Town of Winthrop : Record of Deaths 1925-1927, Part 202

Author: Winthrop (Mass.)
Publication date: 1925
Publisher:
Number of Pages: 1340

USA > Massachusetts > Suffolk County > Winthrop > Town of Winthrop : Record of Deaths 1925-1927 > Part 202

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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 town where 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, in case of an original interment, 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 pur- pose, 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. . . 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 re- quire .- Gen. Laws, Chap. 114, Sec. 45.

Medical examiners shall make examination upon the view of the dead bodies of only such persons as are supposed to have died by violence .- Gen. Laws, Chap. 38, Sec. 6.

... He shall in all cases certify to the town clerk or registrar in the place where the deceased died his name and residence, if known; otherwise a description as full as may be, with the cause and manner of death .- Gen. Laws, Chap. 38, Sec. 7.

RULES OF PRACTICE

The fulfilment 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 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 unre- lated to any form of injury, have died without recent medical at- tendance 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.

RM R-301

OFFICE OF THE SECRETARY DIVISION OF VITAL STATISTICS

The Commonwealth of Massachusetts

STANDARD CERTIFICATE OF DEATH

BOSTON

(City or town)

Registered

No.

St.,

Ward

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

2 FULL NAME

42 Belcher

St.,

Ward.

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

Length of residence in city or town where death occurred

years

months

deys.

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

years

months deys

PERSONAL AND STATISTICAL PARTICULARS

MEDICAL CERTIFICATE OF DEATH

1927

(Month)

(Day)

(Year)

5a If married, widowed or divorced

HUSBAND of

(or) WIFE of

James f. Kennedy

6 AGE

Years

35 1

Months

Days

If LESS than 1 day .__ hrs. of ___. min.

I STILLBORN, enter that fect here

7 OCCUPATION OF DECEASED

(e) Trede, profession, or

particular kind of work

Housewife

(duration)

yrs.

mos.

ds.

CONTRIBUTORY

(SECONDARY)

(duration)

yrs.

mos. ds

17 Where was disease contracted

if not at place of death?

FOR WHAT?

forest

Did an operation precede death?

Date of

March 1926

Was there an autopsy?

11 under one year, was infant Breast Fed ?

What test confirmed diagnosis? Edmund Finoman M. D.

(Signed)

(Address)

664 Bar

nyton St, Boston

01427.

(Month)

(Day)

(Year)

8 PLACE OF BURIAL, CREMATION OR REMOVAL Holy Cross malden (Cemetery) (City or town)

DATE OF BURIAL

May 2,27

ADDRESS

55 Edaralegast

20 | NEREBY CERTIFY that a satisfactory stan- dard cartilicate el death was filed with me BEFORE the burial or transit permit was issued

(Wm. D. Childress

Official position

a Heute oficer

Date ol issue

4/30/RT Permit NO. 1200

N. B .- WRITE PLAINLY, WITH UNFADING BLACK INK- THIS IS A PERMANENT RECORD. Every item of information 20M.

9 NAME OF FATHER PARENTS 13 Informant ( Address) 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 (b) Name of employer

8 BIRTHPLACE (City)/

(State or country)

CasBoston Mass

John Chehan

10 BIRTHPLACE OF

FATHER (CU)

Ireland

(State or country)

11 MAIDEN NAME

OF MOTHER

Mary Cavanaugh

12 BIRTHPLACE OF MOTHER (City) (State or opuntry)

Ireland

James f. Kennedy 042 Belcher St

14 May 3/27

Filed

(Month) (Day) (Year)

REGISTRAR

Winthrop .

Massachusetts

1 PLACE OF DEATH

County

Suffolk

Northrop

No.

State Belcher

City or Town

Gertrude de Kennedy

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

(a) Residence. No.

(Usual place of abode)

4 COLOR, OR RACE

3 SEX

Female White

SINGLE, MARRIED, WIDOWED, OR

DIVORCED (write the word)

Married

15 DATE OF DEATH

abril

16 I HEREBY CERTIFY, That I attended deceased from march 12 , 1927, to april 29 , 1927 that I last saw her alive on april 27 , 1927. and that death occurred, on the date stated above, at 959 A m .

The CAUSE OF DEATH was as follows: Carcinoma of breast (left).

Dete

april 30,

19)UNDERTAKER

William E. Treaños Experta

-200.000

april 29. 1927

REVISED UNITED STATES STANDARD CERTIFICATE OF DEATH

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

Statement of occupation .- Precise statement of occupation is very important, so that the relative healthfulness of various pursuits can be known. The question appliss to each and every person, irre- spective of age. For many occupations a single word or term on the first line will be sufficient, e. g., Farmer or Planter, Physician, Com- positor, Architect, Locomotive engineer, Civil engineer, Stationary fire- man, 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 material worked on may form part of the sscond statement. Never return "Laborer," "Fore- man," "Manager,""Dealer," etc., 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 House- wife, Housework, or At home, and children, not gainfully employed, as At school or At home. Care should be taken to report specifically 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 DEATH, state occupa- tion 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 .- Nams, first, the DISEASE CAUSING DEATH (the primary affection with respect to time and causation), using always the same accepted term for the same disease. Exam- ples: Cerebrospinal fever (the only definite synonym is "Epidemic cerebrospinal meningitis"); Diphtheria (avoid use of "Croup"); Typhoid fever (never report "Typhoid pneumonia"); Lobar pneu- monia; Bronchopneumonia ("Pneumonia," unqualified, is indefinite) ; Tuberculosis of lungs, meninges, peritoneum, etc., Carcinoma, Sarcoma, stc., 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 intercurrent) affection nesd not be stated unless important. Example: Measles (disease causing death), 29 ds .; Bronchopneumonia (secondary), 10 ds. Never report mere symptoms or terminal conditions, such as "Asthenia," "Anemia" (merely symptomatic), "Atrophy," "Collapse," "Coma," "Convul- sions," "Debility" ("Congenital," "Senile," etc.), "Dropsy," "Ex- haustion," "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 diseases resulting from childbirth or miscarriage, as "PUERPERAL septicemia," "PUERPERAL peritonitis," etc.

State cause for which surgical operation was undertaken.

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

Bronchopneumonia: If primary cause, write the word "primary"; 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, miscarriage, necrosis, peritonitis, phlebitis, pyemia, septicemia, tetanus.

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

A physician or registered hospital medical officer shall forth- with, 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 deceassd, furnish for registra- tion a standard certificate of death, stating to the best of his knowl- edge and belief the name of the dsceased, 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 sesn alive by the physician or officer and the dats of his death. ...- Gen. Laws, Chap. 46, Sec. 9.

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 town where 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, in case of an original interment, 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 pur- pose, 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. .. 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 re- quire .- Gen. Laws, Chap. 114, Sec. 45.

Medical examiners shall make examination upon the view of the dead bodies of only such persons as are supposed to have died by violence .- Gen. Laws, Chap. 38, Sec. 6.

RULES OF PRACTICE

The fulfilment of the purpose of these laws calls for the observancs 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 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 unre- lated to any form of injury, have died without recent medical at- tendance or whose physician is absent from home when the certificate of death is needed.

0 2

The Commonwealth of Massachusetts

STANDARD CERTIFICATE OF DEATH

(City or town)

1 PLACE OF DEATH

County

Middlesex

State

Mass.

Registered No.

(Place of residence)

St.,

Ward

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

2 FULL NAME

Ernest W. Turner

Mass

City or Town

Winthrop

No.

104 Johnson Avest.

(a) Residence. State

(Usual place of abode)

Length of residence in city or town where death occurred

years

months

days.

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

years

months

days

MEDICAL CERTIFICATE OF DEATH

15 DATE OF DEATH.

Apr.

9.1927

(Month)

(Day)

(Year)

I HEREBY CERTIFY, That I attended deceased fropp

Apr. 2

Apr.

. 19

.19

., to

. 19

4.35A

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

The CAUSE OF DEATH was as follows:

Embolism ( Sudden

post operative

7 OCCUPATION OF DECEASED

(a) Trade, profession, or

particular kind of work

Supt

(b) Name of employer

Logan Johnson Co.

call stones

8 BIRTHPLACE (city or town)

Brighton

Mass.

(State or country)

9 NAME OF

FATHER

Frank P fumer

PARENTS

10 BIRTHPLACE OF

FATHER (city or town)

Dresden

(State or country)

Maine

11 MAIDEN NAME

OF MOTHER

Mary C. D. willard

12 BIRTHPLACE OF

MOTHER (city or town)

(State or country)

Maine

13 Bessie L Turner ( Widow )

Informant

(Address) 104 Johnson Ave. Winthrop

Filed_

Apr. 11.19 27

Registrar of city or town where death occurred

Filed 2001111, 1927

Registrar of city or town where deceased resided

18 PLACE OF BURIAL, CREMATION, OR REMOVAL

Evergreen Brighton

(Cemetery) (City or town)

DATE OF BURIAL

Apr. 11,27

, 19

19 UNDERTAKER Leslie I. Williamson

ADDRESS Alleton

50,000

PHYSICIANS should state CAUSE OF DEATH in plain terms, so that it may be properly classified.

AGE should be stated EXACTLY. Exact statement of OCCUPATION is very important. See instructions on back of certificate.

4 COLOR OR RACE

5 SINGLE, MARRIED, WIDOWED, OR

DIVORCED (write the word)

Married

5a If married, widowed, or divorced

HUSBAND of

(or) WIFE of

Bessie L Leaman

6 AGE

Years

Months

Days

Hf LESS than 1 day, ____ hrs. or ____ ni.

W STILLBORN, enter that fact here

(duration) yTs.

mos.

ds.

CONTRIBUTORY

(SECONDARY)

(duration)

yrs.

mos ..

.ds.

17 Where was disease contracted

if not at place of death ?.

at home

Did an operation precede death ?.

ves

Date de

Apr. 7 27

Was there an autopsy?

What test confirmed diagnosis?

Clinical

(Signed)

Parrar Cobb

. M. D.

419 Boylston St.

Kennebunk

(Address)

Date April 9 1927

Cambridge

Registered No ..

540

(Place of death)

City or town

Cambridge

No. Charlesgate Hospital

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

PERSONAL AND STATISTICAL PARTICULARS

3 SEX

that I last saw h

alive on

Apr. 8

REVISED UNITED STATES STANDARD CERTIFICATE OF DEATH

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

Statement of occupation .- Precise 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, irre- spective of age. For many occupations a single word or term on the first line will be sufficient, e. g., Farmer or Planter, Physician, Composi- tor, 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 state- ment; 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 state- ment. Never return "Laborer," "Foreman," "Manager," "Dealer," etc., 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 defi- nite salary), may be entered as Housewife, Housework, or Athome, and cl ildren, not gainfully employed, as At school or At home. Care should be taken to report specifically 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 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 DEATH (the primary affection with respect to time and causation), using always the same accepted term for the same disease. Examples: Cere- brospinal fever (the only definite synonym is "Epidemic cerebrospinal meningitis"); 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 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 .; Bronchopneumonia (secondary), 10 ds. Never report mere symptoms or terminal conditions, such as "Asthenia," "Anemia" (merely symptomatic), "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," etc.

State cause for which surgical operation was undertaken.

(Recommendations on statement of cause of death approved by Com- mittee on 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- riage, necrosis, peritonitis, phlebitis, pyemia, septicemia, tetanus.

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 stand- ard certificate of death, stating to the best of his knowledge and bclicf 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 du- ration 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.

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 town where 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 he accompanied, in case of an original interment, hy a satis- factory 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 insuffi- cient, a physician who is a member of the board of health, or em- ployed by it or by the selectmen for the purpose, shall upon ap- plication make the certificate required of the attending physi- cian. If death is caused by violence, the medical examiner shall make such certificate .. . 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 .- Gen. Laws, Chap. 114, Sec. 45.

Medical examiners shall make examination upon the view of the dead bodies of only such persons as are supposed to have died by vio- lence .- Gen. Laws, Chap. 38, Sec. 6.

... He shall in all cases certify to the town clerk or registrar in the place where the deceased died his name and residence, if known; other- wise a description as full as may be, with the cause and manner of death. -Gen. Laws, Chap. 38, Sec. 7.

RULES OF PRACTICE

The fulfilment 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 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 poison), thermal, or electrical agents, and deaths following ahortion, hut 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.

MR-301

OFFICE OF THE SECRETARY DIVISION OF VITAL STATISTICS 1 PLACE OF DEATH County Suffolk

The Commonwealth of Massachusetts

STANDARD CERTIFICATE OF DEATH

State Mais.

(City or town)

Registered No.

City or Town

Winthrop

150 Circuit Rd

St ..

_Ward

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

2FULL NAME

150 Circuit Rd

St.

Ward,

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

Length of residence in city or town where death occurred

years

months

days.

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

years

months

days.

PERSONAL AND STATISTICAL PARTICULARS

3 SEX

Female

4 COLOR OR RACE

While

5 SINGLE, MARRIED, WIDOWED, OR

DIVORCED (write the word)

Manved

5a If married, widowed or divorced

HUSBAND of

(or) WIFE of

Chas IV. Gray

6 AGE

Years

Months

Days

IF LESS than

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

or ........ min.

IF STILLBORN, enter that fact here

7 OCCUPATION OF DECEASED

(a) Trade, profession, or

particular kind of work

(b) Name of employer

CASED Housewife

8 BIRTHPLACE (City)

(State or country)

England

PARENTS

1 O BIRTHPLACE OF

FATHER (City)

(State or country)

England

1 1 MAIDEN NAME

OF MOTHER

Dont Know

1 2 BIRTHPLACE OF

MOTHER (City)

(State or country)

England.

Informant

Jon Norman Gray

١٠

(Address) 15Murat Rd Winchurch

14 led 7/6/10/27 Filed (Month) (Day) (Year)

REGISTRAR

MEDICAL CERTIFICATE OF DEATH

15 DATE OF DEATH

may

(Month)

(Day)

1922

(Year)

I HEREBY CERTIFY , That I attended deceased from

March 1

1927 to may 1

that I last saw her

alive on

may

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

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Town of Winthrop : Record of Deaths 1925-1927, Part 202

Author: Winthrop (Mass.) Publication date: 1925 Publisher: Number of Pages: 1340

Author: Winthrop (Mass.)
Publication date: 1925
Publisher:
Number of Pages: 1340