Town of Winthrop : Record of Deaths 1939, Part 103

Author: Winthrop (Mass.)
Publication date: 1939
Publisher:
Number of Pages: 560

USA > Massachusetts > Suffolk County > Winthrop > Town of Winthrop : Record of Deaths 1939 > Part 103

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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 10 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

PLACE OF DEATH

Suffolk (County)

(City or Town)

No.

32 Irwin

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.

259

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

2 FULL NAME

Benjamin Walter Earle

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

(a) Residence.

No.

32 Irwin

(Usual place of abode)

Leneth of residence in city or town where death occurred 10

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

5 SINGLE

(write the word)

MARRIED

WIDOWED

or DIVORCED

Married

DEATH

(Month)

(Day)

(Year)

6a If married, widowed, Errd Melissa Fogg

HUSBAND of

(Give maiden name of wife in full)

(or) WIFE ol

(Husband's name in full)

6 IF STILLBORN, enter that fact here.

7 80 . Years 7 Months 24 Days

If less than 1 day Hours. .Minutes

8 Trade. profession, or particular Stationary Engineer generalized arteriosclerosis

Stationery

1927

11 Total time (years)

spent in this

occupation

12 BIRTHPLACE (City)

Peabody

(State or country)

Massachusetts

13 NAME OF

FATHER

Benjamin Proctor Earle

Meredith

(State or country) New Hampshire

Sarah Curtis

16 BIRTHPLACE OF

MOTHER (City)

Unable to obtain

17 Mrs. Ella M. Earle (

(Address) 32 Irwin St Winthrop Mass

I HEREBY CERTIFY that a satisfactory standard certificate of death was Willow stuldress DeNature Of Art Board of Health or other)

/ Malthe Officer (Official Designation) (Date of Issue of Permit) 12/28/39

19 I HEREBY CERTIFY. That I attended deceased from

Sept. 9

19.

39 to Dec.

19 .. 39

I lasi saw h. M. alive on

to have occurred on the date stated above, at 10.45m. The principal cause of death and related causes of importance la order of onset were as follows:

Date of Onset IMPORTANT

1929.

Contributory causes of Importance not related to principal cause:

none

Name of operation

What test confirmed diagnosis ?..

clinical

Date of ....

.Was there an autopsy ?....

20 Was disease or Injury in any way related to occupation of deceased? no

(Signed)

(Address) ...

M. D. Withop mars. Date 12/19 1939,

21 Cedar Grove Cemetery Peabody

Place of Burial, Cremation or, Removal

Relation, if any

wife

DATE OF BURIAL

December 21.

(City Town)

22 NAME OF FUNERAL DIRECTOR Charles R Bennison ADDRESSWinthrop Mass

Received and filed. 19

(Registrar)

100m-9.'37. No. 1859-1.

Winthrop 1 3 SEX 4 COLOR OR RACE White Male AGE sawyer, bookkeeper, etc. 10 Date deceased last worked at this occupation (month and OCCUPATION year) 14 BIRTHPLACE OF FATHER (City) 15 MAIDEN NAME OF MOTHER PARENTS (State or country) Informant 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 work was done, as silk mill, saw mill, bank, etc.

MEDICAL CERTIFICATE OF DEATH

18 DATE OF

Dec.

19.39.

Dec. 18

19.5.9., death Is sald

months

years

(If U. S. War Veteran

specify WAR)

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 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 PACTORY, 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:

Dats of Omset

Arteriosclerosis

1915

.......

Chronic Interstitial nepbritis

1921

Carebral 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.

GOVERNING THE

RETURN OF CERTIFICATES OF DEATH

A physician or registered hospital medical officer shall forth- with, alter the death of a person whoin 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 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- ouired by law, or in lieu thereof a certificate as hereinafter pro- vided. If there is no attending physician, or if, for sufficient rea- sons, his certificate cannot be obtained early enough for the pur- pose, or is insufficient, a physician who is a member of the hoard of health. or employed by it 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 shall make such certificate. 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 heen 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 I'nited 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, CHIAP. 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 he 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 interinent 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 supposably due to injury. These include not only deaths caused directly or indirectly by traumatism (including resulting septi- cemia), and hy the action of chemical (drugs or poisons). thermal. or electrical agents, and deaths following abortion, but also deaths from disease resulting from injury or infection related to occupation, the sudden deaths of persons not disabled by recognized disease, and those of persons found dead.

R-301A

PLACE OF DEATH

Suffolk (County)

Winthrop (City or Town)

No. 278 Winthrop

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

STANDARD CERTIFICATE OF DEATH

Registered No.

260

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

2 FULL NAME

William Henry Creighton

(If U. S. War Veteran

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

specify WAR)

(a) Residence.

278 Winthrop

St.,

Ward,

(Usual place of abode)

Length of residence in city or town where death occurred 50

years

months

dayı.

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

years

months

dayı.

PERSONAL AND STATISTICAL PARTICULARS

MEDICAL CERTIFICATE OF DEATHI

3 SEX

Male

4 COLOR OR RACE

White

5 SINGLE

MARRIED

WIDOWED

or DIVORCED

(write the word)

Married

5a If married, widowed, or divorcetane Whittington

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 77 Years. 5 Months

9 .Days

If less than 1 day .Hours .Minutes

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

Conductor

Lynn ry

9 Industry or business In which work was done, as silk mill, Boston Revere Beach saw mill, bank, etc.

10 Date deceased last worked at

11 Total time (years)

this occupation (month andct. 1938

spent in this occupation ...

12 BIRTHPLACE (City)

Charlestown

(State or country)

Massachusetts

13 NAME OF

FATHER

John Henry Creighton

14 BIRTHPLACE OF

FATHER (City)

(State or country)

England

15 MAIDEN NAME

OF MOTHER

Alice Hornsby

16 BIRTHPLACE OF

MOTHER (City)

(State or country) England

Informant

Mrs. Mary J. Creighton wife

(Address) 278 Winthrop St Winthrop Mass

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

(Signature of Agent of Boar " " Health or other)

Dec. 22134

(Official Designation)

(Date of Issue of Permit)

HEREBY CERTIFY. That I attended deceased from

Dec 14

1939, to Dex 19

1939

I last saw h mmm alive on. Dec 19 19.39, death is said to have occurred on the date stated above, at 10Pm. The principal cause of death and related causes of Importance la order of onset were as follows:

Date of Onset IMPORTANT

Coronary Thrombosis

Lire 14,1439

Contributory causes of Importance not related to principal cause:

Name of operation.

une

Date of.

What test confirmed diagnosis ?.

Was there an autopsy ?.

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

(Sign

Louis 7 Salerno

., M. D.

(Address) 175 Plusany St

Date: Dec. 20 1939

Winthrop Cemetery

Winthrop

Relation, if any

Place of Burial, Cremation or Remor L

(City or Town)

DATE OF BURIALDecember 22

1939

22 NAME OF

Charles R Bennison

FUNERAL DIRECTOR

ADDRESS

Winthrop Mass

Received and filed. 19 ...

(Registrar)

100m-9.'37. No. 1859.i.

1 OCCUPATION PARENTS 17 tion should be carefully supplied. 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 Age should be stated LAACILI. PHYSICIANS should state CAUSE OF DEATH AGE

To be filed for burial permit with Board of Health or its Agent.

St.,

......

(If nonresident, give city or town and state)

18 DATE OF

DEATH

Dec.

1939

(Month)

(Day)

(Year)

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.

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.

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

Carebral 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 canse may appear in either first. second, or third position. The principal cause in the above example happens to be the second cause given.

GOVERNING THE

RETURN OF CERTIFICATES OF DEATH

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 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- aquired 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 If such a permit for the removal shall make such certificate. 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 heen 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 I'nited States in any war in which it has been engaged. < uch 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, CHIAP. 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 30 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.

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Town of Winthrop : Record of Deaths 1939, Part 103

Author: Winthrop (Mass.) Publication date: 1939 Publisher: Number of Pages: 560

Author: Winthrop (Mass.)
Publication date: 1939
Publisher:
Number of Pages: 560