Town of Winthrop : Record of Deaths 1940, Part 33

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


USA > Massachusetts > Suffolk County > Winthrop > Town of Winthrop : Record of Deaths 1940 > Part 33


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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, froin 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 deatbs only as those of persons to whom they have given bedside carc during a last III- 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) Modical 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 abortlon, 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 tbe disease causing death. As related causes, name earlier morbid con- ditions, if any, related to the principal cause and any important complleatlen of the principal eause.


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 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 galnfully employed may be returned as at school or at home. For a woman whose only occupation was that of home bousework, write housework. For a person engaged in domestle 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


IR-301 AJ


PLACE OF DEATH


Suffolk (County) Winthrop (City or Town) 436 Pleasant No Dennis F.


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 ..


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


2 FULL NAME


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


436 Pleasant


St.


(If nonresident, give city or town and state)


Length of stay : In hospital or institution ...


(Specify whether)


years


months


days.


In this community / Dyrs.


mos.


days.


PERSONAL AND STATISTICAL PARTICULARS


3 SEX


male


4 COLOR OR RACE


White


5 SINGLE


MARRIED


WIDOWED


or DIVORCED


(write the word) . 18 DATE OF


married


HUSBAND of


(Give maiden name of wife in full)


(or) WIFE of


(Husband's name in full)


56


Years


6 Age of husband or wife if alive.


7 IF STILLBORN, enter that fact here.


If less than 1 day


8 60 Years.


-


Months.


Days


Hours.


Minutes


Engineer


10 or Business:


Industry


M. E. Tel +Tel 60


11 Social Security No ..


011-10-9027


Baston


12 BIRTHPLACE (City) (State or country) mass


13 NAME OF


FATHER


Dennis napier


14 BIRTHPLACE OF


FATHER (City)


(State or country)


Nova Scotia


15 MAIDEN NAME


OF MOTHER


Mary Carney


16 BIRTHPLACE OF MOTHER (City) (State or country) Nova Scotia Relation, if any


17 Margaret Napier, wife)


Informant (Address) 4316 Pleasant Il


I HEREBY CERTIFY that a satisfactory standard certificate of death was filed with me BEFORE the Burial or transit pormit was issued: u. S. Childress Signature of Agent of Board of Health ar other) Wealth Officer 6/4/40


(Official Designation (Date of Issue of Pofmit)


MEDICAL CERTIFICATE OF DEATH


DEATH


June


2


( Month )


(Day)


(Year)


That I attended deceased from


19 I HEREBY CERTIFY


may


1


19.3.9., to.


2


19.4.0


I last saw him .alive on ..


June 2, 194U, death is said


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


1.1A.m.


Immediate cause of death ........


Coronary Thrombosez


Duration IMPORTANT 1939


Due to


Hypertension


Due to


Other conditions


(Include pregnancy within 3 months of death)


Major findings : Of operations


Date of


Of autopsy


What test confirmed diagnosis ?


Cardio-grafiti


charged sta- tistically.


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


If so, specify.


Henry LOhumaines


M. D.


(Signed)


726 Sure 599 86 Date Jums 3 1940


(Address)


Place of Burial, Cremation or Removal.


DATE OF BURIAL


21


Winthrop


0


Winthrop


(City or Town)


June 5 1940


FUNERAL DIRECTOR


22 NAME OF


Charles H. Tregnor


ADDRESS


East Boston


1


Received and filed 19


(Registrar)


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


1 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


St. 3


napier


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


na


(a) Residence. No ...


(Usual place of abode)


1940


PHYSICIAN Underline the cause to which death should be


9 Occupation:


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 thercfrom 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 sclectmen 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 carly cnough 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 hcreunder. 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 deccased, 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 fonnd doad.


Statement of Cause of Death .- Cause of death means the disease, or complication which causes death, not the mode of dying, c. 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 kousckosper-private family, cook-hotel, etc. For a person who had no occupation whatever write none.


SPACE FOR ADDITIONAL INFORMATION


A R-301 A


PLACE OF DEATH


Suffolk


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.


108


Registered No


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


2 FULL NAME


Loring R. Cogswell


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


128 Bartlett Ed.


.St.


(If nonresident, give city or town and state)


35


(Specify whether)


PERSONAL AND STATISTICAL PARTICULARS


5 SINGLE


MARRIED


WIDOWED


or DIVORCED


(write the word)


Married


Ward Fullerton Cogswell


(Give maiden name of wife in full)


(Husband's name in full)


61


Years


If less than 1 day


Hours


Minutes


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


I HEREBY CERTIFY that a satisfactory standard certificate of death was filed with me BEFORE the buffal or transit permit was issued: Www. D. Children (Signature of Agent of Board of Hea for the Health Officer 6/4/40


(Official Designation) (Date of Issue of Permit)


MEDICAL CERTIFICATE OF DEATH


18 DATE OF


DEATH


2


1940


(Year)


19 | HEREBY CERTIFY.


19.


death is said


.... ,


to.


...


I last saw hh alive on.


19


19


to have occurred on the date stated above, at.


4 P


,.m.


Immediate cause of death Watmal Ciman


Duration


IMPORTANT


Preach Couch bilitate of that


June 2 19%


Due to


Due to


mutual sturni


Other conditions


(Include pregnancy within 3 months of death)


Major findings :


Of operations


Of autopsy


What test confirmed diagnosis? Washieti


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? .....


If so, specify.


Raymond


8 Pucken


(Signed) .


M. D.


(Addre:


Writing Brand 1 /huth Date June Y 1970


Winthrop


21 Winthrop


(City or Town)


Place of Burial, Cremation or Removal 940


DATE OF BURIAL


Richard 96 While


19


22 NAME OF FUNERAL DIRECTOR


ADDRESS


147 Winthrop St., Winthrop


Receivod and filed 19


(Registrar)


19.38


13 NAME OF


FATHER


Maynard Cogswell


17 Relation, if any


Sterling L. Cogswell Son "58 Bartlett Rd., Winthrop


.........


years


months


days.


In this community


yrs.


mos.


days.


(County)


Winthrop


1


(City or Town)


(a) Residence. No ..


(Usual place of abode)


Length of stay : In hospital or institution ..


3 SEX


4 COLOR OR RACE


White


Male


5a If married,


HUSBAND of


(or) WIFE of


6 Age of husband or wife if alive


7 IF STILLBORN, enter that fact here.


8


73


9


AGE


Years


Months


Days


Usual


9 Occupation:


Sa le sman


10 or Business:


AGE should be stated EXACTLY. PHYSICIANS should state


11 Social Security


No.


none


12 BIRTHPLACE (City)


Morristown


(State or country)


Nova Scotia


14 BIRTHPLACE OF


Morristown


FATHER (City)


(State or country)


Nova Scotia


15 MAIDEN NAME


OF MOTHER


Jane Palmer


PARENTS


16 BIRTHPLACE OF


MOTHER (City)


(State or country)


Nova Scotia


Informant


(Address)


information should be carefully supplied.


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


Whole sale Beef


No. 128 Bartlett Rd. Winthrop


St.


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


(Month)


(Day)


That I attended deceased from


1


...


.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 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 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 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 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, the medical exam- iner shall make such certificatc. 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 cnough 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 deatb 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, sball 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 thercof which have been brought into the commonwealth until he has received a permit so to do from the board of health or its agent appointed to issue such permits, or if there is no such board, from the clerk of the town where the body is to be buried or the funeral is to be held, or from a person appointed to have the care of the 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 ef 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 kousework. For a person engaged in domestic service for wages, however, designate the occupation by the appropriate terms, as housekooper-private family, cook-hotel, etc. For a person who had no oceupatlon whatever write none.


SPACE FOR ADDITIONAL INFORMATION


1 R-301 A


Suffolk (County)


Winthrop


(City or Town)


No. 86 Bartlett Rd.,


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 GO


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


2 FULL NAME


Frank Bates Walker


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


86 Bartlett Rd ..


St.


(If nonresident, give city or town and state)


In this community


27


yrs.


mos.


days.


PERSONAL AND STATISTICAL PARTICULARS


3 SEX


Male


4 COLOR OR RACE


White


5 SINGLE


MARRIED


WIDOWED


or DIVORCED


(write the word)


Married


5a lf married, widowed. Mary Hodgkins 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.


8 AGE 65 Years 11 Months 15 Days


If less than I day


Hours


Minutes


Usual Civil Engineer


9 Occupation:


Industry Eastern Mass.R.R.Co.


10 or Business:


024-01-3426


11 Social Security No.


Travers City


12 BIRTHPLACE (City)


(State or country)


Michigan


13 NAME OF FATHER


James Walker


14 BIRTHPLACE OF


FATHER (City)


Unknown


(State or country) Ireland


15 MAIDEN NAME


OF MOTHER


Harriet Broadhead


16 BIRTHPLACE OF Urbana MOTHER (City) .... (State or country) Illinois


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


17


Informant Mary H.Walker


Relation, if any wife


(Address) 86 Bartlett Rd. Winthrop Mass


1 HEREBY CERTIFY that a satisfactory standard certificate of death was filed with me BEFORE the burial or transit permit was issued: Nu.S. Children (Signature of Agent of Board of Health or other) Health Officie 6/5/40 (Date of Issue of Permit)


(Official Designation)


18 DATE OF


DEATH


6


(Month)


(Day)


(Year)


19 | HEREBY CERTIFY. That I attended deceased from


10, 1940, to ....... , 19 ....... 02. K .... I last saw h.w .alive on .... ... 2, 19.4 .. 47 death is said Duration IMPORTANT to have occurred on the date stated above, at ........... 2.,f.m. Immediate cause of death ... Husmunkager


Due to


Jerome Criterio Seleção


DueGo


Other conditions (Include pregnancy within 3 months of death)


Major findings :


Of operations


PHYSICIAN Underline the cause to which death


Of autopsy


What test confirmed diagnosis ?.


should be charged sta- tistically.


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


If so, specify.


(Signed)


M. D.


(Address)


21 19 (City or Town) 40 ...... Woodlawn Everett ....... Place of Burial, Cremation os Bemgal. DATE OF BURIAL


22 NAME OF FUNERAL DIRECTOR


P. E. Parku


ADDRESS 300 Meridian St., E. Boston


Received and filed


19


(Registrar)


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 information should be carefully supplied.


1


PLACE OF DEATH




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