Town of Winthrop : Record of Deaths 1938, Part 93

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

USA > Massachusetts > Suffolk County > Winthrop > Town of Winthrop : Record of Deaths 1938 > Part 93

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50 Hooker Avenue

St.,

.........

Ward, Somerville Mass.

(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.

5 PERSONAL AND STATISTICAL PARTICULARS

MEDICAL CERTIFICATE OF DEATH

8, SEX

RUP WAT

wate

4 COLOR OR RACE

White

5 SINGLE

MARRIED

WIDOWED

Or DIVORCED

(write the word)

fa If married, widowed, er divorced

DI HUSBAND f.[. ..

(Give maiden name of wife in full)

(Husband's name in full)

6 IF STILLBORN, enter that fact here.

Stillborn

AGE

.Years.

.. Months ..

..... Days

If less than 1 day

Hours.

.Minutes

8 Trade, profession, or particular kind of work done, as spinner, 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

this occupation (month and

11 Total time (years)

spent in this

occupation ...

12 BIRTHPLACE (City)

Winthrop

(State or country)

Mass.

13 NAME OF

FATHER

John Broderick

14 BIRTHPLACE OF

FATHER (City)

Winthrop

(State or country)

Mass.

15 MAIDEN NAME

OF MOTHER

Agatha Blades

16 BIRTHPLACE OF

MOTHER (City)

Cape Sable Is.

(State or country)

N. S.

Relation, if any (

I HEREBY CERTIFY that a satisfactory standard certificate of death was filed with me BEFORE the burial or transit permit was Issued:

---

(Signature of Agent of Board of Health or other)

(Official Designation) (Date of Issue of Permit)

18 DATE OF

DEATH

April

.....

(Month)

(Day)

(Year)

19 I HEREBY

CERTIFY, That i attended deceased from

i last saw h.

.allve on

death is said

to have occurred on the date stated above, at.

.. m.

The principal cause of death and related causes of Importance la order of onset were as follows:

Date of Onset

Stillborn

Contributory causes of Importance not related to principal cause:

(4) Months Fetus was sent

to Dr. J. Stewart Rooney,

Pathological Lab. )

Name of operation.

What test confirmed diagnosis? cli.

clinical

.Date of

.... Was there an autopsy ?.

20 Was disease or Injury in any way related to occupation of deceased? If so, specify

M. D.

(Signed)

(Address) 562 Hurley 21

.... Date Rec Nº 1935.

Place of Burial, ('remation or Removal.

(City or Town)

DATE OF BURIAL

22 NAME OF

UNDERTAKER

.....

ADDRESS

---

Received and filed ...

DEC 16 1938

A TRUE COPY ATTEST

(Registrar)

1 59-1 2 6 (or) WIFE of OCCUPATION PARENTS 17 Laformast (Address) 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 year)

100m-12-'35. No. 6156E

Winthrop (City or Town

CERTIFICATE OF DEATH

No .. WinthropCommunityHospital .... St.,

(If U. S.

War Veteran

specify WAR)

1.9.3.8.

GOVE VERNING THE

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, ctc. 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:

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.

RETURN OF CERTIFICATES OF DEATH

A physician or registered hospital medical officer shall forth- with, aiter 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 have been delivered to such board, agent or clerk, as the casc 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 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.

R-302

tion should be carefully supplied. AGE should be stated EXACTLY. PHYSICIANS should state CAUSE OF DEATH in plain terms, so that it may be properly classified. Exact statement of OCCUPATION is very

important.

A TRUE COPY.

ATTEST: Nov 29 1938

(Registrar of city or town where death occurred)

DATE FILED Frederick H. Burke.

.19.

MEDICAL CERTIFICATE OF DEATH

18 DATE OF

DEATH

Nov 26 1938

(Month)

(Day)

(Year)

19 I HEREBY CERTIFY, That I attended deceased from

Aug ..... 22

19.3.8, to ........ o.v ..... 26

19 38

I last saw h ...

.. alive on Nov 26

death is said

"38

to have occurred on the date stated above, gt .... P. m.

The principal cause of death and related causes of importance in order of onset were as follows:

Dateofonset

Arterio .... Sclerosis

2 ... yFs

Contributory causes of importance not related to principal cause:

Cardio renal

1 yr

Hypertension

Name of operation

What test confirmed diagnosis?

none

Date of

Was there an autopsy?

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

€

If so, specify

(Signed) .Leo T Myles

M. D.

(Address) 776 Mags AVe

Date 11/27 38

21 PLACE OF BURIAL,

CREMATION PRORENOVATAS

Boston

ty or town)

DATE OF BURIAL ...... 728 -1938

22 NAME OF

UNDERTAKER William F .Spencer

ADDRESS

So ... Boston Mass ..

Received and filed

PLACE OF DEATH

(County) Cambridge

The Commonwealth of Massachusetts OFFICE OF THE SECRETARY DIVISION OF VITAL STATISTICS STANDARD CERTIFICATE OF DEATH

Cambridge

(City or town making return)

Registered No

1490

(If death occurred in a hospital or institution,

give its NAME instead of street and number)

2 FULL NAME

Florence Creed

Neil

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

(a)

Residence.

No ... Winthrop ... Arms ... Ho.te.l

(Usual place of abode)

Cliff Ave.

.St., ..

......

Ward,

(If nonresident, give city or town and state)

Length of residence in city or town where death occurred

yrs.

mos.

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

yrs.

mos.

days.

PERSONAL AND STATISTICAL PARTICULARS

3 SEX

4 COLOR OR RACE

5 SINGLE

MARRIED

WIDOWED

or DIVORCED

(write the word)

Widowed

5a If married, widowed, or divorced

HUSBAND of

(Give maiden name of wife in full)

(or) WIFE of

Michael. Creedii)

6 IF STILLBORN, enter that fact here.

AGE 7.0 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 ..

Housewife

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

10 Date deceased last worked at

this occupation (month and

year)

11 Total time (years)

spent in this

occupation

12 BIRTHPLACE (City).South Boston

(State or country)

13 NAME OF FATHER Thomas Neill

PARENTS

(State or country)

Ireland

15 MAIDEN NAME

OF MOTHER

Agnes Bassett

16 BIRTHPLACE OF MOTHER (City) .... So ······ Boston

(State or country)

Mass

17 Informant (Address)

Thomas ... Creed

50m-9-'31. No. 3385-K

Middlesex

(City or Town)

No. Holy Ghost Hospital St.,

Ward

(If U. S.

War Veteran,

231

specify WAR)

Winthrop

(Registrar of City or Town where deceased resided)

14 BIRTHPLACE OF FATHER (City)

111

DEC1 31533 AN

RM R-305

PLACE OF DEATH

NORFOLK (County)

BROOKLINE

... (City or Town)

No.

910 BOYLSTON

The Commonwealth of Massachusetts OFFICE OF THE SECRETARY DIVISION OF VITAL STATISTICS MEDICAL EXAMINER'S CERTIFICATE OF DEATH

BROOKLINE (City or town making return)

Registered No.

232 ...

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

2 FULL NAME

SUSAN A. PATRICK

(It deceased is a married, widowed or divorced woman, give also maiden name.)

specify WAR)

(a)

Residence. No.

(Usual place of abode)

35 LOWELL ROAD

St.,

Ward,

WINTHROP, MASS.

(If nonresident, give city or town and state)

Length of residence in city or town where death occurred

yrs.

mos.

days.

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

yrs.

mos. days.

PERSONAL AND STATISTICAL PARTICULARS

3 SEX Female Mate

4 COLOR OR RACE

White

5 SINGLE

MARRIED

WIDOWED

of DIVORCED

Married

5a If married, widowed, or divorced

HUSBAND of

(Give maiden name of wife in full)

(or) WIFE of

Samuel

Patrick

(Husband's name in full)

6 IF STILLBORN, enter that fact here.

7 AGE 61

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.

Housewife

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

At home

10 Date deceased last worked at

this occupation (month and

year) .

11 Total time (years) spent in this occupation.

12 BIRTHPLACE (City)

(State or country)

N. H.

13 NAME OF

FATHER

Charles R. Applin

14 BIRTHPLACE OF

FATHER (City) .

(State or country)

Troy

N. H.

15 MAIDEN NAME

OF MOTHER

Silina Bourne

16 BIRTHPLACE OF

MOTHER (City)

(State or country)

Richmond

N. H.

Ioformant Samuel Patrick.

(Husband)

(Address)

35 Lowell Road, Winthrop, Mass.

I HEREBY CERTIFY that a satisfactory standard certificate of death was filed with me BEFORE the burial of transit "permit was issued: arthur

(Signature øf Agent of Board of Health or other)

Town Clerk

December 3, 1938

(Official Designation)

(Date of Issue of Permit)

MEDICAL CERTIFICATE OF DEATH

18 DATE OF

DEATH

December

1938

(Month)

(Day)

(Year)

19 | 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)

Chronic myocarditis Angina pectoris

Congestive heart failure

20 If death was due to external causes (VIOLENCE) fill in the following :

Accident,

Suicide or

Homicide ?

Date of injury.

Where did injury occur ?

(City or town and State)

Manner of

Injury

Nature of

Injury

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

If so, specify

(Signed)

Benjamin W. Rudmen

M. D.

(Address).68 Bay State Rd.Bostomte 12/1 19 38

22 PLACE OF BURIAL,

CREMATION OR REMOVAL

Puritan Lawn, Lynnfield

(Cemetery) (City or town)

DATE OF BURIAL

December 4

.3.8

23 NAME OF

UNDERTAKER

Richard H. White

ADDRESS

Winthrop

December 3

Received and filed author C This

A TRUE COPY. ALTE

(Registrar)

Marlboro

PARENTS.

25 M-11-'29. No. 7180-d

.St.,

.....

Ward

(If U. S.

(write the word)

DEC.131530 AM

R-301

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

PARENTS

14 BIRTHPLACE OF

FATHER (City)

(State or country) Ireland

15 MAIDEN NAME

OF MOTHER

Jane O'Donnell

16 BIRTHPLACE OF

MOTHER (City)

(State or country)

Ireland

17 Informant Ellen.L .... Barry.

(Address)

I14 Brookfield Rd

Relation, if any sister ..... ) Winthrop

I HEREBY CERTIFY that a satisfactory standard certificate of death was filed with me BEFORE Be Burial of transit permit was issued:

(Signature of Agent of Board of Health or other)

HValiti Officer 12/3/38 ( Date of Issue of Permit )

...

(Official Designation)

19 IHEREBY CERTIFY, That I attended deceased from

october

12, 1938, to

December, 21938

I last saw h ........... alive on

December 2, 1938, death is said

to have occurred on the date stated above, at.

1 P. m.

The principal cause of death and relaled causes of Importance in order of onset were as follows:

Date of Onset

Carcinomax of Stomach-

Cirrhosis- Liver-

years.

Contributory causes of importance not related to principal cause:

Hemorrhage -

2 days

Name of operation.

What test confirmed diagnosis? Xray-

.Date of.

Was there an autopsy ?.

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

if so, specify

1. Franger

M. D.

(Address) ..

200 Wadenigh HoeDate Dec 21938

2 Mt. Auburn Watertown

Place of Burial, Cremation or Rometal.

DATE OF BURIAL ...

City or Towa)

December A, . 1938,

22 NAME OF

UNDERTAKER

John & O mates

ADDRESS

Winthrop, Massachusetts

A TRUE COPY ATTEST

(Registrar)

PLACE OF DEATH

Suffolk (County)

Winthrop

(City or Town)

No. 114 Brookfield Road

The Commonwealth of Massachusetts OFFICE OF THE SECRETARY DIVISION OF VITAL STATISTICS STANDARD

CERTIFICATE OF DEATH

(City or town making return)

Registered No.

233

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

2 FULL NAME

Bernard Francis Mellen

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

specify WAR)

(a) Residence.

No. 114 Brookfield Road

St.,

Ward,

(If nonresident, give city or town and state)

months

days.

PERSONAL AND STATISTICAL PARTICULARS

MEDICAL CERTIFICATE OF DEATH

18 DATE OF

DEATH

December-

1938-

(Month)

(Day)

(Year)

6a 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 AGE 73 .Years ... ... Months

..... .. Days

Hours .. .Minutes

OCCUPATION

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

Retired

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

10 Date deceased last worked at

11 Total time (years)

spent in this

year)

11 1935

occupation .......

12 BIRTHPLACE (City)

Charlestown

(State or country)

Massachusetts

13 NAME OF

FATHER

Michael Mellen

100m-12-35. No. 6156E

in plain terms, so that it may be properly classified. Date of onset and exact statement of OCCUPATION are very tion should be carefully supplied. Age should be stated EXACTLY. PHYSICIANS should state CAUSE OF DEATH

important.

8 SEX

Male

4 COLOR OR RACE

White

5 SINGLE

MARRIED

WIDOWED

Or DIVORCED

(write the word)

Single

(If U. S.

War Veteran

(Usual place of abode)

Length of residence in city or town wbere death occurred

years

months

days.

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

years

St.,

Received and filed .... D.F.C ---------- 1938-

. . 19

(Signed)

Low.

if less than 1 day

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.

Example

The principal cause of death and related causes of importance in order of onset were as follows:

Dste of Onset

Arteriosclerosis ....

1915

Chronic interstitial nepbritis

1921

Cerebral hemorrhage

July 5. 1927

Contributory causes of importance not related to principal cause :

RETURN OF CERTIFICATES OF DEATH

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 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.

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Town of Winthrop : Record of Deaths 1938, Part 93

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

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