Town of Winthrop : Record of Deaths 1939, Part 94

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

USA > Massachusetts > Suffolk County > Winthrop > Town of Winthrop : Record of Deaths 1939 > Part 94

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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 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 ceine- tery or burial ground in which the interment is made .. .. Chop. 114, Sec. 46, G. L. as amended ..

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 disease un- related to any form of injury, have died 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 caused directly or indirectly by traumatism (including resulting septicemia), and by the action of chemical (drugs or poisons), thermal, or clectrical agents, and deaths following abortion, but also deaths from discase resulting from injury or infection related to occupation, the sudden deaths of persons not disabled by recognized disease, and those of persons found dead.

Funeral Home 54 Beach Street, Revere

Residence 20 Harrington Avenue

Funeral Parlor 9 Atlantic Avenue

MURRAY & MURRAY J. Vincent Murray ... Funeral Service .... Telephone Revere 1127 - 1236

Feb26,1940.

Dear Sir;

Hereafter I will print. I apologize for the hand wring. The still borns name was Fisher that died on the 23rd of Nov. ,1939., at the Winthrop Community Hospital.

Respectfully J. Vincent Murray

1 ::: 11

WINT

FEB2'71940 AM

-301A

in plain terms, 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.

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

I HEREBY CERTIFY that a satisfactory standard certificate ofdeath was filed with me BEFORE the burial ol transit permit was issued:

Children

/ (Bignature of Agent of Board of Health or other

Health Officer (Official Designation) (Date of Issue of Permit) 78-39

MEDICAL CERTIFICATE OF DEATH

18 DATE OF

DEATH

(Month)

1939

(Day)

(Yeah)

I HEREBY

CERTIFY. That ! attended deceased from

1987, to wr27

Oct1,.

1939

I last saw b .......... allve on.

nr 26

1935 death Is sald to have occurred on the date stated above, at &A.m. Date of Onsst IMPORTANT The principal cause of death and related causes of Importance la order of onset were as follows: Chronia miocarditis

..... 1935

Contributory causes of Importance not related to principal cause:

Name of operation.

Date of.

What test confirmed diagnosis?

.. Was there an autopsy?

20 Was disease or Injury in any way related to occupation of deceased? If so, specify.

. M. D. (Signed) guiade galchi no

(Address) 6 Dy yyy

A0 1/2/1939

21 .... Nuttig Muetter

Place of Burial, Creation DATE OF BURIAL XXX00 11290.

Remavat (City or Town)

19 ... 39

22 NAME OF FUNERAL DIRECTOR .... olay 990 maler

ADDRESS

Received and flied ......

(Registrar)

PLACE OF DEATH

Suffollo (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.

237

Registered No.

§ (If death occurred in a hospital or institution, .... Ward \ give its NAME instead of street and number)

(If U. S. War Veteran

specify WAR)

(a) Residence.

1126 culturale

St., Ward,

(If nonresident, give city or town and state)

months

days.

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

years

months

days.

PERSONAL AND STATISTICAL PARTICULARS

4 COLOR OR RACE

Female Auto

5 SINGLE

MARRIED

WIDOWED

or DIVORCED

(write the word)

Widruck

5a If married, wideVoy afama HUSBAND of Milliano Leonard

(or) WIFE of .

(Husband's name in full)

6 IF STILLBORN, enter that fact here.

AGE ...

7 93 Years. Months

.Days

If less than 1 day

Hours ............ Minutes

OCCUPATION

9 Industry or business in which

work was done, as silk mill,

saw mill, bank, etc ..

Actuado

10 Date decetsed last worked 11 Total time (years) spent in this occupation. '60 ...

12 BIRTHPLACE (City).

(State or country)

Ireland

13 NAME OF

FATHER

Robert Harford

14 BIRTHPLACE OF

FATHER (City)

Dicland.

(State or country)

15 MAIDEN NAME

OF MOTHER

Brougaret

16 BIRTHPLACE OF

MOTHER (City)

(State or country)

Irland

17 Margaret Broy

Informant

(Address)

130 Winding St

(City or Town) H26 Withrok Sts Elizabelle M HarfordLeonard

No.

2 FULL NAME

(If deceased is

x harried, widowed or divo ded woman, give also maiden name.)

(Usual place of abode)

Length of residence in city or town where death occurred

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

Housewife

this occur

Year) UPtion YOUR SA

PARENTS

SRACHUSETTS

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- 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

Carebral 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, atter 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.

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, CI1AP. 38, SEC. 6.

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 hy recognized disease, and those of persons found dead.

shall make such certificate.

R-301A

natured

PLACE OF DEATH

Suffolk (County) Muthrok (City or Town) No Winthis Memopie Hos sotal

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. 238

Registered No.

(If death occurred in a hospital or institution, give its NAME instead of street and number)

Edward & Gills

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

(a) Residence. No., 289 Meridian

(Usual place of abode)

Length of residence in city or lown where death occurred

yrs.

mos.

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

yrs.

mos.

days.

PERSONAL AND STATISTICAL PARTICULARS

3 SEX

Male

4 COLOR OR RACE

White

5 SINGLE

MARRIED

WIDOWED

or DIVORCED

(write the word)

Married

5a If married, widowed, or divorced

HUSBAND of

Nellie A. Sanders

(Give maiden name of wife in full)

(or) WIFE of

(Husband's name in full)

6 IF STILLBORN, enter that fact here.

AGE.

7 88 Years Months 2 Days

If less than 1 day .. Hours .. Minutes

OCCUPATION!

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

Interior Decoration

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

10 Date deceased last worked at

11 Total time (years)

this occupation (month and weg 1912.6)

spent in this occupation Sayre year)

12 BIRTHPLACE (City)

Framingham

(State or country)

PARENTS

15 MAIDEN NAME

OF MOTHER

Sarah Sfrring

16 BIRTHPLACE OF

MOTHER (City)

Framingham,

(State or country)

Mass

Wife Nellie & Sibbe Anformaat . (Address) 289 Meridian At Each Brown 22

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

(Signature of Agent of Board of Health or othery Health Vices 12/1/39 (Official Designation) (Date of Issue of Permit)

MEDICAL CERTIFICATE OF DEATHI

18 DATE OF

DEATH

horster

29.1939

(Year)

(Month)

(Day)

18 THERE!

19.

I HEREBY CERTIFY, That I attended deceased from

19 39, 1

hor.29

Zur. 29 19 ... 3. death is said

2A 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:

Date of Onset

11/28/39

Contributory causes of importance not related to principal cause: Cantal Hemorrhage

11/2/34

Name of operation.

What test confirmed diagnosis?

Date of.

Was there an autopsy?

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

If so, specify.

Jums. It Schwanty

(Signed)

M. D.

(Address) 19 werlin Sv El3

Date

11/30

19€

21 PLACE OF BURIAL

CREMATION OR REMOVAL

Déc

Woodlawn Everett (Cemetery) (City or town)

DATE OF BURIAL

1939.

UNDERTAKER

Frank E. Brown

ADDRESS

East Boston

Received and filed.

D.E.C. 1 01939

.... 19

(Registrar)

100m-9-'30. No. 9954.

- . information should be carefully supplied. AGE should be stated EXACTLY. PHYSICIANS should state CAUSE OF DEATH in plain terms, so that it may be properly classified. Exact statement of OCCUPATION is very important. See instructions and extracts from the laws on back of certificate.

Boston

12/12/37

2 FULL NAME

(If U. S. War Veteran,

specify WAR)

E. 12.

St., On Ward,

(If nonresident, give city or town and state)

Ward

13 NAME OF

FATHER

Awert & Gible

14 BIRTHPLACE OF

FATHER (City)

Sudbury

(State or country)

Make

I last saw h.Min

.alive on.

Revised United States Standard Certificate of Death

Statement of occupation .- Precise statement of occupation is very important, so that the relative healthfulness of various pursuits 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 business, 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 what- ever 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 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," "mill," etc. State the particular kind of store, factory, mill, etc., as grocery store, soap factory, cotton mill, ete.

Distinguish carefully the different kinds of engineers by stating the full descriptive titles, as civil engineer, mechanical engineer, 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 onsct were as follows:

Date of onset

Arteriosclerosis

Chronic interstitial nephritis

1021

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 inay appear in either first, second, or third position. The principal cause in the above example happens to be the second eause given.

EXTRACTS FROM THE LAWS OF THE COMMONWEALTH OF MASSACHUSETTS GOVERNING THE 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 supposed 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 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 hereinafter provided. If there is no attending physician, or if, for sufficient reasons, his certificate cannot be obtained early 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 the death certificate contains a recital, as required by section ten of chapter forty-six, that the deceased served in the army, navy or inarine 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 state- ment 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 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., as amended.

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.

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 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 made .. .. Chap. 114, Sec. 46, G. L. as amended.

RULES OF PRACTICE

The fulfillment of the purpose of these laws calls for the observance of the following rules of practice:

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Town of Winthrop : Record of Deaths 1939, Part 94

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

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