Town of Winthrop : Record of Deaths 1940, Part 25

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


USA > Massachusetts > Suffolk County > Winthrop > Town of Winthrop : Record of Deaths 1940 > Part 25


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 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 dicd 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 traumatisni (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 discase causing death, report the usual occupation prior to illness. If the deceased had retired from busi- ncs3, 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


1


PLACE OF DEATH


SUFFOLK (County)


(City or Town)


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


BOSTON


(City or town making return)


Registered No.


3692


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


2 FULL NAME


Patrick J. Lane


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


5 Washington Avenue


Winthrop


(a) Residence. No ...


(Usual place of abode)


hospital


years


months


14 days.


(If nonresident, give city or town and state)


In this community


18Vrs.


mos.


days.


PERSONAL AND STATISTICAL PARTICULARS


MEDICAL CERTIFICATE OF DEATH


3 SEX M


4 COLOR OR RACE: 5 SINGLE


(write the word)


W


MARRIED


WIDOWED


or DIVORCED


Widowed


(Month)


(Year)


(Day)


That I attended deceased from


19 I HEREBY CERTIFY.


6 /20/39


19.


to


4/17/40


19


I last saw h.1.m .... alive on


4/17/40


to have occurred on the date stated above, at.


10:10P


Duration


Immediate cause of death .....


Myocardial


disease with congestive heart


1 mon.


AGE


70 Years


Months. Days


If less than 1 day


Hours.


.Minutes


Usual


9 Occupation:


Associate Justice


Industry


10 or Business:


District Court


11 Social Security No .....


none


12 BIRTHPLACE (City)


Boston


(State or country)


13 NAME OF


FATHER


Patrick Lane


Major findings :


Of operations


Date of


Of autopsy


What test confirmed diagnosis ?


20 Was discase or lajury In any way related to occupation of deceased ?


If so, specify


(Signed)


W .... J ... Smith


(Address)


2.6.4 .... Beacon


Date4/18/40


M. D.


21 PLACE OF BURIAL,


CREMATION OR REMOVAL


Winthrop-Winthrop


DATE OF BURIAL


22 NAME OF


FUNERAL DIRECTOR


R.C .... Kirby.


ADDRESS.


Boston


Received and filed


19


(Registrar of City or Town where deceased resided)


Ve towa 44 cest tuc detcasco festaco in another city of town at the tune


of death should be 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 .. )


50m-10-'39. No. 8427-f


PARENTS


15 MAIDEN NAME


OF MOTHER


Margaret Mahoney


16 BIRTHPLACE OF


MOTHER (City)


(State or country)


Ireland


17


Informant.


(Address)


Edward Lane


Relation, if any Son


A TRUE COPY.


ATTEST:


Vamos Lidé.


(Registrar of city or town where death occurred)


DATE FILED


4/22/40


19


18 DATE OF


DEATH


April 17 1940


5a If married, widowed, or divorced


HUSBAND of


(Give maiden name of wife in full)


Catherine .. A .... Pomfret ..


(or) WIFE of


(Husband's name in full)


Years


6 Age of husband or wife if alive.


7 IF STILLBORN, enter that fact here.


failure


Due


Coronary disease with


10 mos


Cardiac infarct


Due to


Other conditions


Cancer of prostate


(Include pregnancy within 3 months of death)


PHYSICIAN


Mass


14 BIRTHPLACE OF FATHER (City) (State or country) Ireland


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


(Cemetery)


4/20/40


¿City or Town)


19


-


No .... Mass ..... General Hospital


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


Length of stay: In hospital or institution


(Specify whether)


St.


19 ..


death is said


R-301 A:


Suffolk Winthrop


(City or Town)


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


To be fled for burial pormit with Board of Health or its Agent.


Registered No.


81


CERTIFICATE OF DEATH


Winthrop Community Hospital de No. Омлан . Ш .: Жания


2 FULL NAME


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


25 Plummer Are. St. Winthrop


(a) Residence. No ...


(Usual place of abode)


Тереть


years


(Sperny! whether)


PERSONAL AND STATISTICAL PARTICULARS


MEDICAL CERTIFICATE OF DEATH


18 DATE OF


DEATH


(Month)


(Day)


1940


(Year)


19 I HEREBY CERTIFY. That Lattended deceased, from


I last sav h.L.Malive on.


Wheel/1) 946), death is said


to have occurred on the date stated above, at 2.355 m.


Immediate cause of death


Duration


IMPORTANT


Temin


De futuro com of


Due to


nuestros


Other conditions


(Include pregnancy within 3 months of death)


PHYSICIAN Underline


Date :apr 15,1940


which death


Cf autopsy


should be


charged sta-


What test confirmed diagnosis ?


tisticaily.


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


If so, specify


(Signed) ..


, M. D., (Address) 4 30 2hits Co Date 4/15 1940


21


Winthrop


Winthison


(City or Town)


Place of Burial, Cremation or Removal.


DATE OF BURIAL


April 20,


1940


22 NAME OF


FUNERAL DIRECTOR


M. J. Kelly


ADDRESS


11 Meridian St.


JET 13.


Received and filed


aprit


22


19.400


(Registrar)


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


1 (or) WIFE of 2 60 AGE Usual 9 Occupation: PARENTS information should be carefully supplied. AGE should be stated EXACTLY. PHYSICIANS should state Industry 10 or Business: 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.


4 COLOR OR RACE


3 SEX Female White


5 SINGLE


MARRIED


WIDOVIED


or DIVORCED


(write the word) Widowed


5a If married, widowed, or divorced HUSBAND of


Give maiden name (1, wie in full)


(Husband's name in full)


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


years


lf less than 1 day


Years


Months


Days


Hours.


Minutes


House work


own home


11 Social Security No.


12 BIRTHPLACE (City)


East Rostou


(State or country) mass.


13 NAME OF


FATHER


Thomas J. M: Gulfla


14 BIRTHPLACE OF


FATHER (City)


(State or country)


Ireland


15 MAIDEN NAME


OF MOTHER


que Falia Sherlin


16 BIRTHPLACE OF


MOTHER (City)


(State or country)


Dieland


17 Mary J. M: Manus dangliter)


Informant (Address) 250 Plummer Are, Win.


I HEREBY CERTIFY that a satisfactory standard certificate of death was filed with me BEFORE the Theal or Hunsiypermit was issued: Mm. D. Children (Signature of/Agent of Board of Katthe


Kosher ) Health Officer (Official Designation


4/1.9/40


(Date of Issue of /Permit)


(M. Gulpha) (If U. S. War Veteran. specily WAR)


give its NAMIE instead of street and number)


(lf nonresident, give city or town and state)


Length of stay: In hospital or institution ...


months


4


days.


In this community 23 yrs.


mos.


days.


IF


myy 18


Edward 1.


PLACE OF DEATH


Major findings :


Of operations


The Cause to


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 hy 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- 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 commonvcalth cannot be obtained early enough for the purpose, the certificate of death madc 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 hercunder. If the death certificate contains a recital, as required by section ten of chapter forty-six, that the deccascd 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 glven 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 hury 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 hoard, from the clerk of the town where the body is to be huried or the funeral is to be held, or from a person appointed to have the care of the cemetery or hurlal ground in which the interment is made. .. . Chap. 114, Seo. 46, G. L., (Tercentenary Edition)


RULES OF PRACTICE


The fulfillment of the purpose of these laws calls for the ohserv- 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 deatlı. 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


SUFFOLK


....


(County)


WINTHROP


1


(City or Town)


PLACE OF DEATH


(a) Residence. No .......


35 .. Shirley ... St.


(Usual place of abode)


Length of stay : In hospital or institution


28 days


(Specify whether)


PERSONAL AND STATISTICAL PARTICULARS


3 SEX


Tale


4 COLOR OR RACE


White


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)


6 Age of husband or wife if alive.


7 IF STILLBORN, enter that fact here.


4


8


ÅGE ... 6.0


Years.


If less than 1 day


Hours ...


Months 6


Day


Usual


11 Social Security No ..


None


...... hanoy .... Ci.t.y ..


13 NAME OF


FATHER


John Joseph Jenner


15 MAIDEN NAME


OF MOTHER


Elizabeth Hughs


PARENTS


16 BIRTHPLACE OF


MOTHER (City)


Unknown


(State or country)


Unknown


17


Informant.


Mrs Vellie . Jenner


(Address)


35 Shirley St, Winthrop,


information should be carefully supplied. AGE should be stated EXACTLY. PHYSICIANS should state


10 or Business:


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


Btry, 9th CA,


Signature of Agent of Board of Healthlor others


N. B .- WRITE PLAINLY, WITH UNFADING BLACK INK-THIS IS A PERMANENT RECORD. Every item of


(State or country)


forme


Lithuania


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


(write the word)


DEATH


April 22, 1940


(Month)


(Day)


(Year)


19 | HEREBY CERTIFY. That I attended deceased from


Larch 26


19 .. 40, to ... April .. 22


19.40


I last saw him ...... alive on .. April ... 22 19.40., death is said to have occurred on the date stated above, at 6:35Pm. Immediate cause of death Cerebral hemiplegia 28 days Duration


... ..... ...


Duc to


Due to


One .... year


Other conditions Mitral ... resuscitation (Include pregnancy within 3 months of death)


Major findings :


Of operations .


None


.Date of


Of autopsy ........ autopsy ...


What test confirmed diagnosis ?


Lone


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


20 Was disease or Injury lo any way related to occupation of deceased ?


No


If so, specify Polert J. Holdeon


(Signed).


Robert y. Holdson, ISU LU, y


M. D.


(Address) .. Station.090.08 ..........


Date 4/2201940


21


nKs, Lass


(City or Town) Place of Burial, Cremation or Removal. DATE OF BURIAL winthropY Apr 25. 19 40


22 NAME OF


FUNERAL DIRECTOR


John F. O+Taley


ADDRESS


Winthrop Tass


Received and filed ... 19


(Official Designation) (Date of Issue of Permit)


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


(City or town making return)


Registered No.


82


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


(If U. S.


Spanish


Y WA


WORLD


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


years


months


days.


In this community 30 yrS.


mos.


days.


MEDICAL CERTIFICATE OF DEATH


18 DATE OF


married


59


years


Minutes


9 Occupation :.


Retired soldier USA Ist Set Hg


12 BIRTHPLACE (City)


(State or country)


66h4364 La


Lithuania


14 BIRTHPLACE OF


FATHER (City)


Unknowm


Germany


Relation, if any Wife


I HEREBY CERTIFY that a satisfactory standard certificato of death was filed with me BEFORE the burial of transit permit was issued /m2. Chuldress


4/23/40


No ... Station Hospital Fort ... Banks., Mass ...........


2 FULL NAME.


JOHN (None) JENNER (Verdad).


St. (If nonresident, give city or town and state)


A TRUE COPY ATTEST:


(Registrar)


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, Scc. 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 dicd ; and no undertaker or other person shall exhume a human body and remove it from a town, from one cemetery to another, or from onc 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- livercd 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 cnough 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 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 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 lield, 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 these 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 dcathis 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.




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