USA > Massachusetts > Suffolk County > Winthrop > Town of Winthrop : Record of Deaths 1938 > Part 11
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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 hody is buried. No such permit shall be issued until there shall nave been delivered to such board, agent or clerk, as the case may be, a satisfactory written statement con- taining 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 re- quired by law, or in lieu thereof a certificate as hereinafter pro- vided. If there is no attending physician, or if, for sufficient rea- sons, his certificate cannot be obtained early enough for the pur- pose, or is insufficient, a physician who is a member of the hoard of health, or employed by it or by the selectmen for the purpose, shall upon application make the certificate required of the attend- ing 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 an- other within the commonwealth cannot be obtained early enough for the purpose, the certificate of death made as above provided and in the possession of the undertaker desising to make such a removal shall constitute a permit for such removal; provided, that such body shall be returned to the town from which it was re- moved 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 required 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 ap- pear upon the permit. The board of health, or its agent, upon receipt of such statement and certificate. shall forthwith counter- sign it and transmit it to the clerk of the town for registration. The person to whom the permit is so given and the physician cer- tifying 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. (TER- CENTENARY 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.
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 fromn 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. (TERCENTENARY EDITION.)
RULES OF PRACTICE
The fulfillment of the purpose of these laws calls for the ob- servance of the following rules of practice:
(1) Attending physicians will certify to such deaths only as those of persons to whom they have given hedside 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 septi- cemia), 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.
RR-301A
SUFFOLK
(County )
WINTHROP
(City or Town)
138 3/1 The Commonwealth of Massachusetts OFFICE OF THE SECRETARY DIVISION OF VITAL STATISTICS
STANDARD CERTIFICATE OF DEATH
To be filed for burial permit with Board of Health or its Agent.
Registered No.
§ (If death occurred in a hospital or institution,
No.Station Hospital,Fort Banks, Mass .... St., .. . Ward \ give its NAME' instead of street and number)
2 FULL NAME CECELIA .. CLARE.WELCH
(If deceased is a married, widowed or divorced woman, give also maiden name.)
(a) Residence. No .... 431.Thames ... St, NewPort.,RI
(Usual place of abode)
St.,
Ward,
(If nonresident, give city or town and state)
Length of residence in city or town where death occurred
years
months
days.
How long in U.S., if of foreign birth?
years
mouths
days.
PERSONAL AND STATISTICAL PARTICULARS
MEDICAL CERTIFICATE OF DEATH
18 DATE OF
DEATH
February ... 5 .1938
(Month)
(Day)
(Year)
5a If married, widowed, er divorced
HUSBAND of
·
(Give maiden name of wife in full)
Sat Edward T. welch G Co 13th
(Husband's name in full)
Inf
6 IF STILLBORN, enter that fact here.
7 AGE .... 2.1 Years. .8 ... Months.2.6 .... Days
If less then 1 day
Hours Minutes
8 Trede, profession, or particular kind of work done, es spinner, sawyer, bookkeeper, etc ..... Housekeeper
9 Industry or business in which
work was done, as ailk mill,
Own home
10 Dete deceased last worked at
11 Totel time (years)
spent in this
occupation.
this occupetion (month and
year)
12 BIRTHPLACE (City)
Fall River
(State or country)
Massachusetts
13 NAME OF
FATHER
(Step father ) Terry Madden
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
17 Sgt ... Edward ......... We.Ich.
Relation, if any ( ... Husband
(Address) Conc"1 13th Inf, Ft Adams, RI
I HEREBY CERTIFY thet e satisfactory standard certificate of deeth was filed with me BEFORE thebutial of transit permit wes Issued: NM. D. Guldrezza (Signature of Agent of Board of Health or other) Je alte lice 3/6/38
(Oincial Designation) (Date of Issue of Permit)
19 I HEREBY CERTIFY, That i attended deceased from
Feb. 5
19.38 to February 5 .....
19.38 ...
I last saw h .. e.r ...... allve on .. February ..
....
5. 19 .. 3.8., death is sald to have occurred on the date stated above, at 1:10 Pm The principal cause of death and related causes of Importance in order of onset were as follows: 1.Carbuncle acute severe left Date of Onset IMPORTANT
scapul
Mar ... region
an ... 23/38
2.Bronchopneumonia, acute, severe., involving .. all ... lobes,right .. lung, Type IV
Contribatory causes of Importance not related to principal cause:
Jan ... 30/38
Neme of operation.
What test confirmed diegnosis ?......... No
Date of
Was there an autopsy ?.
20 Was disease or Injury in any way related to occupation of deceased? No
tf so, specify
(Signed)
Charles H. MacLaughlin s.r.M.D.
(Address) ..... Station ... Hospital ..
Dete 2 16 1938
Ft Banks, Mass
Newport R.I.
21
Place of Burial,
Cremation or Removal
(City
Town)
DATE OF BURIAL
February
8
1938
22 NAME OF
UNDERTAKER
C.R.Bennison.170 Winthrop
ADDRESS
St ...... Winthrop. .... Mass ..
Received and filed. 19
FEB 1 4 1938
(Registrar)
00m 11 '36. No. 9080 F
OCCUPATION See instructions and extracts from the laws on back of certificate. important. N. D .- WRITE PLANET, WIM UNITADING DLACA INA-THIS IS A PRAWIANENNT RLCVIND. LETY ICH UI TIVTHa" PARENTS
1 3 SEXFema 1 Female (or) WIFE of in plain terms, so that it may be properly classified. Date of onset and exact statement of OCCUPATION are very tion should be carefully supplied. Age should be stated EXACTLY. PHYSICIANS should state CAUSE OF DEATH saw mill, bask, etc.
nuopony
PLACE OF DEATH
COLOR OR RACE
White
5 SINGLE
(write the word)
married
MARRIED
WIDOWED
or DIVORCED
specify WAR)
(If U. S.
War Veteran
23
Statement of occupation. Precise statement of occupation is very important, so that the relative healthfulness of various pur- suits 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 changel on account of the disease causing death, report the occupation prior to illness. If the deccased had retired from bus- iness, 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 whatever 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 partic- ular kind of work done and return that, as SPINNER, WEAVER, etc.
In stating the industry or business, avoid the use of such gen- eral terms as "store." "factory." "mill." etc. State the particular kind of store, factory, mill, etc. as GROCERY STORE, SOAP FACTORY, COTTON MILL, ctc.
Distinguish carefully the different kinds of engineers by stating the full descriptive titles. as CIVIL ENGINEER, MECHANICAL ENGIN- EER. MINING ENGINEER, STATIONARY ENGINEER, etc. Avoid the term "laborer" when a more precise statement of the occupation can be secured. Do not use the word "mechanic." but give the exact occupation, as CARPENTER, PAINTER. MACHINIST, etc. Distinguish carefully between RETAIL MERCHANTS AND WHOLESALE MERCHANTS. A person who sells goods should be called a SALESMAN and not a CLERK
Statement of Cause of Death. - Cause of death means the disease, or complication which causes death, NOT the mode of dying, E. G., heart failure, asphyxia, asthenia, etc. . As principal cause name the disease causing death. As related causes, name earlier morbid conditions, if any, related to the principal cause and any important complication of the principal cause. Under contributory causes of importance not related to principal cause, name other important diseases.
Example
'The principal cause of death and related causes of importance in order of onset were as follows:
Date ol Onset
Arteriosclerosis ...
1915 *
Chronic interstitial nephritis
1921
Cerebral hemorrhage
July 5, 1927
Contributory causes of importance not related to principal cause :
.
In a group of causes containing the principal cause and related causes, the causes should be given in the order of onset, so that in a group of three causes the principal cause may appear in either first, second, or third position. The principal cause in the above example happens to be the second cause given.
RETURN OF CERTIFICATES OF DEATH
A physician or registered hospital medical officer shall forth- with, alter the death of a person whont 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 sup- posed age, the disease of which he died, defincd 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 hury or otherwise dispose of a human body in a town, or remove therefrom a human hody 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 hoard of health or its agent aforesaid or from the clerk of the town where the body is buried. No such perinit shall be issued until there shall nave been delivered to such board, agent or clerk. as the casc may be. a satisfactory written statement con. taining 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 re- quired by law, or in lieu thereof a certificate as hereinafter pro- vided. If there is no attending physician, or if, for sufficient rea- sons, his certificate cannot he obtained early enough for the pur- pose, 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 attend. ing 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 an- other within the commonwealth 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 a removal shall constitute a permit for such removal: provided, that such body shall he returned to the town from which it was re. moved 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 required 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 ap- pear upon the permit. The board of health, or its agent, upon receipt of such statement and certificate, shall forthwith counter- sign it and transmit it to the clerk of the town for registration. The person to whom the permit is so given and the physician cer- tifying the cause of death shall thereafter furnish for registration any other necessary information which can he 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. (TER- CENTENARY EDITION. )
Medical examiners shall makc examination upon the view of the dead bodies of only such persons as are supposed to have died by violence. .- GEN. LAWS, CHAP. 38, SEC. 6.
.... He shall in all cases certify to the town clerk or registrar in the place where the deceased died his name and residence, if known: otherwise a description as full as may be, with the cause and manner of death .- GEN. LAWS, CHAP. 38, SEC. 7.
. No undertaker or other person shall bury a human body or the ashes thereof which have been brought into the commonwealth until he has received a permit so to do from the board of health or its agent appointed to issue such peintits, 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. (TERCENTENARY EDITION.)
RULES OF PRACTICE
The fulfillment of the purpose of these laws calls for the ob- servance 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 septi- cemia), and hy the action of chemical (drugs or poisons). thermal. or electrical agents, and deaths following abortion, but also death; 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.
...
R-301A
Suffolk
(County)
Winthrop
(City or Town)
II Adams St. Winthrop
The Commonwealth of Massachusetts OFFICE OF THE SECRETARY DIVISION OF VITAL STATISTICS STANDARD CERTIFICATE OF DEATH
To be filed for burial permit with Board of Health or its Agent.
Registered No.
2.11
f (If death occurred in a hospital or institution,
St.,.
Ward \ give its NAME' instead of street and nuniber)
2 FULL NAME
Rufus West
(If deceased is a married, widowed or divorced woman, give also maiden name.)
(a) Residence.
No.
II Adams St. Winthrop Mass.
St.,
Ward,
(Usual place of abode)
Leorth of resideoce in city or town where death occorred
I 7 years
mooths
days.
How loog in U.S., if of foreign birth?50
years
months
days.
PERSONAL AND STATISTICAL PARTICULARS
4 COLOR OR RACE
White
5 SINGLE
MARRIED
WIDOWED
or DIVORCED
(write the word)
Widowed
5a If married, widowed, or divorced
Cora H. Robenson Host
HUSBAND of
(Give maiden name of wife in full)
(or) WIFE of
(Husband's name in full)
6 IF STILLBORN, enter thet fact hera.
Years.
I
Months
.Days
If less than 1 day
Hours.
.. Minutes
8 Trade, profession, or particuler kind of work done, as spinner, sawyer, bookkeeper, atc.
Produce
9 Industry or business in which
work was dona, as silk mill,
Market
10 Date deceasad last workad at
11 Total time (yaars)
spent in this
occupation
this occupatipo sponth and
yeer)
50
12 BIRTHPLACE (City)
Del Haven
(State or country)
Nova Scotia
13 NAME OF
FATHER
EM jah West
14 BIRTHPLACE OF
FATHER (City)
Del Haven
(State or country)
Nova Scotia
15 MAIDEN NAME
OF MOTHER
Harriett Rand
Del Haven
(State or country)
Novia Scotia
17 Isac B.Robinson(
Relation, if any Nephew
(Address)
TI Adams St. winthrop
I HEREBY CERTIFY that a satisfactory standard certificate of death was fHed with me BEFORE tha butlal or transit permit was issuad:
Culdreux
(Signature of Agent of Board of Health or other)
Thealth Officer 2/9/38
(Official Designation) (Date of Issue of Permit)
.
MEDICAL CERTIFICATE OF DEATH
18 DATE OF
DEATH
February
7
1938
(Month)
(Day)
(Year)
19, I HEREBY CERTIFY, That I attended deceased from
July 9
192€, 0
February 7 1938
-t last saw h.c.t ....... allve on. February 7 1936, death is said to have occurred on the date stated above, at 20' The principal cause of death and related causes of Importance In order of onset were as follows: Dete of Onset IMPORTANT Cerebral Hemorrhage Jan 1938
Contribatory pauses of Importence not ralated to principal cause: arteriosclerosis
1935
Senility
193%.
Nama of operation none
Date of.
What test confirmed diagnochemical
Was there an autopsy? o
labratra
20 Was disease or injury in any wey ralated to occupation of deceasad?
If so, specify
Jacob Cliques
M. D.
(Signed)
(Address)
0562 Stanley
· Data 3/9/380
21
Ceder Grove
Boston Mass
l'lace of Burial, Cremation
Feb
gr Pggal.
19
DATE OF BURIAL.
22 NAME OF
UNDERTAKER
Sichauf 16 White
ADDRESS
I47 Winthror St. Winthrop
Recalvad and filed. 19.30 19
(Registrar)
-WRITE TERINGT; WIT
100m 11 36. No. 9080 F
N. D .-
PLACE OF DEATH
I
No
3 SEX
Male
7
AGE
86
16 BIRTHPLACE OF
PARENTS
OCCUPATION
MOTHER (City)
Informant
tion should be carefully supplied. Age should be stated EXACTLY. PHYSICIANS should state CAUSE OF DEATH
important. See instructions and extracts from the laws on back of certificate.
in plain terms, so that it may be properly classified. Date of onset and exact statement of OCCUPATION are very
saw mill, bank, atc.
(If U. S.
War Veteran
specify WAR)
(If nonresident, give city or town and state)
(City or Town)
Statement of occupation. - l'recise statement of occupation is. very muportant, so that the relative healthfulness of various pur- suits 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 bus- iness, report the occupation prior to retirement. Children not gainfully employed may be returned as AT SCHOOL OF AT HOME. For a woman whose only occupation was that of home housework, write HOUSEWORK in answer to Question 8 and OWN HOME in answer to Question 9. For a person engaged in domestic service for wages, however, designate the occupation by the appropriate terms, as HOUSEKEEPER-PRIVATE FAMILY, COOK-HOTEL, etc. For a person who had no occupation whatever 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 mouth 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 partic- ular kind of work done and return that, as SPINNER, WEAVER, etc.
In stating the industry or business, avoid the use of such gen- eral terms as "store." "factory," "mill," etc. State the particular kind of store, factory, mill, etc., as GROCERY STORE, SOAP FACTORY, COTTON MILL, ctc.
Distinguish carefully the different kinds of engineers by stating the full descriptive titles. as CIVIL ENGINEER, MECHANICAL ENGIN- EER, MINING ENGINEER, STATIONARY ENGINEER, etc. .Avoid the term "laborer" when a more precise statement of the occupation can be securcd. Do not use the word "mechanic," hut give the exact occupation, as CARPENTER, PAINTER. MACHINIST, etc. Distinguish carefully between RETAIL MERCHANTS AND WHOLESALF 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. . Is 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. L'nder contributory causes of importance not related to principal causc, name other important diseases.
Example
'The principal cause of death and related causes! of importance in order of onset were as follows: Arteriosclerosis
Dste ol Onset
1915
Chronic interstitial nepbritis
1921
Cerebral hemorrhage
July 5, 1927
Contributory causes of importance not related to principal cause :
In a group of causes containing the principal cause and related causes, the causes should be given in the order of onset, so that in a group of three causes the principal cause may appear in either first, second, or third position. The principal cause in the above example happens to be the second cause given.
RETURN OF CERTIFICATE
A physician or registered hospital medical officer shall forth- with, alter 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 sup- posed 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 dlate 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 hoard of health or its agent aforesaid or from the clerk of the town where the body is buried. No such permit shall bc issued nntil there shall have been delivered to such board, agent or clerk. as the case may be. a satisfactory written statement con- taining 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 re- ouired by law, or in lieu thereof a certificate as hereinafter pro- vided. If there is no attending physician, or if, for sufficient rea- sons, his certificate cannot he obtained early enough for the pur- pose, 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 attend. ing physician. If death is caused hy 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 an- other within the commonwealth 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 a removal shall constitute a permit for such removal; provided. that such body shall be returned to the town from which it was re- moved 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 reunired 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 ap- pear upon the permit. The board of health, or its agent, upon receipt of such statement and certificate, shall forthwith counter- sign it and transmit it to the clerk of the town for registration. The person to whom the permit is so given and the physician cer- tifying the canse 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. (TER- CENTENARY EDITION. )
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