnosis?

Sputum Exan

(Signed)

Francis.P. Donny

13 BIRTHPLACE OF MOTHER (city or town) (State or country) England

,19

(Address)

#111 High

Brookline

Informant Levinia Eames (Dau)

(Address) 94 Locust st Winthrop

Filed. Sept 29, 19 20

Registrar of city or towo where death occorred

Filed Oct. 16. 19 20

Registrar of city or towo where deceased resided

19 PLACE OF BURIAL, CREMATION, OR REMOVAL

Central Cem Millbury

Mass

DATE OF BURIAL

Oct 2

20 UNDERTAKER

C R Bennison

ADDRESS

Winthrop

of certificate.

N. B .- WRITE PLAINLY, WITH UNFADING INK-THIS IS A PERMANENT RECORD. Every item of information should be carefully supplied. AGE should be stated EXACTLY. PHYSICIANS should state CAUSE OF DEATH in plain terms, so that it may be properly classified. Exact statement of OCCUPATION is very important. See instructions on back

(City or town)

County

Norfolk

......

State

Massachusetts

Registered No

142

(Place of residence)

and that death occurred, on the date stated above, at

10 P

.m. The CAUSE OF DEATH" was as follows :

* 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.)

Pulmonary Tuberculosis

(duration)

......

yrs.

mos.

ds.

England

18 Where was disease contracted

if not at place of death ?

.......

Did an operation precede death ?.

Date of

Was there an autopsy?

Sheffield

M.D.

If STILLBORN, enter that fact bere

I HEREBY CERTIFY, That I attended deceased from

Sept

Sept 28

... ,

that I last saw h.

.im. alive on

Sept 28

19.

REVISED UNITED STATES STANDARD CERTIFICATE OF DEATH

(Approved by U. S. Census and American Public Health Association]

Statement of occupation. - Precise statement of occupa- tion is very important, so that the relative healthfulness of various pursuits can be known. The question applies to each and every person, irrespective of age. For many occupations a single word or term on the first line will be sufficient, e. g., Farmer or Planter, Physician, Compos- itor, Architect, Locomotive engineer, Civil engineer, Stationary fireman, etc. But in many cases, especially in industrial employments, it is necessary to know (a) the kind of work and also (b) the nature of the business or industry, and therefore an additional line is provided for the latter statement; it should be used only when needed. As examples: (a) Spinner, (b) Cotton mill; (a) Salesman, (b) Grocery; (a) Foreman, (b) Automobile factory. The ma- terial worked on may form part of the second statement. Never return "Laborer,"

"Forcman," "Manager," "Dealer," etc., without inore precise specification, as Day laborer, Farm laborer, Laborer - Coal mine, etc. Women at home, who are engaged in the duties of the household only (not paid Housekeepers who receive a definite salary), may be entered as Housewife, Housework, or At home, and children, not gainfully employed, as At school or At home. Care should be taken to report spe- cifically thie occupations of persons engaged in domestic service for wages, as Servant, Cook, Housemaid, etc. If the occupation has been changed or given up on account of the DISEASE CAUSING DEATH, state occupation at beginning of illness. If retired from business, that fact may be indi- cated thus: Farmer (retired, 6 yrs.). For persons who have no occupation whatever, write None.

Statement of cause of death .- Name, first, the DISEASE CAUSING DEATH (the primary affection with respect to time and causation), using always the same accepted term for the same disease. Examples: Cerebrospinal fever (the only definite synonym is "Epidemie cerebrospinal menin- gitis"); Diphtheria (avoid use of "Croup"); Typhoid fever (never report "Typhoid pneumonia"); Lobar pneumonia; Bronchopneumonia ("Pneumonia," unquali- ficd, is indefinite); 'Tuberculosis of lungs, meninges, peri- toncum, etc., Carcinoma, Sarcoma, etc., of_

(name origin; "Cancer" is less definite; avoid use of "Tuinor" for malignant neoplasms); Mcasles; Whooping cough; Chronic valvular heart disease; Chronic interstitial nephritis, etc. The contributory (secondary or inter- current) affection need not be stated unless important. Example: Measles (disease causing death), 29 ds .; Broncho- pneumonia (secondary), 10 ds. Never report mere symp- toms or terminal conditions, such as "Asthenia," "Anemia" (merely symptomatic), "Atrophy," "Col- lapse," "Comna," "Convulsions,"" "Debility" ("Con- genital," "Senile," etc.), "Dropsy," "Exhaustion," "Heart failure," "Hemorrhage," "Inanition," "Maras- mus," "Old age," "Shock,"" "Uremia," "Weakness," etc., when a definite disease can be ascertained as the cause. Always qualify all discases resulting from child- birth or miscarriage, as "PUERPERAL septicemia," "PUER- PERAL peritonitis," etc. State cause for which surgical operation was undertaken. For VIOLENT DEATHS STATE MEANS OF INJURY and qualify as ACCIDENTAL, SUICIDAL, Or HOMICIDAL, or as probably such, if impossible to de- termine definitely. Examples: Accidental drowning; Struck by railway train - accident; Revolver wound of head - homicide; Poisoned by carbolic acid - probably suicide. The nature of the injury, as fracture of skull, and consequences (c. g., sepsis, tetanus) may be stated

under the head of "Contributory." (Recommendations on statement of cause of death approved by Committee on Nomenclature of the American Medical Association.)

Cases for the Medical Examiners. - Under the provi- sions of chapter 24 of the Revised Laws deaths under the following conditions must be referred to the Medical Examiners:

1. Deaths following injury or violence, as Burns, Falls Drowning, Gas poisoning, Suicide, Homicide, etc.

2. Deaths supposedly caused by violence, as Criminal abortion, Poisoning, Starvation,

Suffocation, Exposure, etc.

3. Sudden deaths of persons not disabled by recognized disease, as A death upon the street, or one supposed to be due to Alcoholism, etc.

4. Deaths under circumstances unknown, as A person found dead, etc.

ADDITIONAL SPACE

FOR FURTHER STATEMENTS BY

PHYSICIAN.

R 303. 6-'18. 50,000.

RM R-301

The Commonwealth of Massachusetts STANDARD CERTIFICATE OF DEATH

OFFICE OF THE SECRETARY DIVISION OF VITAL STATISTICS

1 PLACE OF DEATH

County

Suffolk

State

Massachusetts

Registered No.

140

City or Town.

Unothrow

No./

122 Main

St., Ward

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

2 FULL NAME

Bridget Donovan

(If in the Army or Navy of the United States, give rank, organization, ete.)

(a) Residence.

No.

122 main

St.,

Ward.

( Usual place of abode)

Length of residence ia city or town wbere death occurred

years

months

days.

How long ia U. S., if of foreign birth ?

years

months

days

PERSONAL AND STATISTICAL PARTICULARS

3 SEX

Female White

4 COLOR OR RACE

5 SINGLE, MARRIED, WIDOWED, OR

DIVORCED (write the word)

Single

5a If married, widowed, or divorced

HUSBAND of

(or) WIFE of

6 DATE OF BIRTH

nov

1834

( Month)

(Day)

( Year)

7 AGE

85 Years

Months

Days

If STILLBORN, enler that fact here

If STILLBORN, state period of nterogestation

mos.

If LESS than

1 day ......... hrs.

or ........ min.

8 OCCUPATION OF DECEASED

(a) Trade, profession, or

Housekeeper

particular kind of work (b) Generai nature of industry, business, or establishment in which employed ( or employer )

at Home

9 BIRTHPLACE (City)

(State or country)

Ireland

PARENTS

11 BIRTHPLACE OF

FATHER (City).

(State or country)

Ireland

12 MAIDEN NAME

OF MOTHER

Mary Harrington

13 BIRTHPLACE OF

MOTHER (City)

(State or country)

Ireland

14 annie Donovan

Informant ......

(Address)

122 Main St Winthrop

15 Oct. 1. 1920

Filed (Month) (Day) (Year)

REGISTRAR

21 I HEREBY CERTIFY that a satisfactory stan- dard certificate of death was fled with me BEFORE the burial or transit permit was issued

30-'19-XXM )

MEDICAL CERTIFICATE OF DEATH

16 DATE OF DEATH.

Lift

1920

(Month)

(Day)

(Year)

17 HEREBY CERTIFY, That I attended deceased from Sept 25, 1920, 0 A1 30 ,19 20

that I last saw h Mnalive on

Salt 29

, 19 4.2,

and that death occurred, on the date stated above, at 2 A m. The CAUSE OF DEATH was as follows :

arteriosclerosis

.(duration)

. ..

. yrs .........

mos.

....

ds.

CONTRIBUTORY

(SECONDARY)

(duration)

yrs ........ .

mos ....

ds.

18 Where was disease contracted

if not at place of death ?

FOR WHAT ?

Did an operation precede death?

Date of.

Was there an autopsy ?

00.

What test confirmed diagnosis ?

(Signed)

M.D.

(Address).

3.66 muchand It

1920

Date.

( Month)

(Day)

(Year)

19 PLACE OF BURIAL, CREMATION, OR REMOVAL

Buss malden

DATE OF BURIAL

Bet 2

19 20

(Cemetery)

(City or town)

20 UNDERTAKER

William a. Treanor

W. Urbanos

ADDRESS

557 Danato

1. 10.0tdi

Official position

Weatthe office

Date of issue 10/1/20 No

Permit 178

N. B .- WRITE PLAINLY, WITH UNFADING BLACK INK-THIS IS A PERMANENT RECORD. Every item of Information instructions and extracts from the laws on back of certificate. in plain terms, so that it may be properly classified. Exact statement of OCCUPATION is very important. See should be carefully supplied. AGE should be stated EXACTLY. PHYSICIANS should state CAUSE OF DEATH

'19. 150,000.

I.a. Maury

(If non-resident give city or town and State)

10 NAME OF

Michael Donovan

FATHER

U Sept. 30. 1920 REVISED UNITED STATES STANDARD CERTIFICATE OF DEATH

[Approved by U. S. Census and American Public Health Association]

Statement of occupation. - Preciso statement of occupation is very important, so that the relative healthfulness of various pursuits can be known. The question applies to each and every person, irrespective of age. For many occupations a single word or term on the first lino will be sufficient, e. g., Farmer or Planter, Physician, Compositor, Architect, Locomotive cngincer, Civilengineer, Stationary fireman, cic. But in many cases, especially in industrial employments, it is ncecssary to know (a) the kind of work and also (b) the nature of the business or industry, and therefore an additional line is provided for the latter statement; it should be used only when needed. As examples: (a) Spinner, (b) Cotton mill; (a) Salesman, (b) Grocery; (a) Foreman, (b) Automobile factory. The material worked on may form part of the second statement. Never return "Laborer," "Foreman," "Manager," "Dcaler," etc., without more prceise specification, as Day laborer, Farm laborer, Laborer - Coal mine, etc. Women at home, who are engaged in the duties of the house- hold only (not paid Housekeepers who receive a definite salary), may be entered as Housewife, Housework, or At home, and children, not gainfully employed, as At school or At home. Care should be taken to report spe- cifically the occupations of persons engaged in domestic service for wages, as Servant, Cook, IFousemaid, ete. If the occupation has been changed or given up on account of the DISEASE CAUSING DEATH, state occupation at beginning of illness. If retired from business, that fact may be indicated thus: Farmer (retired, 6 yrs.). For persons who have no occupation whatever, write None.

Statement of cause of death. - Name, first, the DISEASE CAUSING DEATII (the primary affcetion with respect to time and causation), using always the same accepted term for the same discasc. Examples: Cere- brospinal fever (the only definite synonym is "Epidemic cerebrospinal ineningitis"); Diphtheria (avoid use of "Croup"); Typhoid fever (never report "Typhoid pneumonia"); Lobar pneumonia; Bronchopneumonia ("Pneumonia," unqualified, is indefinite); Tuberculosis of lungs, men- inges, peritoneum, etc., Carcinoma, Sarcoma, etc., of .. ...

.. (name origin; "Cancer" is less definite; avoid use of "Tumor" for malignant ncoplasms); Measles; Whooping cough; Chronic valvular heart disease; Chronic interstitial nephritis, ete. The contributory (secondary or inter- current) affection need not be stated unless important. Example: Measles (disease causing death), 29 ds .; Bronchopneumonia (sccondary), 10 ds. Never report mere symptoms or terminal conditions, such as "Asthenia;" ~"Anemia" (merely symptomatie), "Atrophy," "Col- lapse," "Coma,""Convulsions,""Debility" ("Congenital,""Senile," etc.), "Dropsy,""Exhaustion,""Heart failure,""Hemorrhage,""Ina- nition," "Marasmus," "Old age," "Shock," "Uremia,""Weakness," etc., when a definite disease can be ascertained as the cause. Always qualify all diseases resulting from childbirth or miscarriage, as "PUER- PERAL septicemia," "PUERPERAL peritonitis," ete.

State cause for which surgical operation was undertaken.

(Recommendations on statement of cause of death approved by Com- mittce ou Nomenclature of the American Medical Association.)

Bronchopneumonia: If primary cause, write the word "pri- mary" ; if secondary, give primary cause.

Certificates will be returned for additional information which give any of the following diseases, without explanation, as the sole cause of death: Abortion, cellulitis, childbirth, convulsions, hemorrhage, gangrene, gastritis, erysipelas, meningitis, miscar- riago, necrosis, peritonitis, phlebitis, pyemia, septicemia, tetanus.

EXTRACTS FROM THE LAWS OF THE COMMONWEALTH OF MASSACHUSETTS GOVERNING THE RETURN OF CERTIFICATES OF DEATH

A physician 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 deccased, 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 so that it can be classified under the international classification of causes of death], where contraetcd, the duration of his last illness, when last secn alive by the physician, and the date of his death. . . . - Revised Laws, Chap. 29, Secs. 10 and 1, as amended by Acts of 1910, Chap. 322.

No undertaker or other person shall bury a human body ... until he has received a permit from the board of health or its agent, . . . or . . . from the clerk of the city or town in which the person died; . . . no such permit shall be issued until there shall have been delivered to such board, agent or clerk, . . . a satisfactory written statement con- taining the facts required by law to be returned and recorded, which ... shall be accompanied by a satisfactory certificate of the at- tending physician, if any, as required by law, or in lieu thereof a certifi- cate 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, the chairman of the board of health, if a physician, or any physician employed by said board or by the selectmen for the purpose, shall upon application make such certificate as is required of the attending physician. If death is caused by violence, the medical examiner only shall make such certificate. . . . The person to whom the per- mit is so given and the physician who certifies to tho 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. - Revised Laws, Chap. 78, Sec. $8. .

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Town of Winthrop : Record of Deaths 1919-1921, Part 117

Author: Winthrop (Mass.) Publication date: 1919 Publisher: Number of Pages: 1192

Author: Winthrop (Mass.)
Publication date: 1919
Publisher:
Number of Pages: 1192