USA > Massachusetts > Suffolk County > Winthrop > Town of Winthrop : Record of Deaths 1932 > Part 73
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Date hry 1932
21 PLACE OF BURIAL,
CREMATION OR REMOVAL Adatte Jasheren mest Res
mars
(Cemetery) (City or town) 1937 DATE OF BURIAL
22 NAME OF
UNDERTAKER
ADDRESS
57 Fowler St 20 or de
Received and filed 19
NOVO
TyBegistrar)
1
PLACE OF DEATH
...
Suffolk W (County) Bonlin Harto (City or Town) No Jound at Withup - Point Shoily)
Ward
(If U. S. War Veteran, specify WAR)
(If nonresident give city or town and state)
PERSONAL AND STATISTICAL PARTICULARS
PARENTS
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 deceased, furnish for regis- tration 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 con- tracted, 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 under- taker or other person shall exhume a human body and remove it from a town, from one cemetery to another, or from one grave or tomb other than the receiving tomb to another in the same cemetery, until he has received a permit from the board of health or its agent aforesaid or from the clerk of the town where the body is buried. No such permit shall be issued until there shall have been delivered to such board, agent or clerk, as the case may be, a satisfactory written statement containing the facts required by law to be returned and recorded, which shall be accompanied, in case of an original 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 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.
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 cemetery or burial ground in which the interment is made ....- Chap. 114, Sec. 46, 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. If a medical examiner has notice that there is within his county the body of such a person, he shall forthwith go to the place where the body lies and take charge of the same ;...- General 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. -General Laws, Chap. 38, Sec. 7.
... The medical examiner certifies the cause and manner of death to the best of his knowledge and belief.
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 poisons), thermal, or electrical agents, and deaths following abortion, but also deaths from disease resulting from injury or infection related to occupation, the sudden deaths of persons not disabled by recognized disease, and those of persons found dead.
STATEMENT OF CAUSE OF DEATH
Medical Examiners in certifying to a death will state the cause and manner thereof, and will specify: (1) Under cause, the nature of an injury and of its consequences; and (2) under manner, the mode of its production together with the circumstances when these are known. For example: "Compound fracture of the femur with ensuing septicemia (gas bacillus) caused by a steam railway accident." "Pistol shot wound of the chest with associated hemorrhage, homicidal." "Asphyxiation by suspension, suicidal." "Syncope while under the influence of ether administered as a surgical anæsthetic." "Fracture of the skull with associated internal injury sustained under circumstances unknown."
If disease or injury was related to occupation, specify. If investigation shows the death to have been due to disease, specify: (1) Under cause, its known or presumable nature; and (2) under manner, indicate the circumstances leading to medico-legal inquiry. For example: "Hemorr- hage spontaneous, of the brain (basal ganglia) (found dead in bed)." "Heart disease, presumably coronary sclerosis. (Sudden death.)"
DESCRIPTION (for unknown person)
NOTICE TO UNDERTAKERS: No embalming fluid, or any substitute therefor, shall be injected into the body of any person supposed to have met his death by violence, until a permit, signed by the Medical Examiner, has first been obtained .- General Laws, Chap. 38, Sec. 14.
THIS CERTIFICATE CONSTITUTES SUCH PERMIT
Cet. 25 (3) 1982
R-301A
Sullatk.
PLACE OF DEATH
(County) Him thaoh
(City or Town) .4) Skashington avr No
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. 185
(If death occurred in a hospital or institution, give its NAME instead of street and number)
Odrin Ruthvin Thayer
(a)
Residence. No
(Usual place of abode)
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
4 COLOR OR RACE
thite
5 SINGLE
MARRIED
WIDOWED
or DIVORCED
(write the word)
Hiclown
5a If married, widowed hvorced HUSBAND of
Mary & Five
(Give maiden name of wife in full)
(Husband's name in full)
6 IF STILLBORN, enter that fact here.
7
61
Years
1
Months
5 Day
.. Days
If less than 1 day .Hours .Minutes
8 Trade, profession, or particular kind of work done, as spinner, sawyer, bookkeeper, etc.
à. Master Mechanic
9 Industry or business in which Boston Many Hard work was done, as silk mill, saw mill, bank, etc.
10 Date deceased last worked at
1 1 Total dime (years)
this occupation (month and May251938e
year)
Boothbay
¿spent in this 40 years
Maine
13 NAME OF
FATHER
Edwin Thayer
Boothbay
Mains
15 MAIDEN NAME
OF MOTHER
Sontrong Hopkins
16 BIRTHPLACE OF
MOTHER (City)
Can't be learned
(State or country)
Maine
17 Ans Brenview Itlerchant
Informant
(Address) 41 Wartung Fin Dur Primero 20 22 NAME OF
I HEREBY CERTIFY that a satisfactory standard certificate of death was filed with me BEFORE the burial or transit permit was issued: Min. D. Children (Signature of Agent of Board of Health or other) Neglito Office 10/28/32 (Official Designation) (Date of Issue of Permit)
MEDICAL CERTIFICATE OF DEATH
18 DATE OF
October 27, 1932
DEATH
(Month)
19 I HEREBY CERTIFY, That I attended deceased from
23
27 12.3.2, death is said
to have occurred on the date stated above, at.
3.20 m.
The principal cause of death and related causes of importance in order of onset were as follows:
Dateofonset
-
1930
nephritis)
Contributory causes of importance not related to principal cause:
Typutension
Name of operations
200kg
Date of
200
20 Was disease or injury in any way related to occupation of deceased? If so, specify.
, M. D.
(Signed)
(Address) Delay history (Date Oct 2/ 1932
21 PLACE OF BURIAL
CREMATION OR REMOVAL Fre
frisst &
Ditis'
Breton
(City or town)
DATE OF BURIAL.
Oct UD
1932
P+ 8. 4, Gleason Go
UNDERTAKER
ADDRESS
Instusten Mass
Received and filed
NOV 2
19
1932
(Registrar)
75m-2-30. No. 7997-a
1 2 FULL NAME. 3 SEX Male (or) WIFE of AGE OCCUPATION: 12 BIRTHPLACE (City) (State or country) 14 BIRTHPLACE OF FATHER (City) PARENTS 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 information should be carefully supplied. AGE should be stated EXACTLY. PHYSICIANS should state (State or country)
St.,
Ward {
(If deceased is a married, widowed ondivorced woman, give also maiden name.)
41 Washington Our
.St.,
.....
Ward,
(If U. S. War Veteran, specify WAR) Anthropo
(If nonresident, give city or town and state)
(Day)
(Year)
1932, to
Deck 2 7, 1432, 19
I last saw h ..... alive on
1
What test confirmed diagnosis? Planear de Was there an aut
Revised United States Standard Certificate of Death Oct. 31,1932
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 ovcr. 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
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.
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 deccased, furnish for registration a standard certificate of death, stating to the best of his knowledge and be ief the name of the deccased, 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 becn 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 thercof 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 carc of the ceme- tery or burial ground in which the interment is made .. .. Chop. 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.
R-302
Suffolk
(County)
Boston
(City or Town) Palmer Memorial Hospital No.
The Commonwealth of Massachusetts OFFICE OF THE SECRETARY DIVISION OF VITAL STATISTICS STANDARD CERTIFICATE OF DEATH
Boston
(City or town making return)
8958
Registered No.
(If death occurred in a hospital or institution,
give its NAME instead of street and number)
Fannie K. Beddeos
2 FULL NAME
(If deceased is a married, widowed or divorced woman, give also maiden name.)
532 Shirley
.St.,
.....
Ward, .... Winthrop
(If nonresident, give city or town and state)
Length of residence in city or town where death occurred
yTs.
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)
Married
5a If married, widowed, or divorced
HUSBAND of
(Give maiden name of wife in full)
(or) WIFE of
sarl ... P ...... Beddeos
(Husband's name in full)
6 IF STILLBORN, enter that fact here.
7
AGE
53
Years 5 Months 23 Days
If less than 1 day Hours. Minutes
OCCUPATION|
8 Trade, profession, or particular kind of work done, as spinner, sawyer, bookkeeper, etc ....
Housework
9 Industry or business in which
work was done, as silk mill,
saw mill, bank, etc.
At Home
10 Date deceased last worked at
this occupation (month and
year)
--
11 Total time (years)
spent in this
occupation.
12 BIRTHPLACE (City) (State or country Boston, Hass.
13 NAME OF
FATHER
Harry W. Brown
14 BIRTHPLACE OF
FATHER (City)
Calais, Me.
(State or country)
15 MAIDEN NAME
OF MOTHER
Annie M Jordan
16 BIRTHPLACE OF
MOTHER (City)
Thomaston, Me.
(State or country)
17 E P Beddeos
Informant
(Address)
Winthrop, Mass.
A TRUE COPY.
-
ATTEST:
(Registrar of city or town where death occurred)
Nov 2,
1932
DATE FILED 19
MEDICAL CERTIFICATE OF DEATH
18 DATE OF
DEATH
Oct 29.
1932
(Month)
(Day)
(Year)
19 I HEREBY CERTIFY, That I attended deceased from
Sept
28,
32
19
, to
32
Oct
29,
19.
[ last saw h
e. Flive on.
Oct
29
19.32
death is said
to have occurred on the date stated above, at
1:20}
The principal cause of death and related causes of importance in order of onset were as follows:
Dateofonset
Carcinoma of the breast
12/1930
Metastasis to lungs
9/1932
Pleural effusion
10/1932
Contributory causes of importance not related to principal cause:
Name of operation
Rad. Mastectomy
Date of
3/1931
What test confirmed diagnosis?
Was there an autopsy?
20 Was disease or injury in any way related to occupation of deceased? If so, specify
(Signed)
...... R .... H.Sweet
M. D.
(AddresBoston Mass.
Date10/29/19 32
21 PLACE OF BURIAL,
CREMATION OR REMOVAL
Winthrop
Winthrop
(Cemetery)
(City or town)
DATE OF BURIAL
Oct
31
19 ..
3.2
22 NAME OF
UNDERTAKER
C
R Bennison
ADDRESS
Winthrop less.
Received and filed
DEC J 1932
19
(Registrar of City or Town where deceased resided)
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.
50m-2-30. No. 7997
1
PLACE OF DEATH
reeled copy
St.,
.......
.Ward
(If U. S.
War Veteran,
186
specify WAR)
(a)
Residence.
No.
(Usual place of abode)
anne weedden
Del 29, 1932
IR-302
Suffolk
(County) Boston
The Commonwealth of Massachusetts OFFICE OF THE SECRETARY DIVISION OF VITAL STATISTICS STANDARD CERTIFICATE OF DEATH
Boston
(City or town making return)
Registered No.
4181
(If death occurred in a hospital or institution, give its NAME instead of street and number)
18%
2 FULL NAME
Jacob Gould
(If deceased is a married, widowed or divorced woman, give also maiden name.)
SII & Shirley
.St.
.........
Ward,
winthrop
(If nonresident, give city or town and state)
mos.
days.
PERSONAL AND STATISTICAL PARTICULARS
3 SEX
Lale
4 COLOR OR RACE
White
5 SINGLE
MARRIED
WIDOWED
or DIVORCED
(write the word)
Married
5a If married, widowed, or divorced
HUSBAND of
hary Ellis
(Give maiden name of wife in full)
(or) WIFE of
(Husband's name in full)
6 IF STILLBORN, enter that fact here.
7 49
AGE
Years Months Days
If less than 1 day Hours Minutes
8 Trade, profession, or particular kind of work done, as spinner, sawyer, bookkeeper, etc.
Lunch Room Prop.
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)
this occupation (month and
year)
adr 1931
spent in this
occupation .. V.r.s ...
12 BIRTHPLACE (City)
(State or country)
Russia
13 NAME OF
FATHER
Tillel Gold
14 BIRTHPLACE OF
FATHER (City)
(State or country)
Russia
15 MAIDEN NAME
OF MOTHER
Cannot, be learned
16 BIRTHPLACE OF
MOTHER (City)
(State or country)
Russia
17
Informant
Terry Gould
(Address)
Wirthcan
50m-2-'30. No. 7997.
A TRUE COPY.
dasmas J. Mulaco
ATTEST:
{Registrar of city or town where death occurred)
DATE FILED May 7, 1032 19
MEDICAL CERTIFICATE OF DEATHI
18 DATE OF
DEATH
4
1932
(Month)
(Day)
(Year)
19 I HEREBY CERTIFY, That I attended deceased from
Apr
May
4
19:32
., to
19 32
I last saw h ...
.imalive on
5/4/32
19
death is said
to have occurred on the date stated above, at 1:5.5P.m. The principal cause of death and related causes of importance in order of onset were as follows:
Dateofonset
Adenocarcinoma rt kidney
Contributory causes of importance not related to principal cause:
Name of operation
Typl rt. kidney
Date of /10/32
What test confirmed diagnosis?
Was there an autopsy ?.
20 Was disease or injury in any way related to occupation of deceased?
If so, specify
(Signed)
CL Clay
(Address)
Boston Mass.
Date ......
5/-
.19 .. 32 ..
21 PLACE OF BURIAL,
Workmen's Circle Melrose
CREMATION OR REMOVAL
(Gity or town)
DATE OF BURIAL
(Cemetery)
5/5/04
19
22 NAME OF
UNDERTAKER
I.Ctanetsky
ADDRESS
Boston
.
Received and filed
DEC 8
1932
19
(Registrar of City or Town where deceased resided)
1
PLACE OF DEATH
(City or Town)
No. Peter Bent Brigham Cognital
St.,
.Ward
(If U. S.
War Veteran,
-
specify WAR)
(a)
Residence.
No
(Usual place of abode)
Length of residence in city or town where death occurred
yrs.
mos.
days. How long in U. S., if of foreign birth?
yrs.
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.
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