USA > Massachusetts > Suffolk County > Winthrop > Town of Winthrop : Record of Deaths 1937 > Part 32
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(Signed)
Wm J Prickley
(Address)
Boston
Date 2/246
M. D. 37
22 PLACE OF BURIAL,
CREMATION OR REMOVAL
Holy Cross-Malden
DATE OF BURIAL
19
28 NAME OF
UNDERTAKER
R C Kirby
ADDRESS
East Boston
Received and filed 19
(Registrar of City or Town where deceased resided)
-
(write the word)
(IF U. S.
specify WAR) -
(a)
Residence. No.
(Usual place of abode)
Length of residence in city or town where death occurred
yrs.
days
How long in U. S., if of foreign birth?
yrs.
mos.
Ward
1
PARENTS.
(Cemetery)
2/ 27/37
(City or town)
RM R-305
PLACE OF DEATH
SUFFOLK (County) BOSTON (City or Town)
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.
2635
(If death occurred in a hospital or institution,
give its NAME instead of street and number)
2 FULL NAME
DAV.I.D. M ...... GEHRKEN
(If deceased is a married, widowed or divorced woman, give also maiden name.)
.92 .. BOWD.O.IN
.St.,
Ward, WINTHROP
(If nonresident, give city or town and state)
mos. days.
PERSONAL AND STATISTICAL PARTICULARS
MEDICAL CERTIFICATE OF DEATH
3 SEX
M
4 COLOR OR RACE
W
5 SINGLE
MARRIED
WIDOWED
or DIVORCED
MARRIED
(write the word)
5a If married, widowed, or divorced
HUSBAND of
MARGARET BELLIUEAN
(Give maiden name of wife in full)
(or) WIFE of
(Husband's name in full)
6 IF STILLBORN, enter that fact here.
7 AGE .44 Years. 10 Months 28 Days
If less than 1 day Hours Minutes
OCCUPATION
8 Trade, profession, or particular kind of work done, as spinner, sawyer, bookkeeper, etc. DRIVER 9 Industry or business in which work was done, as silk mill, saw mill, bank, etc .. TRUCKING
10 Date deceased last worked at this occupation (month and year).
3-137
11 Total time (years)
spent in this
occupation .. ...
12 BIRTHPLACE (City)
WINTHROP
(State or country)
13 NAME OF FATHER CHRISTIAN GEHRKEN
PARENTS.
14 BIRTHPLACE OF
FATHER (City)
(State or country)
NORWAY
15 MAIDEN NAME
OF MOTHER
JULIA OLSEN
16 BIRTHPLACE OF
MOTHER (City)
(State or country)
NORWAY
17
(Address)
Informant
MRS M B GEHRKEN (WIFE)
92 BOWDOIN ST WINTHROP
A TRUE COPY Neida Ofedition Quirks
ATTEST:
(Regntrar of city or town where death occurred)
DATE FILED
MAR ... .. 11
19.37
18 DATE OF
DEATH
MAR
(Year)
(Month)PROBABLY (Day)
6
1937
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)
EXPOSURE ... AF.TER .... IMMERS I ON
PRESUMABLY ..... AC.C.I.DEN.T.AL
FOUND DEAD ON APPLE ISLAND BOS TON
HARBOR
20 If death was due to external causes (VIOLENCE) fill in the following : Accident, Suicide or
Date of injury. 19
5 Homicide ?
Where did
injury occur ?
BOSTON
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
Dat
3/7
.19.37
22 PLACE OF BURIAL.
CREMATION OR REMOVAL
WOODLAND
ME
(cemetery)
(City or town)
DATE OF BURIAL
MAR
11
19 .37
23 NAME OF
UNDERTAKER
R.H. WHITE
ADDRESS
WINTHROP.
Received and filed 10
(Registrar of City or Town where deceased resided)
25m-2-'30. No. 7997-0
1
No.
HARBOR
A.P.PLE ... I.S.L.AND ..... BOST.ON St.,
..... Ward
(IE 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.
(City or town and State)
R-305
PLACE OF DEATH
SUFFOLK (County)
BOSTON (City or Town)
The Commonwealth of Massachusetts OFFICE OF THE SECRETARY DIVISION OF VITAL STATISTICS MEDICAL EXAMINER'S CERTIFICATE OF DEATH
BOSTON (City or town making returpy 2692
Registered No. (If death occurred in a hospital or institution,
give its NAME instead of street and number)
2 FULL NAME
ARTHUR WILLIAM KNUDSON
(If deceased is a married, widowed or divorced woman, give also maiden name.)
(a)
Residence. No ..
.72 FREMONT
St.,.
.. Ward,
WINTHROP
(If nonresident, give city or town and state)
mos. days.
PERSONAL AND STATISTICAL PARTICULARS
3 SEX M
4 COLOR OR RACE
W
5 SINGLE
MARRIED
WIDOWED
or DIVORCED
MARRIED
5a If married, widowed, or divorced
HUSBAND of
EVELYN .DEANGELIS
(Give maiden name of wife in full)
(or) WIFE of
(Husband's name in full)
6 IF STILLBORN, enter that fact here.
7 AGE .27 Years 1 Months 22Days
If less than 1 day .Hours .Minutes
OCCUPATION
8 Trade, profession, or particular kind of work done, as spinner, sawyer, bookkeeper, etc. ..
DRIVER
9 Industry or business in which work was done, as silk mill, saw mill, bank, etc. TRUCK
10 Date deceased last worked at
this occupation (month and
year)
11 Total time (years)
spent in this
3-'37
occupation
12 BIRTHPLACE (City)
WINTHROP
(State or country)
13 NAME OF
FATHER
THOMAS R KNUDSON
PARENTS
14 BIRTHPLACE OF FATHER (City)
(State or country)
NORWAY
15 MAIDEN NAME OF MOTHER CHRISTFOE GEHRKEN
16 BIRTHPLACE OF
MOTHER (City)
(State or country)
NORWAY
25m-2-'30. No. 7997-0
17 MRS. T. R KNUDSON (MOTHER Informant (Address) 41 ENFIELD RD WINTHROP
A TRUE COPY
Hilda Ofedition Quick
ATTEST:
(Registrar of city or town where death occurred)
19.37
MEDICAL CERTIFICATE OF DEATH
18 DATE OF
DEATH
MAR 6
1937
(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 involve 1, state fully) DROWNING PRESUMABLY ACCIDENTAL SAID TC HAVE BEEN IN A SMALL BOAT WHICH SANK IN BOSTON HARBOR NEAR APPLE ISLAND 3/6/37
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 ?
? BOS TON
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
Date
3/9 19 37
22 PLACE OF BURIAL
CREMATION OR REMOVAL
WINTHROP
WINTHROP
DATE OF BURIAL
MAR
12
37
23 NAME OF
UNDERTAKER
R H WHITE
ADDRESS WINTHROP
Received and filed. 19
(Registrar of City or Town where deceased resided)
1
No. BETWEEN APPLE ISLAND &
WINTHROP
St.,
Ward {
(If U. S. War Veteran, specify WAR)
(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.
(write the word)
DATE FILED MAR. ..... 12
(City or town and State)
(Cemetery)
(City or town) 19
1
Y
M R-305
PLACE OF DEATH
SUFFOLK (County)
BOSTON (City or Town)
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.
2736
(If death occurred in a hospital or institution,
give its NAME instead of street and number)
WINTHROP
EDWARD J DROMGOOLE
(If deceased is a married, widowed or divorced woman, give also maiden name.)
(a)
Residence.
No ...
92 BOWDOIN
St.
Ward, .W.I.N.T.HROP.
(If nonresident, give city or town and state)
(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
3 SEX M
4 COLOR OR RACE
W
5 SINGLE
MARRIED
WIDOWED
or DIVORCED MARRIED
5a If married, widowed, or divorced
HUSBAND of
BETTY MEUSE
(Give maiden name of wife in full)
(er) WIFE of
(Husband's name in full)
6 IF STILLBORN, enter that fact here.
7 AGE 25 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.
CHAUFFEUR
9 Industry or business in which work was done, as silk mill, saw mill, bank, etc ..
CONTRACTOR
10 Date deceased last worked at this occupation (month and year)
3 -: 37
11 Total time (years) Suicide or spent in this occupation .... 5 Homicide ?
12 BIRTHPLACE (City)
(State or country)
13 NAME OF
FATHER
WILLIAM DROMGOOLE
PARENTS.
14 BIRTHPLACE OF
FATHER (City)
(State or country) IRELAND
15 MAIDEN NAME
OF MOTHER
MARY K MCNULTY
16 BIRTHPLACE OF MOTHER (City) (State or country) IRELAND
25m-2-'30. No. 7997-0
17 Informant (Address)
W DROMGOOLE (FATHER)
83 EVANS ST MEDFORD
A TRUE COPY
Needs Ofedition Quick
ATTEST:
(Registrar of city or town where death occurred)
19
37
MEDICAL CERTIFICATE OF DEATH
18 DATE OF
DEATH
MAR
6
(Month)
(Day)
(Year)
1 1
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)
DROWNING
PRESUMABLY ACCIDENTAL SAID TO HAVE BEEN IN A SMALL BOAT WHICH SANK IN BOSTON NEAR APPLE ISLAND 3/6/37
20 If death was due to external causes (VIOLENCE) fill in the following : Accident,
Date of injury 19
Where did
injury occur ?
?.... BOSTON
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
Date
39 .19 37 .
22 PLACE OF BURIAL,
CREMATION OR REMOVAL
HOLY CROSS
MALDEN
DATE OF BURIAL MAR. ... 12
(Cemetery)
(City or town) 19.37 ..
23 NAME OF
UNDERTAKER
S .Rocco
ADDRESS
EVERETT
Received and filed 19
(Registrar of City or Town where deceased resided)
-
1
No.
BETWEEN APPLE ISLAND &
St., Ward
(If U. S.
War Veteran,
specify WAR)
2 FULL NAME
DATE FILED MAR. .. 13
(write the word)
1937
ROXBURY
(City or town and State)
R-302
OCCUPATION tion should be carefully supplied. AGE should be stated EXACTLY. PHYSICIANS should state CAUSE important. OF DEATH in plain terms, so that it may be properly classified. Exact statement of OCCUPATION is very PARENTS
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)
81
Registered No. 2645
(If death occurred in a hospital or institution,
give its NAME instead of street and number)
2 FULL NAME ANNE .. FLORENCE ... LALLY
(If deceased is a married, widowed or divorced woman, give also maiden name.)
(a)
Residence.
No.
204 .WASHINGTON ... AV.
.. St.,.
Ward, WINTHROP.
(Usual place of abode)
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
F
4 COLOR OR RACE
W
5 SINGLE
(write the word)
MARRIED
WIDOWED
or DIVORCED MARRIED
5a If married, widowed, or divorced
HUSBAND of
(Give maiden name of wife in full)
(or) WIFE of
JOSEPH F LALLY
(Husband's name in full)
6 IF STILLBORN, enter that fact here.
7
AGE 48 Years Months Days
If less than 1 day
.Hours Minutes
8 Trade, profession, or particular kind of work done, as spinner, sawyer, bookkeeper, etc.
HOUSEWIFE
9 Industry or business in which work was done, as silk mill, saw mill, bank, etc .. AT .... HOME
10 Date deceased last worked at this occupation (month and year)
12-136
spent in this occupation. 15
12 BIRTHPLACE (City)
BOSTON
(State or country)
13 NAME OF FATHER
14 BIRTHPLACE OF FATHER (City)
(State or country)
15 MAIDEN NAME
OF MOTHER
16 BIRTHPLACE OF MOTHER (City) -
(State or country)
17 Informant (Address)
J F LALLY (HUSBAND)
204 WASHINGTON AV WINTHROP
A TRUE COPY.
ATTEST :..
Hilda Ofedition Quirks
(Registrar of city or town where death occurred)
DATE FILED
MAR 11 .198 7
MEDICAL CERTIFICATE OF DEATH
18 DATE OF
DEATH
MAR
8
193 7
(Month)
(Day)
(Year)
19 I HEREBY CERTIFY, That I attended deceased from
FEB ...... 24
19.37., to
MAR ...... 8.
19.3.7
I last saw h.ER ... alive on.
MAR.
7
19.37.
death is said
to have occurred on the date stated above, at. 4:45Am.
The principal cause of death and related causes of importance in order of onset were as follows:
A.GUTE ... ENDOCARDI.T.I.S ... W.I.T.H ... INFLUEN- ZA
3/31/37
Contributory causes of importance not related to principal cause: PREVIOUS CHRONJ.C ... ENDOCARDITIS TO 1935
PSYCHOSIS ... MANIC .. . DE PRESS.I.V.E ..
.. MANI.C ..
PHASE
Name of operation
What test confirmed diagnosis?
Date of
Was there an autopsy? No
No.
20 Was disease or injury in any way related to occupation of deceased?
If so, specify.
M. D.
(Signed)
G
..... TRY.ON
(Address) .
BOSTON STATE HOSP
Date
3/8
19.3.7.
21 PLACE OF BURIAL,
CREMATION OR REMOVAL
CALVARY
WAL THAM
(Cemetery)
(City or town) 198.7
22 NAME OF
UNDERTAKER
R. C KIRBY
ADDRESS
BOSTON
Received and filed 19
(Registrar of City or Town where deceased resided)
1
No. BOSTON .. STATE ... HOSP
St.,
Ward
(If U. S. War Veteran, specify WAR)
(If nonresident, give city or town and state)
11 Total time (years)
50m-9-'31. No. 3385-g
DATE OF BURIAL
MAR 10
R-302
Middleser
The Commonmealth of Massachusetts OFFICE OF THE SECRETARY DIVISION OF VITAL STATISTICS STANDARD
Rowell
(City or town making return),
1+16 . 82
2 FULL NAME
Stelliam Datis
(If deceased is a married, widowed or divorced woman, give also maiden name.)
(a)
Residence.
No.
(Usual place of abode)
Length of residence in city or town where death occurred
yrs.
fur
mos.
days. How long in U. S., if of foreign birth? 19
yrs.
mos.
days.
PERSONAL AND STATISTICAL PARTICULARS
3 SEX
male
4 COLOR OR RACE
It hite
5 SINGLE
MARRIED
WIDOWED
or DIVORCED
(write the word)
married
5a If married, widowed, or divorced
HUSBAND of
Christina Idrahta
(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
OCCUPATION
8 Trade, profession, or particular kind of work done, as spinner, sawyer, bookkeeper, etc.
Shoe maker
9 industry or business in which
work was done, as silk mill,
saw mill, bank, etc .....
Shoestore
10 Date deceased last worked at
this occupation (month and
year)
Jan. 1936.
11 Total time (years) spent in this occupation.
11
12 BIRTHPLACE (City)
(State or country)
18 NAME OF
FATHER
Elias Satis
14 BIRTHPLACE OF
FATHER (City)
L'Accce
15 MAIDEN NAME
OF MOTHER
"Sanfona. achonakopoulos
16 BIRTHPLACE OF MOTHER (City) (State or country)
17
(Address) 29 Shirley St. Drie hsop mas
A TRUE COPY
ATTEST
(Registrar of city or town where death occurred)
DATE FILED Josef
19 : 37
MEDICAL CERTIFICATE OF DEATH
18 DATE OF
DEATH
march
30
1939.
(Month)
(Day)
(Year)
19 I HEREBY CERTIFY, That I attended deceased from
·match
28
19:37, to
march
30
1937
I last saw hem alive on
march
30
1937, death is said
to have occurred on the date stated above, at. m. The principal cause of death and related causes of importance in order of Dateofonset onset were as follows: Cardio- Vascular (M)ena
Contributory causes of importance not related to principal cause:
Date of
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)
Howard It Vervett
M. D.
(Address)
Manuel maso Date +3 90 1937
21 PLACE OF BURIAL,
CREMATION OR REMOVAL
Winthrop
Stenthral.
DATE OF BURIAL
April
(Cemetery)
4.
(City or towu) 193%.
22 NAME OF
UNDERTAKER
arthur Q. Haciatis
ADDRESS
Received and filed 19
(Registrar of City or Town where deceased resided)
50m-9-'31. No. 3385-K
tion should be carefully supplied. AGE should be stated EXACTLY. PHYSICIANS should state CAUSE important. OF DEATH in plain terms, ao that it may be properly classified. Exact statement of OCCUPATION is very PARENTS
PLACE OF DEATH
1
(County) Lawell
(City or Town)
No. Lowell General kapital
St.,
Ward
(If death occurred in a hospital or institution,
give its NAME instead of street and number) (LE U. S. War Veteran, specify WAR)
29 Shirley
.St., ..
Ward,
Sventhrop mas
(If nonresident, give city or town and state)
CERTIFICATE OF DEATH
Registered No
(State or country)
R-301A
Suffolk
The Commonwealth of Massachusetts OFFICE OF THE SECRETARY DIVISION OF VITAL STATISTICS STANDARD CERTIFICATE OF DEATH
lep. 42
To be filed for burial permit with Board of Health Owits Agent.
83
Registered No.
(If death occurred in a hospital or institution,
give its NAME instead of street and number)
Sterina -Guide Buttring U.S. seria
(If deceased is a married, widowed or divorged woman, give also maiden name.)
(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
3 SA
4 COLOR OR RACE Female White
5 SINGLE
MARRIED
WIDOWED
or DIVORCED
(write the word)
Married
5a If married, widowed, or divorced HUSBAND of Ubaldo maide Lucia Buttrue
(or) WIFE of ..... (Husband's name in full)
6 IF STILLBORN, enter that fact here.
AGE
7
61
.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 ....
at Hance
· 9 Industry or business in which work was done, as silk mill, saw mill, bank, etc.
10 Date deceased last worked
this occupation (month and
year)
d) careggi spent in this
occupation
rada gno Li ficarseveral canceroratorio
12 BIRTHPLACE (City).
(State or country)
12 Taly
13 NAME OF
FATHER
PARENTS
14 BIRTHPLACE OR FATHER (City)
(State or country)
souza qualfatti
15 MAIDEN NAME OF MOTHER
c a GEaudacia
16 BIRTHPLACE OF
MOTHER (City)
(State or country)
Italy
17 Informaz
(Addr s) 34 Girdlestre ad
I HEREBY CERTIFY that a satisfactory standard certificate of death was (filed with me BEFORE the bufiel gr. transit permit was issued:
Th .. 'gre oldgGof Board of Health of other Heart officer 4/9/34 (Official Desiguaison) (Date of Issue of Permit) /
MEDICAL CERTIFICATE OF DEATH
18 DATE OF DEATH March 31, 1937 (Day) (Year)
(Month)
19 I HEREBY CERTIFY, That I attended deceased from Inovember 16, 1937 to March 30 1937
I last saw her alive on March 30 19.3. Z .. , death is sald
to have occurred on the date stated above, at 1:30pm. The principal cause of death and related causes of Importance in order of onset were as follows: Date of Onset IMPORTANT Carcinoma of rectum 1936.
Contributory causes of importance not related to principal cause:
1937
Name of operation KOO
Exceniony Story Date of
of timmar
1936
What test confirmed diagnosi @lyquese
.. Was there an autopsy?
20 Was disease or injury in any way related fo occupation of deceased? If so, specify Jacob Itrans (Signed) 4 Date 3/3/97 A. M. D. (Address) 562 Sunday
21 PLACE OF BURIAL, CREMATION OR REMOVAL "(Comretery)
(City or town) 1937
DATE OF BURIAL
22 NAME OF
UNDERTAMER
ADDRESS
Received and filed ............... /1937
19
(Registrar)
APR 15
100m-12-34. No. 2938-f
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.
PLACE OF DEATH
...
(County)
1
(City or Town)
No.
2 FULL NAME
34 girollesterie 16dl.
Ward,
War Veteran, specify WAR) Winthrop
(If nonresident, give city of town and state)
11 Total time (years)
Relatiop, if any
.Ward
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 terins 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 .... pointer, 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.
Cap 6927
Example
The principal cause of death and related causes of importance in order of onset were as follows:
Date of onset
Arteriosclerosis
1019
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.
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- roval; 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.)
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