Town of Winthrop : Record of Deaths 1940, Part 2

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


USA > Massachusetts > Suffolk County > Winthrop > Town of Winthrop : Record of Deaths 1940 > Part 2


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


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 elerk 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- anee 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- ress 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 supposably 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 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. ete. As principal cause name the disease causing death. As related causes, name carlier 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 sectlon 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, ete. For a person who had no occupation whatever write none.


SPACE FOR ADDITIONAL INFORMATION


M R-301 AJ


PLACE OF DEATH No 18


Count Winthrop (City or Town) Atlantic


The Commonhealth 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


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


2 FULL NAME


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


18 Atlantic


............


St.


(If nonresident, give city or town and state)


Length of stay: In hospital or institution .......


(Specify whether)


PERSONAL AND STATISTICAL PARTICULARS


3 SEX Temale


4 COLOR OR RACE


White


5 SINGLE


MARRIED


WIDOVIED


or DIVORCED


(write the word)


Married


5a If married, widowed, or divorced HUSBAND of


(Give maiden name of wife in full)


James Main


(Husband's name in full)


66 years


6 Age of husband or wife if alive 7 IF STILLBORN, enter that fact here.


8 80 Years. 6 Months / Days


If less than 1 day


Hours Minutes


Ar Home


Industry 10 or Business:


11 Social Security No ..


12 BIRTHPLACE (City) (State or country)


Dunferm Line Sortland


13 NAME OF


FATHER


John Giffords,


14 BIRTHPLACE OF unfallm Line FATHER (City)


(State or country) Scotland


15 MAIDEN NAME OF MOTHER Unknown Dunfarm Line


16 BIRTHPLACE OF MOTHER (City) (State or country) Sortland


100m-10-'39. No. 8427-e


17 Informant 76 1 05 /8 atlantic St within


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


. Clubdress & Signature of Agen of Board of Health or other>


Haltle Officer 1/3/40


7(Official Designation)


(Date of Issue of Permit)


MEDICAL CERTIFICATE OF DEATH


18 DATE OF


DEATH


Jan . 2 - 1940


(Month)


(Day)


(Year)


19 I HEREBY CERTIFY. That I attended deceased from


1939, to Jau.


25


19 40


I last saw her alive on.


Uhc 31, 1939, death is said


to have occurred on the date stated above, at.


Duration


$ 40h .m.


Immediate cause of death ...


IMPORTANT


1938


arteriosclerosis


Due to


Due to


Other conditions


(Include pregnancy within 3 months of death)


Major findings :


Of operations


Date of


Of autopsy


What test confirmed diagnosis?


Clinical


PHYSICIAN Underline the cause to which death should be charged sta- tistically.


20 Was disease or Injury In any way related to occupation of deceased? no


If so, specify Charles melone M. D.


(Signed)


305 Have SCBA Date Jaw3 1940


(Address)


Relation, if any 21 Woodlawn Everest Mark Place of Burial, Cremation or Removal. (City or Town)


DATE OF BURIAL Friday fary 5 ..... 1940.


22 NAME OF


Fraule & Groun


ADDR


286 meridian So Earl Gosto


Received and filed 19 ....


(Registrar) V


-


St.


(If U. S. War Veteran, specify WAR)


(a) Residence. No.,


(Usual place of abode)


years


months


days.


In this community 10 yrs.


mos.


days.


1 (or) WIFE of AGE PARENTS 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. information should be carefully supplied. AGE should be stated EXACTLY. PHYSICIANS should state Usual 9 Occupation:


Suffolk


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 deccased, 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 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- posc, shall upon application make the certificate required of the at- tending physician. If death is caused by violence, the incdical 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 carly enough for the purpose, the certificate of death made as above provided and in the possession of the undertaker deslring 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 obtaincd 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 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, 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 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 supposably 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 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 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


RM R-301


information should be carefully supplied. AGE should be stated EXACTLY. PHYSICIANS should state N. B .- WRITE PLAINLY, WITH UNFADING BLACK INK-THIS IS A PERMANENT RECORD. Every item of (State or country)


200m-10-'39. No. 8427-d


1 HEREBY CERTIFY that a satisfactory standard certificate of death was Sled with me BEFORE the burig) or transit permit was issued: Um. D. Chil dress


(Signature of Agent of. Board of Health or other) / Malthe prices 1/8/40 (Official Designation) (Date of Issue of Permit)


MEDICAL CERTIFICATE OF DEATH


1940


(Month)


(Day)


(Year)


(19 I HEREBY CERTIFY. That I attended deceased from december 29, 1939, to .. Naimary.6 1944A.


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


6


19.4h.d., death is said


to have occurred on the date stated above, at 8.25 P. m.


Duration


Iminediate cause of death ..


Cerebral Haemorrlinge


Due to


Due to


Other conditions


Digocies Mellitus


MEALS


(Include pregnancy within 3 months of death)


PHYSICIAN


Major findings :


Of operations


Date of ..


Of autopsy


What test confirmed diagnosis ?


20 Was disease or Injory lo any way related to occupatloo of deceased ? NA


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


Edward V, tranger.


M. D.


(Address)


21 Pride Of Jacot.


Wers Rof


Place of Burial, Bemation gh or Removal. 8 (City or Town) 1940


DATE OF BURIAL.


22 NAME OF


FUNERAL DIRECTOR


OB Jacob. H. Levine


ADDRESS


1994 Nachunge ST Day


Received and filed 19


A TRUE COPY ATTEST:


(Registrar)


5


Registered No.


(If.death occurred in a hospital or institution, give its NAME instead of street and number) No.


2 FULL NAME


Annie


Simons, Nee Annie Alexander.


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


River Road


St.


1


(If nonresident, give city or town and state)


mos.


days.


PERSONAL AND STATISTICAL PARTICULARS


(write the word)


DEATH


January


18 DATE OF


Widowed


ife in full)


6 Age of husband or wife if alive .years 7 IF STILLBORN, enter that fact bere.


If less than 1 day


Hours ....


Minutes


House-Mile


13 NAME OF


FATHER


Saúl alexander


15 MAIDEN NAME


OF MOTHER


Leah (Unknown)


17 Mildred Holdson Relation, if any


Informant.


(Address) 280 River Road Sethrol


Daughter)


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


CERTIFICATE OF DEATH


Winthrop Com.


(City or town making return)


(If U. S.


War Veteran.


specify WAR).


(a) Residence. No 280


(Usual place of abode)


Hoefectar


years


months


i ength of stay : In hospital or institution


(Specify /whether)


days.


In this community:


24


SUFFolk.


(County)


WinThrop


Mass


(City or Town)


....


PLACE OF DEATH


3 SEX


4 COLOR OR RACE


Female White


5 SINGLE


MARRIED


WIDOWED


or DIVORCED


5a lf married, widowed, or divorced


HUSBAND of


(or) WIFE of ..


(Husband's name in full)


B


71


AGE


Years.


Months.


Days


Usual


9 Occupation:


11 Social Security No.


12 BIRTHPLACE (City)


(State or country)


Russia


14 BIRTHPLACE OF


FATHER (City)


Tusia


PARENTS


16 BIRTHPLACE OF


MOTHER (City)


Ansia


(State or country)


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:


at Home


34225' ....


Underline the cause to which death should be charged sta- tistically.


)


(Signed)


200 Worthington Are Date lay's


1940.


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. N such permit shall be issued until there shall have been de- livered & such board, agen or clerk, as the case may be, a satisfac- tory fritten 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- posc, 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 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 has been sooner obtained hereunder. If the death certificate contains a recital, as required by section ten of chapter forty-six, that the deesascd 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 certificatc, 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 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, 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 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 supposably 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 related to occupa- tion, the sudden deaths of persons not disabled by recognized discase, 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


M R-301 Aj


PLACE OF DEATH


middlesex (County) Winthrop (City or Town) .52 Centre St. Thomas H. Edes


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.


6


Registered Na


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


(If U. S.


War Veteran,


specify WAR)


52 Centere St.


years


months


days.


In this community


6


yrs.


mos.


days.


MEDICAL CERTIFICATE OF DEATH


18 DATE OF


DEATH


am


7


(Month)


(Day)


(Year)


19 I HEREBY CERTIFY


6


19.,3.1, tg.


19 40


I last saw h .. ,4 ..... alive on ... 6 19 ...... , death is said


to have occurred on the date stated above, at 6 ............ m.


........... Immediate cause of death Cenario Sale leaf Dicen since Congestion


failure and auricula Abrillation


Due to arteria Schwerin and


Due to


Other conditions


(Include pregnancy within 3 months of death)


Major findings :


Of operations


PHYSICIAN Underline the cause to Date of ....... Of autopsy Nere which death should be charged sta- What test confirmed diagnosis ?. Electrocardiogratistically.


20 Was disease cr Injury In any way related to occupation of deceased? me allestero.


it so, specify.


M. D.


(Signed)


(Address) 153 Zelnot County


.. Date ...


Boston


Jan 8 1940


Place of Burial, Cremationvor Remoyat.


DATE OF BURIAL


Jan. 9


(City or Town)


22 NAME OF


FUNERAL DIRECTOR


ma Cowan o son


ADDRESS


Appalden mass


Received and filed


Dr. 10


19.40


(Registrar)


V


1


2 FULL NAME


(a) Residence. No ...


(Usual place of abode)


Length of stay: In hospital or institution ..


(Specify whether)


PERSONAL AND STATISTICAL PARTICULARS


3 SEX


4 COLOR OR RACE


White


male


| 5 SINGLE


MARRIED


WIDOWED


or DIVORCED


5a If married, widowed, or divorced


HUSBAND of


(Give maiden name of wife in full)


(or) WIFE of


(Husband's name in full)


7 IF STILLBORN, enter that fact here.


8


Days


73


AGE


Years


Months


If less than 1 day


Store keeper


Usual


9 Occupation:


10 or Business:


11 Social Security No.


none


12 BIRTHPLACE (City)


(State or country)


13 NAME OF


James W. Edes


FATHER


Bath


14 BIRTHPLACE OF


FATHER (City)


(State or country)


maine


16 BIRTHPLACE OF


Dobleboro


PARENTS


MOTHER (City)


(State or country)


maine


CAUSE OF DEATH in plain terms, so that it may be properly classified. Exact statement of OCCUPATION


Industry


Vin City of Boston


is very important. See instructions and extracts from the laws on back of certificate.


(write the word)


Widowed


Gertrude Lovejoy


6 Age of husband or wife if alive. Years


Hours.


Minutes


Charlestown


mass


15 MAIDEN NAME


OF MOTHER


Susan P. Knowlton


17 Relation, if any 21 Forest Hills


Hayes ( Sister)


(Address) Wenham, Mass Book 102


1 HEREBY CERTIFY that a satisfactory standard certificate of death was filed with me BEFORE the burjal pr transit permit was issued: Www. D. Children (Signature of Agent of Board of Health for other) Realthe Officer 1/8/40


(Official Designation) (Date of Issue of Permit)




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