Town of Winthrop : Record of Deaths 1939, Part 42

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


USA > Massachusetts > Suffolk County > Winthrop > Town of Winthrop : Record of Deaths 1939 > Part 42


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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 hody is buried. No such permit shall be issued until there shall nave been delivered to such board, agent or clerk. as the case may 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, hy a satisfactory certificate of the. attending physician, if any, as re- quired by law, or in lieu thereof a certificate as hereinafter pro- vided. If there is no attending physician, or if, for sufficient rea- sons, his certificate cannot be obtained early enough for the pur- pose, or is insufficient, a physician who is a member of the hoard 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 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 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 canse 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 hoard of health or its agent appointed to issue such peinits, 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 froin 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 hy recognized disease, and those of persons found dead.


1


1


R-305


PLACE OF DEATH


Essex (County)


(City of Town)


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


Danvers (City or town making return) 104


Registered No.


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


2 FULL NAME Willian ... Dempster


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


(a)


Residence. No ...


(Usual place of abode)


15 Atlantic Ave.


.. St.,.


..........


Ward,


(If nonresident


ent. gif city or town and state)


Length of residence in city or town where death occurred


....


9


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


mos. dayı


PERSONAL AND STATISTICAL PARTICULARS


3 SEX male


4 COLOR OR RACE


white


5 SINGLE


(write the word)


MARRIED


WIDOWED


widowed


5a If married, widowed, or divorced


HUSBAND of


Eliza hide @mConwife in full)


(or) WIFE of


(Husband's name in full)


6 IF STILLBORN, enter that fact here.


7


AGE. Years .Months


Days


If lass then 1 dey


Hours


Minutes


OCCUPATION


9 Industry or business In which work was done, as alk mill, saw mill, bank, etc.


10 Date deceesed last worked at


this occupetion (month and


yeer)


11 Totel time (yaars)


spant in this


occupation ..


12 BIRTHPLACE (City) (State or country) Scotland


13 NAME OF


FATHER


14 BIRTHPLACE OF!


Peter Dempster


PARENTS


FATHER (City)


(State or country) Scotland


15 MAIDEN NAME


OF MOTHER


Jessie Lithdow


16 BIRTHPLACE OF


MOTHER (City)


(State or country)


Relation, if any


17


Informant


(Address)


H. K. TcPhillips


(


A TRUE COPY


ATTEST:


(Registrar of city or town where death occurred)


DATE FILED 5/10/39


19


MEDICAL CERTIFICATE OF DEATH


18 DATE OF DEATH May 8, 1939 (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)


Chr. myo carditis


Myocardial failure


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


Suicide or


Homicide?


Date of Injury


.19


Where did Injury occur?


(City or town and State)


Manner of


Injury


Nature of


Injury


Was there an autopsy?


21 Was disease or injury in eny way relatad to occupetion of deceased? If so, specify.


(Signed)


M. D.


(Address)


J. W. O. Murphy Dete


19


Peabody


5/8/39


22 Place of Burial. Cremation, or Removal woodlawn Everett 19


DATE OF BURIAL


28 NAME OF


UNDERTAKER


5/10/39


ADDRESS.


C. R. Dennison


Received and filed


Winthrop


19


(Registrar of City or Town where deceased resided)


:


1


No .. Danvers ... State ... Hospital


St.,


.Ward


(If U. S. War Veteran,


specify WAR)


(City or Town)


-


25m.11.36. No. 9080-h


8 Trade, profession, or particuler


kind of work done, as spinner,


sawyer, bookkeeper, atc.


Stevadore


RECEIVED


.. ..


SS


6


JUN-51939 AM


301


Suffolk.


(County) Minthurt (City or Towa) 105 Trovano No ..


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


CERTIFICATE OF DEATH


Registered No.


105


§ (If death occurred in a hospital or institution,


St.,. Ward \ give its NAME instead of street and number) -


2 FULL NAME


NATHANIEL


WATSON


BARROWS.


(If U. S.


War V


specify WAR)


(a) Residence.


No. 105


GROVERS AVE


Ward,


(If nonresident, give city or town and state)


(Usual place of abode)


4


years


6


months


days.


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


years


months days.


PERSONAL AND STATISTICAL PARTICULARS


4 COLOR OR RACE


Share Thate


5 SINGLE


MARRIED


WIDOWED


or DIVORCED


Mundo


5a If married, widowed, or divorced HUSBAND of


(Give maiden name of wife in full)


(or) WIFE of


(Husband's name in full)


6 IF STILLBORN, enter that fact here.


AGE


7


84


Years ..


7


Months


26 Days


If less than 1 day .Hours .. .Minutes


OCCUPATION


8 Trade, profession, or particular kind of work done, as spinner, sawyer, bookkeeper, etc ....... 9 Industry or business in which work was done, as silk mill, saw mill, bank, etc ....


dem Thank.


Peterad 35yr.


10 Date deceased last worked a


11 Total time (yeale).


this occupation (month and


year)


904


spent in this


occupation.


20


12 BIRTHPLACE (City).


(State or country)


Mass


13 NAME OF


FATHER


14 BIRTHPLACE OF


FATHER (City) ....


(State or country)


15 MAIDEN NAME


OF MOTHER


Terena alder


deren


16 BIRTHPLACE OF


MOTHER (City)


Middleboro


(State or country)


Mar


17 Nathanice a. Larsens Relation, if any


Informant ... (Address) Thinthank Juan. 105card 22 NAME OF


I HEREBY CERTIFY that a satisfactory standard certificate of death was filed with me BEFORE the burial ør transit permit was issued: m. D. Guldreng (Signature of Agent of Board of Health &, othey


Healthe fficer (Oficial Designation)


(Date of Issue of Permit)"> 5/10/39


MEDICAL CERTIFICATE OF DEATH


(Month)


(Day)


(Year)


19 I HEREBY CERTIFY


That I attended deceased from


January 8


1937 to.


May 9


1939


I last saw h Was alive on


May 90, 1939,


death Is said


to have occurred on the date stated above, at 10: 0. The principal cause of death and related causes of Importance In order of onset were as follows: Date of Onset Cerebral Hemontage


Contributory causes of Importance not related to principal cause: Bronchial asthma


arteriosclerosis


Senility


1935 1937 1939


Name of operation ..


norge


.Date of What test confirmed diagnosis Clinical Was there an autopsy? laboratory


20


20 Was disease or injury in any way related to occupation of deceased? If so, specify . (Signed) Jacob, abrauss M. D. M. D Address) 562 Henley ST. ... Date. May 9039


21.


Place of Burial,


Cremation or Removal.


(City or Town) 1939


DATE OF BURIAL


May 12


UNDERTAKER


Pentruth & Sampson


ADDRESS . 3bg Mainst R Askin. ....


Received and filed van 23 1939


A TRUE COPY ATTEST : (Registrar)


...


.........


may 9/39


PARENTS


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


1


PLACE OF DEATH


(City or town making return)


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


Length of residence in city or town where death occurred


(write the word)


18 DATE OF


DEATH


MAY


9


1939


GOVERNING 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 deccased 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 tradc, 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," ctc. 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 cause, name other important diseases.


Example


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


Date of Onset


1915


Chronic interstitial 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 cxamiple happens to be the second cause given.


RETURN OF CERTIFICATES OF DEATH


A physician or registered hospital medical officer shall forth- with, ater 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 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 thercof 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 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 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 disahled 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, hut 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


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.


important.


100m 11-36. No. 9080.F


L


I HEREBY CERTIFY that a satisfactory standard certificate of death was filed with me BEFORE the burial or transit permit was issued: Www. D .Chuldring .....


Signature of Agent of Board of Health bt her) Healtto ffice


5/12/37


(Official Designation) (Date of Issue of Permit)


MEDICAL CERTIFICATE OF DEATHI


18 DATE OF


DEATH


may


9


1939


Month)


(Day)


(Year)


19 I HEREBY CERTIFY, That i attended deceased from


May 12


1830, to hay


9


1929


.....


·


I last saw b


allve on.


man


9


19:3. 7 ... , death Is sald


to have occurred on the date stated above, at 3 P .. m.


Date of Onset IMPORTANT The principal cause of death and related causes of Importance in order of onset were as follows: Chimie Hernandes


may 12 1930 ..... 7


Contributory causes of importance not related to principal cause:


Name of operation


What test confirmed diagnosis chanter


Date of.


Was there an autopsy? No


20 Was disease or injury in any way related to occupation of deceased? No


if so, specify.


Que 3 Parker


(Signed)


M. D.


(Address) White


masa Date way 1/1939


21


Relation, if any Place of Burial, Cremation or Removal. (City or Town)


22 NAME OF


UNDERTAKER


147 Winthrop St. Winthrop


ADDRESS


Received and flied .. may 23


1939


...


(Registrar)


1


PLACE OF DEATH


Suffolk (County)


Winthrop (City or Town)


No.


175Somerset, Ave


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.


106


Registered No.


f (If death occurred in a hospital or institution,


St.,.


.Ward ( give its NAME instead of street and number)


2 FULL NAME


John E. Kiander


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


(a) Residence.


No.


175 Somerset Ave Winthrop


St.


Ward,


(Usual place of abode)


23


Length of residence in city or town where death occorred


years


months


days.


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


years


months


dayı.


PERSONAL AND STATISTICAL PARTICULARS


4 COLOR OR RACE


White


5 SINGLE


MARRIED


WIDOWED


or DIVORCED


widowed


Phiel Kiander


(or) WIFE of


(Husband's name in full)


6 IF STILLBORN, enter that fact here.


7


89


8


9


if less than 1 day


.. Hours


.Minutes


OCCUPATION


9 Industry or business in which


work was done, as silk mill,


saw mill, bank, etc.


Restaurant


1O Date deceased last worked at


11 Total time (years)


(month, ar


spent in this


occupation ...


60


this occupation


year)


1 ... 9.30.


12 BIRTHPLACE (City)


Kevisttranster


(State or country)


Sweden


13 NAME OF


FATHER


NOT KNOWN )


PARENTS


14 BIRTHPLACE OF


FATHER (City)


(State or country)


Sewden


15 MAIDEN NAME


OF MOTHER


NOT KNOWN)


16 BIRTHPLACE OF


MOTHER (City)


(State or country)


Sweden


Winthrop Winthrop


17


Blanche E. Kiander


(


Daughter .. )


DATE OF BURIAL


May 12 1939


19


Informant


(Address)


175 Somerset Ave Winthrop


(If U. S. War Veteran


specify WAR)


(If nonresident, give city or town and state)


61


(write the word)


5a If married, widowed, or direfferobst


HUSBAND of


augusta


(Give maiden name of wife in full)


AGE


Years


Months


.Days


8 Trade, profession, or particular


kind of work done, as spinner,


sawyer, bookkeeper, etc.


Machinist


GOVERNING 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, etc. For a pe son 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 "employee," "worker," "operative," etc. Find out the partic- ular kind of work done and return that, as SPINNER, WEAVER, etc.


In stating the industry or business, avoid the use of such gen- eral ternis as "store." "factory," "mill," etc. State the particular kind of store, factory, mill, etc., as GROCERY STORE, SOAP FACTORY, COTTON MILL. 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.




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