Town of Winthrop : Record of Deaths 1935, Part 72

Author: Winthrop (Mass.)
Publication date: 1935
Publisher:
Number of Pages: 524

USA > Massachusetts > Suffolk County > Winthrop > Town of Winthrop : Record of Deaths 1935 > Part 72

Note: The text from this book was generated using artificial intelligence so there may be some errors. The full pages can be found on Archive.org (link on the Part 1 page).

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. 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.

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 scen 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 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., (Tercentenary Edition.)

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 dicd his name and residence, if known; otherwise a description as full as may be, with the cause and manner of death .- Gen. Lows, 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., (Tercentenary Edition.)

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.

M R-301

Suffolk

...

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

(City or town making return)

Registered No

109

(If death occurred in a hospital or institution,

give its NAME instead of street and number)

2 FULL NAME Ida Eleanor (Roach) Aldrich

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

specify WAR)

(a) Residence. No ..

.243 Winthrop 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 in U. S., if of foreign birth?

yTs.

mos. days.

PERSONAL AND STATISTICAL PARTICULARS

MEDICAL CERTIFICATE OF DEATH

8 SEX

Female

4 COLOR OR RACE

White

5 SINGLE

(write the word)

Widowed

18 DATE OF

DEATH

Sept

1935

(Month)

(Day)

(Year)

5a If married, widowed, or divorced HUSBAND of

(Give maiden name of wife in full)

(or) WIFE of

George D.

Aldrich

(Husband's name in full)

6 IF STILLBORN, enter that fact here ..

7 AGE. .81 ... .Years. .x .Months. XDays

If less than 1 day .Hours. .Minutes

8 Trade, profession, or particular kind of work done, as spinner, Milliner

OCCUPATION

sawyer, bookkeeper, etc .....

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

10 Date deceased last worked at

this occupation (month andug. 1934

year)

Total time (years)

spent in this

occupation

12 BIRTHPLACE (City)

East Boston

(State or country) Massachusetts

13 NAME OF

FATHER

John A. Roach

PARENTS

FATHER (City)

(State or country)

Massachusetts

15 MAIDEN NAME

OF MOTHER

Emeline Anderson

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

Boothbay Harbor

17 John A. Roach

Relation, if any brother)

Informant (Address) 243 Winthrop St Winthrop Mass

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

agent Jeff- 11/35

(Official Designation) (Date of Issue of Permits

.................

Cest 1934

Cest- 1934

Contributory causes of importance not related to principal cause:

Name of operation.

home

What test confirmed diagnosis? ferenc Glement Was there an autopsy?

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

If se, specify a mand B Parker

M. D.

(Address)

Writing man

Date Lept 11 1935

21 PLACE OF BURIAL,

CREMATION OR REMOVAL

Woodlawn

Everett

(Cemetery)

(City or town)

DATE OF BURIAL

Sept. 12. 1935

22 NAME OF

Charles R. Bennison

UNDERTAKER

ADDRESS

Winthrop

Mass

Received and filed. 19

A TRUE COPY, ATTEST:

(Registrar)

100m-12-'34. No. 2938-e

Every item of N. B .- WRITE PLAINLY, VITH 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

(County)

No ....

Winthrop (City or Town) 243 Winthrop Street

St., ............. Ward

(If U. S.

War Veteran,

(Usual place of abode)

MARRIED

WIDOWED

or DIVORCED

19 I HEREBY CERTIFY, That I attended deceased from

Get

1934, to RepT 10

1935

I tast saw har

.. allve on.

Sept

1935 death Is said

to have occurred on the date stated above, at 4: 55 Am. The principal cause of death and related causes of importance In order of onset were as follows:

Date of Onset

Date of.

14 BIRTHPLACE OF

Boston

(Signed)

19.

Revised Unund 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 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

Chronic interstitial nephritis

1021

Cerebral hemorrhage

July 3, 1927

...

Contributory causes of importance not related to principal cause:

EXTRACTS FROM THE LAWS OF THE COMMONWEALTH OF MASACHUSETTS 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 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 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., (Tercentenary Edition.)

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

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

RULES OF PRACTICE

The 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.

MM R-301

Suffolk

..... ......

(County)

... ........

(Gityse Town)

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

whichest (City or town making return)

Registered No. (If death occurred in a hospital or institution, give its NAME instead of street and number)

2 FULL NAME

Ella, Frances. Playingcon Way

(If U. S. Ea Veran,

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

specify WAR)

No. 92 Wordsilk are

„.St.,

.Ward,

(If nonresident, give city or town and state)

Length of residence in city or town where death occurred

200

mos.

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

yrı.

mos. days.

PERSONAL AND STATISTICAL PARTICULARS

MEDICAL CERTIFICATE OF DEATH

8 SEX

Nemala

4 COLOR OR RACE

while

5 SINGLE

(write the word)

MARRIED

WIDOWED

OF DIVORCED

18 DATE OF

DEATH

Sept

1935

(Month)

(Day)

(Year)

Sept 19 I HEREBY CERTIFY, That I attended deceased from march 5 1932, 12 1935 ... I last saw h ............ allve on SeAT 12 1935, death is said

to have occurred on the date stated above, at 5:25 Am. The principal cause of death and related causes of importance in order of onset were as follows:

Date of Onset

mar. 1932

angina pectoris

Sept 11 19.35

Contributory causes of importance not related to principal cause:

12 BIRTHPLACE (City)

Boston-

(State or country)

mayo

13 NAME OF

FATHER

14 BIRTHPLACE OF

FATHER (City)

. .

P 1

(State or country) 1

15 MAIDEN NAME

OF MOTHER

16 BIRTHPLACE OF

MOTHER (City)

nº

(State or country)

Relation, if any

17 Informant ( (Address) 92 woodnets are willing

I HEREBY CERTIFY that a satisfactory standard certificate of death was filed with me BEFORE the burial or transit permit was issued: Nm- D. Children 1

(Signature of Agent of Board of Health or other)

Sepp 3/39

(Official Designation) (Date of Issue of Permit)

(Registrar)

A TRUE COPY, ATTEST:

Every item of N. B .- WRITE PLAINLY, ITH 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. PHYSICP.NS should state

100m-12-'34. No. 2938-e

PARENTS

20 Was disease or injury in any way related to occupation of deceased? 200

If so, specify

Raymond B Parker

(Signed)

... M. D.

(Address)

Witting men

Date Lept 13 19 35.

21 PLACE OF BURIAL,

CREMATION OR REMOVAL

Wunsch.F

DATE OF BURIAL

Sept. 14# 148,50

(Cemetery)

(City or town)

22 NAME OF

UNDERTAKER

OR Bem

ADDRESS

Received and filed

SEP 2 0 1035

6 IF STILLBORN, enter that fact here.

AGE

.Years

.Months ..

7 .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.

Nome wipe

10 Date deceased last worked at

11 Total time (years)

spent in this

occupation ...

1935

this occupation (month and

year)

(Give maiden name of without you

(Husband's name in full)

5a If married, widowed, or divorced HUSBAND of

(or) WIFE of

PLACE OF DEATH

...........

No 92 Woodsale ana St .;

.Ward

(a) Residence. (Usual place of abode)

What test confirmed diagnosis? Pessoal Obwat Was there an autopsy? W

Name of operation

home

Date of

Revised Ur States Standard Certificate of Death

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, soud factory, cotton mill, etc.

Example

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

Date of onset

Arteriosclerosis ....

Chronic interstitial nephritis ...

1021

Cerebral hemorrhage

July 5, 1027

Contributory causes of importance not related to principal cause:

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Town of Winthrop : Record of Deaths 1935, Part 72

Author: Winthrop (Mass.) Publication date: 1935 Publisher: Number of Pages: 524

Author: Winthrop (Mass.)
Publication date: 1935
Publisher:
Number of Pages: 524