Town of Winthrop : Record of Deaths 1932, Part 26

Author: Winthrop (Mass.)
Publication date: 1932
Publisher:
Number of Pages: 486

USA > Massachusetts > Suffolk County > Winthrop > Town of Winthrop : Record of Deaths 1932 > Part 26

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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.

No undertaker or other person shall bury a human body or the ashes thereof which have been brought into the commonwealth until he has received a permit so to do from the board of health or its agent appointed to issue such permits, or if there is no such board, from the clerk of the town where the body is to be buried or the funeral is to be held, or from a person appointed to have the care of the ceme- tery or burial ground in which the interment is made .... Chap. 114, Sec. 46, G. L. as amended.

RULES OF PRACTICE

The fulfillment of the purpose of these laws calls for the observance of the following rules of practice:

(1) Attending physicians will certify to such deaths only as those of persons to whom they have given bedside care during a last illness from disease 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 un- related to any form of injury, have died without recent medical attend- ance 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.

Dedham notified

The Commonwealth of Massachusetts OFFICE OF THE SECRETARY DIVISION OF VITAL STATISTICS STANDARD CERTIFICATE OF DEATH

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

Registered No.

(If death occurred in a hospital or institution,

give its NAME instead of street and number)

2 FULL NAME

Frederick Segul Megin

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

(If U. S.

War Veteran,

specify WAR)

(a)

Residence. No .... 16 Riverview Ave.,

(Usual place of abode)

St.,

Ward,

Dedham .... Mass.

(If nonresident, give city or town and state)

Length of residence in city or town where death occurred

yrs.

mos.

days.

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

mos.

days.

PERSONAL AND STATISTICAL PARTICULARS

3 SEX

Male

4 COLOR OR RACE

White

5 SINGLE

MARRIED

WIDOWED

DIVORCED Married

18 DATE OF

DEATH

April

8th

1932

(Month)

(Day)

(Year)

19 I HEREBY CERTIFY, That I attended deceased from

Noy 9th

19.31

April 8,

1932

I last saw h.i.m ...

alive on

April 8,

32, death is said

to have occurred on the date stated above, 11:30Pm

The principal cause of death and related causes of importance in order of onset were as follows:

1.Diabetes mellitus, severe.

Date of Onset 1931

2.Diabetic gangrene, left foot.

1931

8 Trade, profession, or particular kind of work done, as spinner, sawyer, bookkeeper, etc ... DropForger

OCCUPATION,

9 Industry or business in which work was done, as silk mill, saw mill, bank, etc. Forge Shop

10 Date deceased last worked at

1 1 Total time (years)

spent in this

occupation

this occupation (month and

year)

April., 1930 ..

12 BIRTHPLACE (City)

Plantsville,

(State or country)

Conn.

Contributory causes of importance not related to principal cause: 1.Nephritis, chronic, interstitial. 2. Pneumonia , .... hypostatic ..

1931

1932.

Name of operation.

Amputation, left to f Jan . 12, 1932.

What test confirmed diagnosis? urine & blogg there an autopsy?NO.

20 Was disease or injury in any way related to occupation of deseased?

No.

If so, specify.

(Signed)

J. Compton"

Major, Med.Corn

(Address)

Ft.Banks, Mass ..

Date

Apr . 9193.2.

21 PLACE OF BURIAL

CREMATION OR REMOVA

Mr. Auburn, Cambridge (Cemetery) (City or town)

DATE OF BURIAL

April 11,

1932

22 NAME OF

UNDERTAKER

Mr .& Mrs.Chas.R.Bennison,

ADDRESS

159 Winthrop St. ,Winthrop,

Mass

1932

Received and filed 19

(Registrar)

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 and extracts from the laws on back of certificate.

No. 0954.

I HEREBY CERTIFY that a satisfactory standard certificate of death was filed with me BEFORE the burial of transit permit was issued: Wm. S. Childress .... (Signature of Agent of Board dlealth or other)

(Official Designation) (Date of Issue of Permi 4/11/ 1/32

MEDICAL CERTIFICATE OF DEATH

(write the word)

5a If married, widowed, or divorced

HUSBAND of

Florence Tricou

(Give maiden name of wife in full)

(or) WIFE of

(Husband's name in full)

6 IF STILLBORN, enter that fact here. --

7 AGE .76

Years

Months

2.7. Days

If less than 1 day Hours Minutes

PARENTS

14 BIRTHPLACE OF

FATHER (City)

Not known

(State or country)

Conn.

15 MAIDEN NAME

OF MOTHER

Not known

Conn.

16 BIRTHPLACE OF MOTHER (City) (State or country)

17 St.Sgt.Charles. J. Perry, DEML,

Informant (Son-in-law )Custom House Boston, Lass.

(Address)

100m-0-'30.

PLACE OF DEATH

Suffolk

(County)

Winthrop

(City or Town)

No ..

Station Hosp Ft Banks Mass.

St., Medical Ward {

AIN'UN MIENMANENA RECORD. Every Item of

1 R-301A

13 NAME OF

FATHER

Horace Megin

M. D.

to ...

APR & 1932

Statement of occupation .- Precise statement of occupation is very important, 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 occupation had been given up or changed on account of the discase causing death, report the occupation prior to illness. If the deceased had retired from business, report the occupation prior to retirement. 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 in answer to Question 8 and own home in answer to Question 9. 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 what- ever write none.

To be complete, an occupation return must state:

8 .- The trade, profession, or particular kind of work done.

9 .- The industry or business in which the work was done.

10 .- The month and year the deceased last worked at the occupation.

11 .- The number of years the deceased followed the occupation.

In stating the occupation, avoid the use of such indefinite terms as "employee," "worker," "operative," etc. Find out the parti- cular kind of work done and return that, as spinner, weaver, ctc.

! f

In stating the industry or business, avoid the use of such general terms as "store, " "factory. " "mill," etc. State the particular kind of store, factory, mill, etc., as grocery store, soap factory, cotton mill, etc.

Distinguish carefully the different kinds of engineers by stating the full descriptive titles, as civil engineer, mechanical engineer, mining engineer, stationary engineer, etc. Avoid the term "laborer" when a more precise statement of the occupation can be secured. Do not use the word "mechanic, " but give the exact occupation, as carpenter, painter, machinist, etc. Distinguish carefully between retail merchants and wholesale merchants. A person who sells goods should be called a salesman and not a clerk.

Statement of cause of death .- Cause of death means the disease, or complication which causes death, not the mode of dying, e. g., heart failure, asphyxia, asthenia, etc. As principal cause name the disease causing death. As related causes, name earlier morbid conditions, if any, related to the principal cause and any important complication of the principal cause. Under contributory causes of importance not related to principal cause, name other important diseases.

Example

The principal cause of death and related causes! of importance in order of onset were as follows: Arteriosclerosis

Date of onset

1915

Chronic interstitial nephritis

1021

Cerebral hemorrhage

July 5, 1927

Contributory causes of importance not related to principal cause:

In a group of causes containing the principal cause and related causes, the causes should be given in the order of onset, so that in a group of three causes the principal cause may appear in either first, second, or third position. The principal cause in the above example happens to be the second cause given.

COMMONWEALTH OF MASSA SSACHUSETTS

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 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.

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 satis- factory written statement containing 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 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 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 state- ment and certificate, shall forthwith countersign it and transmit it to the clerk of the town for registration. 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., as amended.

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 fulfillment of the purpose of these laws calls for the observance of the following rules of practice:

(1) Attending physicians will certify to such deaths only as those of persons to whom they have given bedside care during a last illness from disease unrelated to any form of injury.

M R-302

WORCESTER

(County)

The Commonwealth of Massachusetts OFFICE OF THE SECRETARY DIVISION OF VITAL STATISTICS STANDARD

CERTIFICATE OF DEATH

Worcester

(City or town making return)

Registered No.

(If death occurred in a hospital or institution,

Ward

give its NAME instead of street and number)

(If U. S.

War Veteran,

specify WAR)

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

(a)

Residence. No ...

.264 ... River ... Road

St., ..............

Ward,

Winthrop

(If nonresident, give city or town and state)

days.

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

36 yrs.

mos.

days.

MEDICAL CERTIFICATE OF DEATH

18 DATE OF

DEATH

April 8, 1932

(Day)

(Month)

(Year)

19 I HEREBY CERTIFY, That I attended deceased from Oct ....... 12 ... 151 April 8 , 19 32 I last saw Ii.rg ..... alive on ..... April 8 ... . 19.3.2., death is said to have occurred on the date stated above, at 9.2.50.P. The principal cause of death and related causes of importance in order of onset were as follows:

Dateofonset

Miliary Pulmonary

Tuberculosis #23

1930

Contributory causes of importance not related to principal cause:

Name of operation ..... none.

Date of

What test confirmed diagnosis? clin-lab.

Was there an autopsyyes

20 Was disease or injury in any way related to occupation of deceased? ... LO If so, specify

(Signed) Walter E Barton

M. D.

(Address)

Worcester

Date 4-9

19.32

21 PLACE OF BURIAL,

CREMATION OR REMOVAL!

Winthrop , Winthrop

(Cemetery)

(City or town)

DATE OF BURIAL

April 11, 1932

22 NAME OF

UNDERTAKER

C ...... A ..... Rollins

ADDRESS

Boston

Received and filed

April 11, 1932

Malcolm & Midgley-

A ..

A TRUE COPY, ATTEST:

(Renstrar), 4122132

50M-11-'29. No. 7180-b

2 FULL NAME

Hiram ... Smith

Length of residence in city or town where death occurred

5 SINGLE

MARRIED

WIDOWED

or DIVORCED

HUSBAND of

Elizabeth .... Goodwin

tion 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

(State or country)

Nova Scotia

important.

(write the word)

married

(Give maiden name of wife in full)

If less than 1 day Hours Minutes

Fish Handler

9 Industry or business in which work was done, as siik mill, saw mill, bank, etc. Fish Market

10 Date deceased last worked at

11 Total time (years)

this occupation (month and

spent in this occupation .. .... Vrs

(State or country)

Nova Scotia

15 MAIDEN NAME

OF MOTHER

Sarah J Williams

16 BIRTHPLACE OF

MOTHER (City)

(State or country)

Nova Scotia

Informant ...

Worcester State Hospital

(Address)

Records

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

Peter 0 She M .... D

(Signature of Agent of Board of Health or other)

Director April .... ... 1932

(Official Designation) (Date of Issue of Permit)

yrs. 6 mos.

PERSONAL AND STATISTICAL PARTICULARS

WORCESTER 1 (Usual place of abode) 3 SEX male 4 COLOR OR RACE white 5a If married, widowed, or divorced (or) WIFE of (Husband's name in full) 6 IF STILLBORN, enter that fact here. 7 AGE 56 Years .. 8 Months 10 Days 8 Trade, profession, or particular kind of work done, as spinner, sawyer, bookkeeper, etc ... OCCUPATION| 12 BIRTHPLACE (City) 13 NAME OF FATHER Judah 14 BIRTHPLACE OF FATHER (City) PARENTS WHILE, WITHI UNFADING INK-THIS IS A PERMANENT RECORD. Every item of informa- year) May 1930

PLACE OF DEATH

(City or Town) No Worcester State Hospital

St.,

APR 8 1932

is very important. See instructions and extracts from the laws on back of certificate. CAUSE OF DEATH in plain terms, so that it may be properly classified. Exact statement of OCCUPATION

PLACE OF DEATH

Suffolk (County)

Winthrop (City or Town)

The Commonwealth of Massachusetts OFFICE OF THE SECRETARY DIVISION OF VITAL STATISTICS STANDARD CERTIFICATE OF DEATH

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

Registered No.

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

2 FULL NAME

Thomas F. Cosgrove

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

specify WAR)

(a)

Residence. No

(Usual place of abode)

14 Wadsworth Street

... St.,

Ward,

(If nonresident, give city or town and state)

Length of residence in city or town where death occurred

yrs.

mos.

days. How long iu U. S., if of foreign birth?

yrs.

mos.

+! days.

PERSONAL AND STATISTICAL PARTICULARS

MEDICAL CERTIFICATE OF DEATH

3 SEX

male

4 COLOR OR RACE

white

5 SINGLE

MARRIED

WIDOWED

or DIVORCED

(write the word)

DEATH

married

5a If married, widowed, or divorced

HUSBAND of

Inges Sorensen

(Give maiden name of wife in full)

(or) WIFE of

(Husband's name in full)

6 IF STILLBORN, enter that fact here

7 AGE 115 .Years 0 Months S .Days

If less than 1 day

Hours

Minutes

OCCUPATION|

8 Trade, profession, or particular kind of work done, as spinner, sawyer, bookkeeper, etc.

Bookkeeper

9 Industry or business in which

work was done, as silk mill,

saw mill, bank, etc.

office

10 Date deceased last worked at

this occupation (month and

year) ..

1931

11 Total time (years) spent in this occupation .. 15

12 BIRTHPLACE (City)

(State or country)

Biddeford We.

13 NAME OF

FATHER

John It Casgiove

PARENTS

14 BIRTHPLACE OF

FATHER (City)

Biddeford We.

15 MAIDEN NAME

OF MOTHER

Elizabeth Kelley

16 BIRTHPLACE OF MOTHER (City)

(State or country)

17 artur Wallerstran

Informaat (Address) 14 wadsworth SI

I HEREBY CERTIFY that a satisfactory standard certificate of death was filed with me BEFORE the burialjos transit permit was issued:

(Signature of Agent of Board of Health & other"

.....

Received and filed

APR 22

1029

Tocastrar)

(Official Designation) 10

(Date of Issue of Permit)

18 DATE OF

April 14 1932.

(Month)

(Day)

(Year)

19 I HEREBY CERTIFY, That I attended deceased from March 1, ₩19.2.2, to. Cemil 14,, 1932

I last saw h. t. m alive on

1932, death is said

1ºP .m.

to have occurred on the date stated above, at. The principal cause of death and related causes of importance in order of onset were as follows:

Date of Onset

noma ap

the Longue

Contributory causes of importance not related to principal cause:

Name of operation.

Insection of longue Date

What test confirmed diagnosis? isdead Skin, Was there an autopsy?2)

20 Was disease or injury in any way related to occupation of deceased?

If so, specify.

(Signed)

M. D.

(Address) TV Washington Cet) Date Smil14932

21 PLACE OF BURIAL,

VIEMATION OR REMOVAL Day Grave. Wedyad Man.

(Cemetery)

)(City or town)

DATE OF BURIAL

april 17/32

22 NAME OF

UNDERTAKER

ADDRESS

Boston

100m-9-'30. No. 0054.

1 R-301 A

neuUND. Every item of

information should be carefully supplied. AGE should be stated EXACTLY. PHYSICIANS should state --

No.

14 Wadsworth Streetst.,

Ward

(If U. S. War Veteran,

VIearth Gelecek 4/16/32

Biddeford Me.

(State or country)

Revised United States Standard Certificate APR 14 1932

FROM

COMMONWEALTH OF MASSACHUSETTS GOVERNING THE

Statement of occupation .- Precise statement of occupation is very important, 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 occupation had been given up or changed on account of the disease causing death, report the occupation prior to illness. If the deceased had retired from business, report the occupation prior to retirement. 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 in answer to Question 8 and own home in answer to Question 9. For a person engaged in domestie 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 what- ever write none.

To be complete, an occupation return must state:

8 .- The trade, profession, or particular kind of work done.

9 .- The industry or business in which the work was done.

10 .- The month and year the deceased last worked at the occupation.

11 .- The number of years the deceased followed the occupation.

In stating the occupation, avoid the use of such indefinite terms as "employce, "worker," "operative," etc. Find out the parti- cular kind of work done and return that, as spinner, weaver, etc.

In stating the industry or business, avoid the use of such general terms as "store, " "factory,' mill," ete. State the particular kind of store, factory, mill, etc., as grocery store, soap factory, cotton mill, etc.

Example

The principal cause of death and related causes of importance in order of onset were as follows: Arteriosclerosis

Date of onset

1015

Chronic interstitial nephritis

1921

Cerebral hemorrhage

July 5, 1927

Contributory causes of importance not related to principal cause:

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 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 secn alive by the physician or officer and the date of his death .... Gen. Laws, Chap. 46, Scc. 9.

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 satis- factory written statement containing 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 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 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 state- ment and certificate, shall forthwith countersign it and transmit it to the clerk of the town for registration. 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., as amended.

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Town of Winthrop : Record of Deaths 1932, Part 26

Author: Winthrop (Mass.) Publication date: 1932 Publisher: Number of Pages: 486

Author: Winthrop (Mass.)
Publication date: 1932
Publisher:
Number of Pages: 486