USA > Massachusetts > Suffolk County > Winthrop > Town of Winthrop : Record of Deaths 1938 > Part 81
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Date of Onset
Arteriosclerosis ...
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 the death of a person whoni ne nas auchucu wul ing .1 last illness, at the request of an undertaker or other authorized person or of any member of the family of the deccased, 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 heen huried. until he has received a permit from the board of health or its agent appointed to issne 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 huried. No such permit shall be issued until there shall nave 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 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 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 he obtained early enough for the purpose. the certificate of death made as above provided and in the possession of the undertaker desiring to make such a removal shall constitute a permit for such removal: provided. that such body shall be returned to the town from which it was re- moved within thirty-six hours after such removal. unless a permit in the usual form for the removal of such body has heen sooner obtained hereunder. If the death certificate contains a recital. as required hy 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 npon 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 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, SFC. 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 he, 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 heen 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 hody 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 hy the action of chemical (dings or poisons). thermal. or electrical agents, and deaths following abortion, but also death; 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.
N. POWER O'CONNOR FUNERAL DIRECTOR 210 WINTER STREET HAVERHILL, MASSACHUSETTS
ealth Dept.
Oct. 10, 1938
The place of burial of Annie I. Rogers will be in Kingston Cemetery, Kingston N. N. instead of St. James Cemetery Haverhill She died at Army Hospital FX. Banks OS. 8
yours U M. Power O Connor
R-301A
PLACE OF DEATH
No ...
129 Cliff Avenue
The Commonwealth of Alassachusetts OFFICE OF THE SECRETARY DIVISION OF VITAL STATISTICS STANDARD
4
To be filed for burial permit with Board of Health or its Agent. 202
Registered No. (If death occurred in a hospital or institution, SE, Ward \ give its NAME instead of street and number)
2 FULL NAME
Bernard J. McQuigan
(If deceased is a married, widowed or divorced woman, give also maiden name.)
(a) Residence.
No ...
129 Cliff Avenue
( l'sual place of abode)
St.,
Ward
(If nonresident, give city or town and state)
Lenxtb of residence in city or town where death occurred
18years
months
days.
How long in U.S., if of foreign birth?
years
months
dayı.
PERSONAL AND STATISTICAL PARTICULARS
(write the word)
Married
5a If married, widowed, or divorced
HUSBAND of
Anne E. Shields
(Give maiden name of wife in full)
(Husband's name in full)
If less than 1 day Hours.
Minutes
Restaurant
9 Industry or business in which
work was done, as ailk mill,
His Own
10 Date deceased last worked at
11 Total time (years)
this occupation (month and
year) Sept. 10, 1933.
occupation ......
spent in this VI.
12 BIRTHPLACE (City)
Chelsea
(State or country)
Massachusetts
13 NAME OF
FATHER
Bernard
mc Guigan
14 BIRTHPLACE OF
FATHER (City)
PARENTS
(State or country)
15 MAIDEN NAME
OF MOTHER
Mary MoGrath
16 BIRTHPLACE OF
MOTHER (City)
(State or country)
Irland
Relation, if any
17 Informant Mrs. S. Cullinane ... (Sister (Address) 15 Lee St . Somerville, Mass.
I HEREBY CERTIFY that a satisfactory standard certificate of death was Miled with me BEFORE the burial or transit permit was Issued: Nom. S. Chil dress
(Signature of Agent of Board of Health'or other)
calle offices
J 10/15/38 (Official Designation) (Date of Issue of Permit)
MEDICAL CERTIFICATE OF DEATH
18 DATE OF
DEATH
(Month)
(Day)
1938 (Year)
-
I HEREBY CERTIFY, That i attended deceased from
i last saw h .......... altve on ax. 13 1998 death is said to have occurred on the date stated above, at 12:05 Am. The principal cause of death and related causes of importance in order of onset were as follows: Unhosis. Liver Date of Onset IMPORTANT
Contributory causes of importance not related to principal cause:
Name of operation ..
What test confirmed diagnosis?
Was there an autopsy ?.
Date of
20 Was disease or Injury in any way related to occupation of deceased?
If so, specify.
(Signed)
M. D.
(Address).
( Washingtonon Date/ 8/8/1938
21.
HolyCross Cemetery .... Malden
Place of Burial, Cremation or Removal
(City or Town)
DATE OF BURIAL
October 17.
19 ... 38
22 NAME OF
G. F. McKenna & Son
UNDERTAKER
ADDRESS
390 Medford St., Somerville
19
Received and filed. UCT 2 1 1938
(Registrar)
tion should be carefully supplied.
important.
100m 11 :30 No. 9080 F
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.
CERTIFICATE OF DEATH
(If U. S. War Veteran specify WAR)
14
1238, to CO/14
5 SINGLE
MARRIED
WIDOWED
or DIVORCED
(County) 1 Winthrop (City or Town) 3 SEX 4 COLOR OR RACE White Male (or) WIFE of 6 IF STILLBORN, enter that fact here. 7 54 8 Trade, profession, or particular kind of work done, as spinner, sawyer, bookkeeper, etc. saw mill, bank, etc. OCCUPATION Age should be stated EXACTLY. PHYSICIANS should state CAUSE OF DEATH AGE Years. Months .Days
Irland
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. 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." 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 :
.
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.
A physician or registered hospital medical officer shall forth- 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 scction 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 hury or otherwise dispose of a human body in a town, or remove therefroin 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 board of health, or employed by it or hy 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 shall make such certificate. 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 aby 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 hy the action of chemical (drugs or poisons). thermal. or electrical agents, and deaths following abortion, but also death; 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.
R-303 B
1 2 FULL NAME 3 SEX Male 7 56 AGE OCCUPATION (State or country) 13 NAME OF FATHER PARENTS 16 BIRTHPLACE OF MOTHER (City) (State or country) DEATH in plain terms, so that it may be properly classified under the International Classification of Causes of Death. See reverse side for extracts from the laws relative to the return of certificates of death. information should be carefully supplied. MEDICAL EXAMINERS should state CAUSE AND MANNER OF 5m-12-'3-4. No. 2938-g N. B .- WRITE PLAINLY, WITH UNFADING BLACK INK-THIS IS A PERMANENT RECORD. Every item of (State or country)
PLACE OF DEATH
(County)
21 /9/3
Winthat (City or Town) Briton Narty ofh Serpent No
The Commonwealth of Massachusetts OFFICE OF THE SECRETARY DIVISION OF VITAL STATISTICS MEDICAL EXAMINER'S CERTIFICATE OF DEATH
To be filed for burial permit with Board of Health or its Agent. Registered No ...... 0.3
(If death occurred in a hospital or institution, give its NAME instead of street and number)
Josefin Matilla
(If deceased is a married, widowed or divorced woman, give also maiden name.)
36 Charter
St.,
Ward,.3.
(If nonresident, give city or town and state)
Length of residence in city or town where death occurred yTs.
mos.
days.
How long in U. S., if of foreign birth?
yrs.
mos.
days.
PERSONAL AND STATISTICAL PARTICULARS
MEDICAL CERTIFICATE OF DEATHI
18 DATE OF
DEATH
Oct
14
(Month)
(Day)
(Year)
19 I HEREBY CERTIFY that I have investigated the death of the person above-named and that the CAUSE AND MANNER thereof are as follows: (If an injury was involved, state fully.)
1
Acute Melancholia
(See reverse side for description for unknown person )
20 IN WHAT CITY OR TOWN
WAS INJURY SUSTAINED ?.
(Signed)
William Army Walters Witten D.
(Address)
Date ..
Ost 1/2008
21 PLACE OF BURIAL,
CREMATION OR REMOVAL
Ih Michael Gam Basta Ma
(Cemetery)
(City or town)
DATE OF BURIAL
Oct 20.
19.38.
22 NAME OF
UNDERTAKER.
9. Jangone M
ADDRESS
(190 North th Baften Man
Received and tiled
19
(Official Designation)
5 SINGLE
(write the word)
MARRIED
WIDOWED
or DIVORCED
Married
acerca Altria
Sa If married, widowed, or divorced / pancera
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 kind of work done, as spinner, sawyer, bookkeeper, etc.
General
9 Industry or business in which work was done, as silk mill, saw mill, bank, etc.
Labora
10 Date deceased last worked, at
11 Total time (years)
spent in this
Occupation 30 Many
20 gr
12 BIRTHPLACE (City)
Italy
Leonardo Mistrella
14 BIRTHPLACE OF FATHER (City) ..
Italy
15 MAIDEN NAME
OF MOTHER
Unknown
Italy
17 Francesca Mistretta/ Difu
Informant (Address) 36 Chartes de Basta Maul
I HEREBY CERTIFY, that a satisfactory standard certificate of death was filed with me BEFORE the burial or transit permit was issued:
1/4% (Signature of Agent of Board of He th or other
(Date of Issue of Permit)
St.
.Ward
(If U. S.
War Veteran,
specify WAR)
(a) Residence. No ...
........
(Usual place of abode)
4 COLOR OR RACE
White
1938
(Registrar)
this occupation (month and
years .....
EXTRACTS
FROM THE LAWS OF THE COMMONWEALTH OF MASSACHUSETTS GOVERNING THE RETURN OF CERTIFICATES OF DEATH
A physician or registered hospital medical officer shall forth- with, after 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 regis- tration a standard certificate of death, stating to the best of his knowledge and belief the name of the deceased, his supposed age, the disease of which he died, defined as required by section one, where same was con- tracted, 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 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 enough 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 bas been sooner obtained hereunder. If the death certificate contains a recital, as re- quired 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 appear upon the permit. The board of health, 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 sball 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. (Tercentenary Edition.)
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