USA > Massachusetts > Suffolk County > Winthrop > Town of Winthrop : Record of Deaths 1939 > Part 46
Note: The text from this book was generated using artificial intelligence so there may be some errors. The full pages can be found on Archive.org (link on the Part 1 page).
Part 1 | Part 2 | Part 3 | Part 4 | Part 5 | Part 6 | Part 7 | Part 8 | Part 9 | Part 10 | Part 11 | Part 12 | Part 13 | Part 14 | Part 15 | Part 16 | Part 17 | Part 18 | Part 19 | Part 20 | Part 21 | Part 22 | Part 23 | Part 24 | Part 25 | Part 26 | Part 27 | Part 28 | Part 29 | Part 30 | Part 31 | Part 32 | Part 33 | Part 34 | Part 35 | Part 36 | Part 37 | Part 38 | Part 39 | Part 40 | Part 41 | Part 42 | Part 43 | Part 44 | Part 45 | Part 46 | Part 47 | Part 48 | Part 49 | Part 50 | Part 51 | Part 52 | Part 53 | Part 54 | Part 55 | Part 56 | Part 57 | Part 58 | Part 59 | Part 60 | Part 61 | Part 62 | Part 63 | Part 64 | Part 65 | Part 66 | Part 67 | Part 68 | Part 69 | Part 70 | Part 71 | Part 72 | Part 73 | Part 74 | Part 75 | Part 76 | Part 77 | Part 78 | Part 79 | Part 80 | Part 81 | Part 82 | Part 83 | Part 84 | Part 85 | Part 86 | Part 87 | Part 88 | Part 89 | Part 90 | Part 91 | Part 92 | Part 93 | Part 94 | Part 95 | Part 96 | Part 97 | Part 98 | Part 99 | Part 100 | Part 101 | Part 102 | Part 103 | Part 104 | Part 105 | Part 106
(If death occurred in a hospital or institution, give its NAME instead of street and number)
2 FULL NAME
Esther Flax man
(II U. S.
specify WAR)
(If deceased is a married, widowed or divorced woman, give also maiden name.) 35 Forest St. Winthrop
Length ol residence in city or town where death occurred
24 Yrs.
mos.
days.
How long in U. S., if ol loreign birth? 20. yrs.
mos.
days.
MEDICAL CERTIFICATE OF DEATH
18 DATE OF
may -
27
1939
DEATH
(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.) Strangulation due to cord around neck
Suicidal
Found dead +hanging froma
door frame
1
(See reverse side for description for unknown person )
20 IN WHAT CITY OR TOWN
WAS INJURY SUSTAINED ?
shutting
(Signed)
M. D.
(Address)
21 PLACE OF BURIAL.'
CREMATION OR REMOVAL
Both Laval Count.
DATE OF BURIAL ..
may
(Cemetery)
28
(City or town)
19
39
:22 NAME OF
UNDERTAKERA
ADDRESS
Received and filed.
19
MAY 31"
4000
(Registrar)
(County)
1
(City or Town)
No. 22 Ware Uroy are.
(a) Residence.
No.
(Usual place of abode) (
PERSONAL AND STATISTICAL PARTICULARS
3 SEX
4 COLOR OR RACE
5 SINGLE
MARRIED
WIDOWED
or DIVORCED
white
5a Il married, widowed, or divorced
HUSBAND ol
(Give maiden name of wife in fall)
(or) WIFE ol
Ralje
6 IF STILLBORN, enter that fact here.
7
55
AGE
Years
Months
Days
8 Trade, profession, or particular
kind of work done, as spinner.
sawyer, bookkeeper, etc.
10 Date deceased last worked at
this occupation (month and
OCCUPATION
year)
12 BIRTHPLACE (City)
Russia
(State or country)
13 NAME OF
FATHER
Frank goldberg.
14 BIRTHPLACE OF
FATHER (City)
15 MAIDEN NAME
OF MOTHER
Chipi Roma
PARENTS
16 BIRTHPLACE OF
MOTHER (City)
(State or country)
Russia
of Death. See reverse side for extracts from the laws relative to the return of certificates of death.
DEATH in plain terms, so that it may be properly classified under the International Classification of Causes
9 Industry or business in which
work was done, as silk mill,
saw mill, bank, etc.
at Home
(write the word)
I ama
(Husband's name in full)
If less than 1 day Hours Minutes
11 Total time (years)
spent in this
occupation
17 Julie Lokal ( daughter)
Informant (Address) 19 remington dame vampire
I HEREBY CERTIFY that a satisfactory standard certificate of death was filed with me BEFORE the burial or transit permit was issued:
HENRY .FBILEY 3739
Signature of Agent of Board of Health or other)
(om)/662.7.1939 DOSTON HEALTH DEPT.
(Date of Issue of Permit)
information should be carefully supplied. MEDICAL EXAMINERS should state CAUSE AND MANNER OF 5m-12-'34. No. 2938-g N. B .- WRITE PLAINLY, WITH UNFADING BLACK INK-THIS IS A PERMANENT RECORD. Every item of (State or country) Ruxiii
.St.
.. Ward,
(If nonresident, give city or town and state)
Pompo
syncension.
EXTRACTS
FROM THE LAWS OF THE COMMONWEALTH OF MASSACHUSETTS GOVERNING THE RETURN OF CERTIFICATES OF DEATH
A physician or registered hospital medical officer shall forth- with, after 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 regis- tration a standard certificate of death, stating to the best of his knowledge and belief the name of the deceased, his supposed age, the disease of which he died, defined as required by section one, where same was con- tracted, 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 hody 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 satis- factory written statement containing 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 required by law, or in lieu thereof a certificate as hereinafter provided. If there is no attending physician, or if, for sufficient reasons, his certificate cannot be obtained early enough for the purpose, 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 attending 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 another within the common- wealth 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 removal shall constitute a permit for such re- moval; provided, that such body shall be returned to the town from which it was removed 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 certincate contains a recital, as re- quired 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 appear upon the permit. The board of health, or its agent. upon receipt of such statement and certificate, shall forthwith countersign it and transmit it to the clerk of the town for registration. The person to whom the permit is so given and the physician certifying 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. (Tercentenary Edition.)
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. (Tercenten- ary 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. If a medical examiner has notice that there is within his county the body of such a person, he shall forthwith go to the place where the body lies and take charge of the same ;...- General 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: other- wise a description as full as may be, with the cause and manner of death. -- General Laws, Chap. 38, Sec. 7.
... The medical examiner certifies the cause and manner of death to the best of his knowledge and belief.
RULES OF PRACTICE
The fulfilment of the purpose of these laws calls for the observance 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 septicemia). and by the action of chemical (drugs or poisons), thermal, or electrical agents, and ideaths 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.
› STATEMENT OF CAUSE OF DEATH
Medical Examiners in certifying to a death will state the cause and manner thereof, and will specify: (1) Under cause, the nature of an injury and of its consequences; and (2) under manner, the mode of its production together with the circumstances when these are known. For example: "Compound fracture of the femur with ensuing septicemia (gas bacillus) caused by a steam railway accident." "Pistol shot wound of the chest with associated hemorrhage, homicidal." "Asphyxiation by suspension, suicidal." "Syncope while under the influence of ether administered as a surgical anæsthetic." "Fracture of the skull with associated internal injury sustained under circumstances unknown."
If disease or injury was related to occupation, specify. If investigation shows the death to have been due to disease, specify: (1) Under cause, its known or presumable nature; and (2) under manner, indicate the circumstances leading to medico-legal inquiry. For example: "Hemorr- hage spontaneous, of the brain (basal ganglia) (found dead in bed)." "Heart disease. presumably coronary sclerosis. (Sudden death.)"
DESCRIPTION (for unknown person)
NOTICE TO UNDERTAKERS: No embalming fluid, or any substitute therefor, shall be injected into the body of any person supposed to have met his death by violence, until a permit, signed by the Medical Examiner, has first been obtained .- General Laws, Chap. 38, Sec. 14.
THIS CERTIFICATE CONSTITUTES SUCH PERMIT
R-301A
PLACE OF DEATH
Suffolk county ) Nuittirolo (City or Town) 163 Pleasant St.
The Commonwealth of Alassachusetts 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.
114
(If death occurred in a hospital or institution, Ward \ give its NAME instead of street and number)
Alice Cummings Ode
(If deceased is a married, widowed or divorced woman, give also maiden name.)
(a) Residence.
No.
163 Nhaciaus
(Usual place of abode)
Length of residence in city or town where death occurred
250 + months C day.
St.,
Ward,
(If nonresident, give city or town and state)
months
days.
PERSONAL AND STATISTICAL PARTICULARS
5 SINGLE
MARRIED
WIDOWED
or DIVORCED
(write the word)
ED Widowed
5a If married, widowed, or divorced HUSBAND of C dustive maiden de
If less than 1 day Hours .. .Minutes
At Home
il Duru Home
10 Date deceased last worked at
11 Total time (years)
this occupation (month and
occupation ...
13 NAME OF
FATHER
Holley Summing
14 BIRTHPLACE OF
FATHER (City) ....
Turable to obtain
(State or country)
15 MAIDEN NAME OF MOTHER Lydia ABalduru
16 BIRTHPLACE OF MOTHER (Cit Unabletoftan (State or country)
17 Turo Florence Hearts Daugh
I HEREBY CERTIFY that a satisfactory standard certificate of death was filed with me BEFORE the burial or transit permif was issued:
(Signature of Ageht of Board of Health or other) "
Hallte Speces 5/31/39
(Official Designation) (Date of Issue of Permit)
MEDICAL CERTIFICATE OF DEATHI
18 DATE OF
DEATH
may
28
1939
(Year)
(Month)
(Day)
19 I HEREBY CERTIFY, That i attended deceased from January 10, 1930 to May 28 1939
I last saw h.
en alive on
May 28
19.39, death is said
to have occurred on the date stated above, af.
6 P.m.
The principal cause of death and related causes of Importance in order of onset were as follows: Date of Onset IMPORTANT .. acute coronary
may 25
1939.
3.04/20 Contributory causes of importance not related to principal cause:
Arteriosclerosis
femility
1
1937 1939
Name of operation nove „Date of. What test confirmed diagnosis clinical I Was there an autopsy? Har laboratory
Ko 20 Was disease or Injury in any way related to occupation of deceased ?. If so, specify Jacob, Abrams M. M. D.
(Signed) 6562 Surley St., Date May 30 1939
21
Place of Burial, ma tion or Removal.
DATE OF BURIAL. Thay 3 19 .. 39
22 NAME OF FUNERAL DIRECTOR
ADDRESS
19
Received and filed .. MAY 3 1 1939
(Registrar)
100m-9-'37. No. 1859-i.
1 No. 2 FULL NAME 3 SEX 4 COLOR OR RACE 9h 9- (or) WIFE of .. (Husband's name in full) 6 IF STILLBORN, enter that fact here. 7 91 AGE .. Years. .Months ... .Days 8 Trede, profession, or particular Kind of work done, es spinner. sawyer, bookkeeper, etc ... 9 Industry or business in which work was done, as silk mill, saw mill, bank, etc. 12 BIRTHPLACE (City) .... (State or country) OCCUPATION PARENTS (Address) 163 Please important. See instructions and extracts from the laws on back of certificate. in plain terms, so that it may be properly classified. Date of onset and exact statement of OCCUPATION are very year) Preble
(IF U. S.
War Veteran
specify WAR)
How long in U.S., if of foreign birth?
years
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 ot 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.
DrugAbraweg
Shirley at
Distinguish carefully the different. kinds of engineers by stating the full descriptive titles, as CIVIL ENGINEER, MECHANICAL ENGIN- WEK, VINING 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, for 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 nepbritis
1921
Carrbral 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 cxample happens to be the second cause given.
RETURN OF CERTIFICATES OF DEATH
A physician or registered hospital medical officer shall forth- with, atter 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, bis 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 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 he 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 b'y 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 body shall be returned to the town from which it was re- moved within thirty-six hours after such reinoval, 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 l'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 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 disahled by recognized disease unrelated to any form of injury, have died without recent medical attendance or whose physician is ahsent 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 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.
M R-301
Suffolk
(County)
Winthrop
(City or Town) No .132.Washington
The Commonwealth of Massachusetts OFFICE OF THE SECRETARY DIVISION OF VITAL STATISTICS STANDARD CERTIFICATE OF DEATH
(City or town making return)
Registered No ........
(If death occurred in a hospital or institution, give its NAME instead of street and number)
2 FULL NAME.Samuel .. Davis
(If deceased is a married, widowed or divorced woman, give also maiden name.)
(a) Residence. No.
132 Washington Ave ....
St.,
..........
Ward,
(Usual place of abode)
13
Length of residence in city or town where death occurred JTs.
mos.
days. How long in U. S., if of foreign birth?
yrs.
mos. days.
PERSONAL AND STATISTICAL PARTICULARS
4 COLOR OR RACE
White
5 SINGLE
(write the word)
MARRIED
WIDOWED
or DIVORCED
Married
5a If married, widowed or divorced
HUSBAND of
Ernestine N. Noa
(Give maiden name of wife in full)
(or) WIFE of (Husband's name in full)
6 IF STILLBORN, enter that fact here.
29
If iess than 1 day .Hours Minutes
8 Trade, profession, or particular kind of work done, as spinner, sawyer, bookkeeper, etc.
Lawyer
9 Industry or business in which work was done, as silk mill, saw mill, bank, etc. Insurance
10 Date deceased last worked at
this occupation (month and
year) ..
.40
11 Total time (years)
spent in this
occupation ...... 1930
12 BIRTHPLACE (City)
Philadelphia
Pa
Samuel Davis
Phil.
Pa
15 MAIDEN NAME Barbara Ann Montague
16 BIRTHPLACE OF MOTHER (City) Phil.
(State or country) ?a.
Samuel Dav 132 Washington Ave .. Wint
I HEREBY CERTIFY that a satisfactory standard certificate of death was ted with me BEFORE the burial or transit permit was issued:
(Signature of Agent of Board of Health or other)
Health Milicer 5/3//39 / (Oficial Designation) (Date of Issue of Permit)
MEDICAL CERTIFICATE OF DEATH
18 DATE OF
DEATH
May
(Month)
(Day)
1939
(Year)
19 I HEREBY CERTIFY, That I attended deceased from august 1938, to may 29 , 1939
augment 30, 1938, death is said
. to have occurred on the date stated above, at 7:30Am
The principal cause of death and related causes of importance In order of onset were as follows: Generalized arteriosclerosis Dateefonset
Cardio-vascular - renal diverse (a) Chronic myocarditis (b) nephritis
1938
Contributory causes of importance not related to principal cause: Death occurred during absence of regular attending physician Dr. R.B. Parker of Winthrop
Name of operation
Date of
What test confirmed diagnosis?
Was there an autopsy ?.. 00.
20 Was disease or injury in any way related to occupation of deceased?
If so, spe
(Signed)
M. D.
(Address).
Winthrop mars
Date 5/30 1957.
21 PLACE OF BURIAL,
CREMATION OR REMOVAL Mt ....... arnon Phil. P.
Cemetery)
(Alty of town)
DATE OF BURIAL
June 1,
1939
19
22 NAME OF
UNDERTAKER
Richard 16 White
ADDRESS
147 Winthrop St ., Winthrop
Need help finding more records? Try our genealogical records directory which has more than 1 million sources to help you more easily locate the available records.