USA > Massachusetts > Suffolk County > Winthrop > Town of Winthrop : Record of Deaths 1939 > Part 84
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-obtained hereunder.
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 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 (chugs 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 dinners, and
R-301A
Age should be stated EXACTLY. PHYSICIANS should state CAUSE OF DEATH
7
90
1
3 SEX
Female
(or) WIFE of
AGE
OCCUPATION
14 BIRTHPLACE OF
FATHER (City)
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
saw mill, bank, etc.
PLACE OF DEATH
Suffolk (County)
Winthrop
(City or Town)
No 7 Somerset Terrace
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.
211
Registered No.
f (If death occurred in a hospital or institution,
.... Ward ( give its NAME instead of street and number)
2 FULL NAME
Virginia (Allen) Mason
(If deceased is a married, widowed or divorced woman, give also maiden name.)
(a) Residence.
No.
7.Somerset Terrace
(Usual place of abode)
.St.
Ward,
(If nonresident, give city or town and state)
Length of residence in city or town where death occurred
38
years
months
dayı.
How long in U.S., if of foreign birth?
years
months
days.
PERSONAL AND STATISTICAL PARTICULARS
MEDICAL CERTIFICATE OF DEATH
18 DATE OF
DEATH
October
26
(Month)
(Day)
(Year)
5a If married, widowed, or divorced
HUSBAND of
Fred fick Mas
(Husband's name in full)
6 IF STILLBORN, enter that fact here.
. Years .:
10
Months
27
.Days
If less than 1 day
.. Hours
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
10 Date deceased last worked at
11 Total time (years)
this occupation (month andct. 1939
spent in this
occupation
70
year)
...
12 BIRTHPLACE (City)
(State or country)
England
13 NAME OF
FATHER
Charles Allen
(State or country)
England
15 MAIDEN NAME
OF MOTHER
Mary Gyngell
16 BIRTHPLACE OF
MOTHER (City)
(State or country)
England
17 Colbert Mason
Informant
(Addres
7 Somerset Terrace
Winthrop
I HEREBY CERTIFY/that a satisfactory stendard 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 Office 10/28/39 V (Official Designation) (Date of Issue of Permit)
Date of Onset IMPORTANT ...
Generalized arteriosclerosis Hypertensive heart disease Cardiac decompensation
years sean
2 months
Cerebral hemorrhage
10/23/39
Contributory causes of Importance not related to principal cause:
Name of operation.
none
Date of.
What test confirmed diagnosis?
Was there an autopsy? no.
20 Was disease or Injury in any way related to occupation of deceased? no.
so, specify Arthur G. Saray
M. D.
... (Signed)
(Address)
Winthrop Mass, Date 10/26/1939.
Winthrop Cemetery Winthrop
21
Relation, if any
son
Place of Burial, Crematiop or Removal
Town)
DATE OF BURIAL
October 28. 1939
19
22 NAME OF
Charles R. Bennison
FUNERAL DIRECTOR
ADDRESS
Winthrop Mass
Received and filed. 19
(Registrar)
1
tion should be carefully supplied.
100m-9.'37. No. 1859.i.
5 SINGLE
(write the word)
MARRIED
WIDOWED
or DIVORCED
Widowed
peof wife in full)
I last saw h ...?........ allve on October 25, 1929, death is said to have occurred on the date stated above, at 6:45 Am The principal cause of death and related causes of Importance in order of onset were as follows: Minutes
19 I HEREBY CERTIFY, That j attended deceased from
October 15
1939 to October 26
., 1939
1939
St.,
(If U. S. War Veteran specify WAR)
4 COLOR OR RACE
White
Statement of occupation. - Precise statement of occupation ls 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 desth, 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 nusober 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- W.F.R, 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 discase causing death. As related causes, name carlier morbid conditions, if any, related to the principal cause and any important compliestion of the principal cause. Under contributory causes of importance not related to principal cause, name other important discases.
Example
The principal cause of death and related causes of importance in order of onset were as follows:
Dsts of Omset
1915
...
Chronic interstitial nephritis
1921
Carebral hemorrhage
July 5. 1927
...
Contributory causes of importance not related to principal cause :
....
fn 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 canses the principal caure may appear in either first, second, or third position. The principal cause in the above example happens to be the second cause given.
GOVERNING THE
RETURN OF CERTIFICATES OF DEATH
A physician or registered hospital medical officer shall forth- with, aster 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 allve by the physician or officer and the date of his death. ... GEN. LAWS, CHAF. 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, ae 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, hy a satisfactory certificate of the attending physician, if any, as re. quired by law, or in licu 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 coough 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 reiooval 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 retooval shall coostitute 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, oavy or marine corps of the United States in any war In which it has been engaged, auch recital shall ap- pear upon the permit. The board of health, or its agent, upon receipt of such stateoient and certificate. shall forthwith counter- sign it and transmit it to the clerk of the towo 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 .- CuAr. 114, S.c. 45,, G. L. (TER- CENTENARV 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, Szc. 6.
.... lle 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 peroit so to do froio 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 niade. . . .-- CHAr. 114. SEC. 46, G. L. (TERCENTENARV EDITION.)
RULES OF PRACTICE
The fulfillment of the purpose of these laws calls for the ob- servance of the following rules of practice:
(I) Attending physicians will certify to such deaths only ss those of persons to whom they have given bedside care during a last illness from disease nnrelated 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 atten.lance or whose physician is absent from home when the certificate of death is needed.
(3) Medical Examinera will investigate and certify to all deaths supposably due to injury. These include not only deaths caused directly or indirectly by traumatium (including resulting septi- cemia), and by the action of chemical (drugs or poisons), thermal. or electrical agents, and deaths following abortion, hnt 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
Suffolle / ///(County)
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:
212
Registered No. § ( If death occurred in a hospital or institution, St., .. Ward \ give its NAME instead of street and number)
Katherine & E. Hare
(If deceased is a married, widowed or divorced woman, give also maiden name.)
64 Cliff
LOVE
St.,
Ward,
(If nonresident, give city or town and statc)
months
days.
How long in U.S., if of foreign birth?
years
months
dayı.
PERSONAL AND STATISTICAL PARTICULARS
MEDICAL CERTIFICATE OF DEATHI
18 DATE OF
DEATH
Oct.
26
(Month)
(Day)
39 (Year)
19
I HEREBY CERTIFY. That I attended deceased from
apar.
19 3810
60. 26
19 ......
t last saw her alive on
005.26
1959, death is said
to have occurred on the date stated above, at ... 8P. m
The principal cause of death and related causes of Importance la order of onset were as follows: lancer A Obmach
Date of Onset IMPORTANT
melacasa Lives
af 38
Terashita ?.... ....
Ordema 4 Euro
Contributory causes of importance not related to principal cause:
Name of operation.
What test confirmed diagnosis?
.Was there an autopsy? he
20 Was disease or injury in any way related to occupation of deceased? If so, specify
(Address)
(Signed)
162 mommenellate lerog
21
Relation, if any Place of Burial, Cremation or Removal
(City or Town)
DATE OF BURIAL
Qet 30
19 34
22 NAME OF
FUNERAL DIRECTOR
5832wadway Chelas
ADDRESS
Received and flied .19
...
(Registrar)
100m-9-'37. No. 1859.i.
1
2 FULL NAME
(a)
Residence.
No.
(Usual place of abode)
Leneth of residence in city or lown where death occurred
3 SEX
4 COLOR OR RACE
5 SINGLE
MARRIED
WIDOWED
OF DIVORCED
Tematy () Inte
(or) WIFE of
(Husband's name in full)
6 IF STILLBORN, enter that fact here.
7
AGE.
Years ..
.Months
.Days
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.
10 Date deceased last worked at
this occupation (month and
OCCUPATION
12 BIRTHPLACE (City)
(State or country)
mark
14 BIRTHPLACE OF
FATHER (City)
Corte
16 BIRTHPLACE OF
Cork
PARENTS
MOTHER (City)
(State or country)
Ireland
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
(State or country)
alsEland
(write the word)
Widow
Da If married, widowed, or divorced Robert A. O. Hours
HUSBAND of
(Give maiden name of wife in full)
If less than 1 day
.. Hours
Minutes
at Home
11 Total time (years)
spent in this
occupation
13 NAME OF
FATHER
Dmichael Murphy,
15 MAIDEN NAME
OF MOTHER
Francie Sullivan
Ellen ch Murphy (quetien
17 Informant (Address) 64, Cliff ave Hafnerhof
I HEREBY 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 prother) \ Healthe Officer 10/28/39 (Official Designation) (Date of Issue of Permit)
PLACE OF DEATH
(City or Town) 64 Cliff Que Winthrop No.
(L U. S.
War Veteran
specify WAR)
1
years
tion should be carefully supplied. Age should be stated EXACTLY. PHYSICIANS should state CAUSE OF DEATH year)
.Date of.
., M. D.
HISTICU VHIỆU VIỆT NHƯVỤ V VỤ HẠI
Statement of occupation. - Precise statement of occupation is very important, so that the relative healthfulness of various pur- suits can be known. Make some entry in this section for every person aged 10 years or over. If the occupation had been given up or changed on account ot the disease causing death, report the occupation prior to illness. If the deceased had retired from bus- iness, report the occupation prior to retirement. Children not " gainfully employed may be returned as AT SCHOOL OF AT HOME. For a woman whose only occupation was that of home housework, write HOUSEWORK in answer to Question 8 and OWN HOME in answer to Question 9. For a person engaged in domestic service for wages, however. designate the occupation by the appropriate terms, as HOUSEKEEPER-PRIVATE FAMILY, COOK-HOTEL, etc. For a person who had no occupation whatever write NONE.
To be complete, an occupation return must state :
8 .- The trade, profession, or particular kind of work done.
9 .- The industry or business in which the work was done.
10 .- The month and year the deceased last worked at the occupation.
11 .- The number of years the deceased followed the occupation.
In stating the occupation, avoid the use of such indefinite terms as "employee," " "worker," "operative," etc. Find out the partic- ular kind of work done and return that, as SPINNER, WEAVER, etc.
In stating the industry or business, avoid the use of such gen- eral terms as "store," "factory," "mill," etc. State the particular kind of store, factory, mill, etc., as GROCERY STORE, SOAP FACTORY, COTTON MILL, etc.
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, ctc. 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 of Onset
Arteriosclerosis ...
1915
Chronic interstitial napbritis
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 ouset, so that in a group of three canses the principal canse may appear in either first. second, or third position. The principal cause in the above example happens to be the second cause given.
GOVERNING THE
RETURN OF CERTIFICATES OF DEATH
A physician or registered hospital medical officer shall forth- with, aiter 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 casc may be, a satisfactory written statement con- taining the facts required by law to he returned and recorded, which shall be accompanied, in case of an original interment, by a satisfactory certificate of the attending physician, if any, as re- quired 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 cxaminer 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 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 State 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 burial ground in which the interment is made. . . .-- CHAP. 114, SEC. 46. G. L. (TERCENTENARY EDITION.)
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