USA > Massachusetts > Suffolk County > Winthrop > Town of Winthrop : Record of Deaths 1941 > Part 70
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
No undertaker or other person shall bury a human body or the ashes thereof which have been brought into the commonwealth until lie 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 be burled or the funeral is to he held, or from a person appointed to have the care of the cemetery or burial ground in which the interment is made. ... Chap. 114, Sec. 46, G. L., (Tercentenary Edition)
RULES OF PRACTICE
The fulfillment of the purpose of these laws calls for the observ- ance of the following rules of practice :
(1) Attending physicians will certify to such deaths only as those of persons to whom they have given bedside care during a last ill- ness from disease unrelated to any form of injury.
(2) Board of Health physicians will certify to such deaths only as those of persons who, though disabled by recognized disease un- related to any form of injury, have died without recent medical attendance or whose physician is absent from home when the certificate of death Is needed.
(3) Medical Examinere will investigate and certify to all deaths supposabiy due to injury. These include not only deaths caused directly or indirectly by traumatism (including resulting septice- mia), and by the action of chemical (drugs or poisons), thermal, or electrical agents, and deaths following abortion, but also deaths from disease resulting from injury or infection related to occupa- tion, the sudden deaths of persons not disabled by recognized disease, and those of persons found dead.
Statement of Cause of Death .- Cause of death means the disease, or complication which causes death. not the mode of dying, e. g., heart failure, asphyxia, asthenia, etc. As principal cause name the disease causing death. As related causcs, name earlier morbid con- ditions, if any, related to the principal cause and any important complication of the principal cause.
Statement of Occupation .- Precise statement of occupation is very important, so that the relative healthfulness of various pursuits can be known. Make some entry in this section for every person aged 10 years or over. If the occupation had been given up or changed on account of the disease causing death, report the usual occupation prior to illness. If the deceased had retired from busl- ness, report the usual occupation prior to retirement. Children not gainfully employed may be returned as at school or at home. For a woman whose only occupation was that of home housework, write housework. For a person engaged in domestic service for wages, however, designate the occupation by the appropriate terms, as housekeeper-private family, cook-hotel, etc. For a person who had no occupation whatever write none.
SPACE FOR ADDITIONAL INFORMATION
.
R-301 Ali RI
Suffolk. (County)
The Commonwealth of Massachusetts OFFICE OF THE SECRETARY DIVISION OF VITAL STATISTICS STANDARD
To be filed for burial permit with Board of Health or its Agent.
213
Registered No. (If death occurred in a hospital or institution, give its NAME instead of street and number)
2 FULL NAME
Agnes mary Butter
(If deceased is Married, y mowed or divorced woman, give also maiden name.)
(a) Residence. No ...
(Usual place of abode)
17 Shore Alsie
2
. - years
/
months
days.
In this community / 5 yrs.
~ mos. - days.
(Specify whether)
PERSONAL AND STATISTICAL PARTICULARS
& SEX
4 COLOR OF RACE
5 SINGLE
MARRIED
WIDOWED
or DIVORCED
(write the word) Manuel
Sa If married, widowed, or divorced HUSBAND of
(or) WIFE of
Philip
"Give maiden name of ware in full)
Butter
(Husband's name in full)
51
years
6 Age of husband or wife if alive
7 IF STILLBORN, enter that fact here.
If less than 1 day
8 AGE 43 Yours bars.
Months.
Days
Hours
Minutes
Usual
9 Occupation:
Industry 10 or Business:
11 Social Security No.
12 BIRTHPLACE (City)
(State or country)
Buton Mack
13 NAME OF
FATHER
William Milligan
PARENTS
15 MAIDEN NAME
OF MOTHER
Jana Horton.
16 BIRTHPLACE OF
MOTHER (City) ...
(State or country)
n.B
Relation, if any 21
Informant
(Address)
17 Philipy Bacter Suchen.
100m-10-'39. No. 8427-e
I HEREBY, CERTIFY that a satisfactory standard certificate of death was filed with me BEFORE the burial or transit permit was issued: Www. D. Childrenng (Signature of Agent of Board of Health of other) Health Ofice 11/14/41
(Official Designation) (Date of Issue of Permit)
MEDICAL CERTIFICATE OF DEATH
18 DATE OF
DEATH
(Month)
(Day)
(Year)
19 I HEREBY CERTIFY.
That I attended deceased from
april 21
1939, to www.
11
19.5.1.
I last saw her alive on umr.
11
19.4.1, death is said
to have occurred on the date stated above, at.
3.40 p.m.
Duration
VAIPORTANT
Immediate cause of death.
Cancer of right breast. april 1939
nov to 1-1941.
Due to
Due to
Other conditions
(Include pregnancy within 3 months of death)
PHYSICIAN
Major findings
Carcinoma Bright
Underline the cause to which death Of autopsy the. What test confirmed diagnosis? pattilogical
20 Was disease or injury In any way related to occupation of deceased?
If so, specify.
(Signed)
to matis man . Date.
11-
13.
M. D.
19.42. 1.
(Address) ..
Mace of Burial, Cremation Br Removal.
DATE OF BURIAL
19.46.1
22 NAME OF
FUNERAL DIRECTOR
ADDRESS.
Received and filed
19
(Registrar)
1
PLACE OF DEATH
(City or Towus Handtuch Com. There No .. 7
CERTIFICATE OF DEATH
St.
(If U. S. War Veteran, specify WAR)
.St.
(If nonresident, give city or town and state)
Length of stay: In hospital or institution ....
Female
11
1941
> per voting list
N. B. WRITE PLAINLY, WITH UNFADING BLACK INK-THIS IS A PERMANENT RECORD. Everweitem of 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
14 BIRTHPLACE OF
FATHER (City) ....
(State or country)
3 0B.
Of operations
Breast Same 3. Date of ...
04/22/39
1
should be
charged sta-
tistically.
Standauch
(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 regis- tratlon a standard certificate of death, stating to the best of his knowledge and belief the name of the deceased, his supposed age, the disease of which he died, defined as required by section one, where same was contracted, the duration of his last illness, when last seen alive by the physician or officer and the date of his death ... Gen. Laws, Chap. 46, Sec. 9.
No undertaker or other person shall bury or otherwise dispose of a human body in a town, or remove therefrom a human body which has not been buried, until he has received a permit from the board of health, or its agent appointed to issue such permits, or if there is no such board, from the clerk of the town where the person died; and no undertaker or other person shall exhume a human body and remove it from a town, from one cemetery to another, or from one grave or tomb other than the receiving tomb to another in the same cemetery, until he has received a permit from the board of health or its agent aforesaid or from the clerk of the town where the body is buried. No such permit shall be issued until there shall have been de- livered to such board, agent or clerk, as the case may be, a satisfae- tory written statement containing the facts required by law to be returned and recorded, which shall be accompanied, in case of an original interment, by a satisfactory certificate of the attending physician, if any, as required by law, or in lieu thereof a certificate as hereinafter provided. If there is no attending physician, or if, for sufficient reasons, his certificate cannot be obtained early enough for the purpose, or is insufficient, a physician who is a member of the board of health, or employed by it or by the 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 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 removal of such body has been sooner obtained hereunder. If the death certificate contains a recital, as required by seetion ten of chapter forty-six, that the deceased served in the army, navy or marine corps of the United States in any war in which it has been engaged, such recital shall appear upon the permit. The board of health. or its agent, upon receipt of such statement and certificate, shall forthwith countersign it and transmit it to the clerk of the town for registration. The person to whom the permit is so given and the physician certifying the cause of death shall thereafter fur- nish for registration any other necessary information which can be obtained as to the deecased, 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 untli 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 burlal ground in which the interment is made .... Chap. 114, Sec. 46, G. L., (Tercentenary Edition)
RULES OF PRACTICE
The fulfillment of the purpose of these laws calls for the observ- ance of the following rules of practice :
(1) Attending physicians will certify to such deaths only as those of persons to whom they have given bedside care during a last ill- ness from disease unrelated to any form of injury.
(2) Board of Health physicians will certify to such deaths only as those of persons who, though disabled by recognized disease un- related to any form of injury, have died without recent medical attendance or whose physician is absent from home when the certificate of death Is needed.
(3) Medical Examiners will investigate and certify to all deaths supposably due to injury. These include not only deaths caused directly or indirectly by traumatism (including resulting septice- mia), and by the action of chemical (drugs or poisons), thermal, or electrical agents, and deaths following abortion, but also deaths from disease resulting from injury or infection related to occupa- tion, the sudden deaths of persons not disabled by recognized disease, and those of persons found dead.
Statement of Cause of Death .- Cause of death means the disease, or complication which causes death. not the mode of dying. e. g., heart failure, asphyxia, asthenia, etc. As principal cause name the disease causing death. As related causes, name earlier morbid con- ditions, if any, related to the principal cause and any important complication of the principal cause.
Statement of Occupation .- Precise statement of occupation is very Important, so that the relative healthfulness of various pursuits can be known. Make some entry in this section for every person aged 10 years or over. If the occupation had been given up or changed on account of the disease causing death, report the usual occupation prior to illness. If the deceased had retired from busi- ness, report the usual occupation prior to retirement. Children not gainfully employed may be returned as at school or at home. For a woman whose only occupation was that of home housework, write housework. For a person engaged in domestic service for wages, however, designate the occupation by the appropriate terms, as housekeeper-private family, cook-hotel, etc. For a person who had no occupation whatever write none.
SPACE FOR ADDITIONAL INFORMATION
R-301 A
Suffalle
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. 214
Registered No. (If death occurred in a hospital or institution, give its NAME instead of street and number)
(If U. S. War Veteran, specify WAR)
(a) Residence. No .....
(Usual place of abode)
(If nonresident, give city or town and state)
Length of stay: In hospital or institution .. (Specify whether)
years
months
days.
In this community 39 yrs .~
mos. ~ days.
PERSONAL AND STATISTICAL PARTICULARS
3 85X7 Female Pfeile
5 SINGLE
MARRIED
WIDOWED
or DIVORCED
(write the word) Manuel.
5a If married, widowed, or divorced HUSBAND of
(or) WIFE of
Jahr Lot of wife in ful)
(Husband's name in full)
63
Years
6 Age of husband or wife if alive
7 IF STILLBORN, enter that fact here.
If less than I day
8 60 AGE .. Years Months Days
Hours.
Minutes
Usual
9 Occupation:
Thouse wife
Industry
10 or Business:
11 Social Security No.
12 BIRTHPLACE (City) Cuteur on 1.
(State or country)
13 NAME OF
FATHER
Hallan Richie
14 BIRTHPLACE OF FATHER (City) (State or country)
15 MAIDEN NAME
OF MOTHER
Unknown
16 BIRTHPLACE OF MOTHER (City) (State or country)
I7 Cafe Flying Bastion if any
Informant ... (Address) 1894 Kurily A
1 HEREBY CERTIFY that a satisfactory standard certificate of death was filed with me BEFORE the burial or transit permit was issued: Www. D. Children (Signature of Agent of Board of Health or other) Health Office 11/14/41
(Official Designation) (Date of Issue of Permit)
MEDICAL CERTIFICATE OF DEATH
18 DATE OF
DEATH
11
(Month)
(Day)
(Year)
19 | HEREBY CERTIFY.
11/11
19.41.
to
That I attended deceased from
11/11
1941
I last saw ha ....... alive on
11/11
19 .. 4 ... , death is said
to have occurred on the date stated above, at ..
1100
........ m.
Immediate cause of death
Duration
IMPORTANT
0
6 hrs
Due to
Due to
Other conditions
Hypertension
(Include pregnancy within 3 months of death)
Major findings :
Of operations
PHYSICIAN Underline the cause to which death
Of autopsy
What test confirmed diagnosis ?..
should be charged sta- tistically.
28 Was disease er Injury in any way related to occupation of deceased?
If so, specify.
anelli M. D. (Signed)
Date 11/12/04/ ....
21 Kulturh Place of Burial, Cremation, or Removal. DATE OF BURIAL Klart. 15
(City or Town)
19 ..
22 NAME OF
FUNERAL DIRECTOR
ADDRESS.
210 Heatherhay Worth
Received and filed.
1911/
(Registrar)
Per listing 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 100m-10-'39. No. 8427-e N. B .- WRITE PLAINLY, WITH UNFADING BLACK INK-THIS IS A PERMANENT RECORD. Every item of PARENTS
PLACE OF DEATH
(Count
(City or Town) 894 Skuley St. No ...
St. }
Mary Adres Helena
2 FULL NAME
(I deceased is a married, Mowed on divorced woman, give also maiden name.) fg& Charley 2X St.
4 COLOR OR RACE
11
41
Date of ...
EXTRACTS FROM THE LAWS OF THE COMMONWEALTH OF MASSACHUSETTS GOVERNING THE
RETURN OF CERTIFICATES OF DEATH
A physician or registered hospital medical officer shall forthwith, after the death of a person whom he has attended during his last illness, at the request of an undertaker or otber authorized person or of any member of the family of the deceased, furnish for regis- tration a standard eertifieate of deatb, 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 buman body in a town, or remove therefrom a human body which has not been buried, until he has received a permit from the board of health, or its agent appointed to issue such permits, or if there is no such board, from the clerk of the town where the person died ; and no undertaker or other person shall exhume a human body and remove it from a town, from one cemetery to another, or from one grave or tomb other than the receiving tomb to another in the same cemetery, until he has received a permit from the board of health or its agent aforesaid or from the clerk of the town where the body is buried. No such permit shall be issued until there shall have been de- livered to sueh board, agent or clerk, as the case may be, a satisfac- tory written statement containing the facts required by law to be returned and recorded, which shall be accompanied, in case of an original interment, by a satisfactory certificate of the attending physician, if any, as required by law, or in lieu thereof a certificate as hereinafter provided. If there is no attending physician, or if, for sufficient reasons, his certificate cannot be obtained early enough for
the purpose, or is insufficient, a physician who is a member of the board of health, or employed by it or by the seleetmen for the pur- pose, shall upon application make the certificate required of the at- tending physician. If death is eaused by violence, the medical exam- iner shall make such eertlficate. If such a permit for the removal of a human body, not previously interred, from one town to another within the commonwealth eannot be obtained early enough for the purpose, the eertifieate of death made as above provided and in the possession of the undertaker desiring to make sueh 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 obtalned hereunder. If the deatb certificate contains a recital, as required by section ten of chapter forty-six, that the deceased served in the army, navy or marine corps of the United States in any war in which it has been engaged, such recital shall appear upon the permit. The board of health, or its agent, upon receipt of such statement and eertifieate, shall forthwith eountersign it and transmit it to the elerk of the town for registration. The person to whom the permit is so given and the physician certifying the cause of death shall thereafter fur- nish for registration any other necessary information which can be obtained as to the deceased, or as to the manner or cause of the death, which the clerk or registrar may require .- Chap. 114, Sec. 45, G. L., (Tercentenary Edition.)
No undertaker or other person shall bury a human body or the ashes 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 burlal 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 eertify to such deaths only as those of persons to whom they have given bedside care during a last ill- hess from disease unrelated to any form of injury.
(2) Board of Health physicians will eertify to such deaths only as those of persons who, though disabled by recognized disease un- related to any form of injury, have died without reeent medical attendanee or whose physician is absent from bome when the certifieate of death Is needed.
(3) Medical Examiners will Investigate and certify to all deaths supposably due to injury. These include not only deaths caused directly or indirectly by traumatism (ineluding resulting septice- mia), and by the action of chemical (drugs or poisons), thermal, or electrical agents, and deaths following abortion. but also deaths from disease resulting from injury or infection related to occupa- tion, the sudden deaths of persons not disabled by recognized disease, and those of persons found dead.
Statement of Cause of Death .- Cause of death means the disease, or complication which causes death, not the mode of dying, e. g., heart failure, asphyxia, asthenia, ete. As prineipal cause name the disease eausing death. As related eauses, name earlier morbid con- ditions, if any, related to the principal eause and any iniportant complication of the principal eause.
Statement of Occupation .- Precise statement of occupation is very Important, so that the relative healthfulness of varlous 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 aceount of the disease causing death, report the usual occupation prior to illness. If the deceased had retired from busi- ness, report the usual oeeupation 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 oceupation 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
R R-301 A ;
Suffolk (County)
Winthrop
(City or Town)
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.
215
Registered No (If death occurred in a hospital or institution, give its NAME instead of street and number)
2 FULL NAME Ann Farley Johnson
(If deceased is a married, widowed or divorced woman, give also maiden name.)
50 Taun Bar Ave., Winthrop
St.
(If nonresident, give city or town and state)
- years
- months
15days.
In this community 30yrs. - mos. days.
(Specify whether)
PERSONAL AND STATISTICAL PARTICULARS
3 SEX 4 COLOR OR RACE | 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)
Arthur L. Johnson
(or) WIFE of
(Husband's name in full)
years
6 Age of husband or wife if alive. 7 IF STILLBORN, enter that fact here.
If less than I day
Years 11 Months. .. 9 ..... Days
Hours
Minutes
9 Occupation:
Housewife
Industry
At Home
II Social Security No.
12 BIRTHPLACE (City)
Chelsea
13 NAME OF
FATHER
Thomas Farley
14 BIRTHPLACE OF
FATHER (City)
Sterling
(State or country)
Mass.
15 MAIDEN NAME
OF MOTHER
Susan Williams
16 BIRTHPLACE OF MOTHER (City) (State or country) Mass.
Boston
17 Informant. (Address) 50 Jaun Bar Ave., Winthrop, Mass
I HEREBY CERTIFY that a satisfactory standard certificate of death was filed with me BEFORE the burial or transit permit was issued:
(Signature of Agent of Board of Heales or other) Healthe Officer (Official Designation) (Date of Issue of Permit) 11/13/41
MEDICAL CERTIFICATE OF DEATH
18 DATE OF
DEATH.
November
11,
1941
(Month)
(Day)
(Year)
19 I HEREBY CERTIFY. That I attended deceased from Anas IS , 19%), to NOV.11, 1941
I last saw h .. C ....... alive on ..
220011
10.4%, death is said
to have occurred on the date stated above, at ...
1.35A.M.
Immediate cause of death ............ Peritonitis
Duration IMPORTANT 10 days
Due to
Infection Following Vaginal
hysterectomy,
Due to
Other conditions
(Include pregnancy within 3 months of death)
Major findings :
Of operations
Prolapse of Uterus
Of autopsy
What test confirmed diagnosis? Clinical Signs
PHYSICIAN Underline the cause to which death should be charged sta- tistically.
20 Was disease or Injury In any way related to accopation of dcceased? 200
If so, specify ......
(Signed)
(Address) Winthrop, mess
, M. D.
Date,
nov. 13, 1941
21 Winthrop Winthrop
Place of Burial, Cremation or Removal
DATE OF BURIAL
Ruland A Vara
194](City or Town)
2
1941
22 NAME OF
FUNERAL DIRECTOR
ADDRESS 147 Winthrop St., Winthrop
Received and fled
19
(Registrar)
1 Jemale 8 AGE 66 Usual 10 or Business: PARENTS 100m-10-'39. No. 8427-e N. D. WRITE PLAINLY, WITH UNFADING BLACK INK- THIS IS A PERMANENT RECORD. Everveitemsof 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 (State or country)
PLACE OF DEATH
Winthrop Comunity Hospital No ....
-
St. 1
(If U. S. War Veteran, specify WAR)
(a) Residence. No .. (Usual place of abode) Length of stay : In hospital or institution ...
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.