USA > Massachusetts > Suffolk County > Winthrop > Town of Winthrop : Record of Deaths 1939 > Part 56
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43
f (If death occurred in a hospital or institution, Ward ( give its NAME instead of street and number) St.,
2 FULL NAME
Christina (Vasquez) Hatfield
(If deceased is a married, widowed or divorced woman, give also maiden name.)
(a) Residence.
No.
46 Court Road
(Usual place of abode)
.St.
Ward,
(If nonresident, give city or town and state)
Leortb of resideoce in city or town where death occurred
2 8eans
months
days.
How long in U.S., if of foreign birth?
years
months
days.
PERSONAL AND STATISTICAL PARTICULARS
MEDICAL CERTIFICATE OF DEATH
8 SEX
Female
4 COLOR OR RACE
White
5 SINGLE
(write the word)
Married
MARRIED
WIDOWED
or DIVORCED
6a Il married, widowed, or divorced
HUSBAND ol
(Give maiden name of wife in full)
(or) WIFE of
Frank Knight Hatfield
(Husband's name in full)
6 IF STILLBORN, enter that fact here.
7 67
AGE .Years. Months Days
.Hours ..... Minutes
OCCUPATION
8 Trade, profession, or particular kind of work done, as spinner, sawyer, bookkeeper, etc ....
House work
9 Industry or business in which
work was done, as silk mill,
Own home
saw mill, bank, etc.
10 Date deceased last worked at
11 Total time (years)
spent in this
occupation
this occupation (month and35
year)
12 BIRTHPLACE (City)
East Boston
(State or country)
Massachusetts
13 NAME OF FATHER Joseph Vasquez
PARENTS
14 BIRTHPLACE OF FATHER (City)
(State or country)
Cuba
15 MAIDEN NAME,
OF MOTHER
Mary Elizabeth Lang
16 BIRTHPLACE OF
MOTHER (City)
(State or country)
Scotland
17 Frank K. Hatfield
laformant ..
(Address)
46 Court Road
Winthrop Mass
I HEREBY CERTIFY that a satisfactory standard certificate of death was filed with me BEFORE the burial ør transit permit was issued: U.S. Children )
Signature of Agent of Board of Health or othery
Malthe Officer 7/5/39
(Official Designation) (Date of Issue of Permat)
18 DATE OF
DEATH
(Month)
(Day)
(Year)
19
I HEREBY CERTIFY, That i attended deceased from
fine 28
1939 to Sud
3
1939
1 fast saw her
.allve on.
July
3
1
..... Chironis my occurdito
1935
Contributory causes of Importance not related to principal cause: Chronic nephritis ...
1935
Name of operation.
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
Louis 7 Salerno
(Signed)
M. D.
(Address) 75 Pleasant St.
Date July 31939
21
Winthrop Cemetery
Winthrop
Relation, if any
Place of Burial, Cremation or Removal.
(City or Town)
husband
DATE OF BURIAL
July 5,
1939
19
22 NAME OF
UNDERTAKER .
Charles R Bennison
ADDRESS
Winthrop Mass
1939
Received and filed.
JUL.7
19
(Registrar)
100m 11.'36. No. 9080.F
See instructions and extracts from the laws on back of certificate. tion should be carefully supplied. in plain terms, so that it may be properly classified. Date of onset and exact statement of OCCUPATION are very Age should be stated EXACTLY. PHYSICIANS should state CAUSE OF DEATH
important.
Registered No.
(If U. S. War Veteran
specify WAR)
3
1939
1939 death Is said ..... to have occurred on the date stated above, at 12 Ah The principal cause of death and related causes of Importance In order of onset were as follows:
Dato of Dasst IMPORTANT
If less than 1 day
Statement of occupation. - l'recise 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 Or 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 storc, 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- KER, 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:
Dste ol Onset
Arteriosclerosis
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 example happens to be the second cause given.
RETURN OF CERTIFICATES OF DEATH
A physician or registered hospital medical officer shall forth- with, alter the death of a person whom he has attended during his last illness, at the request of an undertaker or other authorized person or of any member of the family of the deceased, furnish for registration a standard certificate of death, stating to the best of his knowledge and belief the name of the deceased, his sup- poscd age, the disease of which he died, defined as required by section one, where same was contracted, the duration of his last illness, when last 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 hoard of health or its agent aforesaid or from the clerk of the town where the body is buried. No such permit shall he issued until there shall nave been delivered to such board. agent or clerk, as the casc may be. a satisfactory written statement con- taining the facts required by law to be returned and recorded. which shall be accompanied. in case of an original interment, by a satisfactory certificate of the attending physician, if any, as re- ouired by law, or in lieu thereof a certificate as hereinafter pro- vided. If there is no attending physician, or if, for sufficient rea- sons, his certificate cannot he 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 hodies of only such persons as are supposed to have died by violence. . .- GEN. LAWS. CHAP. 38. SEC. 6.
.... Ile 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 pernrits, or if there is no such board, from the clerk of the town where the body is to be huried or the funeral is to be held, or 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 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 hy the action of chemical (drugs or poisons), thermal. or clectrical 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.
R-301A
3 SEX AGE ... Daughter (correction on age) OCCUPATION Age should be stated EXACTLY. PHYSICIANS should state CAUSE OF DEATH Kor) WIFE of
PLACE OF DEATH
Suffolk County Winthrop (City or Towy 1) Undine Que No ...
The Commonwealth of Massachusetts OFFICE OF THE SECRETARY DIVISION OF VITAL STATISTICS
STANDARD
CERTIFICATE OF DEATH
Registered No.
(If death occurred in a hospital or institution,
St., ..
.Ward ( give its NAME instead of street and number)
Sarah L. Cronin
(If deceased is a married, widowed or divorced woman 103 Beacon St SomervilleWard,
(a) Residence.
No.
({'sual place of abode)
Length of residence in city or town where death occurred
years
months
days.
How long in U.S., if of foreign birth?
years
months
days.
PERSONAL AND STATISTICAL PARTICULARS
4 COLOR OR RACE
Female White
5 SINGLE
MARRIED
WIDOWED
or DIVORCED
write the word)
Married
5a If married, widowed, or divorced
HUSBAND of
John
"(Give maiden name of/wife in full)
(Husband's hame in full)
6 IF STILLBORN, enter that fact hele!
7 69 66 yrs Years. Months .Days
If less than 1 day Hours. ..... .Minutes
Housewife
10 Date deceased last worked at
11 Total time (years)
spent in this
occupation
this occupation (month and
year)
Lancashire
12 BIRTHPLACE (City) ..
(State or country)
England
13 NAME OF
FATHER
William Green
14 BIRTHPLACE OF
FATHER (City)
(State or country)
Vieland
15 MAIDEN NAME
OF MOTHER
Mary Thompson
16 BIRTHPLACE OF
MOTHER (City)
(State or country)
Dicland
17 Mr. for Cronin Husband
Informant (Address) 1
L
I HEREBY CERTIFY that a satisfactory standard certificate of death was filed with me BEFORE The burial qr transit permit was issued: Www. D.
.....
Health Afweer
24/4/39
(Official Designation) (Date of Issue of Permity
MEDICAL CERTIFICATE OF DEATHI
18 DATE OF
DEATH
July
(Month)
(Day)
(Year)
19 I HEREBY CERTIFY That I attended deceased from
I last saw b Un
allve on
July 6
1939, death is said
to have occurred on the date stated above, at 3.5-m.
The principal cause of death and related causes of Importance in order of onset were as follows:
Date of Daset IMPORTANT
,
Contributory causes of Importance not related to principal cause:
Name of operation
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
5.70 Raulk
M. D.
(Address) 22 80 WienKa
(Signed)
Date ...
7/6 1934
Malden
21 .. Place of Buplaf, Cremation of) Removal.
DATE OF BURMA .......................... DAN
€
ADDRESS
Received and filed ..
19
(Registrar)
100m 11:36. No. 9080 F is por Helen h. Crowin important.
See instructions and extracts from the laws on back of certificate. in plain terms, so that it may be properly classified. Date of onset and exact statement of OCCUPATION are very tion should be carefully supplied.
2 FULL NAME
(If U. S. War Veteran
Wa
specify WAR)
give also maiden name.)
( If nonresident, give city or town and state)
1939
19 38, 10.
July 6
19 39
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 ....
PARENTS
(City or Town) 639
eftertin
22 NAME OF
UNDERTAKER
(11019) estel Que Som
To be filed for burial permit with Board of Health or its Agent.
Statement of occupation. - l'recisc statement of occupation is very important, so that the relative healthfulness of various pur- suits can be known. Make some entry in this section for every person aged 10 years or over. If the occupation had been given up or changed on account of the disease causing death, -report the occupation prior to illness. If the deceased had retired from bus- iness, report the occupation prior to retirement. Children not gainfully employed may be returned as AT SCHOOL Of AT HOME. For a woman whose only occupation was that of home housework, write HOUSEWORK in answer to Question 8 and OWN HOME in answer to Question 9. For a person engaged in domestic service for wages, however, designate the occupation by the appropriate terms, as HOUSEKEEPER-PRIVATE FAMILY, COOK-HOTEL, etc. For a person who had no occupation whatever write NONE.
To be complete, an occupation return must state :
8 .- The trade, profession, or particular kind of work done.
9 .- The industry or business in which the work was done.
10 .- The month and year the deceased last worked at the occupation.
11 .- The number of years the deceased followed the occupation.
In stating the occupation, avoid the use of such indefinite terms as "employee," "worker," "operative," etc. Find out the partic- ular kind of work done and return that, as SPINNER, WEAVER, etc.
In stating the industry or business. avoid the use of such gen- eral terms as "store," "factory," "mill," etc. State the particular kind of store, factory, mill, etc., as GROCERY STORE, SOAP FACTORY, COTTON MILL. etc.
Distinguish carefully the different kinds of engineers by stating the full descriptive titles, as CIVIL ENGINEER, MECHANICAL ENGIN- 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 ANO 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. U'nder contributory causes of importance not related to principal causc, name other important diseases.
Example
The principal cause of death and related causes of importance in order of onset were as follows:
Date of Onset
Arteriosclerosis
1915
Chronic interstitial nephritis
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 example happens to be the second cause given.
RETURN OF CERTIFICATES OF DEATH
A physician or registered hospital medical officer shall forth- with, alter the death of a person whom he has attended during his last illness, at the request of an undertaker or other authorized person or of any member of the family of the deceased, furnish for registration a standard certificate of death, stating to the best of his knowledge and belief the name of the deceased, his sup- 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 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 hy law, or in lieu thereof a certificate as hereinafter pro- vided. If there is no attending physician, or if, for sufficient rea- sous, 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 hody 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 EOITION.)
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 peintits, 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 medical attendance or whose physician is absent from houte when the certificate of death is needed.
(3) Medical Examiners will investigate and certify to all deaths supposahly 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 death; from disease resulting from injury or infection related to occupation, the sudden deaths of persons not disahled by recognized disease, and those of persons found dead.
R-301A
Suffolk (County)
Winthrop
(City or Town)
No.
6 Jefferson
The Commonwealth of Massachusetts OFFICE OF THE SECRETARY DIVISION OF VITAL STATISTICS STANDARD CERTIFICATE OF DEATH
To be filed for burial permit with Board of Health or its Agent.
Registered No.
145
f (If death occurred in a hospital or institution, St.,. Ward { give its NAME instead of street and number)
2 FULL NAME
Adriana Lawrence (Baker) Alexander
(If deceased is a married, widowed or divorced woman, give also maiden name.)
(a) Residence.
No.
6 Jefferson
St.,
Ward,
(If nouresident, give city or town and state)
Length of resideoce in city or town where death occorred
Jean
months
days.
How loog in U.S., if of foreign birth?
year
months
days.
PERSONAL AND STATISTICAL PARTICULARS
4 COLOR OR RACE
White
5 SINGLE
(write the word)
MARRIED
WIDOWED
or DIVORCED
Widowed
5a If married, widowed, er divorced
HUSBAND of
(or) WIFE of
George"
(Sive maiden name of wife in full)
xander
(Husband's name in full)
6 IF STILLBORN, enter that fact here.
5
AGE
Years.
Months
23
.Days
If less than 1 day
.. Hours .........
Minutes
8 Trade, profession, or perticular kind of work done, as spinner, sawyer, bookkeeper, etc ...
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