Town of Winthrop : Record of Deaths 1939, Part 66

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


USA > Massachusetts > Suffolk County > Winthrop > Town of Winthrop : Record of Deaths 1939 > Part 66


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House work


9 Industry or business in which


work was done. as ailk mill,


Own home


saw mill, bank, etc ..


10 Date deceased last worked at


this occupation (month and1923


11 Total time (years)


spent in this


47


occupation


12 BIRTHPLACE (City)


Boothbay Harbor


(State or country)


Maine


13 NAME OF


FATHER


Andrew Anderson


14 BIRTHPLACE OF


FATHER (City)


Boothbay .... Harbor


(State or country)


Maine


MAIDEN N


OF MOTHER


Margaret Garney


16 BIRTHPLACE OF


MOTHER (City)


Boothbay Harbor


(State or country)


Maine


17


InformuMyron W Tewksbury


.son


-


(Address) 27 Tileston Rd. Winthrop Mass


I HEREBY CERTIFY that e satisfactory standard certificate of death was filed with me BEFORE the burial/or transit permit was issued:


/ seatthe Officer


(Signature of Agent of Board of Health of other) (Official Designation) (Date of Issue of Permit) 08/10/39


18 DATE OF


DEATH


August


8


1939.


(Month)


(Day)


(Year)


19 I HEREBY CERTIFY. That I attended deceased from


July


3


1939, to Ang


8


1939


I last saw ben


alive on.


Aug


8


1937, death is said


to have occurred on the date stated above, at 7:35 Pm.


The principal cause of death and related causes of Importance in order of onset


were as follows:


Carcinoma & hum


...


....


Dec 6 1935


Contribatory causes of Importence not related to principal cause:


....


Chromis humyocarditis


Name of operation


none


Date of


What test confirmed diagnosis? Chemate


Was there an autopsy ? wo


20 Was disease of Injury in any way related to occupation of deceased? 20


If so, specify


(Signed)


.. , M. D.


(Address)


Date ...


Ang 9,


19 .. 7.


21


Winthrop Cemetery Winthrop


Relation, if any


Place of Burial, Creination or Removal.


(City or Town)


DATE OF BURIALAugust 10 1939


19


22 NAME OF


Charles R. Bennison


UNDERTAKER


ADDRESS


Winthrop .... Mass


Received and filed. .19 .... ....


(Registrar)


00m 11.'36. No. 9080-F


1 8 SEX Female (or) WIFE of 7 AGE 83 OCCUPATION PARENTS 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 tom should be calcium supplied Age should be stated LaVILI. HIHIDICIAND Should State CAUSE UT DLA ITI year)


PLACE OF DEATH


(If U. S. War Veteran


specify WAR)


(If nonresident, give city or town and state)


N


Statement of occupation. - l'recise statement of occupation is very unportant, 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 donc and return that, as SPINNER, WEAVER, etc.


In stating the industry or husiness, 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. 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 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 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 discase 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 therc 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 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 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 pernrits, 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 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.


-301A


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 OCCUPATION


100m-9-'37. No. 1859.i.


Y HEREBY CERTIFY that e satisfactory standerd certificate of death was filed with me BEFORE the buriel of transit permit was issued:


(Signature of Agent of Board of Health of other) Health Officer 8/10/39


Oficial Designation) (Date of Issue of Permit)


MEDICAL CERTIFICATE OF DEATH


3 SEX


4 COLOR OR RACE


(write the word)


5 SINGLE


MARRIED


WIDOWED


or DIVORCED


Married


5a If married, widoy HUSBAND of ....


lened by Burke


(Give maiden name of wife in full)


(or) WIFE of


(Husband's name in full)


6 IF STILLBORN, enter thet fact here.


7 38 AGE. .. Years Months Days


If less than 1 day Hours. ...... .Minutes


8 Trade, profession, or particular kind of work done, es spinner, sawyer, bookkeeper, etc .......


Route


Driver


9 Industry or business in which work was done, as silk mill. + erald saw mill, bank, etc ..


Travelar


10 Date deceased last worked rat


11 Total time (years)


this occupation (month Andra 5 1939


yeer)


occupation ..........


East Boston


12 BIRTHPLACE (City)


(State or country)


mais.


13 NAME OF


FATHER


Patrick Leahy


14 BIRTHPLACE OF FATHER (City)


(State or country)


Ireland


15 MAIDEN NAME


OF MOTHER


Mary Joyce


16 BIRTHPLACE OF MOTHER (City) (State or country) Ireland


17 Helen Mr. Leahy


(WIFE


Informant f .. (Address) 225 Wetista Al, E Boston


Relation, if any


DATE OF BURIAL ..


Vug 12


1999


22 NAME OF


FUNERAL DIRECTOR


....


& Dooley


ADDRESS/ 35 Loudon St. E. Boston


Received and filod ...... 19


(Registrar)


1


PLACE OF DEATH


Suffolk (County)


COSTON NOTIFIED 9/13/39


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, Ward { give its NAME instead of street and number) (Lf U. S. War Veteran specify WAR)


If deceased is a married, widowed or


225 Webster


divorced, woman, give also maiden name.)


Ward,_


East Boston


(a) Residence/


No.


(Usual place of abode)


Length of residence in city or lown where death occurred


years


months Y


days.


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


years


nontha


dayz.


18 DATE OF


august 9 1939


DEATH


(Month)


19 I HEREBY


CERTIFY. That I attended deceased from


5


19 39, to.


Ceux 9


1939


I last saw ny ch alive on


9 0, 1939, death is said


to have occurred on the date stated above, at 0,39/


The principal cause of death and related causes of Importance In order of onset


were as follows:


acute Cardiac Failure


Date of Gaset HAPORTANT .. 8/9/29


Contributory causes of importance not related to principal cause: Cholecystectomy


8/6/35


Intestinal Obstruction


8/6/35 8/9/39


Name of operation


What test confirmed diagnosis ?.


.Was there an autopsy ?.


Date of.


20 Was disease or Injury in any way tolated to occupation of deceased?


If so, specify.


(Signed)


the 13. 0 lpegan


M. D.


(Address)


670 Saratoga VI De 019


1939


Holy Cross y alden


21 ... Place of Bunal, emation or Removal. (City or Town)


NO


PARENTS


(City or Town)


Winthrop Community Hospital. No.


To be filed for burial permit with Board of Health or its Agent,


2 FULL NAME


James P. Leahy


St.


(If nonresident, give city or town and statc)


(Day)


(Year)


PERSONAL AND STATISTICAL PARTICULARS


spent in this 2 410


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 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 ternis 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 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:


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 cxample happens to be the second cause given.


ACTORN OF CERTIFICATES ES 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 hoard 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 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- 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 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 hy 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 ton 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, 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 he buried or the funeral is to he held, or from a person appointed to have the care of the cemetery or hurial ground in which the interment is niade. . . .-- 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 deathis 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 hy recognized disease, and those of persons found dead.


-301A


1


PLACE OF DEATH


Suffolk (County)


Winthrop


(City or Town)


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


CERTIFICATE OF DEATH


lo be fled for burial permit with Board of Health or its Agent.


Registered No. § (If death occurred in a hospital or institution,


St.,


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


2 FULL NAME


Mary Averill Ordway


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


(a) Residence.


No.


510 Pleasant St., Winthrop


St.,


Ward,


(If nonresident, give city or town and state)


Length of residence in city or town where death occurred


49


years


months


dayı.


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


years


months


days.


PERSONAL AND STATISTICAL PARTICULARS


MEDICAL CERTIFICATE OF DEATH


3 SEX


Female


4 COLOR OR RACE


White


5 SINGLE


MARRIED


WIDOWED


OF DIVORCED


(write the word)


Widowed


6a If married, widowed, or divorced


HUSBAND of


Charle Siu maide game of wife in full)


(or) WIFE of


(Husband's name in full)


6 IF STILLBORN, enter that fact here.


7


AGE .. 7.4


Years


3


Months


.16Days


If less than 1 day


.. Hours.


.. Minutes


8 Trade, profession, or particular kind of work done, as spinner, sawyer, bookkeeper, etc ..... Housewife


9 Industry or business in which


work was done, as silk mill.


saw mill, bank, etc.


At Home


10 Date deceased last worked at


11 Total time (years)


spent in this


occupation


this occupation (month and


year)


t


12 BIRTHPLACE (City)


(State or country)


Maine Jurisdiction


13 NAME OF


FATHER


Henry Averill


14 BIRTHPLACE OF


FATHER (City)


Trantfort


(State or country)


Maine


15 MAIDEN NAME


OF MOTHER


Susan Treat


Frankfort 16 BIRTHPLACE OF MOTHER (City) (State or country) Maine


17 Marion Ordway


Relation, if any Daughter


(Address)


510 Pleasant St., Winthrop


I HEREBY CERTIFY that a satisfactory standard certificate of death was Hled with me BEFORE the burial or transit permit was issued:


(Signature of Agent of Board of Health or ofery Health Oficer 8/11/39




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