Town of Winthrop : Record of Deaths 1938, Part 39

Author: Winthrop (Mass.)
Publication date: 1938
Publisher:
Number of Pages: 522

USA > Massachusetts > Suffolk County > Winthrop > Town of Winthrop : Record of Deaths 1938 > Part 39

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Registered No.

(If death occurred in a hospital or institution,

No Winthrop Community Hospital St., Ward \ give its NAME' instead of street and number)

2 FULL NAME

Eber Irving Wells

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

(a) Residence.

No.

7 Elmwood Court

Ward,

(If nonresident, give city or town and state)

months

days.

Length of residence in city or town where death occurred

years

months

days.

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

years

PERSONAL AND STATISTICAL PARTICULARS

MEDICAL CERTIFICATE OF DEATH

3 SEX

Male

4 COLOR OR RACE

White

5 SINGLE

(write the word)

MARRIED

WIDOWED

or DIVORCED

Married

6a If married, widowed, girardjan Montgomery

HUSBAND of

(Give maiden name of wife in full)

(or) WIFE of

(Husband's name in full)

6 IF STILLBORN, enter thet fect here.

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 ......

Teacher

9 Industry or business in which

work was done, as silk mill,

saw mill, bank, etc ...

School

10 Date deceased last worked at

11 Total time (years)

spent in this2 7

occupation.

this occupation (month

year)

May 1938

....

12 BIRTHPLACE (City)

Lynn

(State or country)

Massachusetts

13 NAME OF

FATHER

Charles Rollin Wells

PARENTS

14 BIRTHPLACE OF

Albion

FATHER (City) ...

(State or country)

New York

15 MAIDEN NAME lice Barker OF MOTHER

16 BIRTHPLACE OF

Naples

MOTHER (City)

(State or country)

Maine

17 Lillian M. Wells

wife

Informant .. (Addressy Elmwood Ct. Winthrop Mass

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

Health Oficer 5/17/35

(Official Designation) (Date of Issue of Permit)

18 DATE OF

DEATH

May 15 1938

(Month)

(Day)

(Year)

19 I HEREBY CERTIFY, That I attended deceased from

May 10

38. to

May 15,

I last saw h ..... i.m.allve on. May 15 19. death Is said to have occurred on the date stated above, at.4: 25 .P . M. The principal cause of death and related causes of Importance la order of onset were as follows: Date of Onset .51 38

Acute gangrenous appendicitis

Diffuse General Septic

Peritonitis

...

5 /7/38

Chronic ... myocarditis

(Contributing cause )

Contributory causes of Importance not related to principal cause:

Name of operato Appendectomy

5/10/38

What test confirmed diagnosis? Clini.0a.]. ... Was there an autopsy ?.. NO.

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

Ty Indie W Dickinson

(Signed)

M. D.

(Addr

stanstunde masse Dat hoog161038

21 ..

Winthrop

Relation, if any Place of Burial, Cremation

DATE OF BURIAL

May 18'

Removal.

(City or Town)

22 NAME OF

Charles R. Bennison

UNDERTAKER

winthrop Mass

ADDRESS

Received and filed. 19

A TRUE COPY ATTEST

MAY 1 7 1938

(Registrar)

Hl-so that it may be properly class

in plain terms, important.

100m-12-'35. No. 6156E

STOFF HEIGHT OF INFORMA"

classined." Date of onset and exact statement of OCCUPATION a IFVACTIV

See instructions and extracts from the laws on back of certificate.

PLACE OF DEATH

(City or town making return)

(If U. S.

War Veteran

specify WAR)

(Usual place of abode)

1935

AGE

Statement of occupation. - l'recise 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 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 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, etc.

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: Arteriosclerosis

Date of Onset

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.

with, after the death of a person whom he has attended during nis 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 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 huried. No such permit shall be issued until 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 hy law to he 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 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 If such a permit for the removal of a human body, not previously interred, from one town to an- shall make such certificate. 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 hody has heen 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 of 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 huried 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 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.

R R-305

PLACE OF DEATH

SUFFOLK (County)

BOSTON

(City or Town)

No .... Boston City .Hosp.

....

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.

420.4

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

2 FULL NAME

Charles Lido

(If deceased is a married,

Widowed or divorced woman, give also maiden name.)

(a)

Residence.

No.

(Usual place of abode) 58 Emerson Rd

St., ...

Ward,

"la kont, give city or town and state)

Length of residence in city or Iown 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

5 SINGLE

MARRIED

WIDOWED

or DIVORCED

(write the word)

Marr

5a If married, widowed, or divorced

Emma Mi Davis

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 55

Years .Months. .Days

If less than 1 day Hours. .. Minutes

OCCUPATION

9 Industry or business in which

work was done, as silk mill,

saw mill, bank, etc ...

Stock ... Exchang

10 Date deceased last worked at

11 Total time (years)

this occupation (month and

spent in this

year)

5/38

occupation.

12 BIRTHPLACE (City)

(State or country)

So Boston

13 NAME OF

FATHER

John McCarthy

PARENTSI

14 BIRTHPLACE OF

FATHER (City)

(State or country)

Boston

15 MAIDEN NAME

OF MOTHER

Margaret Murray

16 BIRTHPLACE OF

MOTHER (City)

(State or country)

Boston

InformanI

wife

(Address)

A TRUE COPY

Helta Hedations Vicente

ATTEST:

(Registrar of eity or town where death occurred)

DATE FILED 5/19/38

MEDICAL CERTIFICATE OF DEATH

18 DATE OF

DEATH

May 15/38

(Month)

(Day)

(Year)

19 I 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)

multiple fractures of ribs with left hemo- pneumo .... thorax fractured clavicle

terminal bronchopneumonia

20 If death was due to external causes (VIOLENCE) fill in the following : Accident,

Suicide or

Date of injury.

Homicide ?

Where did

injury occur ?

(City or town and State)

Manner of

probably, struck by street railway

Injury

Nature of car in subway station ?

Injury

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

If so, specify.

(Signed)

T-Leury

M. D.

(Address) ... Boston.

Date 5.16 .19 ... 38

22 PLACE OF BURIAL,

CREMATION OR REMOVAL

Next falyary

(City or town)

DATE OF BURIAL

6/18/38

23 NAME OF

UNDERTAKER

F J Magrath

ADDRESS

Boston

Received and filed

JUN 1 1 1938

(Registrar of City or Town where deceased resided)

....

25m-2-30. No. 7997-e

.St.

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

Ward {

(If U. S.

specify WAR)

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

A F301A

PLACE OF DEATH

Suffolk (County)

Winthrop

(City or Town)

No.

356 Pleasant St

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, St., ...... Ward \ give its NAME' instead of street and number)

2 FULL NAME

Andrew Bernard Williams

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

(a)

Residence.

No.

356 Pleasant

(Usual place of abode)

Length of residence in city or town wbere death occurred

years

months

St.

Ward,

(If nonresident, give city or town and state)

months

days.

PERSONAL AND STATISTICAL PARTICULARS

8 SEX

4 COLOR OR RACE

Thite

5 SINGLE

MARRIED

WIDOWED

or DIVORCED

(write the word)

Carried

6a If married, widowed, or divorced

MISamt A. Murphy

HUSBAND of ...

(Give maiden name of wife in full)

(or) WIFE of

(Husband's name in full)

6 IF STILLBORN, enter thet fact here.

7 79

AGE

. Years ...

... Months ..

.. Days

If less than 1 day .. Hours. .... Minutes

OCCUPATION

sawyer, bookkeeper, etc.

9 Industry or business in which

work was done, as silk mill,

saw mill, bank, etc.

U. S. Postal Deot

10 Date deceased last worked at

11 Total time (years)

spent in this 42

occupation

12 BIRTHPLACE (City)

Boston

(State or country)

Massachusetts

13 NAME OF

FATHER

Andrew R. Williams

PARENTS

15 MAIDEN NAME

OF MOTHER

Bridget Fitzgerald

16 BIRTHPLACE OF

MOTHER (City)

(State or country)

Ireland

Relation, if any

17 "aregret Williame zife V

Informant .. rug yú nsnn

(Address)

Pleasant St. Winthrop

i HEREBY CERTIFY that a satisfactory standard certificate of death vas filed with me BEFORE the burjai of transit permit was issued:

Health Officer 5/18/38 (Official Designation) (Date of Issue of Permits

MEDICAL CERTIFICATE OF DEATH

18 DATE OF

DEATH

may

1938

(Month)

(Day)

(Year)

I HEREBY CERTIFY, That I attended deceased from

i last saw b .. k ....... allve on May 17 19.38, death Is sald to have occurred on the date stated above, at /DA m. The principal cause of death and related causes of Importance In order ot onset were as follows:

Dato of Onset IMPORTANT

Chronic Myocarditis

0/10/38 ...

10/5/39

Contributory causes of importance not related to principal cause:

1935

Name of operation.

What test confirmed diagnosis ?.

Date of

Was there an autopsy? No

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

(Signed)

Charles alumni

M. D.

(Addre

Date 5/17/

1935

21 ..

.HolyCross

algen

Place of Burial, Cremation or Removal.

(City or Town)

DATE OF BURIAL

ABY 19-1930.

22 NAME OF

UNDERTAKER

.....

ADDRESS

AAnthrop, Massachusetts.

.......

(Signature of Agent of Board of Health of other ... Received and filed. MAY 1 9 1938

(Registrar)

100m 12'35. No. 6156F

ATICE OF DE ATU

Every item of informa-

1. 4 .- WNIL I LAINLI, WIIN UNFAVING BLACK INK-THIS IS A PERMANENT RECORD. important. See instructions and extracts from the laws on back of certificate. in plain terms, so that it may be properly classihed. Date of onset and exact statement of ULLUFALIUN are very IPVACTIV DIVCICIA

(If U. S. War Veteran

specify WAR)

days.

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

years

, 1937, to May 17

1938

...........

14 BIRTHPLACE OF

FATHER (City)

(State or country)

Sweden

this occupation . (month and 20

year)

8 Trade, profession, or particular

kind of work done, as spinner,

Mail Carrier

Statement of occupation .- I'recise 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 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 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-IIOTEL, 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 ternis as "store," "factory," "mill," etc. State the particular kind of storc, factory, mill, etc., as GROCERY STORE, SOAP FACTORY, COTTON MILL, etc.

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 nepbritis

1921

Cerebral hemorrhage

July 5. 1927

Contributory causes of importance not related to principal cause :

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 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 date of his death. . . GEN. LAWS, CHAP. 46, SEC. 9.

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 ahove 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 hody 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 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.

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Town of Winthrop : Record of Deaths 1938, Part 39

Author: Winthrop (Mass.) Publication date: 1938 Publisher: Number of Pages: 522

Author: Winthrop (Mass.)
Publication date: 1938
Publisher:
Number of Pages: 522