Town of Winthrop : Record of Deaths 1939, Part 17

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

USA > Massachusetts > Suffolk County > Winthrop > Town of Winthrop : Record of Deaths 1939 > Part 17

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9 Industry or business in which

work was done, as silk mill,

saw mill, bank, etc.

10 Date deceased last worked at

11 Total time (years)

spent in this

occupation

this occupation (month and Ulec 1936

year)

12 BIRTHPLACE (City).

East Boston

(State or country)

mass

13 NAME OF John Le. Sureney

14 BIRTHPLACE OF

FATHER (City)

(State or country) chuland

15 MAIDEN NAME

OF MOTHER

ME ann In Short

Boston

16 BIRTHPLACE OF

MOTHER (City)

(State or country)

mass

17 John le Sweeney Relation, if any Informant fomn (Brothers (Address) 40 Taylan Str Pranthrop Ma

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 )

Viralthe Officer (Official Designation) (Date of Issue of Permit)

3/25/39

19 I HEREBY

CERTIFY, That I attended deceased from

{ last saw b ..

... allve on

death Is said

to have occurred on the date stated above, at.

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

Date of Onset IMPORTANT ....

Heart Disease

Contributory causes of Importance not related to principal cause:

Name of operation.

What test confirmed diagnosis ?.

Date of.

Was there an autopsy?

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

If so, specify

John T. Walsh

(Signed)

M. D.

(Address)

Date.

Ioly Cerosa malden

Place of Burial, Cremation or Reshoval.

(City or Town)

DATE OF BURIAL

1939

22 NAME OF Frederick & manetti UNDERTAKER

ADDRESS 64 mundial Sh DE. Boston

Received and filed. FEB 201939-

(Registrar)

and craft alattinell ur VULUI Allvn are very tion should be carefully supplied Age should ha stated EXACTLY PHYSICIANS should etato CAUSE OF DRA'TH "ic muy De propuny classnicu.

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

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

2 FULL NAME

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

(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 hirth?

years

18 DATE OF

DEATH

.........

(Month)

Juh

23 1939

(Day)

(Year)

PARENTS

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 FACTORY, COTTON MILL, etc.

Distinguish carefully the different kinds of engineers by stating the full descriptive titles, as CIVIL ENGINEER, MECHANICAL ENGIN- ZER, 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

...

July 5. 1927

Carebral hemorrhage

....

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, arter 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 hoard, 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 body has been sooner obtained hereunder. If the death certificate contains a recital, as required by section ten of chapter forty-six, that the deceased served in the army, navy or marine corps of the United States in any war in which it has been engaged, such recital shall ap- pear upon the permit. The board of health, or its agent, upon receipt of such statement and certificate, shall forthwith counter- sign it and transmit it to the clerk of the town for registration. The person to whom the permit is so given and the physician cer- tifying the cause of death shall thereafter furnish for registration any other necessary information which can be obtained as to the deceased, or as to the manner or cause of the death. which the clerk or registrar may require .- CHAP. 114, SEC. 45,, G. L. (TER- CENTENARY EDITION.)

Medical examiners shall make examination upon the view of the dead bodies of only such persons as are supposed to have died by violence. . .- GEN. LAWS, CHAP. 38, SEC. 6.

.... He shall in all cases certify to the town clerk or registrar in the place where the deceased died his name and residence, if known; otherwise a description as full as may be, with the cause and manner of death .- GEN. LAWS, CHAP. 38, SEC. 7.

No undertaker or other person shall bury a human body or the ashes thereof which have been brought into the commonwealth until he has received a permit so to do from the board of health or its agent appointed to issue such permits, or if there is no such board, from the clerk of the town where the body is to be huried or the funeral is to be held, or fromn 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.

72 II-1938

TRANSIT PERMIT

DEPARTMENT OF HEALTH BOROUGH OF MARHATTA

No. 4745

939 FER 23 PM > 55

DEPARTMENT OF HEALTH OF THE CITY OF NEW YORK

This Permit must be properly signed and presented, with Undertaker's Certificate, to the Railroad, Express or other Transportation Agent, before a body can be shipped.

New York,. 19

The Certificate of Death, having been furnished to me, as required by the Laws of this State, permission

is hereby granted to. Vitor Johnston

holder of Undertaker's License No 1278

for the removal and shipment for burial at

Cemetery at

Crematory

State of .. man

the body of

cremation! (When obtainable) Three who died in

the Borough of. Ma

County of N. Y., on. 2/23

1939, at +)

19.

Aged .. 49

months. days

..... sex. color, the cause of death being Heart Disease

which necessitates shipment under Rule No. of the Rules of the New York State Department of Health for the Transportation of the Dead, as printed on the back of this Permit.

Victor

Soluston

Signed

John T. Walsh, Tu,

(Signature of Undertaker )

Ass't Registrar

This Permit must be detached and delivered to the Person in charge of the Corpse.

NEW YORK STATE DEPARTMENT OF HEALTH ALBANY

SPECIAL ADMINISTRATIVE REGULATION RELATING TO THE TRANSPORTATION OF DEAD BODIES BY COMMON CARRIERS

[In effect throughout the State of New York, except in the City of New York, on September 1, 1932]

Regulation 1. Transportation of dead bodies by common carriers. The transportation of dead human bodies by common carriers shall be conducted in such manner as not to be a menace to health and shall conform to the following requirements:

(1) A transit permit and transit label issued by the local registrar of vital statistics must accompany each dead body transported by a common carrier.

The transit permit shall state the date of issuance, the name, sex, race and age of the deceased, and the cause and date of death. The transit permit shall also state the date and route of shipment, the point of shipment and destination, the method or preparation of the body, and shall bear the signature of the undertaker and the signature and official title of the officer issuing the permit.

The transit label shall state the date of issuance, the name of the deceased, the place and date of death, the name of the escort or consignee, the point of shipment and destination; and shall bear the signature and official title of the officer who issued the transit permit. The transit label shall be attached to the outer box or case.

(2) The transportation by common carriers of bodies dead of any diseases other than those mentioned in subdivision 3 shall be permitted only under the following conditions :

(a) The coffin or casket shall be encased in a strong outer box made of good sound lumber, not less than 78 of an inch thick. All joints shall be securely put together and the box tightly closed. Either the coffin or casket, or the outer box or case, shall be water-tight. Every outside case holding any dead body offered for transportation by common carrier shall bear at least four handles and when over 5 feet 6 inches in length, shall bear six handles.

(b) When the destination cannot be reached within 60 hours after death, all body orifices shall be closed with absorbent cotton and the body placed at once in a coffin or casket which shall be immediately closed and the coffin or casket shall be prepared as indicated in subdivision (2-a) of this regulation.

(3) The transportation by common carrier of bodies dead of smallpox, plague, Asiatic cholera, typhus fever, diphtheria (membranous croup, diphtheritic sore throat), scarlet fever ('scarlet rash, scarlatina), shall be permitted only under the follow- ing conditions :

All body orifices shall be closed with absorbent cotton, the body shall be enveloped in a sheet saturated with an effective disinfecting fluid and shall be placed at once in a coffin which shall be immediately and permanently closed. The coffin or casket shall be prepared as indicated in subdivision (2-a) of this regulation.

(4) No dead bodies shall be disinterred for transportation by common carrier, or for removal to another cemetery in the same registration district, or in another district, but not requiring shipment by common carrier, without the previous consent of authorities having jurisdiction at the place of disinterment.

The undertaker shall make a request to disinter the body on a form provided for the purpose. This form shall provide for a statement of principal facts concerning the decedent, whether body is to be transported by common carrier or otherwise, final disposition of same, and approval of health officer. Upon receipt of such request the local registrar shall issue a transit permit and transit label as required by subdivision 1 and the provisions of subdivision (2-a) shall apply.

R-301A

PLACE OF DEATH

Conveniently How Wetherof

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.

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

Mila Ursula, muldoon

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

(a) Residence.

No.

196

Un Godrede ave

St.

( Usual place of abode)

Lenktb of residence in city or town where death occurred

years

months

days.

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

years

months

dayı.

PERSONAL AND STATISTICAL PARTICULARS

5 SINGLE

MARRIED

WIDOWED

or DIVORCED

(write the word)

single

(Give maiden name of wife in full)

If less than 1 day Hours Minutes

Secretar

9 Industry or business in which

work was done, as silk mill,

Broken office

10 Date deceased last worked et

11 Total time (years)

this occupation (month and 2/10/19

spent in this

occupation ..

year)

13 NAME OF

FATHER

Jaseph E. Muldoon

15 MAIDEN NAME

OF MOTHER

Mary A Norman

Watcham

Informant

(Address)

196 Hundrede Clue

I HEREBY CERTIFY that e satisfactory standard certificate of death was filad with me BEFORE the burial) or transit permit was Issued: M. D. Children of (Signature of Agent of Board of Health or other .... Seattle Hacer

(Official Designation)

(Date of Issue of Permit)

2/25/39

MEDICAL CERTIFICATE OF DEATHI

18 DATE OF

DEATH

(Month)

(Day)

(Year)

19 I HEREBY CERTIFY. That t attended deceased from

76.17

19 39 10 22- 23

1939

I last saw h. ( alive on

19 37 death is said

to have occurred on the date stated above, at 5-30A .m. The principal cause of death and related causes of Importance la order of onset were as follows:

Date of Onset IMPORTANT

Contributory causes of Importance not related to principal cause:

Date of

Name of operation

What test confirmed diagnosis?

Was there an autopsy?

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

M. D.

(Address)

Date

2-14

1934

Relation, if any Place of Burial, Cremation or Removal

(City or Town)

Auna

... ).

DATE OF BURIAL.

2/25/89

22 NAME OF

Fish Bras

UNDERTAKER

178 Benaustralo E. Bastão

ADDRESS

Received and filed.

FEB 2 8 1939

(Registrar)

100m 11.36. No. 9080 F

(County)

Suffolk

(City of Town)

No ...

2 FULL NAME

8 SEX

4 COLOR OR RACE

White

Female

5a If married, widowed, or divorced

HUSBAND of

(or) WIFE of

(Husband's name in full)

6 IF STILLBORN, enter that fact here.

AGE

Years

Months

.Days

8 Trade, profession, or particular

kind of work done, as spinner,

sawyer, bookkeeper, etc ..

saw mill, bank, etc.

OCCUPATION

12 BIRTHPLACE (City)

Roxbury

(State or country)

mads

14 BIRTHPLACE OF

FATHER (City) ...

Witcham

16 BIRTHPLACE OF

PARENTS

MOTHER (City)

(State or country)

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

tion should be carefully supplied. Age should be stated EXACTLY. PHYSICIANS should state CAUSE OF DEATH

(State or country)

Mais

(If U. S.

War Veteran

specify WAR)

Ward,.

(If nonresident, give city or town and state)

1939

(Signed)

Waltham

GOVERNING THE

Statement of occupation. l'recise statement of occupation is very important, so that the relative healthfulness of various pur- suns 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 deccased followed the occupation.

In stating the occupation. avoid the use of such indefinite terms as "employec," "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 engincers by stating the full descriptive titles, as CIVIL ENGINEER, MECHANICAL ENGIN- KER, MINING ENGINEER, STATIONARY ENGINEER, etc. Avoid the term "laborcr" when a more precise statement of the occupation can be secured. Do not use the word "mechanie." but give the exact occupation, as CARPENTER, PAINTER, MACHINIST, etc. Distinguish carcfully 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. . Is 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 interstisial nephritis

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- poscd 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 scen 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 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 hoard 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 therc shall nave 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 be obtained early enough for the pur- pose. or is insufficient, a physician who is a member of the hoard of health, or employed by it or by the selectmen for the purpose, shall upon application make the certificate required of the attend- ing physician. If death is caused by violence, the medical examiner shall make such certificate. If such a permit for the removal of a human body, not previously interred, from one town to an- other within the commonwealth cannot be obtained early enough for the purpose, the certificate of death made as above provided and in the possession of the undertaker desiring to make such a removal shall constitute a permit for such removal: provided, that Such bodlv 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.)

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Town of Winthrop : Record of Deaths 1939, Part 17

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

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