USA > Massachusetts > Suffolk County > Winthrop > Town of Winthrop : Record of Deaths 1939 > Part 88
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To be complete, an occupation return must state:
8 .- The trade, profession, or particular kind of work done.
9 .- Tbe 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 tbe deceased followed the occupation.
In stating the occupation, avoid the use of such indefinite terms as "employee," "worker. """ 'operative," etc. Find out the parti- cular kind of work done and return that, as spinner, weaver, etc.
In stating the industry or business, avoid the use of such general terms as "store,' "factory," "mili," 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 engineer, mining engineer, stationary engincer, etc, Avoid the term "laborer" wben 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,
Ezanıplo
The principal causo of death and related causes of importance in order of onset were as follows: Arteriosclerosis
Date of onset
1015
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 canse 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.
GUVERNING THE
RETURN OF CERTIFICATES OF DEATH
A physician or registered hospital medical officer sball forth- with, after the death of a person whom he has attended during his last illness, at the request of an undertaker or other authorized person or of any member of the family of the deceased, furnish for registration a standard certificate of death, stating to the best of his knowledge and belicf the name of the deceased, his supposed age, the disease of which he died, defincd 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 disposs 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 satis- factory written statement containing the facts required by law to be returned and recorded, which shall be accompanied, in case of an original interment, by a satisfactory certificate of the attending physician, if any, as required by law, or in lieu thereof a certificate as hercinafter provided. If there is no attending physician, or if, for sufficient reasons, his certificate cannot be obtained carly enough for the purpose, or is insufficient, a physician who is a member of the board of health, or employed by it or by the selectmen for the purpose, shall upon application make the certificate required of the attending physician. If death is caused by violence, the medical examiner shall make such certificate. If such a permit for the removal of a human body, not previously interred, from one town to another within the common- wealth cannot be obtained early enough for the purpose, the certificate of death made as above provided and in the possession of the undertaker desiring to make such removal shall constitute a perinit for such re- moval; provided, that such body shall be returned to the town from which it was removed within thirty-six hours after such removal, unless a permit in the usual form for the removal of such body bas been sooner obtained licrcunder. If the death certificate contains a recital, as re- quired by section ten of chapter forty-six, that the deceased served in the army, navy or marine corps of the United States in any war in which it has been engaged, such recital shall appear upon the permit. The board of health, or its agent, upon receipt of such statement and certificate, shall forthwith countersign it and transmit it to the clerk of the town for registration. The person to whom the permit is so i given and the physician certifying the cause of death shall thereafter furnish for registration any other necessary information which can be ¡ obtained as to the deceased, or as to the manner or cause of the death, which the clerk or registrar may require. - Chap. 114, Sec. 45, G. L., (Tercentenary Edition.)
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. Lows, 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. Lows, Chop. 38, Sec. 7.
No undertaker or other person shall bury a human body or the ashes thercof which have been brought into the commonwealth until he has received a permit so to do from the board of health or its agent appointed to issue such permits, or if there is no such board, from the clerk of the town where the body is to be buried or the funeral is to be held, or from a person appointed to have the care of the ceme- tery or burial ground in which the interment is madc .. .. Chap. 114, Scc. 46, G. L., (Tercentenary Edition.)
RULES OF PRACTICE
The fulfillment of the purpose of these laws calls for the observance of the following rules of practice:
(1) Attending physicians will certify to such deaths only as those of persons to whom they have given bedside care during a last illness from disease unrelated to any form of injury.
(2) Board of Health physicians will certify to such deaths only as those of persons who, though disabled by recognized discase un- related to any form of injury, have dicd without recent medical attend- ance 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 septicemia), and by the action of chemical (drugs or poisons), thermal, or electrical agents, and deaths following abortion, but aiso 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.
.
COMMON ..-.-
.
R-301A
tion should be carefully supplied. 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 Age should be stated EXACTLY. PHYSICIANS should state CAUSE OF DEATH
I
Winthrop
(City or Town)
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.
224
§ (If death occurred in a hospital or institution,
.St.,
Ward [ give its NAME instead of street and number)
2 FULL NAME
William T. Dunn
(If deceased is a married, widowed or divorced woman, give also maiden name.)
specify WAR)
(a) Residence.
No. 56 Sagamore Ave
(Usual place of abode)
St.,
Ward,
(If nonresident, give city or town and state)
Leneth of residence in city or town where death occurred
years
months
dayı.
How long in U.S., if of foreign birth?
years
months
days.
PERSONAL AND STATISTICAL PARTICULARS
MEDICAL CERTIFICATE OF DEATHI
3 SEX
Male
4 COLOR OR RACE
White
5 SINGLE
MARRIED
WIDOWED
or DIVORCED
Single
18 DATE OF
DEATH ...
November
8 1939
(Month)
(Day)
(Year)
5a If married, widowed, or divorced HUSBAND of
(Give maiden name of wife in full)
(or) WIFE of
(Husband's name in full)
6 IF STILLBORN, enter that fact here.
7 AGE .. 77 .Years .. .. Months
.. Days
If less than 1 day
.Hours ............ Minutes
OCCUPATION
8 Trade, profession, or particular
kind of work done, as spinneretired Custodian
sawyer, bookkeeper, etc ......
9 Industry or business in which
work was done, as silk milublic Works Dep'T
saw mill, bank, etc ....
10 Date deceased last worked at
this occupation (month and
year) ..
1925
11 Total time (years)
spent in this
occupation.
47
12 BIRTHPLACE (City).
Boston
(State or country)
Massachusetts
13 NAME OF
FATHER
Walter F.
PARENTS
14 BIRTHPLACE OF
FATHER (City)
..
Halifax
(State or country)
Nova Scotia
15 MAIDEN NAME
OF MOTHER
Jane Flynn
16 BIRTHPLACE OF
MOTHER (City)
(State or country)
Ireland
17
Hannah Doherty
(
Informant
(Address)
55 Sagamore Ave Winthrop
I HEREBY CERTIFY that a satisfactory standard certificate of death was Hod with me BEFORE the burial of transit permit was issued: Www.D. Children
(Signature of Agent of Board of Health or other) Health Officer POI 09/9/39
"""""Official Designation)
(Date of Issue of Permit)
19
I HEREBY CERTIFY, That i attended deceased from
1939, to
november, 1939
i last saw h ... / .... alive on.
novembers, 1939, death is said
to have occurred on the date stated above, at ....: Q.P.m.
The principal cause of death and related causes of Importance la order of onset
were as follows:
Date of Oaset IMPORTANT .....
Generalized arteriosclerosis
....
mean
Chronic myocarditis
Contributory causes of importance not related to principal cause:
Name of operation ..
none
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 arthur C. Avarrows
...
(Signed)
M. D.
(Address) Wanthund Anass Date 11/9/1939
21 ...
Holy Cross
Malden Mass
Relation, if any Place of Burial, Cremation op
Removal
November 10
39
(City or Town)
..........
V DATE OF BURIAL
22 NAME OF FUNERAL DIRECTOR ....
ADDRESS
Minthron Massachusetts
Received and filed .......
.19
.........
(Registrar)
100m-9-'37. No. 1859-1.
PLACE OF DEATH
Suffolk (County)
No
56 Sagamore Ave.
(If U. S.
War Veteran
(write the word)
HWSALIH OF MASSACHUSETTS
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 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 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 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, after the death of a person whom he has attended during his last illness, at the request of an undertaker or other authorized person or of any member of the family of the deceased, furnish for 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 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 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 I'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, CHIAP. 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 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 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.
R-301A
--------
1
PLACE OF DEATH
County) Whichrok
(City or Town) 35 Washington AN. St. No ..
CERTIFICATE OF DEATH
To be filed for burial permit with Board of Health or its Agent.
Registered No. 225
(If death occurred in a hospital or institution, Ward ( give its NAME instead of street and number)
De Gort
(If U. S.
War Veteran
specify WAR)
(a) Residence.
No.
35 Washington Are. St.
Ward,
(If nonresident, give city or town and state)
(Usual place of abode)
Length of residence in city or town where death occurred
18 years
months
days.
How long in U.S., if of foreign birth?
years
months
day
PERSONAL AND STATISTICAL PARTICULARS
MEDICAL CERTIFICATE OF DEATH
18 DATE OF
DEATH
November
9
(Month)
(Day)
(Year)
19
I HEREBY CERTIFY, That i attended deceased from
december
1938, to November 9, 1939
I last saw him alive on
November 8, 1939, death is said
to have occurred on the date stated above, at 6 A.m. The principal cause of death and related causes of importance in order of onset were as follows: Date of Onset IMPORTANT Hypertension 1937 Chronic myocarditis
Congestive heart failure
1938
Contribatory causes of Importance not related to principal cause:
Name of operation
none
What test confirmed diagnosis?
-
Was there an autopsy ?. ,mo.
20 Was disease or Injury in any way related to occupation of deceased? no
If so, specify Arthur C. Murray
(Signed)
M. D.
(Address) Winthrop Mass Date 11/9/19/19
21 Wyoming Melrose
(City, 9
Place of Burial, Cremation or Removal.
Horember
12
1939
22 NAME OF
FUNERAL DIRECTOR
M. J. Kelly
ADDRESS
1) Meridian St, 6,10.
....
Received and filed .................
.........
(Registrar)
100m-9-'37. No. 1859-i.
I HEREBY CERTIFY that a sausfactory standard certificate of death was filed with me BEFORE the buyer or transit permit was issued: Www. S. Childress x (Signature of Agent of Board of Healthler other)
Health Officer 1/10/39
7 (Official Designation) (Date of Issue of Permit)
5 SINGLE
MARRIED
WIDOWED
or DIVORCED
(write the word)
Widowed
5a II married, widowed, or divorced HUSBAND of Winifred 9. Golden
(Give maiden name of wife in full)
(or) WIFE of
(Husband's name in full)
6 IF STILLBORN, enter that fact here.
7 69
AGE
. Years.
Months.
... Days
If less than 1 day
.Hours
.. Minutes
OCCUPATION
8 Trade, profession, or particular kind of work done, as spinner, sawyer, bookkeeper, etc ...
Proprietor
9 Industry or business In which work was done, as silk mill, saw mill, bank, etc.
Laundry Supplier
10 Date deceased last worked at
11 Total time (years)
this occupation (month and
Nov. 1939
year)
spent in this occupation ..
20
12 BIRTHPLACE (City)
Gambudge
(State or country)
Mass.
13 NAME OF
FATHER
Augustus J. De Cort
PARENTS
14 BIRTHPLACE OF
FATHER (City)
(State or country)
France
15 MAIDEN NAME
OF MOTHER
Annis M. Swiney
16 BIRTHPLACE OF
MOTHER (City)
(State or country)
Nova Scotia
17
Thos 7. Golden (Bro. in law)
(Address) 35 Washington Are, Win.
Jaformant ...
Relation, if any DATE OF BURIAL
Town)
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. Age should be stated EXACTLY. PHYSICIANS should state CAUSE OF DEATH
Sulfolk
The Commonwealth of Massachusetts OFFICE OF THE SECRETARY DIVISION OF VITAL STATISTICS STANDARD
2 FULL NAME
Augustris
(If deceased is a married, widowed or divorced woman, give also maiden name.)
Date of.
1939
3 SEX
4 COLOR OR RACE
Male White
.HULETT
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.
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