Town of Winthrop : Record of Deaths 1941, Part 23

Author: Winthrop (Mass.)
Publication date: 1941
Publisher:
Number of Pages: 546


USA > Massachusetts > Suffolk County > Winthrop > Town of Winthrop : Record of Deaths 1941 > Part 23


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).


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(State or country)


Rússia


13 NAME OF


FATHER


Hathan Idoon


Major findings :


Of operations


14 BIRTHPLACE OF


FATHER (City)


(State or country)


Tuasia


15 MAIDEN NAME


OF MOTHER


Zah Unknown


16 BIRTHPLACE OF


MOTHER (City)


(State or country)


Russia


17 Human Marcus Hern


Informant. ( Address) 80 Jagamore que pintura


I HEREBY CERTIFY that a satisfactory standard certificate of death was filed with me BEFORE the burlal or transit permit was Issued :


Willia Dr. Childress


(Signature of Agent of Board of Health or other)


agent april 6/41


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


Marcus'S


PHYSICIAN - IMPORTANT


(Was deceased a 1U. S. War Veteran, if so specify WAR)


L


(If nonresident, give cityor town and State)


If deceased was a U. S. War Veteran, G. L. Chap. 46, Section 10, requires physicians to insert a reoitai to that effect. extracts from the laws on back of certificate. terms, so that it may be properly classified. Exact statement of OCCUPATION is very important. See instructions and


100m (d)-1-41-4667


PARENTS


Date of.


Of autopsy


What test confirmed diagnosis ?


years


(Registrar)


Marcus


EXTRACTS FROM THE LAWS OF THE COMMONWEALTH OF MASSACHUSETTS GOVERNING THE


RETURN OF CERTIFICATES OF DEATH


.


A physlolan or registered hospital medloal officer shall forthwith, after the death of a person whom he has attended during his last illness, at the request of an umulertaker or other authorized person or of any member of the family of the deceased, furnish for registration a standard certificate of death, stating to the best of his knowledge and belief the mme of the deecased. his supposed age, the disease of which he died, defined as re- quired by section one, where same was contracted, the duration of his last illness, when last seen alive by the physician or officer aud the date of his death ... Gen. Lawa, Chap. 46, Scc. 9.


A physician or officer furnishing a certificate of death as required by the preceding seetion or by section forty-five of chapter one hundred and four- teen, shall, if the deceased, to the best of his knowledge and belief, served in the army, navy or marine corpa of the United States in any war in which it has been engaged, insert in the certificate a recital to that effect, speci- fying the war, and shall also certify in such certificate both the primary and the secondary or immediate cause of death as nearly as he can atate the same. For neglect to comply with any provision of this section, such physician or officer shall forfeit ten dollars. For the purposes of this sec- tion and of sections forty-five, forty-six and forty-seven of said chapter one hundred and fourteen, the word "war" shall include the China relief ex- pedition and the Philippine insurrection, which shall, for said purposes. be deemed to have taken place between February fourteenth, eighteen hundred and ninety-eight and luly fourth, nineteen hundred and two, and the Mexi- can border service of nineteen hundred and sixteen and nineteen hundred and seventeen. G. L. Chap. 46, Scc. 10.


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 he issued until there shall have been delivered to such board, agent or clerk, as the case may be, a satisfactory 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 hercinafter provided. If there is no attemling physician, or if, for sufficient reasons, his certificate cannot be obtained early enough for the purpose, or is insufficient, a physi- cian who is a member of the board of health, or employed by it or by the selectmen for the purpose, shall upon application make the certificate re- quired of the attending physician. If death is caused by violence, the medi- cal examiner 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 enough for the purpose, the certificate of death made as above provided and in the possession of the undertaker desiring to make such removal shall constitute a permit for such removal; provided, that such body shall be returned to the town from which it was removed within thirty-six hours after such removal, unless & 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 physiclan ecrtifying the cause of death shall thereafter furnish for registration any other neces- saiy 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, See. 45, G. L., (Tercentenary Edition).


No undertaker or other person shall bury a human body or the aahes thereof which have been brought into the commonwealth until he haa re- ceived 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 hody 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., (Terccuteuary Edition).


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


RULES OF PRACTICE


The fulfillment of the purpose of these lawa calls for the observance 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 illness 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 disahled by recognized discase unrelated to any form of injury, have died without recent medical attendance or whose physi- cian is absent from home when the certificate of death is needed.


(3) Medical Examiners will investigate and certify to all deaths sup- posably due to Injury. These include not only deaths eaused directly or in- directly by traumatism (including resulting aepticenia), and by the action of chemical (drugs or poisons), thermal, or electrical agents, and deaths following abortion, but also deaths fromn disease resulting from injury or infection related to occupation, 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 earlier morbid conditions, if any, related to the principal cause and any important complication of the principal cause.


Statement of Occupation .- Precise statement of occupation is very im- portant, so that the relative healthfulness of various pursuits can be known. Make sonie 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 business, 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 domestie 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 noue.


SPACE FOR ADDITIONAL INFORMATION


M R-302


Copies of returns of deaths which occurred in your city or town in case the deceased resided in another city or town at the time


after the close of the month in which the death occurred. (Sce Chap. 46, Sec. 12, G. L.)


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


PLACE OF DEATH


(County)


SUFFOLK BOSTON


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.


3555


(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.)


49 .... Beal


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


St.


Winthrop ... Mass


(If nonresident, give city er town and state)


months


days.


In this community


yrs.


mos.


days.


PERSONAL AND STATISTICAL PARTICULARS


3 SEX male


4 COLOR OR RACE 5 SINGLE


MARRIED


WIDOWED


or DIVORCED


single


(write the word)


18 DATE OF


DEATH.


April 4 1941


(Month)


(Day)


(Year)


13/HAREBY CERTIFY.


19


Thay Latended deceased from


HUSBAND of


(Give maiden name of wife in full)


(or) WIFE of


(Husband's name in full)


.. years


6 Age of husband or wifo if alive.


7 IF STILLBORN, enter that fact horo.


8


26


AGE


Years


Months ....


.....


.. Days


If less them 1 day


Hours


Minutes


machinist


Usual


9 Occupation:


factory


Industry


18 or Business:


II Social Security No.


010-05-7260


12 BIRTHPLACE (City)


(State or country)


Winthrop Mass


13 NAME OF


FATHER


Chester McCarthy


14 BIRTHPLACE OF


FATHER (City)


(State or country)


Winthrop Mass


15 MAIDEN NAME


OF MOTHER


Elizabeth McDonald


16 BIRTHPLACE OF


MOTHER (City)


(State or country)


17


Informant.


(Address)


father


(


A TRUE COPY


Francis


..... 5 Tay


ATTEST:


(Registrar of city of town, phere death occurred)


4/9/41


19


DATE FILED


Other conditions


lobar pneumonia


4-dys


PHYSICIAN


(Include pregnancy within 3 months of death)


Major findings :


Of operations


Underline the cause to which death


Of autopsy ..


What test confirmed diagnosis?


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


If so, specify.


N C Baker


(Signed).


M. D.


(Address)


Boston


4/5/46


1 ...


21 PLACE OF BURIAL,


CREMATION OR REMOVAL ..


(Cemetery) (City or Town)


DATE OF BURIAL


April 8 1941


19.


22 NAME OF


FUNERAL DIRECTOR


M Kirb


y


ADDRESS.


Received and fled


Winthrop


19


(Registrar of City or Town where deceased resided)


19


I last saw


1m


4/4/41


.alive on.


12,


death is said


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


6/55P


m.


Duration


Immediate cause of death


periarthritis


1 yr


Due to


Due to


PARENTS


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


No


Chester A


Mass General Hospital


St. l


Mc Carthy


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


(a) Residence. No ..


(Usual place of abode)


Length of stay: In hospital or institution


(Specify whether)


.... years


MEDICAL CERTIFICATE OF DEATH


white


Sa If married, widowed, or divorced


nodosa


Date of.


should be charged sta- tistically.


Winthrop


Relation, if any.


Winthrop


Winthrop


TOWA


10 NMO.


11 12


2


1.12


ASS


C,


0


THROP MA?


MAY-91941 AM


AY-91941 AM


M R-301 A


PLACE OF DEATH


The Commonwealth of Asssacquartin 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.


15.44


Registered No ..


.........


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


abbie Cerin Walker


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


10 Bemconst


St.


(If nonresident, give city or town and state)


In this community


yr8.


6


mos.


days.


PERSONAL AND STATISTICAL PARTICULARS


MEDICAL CERTIFICATE OF DEATH


18 DATE OF


DEATH


April


5


1941.


(Month)


(Day)


(Year)


Jetway I HEREBY CERTIFY mit ó 19 71


I last saw her alive on. ante 4, 1941, death is said to have occurred on the date stated above, at 4:304 .. m.


Immediate cause of death. Carcinoma Fatimachi


Due to.


Due to. General Cancunmatin


Other conditions.


(Include pregnancy within 3 months of death)


Major findings:


Of operations


none


Of autopsy.


not done


What test confirmed diagnosis? Clinicalx


lavatory


20 Was disease or injury in any way related to occupation of deceased ?.... 200


If so, specify


Jacob Heraus, /h. 40


M. D.


(Signed) .....


(Address) 162 Huyland Date 4/3


21. buthulp, Pheno 4/8/41


Place of Burial , Cremation or Remorg (City or Town)


DATE OF BURIAL Grundel Cem. Kennebunkmme


22 NAME OF


William Chodech


FUNERAL DIRECTOR


ADDRESS


Received and filed.


......


.. 19


(Registrar)


6 mois


IMPORTANT


PHYSICIAN


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


15 MAIDEN NAME


OF MOTHER


Elizabeth Leonard


BIRTHPLACE


MOTHER (City)


New Bedford


(State or country)


mary


17 Mrs Nellie Teach


Informant.


10 Beacon St. Winthrop Mass


Relation, if any (Daughter)


I HEREBY CERTIFY that a satisfactory standard certificate of doath was filed with me BEFORE the burial or transit permit was issued: Www. D. Childress


Healthe Officer 4/4/4!


7(Official Designation) (Date of Issue of Permit)


5 SINGLE


(write the word)


5a If married, widowed, or divorced


HUSBAND of ........


(Give maiden name of wife in full)


Henry Walker.


.years


If less than 1 day


Hours.


Minutes


12 BIRTHPLACE (City)


.....


Kennebunkport


Maine


13 NAME OF


FATHER


allen Stevens


(State or country)


Maine


Date of


Free.


(County)


1


(City or Town)


10 Beacon Rt


No.


2 FULL NAME


(a) Residence. No.


(Usual place of abode)


Length of stay: In hospital or institution


no


(Specify whether)


PHYSICIANS should state


3 SEX


4 COLOR OR RACE


MARRIED


WIDOWED


or DIVORCED


inc


(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 ...


76 Years


Months.


.Days


Usual


Housework


9 Occupation :


10 or Business :


11 Social Security No 200


(State or country)


14 BIRTHPLACE OF


FATHER (City) ......


alfred


PARENTS


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


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


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


(Signature of Agent of Board of Health or other)


100m-2-'40-D-729-a


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


Industry


Her own home.


years


months


days.


...


(If U. S.


War Veteren.


specify WAR).


That I attended deceased from


Duration


IMPORTANT


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 registration 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 hody in a town, or remove therefrom a human hody which has not been 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 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 receiv- Ing 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 be issued until there shall have been delivered to such board, agent or clerk. as the case may be, a satisfactory written statement containing the facts required by 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 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 in- sufficient, a physician who is a member of the board of health, or em- ployed by it or hy the selectmen for the purpose, shall upon application make the certificate required of the attending physician. If death is caused by violence, the medical examiner shall make such certificate. if such a permit for the removal of a human body, not previously interred, from one town to another within the commonwealth cannot be obtained early enough for the purpose, the certificate of death made as above provided and in the possession of the undertaker desiring to make such removal shall constitute a permit for such removal; provided, that such body shall be returned to the town from which it was removed within thirty-six hours after such removal, unless a permit in the usual form for the re- moval of such body has been sooner ohtained hereunder. If the death certificate contains a recital, as required by section ten of chapter forty- slx, that the deceased served in the army, navy or marine corps of the United States in any war in which it has been engaged, such recital shall appear upon the permit. The board of health, or its agent, upon receipt of such statement and certificate, shall forthwith countersign it and transmit It to the clerk of the town for registration. The person to whom the permit is so given and the physician certifying the cause of death shall thereafter furnish for registration any other necessary information which can be obtained as to the deceased, or as to the manner or cause of the death, which the clerk or registrar may require .- Chap. 114. Sec. 45. G. L., (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 niade. . . . Chap. 114, Sec. 46, G. L., (Tercentenary Edition).


RULES OF PRACTICE


The fulfillment of the purpose of these laws calls for the observance 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 illness from disease unrelated to any form of injury.


(2) Board of Heaith physicians will certify to such deaths only as those of persons who, though disabled hy recognized disease unrelated to any form of injury, have died without recent medical attendance or whose physician is ahsent from home when the certificate of death is needed.


(3) Medical Examiners will investigate and certify to all deaths supposahiy due to injury. These include not only deaths caused directly or indirectly hy traumatism (including resulting septicemia). and by the action of chemical (drugs or poisons). thermal, or electrical agents, and deaths following ahortion, hut also deaths from disease resulting from injury or infection related to occupation, 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, rot 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 conditions, 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 business, 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 hy 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-302


Coples of returns of deaths which occurred in your city or town in case the deceased resided in another city or town at the time 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


PLACE OF DEATH


(County) SUFFOLK BOSTON


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


ROSTON


(City or town making return) Registered No .. 3564


give its NAME instead of street and number) No. Mass .... Gonepal .... Hospital Lawrence R Mckinley


2 FULL NAME


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


(a) Residence. No ..


(Usual place of abode)


Length of stay: In hospital or institution.


25.Marshall


...... years


months


days.


In this community


yrs.


mos.


days.


PERSONAL AND STATISTICAL PARTICULARS


3 SEX male


4 COLOR OR RACE 5 SINGLE


MARRIED


WIDOWED


or DIVORCED


(write the word)


white


married


5a If married, widowed, or divorced HUSBAND of


Sadie A Warren


(Give maiden name of wife in full)


(or) WIFE of


(Husband's name in full)


.Years


7 IF STILLBORN, onter that fact here.


8


50


Years.


Months.


......


.Days


If less than 1 day


Hours.


Minutes


bilateral


Usual


9 Occupation:


photo engraver


Industry 10 or Business:


11 Social Security No.


12 BIRTHPLACE (City)


(State or country)


Boston Mass


13 NAME OF


FATHER


David Mckinley


14 BIRTHPLACE OF


FATHER (City)


(State or country)


Cambridge Mass


15 MAIDEN NAME


OF MOTHER


Katherine Gilrane


16 BIRTHPLACE OF


MOTHER (City)


(State or country)


Boston Mass


17


Informant.


wife


(Address)


A TRUE COPY.


ATTESTI


Francis


8. Tay


.............. (Registrar of city or town where death occurred)


DATE FILED


4/10/41


19


MEDICAL CERTIFICATE OF DEATH


18 DATE OF


DEATH.


April 6 1941


(Month)


(Day)


(Year)


19 I HEREBY CERTIFY.


., to.


4/6/47.


19.


That I attended deceased from


3/20/41


19.


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


4/6/47


19 ..


death is said


to have occurred on the date stated above, at ..... 1.2 .. 06P Immediate cause of death.


Duration


pulmonary tuberculosis


Due to


...


peritoneal tuberculosis


2 .... wks


Due to ...


Other conditions


(Include pregnancy within 3 months of death)


PHYSICIAN


Major findings :


Of operations


Date of.


Of autopsy


What test confirmed diagnosis ?.


20 Was disease ar Injury in any way related to occupation of deceased ?


If so, specity.


(Signed)


N-C-Baker


M. D.


(Address)


Dato.


4/6/941"


CREMATION OR REMOVAL ...... W.Anthrop Mags


(Cemeter


April 8 1941


19


City or Town)


DATE OF BURIAL


22 NAME OF


FUNERAL DIRECTOR


R C Kirby


ADDRESS


Boston


Received and fled. 19


(Registrar of City or Town where deceased resided)


63


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


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


St.


(If nonresident, give city or town and state)


(Specify whether)


(If death occurred in a hospital or institution,


St. Í


6 Age of husband or wife if alive.


45.


AGE.


PARENTS


Relation, if any


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


21 PLACE OF BURIAL.




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