USA > Massachusetts > Suffolk County > Winthrop > Town of Winthrop : Record of Deaths 1939 > Part 72
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No undertaker or other person shall bury or otherwise dispose of a human body in a town, or remove therefrom a human body which has not been buried, until he has received a permit from the board of health or its agent appointed to issue such permits, or if there is no such board, from the clerk of the town where the person · died; and no undertaker or other person shall exhume a human body and remove it from a town, from one cemetery to another, or from one grave or tomb other than the receiving tomb to another in the same cemetery, until he has received a permit from the board of health or its agent aforcsaid or from the clerk of the town where the body is buried. No such permit shall be issued until there shall have been delivered to such board, agent or clerk, as the case may be, a satisfactory written statement con- taining the facts required by law to be returned and recorded, which shall be accompanied. in case of an original interment, by a satisfactory certificate of the attending physician, if any, as re- 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 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 he 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 be held, or from a person appointed to have the care of the cemetery or burial ground in which the interment is madc. . . .-- CHAP. 114, SEC. 46. G. L. (TERCENTENARY EDITION.)
RULES OF PRACTICE
The fulfillment of the purpose of these laws calls for the ob- scrvance 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 discase 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 causcd 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.
....
GOVERNING THE
R-302
PLACE OF DEATH
(County)
(City or Town) rotor
No. Bont Brighom Losp
The Commonwealth of Massachusetts OFFICE OF THE SECRETARY DIVISION OF VITAL STATISTICS STANDARD CERTIFICATE OF DEATH
BOSTO
(City or town making return) 32
Registered No
7136
(If death occurred in a hospital or institution,
........ .Ward give its NAME instead of street and number)
2 FULL NAME
John J Mulvanity
(If deceased is a married, widowed or divorced woman, give also maiden name.)
(a) Residence. No. (Usual place of abode)
Length of residence in city or town where death occurred
yrs.
mos.
days. How long in U. S., if of foreign birth?
mos.
days.
PERSONAL AND STATISTICAL PARTICULARS
3 SEX
4 COLOR OR RACE
5 SINGLE
MARRIED
WIDOWED
or DIVORCED
Divorced
5a If married, widowed, or divorced
HUSBAND of
Yae Dubray
(Give maiden name of wife in full)
(or) WIFE of
(Husband's name in full)
6 IF STILLBORN, enter that fact here.
56
7
AGE
Years
Months
Days
If less than 1 dey
Hours.
Minutes
8 Trade, profession, or particular physician
sawyer, bookkeeper, etc.
9 Industry or business in which work was done, as silk mill, saw mill, bank, etc ....
10 Date deceased last worked et
11 Total time (years)
spent in this
occupation .. 1Q
this occupetion (month and1930
year)
12 BIRTHPLACE (City).
(State or country)
Nashua IH
13 NAME OF
FATHER
Thomas Kulvanity
14 BIRTHPLACE OF
FATHER (City) ..
Iroland
(State or country)
15 MAIDEN NAME
OF MOTHER
Marcaret Clancoy
16 BIRTHPLACE OF
MOTHER (City)
(State or country)
Iroland
17 Sora A Williams
Relation, if any gister
Informant
( Address)
A TRUE COPY.
ATTEST:
(Registrar of city or town where death occurred)
DATE FILED
19
MEDICAL CERTIFICATE OF DEATH
18 DATE OF
Aug 13/39
DEATH
(Month)
(Day)
(Year)
19
8/11739
HEREBY CERTIFY, That i attended deceased from
8/13/39
19
i last saw ha
alive on
8/13/39
19
deeth is seid
to have occurred on the date stated above: 45. m.
The principal cause of death and related causes of importance in order of onset were as follows: Dateofonset
hypertension
corobral vascular thrombosis
?10dys
Contributory causes of importance not related to principal cause:
Date of
Name of operetion
What test confirmed diagnosis?
Was there en eutopsy ?.
20 Was disease or injury in any way related to occupation of deceased?
If so, specify.
(Signed)
W ₺ Osrood
M. D.
(Address) Pator D 3 Hoop
Dat8/13/339
21 St Patricks Nashua MI Place of Burial, Cremation or Bembyal39 (City or Town)
DATE OF BURIAL
19
22 NAME OF
UNDERTAKER
J P Cleary º Son
ADDRESS
Boston
8/10/39
Received and filed 19
Dameteor of City at Than where denanead caridad)
-
72 Harbor: View Ave
St.,
Ward,
Winthrop Bench
(If nonresident, give city or town and state)
1
OCCUPATION OF DEATH in plain terms, so that it may be properly classified. Exact statement of OCCUPATION is very PARENTS
important.
50m-11-36. No. 9080-g
(write the word)
St.,
(If U. S. War Veteran, specify WAR)
,19, ........ to ...
TO!
Si
ROP
SEP221933 AM
----
......
301A
Iff pfaff terfiis, so that it may be properly classified. Date of onset and exact statement of OCCUPATION are very important. See instructions and extracts from the laws on back of certificate.
00m 11 '36. No. 9080.F
I HEREBY CERNFY that e satisfactory standard certificate of death was filed with mo BEFORE the bunal or transit permit was issued: m. D- Suldrenth (Signature of Agent of Board of Health or other ) He atthe Office 9/2/39
(Official Designation) (Date of Issue of Permity
MEDICAL CERTIFICATE OF DEATH!
18 DATE OF
DEATH
·
Sept
1
1939
(Month)
(Day)
(Year)
19
HEREBY
CERTIFY
. That I attended deceased from
19.36 10
1
, 1939
I lasy saw h ......... afive on
Left
1
19 39 death is said
9:58 .m.
to have occurred on the date stated above, at. The principal cause of death and related causes of Importance in order of onset were as follows:
Dale of Onset IMPORTANT
distra
carequant rechum
1
Contributury causes of Importance not related to principal cause:
Name of operation
no
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
For Cola
(Signed)
M. D.
(Address) 108 Meridian Sr UB Date. 9/1
19 ... 2.4 ...
adatt Israel Cery. W. FOX Place of Burial, Cremation or Removal.
(City or Town) {
DATE OF BURIAL 195.59
22 NAME OF
UNDERTAKER
reau
Stanetobuy
ADDRESS
10-wm
Received and flied.
SEP ------- 1939
19
PERSONAL AND STATISTICAL PARTICULARS
SEX
Male
4 COLOR OR RACE
white
5 SINGLE
MARRIED ^
WIDOWED
or DIVORCED
(write the word)
Married.
1
ba Il married, vidomatesligrade Kramer HUSBAND of
(or) WIFE of
(Husband's name in full)
6 IF STILLBORN, enter that fact here.
7
AGE 53 .. Years .. Months .. Days
If less than 1 dey
Hours
.Minutes
OCCUPATION
8 Trede, profession, or particular kindofwork done, as spinner, sawyer, bookkeeper, etc ....
Duppist
9 Industry or business in which work was done, as ailk mill, saw mill, bank, etc.
10 Date deceesed last worked et
this occupation (month ang
yeer)
1936
11 Total time (years) spant in this occupation ...
4
12 BIRTHPLACE (City)
Body
ross!
(State or country)
13 NAME OF
FATHER
Abraham & Wolfe
PARENTS
14 BIRTHPLACE OF
FATHER (City)
Russi
(State or country)
15 MAIDEN NAME
OF MOTHER
Rachael- Camille
teamed
16 BIRTHPLACE OF
MOTHER (City)
(State or country)
Russia
17 Jacob Krammer
Relation, if (Hattie
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.
No. 237- River Rd St.
§ (If death occurred in a hospital or institution, Ward { give its NAME instead of street and number)
2 FULL NAME
Louis Wolfson
(If deceased is a married, widowed or divorcer woman, give also maiden name.)
(a) Residence.
No.
237-River
( Usual place of abode)
(If nonresident, give city or town and state)
Leugtb of residence in city or town where death occurred 15 years months days.
Ward,
(H U. S. War Veteran
specify WAR)
Winthrop
mouths
days.
How long in U.S., if of foreign birth?
years
(Registrar)
21
Informant ... (Address) 13-Beurre By
PLACE OF DEATH
Suffolk Winthrop (City or Town)
(Give maiden bame of wife in full)
Statement of occupation .-- Precisc 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 mouth 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. 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 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
1
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 he the second cause given.
GOVERNING THE
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 hoard 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 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 anak recorded. which shall be accompanied. in case of an original interment, hy a satisfactory certificate of the attending physician, if any, as re- quired by law, or in lieu thereof a certificate as hereinafter pro- vided. If there is no attending physician, or if, for sufficient rea- sons, his certificate cannot be obtained early enough for the pur- pose. or is insufficient, a physician who is a member of the board of health, or employed by it or hy the selectmen for the purpose. shall upon application make the certificate required of the attend- ing physician. If death is caused 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 he 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 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 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 peintits, 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 disahled by recognized disease unrelated to any form of injury, have died without recent medical attendance or whose physician is absent from home when the certificate of death is needed.
(3) Medical Examiners will investigate and certify to all deaths supposably due to injury. These include not only deaths caused directly or indirectly by traumatism (including resulting septi. cemia), and 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
..
...
-301A
Suffolk
10/ 1/3
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.
21
(If death occurred in a hospital or institution, .Ward ( give its NAME instead of street and number)
2 FULL NAME
Joseph Kaufman
(If deceased is a married, widowed or divorced woman, give also maiden name.)
(a) Residence.
No. 21 Parkman St Brookline .... St., ..
....
Ward Montserrat-
( If nonresident, give city or town and statc)
Lenøth of residence in city or town where death occurred
years
months
days.
How long in U.S., if of foreign birth?
years
months
dayz."
PERSONAL AND STATISTICAL PARTICULARS
MEDICAL CERTIFICATE OF DEATH
3 SEX
male|
4 COLOR OR RACE
white
5 SINGLE
MARRIED
WIDOWED
or DIVORCED
married
18 DATE OF
DEATH
September
1939
(Month)
(Day) never year)
5a II married, widowed, or divorced
HUSBAND of
Rebecca ... Jackson
(Give maiden name of wife in full)
(or) WIFE of
(Husband's name in full)
6 IF STILLBORN, enter that fact here.
7 74
AGE
Years
1
Months
.. Days
If less than 1 day .Hours. .. Minutes
OCCUPATION
8 Trade, profession, or particular
kind of work done, as spinner.
sawyer. bookkeeper, etc ...
Salesman
9 Industry or business In which
work was done, as silk mill,
Leather
saw mill, bank, etc.
10 Date deceased last worked at
11 Total time (years)
spent in this
occupation
this occupation (month and
year)
12 BIRTHPLACE (City)
England.
(State or country)
13 NAME OF
FATHER
Jacon Kaufman
PARENTS
14 BIRTHPLACE OF
FATHER (City) ...
(State or country)
unknown
15 MAIDEN NAME
OF MOTHER
Rose unknown
16 BIRTHPLACE OF
MOTHER (City)
(State or country)
munknown
17
Warren Kaufman
Relation, if any
Son
(Address)
244 Shore Drive Winthrop
I HEREBY CERTIFY that a satisfactory standard certificate of death was fden with me (BEFORE the burial of fransit permit, was issued:
(Signatureof Agent of Board of Health or otherY Healthe Officer
(Official Designation) (Date of Issue of Permit) 9/2/39
Received and flied.
19
1939
(Registrar)
1
important.
100m-9-'37. No. 1859-i.
in plain terms, so that it may be properly classified. Date of onset and exact statement of OCCUPATION are very See instructions and extracts from the laws on back of certificate.
-
PLACE OF DEATH
(County). Mithrob
(City or Town) 244 thone Drive No.
St.,
(If U. S. War Veteran
specify WAR)
19 I HEREBY CERTIFY, That I attended deceased from
19
to
19
I tast saw h. com. allve on
19
death Is said
to have occurred on the date stated above, at 6:30Am. The principal cause of death and related causes of Importance la order of onset were as follows: Natural causes Date of Onset IMPORTANT
Presumably coronary occlusion
9/2/89
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? 00
if so, specify 2-2
(Signedx
M. D.
Maderas Shop /brand of head Date 19/3 1929
21.
Temple Ohabei Shalom F. Boston
Place of Burial, Cremation or Removal.
(City or Town)
DATE OF BURIAL ......
Sept 5 1939
19
122 NAME OF
FUNERAL DIRECTOR
ADDRESS
Boston Mass .L. MASS.
AS.Waterman Dan
..
Informant
(Usual place of ał
(write the word)
VUYERNING THE
Statement of occupation .- Precise statement of occupation is very important, so that the relative healthfulness of various pur- suits can be known. Make some entry in this section for every person aged 10 years or over. If the occupation had been given up or changed on account of the disease causing death, report the occupation prior to illness. If the deceased had retired from bus- iness, report the occupation prior to retirement. Children not gainfully employed may be returned as AT SCHOOL 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- FER, MINING ENGINEER, STATIONARY ENGINEER, etc. Avoid the term "laborer" when a more precise statement of the occupation can be secured. Do not use the word "mechanic," but give the exact occupation, as CARPENTER, PAINTER, MACHINIST, etc. Distinguish carefully between RETAIL MERCHANTS AND WHOLESALE MERCHANTS. A person who sells goods should be called a SALESMAN and not a CLERK.
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