USA > Massachusetts > Suffolk County > Winthrop > Town of Winthrop : Record of Deaths 1938 > Part 49
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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 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 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.
CI 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 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 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 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 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.
last illness, at the request of an undertaker o
1301A
1
PLACE OF DEATH
Suffolk (County)
"Tinthrop
(City or Town)
80 Crest Avenue
No.
The Commonwealth of Alassachusetts 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.
121
[ (If death occurred in a hospital or institution, St., ..... -Ward { give its NAME instead of street and number)
2 FULL NAME
Katherine McNamara
(If deceased is a married, widowed or divorced woman, give also maiden nar e.)
80 Crest Avenue
.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
months
days.
PERSONAL AND STATISTICAL PARTICULARS
3 SEX
Fem le
4 COLOR OR RACE
Thite
5 SINGLE
MARRIED
WIDOWED
or 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
32
AGE
.Years.
Months
.. Days
If less than 1 day Hours .. ..... .. Minutes
OCCUPATION
8 Trade, profession, or particular
kind of work done, as spinner,
Retina
sawyer, bookkeeper, etc .....
9 industry or business in which
work was done, as silk mill,
saw mill, bank, etc.
School Teacher
10 Date deceased last worked at
11 Total time (years)
spent in this
occupation
this occupation (month and
year)
1923
40
12 BIRTHPLACE (City)
Prislton
(State or country)
13 NAME OF
FATHER
John I'c Namare
14 BIRTHPLACE OF
FATHER (City)
(State or country)
Ireland
15 MAIDEN NAME
OF MOTHER
Alice Duin
16 BIRTHPLACE OF
MOTHER (City)
(State or country)
Irland
(Address).
tWashingtona Date 6/16 1938
21
Holyrood
Brookline ...
Relation, if any Place of Burial, Cremation or Removal. (City or Town)
June 28
19.3.8
22 NAME OF
UNDERTAKER
DATE OF BUR
John F. O Malley
ADDRESS
throp
Issschuf tta
19
(Oficial Designation)
MEDICAL CERTIFICATE OF DEATH
18 DATE OF
DEATH
25
1938
(Month)
(Day)
(Year)
19 I HEREBY
CERTIFY, That I attended deceased from
1938, to frame 25
19.3d.
I last saw h ......... alive on. m/15 19.35 ... , death is sald
to have occurred on the date stated above, at ... 9 Pm. .. m.
The principal cause of death and related causes of Importance in order of onset were as follows: Date of Onset IMPORTANT 1 Ducorona Nestum .....
Contributory causes of importance not related to principal couse:
Name of operation
What test confirmed diagnosis ?.
.Date of.
40
Was there an autopsy ?..
20 Was disease or injury in any way related to occupation of deceased?
10
If so, specify.
.....
(Signed)
M. D.
17
Informant .....................
(Address)
I HEREBY CERTIFY that a satisfactory standard certificate of death was filed with me BEFORE the bufffor transit permit was issued: Nau. D. Children 8. fr (Signature of Agents of Board of Health of offer) }
100m 12 *35
(Date of Issue of Permit) /6/27/38 .......... Received and free .. JUL 1-2-4938
(Registrar)
PARENTS
No. 6156F
ton snowid Det 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 --.....
(If U. S.
War Veteran
specify WAR)
(a) Residence.
No.
(Usual place of abode)
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 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.
with,
last illness, at the request of an undertaker or r 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 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 thercfrom 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 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 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 hy violence, the medical examiner If such a permit for the. removal I shall make such certificate. 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 heen sooner obtained hereunder. If the death certificate contains a recital, as required by section ton 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 hody 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 huried For 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 diseasc 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.
RI R-302
.... tion should be carefully supplied. AGE should be stated EXACTLY. PHYSICIANS should state CAUSE ₱1.
OF DEATH in plain terms, so that it may be properly classified. Exact statement of OCCUPATION is very
important.
50m-9-31. No.3385 _~
17
Informant
M.Y. MoPhillips.
(Address)
DSI
A TRUE COPY.
ATTESI:
(Registrar of city or town where death occurred)
7/5/38
DATE FILED 19
MEDICAL CERTIFICATE OF DEATH
18 DATE OF
DEATH
(Month)
1938
(Day)
(Year)
19 I HEREBY CERTIFY, That I attended deceased from
June
27.
19 ... 38
I last saw him. ...
.alive on
June 27.
19 ....
death is said
to have occurred on the date stated above, # .......... m. The principal cause of death and related causes of importance in order of onset were as follows:
Dateofonset
Chr. myocarditis
Generalized arteriosclerosis 1 yr. Bronchopneumonia
Contributory causes of importance not related to principal cause:
Name of operation
Date of
What test confirmed diagnosis?
clin.
Was there an autopsy?
20 Was disease or injury in any way related to occupation of deceased?
If so, specify
(Signed)
Melvin Goodman
(Address)
Date
19%
17/7
21 PLACE OF BURIAL,
CREMATION : OB RENGYALOD.
Linttrop
DATE OF BURIAL
19
22 NAME OF
5/30/38
UNDERTAKER C .R. Bennison
ADDRESS
winthrop
Received and filed
JUN 21 1938
19
1
(County) Danvers
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,
give its NAME instead of street and number)
2 FULL NAME
Edgar Beach
(If deceased is a married, widowed or divorced woman, give also maiden name.)
specify WAR)
(a)
Residence.
No
55 Court Road
St.,
Ward,
Winthrop
(If nonresident, give city or town and state)
(Usual place of abode)
Length of residence in city or towa where death occurred
yTs.
mos. 20
days.
How long in U. S., if of foreign birth?
yrs.
mos.
days.
PERSONAL AND STATISTICAL PARTICULARS
3 SEX
male
4 COLOR OR RACE
white
5 SINGLE
MARRIED
WIDOWED
or DIVORCEDmarried
5a If married, widowed, or divorced
HUSBAND of Mary Fangev.
(or) WIFE of
(Husband's name in full)
maiden name of wife in full)
6 IF STILLBORN, enter that fact here.
7 69
1
13
If less than 1 day Hours. Minutes
OCCUPATION|
8 Trade, profession, or particular kind of work done, as spinner, sawyer, bookkeeper, etc ... Carpenter
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)
this occupation (month and
spent in this
10/1937
occupation
year)
25
12 BIRTHPLACE (City)
(State or country)
New Brunswick
13 NAME OF
FATHER
William R. Beach
PARENTS
14 BIRTHPLACE OF
FATHER (City)
(State or country)
New Brunswick
15 MAIDEN NAME
OF MOTHER
Aleanor Slocum
16 BIRTHPLACE OF
MOTHER (City)
(State or country)
Nova Scotia
Essex
PLACE OF DEATH
No.
(City or Town)
Denvers State Hospital
St.,
....... ....... .Ward
(If U. S. War Veteran,
AGE
Years Months® Days
(write the word)
(Registrar of City or Town where deceased resided)
M. D.
(Cemetery)
(City or town)
F301A
AF NCA TU
1
PLACE OF DEATH
Suffolk (County ) Winthrop (City or Town) 137 Court Road Francis Cally
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.
123
(If death occurred in a hospital or institution, St., .. Ward \ give its NAME' instead of street and number)
2 FULL NAME
(If deceased is z married, widowed or diyorced woman, give also maiden name.)
(a) Residence.
(Usual place of abode)
Length of residence in city or town where death occurred
20 years
months
days.
How long in U.S., if of foreign hirth?
70 years
months
days.
PERSONAL AND STATISTICAL PARTICULARS
3 SEX
m
4 COLOR OR RACE
5 SINGLE
MARRIED
WIDOWED
er DIVORCED
(write the word)
dinghy
5a If married, widowed, or divorced HUSBAND of
(or) WIFE of
...
(Husband's name in full)
6 IF STILLBORN, enter that fact here.
7
81
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 ......
Retired
9 Industry or business in which
work was done, as silk mill,
saw mill, bank, etc.
Grocer
10 Date deceased last worked at Jan
11 Total time (years)
this occupation (month and
spent in this
occupation
year)
1913
2.5"
12 BIRTHPLACE (City)
(State or country)
Irland
13 NAME OF
FATHER
Patrick & Sally
PARENTS
14 BIRTHPLACE OF
FATHER (City)
Orsland
(State or country )
15 MAIDEN NAME
OF MOTHER
Margaret norton
16 BIRTHPLACE OF
MOTHER (City)
(State or country)
Oraland
17 Informant ....
Jennis Sally (Address) 137 Cours Road
Relation, if any
I HEREBY CERTIFY that a satisfactory standard certificate of death was filed with me BEFORE the burial or transit permit was issued: Wm. D. Childress (Signature of Agent of Board of Healthyor other)
6/28/38
(Official Designation) (Date of Issue of Permit)
MEDICAL CERTIFICATE OF DEATH!
18 DATE OF
DEATH
....
June
27
(Month)
(Day)
:"(Year) .38
19 HEREBY CERTIFY . That i attended deceased from June 1 19.3.2, 10.
June 26, 1938
I last saw her alive on June 26, 1938, death is sald
Date of Onset IMPORTANT to have occurred on the date stated above, at /. 2/36.Am The principal cause of death and related causes of Importance in order of onset were as follows: Glomerule Mephiles ·
87 .
Contributory causes of Importance not related to principal cause:
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