USA > Massachusetts > Suffolk County > Winthrop > Town of Winthrop : Record of Deaths 1940 > Part 47
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Due to artenos derni
Industry
City of Boston Mass
If less than I day
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 hls knowledge and belief the name of the deceased, hls 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 hy the physician or officer and the date of his death ... Gen. Laws, Chap. 46, Sec. 9.
No undertaker or other person shall bury or otherwise dispose of a human body in a town, or remove therefrom a human body which has not heen huried, 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 dled : and no undertaker or other person shall exhume a human body and remove it from a town, from one cemetery to another, or from one grave or tomh other than the receiving 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 hecn de- livered to such board, agent or clerk, as the case may be, a satisfac- tory written statement contalning the facts required by law to be returned and recorded, which shall be accompanied. In case of an original internient, by a satisfactory certificate of the attending physiclan, if any, as required hy law, or in lieu thereof a certificate as hereinafter provided. If there is no attending physician, or If, for sufficient reasons, his certificate cannot 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 human hody, 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- slx 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 hy sectlon 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- nlsh 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 elerk or registrar may require .- Chap. 114, Ses. 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 untll 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 hurled 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 hedslde eare during a last ill- ness from disease unrelated to any form of Injury.
(2) Board of Health physicians will certify to such deaths only as those of persons who, thengh disabled hy recognized disease un- related to any form of Injury, have died without recent medical attendance or whose physiclan is absent from home when the certificate of deatlı is needed.
(8) Medical Examiners will investigate and certify to all deaths supposably due to injury. These include not only deaths caused directly or indirectly hy traumatlsm (including resulting septice- mia), and by the action of chemical (drugs or poisons), thermal, or electriesl 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 doad.
Statement of Cause of Death .- Cause of death means the disease, or complication which causes death, not the mode of dying. s. g .. heart fallure, asphyxia. asthenia, etc. As principal cause name the disease causing death. As related causes, name earlier morhld eon- ditions, if any, related to the prinelpal cause and any important complieatlon of the principal eause.
Statement of Occupation .- Precise statement of occupation is very Important, so that the relative healthfulness of various pursults 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 uanal occupation prior to illness. If the deceased had retired from buni- ness, report the usual occupation prior to retirement. Children not galnfully employed may he returned as at school or at home. For a woman whose only occupation was that of home honsework, write housework. For a person engaged in domestic service for wages, however, designate the occupation by the appropriate terms, as housekesper-private family, cook -- hotel, ete. For a person who had no oceupatlon whatever write none.
SPACE FOR ADDITIONAL INFORMATION
R-301 A
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.
Registered No. .....
(If death occurred in a hospital or institution, give its NAME instead of street and number)
2 FULL NAME
Carl H. Turner
(If deceased is a married, widowed or divorced woman, give also maiden name.) 89 Cliff Ave., Winthrop ............ St.
(If nonresident, give city or town and state)
29
In this community
yrs.
mos.
days.
PERSONAL AND STATISTICAL PARTICULARS
MEDICAL CERTIFICATE OF DEATH
3 SEX
Male
4 COLOR OR RACE
Whit
5 SINGLE
MARRIED
WIDOWED
or DIVORCED
(write the word) Married
5a If married, widowed, or divorced Eva Bailey HUSBAND of
(or) WIFE of
(Husband's name in full)
6 Age of husband or wife if alive
7 IF STILLBORN, enter that fact here.
61
years
acute Coronary
8
67
3
Months.
Days
17
If less than 1 day
AGE Years
Hours.
Minutes
Usual Manger
9 Occupation:
Industry Theatrical Agency
10 or Business:
11 Social Security No.
None
12 BIRTHPLACE (City)
Worcester
(State or country)
13 NÄME OF
FATHER
Hiram Turner
P
PARENTS
(State or country) N. H.
15 MAIDEN NAME OF MOTHER Ellen Brewster
16 BIRTHPLACE OF
MOTHER (City)
(State or country)
N. A.
17 Harold Turner Informant47 Cliff Ave., Winthrop (
Relation, if any Son
(Address)
I HEREBY CERTIFY that a satisfactory standard certificate of death was filed with me BEFORE the bugigf or transit permit was issued: Ww.D. Children
(Signature of Agent of Board of Heart or other)
Ve althe Officer 8/22/40
(Official Designation) (Date of Issue of Permit)
(Registrar)
-
1440
Due to augura Pectoris
Dec 1939
Due arteriosclerosis
1939
Other conditions
(Include pregnancy within 3 months of death)
carência
aug. 1439
PHYSICIAN
Major findings :
Of operations
200ml
Date of.
Underline the cause to which death should be charged sta- tistically.
Of autopsy What test confirmed diagnosis? Cemal K lasmatischo
20 Was disease or Injury lo any way related to occupation of deceased?
If so, specify
six Jacob Gbrama, .0
(Signed)
562 Sturbest
Date
(Address).
8/22/040
M.
21
Winthrop
August 1946ty or Town)
Place of Burial, Cremation or Remoys. DATE OF BURIAL 2.19 Buchard ToWhite
22 NAME OF
FUNERAL DIRECTOR-
ADDRESS
147 Winthrop St., Winthrop
100m-10-'39. No. 8427-e
1
Winthrop
(City or Town)
89 Cliff Ave., Winthrop
No.
St. 3
(If U. S.
War Veteran,
Non
specify WAR)
(a) Residence. No ..
: (Usual place of abode)
Length of stay : In hospital or institution.
years
months
days.
(Specify whether)
18 DATE OF
DEATH
August 21, 1940
(Month)
(Day)
(Year)
19 WHEREBY CERTIF december 2019 3 Cluging "2, 19
40
....
I last saw h ........... alive on. august 20 1940 death is said
to have occurred on the date stated above, at .... 4 a. m.
Duration IMPORTANT
That I attended deceased from
(Give maiden name of wife in full)
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.
PLACE OF DEATH
(County)
14 BIRTHPLACE OF
FATHER (City)
Bath&lhow
Winthrop
Received and filed
SEP 10 1940
19
EXTRACTS FROM THE LAWS OF THE COMMONWEALTH OF MASSACHUSETTS GOVERNING THE
RETURN OF CERTIFICATES OF DEATH
A physielan 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 hest 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 huried, until he has received a permit from the hoard 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 person died ; and no undertaker or other person shall exhume a human hody and remove it from a town, from one cemetery to another, or from one grave or tomh other than the receiving tomh to another in the same cemetery, until he has received a permit from the board of health or its agent aforesaid or from the clerk of the town where the body is huried. No such permit shall he issued until there shall have been de- livered to such board, agent or clerk, as the case may be, a satisfac- tory written statement containing the facts required by law to be returned and recorded, which shall be accompanied. in case of an original interment, 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 physiclan, or if. for sufficient reasons, his certificate cannot be obtained carly 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 madc 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 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 heen engaged, such recital shal! 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 hrought 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 he huried 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) Medieal Examiners will investigate and certify to all deaths supposably due to injury. These include not only deaths caused directly or indirectly hy 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, 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 heen 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 whosc only occupation was that of home housework, write housework. For a person engaged in domestic service for wages, however, designate the occupation hy the appropriate terms, as housekeeper-private family, cook-hotel, ctc. For a person who had no occupation whatever write none.
SPACE FOR ADDITIONAL INFORMATION
R-301 A
Suffolk
(County) Winthrop
The Commonwealth of Massachusetts OFFICE OF THE SECRETARY DIVISION OF VITAL STATISTICS STANDARD CERTIFICATE OF DEATH
To be filed for burial permit with Board of Health or its Agent.
Registered No 157
(If death occurred in a hospital or institution, give its NAME instead of street and number)
2 FULL NAME Blanche G. Byrne
(If deceased is a married, widowed or divorced woman, give also maiden name.)
173 Shirley St., Winthrop
........... St.
(If nonresident, give city or town and state)
In this community 5 0 yrs. mos. days.
(Specify whether)
PERSONAL AND STATISTICAL PARTICULARS
3 SEX
Temale
4 COLOR OR RACE
Waite
5 SINGLE
MARRIED
WIDOWED
or DIVORCED
Single
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 it alive.
.years
7 IF STILLBORN, enter that fact here. 8 69 8 Months. 25 Days
If less than 1 day
Hours.
Minutes
Usual
At Home
9 Occupation: Industry 10 or Business:
11 Social Security No.
none
12 BIRTHPLACE (City)
Boston
(State or country)
Ma
13 NAME OF
FATHER
Edward Byrne
PARENTS
14 BIRTHPLACE OF
not known
FATHER (City)
(State or country)
15 MAIDEN NAME
OF MOTHER
Ella Fuller
16 BIRTHPLACE OF MOTHER (City) (State or country)
not mowa
M. D
(Address).
Butter, Mas Date aug 28/1940
Winthrop
Place of Burial, Cremation or Removal
DATE OF BURIAL
August 30, 199ty or Town)
19
FUNERAL DIRECTOR
22 NAME OF
Richard. 26 White
ADDRESS
147 Winthrop St., Winthrop
19
(Registrar)
-
(Official Designation) (Date of Issue of Permit))
MEDICAL CERTIFICATE OF DEATH
18 DATE OF
DEATH.
August 26, 19 00
(Month)
(Day)
(Year)
19 I HEREBY CERTIFY, That I attended deceased from
aug. 7
19.5. 0
to ..
aug. 26
19 40
I last saw h.@ ...... alive on. aug . 026, 12440 death is said to have occurred on the date stated above, at. 3.
.P.m.
Duration IMPORTANT
Immediate cause of death ..... Pulmonary Embolian.
about
Cung 26,41 3. 50 PM
Due to
Thrombosis Of left feu andream
Due to
Other conditions
Sferation for gall stones
(Include pregnancy Within 3 months of deat
PHYSICIAN
Major findings :
gell stones, chickened
Of operation
Fall Hadder
.....
Date of aug 21-40 which death
should be
Of autopsy
Pulmonary Embolism
charged sta-
What test confirmed diagnosis I autopay.
tistically.
20 Was disease or Injury In any way related to occupation of deceased?
If so, specify .....
Relation, if any 21 Winthrop
Informant.
17 Mrs. George D. Capes
Cousin
39 Terrest St., Arlington,
I HEREBY CERTIFY that a satisfactory standard certificate of death was filed with me BEFORE the burial for Atransit permit was issued: Www . Wildresz. (Signature of Agent of Board of Health or other) Health Officer 8/29/40
100m-10-'39. No. 8427-e
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.
1
(City or Town)
Winthrop Comunity Hospital
St.
(If U. S. War Veteran, specify WAR)
(a) Residence. No ..
(Usual place of abode)
Length of stay: In hospital or institution Amplitud
years
months
5
days.
(write the word)
AGE
Years
PLACE OF DEATH
No.
Received and filed SEP 10 1945
Underline the cause to
EXTRACTS FROM THE LAWS OF THE COMMONWEALTH OF MASSACHUSETTS GOVERNING THE
RETURN OF CERTIFICATES OF DEATH
A physician or registered hospital modlical 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 nf 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 onc, where came was contracted. the duration of hlu inst illness, when last scen alive hy the physician or officer and the date of his death ... Gen. Laws, Chap. 46. Sec. 9.
No undertaker or other person shall bury or otherwise dispose of a human body in a town, or remove 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 cicrk 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 ceraetery 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 huried. 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 hy law to be returned and recorded, which shall be accompanied, in case of an original interment, hy a satisfactory certificate of the attending physician, if any, as required hy law, or in lieu therenf a certificate as hereinafter provided. If there is no attending physician, or if, for sufficient reasons, his certificate cannot be obtained early ennugh for the purpose, or is insufficient. a physician who is a member of the board of health, or employed by it or hy the selectmen for the pur- pose, shall upon application make the certificate required of the at- tending physician. If death is caused hy 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 la the possession of the undertaker desiring to make such removal shall constitute a permit for such removal ; provided, that such hody shall be returned to the town frem 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 ohtained as in the deceased, or as to the manner or cause of the death, which the clerk or registrar may require .- Chap. 114, See. 45, G. L., (Tercentenary Edition.)
No undertaker or other person shall bury a human body or the ashes thereof which have been hrought Into the cominonwealth 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 hurled or the funeral la to be heid, or from a person appointed to have the care of the cemetery or burial ground in which the interment is made .... Chep. 114, Sec.146, 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 ili- ness from disease unrciated to any form of injury.
(2) Board of Health physicians will certify to such deaths only 88 those of persons who, though disabled hy recognized disease un- related to any form of injury, have died without recent medical attendance or whose physiclan is absent from home when the certificate of death is needed.
(3) Medical Examinors will investigate and certify to all deaths snpposabiy due to injury. These include not only deaths caused directly or indirectly hy traumatism (including resulting septice- mia), and hy the action of chemical (drugs or poisons), thermal, or electrical agents, and deaths following abortion, but also deaths from disease resulting from injury or infection relaled to occupa- tion, the sudden deaths of persons not disabled by recognized disense, and those of persons found dead.
Statoment 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 cansinx 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 healthfuiness of various puranits 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 tn flinezs. If the deceased had retired from husl- 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 houseworks. For a person engaged In domestic service for wagen, however, designate the occupation by the appropriate terms, as housekeeper-private family, cook-hotel, etc. For a person who had no occupation whatever write nons.
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