USA > Massachusetts > Suffolk County > Winthrop > Town of Winthrop : Record of Deaths 1938 > Part 45
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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, CHIAP. 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 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.
F301A
1
PLACE OF DEATH
Suffolk County) Winthrop (City or Town) No. 1079 Shirley
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.
112
Registered No.
§ (If death occurred in a hospital or institution,
St.,
Ward \ give its NAME' instead of street and number)
mary Ryan Penney Chestnut Je
(If deceased As a married, yMowed or divorced woman, give also maiden name.)
1679
(Usual place of abode)
Length of residence in city or town where death occurred
12 years
months
days.
How long in U.S., if of foreign birth?
years
months
days.
PERSONAL AND STATISTICAL PARTICULARS
3 SEX
4 COLOR QR RACE
white
5 SINGLE
MARRIED
WIDOWED
or DIVORCED
widow
5a If married, widowed, or divorced HUSBAND of alvali
(Give maiden name of wife in full)
Kenney
(or) WIFE of
(Husband's name in full)
6 IF STILLBORN, enter that fact here.
AGE
7 87 Years .. 10 Months .Days
If less than 1 day
Hours.
.Minutes
OCCUPATION
8 Trade, profession, or particular kindof 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
this occupation sind ing
year)
1938
11 Total time (years)
spent in this
occupation
65
12 BIRTHPLACE (City)
Rugwash
(State or country)
nova Scotia
13 NAME OF
FATHER
Chestnut
PARENTS
14 BIRTHPLACE OF
FATHER (City) .....
nova Scotia
(State or country)
15 MAIDEN NAME
OF MOTHER
mary Ryan
(State or country)
17 arthur.
Informant
Denney 1079 Shirley St Winthrop
I HEREBY CERTIFY that e satisfactory standard certificate of death was filed with me BEFORE the burial or transit permit was issued:
um N Children
(Signature of Agent of Board of Health or other)
June 11/38.
(Date of Issue of Permit)
(Official Designation)
MEDICAL CERTIFICATE OF DEATH
18 DATE OF
DEATH
(Month)
6
10
38
(Year)
19
I HEREBY
CERTIFY, That i attended deceased from
3/29
19.3.F., to .....
I last saw b 27
altve on
4/10
19 30, death Is said
to have occurred on the date stated above, at 4 0 m. The principal cause of death and related causes of Importance In order of onset were as follows: 2 Date of Onset IMPORTANT Storyadli
Contributory causes of Importance not related to principal cause:
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)
Faure
att illy
(Address)
Date 2/501938
21 Wyoming melrose
Place of Burfal, Cremation or Removal
(City or Town)
19.
38
22 NAME OF
UNDERTAKER
albert . Douglase
ADDRESS
242 Washington Ges. Chelsea
19 ..........
Received end filed. JUN 20 1338
(Registrar)
WRITEPLAINLY. WITH UNFADING BLACK INK-THIS IS A PERMANENT MLUVIL. TVERT P
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
No. 6156F
100( 1) '33
NR
2 FULL NAME
(a) Residence.
No.
Shirley.
St.
Ward,
(If nonresident, give city or town and state)
specify WAR)
(write the word)
(Day)
6/10
19.30
Date of.
... , M. D.
16 BIRTHPLACE OF
MOTHER (City)
Nova Scotia
Relation, if any
DATE OF BURIAL ...
June
12
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 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," e." "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:
Date of Onset
Arteriosclerosis ....
1915
Chronic interstitial nephritis
1921
Cerebral hemorrhage
July 5, 1927
Contributory causes of importance not related to principal cause:
1
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.
last illness, at the request of an unde tak 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 nn such board, from the clerk of the town where the persnn · 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 nr its agent aforesaid nr 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 bc, a satisfactory written statement con- taining the facts required by law to be returned and recorded, which shall be accompanied, in case of an nriginal 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 nr 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 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 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 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 front 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.
1
1 -301
Informa-
Date of onset and exact statement of OCCUPATION are very
in plain terms, so that it may be properly classified. tion should be carefully supplied. "Ago should be staicu LAnviL., See instructions and extracts from the laws on back of certificate. important.
PLACE OF DEATH
Suffolk (County)
(City or Town) 21 Emerson Road
The Commonwealth of Massachusetts OFFICE OF THE SECRETARY DIVISION OF VITAL STATISTICS STANDARD
(City or town making return) ...
Registered No.
113
XX § (If death occurred in a hospital or institution, St
t.,
Ward ( give its NAME' instead of street and number)
2 FULL NAME
Elizabeth Isabelle (Marvin) Kent
(If deceased is a married, widowed or divorced woman, give also maiden name.)
specify WAR)
(a) Residence.
No.
21 Emerson Road
Ward,
(If nonresident, give city or town and state)
Length of residence in city or town where death occurred
9 years
months
days.
How long in U.S., if of foreign birth?
years
months
days.
PERSONAL AND STATISTICAL PARTICULARS
MEDICAL CERTIFICATE OF DEATH
8 SEX
Female
4 COLOR OR RACE
White
5 SINGLE
MARRIED .
WIDOWED
or DIVORCED
(write the word)
Married
18 DATE OF
DEATH
June
10
(Month)
(Day)
(Year)
5a If married, widowed, or divorced
HUSBAND of
Albe Gire maiden name of wife in full)
(or) WIFE of
(Husband's name in full)
6 IF STILLBORN, enter that fact here.
7 68
Years.
4
.Months
6 .Days
If less than 1 day
Hours.
.Minutes
OCCUPATION
8 Trade, profession, or particular kind of work done, as spinner, sawyer, bookkeeper, etc .........
House work
9 Industry or business In which
work was done, as silk mill,
saw mill, bank, etc ...
Own home
10 Date deceased last worked at
this occupation (month and
year)
April, 1 9%8 in this
occupation.
Total time (years)
43
12 BIRTHPLACE (City)
Saint .... Margaret.s .... Bay.
(State or country)
Nova Scotia
13 NAME OF
FATHER
James Wesley Marvin
14, BIRTHPLACE OF
FATHER (City) ..
Halifax County
(State or country)
Nova Scotia
15 MAIDEN NAME
OF MOTHER
Emma Frazier
16 BIRTHPLACE OF
MOTHER (City)
Halifax County
(State or country)
Nova Scotia
17 Informant (Address) 363 Marlboro St Boston Mass
I HEREBY CERTIFY that a satisfactory standard certificate of death was ,thed with me BEFORE the burial of transit permit was Issued:
( Signature of ment of Board of Faith Or other )
Healthe Officer
6/13/38
7 (Official Designation) (Date of Issue of Veraity
Thanh 10
HERBY CERTIF
That I attended deceased from
19.
1538
38
Fre 9
to ..
9
..... , 19.5. 5. death Is sald
530P. m.
to have occurred on the date stated above, at. The principal cause of death andrelated causes of Importance In order of onset were as follows: Coronary throughais .... Carlini-soluveis ...
Date of Onset 6-7-38
1935 ........ Chron My acordate
1935
...
Contributory causes of Importance not related to principal cause:
.... Date of.
What test confirmed diagnosis? Guanches was there an autopsy?
20 Was disease or Injury in any way related to occupation of deceased?
200
(Signed)
M. D.
(Address)
600 BeachtQue Date 6-111938
21.Mount Hope Boston
Place of Burial, Cremation or Removal.
(City or Town)
19.38
22 NAME OF
Charles R. Bennison
UNDERTAKER
Winthrop Mass
ADDRESS
Received and filed ..
1938
19
A TRUE COPY ATTEST · (Registrar)
100m-12-'35. No. 6156E
Dr ... Harold ... A ..... Kent ...... ( s on
Relation, if any
DATE OF BURIAL
June.
12
home
Name of operation ...
If so, specify.
Savo Maccagno
PARENTS
1
Winthrop
CERTIFICATE OF DEATH
No.
(If U. S.
War Veteran
(Usual place of abode)
1938
I last saw h. Q ........ allve on.
AGE
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 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 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
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- poscd 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 «late 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 huried, 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 hody 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 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 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 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.
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