USA > Massachusetts > Suffolk County > Winthrop > Town of Winthrop : Record of Deaths 1939 > Part 55
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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 froin 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 casc may bc, 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 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 exsminers 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 disabled by recognized disease unrelated to any form of injury, have died without recent inedical 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.
M R-302
PLACE OF DEATH
(County) Somerville
The Commonwealth of Massachusetts OFFICE OF THE SECRETARY DIVISION OF VITAL STATISTICS STANDARD CERTIFICATE OF DEATH
(City or town making return)
Registered No.
477
(If death occurred in a hospital or institution,
give its NAME instead of street and number)
(If U. S.
War Veteran,
specify WAR)
(If deceased is a married, widowed or divorced woman, give also maiden name.)
(a)
Residence.
13 Pauline St ...
.St.,
.......
Ward,
Winthrop,
(If nonresident, give city or town and state)
mos.
days.
PERSONAL AND STATISTICAL PARTICULARS
(write the word)
Married
1
...
(City or Town)
No.
9 Westwood Road,
2 FULL NAME
Charles Land
(Usual place of abode)
Length of residence in city or town where death occurred
yrs.
3 SEX
5 SINGLE
MARRIED
WIDOWED
or DIVORCED
Male
4 COLOR OR RACE
White
5a If married, widowed, or divorced.
HUSBAND of
Laura (Wentworth)
(Give maiden name of wife in full)
(or) WIFE of
(Husband's name in full)
6 IF STILLBORN, enter that fact here.
7
64
AGE
Years
Months
Days
8 Trade, profession, or particular
Salesman
kind of work done, as spinner,
sawyer, bookkeeper, etc ....
9 Industry or business in which
work was done, as silk mill,
Clothing
saw mill, bank, etc.
year)
949he 0,1939.
12 BIRTHPLACE (City)
Boston,
(State or country)
Mass.
13 NAME OF
FATHER
Abraham M. Land
14 BIRTHPLACE OF
FATHER (City)
(State or country)
Poland
PARENTS
OCCUPATION
16 BIRTHPLACE OF
MOTHER (City)
(State or country)
Poland
A TRUE COPY.
tion should be carefully supplied. AGE should be stated EXACTLY. PHYSICIANS should state CAUSE
important.
OF DEATH in plain terms, so that it may be properly classified. Exact statement of OCCUPATION is very
50m-9-'31. No. 3385-g
N. B .- WRITE PLAINLY, WITH UNFADING INK-THIS IS A PERMANENT RECORD. Every item of informa-
15 MAIDEN NAME
OF MOTHER
Bertha Wilshinsky
MEDICAL CERTIFICATE OF DEATHI
18 DATE OF
DEATH
June 12, 1939.
(Month)
(Day)
(Year)
19 I HEREBY CERTIFY, That I attended deceased from
June 10, 1932.
.. ,19
.... , to ....
June 12, 1939
I last saw h.
Im alive on June 10, 193919
death is said
to have occurred on the date stated above, at .............
PMI
The principal cause of death and related causes of importance In order of onset were as follows:
Dateofonset
Intestinal Cancer
Contributory causes of importance not related to principal cause:
Name of operation
Colostomy
Date of
What test confirmed diagnosis?
Was there an autopsy?
20 Was disease or injury in any way related to occupation of deceased?
If so, specify.
George 5. Hughes
(Signed)
M. D.
(Address)
Somerville, Mass ...
Date
6/13/19
.39
21 PLACE OF BURIAL,
Mishkan Tifila, Wa' efield
CREMATION OR REMOVAL"
(Cemetery)
LA Cey.or town)
22 NAME OF
Israel Einstein
UNDERTAKER
ADDRESS
Roxbury Mass.
Received and filed
June 13, 1939.
19
(Registrar of City or Town where deceased resided)
17
Laura Land
(Wife
DATE OF BURIAL
June 13, 1 939
19
Informant.
(Address)
13 Pauline St. Winthrop, Mass.
ATTEST: (Registrar of city of town where death aveccred)
DATE FILED
June .13, 1939
19
St.
Ward
DOS.
days.
How long in U. S., if of foreign birth?
yrs.
If less than 1 day
Hours
Minutes
10 Date deceased last worked at
11 Total time (years)
spent in this
occupation
20
RECEIVED
. 12
JUL111939 AN
A R-302
PLACE OF DEATH
(County) BOSTO
(City or Town)
No. Jowish Memorial Hosp
The Commonwealth of Massachusetts OFFICE OF THE SECRETARY DIVISION OF VITAL STATISTICS STANDARD CERTIFICATE OF DEATH
BOSTON
(City or town making return)
Registered No.
5743
(If death occurred in a hospital or institution, give its NAME instead of street and number)
2 FULL NAME
Eva Goldberg
(If deceased is a married, widowed or divorced woman, give also maiden name.)
250 Shirley
(a)
Residence.
No.
(Usual place of abode)
Length of residence in city or town where death occurred
yTs.
.St., ...
Ward,
days. How long in U. S., if of foreign birth?
yTs.
mos.
days.
PERSONAL AND STATISTICAL PARTICULARS
MEDICAL CERTIFICATE OF, DEATH
Jul 21/09
19
0/1/30
HEREBY CERTIFY,
19
10/20/59
19
I last saw R .....
.alive on
19
death Is said
2.300
to have occurred on the date stated above, at.
m.
The principal cause of death and related causes of importance in order of onset were as follows:
Dateofonset
diaboter oflitus
1.03.7 .....
gon,ert.sclerosis-abscess.left
1.8./30
abscess loft cluteal region.
6/39
Contribatory causes of importance not related to principal cause:
osteomyelitis of rt.humorus
12/38
Name of operation
log amputation
Date of
What test confirmed diagnosis?
Was there an autopsy ?.
20 Was disease or injury in any way related to occupation of deceased?
If so, specify.
(Signed)
DAman
M. D.
(Address)
Date G/21/30.
21
Roxbury Lodge
Place of Burial, Cremation or Removas /01 /tatty or Town)
DATE OF BURIAL
19
22 NAME OF
UNDERTAKER
ADDRESS
Stanotaky
Boston
19
Received and filed 6/23/39
(Registrar of City or Town where deceased resided)
..
(L U. S.
War Veteran,
specify WAR)
inthrop
(If nonresident, give city or town and state)
4 COLOR OR RACE
(write the word)
5 SINGLE
MARRIED
WIDOWED
or DIVORCED
Widowed
5a If married, widowed, or divorced HUSBAND of
Harry
foi letsiden name of wife in full)
(or) WIFE of
(Husband's name in full)
6 IF STILLBORN, enter that fact here.
If less than 1 day
Years Months Days
.Hours.
.. Minutes
8 Trade, profession, or particular
kind of work done, as spinner,
sawyer, bookkeeper, etc.
housework
9 Industry or business In which
work was done, as silk mill,
saw mill, bank, etc.
at homo
10 Date deceased last worked at -
this occupation (month and
year)
11 Total time (years)
spent in this
occupation ...
13 NAME OF
FATHER
Abraham Chafkey
14 BIRTHPLACE OF
FATHER (City)
Russia
Russla
Relation, if any (
ATTEST:
James Q. Branky
(Registrar of city or town where death occurred)
DATE FILED 19
18 DATE OF
DEATH
(Month)
(Day)
(Year)
Inat i Attended deceased from 741/05
..
5/20/39
mos.
St.,
.Ward
1
3 SEX
F
7
64
AGE
OCCUPATION
12 BIRTHPLACE (City)
(State or country)
15 MAIDEN NAME
OF MOTHER
PARENTS
16 BIRTHPLACE OF
MOTHER (City)
(State or country)
17
Philip
Informant
(Address)
A TRUE COPY,
tion should be carefully supplied. AGE should be stated EXACTLY. PHYSICIANS should state CAUSE
OF DEATH in plain terms, so that it may be properly classified. Exact statement of OCCUPATION is very
important.
50m-11-'36. No. 9080-g
I. D .- WRITE TLAIALT, WITH UNTALING INA THIS IS A PERMANENT ALCUND. Every item of informa-
(State or country)
TO!
71
9
0
7
5
C.
6
JUL261939 AM مر
RM R-305
PLACE OF DEATH
SUFFOLK (County) BOSTON
(City or Town)
No Boston City Hosp
The Commonwealth of Massarquartta OFFICE OF THE SECRETARY DIVISION OF VITAL STATISTICS MEDICAL EXAMINER'S CERTIFICATE OF DEATH
BOSTON (City or town making return) Registered No.5876
(If death occurred in a hospital or institution,
Ward
give its NAME instead of street and number)
2 FULL NAME
Ernest Silberberg
(If deceased is a married, widowed or divorced woman, give also maiden name.)
(a) Residence. No.
(Usual place of abode)
54 Johnson Av
.St.,
Ward,
Winthrop
(If nonresident, give city or town and state)
Length of residence in city or town where death occurred
dayı.
How long in U. S., if of foreign birth?
.... dayı.
PERSONAL AND STATISTICAL PARTICULARS
3 SEX
4 COLOR OR RACE
5 SINGLE
(write the word)
M
MARRIED
WIDOWED
or DIVORCED
Married
5a If married, widowed, or divorced
HUSBAND of
(Give malducare Fouring
(or) WIFE ..
(Husband's name in full)
6 IF STILLBORN, enter that fact here.
7 AGE 75
Years .. 3 Months ... It Days
If less than 1 day .Hours Minutes
OCCUPATION
8 Trade, profession, or particular
kind of work done, as spinner,
sawyer, bookkeeper, etc.
Insurance
9 Industry or business In which
work was done, as alk mill,
saw mill, bank, etc.
broker
10 Date deceased last worked at
this occupation (month and
year) .
11 Total time (years)
6/39
spent in this
occupation ....
50
12 BIRTHPLACE (City) (State or country)
England
13 MAKE OF
FATHER
14 BIRTHPLACE OF
FATHER (City)
(State or country)
Germany
15 MAIDEN NAME
OF MOTHER
16 BIRTHPLACE OF
MOTHER (City)
(State or country)
25m-11. 36. No. 9080.h
17
Informant
(Addrem)
--
Alfred Fearing ok
son
name changed by order of
A TRUE COPY.
ATTEST:
James Q. Burke
(Registrar of city or town where death occurred)
6/28/39
19
MEDICAL CERTIFICATE OF DEATH
18 DATE OF
DEATH
June 24 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)
cerebral hemorrhage
admitted in coma-died in four hours ..
treated for hypertension
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
collapsed in ferry station
Nature of
Injury
Was there an autopsy?
21 Was disease or Injury in any way related to occupation of deceased?
If so, specify.
(Signed)
M. D.
" Leary
Date.
.19 ..
(Address)
Boston
0/25 39
22
Place of Burial, Cremation fthings
ATH ChFOR'
6/27/39
28 NAME OF
COUPESTAKER
C-A-Bennison
ADDRESS
Winthrop
Received and filed. 19
(Registrar of City or Town where deceased resided)
DATE FILED
Relation, if any
DATE OF BURIAL
19
Arthur Silberberg
PARENTS
1
St ..
(Lf U. S.
War Veteran,
specify WAR)
TO!
OFFIC
K
6
BASS
ROZ
JUL 261939 AM 1.
M R-303 B
OCCUPATION DEATH in plain terms, so that it may be properly classified under the International Classification of Causes of Death. See reverse side for extracts from the laws relative to the return of certificates of death. 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 PARENTS
PLACE OF DEATH
Sulatic (County)
The Commonwealth of Massachusetts OFFICE OF THE SECRETARY DIVISION OF VITAL STATISTICS MEDICAL EXAMINER'S CERTIFICATE OF DEATH
To be filed for burial permit with Board of Health or its Agent.
Registered No.
(If death occurred in a hospital or institution, give its NAME instead of street and number)
2 FULL NAME
(If deceased is a married, widowed or divorced woman, give also maiden name.)
specify WAR)
525 Pleasant St. Writtenb
Ward,
(If nonresident, give city or town and state)
mos.
days. How long in U. S., if of foreign birth?
yrs.
mos.
days.
PERSONAL AND STATISTICAL PARTICULARS
3 SEX
temale
4 COLOR OR RACE
White
5 SINGLE
(write the word)
married
5a If married, widowed, or divorced HUSBAND of
(Give maiden name of) wife f} full)
(or) WIFE of
Frederick ( Mchaughton
(Husband's name in full)
6 IF STILLBORN, enter that fact here.
7 54
AGE Years. .. Months Days
If less than 1 day
Hours
Minutes
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.
11 Total time (years)
10 Date deceased last worked at
this occupation (month and
year)
nd July 1939
spent in this occupation.
30
EBoston
12 BIRTHPLACE (City)
(State or country)
mass
13 NAME OF
FATHER
Edward Cummings
14 BIRTHPLACE OF
FATHER (City)
(State or country) Ireland
15 MAIDEN NAME
OF MOTHER
Catherine Brown
16 BIRTHPLACE OF
MOTHER (City)
(State or country)
Ireland
17 Vur Frederick Mc Naughton Husband)
(Address) 525 Pleasaus as Winthis
! HEXEBY 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) Health Officer 4/3/39 (Official Designation) (Date of Issue of Permits
MEDICAL CERTIFICATE OF DEATH
18 DATE OF
DEATH
Tale-2-1939
(Month)
(Day)
(Year)
19 I 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.) inte Cardiac Fiecare Hypertensive Heart Diskret
folloback + died quickly
(See reverse side for description for unknown person )
20 IN WHAT CITY, OR TOWN
WAS INJURY SUSTAINED ?.
2
(Signed)
M. D.
(Address)
fl Date - 2- 1939
21 PLACE OF BURIAL,
CREMATION OR REMOVAL
Holy Cross malden
(Cemetery)
July 4
(City or town)
59
19.
DATE OF BURIAL
22 NAME OF
UNDERTAKER
R.C. Kirby
ADDRESS
17 Bennington At EBoston
Received and filed. 19
JUL - 1939
(Registrar)
1
(City or Town)
No. 20 Madison St, DrutreMs. Sarah art. mc naughton
Ward
(If U. S.
(a) Residence. No ..
(Usual place of abode)
Length of residence in city or lown where death occurred
10
yrs.
MARRIED
WIDOWED
or DIVORCED
at Home
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 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 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 certificate 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 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.
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 heen 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
1
PLACE OF DEATH
Suffolk (County)
Winthrop
(City or Town)
No. 46 Court Road
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.
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