USA > Massachusetts > Suffolk County > Winthrop > Town of Winthrop : Record of Deaths 1938 > Part 50
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manal Lis
1 least
ASterio Relevosis
36
Name of operation
Clinical Data . Urinary
What test confirmed diagnosis ?.
20 Was disease or injury in any way related to occupation of deceased? no
If so, specify
cimes di. Obory
., M. D.
(Signed)
(Address)
52 monmouette Date 6/28 1938
Old Calvary Boston
21 Place of Burial, Cremation or Removal ._
DATE OF BURIAL 1212E
29 h
(City or Town)
1935
22 NAME OF
Edwin Obalans
UNDERTAKER
ADDRESS
201 Brodern St Dorchester
Received and filed.
JUL12 197
........... .19. ........
(Registrar)
important.
100m 12 '35. No. 6156F
in plain terms, so that it may be properly classified. Date of onset and exact statement of OCCUPATION are very See instructions and extracts from the laws on back of certificate.
No.
No. 137 Court Road
Winthrop
St.,.
.Ward,
(If U. S.
War Veteran
specify WAR)
(If nonresident, give city or town and state)
(Give maiden name of wife in full)
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 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,
alter
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 nn such hoard, 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 nave 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 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 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 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 în 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 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.
1 -301A
Suffolk (County)
Winthrop
(City or Town)
No.
290 Revere 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.
124
Registered No.
§ (If death occurred in a hospital or institution,
St.,.
Ward ( give its NAME instead of street and number)
2 FULL NAME
William Stacy
(If deceased is a married, widowed or divorced woman, give also maiden name.)
(a) Residence.
No.
290 Revere St., Winthrop
St.,
Ward,
(If nonresident, give city or town and state)
(Usual place of abode)
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
4 COLOR OR RACE
White
5 SINGLE
MARRIED
WIDOWED
or DIVORCED
(write the word)
Married
6a If married, pored beth Beamer Stacy
HUSBAND of
(Give maiden name of wife in full)
(or) WIFE of
(Husband's name in full)
6 IF STILLBORN, enter that fact here.
Years Months Days
If less than 1 day Hours .Minutes
8 Trade, profession, or particular kindof work done, as spinner, Engineer sawyer, bookkeeper, etc.
9 Industry or business in which
Shoe Factory
work was done, as silk mill,
10 Date deceased last worked at
this occupation (month and
yeer)
1938
11 Total time (years)
spent in this
occupation.
35
12 BIRTHPLACE (City)
Halifax
(State or country)
Nova Scotia
13 NAME OF
FATHER
Thomas Stacy
England
Maria Hoyce
Nova Scotia
17 Isformant (Address) .290 Revere St. . Winthrop Elizabeth Stacy
( Wife
I HEREBY CERTIFY that a satisfactory standard certificate of deeth was flød with me BEFORE ing burtal or transit permit was Issued: If ru. D. (Juldels).
(Signature of Agent of Board of Health or other)
(Oficial Designation) Officer 7/6/38 (Date of Issue of Permit) .. أحمـ
MEDICAL CERTIFICATE OF DEATH
18 DATE OF
DEATH
July
4.
(Month)
(Day)
1938
(Year)
19 I HEREBY
CERTIFY, That I attended deceased from
1930
76
10
to que
4
1928
I last saw b -
allva on
27
1938, death Is said
to have occurred on the date stated above, at / 0. Km.
The principal cause of death and related causes of importance in order of onset
were as follows:
Date of Onset IMPORTANT
June 19/38
Contributory causes of importence not related to principal cause:
Ark 10 '30
A
Name of operation
Date of
What test confirmed diagnosis? I'mcomeWhen Was there an autopsy ?.
20 Was disease or Injury in any wey ralated to occupation of deceased?
no
If so, spacify
(Signed)
M. D.
(Address)
· Date July 5 1938.
21. Winthrop Cemetry
Winthrop
Relation, if any
Place of Burial, Cremation or Removal.
(City or Town)
DATE OF BURIAL .... ,July 6
22 NAME OF
UNDERTAKER
ADDRESS
147 Winthrop St., Winthrop
Recalvad and filed ...
19
(Registrar)
tion should be carefully supplica. Age ant
HTT GACY INK THIS IS A PERMANENT RECORD. Every item of informa- - 7 67
100m 11 '36 No. 9080 F
PLACE OF DEATH
1
3 SEX
Male
AGE
OCCUPATION
14 BIRTHPLACE OF
FATHER (City)
(State or country)
15 MAIDEN NAME
OF MOTHER
PARENTS
16 BIRTHPLACE OF
MOTHER (City)
(State or country)
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, etc ..
(If U. S. War Veteran
specify WAR)
Statement of occupation. - l'arcise 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 change 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 NONF.
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, avonl 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." hut 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 : ...
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 undertaker or other authoriz 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 hy the physician or officer and the late 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 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 huried. No such permit shall he 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 he 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 hoard 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 he 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 deaths from disease resulting from injury or infection related to occupation, the sudden deaths of persons not disabled hy recognized disease, and those of persons found dead.
K !- 301A
Suffolk
(County)
Winthrop
The Commmuralth 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.
125
(If death occurred in a hospital or institution,
give its NAME instead of street and number)
2 FULL NAME.
Annie (Fraser) Turnbull
(If deceased is a married, widowed or divorced woman, give also maiden name.)
specify WAR)
(a) Residence. No ...
45 Sargent St., Winthrop
St., ...
.. Ward,
(If nonresident, give city or town and state)
Length of residence in city or town where death occurred
yTs.
mes.
days. How long in U. S., if of foreign birth? 65 yrs.
mos.
days.
PERSONAL AND STATISTICAL PARTICULARS
MEDICAL CERTIFICATE OF DEATHI
3 SEX
Female
4 COLOR OR RACE
White
5 SINGLE
(write the word)
MARRIED
WIDOWED
or DIVORCED
Widowed
5a If married, widowed, or divorced
HUSBAND of
George(Gige maiden name of vife in full)
(or) WIFE of
(Husband's name in full)
6 IF STILLBORN, enter that fact here.
7 AGE ... 82 Years 3. Months . 25 Days
If less than 1 day
.. Hours.
Minutes
OCCUPATION
sawyer, bookkeeper, etc ....
9 Industry or business in which work was done, as ailk mill, saw mill, bank, etc.
10 Date deceased last worked at
11 Total time (years)
spent in this
occupation.
this occupation (month and
year)
12 BIRTHPLACE (City)
Stewiacke
(State or country)
13 NAME OF
Jchn Fraser
FATHER
PARENTS
14 BIRTHPLACE OF Nova Scotia
FATHER (City)
(State or country)
15 MAIDEN NAME
OF MOTHER
Catherine Forbes
16 BIRTHPLACE OFNova Scotia MOTHER (City) +. (State or country)
17 Mr. George S. Turnbull
Relation, if any Son
(Address) 45 Sargent St., Winthrop
I HEREBY CERTIFY that a satisfactory standard certificate of death was filed with me BEFORE the burial or transit permit was Issued:
(Signature of Agent of Board of Health or other) other) 6/38 ... Health
(Official Designation) (Date of Issue of Permis)
18 DATE OF
DEATH
July
5 1938
(Month)
(Day)
(Year)
19 I HEREBY CERTIFY, That i attended deceased from Feb 20 -
1938, to July
4
19.3.8
I last saw h .....
allve on.
:0
4
19.2. .... , death is said
to have occurred on the date stated above, at.
2
A .m.
The principal cause of death and related causes of Importance in order of onset were as follows: Date of Onset IMPORTANT Carcinoma of Thyroid gland
Contribatory causes of importance not related to principal cause: Brancho- pneumonia
July 1-38
Name of operation.
Date of
What test confirmed diagnosis?
Was there an autopsy?
20 Was disease or injury in any way related to occupation of deceased?
no
If so, specify
Ty Louis 7 Salerno
(Add
(Signed)
, M. D.
3) 175 Pleasant St Unit
July 5 1938
21 PLACE OF BURIAL,
Winthrop Cemetry Winthp
CREMATION OR REMOVAL
(Cemetery)
(City or town)
19
.....
DATE OF BURIAL ..
July 7 1938
22 NAME OF
P.N. White per & P.It.
UNDERTAKER
ADDRESS
147 Winthrop St., Winthrop
Received and filed. JUL 1 2 1938
19
(Registrar)
THIIC IC A PERMANENT RECORD. Every item of
information should be carefully supplied. is very important. See instructions and extracts from the laws on back of certificate. CAUSE OF DEATH in plain terms, so that it may be properly classified. Exact statement of OCCUPATION a: "AGD should De BLULeu LAACIL !!
1
PLACE OF DEATH
No ...
(City or Town)
45 Sargent St., Winthrop
St., ...................... Ward
(If U. S.
War Veteran,
(Usual place of abode)
100m-12-'34. No. 2938-f
Informant ..
Novia Scotia
8 Trade, profession, or particular
kind of work done, as spinner,
Housewife
feb 20-38
Statement of occupation .- Precise statement of occupation is very important, so that the relative healthfulness of various pursuits can be known. Make some entry in this section for every person aged 10 years or over. If the occupation had been given up or changed on account of the disease causing death, report the occupation prior to illness. If the deceased had retired from business, report the occupation prior to retirement. Children not gainfully employed may be returned as at school or at home. For a woman whose only occupation was that of home housework, write housework in answer to Question 8 and own home in answer to Question 9. For a person engaged in domestic service for wages, however, designate the occupation by the appropriate terms, as housekeeper-private family. cook-hotel, etc. For a person who had no occupation what- ever write none.
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