USA > Massachusetts > Suffolk County > Winthrop > Town of Winthrop : Record of Deaths 1935 > Part 64
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Date of onset
Chronic interstitial nephritis
1021
Cerebral hemorrhage
July 5, 1027
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 MESSACHUSETTS
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, of 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, physician. shall upon application make the certificate required of the attending 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 deceased served in M the army, navy or marine corps of the United States in any war in
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 .... 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.
RM R-301 A
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 stato 100m-0-'33. No. 9321-a N. B .- WRITE PLAINLY, WITH UNFADING BLACK INK-THIS IS A PERMANENT RECORD. Every item of PARENTS
PLACE OF DEATH
Suffolk (County) Winthrop
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.
483
Registered No. (If death occurred in a hospital or institution, give its NAME instead of street and number)
2 FULL NAME
(If deceased is a married, widowed or divorced woman, give alst maiden name
480
Wetter
Length of residence in city or town where death occurred yrs.
mos.
days.
How long in U. S., if of foreign birth?
yrs.
days.
PERSONAL AND STATISTICAL PARTICULARS
3 SEX male
4 COLOR OR RACE
white
5 SINGLE
MARRIED
WIDOWED
or DIVORCED
(write the word)
Jungle.
5a If married, widowed, or divorced HUSBAND of
(or) WIFE of
(Husband's name in full)
6 IF STILLBORN, enter that fact here.
7 AGE Years Months
Days
Hours. If less than 1 day 2
Minutes
8 Trade, profession, or particular kind of work done, as spinner, sawyer, bookkeeper, etc.
9 Industry or business in which work was done, as alk mill, saw mill, bank, etc.
10 Date deceased last worked at this occupation (month and year) Huttrop
11 Total time (years) spent in this occupation.
12 BIRTHPLACE (City)
(State or country)
Mass.
13 NAME OF
FATHER
Lester Fouet
14 BIRTHPLACE OF FATHER (City) (State or country)
Shirley
mars.
15 MAIDEN NAME
OF MOTHER
Mary Rhyno
16 BIRTHPLACE OF MOTHER (City) (State or country)
n.S.
17 Lecker Juret
(fatture)
(Address)
I HEREBY CERTIFY that a satisfactory standard certificate of death was filed with me BEFORE the burial of transit permit was issued:
ignature of Agent of Board of Healthor other Heallte Glicer
8/1/35
(Date of Issue of Permit)
(Official Designation) / j
MEDICAL CERTIFICATE OF DEATHI
18 DATE OF
DEATH
July 31
1935.
(Month)
(Day)
(Year)
19 I/HEREBY CERTIFY, That I attended deceased from July 31 19
...... to. Quy. Jat, 1936
1 last saw h ... alive on.
any. 1st, 19Ju, death is said
to have occurred on the date stated above, at 2 A.m. The principal cause of death and related causes of importance in order of onset were as follows:
Pre-maturit (8 hours)
ateloctavio
Contributory causes of importance not related to principal cause:
But to16
Name of operation
Date of
What test confirmed diagnosis?
Was there an autopsy?
20 Was disease or injury in any way related to occupation of deceased?
If so, specify
Fudsich Quitter
(Signed)
., M. D.
(Address) 284 Chertung St ate Day / 9 55~ Borta
21 PLACE OF BURIAL. CREMATION OR REMOVAL
DATE OF BURIAL
(City or town) 19 36.
22 NAME OF
UNDERTAKER
867 Beacon St.
ADDRESS
Received and filed
19
(Registrar)
1
No
(City or Town), 480 Winthrop
St.,
Ward
(If U. S. War Veteran, specify WAR)
St.,. Withop rop
Tard
(ff nonresident, give city or town and state)
Richard Gionet
(a) Residence. No.
(Usual place of abode)
(Give maiden name of wife.in full)
OCCUPATION
Date of Onset IMPORTANT
guy.
(
Informant
Revised Uni
States Standard Certificate of Death
EXTRACTS FROM THE VS OF THE 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 domestic service for wages, however, designate the occupation by the appropriate terms, as housekeeper-privaie 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:
Date of onset
Arteriosclerosis
1015
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.
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 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 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 i 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.
IM R-302
N. B .- WRITE PLAINL ., WITH UNFADING INK-THIS IS A PERMANENT RECORD. Every item of informa- OF DEATH in plain terms, so that it may be properly classified. Exact statement of OCCUPATION is very tion should be carefully supplied. AGE should be stated EXACTLY. PHYSICIANS should state CAUSE
PLACE OF DEATH
SUFFOLK (County)
BOSTON
(City or Town)
The Commonwealth of Massachusetts OFFICE OF THE SECRETARY DIVISION OF VITAL STATISTICS STANDARD CERTIFICATE OF DEATH
BOSTON (City or town making return)
Registered No.
6624
(If death occurred in a hospital or institution,
give its NAME instead of street and number)
2 FULL NAME
Frederick R
Manning
(If deceased is a married, widowed or divorced woman, give also maiden name.)
specify WAR)
(a)
Residence.
No.
(Usual place of abode)
79.Highland.Ave
St.,
Ward,
Winthrop
(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
4 COLOR OR RACE
M
W
5 SINGLE
MARRIED
WIDOWED
or DIVORCED
married
5a If married, widowed, or divorced
HUSBAND of
Dorothy Hurley.
(Give maiden name of wife in full)
(or) WIFE of
(Husband's name in full)
6 IF STILLBORN, enter that fact here.
7
AGE 40 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.
letter carrier
9 Industry or business in which work was done, as silk mill, saw mill, bank, etc.
U S Post Office
11 Total time (years)
spent in this
June 1935
occupation ....
18
12 BIRTHPLACE (City)
East Boston
(State or country)
13 NAME OF
FATHER
Michael E Manning
14 BIRTHPLACE OF
FATHER (City)
PARENTS
(State or country)
Boston
15 MAIDEN NAME
OF MOTHER
Margaret F McCormick
16 BIRTHPLACE OF
MOTHER (City)
· Bos ton
(State or country)
17 Widow Dorothy Manning
Informant (Address)
above
A TRUE COPY.
PY. Hilda Stedetions Juink
ATTEST:
(Registrar of city or town where death occurred)
July 22
DATE FILED 19 .. 35
MEDICAL CERTIFICATE OF DEATH
18 DATE OF
DEATH
July
17
1935
(Month)
(Day)
(Year)
19 I HEREBY CERTIFY,
That I attended deceased from
July 17
19
35
19
.. , to
I last saw him .... alive on. July 17 19 ... 35, death is said to have occurred on the date stated above, at ... 7.52Am. The principal cause of death and related causes of importance in order of onset were as follows:
Dateofonset
carcinomatosis
....
primary site. .. undetermined
2 yrs
Contributory causes of importance not related to principal cause:
Name of operation
expl ... lap
Date of.
7/8/35
What test confirmed diagnosis?
olin
Was there an autopsy ?... no
20 Was disease or injury in any way related to occupation of deceased? If so, specify.
(Signed)
N .C. Baker
M. D.
(Address)
Boston
Date.
7/17 /19 35
21 PLACE OF BURIAL,
CREMATION OR REMOVAL
Holy Cross
Malden
(Cemetery)
(City or town)
DATE OF BURIAL
1936
July ... 20
22 NAME OF
UNDERTAKER
F. ... J. Magrath
ADDRESS
Boston.
Received and filed
AUG 12 1935
19.35
(Registrar of City or Town where deceased resided)
important.
50m-9-'31. No. 3385-₪
1
No. Ma.s.s .... General ... Hospital
... St.,
Ward
(If U. S.
War Veteran,
119
(write the word)
10 Date deceased last worked at
this occupation (month and
year)
F
M R-301 A
Every item of N. B .- WRITE PLAINLY; WITH UNFADING BLACK INK-THIS IS A PERMANENT RECORD. 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
PLACE OF DEATH
Suffolk (County)
Winthrop (City or Town)
No ..
20 Banks ... St
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
Sarah ... E ..... Gleason
(If deceased is a married, widowed or divorced woman, give also maiden name.)
specify WAR)
(a) Residence.
No.
20 Banks St.
.St., ..
Ward,
(If nonresident, give city or town and state)
Length of residence in city or town where death occurred 10 yrs.
MOS.
days.
How long in U. S., if of foreign birth?
60
yrs.
mos.
days.
PERSONAL AND STATISTICAL PARTICULARS
MEDICAL CERTIFICATE OF DEATH
18 DATE OF
DEATH
(Month)
(Day)
4
1435 (Year)
19 I HEREBY CERTIFY, That I attended deceased from
May 22
035, to.
19.4
I last saw h ........... alive on ...
119 55, death is said
to have occurred on the date stated above, at 145 The principal canse of death and related causes of importance in order of onset were as follows:
Date of Onsat IMPORTANT
Contributory causes of importance not related to principal cause:
Name of operation
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)
M. D.
(Address)
21 PLACE OF BURIAL,
Holy Cross, Malden
CREMATION OR REMOVAL
(Cemetery)
Aug 7.1935
DATE OF BURIAL
19
22 NAME OF
UNDERTAKER
Richard Kirby
ADDRESS
East ... Boston
Received and filed
19
AUG 7
1935
(Registrar)
100m-9-'33. No. 9321-a'
17
Informant
Walter Gleason, son
(Address)
20 Banks St. Winthrop
I HEREBY CERTIFY that a satisfactory standard certificate of death was filed with me BEFORE the burial or transit permit was issued:
(Signature of Agent of Board of Health or other)
Heart Ofulcer 8/7/39
(Official Designation) (Date of Issue of Permit)
(write the word)
8 SEX
Female
4 COLOR OR RACE
White
5 SINGLE
MARRIED
WIDOWED
or DIVORCED
Widowed
5a If married, widowed, or divorced HUSBAND of
(or) WIFE of
(Give maiden name of wife in full)
John Ha Gleason
(Husband's name in full)
6 IF STILLBORN, enter that fact here.
7
AGE 67 Years. .Months
Days
Hours.
Minutes
OCCUPATION
8 Trade, profession, or particular kind of work done, as spimmer, sawyer, bookkeeper, etc ..
At Home
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)
spent in this
Dec ...... 1934occu 40
12 BIRTHPLACE (City) (State or country) England
13 NAME OF
FATHER
Nicholas J. Curran
PARENTS
14 BIRTHPLACE OF
FATHER (City)
(State or country) Ireland
15 MAIDEN NAME
OF MOTHER
Elizabeth Wilshire
16 BIRTHPLACE OF MOTHER (City) (State or country)
England
(City or town)
Choleopting
... Date of
Vistas
1
St.,
Ward
[ CHE U. S.
war Veteran,
150
(Usual place of abode)
If less than 1 day
Revised Uni' States Standard Certificate of Death
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 of 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.
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