Town of Winthrop : Record of Deaths 1938, Part 68

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

USA > Massachusetts > Suffolk County > Winthrop > Town of Winthrop : Record of Deaths 1938 > Part 68

Note: The text from this book was generated using artificial intelligence so there may be some errors. The full pages can be found on Archive.org (link on the Part 1 page).

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 oxhume 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 buricd. No such permit shall be issued until there shall have been delivered to such board, agent or clerk, as the case may be, a satis- factory written statement containing 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 required by law, or in lieu thereof a certificate as hereinafter provided. If there is no attending physician, or if, for sufficient reasons, his certificate cannot be obtained early encugh for the purpose, 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 attending 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 another within the common- wealth 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 removal shall constitute a permit for such re- moval; provided, that such body shall be returned to the town from which it was removed 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 re- quired by section ten of chapter forty-six, that the deccased served in the army, navy or marine corps of the United States in any war in which it has been engaged, such recital shall appear upon the permit. The board of licalth, or its agent, upon receipt of such statement and certificate, shall forthwith countersign it and transmit it to the clerk of the town for registration. The person to whom the permit is so given and the physician certifying 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. - Ckap. 114, Sec. 45, G. L., (Tercentenary 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. Lows, 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 buricd or the funeral is to be held, or from a person appointed to have the care of the ceme- tery 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 observance 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 un- related to any form of injury, have died without recent medical attend- ance 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 septicemia), 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.

301A

PLACE OF DEATH

Suffolk (County)

Pintaron

(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.

121

[ (If death occurred in a hospital or institution,

St.,

Ward [ give its NAME' instead of street and number)

2 FULL NAME William Toweph Brooks

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

(a) Residence.

No.

69 Almont 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)

months

days.

PERSONAL AND STATISTICAL PARTICULARS

8 SEX

4 COLOR OR RACE

White

5 SINGLE

MARRIED

WIDOWED

OF DIVORCED ingle

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 56

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

Compositor

9 Industry or business in which

work was done, as silk mill,

saw mill, bank, etc ......

Am Bank Note Co

10 Date deceased last worked at

11 Total time (years)

spent in this

occupation.

12 BIRTHPLACE (City).

Boston

(State or country)

13 NAME OF

FATHER

John Brooks

PARENTS

14 BIRTHPLACE OF

FATHER (City)

(State or country)

Imalana

15 MAIDEN NAME

OF MOTHER

Cathrine Morir

16 BIRTHPLACE OF

MOTHER (City)

(State or country)

Broni-

Relation, if any (List, "

Informant ... ....... ...

(Address)

60 AT ont St

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

agent Seht 5/38

(Official Designation) (Date of Issue of Permit)

18 DATE OF

DEATH

September

1938

(Year)

(Month)

(Day)

19 I HEREBY CERTIFY, That i attended deceased from august 15 1935 10 September 4 1938

I last saw h In alive on Sept. 4 19.30, death is said to have occurred on the date stated above, at 1:15 pm The principal cause of death and related causes of Importance in order of onset were as follows: Date of Onset IMPORTANT acute Coronary Thinatrois Aug 15/

Contributory causes of Importance not related to principal cause: arteriosclerosis

1938

Name of operati

none

What test confirmed diagnosiselismert

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

If so, specify

(Signed)

Jacob

M. D.

(Addr 1562 MarleyDate Sept. 42/3de touttop

300to

21 C. 7.7. 2

Place of Burial,

Cremation or Remoral

(City or Town)

22 NAME OF

UNDERTAKER

DATE OF BURIAL

John HO Maley.

ADDRESS

.....

.19

.....

-1938

Received and filed ......

SEPT

(Registrar)

100m 12 '35 No. 6156F

in plain terms, so that it may be properly classified, Date of onset and exact statement of Decorazioni are very important. See instructions and extracts from the laws on back of certificate.

No.inthron Community Hospital /

(If U. S.

War Veteran

specify WAR)

days.

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

years

months

MEDICAL CERTIFICATE OF DEATH

(write the word)

this occupation (month- and

year) .... Ur

Date of.

.Wasthere an autopsy ?...

100

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-110TEL, etc. For a person who had no occupation whatever write NONE.

To be complete, an occupation return must state :

8 .- The trade, profession, or particular kind of work done. 9 .- The industry or business in which the work was done.

10 .- The month and year the deceased last worked at the occupation.

11 .- The number of years the deceased followed the occupation.

In stating the occupation. avoid the use of such indefinite terms as "employee," "worker," "operative," etc. Find out the partic- ular kind of work done and return that, as SPINNER, WEAVER, etc.

In stating the industry or business, avoid the use of such gen- eral ternis as "store," "factory," "mill," etc. State the particular kind of 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, aiter the death of a person whom he has attended during nis last illness, at the request of an undertaker or other authorized person or of any member of the family of the deccascd, 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 hody is huried. No such permit shall be issued until there shall have been delivered to sueh 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 hy it or by the selectmen for the purpose, shall upon application make the certificate required of the attend- ing physician. If death is caused by violence, the medical examiner If such a permit for the removal of a human body, not previously interred, from one town to an- other within the commonwealth cannot be obtained early enough for the purpose, the certificate of death made as above provided shall make such certificate. 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.

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 he 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.

301A

Suffolk (County)

Winthrop

(City or Town)

No. 61 Emerson Rd

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.

172

Registered No. f (If death occurred in a hospital or institution, Ward \ give its NAME instead of street and number) St.,

2 FULL NAME

Mary

(If deceased is a married, widowed of divorced

Young

woman, give also maiden name.) specify WAR)

(a) Residence.

61 Emerson Road.

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 tong in U.S., if of foreign birth?

years

months

days.

PERSONAL AND STATISTICAL PARTICULARS

MEDICAL CERTIFICATE OF DEATH

(Month)

(Day)

(Year)

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.

AGE

.Years.

. Months

Days

If less than 1 day

Hours

.Minutes

OCCUPATION

8 Trada, profession, or particular

kindof work done, as spinner,

sawyer, bookkeeper, etc ...

At Home

9 Industry or business in which work was done, as silk mill, saw mill, bank, etc.

10 Dete deceased last worked at

11 Total time (years)

spent in this

occupation.

12 BIRTHPLACE (City)

Bos.t.on .... Mass

(State or country)

13 NAME OF

FATHER

John Young

14 BIRTHPLACE OF

FATHER (City)

(State or country)

Ireland

15 MAIDEN NAME

OF MOTHER

Ann Bacon

16 BIRTHPLACE OF

MOTHER (City)

(State or country)

unknown Canada

Date 1/7

.19 ...

21 Forest Hills Boston

Place of Burial, C'reunition or_ Removal.

Sept 10 1938

(City or Town)

22 NAME OF

UNDERTAKER

Waterman Days & M14 Boston

ADDRESS

Received and fllad 19

S.E.P. S '938

(Registrar)

Date of onset and exact statement of OCCUPATION are very

in plain terms, so that it may be properly classilied. important. See instructions and extracts from the laws on back of certificate. PARENTS

Um 11 36 No 9080 F

I HEREBY CERTIFY that a satisfactory standard certificate of death was filed with me BEFORE the burial or transit permit was Issuad: Wm. D Childress

(Signature of Agent of Band of Health or other "

H.O. Left 8/38

(Official Designation) (Date of Isspo of Permit)

19, I HEREBY

CERTIFY. That I attended deceased from"

19:3.0 . 10

I last saw h allve on Sent- 7 19.3 6, death is said to have occurred on the date stated above, at. ....... A. m. The principal cause of death and related causes of Importance in order of onset were as follows: Ceturt Harmand 1

Date of Onset IMPORTANT .............. 127/38. ....

Contribatory causes of Importance not ralated to principal cause:

General arturo Silenzio 1.

Nama of operation.

What tast confirmed diagnosis?

Data of

Was there an autopsy?

20 Was disease or Injury in any way ralated to occupation of deceased?

If so, specify ...........

Hans actuel

M. D.

(Signed)

(Address)

Relation, if any .... Cousin DATE OF BURIAL ..

17 Samuel A.Nash

laformant

(Address)

556 Ward St Newton Mass

18 DATE OF

DEATH

Sept

3 SEX

female

4 COLOR OR RACE

white

5 SINGLE

MARRIED

WIDOWED

Or DIVORCED

(write the word)

single.

(If U. S. War Veteran

PLACE OF DEATH

this occupation (month and

year)

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 husiness, avoid the use of such gen- eral terms as "store." "factory." ** mill," etc. State the particular kind of Store, factory, mill, ctc., 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 securcd. 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 causc, 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 nepbritis

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 hest 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 hoard 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 he, 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, hy 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 hody has been sooner ohtained 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.)

Need help finding more records? Try our genealogical records directory which has more than 1 million sources to help you more easily locate the available records.

Town of Winthrop : Record of Deaths 1938, Part 68

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

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