USA > Massachusetts > Suffolk County > Winthrop > Town of Winthrop : Record of Deaths 1936 > Part 43
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.Ward
(If U. S.
95
DRM R-305
PLACE OF DEATH
Middlesex ......
..... ....
(County)
Cambridge
(City or Town) 62 .First
The Commonwealth of Massachusetts OFFICE OF THE SECRETARY DIVISION OF VITAL STATISTICS MEDICAL EXAMINER'S CERTIFICATE OF DEATH
Cambridge (City or town making return)
Registered No.
763
(If death occurred in a hospital or institution,
give its NAME instead of street and number) -
2 FULL NAME
John.K. Dahlgren
(If deceased is a married, widowed or divorced woman, give also maiden name.)
(a)
Residence. No ... 20 ... Coral .. Ave.
(Usual place of abode)
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?
yTs.
mos. days.
PERSONAL AND STATISTICAL PARTICULARS
MEDICAL CERTIFICATE OF DEATH
18 DATE OF
DEATH
May29 1936
(Month)
(Day)
(Year)
19 | HEREBY CERTIFY that I have investigated the death of the person above-named and that the CAUSE AND MANNER thereof are as follows: " (If an injury was involved, state fully)
Fracture of skull with intra
craniel injuries
Fell from a derrick
Accident
20 If death was due to external causes (VIOLENCE) fill in the following : Accident, Suicide or
Date of injury
5/9
136
Homicide ?
Accident
Where did
Cambridge, Mass.
injury occur ?
(City or town and State)
Manner of
Injury
Nature of
Injury
21 Was disease or injury in any way related to occupation of deceased? .
If so, specify.
Rigger
...
(Signed)
David C Dow
M. D.
(Address).
1587 Mas8.ve
Date
.. 5/8919 36
22 PLACE OF BURIAL,
CREMATION OR REMOVAL
Winthrop Cem. Winthrop
(Cemetery)
(City or town)
DATE OF BURIAL
May 31 1936
19
23 NAME OF
.
UNDERTAKER
Charles 3 .stson
ADDRESS.
Cambridge Mass.
Received and filed
June 1.1936
19
Frederick H. Bury
(Registrar of City or Town where deceased resided)
MARGIN RESERVED FOR BINDING
OCCUPATION
8 Trade, profession, or particular kind of work done, as spinner, sawyer, bookkeeper, etc. Rigger
9 Industry or business in which
work was done, as silk mill,
Rigging
saw mill, bank, etc.
10 Date deceased last worked at
11 Total time (years)
spent in this
occupation .. ........ Vr
this occupation (month and
year)
May 1936
12 BIRTHPLACE (City) .. . (State or country)
Sweden
13 NAME OF
FATHER
Cannot be learned
PARENTSE
14 BIRTHPLACE OF
FATHER (City)
.
(State or country) Sweden
15 MAIDEN NAME
OF MOTHER
Laura Knoll
16 BIRTHPLACE OF MOTHER (City) (State or country)
AM
Sweden
25m-2-'30. No. 7997-e
17 Mrs Dorothy Dahlgren wife
Informant (Address) 20 Corall ve winthrop Has
A TRUE COPY.
ATTEST:
(Registrar of city or town where death occurred)
DATE FILED
(write the word)
3 SEX
4 COLOR OR RACE
5 SINGLE
MARRIED
WIDOWED
or DIVORCED
Married
5a If married, widowed, or divorced
HUSBAND of
(Give maiden name of wife in full)
Dorouth à Brough
(ar) WIFE of
(Husband's name in full)
6 IF STILLBORN, enter that fact here.
7
If less than 1 day Hours. Minutes
AGE
38 Years
8
Months . 19
.Days
-
St.,
Ward
(If U. S.
War Veteran,
specify WAR).
96
yes
WINTHER DASS
1
I
RM R-302
N. B .- WRITE PLAINLY, WITH UNFADING INK-THIS IS A PERMANENT RECORD. Every .em 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 MARGIN RESERVED PUR DINDING
PLACE OF DEATH
SUFFOLK (County)
BOSTON
(City or Town)
No.
Boston State Hospital
The Commonwealth of Massachusetts OFFICE OF THE SECRETARY DIVISION OF VITAL STATISTICS STANDARD CERTIFICATE OF DEATH
BOSTON (City or town making return)
Registered No. .4715
(If death occurred in a hospital or institution, - .Ward
give its NAME instead of street and number)
2 FULL NAME
Julia
McManus
(If deceased is a married, widowed or divorced woman, give also maiden name.)
(a)
Residence. No.
(Usual place of abode)
10 Loring. Rd
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
W
5 SINGLE
MARRIED
WIDOWED
or DIVORCED
(write the word)
F
5a If married, widowed, or divorced HUSBAND of
(or) WIFE of
(Give maiden name of wife in full)
John Mc Manus
(Husband's name in full)
6 IF STILLBORN, enter that fact here.
7 AGE 78 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. 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)
11 Total time (years)
spent in this
occupation.
12 BIRTHPLACE (City)
(State or country)
Ireland
13 NAME OF
FATHER
unknown
PARENTS
(State or country)
15 MAIDEN NAME
OF MOTHER
unknown
16 BIRTHPLACE OF
MOTHER (City)
Ireland
(State or country)
17
Informant
(Address)
Son- Henry J Barry
above
A TRUE COPY.
Hilda Ofedition Quirks
ATTEST:
(Registrar of city or town where death occurred)
DATE FILED
May 20
.19.3.6
MEDICAL CERTIFICATE OF DEATH
18 DATE OF
DEATH
May
18
1936
(Month)
(Day)
(Year)
19 I HEREBY CERTIFY, That I attended deceased from
March 13
19.5.6 .to ..
May
18
19.3.6
I last saw h ..... er .. alive on.
May
17
...... , 19 ... 36, death is said
to have occurred on the date stated above, at5.3.5A ... m.
The principal cause of death and related causes of importance in order of onset were as follows:
Date efonset
general arteriosclerosis
unk
Contributory causes of importance not related to principal cause:
Psychosis with cerebral arterio
sālerosis
Before
Mar / 36
Name of operation
Date of
What test confirmed diagnosis?
Was there an autopsy ?... yes
20 Was disease or injury in any way related to occupation of deceased? If so, specify.
(Signed)
F. A. Braulieu
M. D.
(Address)
Boston
Date5/18/ .... 19.36
21 PLACE OF BURIAL,
CREMATION OR REMOVAL
St Patrick's
Lowell
(City or town)
DATE OF BURIAL
(Cemetery
May 20
19.3
6
22 NAME OF
UNDERTAKER
R.C. Kirby
Boston
ADDRESS
Received and filed
BWV 9861$-70
HROR MASS
19
(Registrar of City of Town where deceased resided)
1
important.
50m-9-'31. No. 3385-₥
14 BIRTHPLACE OF
FATHER (City)
Ireland
widowed
(If U. S.
War Veteran,
specify WAR)
RM R-302
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 ... 4753
(If death occurred in a hospital or institution, give its NAME instead of street and number)
Frank H
McClure
(If deceased is a married, widowed or divorced woman, give also maiden name.)
(a)
Residence. No.
(Usual place of abode)
89 Upland Rd
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
4 COLOR OR RACE
(write the word)
5 SINGLE
MARRIED
WIDOWED
or DIVORCED
married
5a If married, widowed, or divorced
HUSBAND of
Bertha M Logan
(Give maiden name of wife in full)
(Husband's name in full)
6 IF STILLBORN, enter that fact here.
Years Months Days
If less than 1 day Hours Minutes
8 Trade, profession, or particular kind of work done, as spinner, sawyer, bookkeeper, etc .... shipper
9 Industry or business in which
as silk mill,
A Stowell Co
10 Date deceased last worked at
11 Total time (years)
this occupation (month
year)
March 1924
spent in this occupation
25
12 BIRTHPLACE (City)
(State or country)
New Brunswick
13 NAME OF
FATHER
James McClure
(State or country)
Florida
15 MAIDEN NAME
OF MOTHER
Elizabeth J Staples
NB
17 wife
(Address)
above
ATTEST:
Neida Ofedition Quirks
(Registrar of city or town where death occurred)
DATE FILED
May 22
19.3 .. 6.
MEDICAL CERTIFICATE OF DEATH
18 DATE OF
DEATH
May
19.
1936
(Month)
(Day)
(Year)
19 I HEREBY CERTIFY, That I attended deceased from
April 28
19.36
May 19
19.3.6
to
1 last saw h ..... j.malive on
May 19
193.6 .... , death is said
to have occurred on the date stated above, at ..
7.35Pm
The principal cause of death and related causes of importance in order of onset were as follows:
Dateofonset
cirrhosis of liver
type undetermined
yrs
Contributory causes of importance not related to principal cause:
Name of operation
What test confirmed diagnosis?
Was there an autopsy ?......
yes
Date of
20 Was disease or injury in any way related to occupation of deceased?
no
if so, specify.
(Signed)
W.W ... Knowlton
M. D.
(Address)
Boston
Date
5/20/19.3 ... 6.
21 PLACE OF BURIAL,
CREMATION OR REMOVAL
DATE OF BURI
22 NAME OF
UNDERTAKER
A
ADDRESS
WV 98616-760
Cedar Hill StJohn N B (Cemetery) May 22 ANIME Douglass Chelsea
(City or town) 19.3. 6
..... Received and filed
HABS
19
(Registrar of City or Town where deceased resided)
1
1 2 FULL NAME 3 SEX M (or) WIFE of 7 AGE .68 OCCUPATION! 14 BIRTHPLACE OF FATHER (City) PARENTS 16 BIRTHPLACE OF MOTHER (City) (State or country) Informant A TRUE COPY. important. 50m-9-'31. No. 3385-g N. B .- WRITE PLAINLY, VI TH UNFADING INK-THIS IS A PERMANENT RECORD. Every Jam 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 saw mill, bank, etc.
No.
Peter Bent Brigham Hospital -Sr.,
Ward
(LE U. S.
War Veteran,
specify WAR)
ORM R-305
PLACE OF DEATH
SUFFOLK (County)
BOSTON (City or Town) No. Sidewalk 109 Causeway
The Commonwealth of Massachusetts OFFICE OF THE SECRETARY DIVISION OF VITAL STATISTICS MEDICAL EXAMINER'S CERTIFICATE OF DEATH
BOSTON (City or town making return)
Registered No.
4893
(If death occurred in a hospital or institution, give its NAME instead of street and number)
2 FULL NAME
Eliott .. W.
(If deceased is a married, widowed or divorced woman, give also maiden name.)
specify WAR)
(a)
Residence. No.
131.Cottage Pk Rd
.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?
утв.
mos.
days.
PERSONAL AND STATISTICAL PARTICULARS
3 SEX
4 COLOR OR RACE
W
5 SINGLE
MARRIED
WIDOWED
or DIVORCED
married
5a If married, widowed, or divorced
HUSBAND of
Ina Stillwell
(Give maiden name of wife in full)
(or) WIFE of
(Husband's name in full)
6 IF STILLBORN, enter that fact here.
7 AGE 43 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. merchant
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)
May 1936
16
12 BIRTHPLACE (City)
(State or country)
Roxbury Mass
13 NAME OF
FATHER
George H Hayes
PARENTS.
14 BIRTHPLACE OF
FATHER (City)
(State or country)
N B
15 MAIDEN NAME
OF MOTHER
Elizabeth Wright
16 BIRTHPLACE OF
MOTHER (City)
(State or country)
Roxbury
17
Informant
(Address)
Wifem
above
A TRUE COPY
Heida Ofedition Quirks
ATTEST:
(Registrar of city or town where death occurred)
May 26
DATE FILED 19 ... 3.6
MEDICAL CERTIFICATE OF DEATH
18 DATE OF
DEATH
May 23
1936
(Month)
(Day)
(Year)
19 | HEREBY CERTIFY that I have investigated the death of the person above-named and that the CAUSE AND MANNER thereof are as follows: (If an injury was involved, state fully)
Alcoholism. Cormary sclerosis. Said to have collapsed on side walk near 109 Causeway St Boston
20 If death was due to external causes (VIOLENCE) fill in the following :
Accident,
Suicide or
Homicide ?
Date of injury
19
Where did
injury occur ?
Not known
(City or town and State)
Manner of
Injury
Nature of
Injury
21 Was disease or injury in any way related to occupation of deceased? If so, specify
(Signed)
W J Brickley
M. D.
(Address)
Boston
OFFI Date 5/23/9 .36
00
22 PLACE OF BURIAL, CREMATION OR REMOVAL .... B dałeś
~Dediyor town)
DATE OF BURIAL
av.25
19 .. 3.6.
23 NAME OF UNDERTAKER
R. Benna,s.on
ADDRESS
JEL 9+936 AM
Received and filed
19
(Registrar of City or Town where deceased resided)
MARGIN RESERVED FOR BINDING
WI'
25ml-2-'30. No. 7997-0
1
St.,.
Ward
(If U. S.
Hayes
(Usual place of abode)
(write the word)
M
11 Total time (years)
spent in this
occupation.
RM R-302
N. B .- WRITE PLAINLY WI'ITH UNFADING INK-THIS IS A PERMANENT RECORD. Every u.em 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.
4957
(If death occurred in a hospital or institution,
give its NAME instead of street and number)
2 FULL NAME
Eugene P.
Connelly
(If deceased is a married, widowed or divorced woman, give also maiden name.)
specify WAR)
(a) Residence. No.
(Usual place of abode)
39 ... Coral .. 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
M
4 COLOR OR RACE
W
5 SINGLE
MARRIED
WIDOWED
or DIVORCED
single
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 59 .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. .. 9 Industry or business in which work was done, as silk mill, saw mill, bank, etc.
chief engineer
10 Date deceased last worked at this occupation (month and year) ..
1936
11 Total time (years) spent in this occupation
40
12 BIRTHPLACE (City) (State or country)
Boston
13 NAME OF
FATHER
John Connelly
PARENTS
14 BIRTHPLACE OF
FATHER (City)
(State or country)
Ireland
15 MAIDEN NAME
OF MOTHER
Margaret Molloy
16 BIRTHPLACE OF MOTHER (City) (State or country)
Ireland
17 Informant (Address)
Bro- George H Connelly
3] Station St Brookline
A TRUE COPY.
ATTEST:
Neida Ofeditions Quirks
(Registrar of city or town where death occurred)
DATE FILED
May 28
19.3.6
MEDICAL CERTIFICATE OF DEATH
18 DATE OF
DEATH
May 25
1936
(Month)
(Day)
(Year)
19 I HEREBY CERTIFY, That I attended deceased from
May 24
19 36 ,to.
May 25
36
19
I last saw h
Aulalive on
May
25
1936
death is said
to have occurred on the date stated above, at. 7.25P.m.
The principal cause of death and related causes of importance in order of onset were as follows: Date ofonset
acute epidemic cerebrospinal
meningitis
5/23/36
Contributory causes of importance not related to principal cause:
Name of operation
What test confirmed diagnosis?
Date of
Was there an autopsy?
yes
20 Was disease or injury in any way related to occupation of deceased? If so, specify.
(Signed)
E C Smith
M. D.
(Address)
Boston
Date5/25/ 19.36
21 PLACE OF BURIAL,
CREMATION OR REMOVAL
Holy Cross
Malden
(Cemetery)
(City or town)
DATE OF BURIAL
OF May 27
19.36
22 NAME OF UNDERTAKEN
J.S. Waterman & Sons Boston
ADDRESS
12
413
19
Receive and
WMO
SSVW
(Registrar of City or Town where deceased resided)
important.
50m-9-'31. No. 3385-₡
1
No. Mass ... Memorial .. Hospital
St.,
Ward
(If U. S.
War Veteran,
100
(write the word)
RM R-301
PLACE OF DEATH
Suffolk (County) Winthrop (City of Town) No Winthro/ Community Hospital. St.,
The Commonwealth of Massachusetts OFFICE OF THE SECRETARY DIVISION OF VITAL STATISTICS STANDARD CERTIFICATE OF DEATH
Everett notified 7/9/36 ....
(City or town making return)
101
Registered No.
(If death occurred in a hospital or institution,
give its NAME instead of street and number)
2 FULL NAME
anna Origo
(If deceased is a married, widowed or divorced woman, give also maiden name.)
(a)
Residence. No
27 Rick It Everett
.St.,.
Ward,
(Usual place of abode)
Length of residence in city or town where death occurred
yts.
IOS.
days. How long in U. S., if of foreign birth?
....
days.
PERSONAL AND STATISTICAL PARTICULARS
-
4 COLOR OR RACE
female white
5 SINGLE
MARRIED
WIDOWED
or DIVORCED
(write the word)
5a If married, widowed, or divorced
HUSBAND of
(Give maiden name of wife in full)
(Husband's name in full)
6 IF STILLBORN, enter that fact here
7
AGE
Years
Months
Days
If less than 1 day
Hours 3.0 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 silk mill, saw mill, bank, etc.
10 Date deceased last worked at
this occupation (month and
year) ..
Winthrop
11 Total time (years) spent in this occupation.
13 NAME OF
FATHER
Joe Origo
14 BIRTHPLACE OF
FATHER (City)
Italy
(State or country)
15 MAIDEN NAME
OF MOTHER
ME Lena quattrochis
16 BIRTHPLACE OF
MOTHER (City)
(State or country)
Italy
argo
Informaat
(Address) 27 Pack St. L'everest
I HEREBY CERTIFY that a satisfactory standard certificate of death was filed with me BEFORE the burial or transit permit was issued: Theu. S. Clulde 42
Health MiTir
(Signature of, Agent of Board of Health or other) 6/2/30
7(Official Designation) (Date of Issue of Permit)
MEDICAL CERTIFICATE OF DEATH
18 DATE OF
DEATH
June
1
(Day)
(Month)
1936 (Year)
19 I HEREBY CERTIFY, That I attended deceased from
19
games
1936 to
-
saw h.
.. alive on
1936, death is said
to have occurred on the date stated above, at.S,Jo ?.... m. The principal cause of death and related causes of importance in order of onset were as follows:
Date of Onset
Prematine Buch
probably Hydronephroses
Contributory causes of importance not related to principal cause:
atelectasia
Name of operation
What test confirmed diagnosis?
Date of
Was there an autopsy ?.
20 Was disease or injury in any way related to occupation of deceased?
If so, specify
Frank 7Sandla
(Signed
M. D.
(Address)
Paris
Date
193.4
21 PLACE OF BURIAL,
CREMATION OR REMOVAL
Glenwood Everett
DATE OF BURIAL
(Cemetery)
2
(City or town)
19:36
22 NAME OF
UNDERTAKER
Frederick Cafasso
ADDRESS
3168 -main STCovered
Received and filed
JUN 1-0 1936
19
A TRUE COPY, ATTEST:
(Registrar)
1 3 SEX (or) WIFE of OCCUPATION: PARENTS 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. information should be carefully supplied. AGE should be stated EXACTLY. PHYSICIANS should state 100m-9-'31. No. 3385-f N. B .- WRITE PLAINLY, WITH UNFADING BLACK INK-THIS IS A PERMANENT RECORDAND Every item of 12 BIRTHPLACE (City) (State or country)
..... .Ward
(If U. S. War Veteran, specify WAR)
(If nonresident, give city or town and state)
Revised Und 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 carlier 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, 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.
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 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., as amended by Chap. 48, Acts of 1927 and Chap. 414, Acts of 1931.
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