Town of Winthrop : Record of Deaths 1938, Part 60

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

USA > Massachusetts > Suffolk County > Winthrop > Town of Winthrop : Record of Deaths 1938 > Part 60

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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 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:

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.

with, alter the death of a person whom he has

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 hody is buried. No such permit shall be issued until there shall nave been delivered to such board, agent or clerk, as the case may bc, a satisfactory written statement con- taining the facts required by 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 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.

-D1A

PLACE OF DEATH

Suffolk County Winthrop. (City or Town)

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.

149

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

2 FULL NAME

(If deceased i

Married, widowed or, divorceok woman, give also maiden name.)

(a) Residence.

No.

(Usual place of abode)

Length of residence in city or town where death occurred /5 years

months

days.

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

years

months days.

PERSONAL AND STATISTICAL PARTICULARS

3 SEX

Male

4 COLOR OR RACE

White

5 SINGLE

MARRIED

WIDOWED

or DIVORCED

(write the word)

Widowed

5a If married, widowed, or divo HUSBAND of

Ced Bridget Cunill.

(or) WIFE of

(Husband's name in full)

6 IF STILLBORN, enter that fact here.

AGE

7 78 .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 ..

Ley Con. Co.

10 Date deceased last worked at

this occupation (month and

year).

1980

Ireland

11 Total time (years)

spent in this

occupation ..

12 BIRTHPLACE (City).

(State or country)

13 NAME OF

FATHER

John Henry

14 BIRTHPLACE OF FATHER (City) (State or country)

Leland

15 MAIDEN NAME

OF MOTHER

mary Kane

16 BIRTHPLACE OF

MOTHER (City)

(State or country)

Ireland

17 Mrs Mary Sloan (DAUGHTER) Relation, if any

Informant. (Address) 18 Pleas And Park Rd Winthropo

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

Cegent Cinq. 8/88

(Official Designation) (Date issue of Permit)

MEDICAL CERTIFICATE OF DEATH

18 DATE OF

DEATH

august

1938

(Month)

(Day)

(Year)

19 I HEREBY

CERTIFY

Nast saw h ... Lam ... allve on aug 5

1:38 death is sald to have occurred on the date stated above, at 11/4 m. The principal cause of death and related causes of Importance In order of onset were as follows:

Date of Onset IMPORTANT

1935

1938

Contributory causes of Importance not related to principal cause:

Name of operation

What test confirmed diagnosis ?.

Date of. Was there an autopsy ?.

20 Was disease or Injury in any way related te occupation of deceased?

If so, specify

(Signed)

(Address) 1OF Mendian SX

·Date ...

aug 8 19 38

Mount Calvary

Boston.

Place of Burial,Cination or Renoval.

8-90

19 ...

22 NAME OF

UNDERTAKER

William a. Leanor

ADDRESS

559 Saratoga St E. Boston.

Received and filed .......

Abag. 25

(Registrar)

" Age should be

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

100m 12 '35. No. 6156F

"stated BAACILT. PHYSICIANS should state. CAUSE OF DEATH

18 Pleasant PK Road St No ..

Thomas Henry.

(If U. S.

War Veteran

specify WAR)

18 Pleasant M. Prad.

Ward,

(If nonresident, give city or town and state)

(Give maiden name of wifein full)

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

Lineman

PARENTS

, M. D.

21 ..

(City or Town)

38.

DATE OF BURIAL ......

That I attended deceased from

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.

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 :

with, alter the death of a person whom he has attended during his last illness, at the request of an undertaker or other authorized person or of any member of the family of the deceased, furnish for registration a standard certificate of death, stating to the best of his knowledge and belief the name of the deceased, his sup- posed age, the disease of which he died, defined as required by section one, where same was contracted, the duration of his last illness when last seen alive by the physician or officer and the 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 nave been delivered to such board, agent or clerk, as the casc 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- 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 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.

(3) Medical Examiners will investigate and certify to all deaths supposahly 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 hy recognized disease, and those of persons found dead.

R. O1A

Suffol'

(County)

Tinthron

(City or Town)

No.

24 Cora St

PLACE OF DEATH

8 SEX

4 COLOR OR RACE

White

5 SINGLE

MARRIED

WIDOWED

or DIVORCED

Male

5a If married, widowed, or divorced

HUSBAND of

.... Auna .......

Gorman

...........

(Give maiden name of wife in full)

(or) WIFE of

(Husband's name in full)

6 IF STILLBORN, enter that fact here.

AGE

Years.

Months

.. Days

8 Trade, profession, or particular

kind of work done, as spinnermont

sawyer, bookkeeper, etc ..............

9 Industry or business In which

work was done, as silk mill,

this occupation

(month -and

OCCUPATION

year) ...........

12.2.2.

....

12 BIRTHPLACE (City).

Boston

(State or country)

Macs

13 NAME OF

Samuel Cunning

14 BIRTHPLACE OF

FATHER (City)

(State or country)

New Brunswick

15 MAIDEN NAME

OF MOTHER

Boom McGowan

PARENTS

16 BIRTHPLACE OF

Boston

MOTHER (City)

(State or country)

Cry 2 Cunning

Informant ...

todomenos

(Address)

24 Cor Et

firpiahrishiha-serafalv sunnlied Age should be stated EXACTLY. PHYSICIANS should state CAUSE OF DEATH

saw mill, bank, etc.

Building

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

(write the word)

Married

if less than 1 day Hours. ........ Minutes

10 Date deceased last worked at

11 Total time (years)

spent in this

occupation .. 1 ....

MEDICAL CERTIFICATE OF DEATH

18 DATE OF

DEATH

(Month)

August

1938

(Year)

19 I HEREBY CERTIFY, That I attended deceased from January ١ 1937, to august-13, 1938 t last saw h IM alive on August 13 ....... 19.3 ... , death Is sald 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:

Date of Onset IMPORTANT

Miocarditis 1

1936

Contributory causes of importance not related to principal cause:

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?

4º

If so, specify e tranger

(Signed)

M. D.

(Address)

200 Washington IN Date Aug 15 1928

21 Winthrop Winthrop

Place of Burial, Cremation or Removal.

(City or Town)

DATE OF BURIALALLES.

1938

22 NAME OF

UNDERTAKER

Solve TO males.

ADDRESS Jin hran

Received and AUG 2.5 1938

tto

8/15/38

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.

150

f (If death occurred in a hospital or institution, St., .. .. Ward \ give its NAME instead of street and number)

2 FULL NAME

James Henry Cunning

(If U. S. War Veteran

specify WAR)

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

(a) Residence.

No.24 Cora St

(Usual place of abode)

Length of residence in city or town where death occurred

years

St.,

Ward,

(If nonresident, give city or town and state)

days.

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

years

months

days.

PERSONAL AND STATISTICAL PARTICULARS

100in 12 *35 No. 6156F

Relation, if any

[ HEREBY CERTIFY that a satisfactory standard certificate of death was filed with me BEFORE the burial or transit parmit was Issued: Um. Al childress (Signature - Agent of Board of Hodlth or other)

(Official Designation) (Date of Issue of Permit)

(Registrar)

(Day)

months

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.

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Town of Winthrop : Record of Deaths 1938, Part 60

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

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