Town of Winthrop : Record of Deaths 1940, Part 11

Author: Winthrop (Mass.)
Publication date: 1940
Publisher:
Number of Pages: 494


USA > Massachusetts > Suffolk County > Winthrop > Town of Winthrop : Record of Deaths 1940 > Part 11


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


(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 to 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 death, not the mode of dying, e. g., heart failure, asphyxia, asthenia, etc. As principal cause name the disease eausing death. As related causes, name earlier morbid con- ditions, if any, related to the principal eause and any important complication of the principal cause.


Statement of Occupation .- Precise statement of oceupation 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-302


PLACE OF DEATH


WORCESTER


(County)


RUTLAND


(City or Town) Rutland State Sanatorium


The Commonwealth of Massachusetts OFFICE OF THE SECRETARY DIVISION OF VITAL STATISTICS COPY OF CERTIFICATE OF DEATH


RUTLAND


(City or town making return)


Registered No.


15


33


(If death occurred in a hospital or institution,


St. (


give its NAME instead of street and number)


2 FULL NAME


Gertrude Theresa


Rouillard


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


266 Main


St.


Winthrop. Mass.


Length of stay: In hospital or institution ...


(Specify whether)


months


23


days.


In this community


yrs.


mos.


days.


PERSONAL AND STATISTICAL PARTICULARS


3 SEX


Female


4 COLOR OR RACE 5 SINGLE


White


MARRIED


WIDOWED


or DIVORCED


(write the word)


Married


5a lf married, widowed, or divorced


HUSBAND of


Samue Give maiden name of wife in full)


(or) WIFE of


Rouillard


(Husband's name in full)


57


years


6 Age of husband or wife if alive.


7 IF STILLBORN, enter that fact here.


8


ÅGE 5.4


Years.


7


Months.2.3 .. Days


lf less than 1 day


Hours ....


Minutes


Usual


9 Occupation:


Housewife


Industry 10 or Business:


11 Social Security No.


None


Brooklyn


12 BIRTHPLACE (City)


(State or country)


New York


13 NAME OF


FATHER


James Cahill


14 BIRTHPLACE OF


FATHER (City)


Brooklyn


(State or country)


New York


15 MAIDEN NAME


OF MOTHER


Mary Jane Doyle


IG BIRTHPLACE OF


MOTHER (City)


Brooklyn


(State or country)


New York


17 State San Records.


Relation, if any


(Address) Rutland Mass.


A TRUE COPY.


ATTEST:


Frances.Hanfl


(Registrar of city or town where death occurred)


DATE FILED


February 9,1940


19


MEDICAL CERTIFICATE OF DEATH


18 DATE OF


DEATH.


February


9.


1940


(Month)


(Day)


(Year)


19 I HEREBY CERTIFY


That I attended deceased from


February 17


19 39


February


19.40


I last saw h .......... alive on


February 9 1940


death is said


to have occurred on the date stated above, a


12: 20 Aspiration


Immediate cause of death.


7


Pulmonary tuberculosis


About 4 year


Due to


Due to


Other conditions


(Include pregnancy within 3 months of death)


PHYSICIAN


Major findings :


--


Of operations


.Date of.


Of autopsy


No


autopsy


should be charged sta-


What test confirmed diagnosis ? Phys x-ray laistically.


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


(Signed)


(Address)


State San Rutlandhate 2/9


19 .. 4.0


21 PLACE OF BURIAL,


Wyoming Melrose Mass.


DATE OF BURIAL


February 12,1940


19


22 NAME OF


Richard White


FUNERAL DIRECTOR


ADDRESS.


Winthrop , Mass.


Received and filed 19


(Registrar of City or Town where deceased resided)


of death should he transmitted on Form R-302 to the clerk of the city or town in which the deceased resided as soon as possible after the close of the month in which the death occurred. (See Chap. 46, Sec. 12, G. L.) PARENTS 50m-10-'39. No. 8427-f


1


No.


(lf U. S.


War Veteran,


specify WAR)


(a) Residence. No ..


(Usual place of abode)


Sanatorium


years


11


(If nonresident, give city of town and gtakg)


Underline the cause to which death


If so, specify


Gabriel Nadeau


M. D.


CREMATION OR REMOVAL.


(Cemetery)


(City or Town)


M R-301 !


PLACE OF DEATH 3 SEX male (or) WIFE of 8 Usual PARENTS 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 is very important. See instructions and extracts from the laws on back of certificate. N. B .- WRITE PLAINLY, WITH UNFADING BLACK INK-THIS IS A PERMANENT RECORD. Every item of Industry 10 or Business: 200m-10-'39. No. 8427-d


Suffolk .County) Winthrop (City or Town) 42 Triton are


The Commonwealth of Massachusetts OFFICE OF THE SECRETARY DIVISION OF VITAL STATISTICS STANDARD CERTIFICATE OF DEATH


(City or town making return)


Registered No ............ ...........


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


2 FULL NAME


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


(a) Residence.


No ...


42 Triton are Winterofse


(Usual place of abode)


Length of stay: In hospital or institution * ** years


(Specify whether)


months


days.


(If nonresident, give city or town and state)


In this community


11


yrs.


mos.


days.


PERSONAL AND STATISTICAL PARTICULARS


4 COLOR OR RACE


white


5 SINGLE


MARRIED


WIDOWED


or DIVORCED


(write the word)


single


5a If married, widowed, or divorced HUSBAND of


(Give maiden name of wife in full)


(Husband's name in full)


6 Age of husband or wife if alive. .yoars


7 IF STILLBORN, enter that fact here.


AGE 74 Years 10 .Months. .2 ...... Days


If less than I day


Hours ..


.Minutes


9 Occupation:


Retired foreman in boxing


factory


11 Social Security


12 BIRTHPLACE (City)


Weymouth


(State or country)


mano.


13 NAME OF


FATHER


Samuel M. Richards


14 BIRTHPLACE OF


FATHER (City)


Weymouth


(State or country)


mars.


15 MAIDEN NAME


Mary L Jivrell


OF MOTHER


16 BIRTHPLACE OF


MOTHER (City)


Weymouth


(State or country)


Mars.


17


augustus E Richardo (brother)


Relation, if any


(Address)


## Each Weymouth, Maso.


I HEREBY CERTIFY that a satisfactory standard certificate of death was filed with me BEFORE the burial or transit permit was issued: Wang. Children.


Health Office


(Signature of Agent of Board of Health or other)


2/12/40


( (Official Designation)


(Date of Issue of Permity


MEDICAL CERTIFICATE OF DEATH


18 DATE OF


DEATH


February


11


1940


(Month)


(Day)


(Year)


19 | HEREBY CERTIFY , That I attended deceased from


august 10


1934,


February 11 1940


I last saw been


.alive on.


February 1/ 1940 deat


to have occurred on the date stated above, at .....


7P.m.


death is said


Duration


Immediate cause of death ...


Acute Coronary Renombre


.....


trado 2 days.


Due to


angina Pectoris


5 hours ....


byla ........


Other conditions"


noul


(Include pregnancy within 3 months of death)


Major findings :


Of operations


no operations


Date of ..


Of autopsy


no autopay


charged sta-


What test confirmed diagnosis ?


clinical & la istically.


20 Was disease ur lujury in any way related to occupation of deceased -? . 720


If so, specify.


Jacobs


(Signed)


(Address) 562 ShirleySt


.Date ......


10 2/11/420


21 Mount Hope,Venthugo Maso Place of Burial, [Creamdede KREdoBa (City of Town) DATE OF BURIAL Feb1411940. 19


22 NAME OF


FUNERAL DIRECTOR


ADDRESS Broad &t. F. Weymouth


Received and filed. 19


.........


Å TRUE COPY ATTEST:


(Registrar)


PHYSICIAN Underline the cause to which death should he


Due to


arterio


caoclerosis


... , to ...


War Veteran. specify WAR).


No. Samuel E


RICHARDS


EXTRACTS FROM THE LAWS OF THE COMMONWEALTH OF MASSACHUSETTS


GOVERNING THE


RETURN OF CERTIFICATES OF DEATH


A physician or registered hospital medical officer sball forthwitb, after the death of a person whom be has attended during bls last illness, at the request of an undertaker or otber sutborlzed 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 bis knowledge and belief the name of the deceased, bis supposed age, the disease of which be died, defined as required by section one, where same was contracted, the duration of bis last illness, when last seen alive by the physician or officer and the date of bis deatb ... 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 buman body wbich bas 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 sball exbume a buman hody 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 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, wbich sball 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 early enough for the purpose, or is insufficient, a physician wbo 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, tbe 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 tbc 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 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 bereunder. If tbe 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 heen 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 sball bury a buman body or tbe ashes thereof which have been brought into the commonwealth until be 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 beld, 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 Health physicians will certify to such deatbs only as those of persons who, though disabled by recognized disease un- related to any form of injury, bave died without recent medical attendance or whose physician is absent from bome when tbe 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 deatbs following abortion, but also deaths from disease resulting from injury or infection related to occupa- tion, the sudden deathis 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 deatb, not the mode of dying, e. g., beart failure, aspbyxia, astbenia, 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 bealthfulness of various pursuits can be known. Make some entry in this section for every person aged 10 years or over. If the occupation bad been given up or changed on account of the disease causing deatb, 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 wbose only occupation was that of bome bousework, 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-303 B


PLACE OF DEATH No


Suffolk cello (County)


The Commonwealth of Massachusetts OFFICE OF THE SECRETARY DIVISION OF VITAL STATISTICS MEDICAL EXAMINER'S CERTIFICATE OF DEATH


To be filed for burial permit with Board of Health or its Agent.


Registered No ..


25


(If death occurred in a hospital or institution,


e. { give its NAME instead of street and number)


Lionel Wallace Hopkins


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


(a) Residence. No. 450 Winthub St. Pantural


St.


(Usual place of abode)


Length of stay: In hospital or institution


years


months


days.


In this community


(Specify whether)


PERSONAL AND STATISTICAL PARTICULARS


3 SEX Male white


4 COLOD OR RACE| 5 SINGLE


MARRIED


WIDOWED


or DIVORCED


(write the word)


Single


5a If married, widowed, or divorced HUSBAND of


(Give maiden name of wife in full)


(Husband's name in full) .


6 Age of husband or wife if alive years


7 IF STILLBORN, enter that fact here.


AGE


63


Years


Months.


Days


If less than 1 day


Hours


.Minutes


Usual


Laborer w. P.A. (Electrician)


Industry


W.T.A.


Electrician


1I Social Security No.


012-18-3596


12 BIRTHPLACE (City)


(State or country)


P. S.


13 NAME OF


FATHER


Heury


Hopkins


14 BIRTHPLACE OF


FATHER (City)


...


M. S.


Fester


15 MAIDEN NAME


OF MOTHER


Ida Sweet


16 BIRTHPLACE OF


MOTHER (City)


(State or country)


R. S.


17 Wro Marjorie M. Kinlin


Heatich, if any friend


Informant .. (Address) 450 Winthrop St., Win


I HEREBY CERTIFY that a satisfactory standard certificate of death was filed with me BEFORE the burial or transit permit was issued: Www. A. Children Y Board of Heart mother) Health Officer 2/14/40


(Date of Issyol of Permit)


MEDICAL CERTIFICATE OF DEATH


18 DATE OF


Feb -12 -1440


(Day)


(Year)


19 | HEREBY CERTIFY that i have investigated the death of the person above-named and that the CAUSE AND MANNER thereof are as follows: (If an injury was involved, state fully.) acute Cardiac Failure . Chania Valvular Heart Disease alvala 2. 1


collapsed on street >died quietly


Was there an autopsy ?.


200


(See reverse side for description for unknown person)


20 Where did


injury occur ?.


(City or town and State)


21 Was disease or Injury In any way related to occupation of deceased ?.


If so, specify ............


(Signed)


ABBA-12-1940


(Address)


22


Smithville


No Scituate R. O.


Place of Burial, Cremation or Removal. (City or Town)'


DATE OF BURIAL


February 14


19


to


23 NAME OF


FUNERAL DIRECTOR.


M. S. Kelly


ADDRESS


11 Meridian St., E. OTO


Received and filed 19


(Registrar)


5m-10-'39. No. 8427-j


(or) WIFE of 9 Occupation: 10 or Business: PARENTS information should be carefully supplied. MEDICAL EXAMINERS should state CAUSE AND MANNER OF DEATH in plain terms, so that it may be properly classified under the International Classification of Causes of Death. See reverse side for extracts from the laws relative to the return of certificates of death. (Official Designation) N. B .- WRITE PLAINLY, WITH UNFADING BLACK INK-THIS IS A PERMANENT RECORD. Every item of (State or country)


(City or (Town)


En route to Mutterio Communiste Hospitali


2 FULL NAME


(If U. S.


War Veteran,


specify WAR)


No


(If nonresident, give city or town and state)


4 yrs.


mos. - days.


DEATH


(Month)


----


M. D.


Foster


Foster


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 regls- 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 buricd, 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 lts 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 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 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 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 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.


DESCRIPTION (for unknown person)


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 funcral Is to be held, or from a person appointed to have the caro of the cemetery or burial ground in which the interment is made. . . . Chap. 114, Sec. 46, G. L. as amended.


Medical examiners shall make examinatlon upon the view of the dead bodies of only such persons as are supposed to have died by violence. If a medical examiner has notice that there is within his county the body of such a person, he shall forthwith go to the place where the body lies and take charge of the same; ... - General Laws, Chap. 38, Sec. 6.


. .. Hle 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 man- ner of death .- General Laws, Chap. 38, Sec. 7.


. The medical examiner certifies the cause and manner of death to the best of his knowledge and belief.


RULES OF PRACTICE


The fulfillment of the purpose of these laws calls for the observ- ance of the following rules of practice :


(1) Allending 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 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 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 by traumatism (including resulting septice- mia), 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 relaled lo occupa. tion, the sudden deaths of persons nol disabled by recognized disease, and those of persons found dead.


STATEMENT OF CAUSE OF DEATH


Medical Examiners in certifying to a death will state the cause and manner thereof, and will specify: (1) Under cause, the nature of an injury and of its consequences ; and (2) under manner, the mode of its production together with the circumstances when these are known. For example: "Compound fracture of the femur with ensuing septicemia (gas bacillus) caused by a steam railway ac- cident." "Pistol shot wound of the chest with associated hcmor- rhage, homicidal." "Asphyxiation by suspension, suicidal." "Syn- cope while under the influence of ether administered as a surgical anaesthetic." "Fracture of the skull with associated internal injury sustalned under circumstances unknown.“


If disease or injury was related to occupation, specify. If Inves- tigation shows the death to have been due to disease, specify: (1) Under cause, its known or presumable nature ; and (2) under man- ner, Indicate the circumstances leading to medico-legal inquiry. For example: "Hemorrhage spontaneous, of the brain (basal ganglia) (found dead in bed) ." "Heart disease, presumably coronary sclerosis. (Sudden death) ."


NOTICE TO UNDERTAKERS: No embalming fluid, or any substitute therefor, shall be injected into the body of any person supposed to have met his death by violence, until a permit, signed by the Medical Examiner, has first been obtained .- General Laws, Chap. 38, Sec. 14.




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