USA > Massachusetts > Suffolk County > Winthrop > Town of Winthrop : Record of Deaths 1941 > Part 39
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 | Part 71 | Part 72 | Part 73 | Part 74 | Part 75 | Part 76 | Part 77 | Part 78 | Part 79 | Part 80 | Part 81 | Part 82 | Part 83 | Part 84 | Part 85 | Part 86 | Part 87 | Part 88
(Specify whether)
years
1
months
days.
In this community 29 yrs. mos. days.
PERSONAL AND STATISTICAL PARTICULARS
4 COLOR OR RACE
White
5 SINGLE
(write the word)
MARRIED
WIDOWED
or DIVORCED
Widowed
5a If married, widowed, or divorced
HUSBAND of
(Give maiden name of wife in full)
(or) WIFE of
John J. Reed
(Husband's name in full)
.years
7 IF STILLBORN, enter that fact here.
AGE
Years
7
Months
6
Days
If less than 1 day
Hours
Minutes
Usual
At. Home
11 Social Security No ...
Blanford
12 BIRTHPLACE (City)
(State or country)
13 NAME OF FATHER Louis Phillips
14 BIRTHPLACE OF
FATHER (City)
(State or country)
Mass.
Not Know
15 MAIDEN NAME
OF MOTHER
Maria Watson
16 BIRTHPLACE OF MOTHER (City). (State or country)
Blanferd
17 Lawten Reed
Relation, if any Son
. (Address) 193"Endicott Ive
I HEREBY CERTIFY that a satisfactory standard certificate of death was filed with me BEFORE the burial or transit permit was issued: Max. Children
(Signature of Ageht of Board of Health or other)
Le altre Officer
7/8/41
(Official Designation) (Date of Issue of Permit)
MEDICAL CERTIFICATE OF DEATH
18 DATE OF
DEATH.
July
(Month)
(Day)
(Year)
19 I HEREBY CERTIFY! That I attended deceased from
march 15 19.5%./ ... , 1
19 41
I last saw h or alive on 5 19./,/., death is said to
have occurred on the date stated above at ....... 4 9
m.
Duration IMPORTANT 10 years
Immediate cause of death Myocardeto
Due to.
old age
Due to.
Other conditions.
(Include pregnancy within 3 months of death)
IMPORTANT
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 ?. 200 If so, specify
(Signed).
......
., M. D.
(Address) IMWasser
Data Auxe 7 19411.
Mit.
21.
Place of Burial, Cremation or Remov July 8. 1941 (City of Town) DATE OF BURIAL.
22 NAME OF FUNERAL DIRECTOR .. ADDRESS 147 Winthrop St. wfuthres
Richar
Received and filed.
19
(Registrar)
100m-2-'40-D-729-a
1 3 SEX Fansle 8 83 9 Occupation: PARENTS Informant .. 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 Industry 10 or Business:
!
Major findings: Of operations.
Date of.
Of autopsy.
What test confirmed diagnosis?
(If U. S. War Veteran. specify WAR)
St
(If nonresident, give city or town and state)
1 941
6 Age of husband or wife if alive
PLACE OF DEATH
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 helief 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 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 hody in a town, or remove therefrom a human hody which has not been buried, 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 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 tomb to another in the same cemetery, until he has received a permit from the hoard of health or its agent aforesaid or from the clerk of the town where the hody is buried. 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 hy law to be returned and recorded, which shall he accompanied, in case of an original interment, hy a satisfactory certificate of the attending physician, 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 he obtained early enough for the purpose, or is in- sufficient, a physician who is a member of the hoard of health, or em- ployed hy it or by the selectmen for the purpose, shall upon application make the certificate required of the attending physician. If death is caused hy 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 ahove provided and in the possession of the undertaker desiring to make such removal shall constitute a permit for such removal; provided, that such hody shall he 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 hody has been sooner ohtained hereunder. If the death certificate contains a recital, as required hy 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 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 he ohtained 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 hody 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 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 deatlis only as those of persons who, though disahled by 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 supposahly due to injury. These include not only deaths caused directly or indirectly by traumatism (including resulting septicemia). and hy 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, 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 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 he 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 husiness, report the usual occupation prior to retirement. Children not gainfully employed may he 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
A R-301 A
Suffolk
(County)
Winthrop
(City or Town)
The Commonwealth of Mangarhusetts 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. St. ( give its NAME instead of street and number)
2 FULL NAME
Ilsie
Murdeck Tuan
(If deceased is a married, widowed or divorced woman, give also maiden name.)
405 Revere, St
St
(If nonresident, give city or town and state)
Length of stay: In hospital or ind
I Day
years
months days.
In this community угв. mos. day8.
PERSONAL AND STATISTICAL PARTICULARS
MEDICAL CERTIFICATE OF DEATH
18 DATE OF DEATH. July 8
(Month)
(Day)
(Year)
19. I HEREBY CERTIFY That I attended deceased from
V
...... .. , 194/1, to
... ,
194/
I last aw her alive on 19%/ ... , death is said to have occurred on the date stated above, at ... 8.45 m.
Immediate cause of death .. myocarditis
Duration IMPORTANT 4-5 year
Other conditions. (Include pregnancy within 3 months of death)
IMPORTANT
PHYSICIAN
Major findings: Of operations.
Date of
Of autopsy.
220 c
What test confirmed diagnosis ?. Clinico Som charged st tistically.
20 Was disease or injury in any way related to occupation of deceased ?.
If so, specify
M. D.
(Signed).
(Address) 18 -20 cad. Que WineryDato May 10 1941
21 .. Burlington N.J.
Place of Burial, Cremation or Removal. July 12 1941 19
DATE OF BURIAL
22 NAME OF
FUNERAL DIRECTOR ...
Richard To Theto
ADDRESS
147 Winthrop St. Winther
Received and filed.
19
(Registrar)
100m-2-'40-D-729-a
I HEREBY CERTIFY that a satisfactory standard certificate of death was filed with me BEFORE the burial'or transit permit was issued:
(Sighature of Ageht of Board of Health or other)
Health Ofwar 7/10/41
(Official Designation) (Date of Issue of Permit)/
(write the word)
Widowed
5a If married, widowed, or divorced HUSBAND of
(Give maiden name of wife in full)
(or) WIFE of Daniel. G
Tuan
(Husband's name in full)
6 Age of husband or wife if alive.
.years
7 IF STILLBORN, enter that fact here.
8 67 Years 7 Months .. 8 Days Hours Minutes Due to.
Usual At Home
12 BIRTHPLACE (City)
(State or country)
13 NAME OF FATHER Franklin K. Murdock
14 BIRTHPLACE OF
Burlington
FATHER (City) ....
(State or country)
N.J.
15 MAIDEN NAME
OF MOTHER
Not Known
16 BIRTHPLACE OF MOTHER (City). (State or country)
Not Known
17 Welfare Records
Relation, if any
.. Informant. (Address) . Town of Winthrop
(
1 3 SEX Female AGE 9 Occupation : 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 Industry 10 or Business:
PLACE OF DEATH
Winthrop Comumity Hospital No.
(Specify whether)
(If U. S. War Veteran, specify WAR)
(a) Residence. No .. (Usual place of abode)
Harpitale
22
1941
4 COLOR OR RACE
Whit
5 SINGLE
MARRIED
WIDOWED
or DIVORCED
If less than 1 day
Due to.
11 Social Security No.
Burlington ... N .. J ..
Underline the cause to which death should be
(City or Town)
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 body in a town, or remove therefrom a human body which has not been buried, until he has received a permit froin 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 receiv- ing 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 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 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 by the selectmen for the purpose, shall upon application make the certificate required of the attending physician. If death is caused by violence, the inedical 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 obtained hereunder. If the death certificate contains a recital, as required by section ten of chapter forty- six. that the deceased served in the ariny, 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 froin 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 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 disabled by recognized disease unrelated 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 traumatisin (including resulting septicemia), 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 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, 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 by the appropriate terms, as housekeeper-private family, cook-hotel, etc. For a person who had no occupation whatever write none.
SPACE FOR ADDITIONAL INFORMATION
M R-303
PLACE OF DEATH
Jaffalic · (County)
1
2 FULL NAME
3 SEX
Male
White
(or) WIFE of
(Husband's name in full)
52
7 IF STILLBORN, enter that fact here.
8
75
AGE
Years.
Months.
Day3
10 or Business:
.....
II Social Security No ...
PARENTS
17
Informant.
Mary J. MacDonald
DEATH in plain terms, so that it may be properly classified under the International Classification of Causes
information should be carefully supplied. MEDICAL EXAMINERS should state CAUSE AND MANNER OF
of Death. See reverse side for extracts from the laws relative to the return of certificates of death.
N. B .- WRITE PLAINLY, WITH UNFADING BLACK INK-THIS IS A PERMANENT RECORD. Every item of
13 NAME OF
FATHER
James MacDonald
50m-10-'39. No. 8427-h
I HEREBY CERTIFY that a satisfactory standard certificate of death was filed wyh me BEFORE the burial or transit permit was issued: Win. D. Childreng (Signature of Agent of Board of Health or other) Health officer Foichat Designation) (Date of Issue of Perfuit)/ 7/16/41
MEDICAL CERTIFICATE OF DEATH
18 DATE OF
DEATH.
(Month)
(Day)
10 -
1941
(Year)
19 I HEREBY CERTIFY that I have investigated the death of the person above-named and that the CAUSE AND MANNER thereof are as follows: (If an injury was involved, state) fully.) acute Cardiac Factura
20 Accident, suicide, or homicide (specify)
Date of occurrence
19
Where did Injury occur ?.
(City or town and State)
Did injury occur in or about home, on farm, in industrial place, in
public place?
(Specify type of place)
Manner of
Injury
Collapsed + died quickly
Nature of
Injury
While at work ?.
Was there an autopsy ?..
40
21 Was disease or Injury lo any way related to occupation of deceased ?
If so, specify.
1
(Signed)
Ihr-V duckling
(Address)
But
00 10
M. D.
110 1941
22
Winthrop
Winthrop
Place of Burial, Cremation or Removal.
DATE OF BURIAL
July 14.
(City or Town)
1941.
19
23 NAME OF
FUNERAL DIRECTOR
ADDRESS
Winthro, Massachusetts
Received and filed 19
A TRUE COPY ATTEST:
(Registrar)
--
PERSONAL AND STATISTICAL PARTICULARS
4 COLOR OR RACE| 5 SINGLE
MARRIED
WIDOWED
or DIVORCED Married
(write the word)
5a If married, widowed, or divorced,
... Mackill
HUSBAND of
(Give maiden name of wife in full)
6 Age of husband or wife if alive. .Years
If less than 1 day
Hours
Minutes
Usual
9 Occupation:
Policeman
Retired
Industry
Winthrop Folice Dep't
12 BIRTHPLACE (City)
(State or country)
Prince Edward Island
14 BIRTHPLACE OF
FATHER (City)
(State of country)
Prince Edward Island
COK.
15 MAIDEN NAME
OF MOTHER
Clementine MacDonald
16 BIRTHPLACE OF
MOTHER (City)
(State or country) Prince Edward Island
Relation, if any WIIt
The Commonwealth of Massachusetts OFFICE OF THE SECRETARY DIVISION OF VITAL STATISTICS MEDICAL EXAMINER'S CERTIFICATE OF DEATH
(City or town making return) ...
Registered No. § (If death occurred in a hospital or institution, St. ¿ give its NAME instead of street and number)
( U. S.
War Veteran.
spocify WAR)
.......
(a) Residence. No .....
(Usual place of abode)
Length of stay: In hospital or institution
(Specify whether)
years
months
(If nonresident, give city or town and state) days. In this community 50 yrs.
mos.
days.
(City or Town) 105 Junall ap Withup No. Why heeth mac Donald
(If deceased is a married, widowed or divorced woman, give alsg maiden name.) 105 Demall Our Futures
(Address)
105 Sewall Ave Hthrop
EXTRACTS FROM THE LAWS OF THE COMMONWEALTH OF MASSACHUSETTS GOVERNING THE
RETURN OF CERTIFICATES OF DEATH
A physiclan 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 bis knowledge and belief the name of the deceased, bis 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 buman body in a town, or remove therefrom a buman body which has not been buried, until he has received a permit from the board of bealth, or its agent appointed to issuc 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 exhumc 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 hody is buried. No such permit shall be issued until there shall have been de- livered to such board, agent or clerk, as the casc 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 tbe attending physician, if any, as required by law, or in lieu thereof a certificate as bereinafter provided. If there is no attending physician, or if, for sufficient reasons, his certificate cannot be obtained early cnougb 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, sball 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 witbin 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 sucb removal, unless a permit in the usual form for the removal of such body has been sooner obtained hereunder. If tbc 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, auch recital shall appear upon the permit. The board of bealth, 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- nlsb for registration any other necessary Information which can be obtained as to the deceased, or as to the manner or cause of tbe death, which the clerk or registrar may require .- Chap. 114, Sec. 45. G. L., as amended by Chap. 48, Acts of 1927 and Chap. 414, Acts of 1931.
Need help finding more records? Try our genealogical records directory which has more than 1 million sources to help you more easily locate the available records.