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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