Town of Winthrop : Record of Deaths 1937, Part 64

Author: Winthrop (Mass.)
Publication date: 1937
Publisher:
Number of Pages: 532

USA > Massachusetts > Suffolk County > Winthrop > Town of Winthrop : Record of Deaths 1937 > Part 64

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).

town where the body is to be buried or the funeral is to be held, or from a person appointed to have the care of the cemetery or burial ground in which the interment is made ....- Chap. 114, Sec. 46, G. L. as amended

Medical examiners shall make examination upon the view of the dead bodies of only such persons as are supposed to have died by violence. If a medical examiner has notice that there is within his county the body of such a person, he shall forthwith go to the place where the body lies and take charge of the same ;...- General Laws, Chap. 38, Sec. 6.

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

.. The medical examiner certifies the cause and manner of death to the best of his knowledge and belief.

RULES OF PRACTICE

The fulfilment of the purpose of these laws calls for the observance of the following rules of practice:

(1) Attending physicians will certify to such deaths only as those of persons to whom they have given bedside care during a last illness from disease unrelated to any form of injury.

(2) Board of Health physicians will certify to such deaths only as those of persons who, though disabled by recognized disease unrelated to any form of injury, have died without recent medical attendance or whose physician is absent from home when the certificate of death is needed.

(3) Medical Examiners will investigate and certify to all deaths supposably due to injury. These include not only deaths caused directly or indirectly by traumatism (including resulting septicemia), and by the action of chemical (drugs or poisons), thermal, or electrical agents, and deaths following abortion, but also deaths from disease resulting from injury or infection related to occupation, the sudden deaths of persons not disabled by recognized disease, and those of persons found dead.

STATEMENT OF CAUSE OF DEATH

Medical Examiners in certifying to a death will state the cause and manner thereof, and will specify: (1) Under cause, the nature of an injury and of its consequences; and (2) under manner, the mode of its production together with the circumstances when these are known. For example: "Compound fracture of the femur with ensuing septicemia (gas bacillus) caused by a steam railway accident." " "Pistol shot wound of the chest with associated hemorrhage, homicidal." "Asphyxiation by suspension, suicidal." "Syncope while under the influence of ether administered as a surgical anæsthetic." "Fracture of the skull with associated internal injury sustained under circumstances unknown."

If disease or injury was related to occupation, specify. If investigation shows the death to have been due to disease, specify: (1) Under cause, its known or presumable nature; and (2) under manner, indicate the circumstances leading to medico-legal inquiry. For example: "Hemorr- hage spontaneous, of the brain (basal ganglia) (found dead in bed)." "Heart disease, presumably coronary sclerosis. (Sudden death.) "

DESCRIPTION (for unknown person)

NOTICE TO UNDERTAKERS: No embalming fluid, or any substitute therefor, shall be injected into the body of any person supposed to have met his death by violence, until a permit, signed by the Medical Examiner, has first been obtained .- General Laws, Chap. 38, Sec. 14.

THIS CERTIFICATE CONSTITUTES SUCH PERMIT

R-303 B

PLACE OF DEATH

Suffolk (County) Winthrop (City or Town)

The Commonwealth of Massachusetts OFFICE OF THE SECRETARY DIVISION OF VITAL STATISTICS MEDICAL EXAMINER'S CERTIFICATE OF DEATH

To be filed for burial permit with Board of Health or its AgentsS Registered No.

(If death occurred in a hospital or institution, give its NAME instead of street and number)

2 FULL NAME.

Main Sela that

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

(a) Residence.

No ..

39 Youvon St. Withsell

(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 Female

4 COLOR OR RACE

White

5 SINGLE

MARRIED

WIDOWED

OF DIVORCED

(write the word)

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 86

AGE

2 Years. 18 Days

If less than 1 day Hours Minutes

OCCUPATION

8 Trade, profession, or particular kind of work done, as spinner, sawyer, bookkeeper, etc ...

No no

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).

Cannan

(State or country)

NOW LOCK

13 NAME OF

FATHER

Edwin S. Flint

PARENTS

14 BIRTHPLACE OF

FATHER (City)

annan

(State or country) New York

| 15 MAIDEN NAME OF MOTHER Francis E. Bristol

16 BIRTHPLACE OF Canan MOTHER (City) (State or country) New York

17 Francis Flint ( Sister)

Informant (Address) 39 Irwin St Winthrop Mass

I HEREBY CERTIFY that a satisfactory standard certificate of death was İyad with me BEFORE the butin or, transit permit was issued:

Signature of Ages of Board of Healthfor Biber

Dalthe xOffffal Designation)

(Date of Issue of Permit)

MEDICAL CERTIFICATE OF DEATH

18 DATE OF DEATH august-

(Month)

3 - 1977

((Year)

(Day)

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.) myocarditis federal interio Delerosis fractured Selt tex2

Jued to have fallen rounddentale July -24-1/3 1

in her here

(See reverse side for description for unknown person )

20 IN WHAT CITY OR TOWN

WAS INJURY SUSTAINED ?. Y

(Signed)

M. D.

(Address)

Beton

Muss - 3= 1937

21 PLACE OF BURIAL,

CREMATION OR REMOVAL

Pittsfield

(Cemetery)

(City or town) 1937

DATE OF BURIAL.August 6

22 NAME OF

UNDERTAKER

Richard 96 While

ADDRESS

147 Winthrop St Winthrop Ma.s.R.

Received and filed 19

1937

AUG 5.

(Registrar)

no ingumas pernia

5m-12-'34. No. 2938-g

DEATH in plain terms, so that it may be properly classified under the International Classification of Causes

of Death. See reverse side for extracts from the laws relative to the return of certificates of death.

Ward

Ward,

(If U. S. War Veteran, specify WAR)

(If nonresident, give city or town and state)

information should be carefully supplied. MEDICAL EXAMINERS should state CAUSE AND MANNER OF

EXTRACTS

FROM THE LAWS OF THE COMMONWEALTH OF MASSACHUSETTS GOVERNING THE RETURN OF CERTIFICATES OF DEATH

A physician or registered hospital medical officer shall forth- with, after the death of a person whom he has attended during his last illness, at the request of an undertaker or other authorized person or of any member of the family of the deceased, furnish for regis- tration a standard certificate of death, stating to the best of his knowledge and belief the name of the deceased, his supposed age, the disease of which he died, defined as required by section one, where same was con- tracted, the duration of his last illness, when last seen alive by the physician or officer and the date of his death .... Gen. Laws, Chap. 46, Sec. 9.

No undertaker or other person shall bury or otherwise dispose of a human body in a town, or remove therefrom a human body which has not been buried, until he has received a permit from the board of health, or its agent appointed to issue such permits, or if there is no such board, from the clerk of the town where the person died; and no 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 raused 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.)

No undertaker or other person shall bury a human body or the ashes thereof which have been brought into the commonwealth until he has received a permit so to do from the board of health or its agent appointed to issue such permits, or if there is no such board, from the clerk of the town where the body is to be buried or the funeral is to be held, or from a person appointed to have the care of the cemetery or burial ground in which the interment is made ....- Chap. 114, Sec. 46, G. L. (Tercenten- ary Edition.)

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

... The medical examiner certifies the cause and manner of death to the best of his knowledge and belief.

RULES OF PRACTICE

The fulfilment of the purpose of these laws calls for the observance of the following rules of practice:

(1) Attending physicians will certify to such deaths only as those of persons to whom they have given bedside care during a last illness from disease unrelated to any form of injury.

STATEMENT OF CAUSE OF DEATH

Medical Examiners in certifying to a death will state the cause and manner thereof, and will specify: (1) Under cause, the nature of an injury and of its consequences; and (2) under manner, the mode of its production together with the circumstances when these are known. For example: "Compound fracture of the femur with ensuing septicemia (gas bacillus) caused by a steam railway accident." "Pistol shot wound of the chest with associated hemorrhage, homicidal." "Asphyxiation by suspension, suicidal." "Syncope while under the influence of ether administered as a surgical anæsthetic." "Fracture of the skull with associated internal injury sustained under circumstances unknown."

DESCRIPTION (for unknown person)

THIS CERTIFICATE CONSTITUTES SUCH PERMIT

R-302

PLACE OF DEATH

... Worcester (County)

Rutland

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

(City or town making return)

Registered No ..

126

(If death occurred in a hospital or institution, give its NAME instead of street and number)

169

2 FULL NAME

Oscar Nathan Gardner

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

84 lerman

St.

Ward,

"inthron, ass.

(If nonresident, give city or town and state)

mos. days.

PERSONAL AND STATISTICAL PARTICULARS

3 SEX

Kale

4 COLOR OR RACE

"hite

5 SINGLE

MARRIED

WIDOWED

or DIVORCED

(write the word)

Married

5a If married, widowed, or divorced

HUSBAND of

Jeannette McLeod

(Give maiden name of wife in full)

(or) WIFE of

(Husband's name in full)

6 IF STILLBORN, enter that fact here.

7 AGE 62

Years

Months

Days

If less than 1 day Hours. .Minutes

OCCUPATIONI

8 Trade, profession, or particular kind of work done, as spinny , intins contractor 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

11 Total time (years)

pont in thisz

this occupation, (month and

year)

About July 1, 19Occupation 30 r$

12 BIRTHPLACE (City)

(State or country)

Nova Scotia

18 NAME OF

FATHER

Stuart Gardner

14 BIRTHPLACE OF

FATHER (City)

(State or country)

Nova Scotia

15 MAIDEN NAME

OF MOTHER

Hannah Patillo

16 BIRTHPLACE OF

MOTHER (City)

(State or country)

Nova Scotia

17 State San.Records.

Informant

(Address)

Butland, lass

A TRUE COPY.

ATTEST:

Lowi M. Hand

(Registrar of city or town where death occurred)

DATE FILED

August 4 1937

MEDICAL CERTIFICATE OF DEATH

18 DATE OF

DEATH

August 4

1937

(Month)

(Day)

(Year)

Aurust 4

1937

19 I HEREBY CERTIFY, That i attended deceased from

July 23

1957, to

ł last saw h

.alive on.

August 1 1937

.. , death is said

to have occurred on the date stated above, at

2:40 mP . M.

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

Dateofonset

Lung abscess

lbout July 1,

1037

· Contributory ceases of importance not related to principal cause: Cone

Name of operation

What test confirmed diagnosis?

X-ray

Was there an autopsy ?.... Q.

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

If so, specify.

(Signed)

Jecar - cinsilver

M. D.

(Address)

Rutland Mass.

Date

3/4

21 PLACE OF BURIAL,

CREMATION OR REMOVAL

Winthrop, Winthrop,Mass

(Cemetery) (City or town)

DATE OF BURIAL

August

1937

22 NAME OF

UNDERTAKER

Charles B.Bennison

ADDRESS

Winthroppass.

Received and filed. 19

(Registrar of City or Town where deceased resided)

nia

PARENTS

important.

50m-9-'31. No. 3385.4

No.

(City or Town) Rutland State Sanatorium

.St.,

Ward

(L 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.

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

yrs.

tion should be carefully supplied. AGE should be stated EXACTLY. PHYSICIANS should state CAUSE OF DEATH in plain terms, so that it may be properly classified. Exact statement of OCCUPATION is very

Date of

(

R-302

Essex

(County)

Da nvers

(City or Town) No anvers itate Hospital

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

Danvers

(City or town making return)

Registered No.

(If death occurred in a hospital or institution,

Ward

give its NAME instead of street and number)

2 FULL NAME

George E. Lavoie

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

(a) Residence. No.

125 Main

St.

Ward,

Winthrop

(Usual place of abode)

Length of residence in city or town where death occurred

yrs.()

moy.

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

yrs.

mos. days.

PERSONAL AND STATISTICAL PARTICULARS

8 SEX

male

4 COLOR OR RACE

white

5 SINGLE

MARRIED

WIDOWED

or DIVORCED Vorced

5a lf married, widowed, or divorced

HUSBAND of

Irene Guerin

(Give maiden name of wife in full)

(or) WIFE of

(Husband's name in full)

6 IF STILLBORN, enter that fact here.

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.

Machinist

9 Industry or business in which

work was done, as silk mill,

On boats

10 Date deceased last worked at

11 Total time (years)

spent in this

this occupation (month and

year)

www. worked inactionlar ly

12 BIRTHPLACE (City)

Boston

(State or country)

13 NAME OF

FATHER

Lester Lavoie

14 BIRTHPLACE OF

FATHER (City)

(State or country)

New Hampshire

15 MAIDEN NAME

OF MOTHER

Rose G. Murphy

16 BIRTHPLACE OF

MOTHER (City)

(State or country)

Maine

17 Mary L. Sheehan

Informant

(Address)

DSII

A TRUE COPY.

ATTEST:

(Registrar of city or town where death occurred)

DATE FILED

8/16/37

. 19.

MEDICAL CERTIFICATE OF DEATH

18 DATE OF

DEATH

August 4, 1937

(Month)

(Day)

(Year)

19 I HEREBY CERTIFY, That I attended deceased from

July

... 28 ...... ,19 .... 7to ..... Aug.

3.7death is said

I last saw hi.In .... alive on ..

Aug

to have occurred on the date stated above,

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

Dateofonset

Bleeding ... gastro.je.junal ... ulcer Jul

Contributory causes of importance not related to principal cause:

Name of operation

What test confirmed diagnosis?

.clin

Date of

Was there an autopsy?

20 Was disease or injury in any way related to occupation of deceased? If so, specify

(Signed)

Melvin ...... daan

(Address)

DSH

M. D.

21 PLACE OF BURIAL,

Holy Cross Malden

CREMATION OR REMOVAL

DATE OF BURIAL

Aug.

7, 1957

(City or towa) 19

22 NAME OF

UNDERTAKER

Cassidy

Boston

ADDRESS

Received and filed

REP

(Registrar of City or Town where deceased resided)

min.

important.

50m-9-'31. No. 3385-g

tion should be carefully supplied. AGE should be stated EXACTLY. PHYSICIANS should state CAUSE OF DEATH in plain terms, so that it may be properly classified. Exact statement of OCCUPATION is very

PLACE OF DEATH

St.,

(If U. S.

War Veteran,

specify WAR)

(If nonresident, give city or town and state)

(write the word)

PARENTS

saw mill, bank, etc.

(

-301A

SUFFOLK

(County)

WINTHROP

(City or Town) No ... Station HospitalFt Banks Mass

The Onmutunteralth 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. 171

Registered No (If death occurred in a hospital or institution,

give its NAME instead of street and number) Spanish comune

2 FULL NAME

FRED R. FULLER

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

(a) Residence. No ..... Argonne Hotel

(Usual place of abode)

.St., ...

......

.Ward,

Boston Mass.

(If nonresident, give city or town and state)

Length of residence in city or town where death occurred

yTs.

mos.

days.

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

yrs.

mos.

days.

PERSONAL AND STATISTICAL PARTICULARS

MEDICAL CERTIFICATE OF DEATH

18 DATE OF

DEATH

August 5th 1937

(Month)

(Day)

(Year)

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 61

Years. 9 .Months. 28 .Days

If less than 1 day Hours .. Minutes

8 Trade, profession, or particular kind of work done, as spinner, sawyer, bookkeeper, etc.

Retired Soldier

9 Industry or business in which

work was done, as silk mill,

saw mill, bank, etc.

United States Army

10 Date deceased last worked at

this occupation (month

year)

11 Total time (years) spent in this occupation 30

12 BIRTHPLACE (City)

Unknown

(State or country)

Michigan

13 NAME OF

FATHER

Unknown

14 BIRTHPLACE OF

FATHER (City)

Unknown

(State or country)

Unknown

15 MAIDEN NAME OF MOTHER

Unknown

16 BIRTHPLACE OF

MOTHER (City)

Unknown

(State or country)

Unknown

Relation, if any

17 Registrar, Station Hospital

Informant (Address) Fort Banks, 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 aug /6/3)

(Official Deignation) (Date MIgue of Permit)

19 I HEREBY CERTIFY, That i attended deceased from April 22 19.37 . August 5 19.37 I last saw him .... allve on. August 5 19 .... 3.7 death Is sald to have occurred on the date stated above, at. . 1: 11.m. A. M. The principal cause of death and related causes of Importance in order of onset were as follows:

1. Pneumonia, broncho, acute,

Date of Onset IMPORTANT

terminal, all lobed, both lungs, type undetermined.

Aug 1937

2. Liver atrophic, cirrhosis of, severe cause undetermined.

3. Arteriosclerosis, generalized severe, senile.

Contributory cause: Senility se- condary to No. 3. Name of operation Date of

What test confirmed diagnosis?

Was there an autopsy?

If so, specify ..

pin ang wa alsted to ocupation

(Signed)

JOHN L. CRAWFORD Capt. M. C. M. D.

(Address)

Fort Banks .Mass ..

DateAug. 5 1937

21 PLACE OF BURIAL, CREMATION OR REMOVAL Mt. Hope

(Cemetery)

(City or town)

DATE OF BURIAL

august 1937

22 NAME OF

UNDERTAKER

amor field " Day

ADDRESS

Received and filed.

-1931

AUG. 9

(Registrar)

Iwares wat ingumas hernia

100m-12-'3.1. No. 2938-f

CAUSE OF DEATH in plain terms, so that it may be properly classified. Exact statement of OCCUPATION OCCUPATION is very important. See instructions and extracts from the laws on back of certificate.

CIf U. S.

specify WAR)

3 SEX

Male

4 COLOR OR RACE

White

5 SINGLE

MARRIED

WIDOWED

or DIVORCED

Single

(write the word)

PARENTS

PLACE OF DEATH

.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.

Need help finding more records? Try our genealogical records directory which has more than 1 million sources to help you more easily locate the available records.

Town of Winthrop : Record of Deaths 1937, Part 64

Author: Winthrop (Mass.) Publication date: 1937 Publisher: Number of Pages: 532

Author: Winthrop (Mass.)
Publication date: 1937
Publisher:
Number of Pages: 532