USA > Massachusetts > Suffolk County > Winthrop > Town of Winthrop : Record of Deaths 1932 > Part 67
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days.
How long in U. S., if of foreign birth?
yrs.
mos.
days.
PERSONAL AND STATISTICAL PARTICULARS
3 SEX
female
4 COLOR OR RACE
white
5 SINGLE
MARRIED
WIDOWED
or DIVORCED
(write the word)
5a If married, widowed, or divorced
HUSBAND of
(or) WIFE of
William
Give maiden name of wife in full)
(Husband's name in full)
6 IF STILLBORN, enter that fact here
7 49
Yaars
11
.Months
13
.Days
If less than 1 day
Hours
Minutes
OCCUPATION:
8 Trade, profession, or particular
kind of work done, as spinner,
sawyer, bookkeeper, etc.
9 Industry or business in which work was done, as silk mill, saw mill, bank, etc.
10 Date deceased last worked at
this occupation (month and
year) ..
5 year
11 Total time (years)
spent in this
occupation
X
12 BIRTHPLACE (City)
(State or country)
England
13 NAME OF
FATHER
Tamo. Hopewell
PARENTS
14 BIRTHPLACE OF
FATHER
England
(State or country)
15 MAIDEN NAME
OF MOTHER
am. Hack
16 BIRTHPLACE OF
MOTHER (City)
(State or country)
-England
17
Melian. S. Kin.
Informant
(Address)
I HEREBY CERTIFY that a satisfactory standard certificate of death was filed with me BEFORE the burial or transit permit was issued: I mu D. Childresax (Signature of Agent of Board of Health or other) Health Offices 10/4/32
7(Official Designation)
(Date of Issue of Permity
MEDICAL CERTIFICATE OF DEATH
18 DATE OF
DEATH
(Month)
(Day)
2
(Year)
19 I HEREBY CERTIFY, That I attended deceased from
Left
19
,19321
Oclatin 2 19 32
! last saw h ....... .... alive on
1
19 $20 death is said
to have occurred on tha date stated above, at.6. a m. The principal cause of death and related causes of importance in order of onset were as follows:
Date of Onset IMPORTANT
Branebo Premendo
Spr 24/32
.
Contributory causes of importance not related to principal cause:
arleno valoraria
Data of.
Name of operation
What test confirmed dlagnosis?
Was there an autopsy ?..
20 Was disease or injury in any way related to occupation of daceased? no
If so, specify ..
Quelle Column M. D.
(Signed)
(Address) 623
Mandag St Dat
Date Oct3 1932
21 PLACE OF BURIAL,
CREMATION OR REMOVAL
(Cemetery)
(City or town)
DATE OF BURIAL
10/4/
32
19
22 NAME OF
UNDERTAKER
CR Bens
ADDRESS
Received and filed
OCT-6- 1932
19
(Registrar)
75m-5-'32. No. 5469
PLACE OF DEATH
( County ) Wünscht
No ..
(City or Town) 146 fallopia Park
St.,
Ward
Those. Hannah
(If deceased is a married, widowed or divorced woman, give also maiden name.)
(a)
Residence. No.
146 College Park
St.,.
Ward,
(Usual place of abode)
Length of residence in city or town where death occurred
40 YES.
mos.
is very important. See instructions and extracts from the laws on back of certificate.
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
1
2 FULL NAME
1932
AGE
AIJE-A MS
HTA3J
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. 2 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: = 12
160
3
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, etc.
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. L
.. L
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.
OnAURATO
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, ete. As principal cause name the disease n' 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.
1
F
The principal cause of death and related causes , of importance in order of onset were as follows:
Date of onset
Arteriosclerosis
-4
1015
Chronic interstitial nephritis -4
1021
Cerebral hemorrhage
July 5, 1927
Contributory causes of importance not related to principal cause:
P .: 2.5.
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 cxample happens to be the second cause given.
GOVERNING THEIR 110138:177017
(ngonq sd Y" RETURN OF CERTIFICATES, OF DEATH
"A physician cian 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 furnish for registration a standard certificate of death, stating to the best of his knowledge and belicf 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 shåll 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 am 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 such a permit for the removal of a human body .. not previously interred from one town to another within the common-' wealth 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 re- moval; 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 re- quired by section ten of chapter forty-six, that the deccased 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 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 by Chap. 48, Acts of 1927 and Chap. 414. Acts of 1931.
-
- ---
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. 1
to moli vaya
7 21
od bluoda IDA .bilqqua
.
Statement of occupation .- Precise statement of occupation is -
very important, so that the relative healthfulness of various pursuits, authorized person or of any member of the family of the deceased,
....
2
Example
7
L
201
R-302
1
PLACE OF DEATH
(City of Town)
The Commonwealth of Massachusetts OFFICE OF THE SECRETARY DIVISION OF VITAL STATISTICS STANDARD CERTIFICATE OF DEATH
Lanvers (City or town making return) 171
Registered No.
(If death occurred in a hospital or institution,
give its NAME instead of street and number)
2 FULL NAME
I Hafdeceased is a married, w
mys":Hush towed or divorced woman, give also maiden name.)
(If U. S. War Veteran,
specify WAR)
(a)
Residence. No.
(Usual place of abode)
123 Quincy Ave.
.St., ..
Ward, winthrop
(If nonresident, give city or town and state)
Length of residence in city or town wbere death occurred
days. How long in U. S., if of foreign birth?
yrs.
mos.
days.
PERSONAL AND STATISTICAL PARTICULARS
MEDICAL CERTIFICATE OF DEATH
3 SEX
male
4 COLOR OR RACE
whi te
5 SINGLE
MARRIED
WIDOWED
or DIVORCEDS ingle
18 DATE OF
DEATH
Oct.
3. 1932.
(Month)
(Day)
(Year)
5a If married, widowed, or divorced
HUSBAND of
(Give maiden name of wife in full)
(or) WIFE of
(Husband's name in full)
6 IF STILLBORN, enter that fact here.
7 AGE. 71
Years Months Days
If less than 1 day Hours Minutes
8 Trade, profession, or particular kind of work done, as spinner, sawyer, bookkeeper, etc. Printer
9 Industry or business in which work was done, as silk mill, saw mill, bank, etc ..
10 Date deceased last worked at
11 Total time (years)
spent in this
occupation
12 BIRTHPLACE (City)
Coventry,
(State or country)
England
13 NAME OF
FATHER
.Thomas Rushton,
14 BIRTHPLACE OF
FATHER (City)
(State or country)
England
15 MAIDEN NAME
OF MOTHER
Caroline C. Walker
16 BIRTHPLACE OF
MOTHER (City)
(State or country)
England
17
Informant
(Address)
Gertrude . ...... Smith
Hathorne
A TRUE COPY.
ATTEST:
(Registrar of city or town where death occurred)
DATE FILED
10/7/32
19
...
19
I HEREBY CERTIFY, That I attended deceased from
1932to Oct. 3.
182.
I last saw hlu ??..... alive on.
Uct.
13. ,., 19.322., death is said
to have occurred on the date stated above, at. 5 .... 5555Am. The principal cause of death and related causes of importance in order of onset were as follows: General ... arteriosclerosis19
Daleofonset
Contributory causes of importance not related to principal cause:
Psychosis with Cerebral
arteriosclerosis
5/12/32
Name of operation
Date of
What test confirmed diagnosis@ Lin ..
Was there an autopsyno ...
20 Was disease or injury in any way related to occupation of deceased? If so, specify
(Signed)
Solomon .... Gagnon
M. D.
(Address)
Ha thorno
Date/ 6/32 19
21 PLACE OF BURIAL,
CREMATION OR REMOVAL Anthrop
winthrop
(Cemetery)
(City or town)
DATE OF BURIAL
Oct. 5,
19:32
19
22 NAME OF
UNDERTAKER
charles R. Bennison
ADDRESS
"' nthrop
....
Received and filed
19
OCT 11.
(Registrar of City or Town where deceased resided)
50m-9-'31. No. 3385-₪
OCCUPATION| 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 PARENTS important.
No. Danvers ... State .. Hospital
St.,
Ward
(write the word)
this occupation (month and
year)
Oct. 3,1932
A
R-301
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.
1
Winthrop
(City or Town)
No.
8 Paine St.
The Commonwealth of Massachusetts OFFICE OF THE SECRETARY DIVISION OF VITAL STATISTICS STANDARD CERTIFICATE OF DEATH
(City or town making return)
Registered No. 172
(If death occurred in a hospital or institution,
give its NAME instead of street and number)
2 FULL NAME
Delia B. Robinson Bowman
(If deceased is a married, widowed or divorced woman, give also maiden name.)
(a) Residence.
No
8 Paine St
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 in U. S., if of foreign birth?
yrs.
mos.
days.
PERSONAL AND STATISTICAL PARTICULARS
3 SEX
Female
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
(Give maiden name of wife in full)
Peter P.
Bowman
(Husband's name in full)
6 IF STILLBORN, enter that fact here.
7
8I
AGE
Years
.Months
Days
If less than 1 day
. Hours
Minutes
OCCUPATION
8 Trade, profession, or particular kind of work done, as spinner, sawyer, bookkeeper, etc.
Housewife
9 Industry or business in which work was done, as silk mill, saw mill, bank, etc. Own Home
10 Date deceased last worked at
11 Total time (years)
spent in this
occupation.
this occupatipo frenth 1ny 29
year)
50
12 BIRTHPLACE (City)
(State or country)
Ireland
13 NAME OF
FATHER
James
PARENTS
14 BIRTHPLACE OF
FATHER (City)
(State or country)
Ireland
15 MAIDEN NAME
OF MOTHER
Mary O'Flaherty
16 BIRTHPLACE OF
MOTHER (City)
(State or country)
Ireland
17
Informant
Barbara ..... Bowman
(Address)
8 Paine St
I HEREBY CERTIFY that a satisfactory standard certificate of death was filed with me BEFORE the burial or transit permit was issued: W m. D. Childress
(Signature of Agent of Board of Health or other)
...
Health Officer
(Official Designation)
(Date of Issue of Permit)/
10/4/32
MEDICAL CERTIFICATE OF DEATH
18 DATE OF
DEATH
Out
4
1932
(Month)
(Day)
(Year)
19
I
HEREBY CERTIFY, That I attended deceased from
1
193,2 50
... y
19 ..
30
I last saw h ...... alive on
to have occurred on the date stated above, at 3A The principal canse of death and related causes of importance in order of onset were as follows:
Date of Onset
Contributory, causes of importance not related to principal cause: untinio - salariz
Name of operation
What test confirmed diagnosis?
Dale of
Was there an autopsy ?.
20 Was disease or injury in any way related to occupation of deceased?
If so, specify.
M. D.
(Signed)
fundada en Date 10/4 1930
(Address)
21 PLACE OF BURIAL,
Cotes des Neige Montreal
CREMATION OR REMOVAL
(Cemetery)
(City or town)
DATE OF BURIAL
Oct
7 1932
19
22 NAME OF
UNDERTAKER
John J @ Maler
ADDRESS
Winthrop
19
Received and filed
OCT 6
1932
...
A TRUE COPY, ATTEST:
(Registrar)
information should be carefully supplied. AGE should be stated EXACTLY. PHYSICIANS should state
100m-11-'30. No. 605-b
PLACE OF DEATH
Suffolk
(County)
St., ...
.Ward
(If U. S.
War Veteran,
specify WAR)
(Usual place of abode)
3 1932 death is said
. m.
Revised United States Standard Certificate of Death
Det 4,1932
Statement of occupation .- Precise statement of occupation is ervy 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 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, etc.
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
1921
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.
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 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.
.... 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.
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