USA > Massachusetts > Suffolk County > Winthrop > Town of Winthrop : Record of Deaths 1940 > Part 10
Note: The text from this book was generated using artificial intelligence so there may be some errors. The full pages can be found on Archive.org (link on the Part 1 page).
Part 1 | Part 2 | Part 3 | Part 4 | Part 5 | Part 6 | Part 7 | Part 8 | Part 9 | Part 10 | Part 11 | Part 12 | Part 13 | Part 14 | Part 15 | Part 16 | Part 17 | Part 18 | Part 19 | Part 20 | Part 21 | Part 22 | Part 23 | Part 24 | Part 25 | Part 26 | Part 27 | Part 28 | Part 29 | Part 30 | Part 31 | Part 32 | Part 33 | Part 34 | Part 35 | Part 36 | Part 37 | Part 38 | Part 39 | Part 40 | Part 41 | Part 42 | Part 43 | Part 44 | Part 45 | Part 46 | Part 47 | Part 48 | Part 49 | Part 50 | Part 51 | Part 52 | Part 53 | Part 54 | Part 55 | Part 56 | Part 57 | Part 58 | Part 59 | Part 60 | Part 61 | Part 62 | Part 63 | Part 64 | Part 65 | Part 66 | Part 67 | Part 68 | Part 69 | Part 70
If less than I day
AGE .75 Years Months. Days
Hours.
Minutes
Housewife
1I Social Security No. None
12 BIRTHPLACE (City) Prince Edward Island (State or country)
13 NAME OF
FATHER
David Johnstone
14 BIRTHPLACE OF
FATHER (City)
(State or country) Prince Edwards Island
15 MAIDEN NAME
OF MOTHER
Flora McInnes
16 BIRTHPLACE OF MOTHER (City) (State or country) Prince Edward Island
Major findings :
Of operations
Date of ..
Of autopsy
What test confirmed diagnosis ?
0
Due to
ArTerio Sclerosis
PLACE OF DEATH
1
Winthrop
(City or Town)
(a) Residence. No ...
(Usual place of abode)
3 SEX
Female
4 COLOR OR RACE
White
5a If married, widowed, or divorced
HUSBAND of
(or) WIFE of
7 IF STILLBORN, enter that fact here.
8
Usual
9 Occupation:
10 or Business:
PARENTS
information should be carefully supplied. AGE should be stated EXACTLY. PHYSICIANS should state
is very important. See instructions and extracts from the laws on back of certificate.
CAUSE OF DEATH in plain terms, so that it may be properly classified. Exact statement of OCCUPATION
Industry
Own Home
(If U. S.
War Veteran,
specify WAR)
5 SINGLE
MARRIED
WIDOWED
or DIVORCED
EXTRACTS FROM THE LAWS OF THE COMMONWEALTH OF MASSACHUSETTS GOVERNING THE
RETURN OF CERTIFICATES OF DEATH
A physician or registered hospital medical officer shall forthwith, 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 regis- tration 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 sball be issued until there shall have been de- livered to such board, agent or clerk, as the case may be, a satisfac- tory 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 encugh 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 pur- pose, shall upon application malte the certificate required of the at- tending physician. If death is caused by violence, the medical exam- incr 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 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 removal shall constitute a permit for such removal ; provided, that such body shall be returned to the town from which it was removed within thirty- six bours after such removal, unless a permit in the usual form for tbe 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 appcar 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 given and the physician certifying the cause of death shall thereafter fur- nish 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.)
.
No undertaker or other person shall bury a human body or the asbes 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 tbe funeral is to be held, or from a person appointed to have the care of the cemetery or burlal 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 observ- ance 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 ill- ness from disease unrelated to any form of injury.
(2) Board of Ilealth 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 attendance or whose physician is absent from home when the certificate of death Is needed.
(3) Medieal 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 septice- mla), 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 lo occupa- tion, the sudden deaths of persons not disabled by recognized disease, and those of persons found dead.
Statement of Cause of Death .- Cause of death means the disease, or complication which causes denth, 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 con- ditions, if any, related to the principal cause and any important complication of the principal cause.
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 discase causing death, report the usual occupation prior to illness. If the deceased had retired from busi- ness, report the usual 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. 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.
SPACE FOR ADDITIONAL INFORMATION
A R-301 A! Suffolk Lounyy) Winthrop (City or Town)
No 14 Wane Way
The Commonwealth of Massachusetts OFFICE OF THE SECRETARY DIVISION OF VITAL STATISTICS
STANDARD CERTIFICATE OF DEATH
St.
wycing
(If deceased is a married, widowed or divorced woman, give also maiden name.)
14 Wane
Way Que
St.
(a) Residence. No.
(Usual place of abode)
Length of stay: In hospital or institution .. (Specify whether)
years
months
days.
In this community
10 yrs .~ mos. ~ days.
PERSONAL AND STATISTICAL PARTICULARS
4 COLOR OR RACE
White
5 SINGLE
(write the word)
carried
MARTED
WIDOWED
OF DIVORCED
Sa If married, widoung or divorced
HUSBAND of
(Give maiden name of wife in fun)-
(Husband's name in full)
65
years
If less than I day
Hours
Minutos
Tailor-for hinaul
Retired
II Social Security No.
none
12 BIRTHPLACE (City)
(State or country)
Russia
13 NAME OF
FATHER
Bernard "Weine,
14 BIRTHPLACE OF
FATHER (City)
(State or country)
15 MAIDEN NAME
OF MOTHER
16 BIRTHPLACE OF
MOTHER (City)
(State or country)
Muisvía
17 Harry Weine
Relation, if any
Informant (Address) 65 +years
I HEREBY CERTIFY that a satisfactory standard certificate of death was filed with me BEFORE the Burial or/traust permit was issued: Www. D. Juldress (Signature of Agent of Board of Heavy rockot) Health Prices 267/40 (Date of Luas of Permity .. (Oficial Designation)
MEDICAL CERTIFICATE OF DEATH
18 DATE OF
DEATH.
February
7.
1940.
(Year)
(Month)
(Day)
IS HEREBY CERTIFY Facturaty 1937,
2 )hat Iattended deceased from 19 40
I last saw himm .. alive on .. 2/7/ 19.40 death is said to have occurred on the date stated above, at. ...: 20Pm. Duration IMPORTANT Immediate cause of death ... Broncho- pneumonia
Due to nfesttension + Hypertension If Disent
Due to Alequia Multiple Neurofibromatosis
16 yrs ..... .... ..... 16 yrs. 20 yrs.
Other conditons (Include pregnancy within 3 months of death)
Major findings : Of operations
PHYSICIAN Underline the cause to which death
Of autopsy
No
should be
Clinical charged sta- What test confirmed diagnosis :
tistically.
20 Was disease or lajury la any way related to eccopation ol deceased?
If so, specie
Charles Liberman
. M. D.
(Signed)
(Address) 26 Wave Way
21
Date 2/ 7/19 410. (City of Town) Place of Burial, Cremation or Removal. DATE OF BURIAL. 19:4/0
22 NAME OF FUNERAL DIRECTOR ADDRESS !... Nachingter 22, Dor,
taky
Received and filed
19
-FEB 8
To be filed for burial permit with Board of Health or its Agent.
Registered No. 31
(If death occurred in a hospital or institution, give its NAME instead of street and number) (If U. S. War Veteran, specify WAR) None
2 FULL NAME
PLACE OF DEATH
1 3 SEX male (or) WIFE of 8 AGE 65, Usual 9 Occupation: PARENTS information should be carefully supplied. AGE should be stated EXACTLY. PHYSICIANS should state is very important. See instructions and extracts from the laws on back of certificate. CAUSE OF DEATH in plain terms, so that it may be properly classified. Exact statement of OCCUPATION Industry 10 or Business:
100m-10-'39. No. 8427-€
Years.
Months. Days
6 Age of husband cr wife if alivo.
7 IF STILLBORN, enter that fact hero.
faits
(If nonresident, give city or town and state)
Date of.
tamed
EXTRACTS FROM THE LAWS OF THE COMMONWEALTH OF MASSACHUSETTS GOVERNING THE
RETURN OF CERTIFICATES OF DEATH
A physician or registered hospital medical officer shall forthwith, 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 regis- tration 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 scction one, where same was contracted, the duration of his last illness, when last seen alive hy 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 tomh other than the receiving tomh 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 he issued until there shall have been de- livered to such board, agent or clerk, as the case may be, a satisfac- tory written statement containing 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 required hy law, or in lieu thereof a certificate as hereinafter provided. If there is no attending physician, or if, for sufficient reasons, his certificate cannot he 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 pur- pose, shall upon application make the certificate required of the at- tending physician. If death is caused by violence, the medical exam- iner 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 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 removal shall constitute a permit for such removal ; 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 has been sooner ohtaincd hercunder. 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 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 given and the physician certifying the cause of death shall thereafter fur- nish 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.)
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 hoard 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 made .... Chap. 114, Sec. 46, G. L., (Tercentenary Edition)
RULES OF PRACTICE
The fulfillment of the purpose of these laws calls for the observ- ance 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 ill- ness from disease unrelated to any form of injury.
(2) Board of Hoaith physicians will certify to such deaths only as those of persons who, though disabled hy recognized discase un- related 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 supposabiy due to injury. These include not only deaths caused directly or indirectly hy traumatism (including resulting septice- mia), 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 occupa- tiou, the sudden deaths of persons not disabied by recognized disease, and those of persons found dead.
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 con- ditions, if any, related to the principal cause and any important complication of the principal cause.
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 usual occupation prior to illness. If the deceased had retired from busi- ness, report the usual 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. 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.
SPACE FOR ADDITIONAL INFORMATION
R-301 A Suffolk
PLACE OF DEATH
No. 19 Siren St. Winthrop
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 .. 32
- (If death occurred in a hospital or institution, give its NAME instead of street and number)
Irving M. Brackett
(If deceased is a married, widowed or divorced woman, give also maiden name.)
19 Siren St
......
St.
Winthrop
(If nonresident, give city or town and state)
(Specify whether)
PERSONAL AND STATISTICAL PARTICULARS
MEDICAL CERTIFICATE OF DEATH
18 DATE OF
DEATH
(Month)
Feb.
8
1940
(Day)
(Year)
That I attended deceased from
19 I HEREBY CERTIFY. hiember 5 1938 to .. telmany 5 19 40
l last saw h !........... alive on
February 8, 1940, death is said
to have occurred on the date stated above, at / 2: 15 pm
Immediate cause of death.
Cerebral Hemmontage
Duration 11)PORTANT 7/7/40.
Due to
arteriosclerosis
1938.
Due to
Other conditions
(Include pregnancy within 3 months of death)
Major findings :
Of operations
none
Of autopsy
not done
What test confirmed diagnosis ?.
Clinical
20 Was disease or lajury In any way related to occupation of deceased? Tio
If so, specify,
(Signed)
Jacob abramo
M. D.
(Address) 562 Stundey S
Date.
4/9/40
21
Oak Grove
CoutureMedford Mass.
Place of Burial, Crem tiog or Removal.
DATE OF BURIAL
195(City or Town)
19
22 NAME OF
Richard 16. While
FUNERAL DIRECTOR
ADDRESS
147 Winthrop St. Winthrop
Received and filed
.......... 19
(Registrar)
100m-10-'39. No. 8427-e
I HEREBY CERTIFY that a satisfactory standard certificate of death was filed with me BEFORE the burial of transit permit was issued: Idealthe Officer
(Signature of Acht on Board of Health or other) Www. D: Children 2/10/40
(Official Designation) (Date of Issue of Perinity
(write the word)
5 SINGLE
MARRIED
WIDOWED
or DIVORCED
Widowed
5a If married, widowMapydiRichardson Brackett HUSBAND of
(Give maiden name of wife in full)
(Husband's name in full)
years
If less than 1 day
Hours. Minutes
(State or country)
Mass.
15 MAIDEN NAME
OF MOTHER
Adeliade Knowles
(State or country) Mass.
Relation, if any Sister
St.
(If U. S. War Veteran, specify WAR)
-20 years
months
days.
In this community 20 yrs.
mos.
days.
(County)
1
Winthrop
(City or Town)
2 FULL NAME
(a) Residence. No.
(Usual place of abode)
Length of stay: In hospital or institution ..
3 SEX
4 COLOR OR RACE
Male
White
(or) WIFE of
6 Age of husband or wife if alive
7 IF STILLBORN, enter that fact here.
8
AGE
62
Years.
5
Months
.Days
Usual
Salesman
9 Occupation:
Industry
Real Estate
10 or Business:
Il Social Security No.
None
12 BIRTHPLACE (City)
Eastham
Mas
(State or country)
14 BIRTHPLACE OF
FATHER (City)
Eastham
PARENTS
16 BIRTHPLACE OF
MOTHER (City)
Eastbam
17
Informant
Olive Highley
(Address)
905 Main St Woburn
CAUSE OF DEATH in plain terms, so that it may be properly classified. Exact statement of OCCUPATION
information should be carefully supplied. AGE should be stated EXACTLY. PHYSICIANS should state
13 NAME OF
FATHER
William Brackett
is very important. See instructions and extracts from the laws on back of certificate.
PHYSICIAN Underline the cause to which death should be charged sta- tistically.
Date of .......
EXTRACTS FROM THE LAWS OF THE COMMONWEALTH OF MASSACHUSETTS GOVERNING THE
RETURN OF CERTIFICATES OF DEATH
A physician or registered hospital medical officer shall forthwith, 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 regis- tration 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 seetion one, where same was contraeted, 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 elerk of the town where the body is buried. No such permit shall be issued until there shall have been dc- livered to sueh board, agent or clerk, as the casc may be, a satisfac- tory 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 eannot 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 seleetmen for the pur- pose, shall upon application make the certificate required of the at- tending physician. If death is caused by violenee, the medical exam- iner 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 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 sueb removal shall constitute a permit for such removal ; 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 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 appear upon the permit. The board of health, or its agent, upon receipt of such statement and certifieate, 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 fur- nish for registration any other necessary information which can be obtained as to the deecased, 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.)
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 cemetery or burial ground in which the interment is made. ... Chap. 114, Ses. 46, G. L., (Tercentenary Edition)
RULES OF PRACTICE
The fulfillment of the purpose of these laws calls for the observ- ance 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 eare during a last ill- ness 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 attendance or whose physician is absent frem home when the certificate of death is needed.
Need help finding more records? Try our genealogical records directory which has more than 1 million sources to help you more easily locate the available records.