USA > Massachusetts > Suffolk County > Winthrop > Town of Winthrop : Record of Deaths 1941 > Part 47
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
- within the commonwealth cannot be obtained early enough for the purpose, the certificate of death madle 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 anch body has been sooner obtained herennder. If the death certificate contains a recital, as required by section ten of chapter forty-xix, 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 certifying the cause of death shall thereafter fur- nish for registration any other necessary Information which can be obtained as to the deceased, or as to the manner or cause of the death, which the clerk or registrar may require .- Chap. 114, Sec. 45. G. L., (Tercentenary Edition.)
No undertaker or other person shall bury a human body or the ashes thereof which have been brought Into the commonwealth until he has received a permit so to do from the board of health or Its agent appointed to issue such perinits, or if there is no such board, from the clerk of the town where the body is to be burled 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, Scc. 46, G. L., (Tercentenary Edition)
RULES OF PRACTICE
The fulfillment of the purpose of these laws calls for the observ- ance of the following rules of practice:
(1) Attending physicians will certify to such deaths only as these of persons to whom they have given bedside care during a last Ill- ness from disease unrelated to any form of Injury.
(2) Board of Health physicians will certify to snch deaths only as those of persons who, though disabled by recognized disease nn- related to any form of Injury, have dicd without recent medical attendance or whose physician is absent from home when the certificate of deatii Is needed.
(3) Medical Examiners will investigate and certify to all deaths supporably due to Injury. These include not only deaths caused directly or indirectly by traumatism (ineinding 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 porsons not disabled by recognized disease, and those of persons found dead.
1
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 prinelpal cause.
Statement of Occupation .- Precise statement of occupation is very important, so that the relative bealthfulness of various pursuits can be known. Make some entry in this section for every person axed 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 lllnesa. If the deceased had retired from bust- 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 domestle service for wages, bowever, designate the occupation by the appropriate terms, as housekasper-private family, cook-hotel, etc. For a person who had no oceupation whatever write none.
SPACE FOR ADDITIONAL INFORMATION
1 R-302
Essex
The Commonwealth of Massachusetts OFFICE OF THE SECRETARY DIVISION OF VITAL STATISTICS COPY OF CERTIFICATE OF DEATH
Danvers
(City or town making return)
Registered No
143
(If death occurred in a hospital or institution,
St. ¿
give its NAME instead of street and number)
secased "s & metrical wido felllortdivorced woman, give also maiden name.)
(a) Residence. No ...
(Usual place of abode)
Length of stay: In hospital or institution
(Specify whether)
years
months
1
days
In this community
yrs.
mos.
days.
PERSONAL AND STATISTICAL PARTICULARS
MEDICAL CERTIFICATE OF DEATH
18 DATE OF
DEATH.
August 2,
.1941
(Month)
(Day)
(Year)
19 I HEREBY CERTIFY
That I attended deceased from
19 41
I last saw ... 1.x] .. alive on. 9, 19. 41 death is said
to have occurred on the date stated above, at. 7.2012
Duration
Immediate cause of_death .. Generalized arteriosclerosis dyrs Arteriosclerotic neart dis. ...
Due To".
Bronchopneumonia
4 days
Due to
Other conditions
(Include pregnancy within 3 months of death)
PHYSICIAN
Major findings : Of operations
Of autopsy
What test confirmed diagnosis ?.
clinica1
20 Was discasa or lajury In any way related to occupation at deceased ?
If so, specify
(Signed)
Abraham Gardner
M. D.
(Address)
Date
8/15/41
21 PLACE OF BURIAL.
CREMATION OR, REMOVAL
Winthrop
(Centthrop
(City or Town)
DATE OF BURIAL
8/12/47
19
22 NAME OF
FUNERAL DIRECTOR Richard D. White
ADDRESS
Winthrop
Received and filled 19
(Registrar of City or Town where deceased resided)
1
2 FULL NAME
3 SEX
male
white
5a If married, widowed, or divorced
HUSBAND of
(Give maiden dame Of
(or) WIFE of
(Husband's name in full)
AGE ......?. 1 .... Yoars.
Months ...
.Days
Usual
9 Occupation:
WPA
Industry
10 or Business:
12 BIRTHPLACE (City)
(State or country)
England
13 NAME OF
FATHER
14 BIRTHPLACE OF
FATHER (City)
16 BIRTHPLACE OF
PARENTS
MOTHER (City)
(State or country)
50m-10-'39. No. $427-f
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
(State or country)
England
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.)
4 COLOR OR RACE 5 SINGLE
(write the word)
MARRIED
WIDOWED
or DIVORCED Separated
6 Age of husband or wife if alive .. Dann.ot .... betearneur 7 IF STILLBORN, enter that fact here.
If less than 1 day
Hours
Minutes
11 Social Security No. Cannot be learned
Cannot be learned
15 MAIDEN NAME
OF MOTHER
Catherine Parr
Engrand
17 Mary K . McPhillipsRelation, if any
Informant.
(Address)
DSH
alvestaChans
A TRUE COPY.
ATTESTI
(Registrar of city or town where death occurred)
DATE FILED 8/16/41
19
1
PLACE OF DEATH
(County)
No. Danvors.State-Hospital
.........
St.
(If nonresident, give city or town and state)
(If U. S.
War Veteran,
specify WAR)
of Wife
belearned
July
5.
.....
. 19.
Date of.
Underline the cause to which death should be charged ste- tistically.
A R-301 A
-
PLACE OF DEATH
County Winthrop
Winthrop Community Hospitals No.
(If death occurred in a hospital or institution, give its NAME instead of street and number)
PHYSICIAN - IMPORTANT
2 FULL NAME
(If deceased is a married, widowed or divorced woman, give also maiden name.)
650 Jacattqu
(a) Residence. No.
(Usual place of abode)
Length of stay : In hospital or Institution ....
( Before death)
(Speaky whether)
Hospital
years
- months
- days.
In this community
yrs.
mos.
days.
PERSONAL AND STATISTICAL PARTICULARS
MEDICAL CERTIFICATE OF DEATH
4 COLOR OR RACE|
Mute
5 SINGLE
MARRIED
WIDOWED
or DIVORCED
(write the word)
5a If married, widowed, or divorced
HUSBAND of
(Give maiden name of wife in full)
(Husband's name in full)
6 Age of husband or wife if alive
years
7 IF STILLBORN, enter that fact here. Stillbons V
8
AGE ...
Years
Months.
Days
If less than 1 day Hours ....... .Minutes
11 Social Security No. Wanthuk
12 BIRTHPLACE (City)
(State or country)
mass
13 NAME OF
FATHER
John Kirby
14 BIRTHPLACE OF
FATHER (City)
(State or country)
East Boston
mars
15 MAIDEN NAME
OF MOTHER
mary mc mullin
16 BIRTHPLACE OF
MOTHER (City)
....
(State or country)
East Boston
mass
100m (d)-1-41-4667
I HEREBY CERTIFY that a satisfactory standard certificate of death was filed with me BEFORE the burial of transit permit was issued : VWw.D. Childress
(Signature of Agent of Board of Health or other) Healthe Official 8/13/41
( Official Designation) (Date of Issue of Permit)
18 DATE OF
DEATH
august
SMonth)
11 1941 (Day) (Year)
19 | HEREBY CERTIFY,
19.
to
That I attended deceased from
19 ...
I last saw h.
allve on
19
death Is sald to
par ses.
have occurred on the date stated above, at
9:05 p
Duratim
MPORTANT
Immediate cause of death
Due to ....
Still Born
6 Mo
Due to.
Other conditions
(Include pregnancy within 3 months of death)
MPORTANT
Physician
Underline the cause to which death should be charged sta- Elalically.
20 Was disease or injury in any way related to occupation of deceased ?..........
If so, specify.
(Signed)
tred 0llegan /124
670 Sacar of
.. Dato
(Address) Amuscula
Basta
Place of Burial, Cremation or Removal.
DATE OF BURIAL ..
(City or Town)
13
19.
41
22 NAME OF
FUNERAL DIRECTOR .....
ADDRESS
FOR Thederck magrath
East Botox 1
Received and filed
19
(Registrar)
1 3 SEX Female (or) WIFE of Usual 9 Occupation : PARENTS 17 if deceased was a U. S. War Veteran, G. L. Chap. 46, Section 10, requires physiolans to insert a recital to that effeot. 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 should be carefully supplied. ACE should be stated EXACTLY. PHYSICIANS should state CAUSE OF DEATH In plain Industry 10 or Business :
BOSTON NOTIFIED
Suffolk 0 1941
The Commontoralth 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.
144
Registered No.
Kirby
(Was deceased a
U. S. War Veteran,
if so specify WAR)
St.
(If nonresident, give city or town and State)
Date of.
Of autopsy
0
What test confirmed diagnosis ?
-
Major findings :
Of operations
0
21
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, furnisli 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 re- quired 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.
A physician or officer furnishing a certificate of death as required by the preceding section 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 corps 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 state 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 July 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, Sec. 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 sgent 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 froma town, from one cemetery to another, or from one grave or tomb 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 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 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 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 body shall be returned to the town from which it was removed within thirty-six hours after such removal, unless a permit in the usual form for the removal of such body has been sooner obtained hereunder. If the death certificate contains a recital, as required
by section ten of chapter forty-six, that the deceased served in the army. navy or marine corps of the United States in any war in which it has been engaged, such recital shall appear upon the permit. The board of health, or its agent, upon receipt of such statement and certificate, shall forthwith countersign it and transmit it to the clerk of the town for registration. The person to whom the permit is so given and the physician certifying the cause of death shall thereafter furnish for registration any other neces- sary 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 re- ceived a perinit so to do from the board of healthi 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. T .. , (Tercentenary Edition).
Medical examiners 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 his 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 laws calls for the observance of the following rules of practice :
(1) Attending physloians 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 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 caused directly or in- directly by traumatism (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 ocoupation, 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 Oocupation .- Precise statement of occupation is very im- portant, 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
RM R-301 || SEP 1 0 1941
Suffolk (County) 1 PLACE OF DEATH 3 SEX 4 COLOR OR RACE 1 ale White 5a If married, widowed, or divorced HUSBAND of (or) WIFE of. 6 Age of husband or wife if alive 7 IF STILLBORN, enter that fact here. 8 AGE ..... 91 12 Years Usual Farmer 9 Occupation: II Social Security No. Orangev 12 BIRTHPLACE (City) (State or country) 14 BIRTHPLACE OF FATHER (City) PARENTS 16 BIRTHPLACE OF MOTHER (City) 17 Informant.M. 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. AGE should be stated EXACTLY. PHYSICIANS should state N. B .- WRITE PLAINLY, WITH UNFADING BLACK INK-THIS IS A PERMANENT RECORD. Every item of (State or country) New York 200m-10-'39. No. 8427-d
Winthrop (City or Town) NStation Hospital, Fort Pan
The Commonwealth of Massachusetts OFFICE OF THE SECRETARY DIVISION OF VITAL STATISTICS STANDARD CERTIFICATE OF DEATH
(City or town making return)
145
Registered No. § (If death occurred in a hospital or institution, St. { give its NAME instead of street and number)
2 FULL NAME
NATHAN IRVING THOMPSON
(If deceased is a married, widowed or divorced woman, give also maiden name.)
(a) Residence. No ... 30 Deane Road, Brookline. M.
(Usual place of ahode)
hospital
'.ength of stay : In hospital or institution
(Specify whether)
MEDICAL CERTIFICATE OF DEATH
18 DATE OF
DEATH
August
12
1941
(Month)
(Day)
(Year)
19 | HEREBY CERTIFY. That I attended deceased from
Aumist 8
19 ...... , to ...
August 12
19.11
I last saw bild
.... alive on ..
00 AM Aus 12 1941
to have occurred on the date stated above, at ....
2:35 Am
Immediate cause of death.Cerebral Hemorrha
Duration
8 da
Due to
Cerebral arteriosclerosis
? ye
Due to
Old ase
Other conditions
Chronic myocarditis
(Include pregnancy within 3 months of death
Major findings :
Of operations
PHYSICIAN Underline the cause to which death
Of autopsy ..
What test confirmed diagnosis ?
charged sta- tistically.
20 Was disease or fajury in any way related to occupation of deceased ? no
If so, specify
Hyman B. Fisher
M. D.
(Signed)
(Address)
Hanf Banke Mass Date aug. 12 19 41
21
Hartford
Michigan
Place of Burial, Cremation or Remoyal.
(City or Town)
DATE OF BURIAL
Aug
1/4.
19:41
22 NAME OF
FUNERAL DIRECTOR
muna
ADDRESS
28
Beachst Renne
Received and filed 19
8
A TRUE COPY ATTEST:
(Registrar)
PERSONAL AND STATISTICAL PARTICULARS
5 SINGLE
MARRIED
WIDOWED
or DIVORCED
(write the word)
Widowed
Tuttle
(Give maiden name of wife in full)
(Hushand's name in full)
Dead .....
years
0
Months
Days
If less than 1 day Hours. Minutes
Industry
10 or Business:
Farming
13 NAME OF
FATHER
Nathan Thompson
15 MAIDEN NAME
OF MOTHER
Clavissa Elmer Hutchinson
Western, Orvida Co. N. Y.
(State wk Suland Relation, if any Heland, Col.QUICson-in-law (Address) Hq. 1st Corps Area, Boston, Dass.
......
I HEREBY CERTIFY that a satisfactory standard certificate of death was filed with me BEFORE the burial ortransit permit was issued; Www. D. Children
(Signature of Agent of Board of Health of other)
Health Officer
8/12/41
(Official Designation) (Date of Issue of Permit)
years
0
months
days.
In this community
yrs.
mos.
days.
(If U. S. War Veteran. specify WAR)
St.
8
(If nonresident, give city or town and state)
death is said
Date of.
should be
EXTRACTS FROM THE LAWS OF THE COMMONWEALTH OF MASSACHUSETTS GOVERNING THE
RETURN OF CERTIFICATES OF DEATH
A physician or registered bospital medleal officer shall forthwith, after the death of a person whom he has attended during hla 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 hy the physician or officer and the date of his death ... Gen. Laws, Chap. 46, Sec. 9.
No undertaker or other person shall hury 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 issuc 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 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 be issued until there shall have heen de- livered to such hoard, 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, by 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 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- 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 caunot 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 a removal shall constitute a permit for such removal ; provided, that such body shall be returned to the town from which it was removed within thirty- six hours after such removal, unless a permit in the usual form for the removal of such body has been sooner 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 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
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.