USA > Massachusetts > Suffolk County > Winthrop > Town of Winthrop : Record of Deaths 1941 > Part 84
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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 made. .. . Chap. 114, Sec. 46. G. L., (Tercentenary Edition).
Medical examiners shall make examination upon the vlew 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.
. .. He shall in all cases certify to the town clerk or registrar in the place where the deceased died his name and residence, if known; other- wise a description as full as may be, with the cause and manner of death. -General Laws, Chap. 38, Sec. 7.
. The medical examiner certifies the cause and manner of death to the best of his knowledge and belief.
RULES OF PRACTICE
The fulfillment of the purpose of these laws calls for the observance of the following rules of practice:
(1) Attending physicians wili 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 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 occupation, the sudden deaths of persons not disabled by recognized disease, and those of persons found dead.
STATEMENT OF CAUSE OF DEATH
Medical Examiners in certifying to a death will state the cause and manner thereof, and will specify: (1) Under cause, the nature of an injury and of its consequences; and (2) under manner, the mode of its production together with the circumstances when these are known. For example: "Compound fracture of the femur with ensuing septicemia (gas bacillus) caused by a steam railway accident." "Pistol shot wound of the chest with associated hemorrhage, homicidal." "Asphyxiation by suspension, suicidal." "Syncope while under the influence of ether administered as a surgical anaesthetic." "Fracture of the skull with asso- ciated internal injury sustained under circumstances unknown."
If disease or injury was related to occupation, specify. If investigation shows the death to have been due to disease, specify: (1) Under cause its known or presumable nature; and (2) under manner, indicate the cir- cumstances leading to medico-legal inquiry. For example: "Hemorrhage spontaneous, of the brain (basal ganglia) (found dead in bed)." "Heart disease, presumably coronary sclerosis. (Sudden death.)"
DESCRIPTION (for unknown person)
NOTICE TO UNDERTAKERS: No embalming fluid, or any substitute therefor, shall be injected into the body of any person supposed to have met his death by violence, until a permit, signed by the Medical Examiner, has first been obtained .- General Laws, Chap. 38, Sec. 14.
THIS CERTIFICATE CONSTITUTES SUCH PERMIT
M R-301 A
Suffolk (County) Winthrop (City or Town) 47 Pearl No. max Schweig r PLACE OF DEATH 2 FULL NAME ..
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.
252
Leve .
[ ( If death occurred in a hospital or institution, { give its NAME instead of street and number)
PHYSICIAN - IMPORTANT
(Was deceased a
U. S. War Veteran,
if so specify WAR)
(a) Residence. No. 47 Pearl Que.
(Usual place of abode)
Length of stay : In hospital or Institution.
( Before death)
(Specify whether)
years
months days.
In this community 20 yrs. -
mos.
days.
PERSONAL AND STATISTICAL PARTICULARS
3 SEX male
4 COLOR OR RACE!
white
.
5 SINGLE
MARRIED
WIDOWED
or DIVORCED
( write the word) widower
Sa If married, widowed, or divorceglie Melamed HUSBAND of
(or) WIFE of
(Husband's name in full)
6 Age of husband or wife if alive
years
7 IF STILLBORN, enter that fact here.
8 75 ears .. AGE
Months. - Days
If less than 1 day
Hours ............ Minutes
Usual
9 Occupation :
Tailor
10 or Business :
Industry
For Nimell
11 Social Security No.
none
-
12 BIRTHPLACE (City) Russia (State or country)
13 NAME OF
FATHER
Hillel Schweig
14 BIRTHPLACE OF
FATHER (City)
Russia
(State or country)
15 MAIDEN NAME
OF MOTHER
cannot be learned
16 BIRTHPLACE OF
MOTHER (City)
Russia
(State or country)
17 Informant. (Address) 47 Leare avez With
I HEREBY CERTIFY that a satisfactory standard certificate of death was filed with me BEFORE the burial or transit permit was issued: William D. Children
(Signature of Agent of Board of Health or other)
agent Dec. 9/41
(Official Designation) (Date of Issue of Permit)
18 DATE OF
DEATH
12
1941
(Month )
(Day)
8
(Year)
19 | HEREBY CERTIFY,
how.28
19
41
to
That I attended deceased from
OG. 8. 1941
I last saw h. MAdt .. alive on
thec . 8
19.41, death Is said to
.
have occurred on the date stated above, at
11:00 P.m.
Immediate cause of death
Cardiac Decompensation Due to Ulterio - saleratio Brancho Pneumonia
5da
Due t
Fract. Pt. Femme
10 days
Other conditions
(Include pregnancy within 3 months of death)
Major findings :
Of operations
Date of.
Of autopsy
-
What test confirmed diagnosis ?..
Clinical
Underline the cause to which death should be charged sta. tistically.
20 Was disease or injury in any way related @ occupation of deceased? ho
If so, specify.
....
(Signed)
Charles Liberman
M. D.
(Address) 26 Have Way Que Date 17/8/1941
Puede of Boston Com. Woburn
Place of Burial, Cremation or Removal.
(City or Town)
DATE OF BURIAL
December 4, 1941
21
22 NAME OF
FUNERAL DIRECTOR Manuel Stanetaky
ADDRESS
10 Washington It. 500
Received and filed
19
(Registrar)
WRITE PLAINLY WITH JINSADING RIAC
extracts from the laws on back of certificate.
100m (d)-1-41-4667
terms, so that it may be properly classified. Exact statement of OCCUPATION is very important. See instructions and
JUNI Ve LallUny Supplied. AUE Should De stated EXACTLY. PHYSICIANS should state CAUSE OF DEATH in plain
If deceased was a U. S. War Veteran, G. L. Chap. 46, Section 10, requires physicians to insert a recital to that effeot.
PARENTS
Morrie Schweig
Relation, if any
Registered No.
(If deceased/is a married, widewed or divorced roman, give also maiden name.)
Winthrop
(If nonresident, give city op town and State)
(Give maiden name of wife in full)
MEDICAL CERTIFICATE OF DEATH
Duration
IMPORTANT
IMPORTANT Physician
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 attemled 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 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 deatlı ... 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 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 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 interinent, 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 selectinen 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 conunonwealth 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 aection ten of chapter forty-six, that the deceased aerved in the army, navy or marine corps of the United Statea 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 atatement 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 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 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 made. .. . Chap. 114, Sec. 46, G. 1 .. , (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, lic shall forthwith go to the place where the body lies and take charge of the same; ... - General Laws, Chap. 38, Sec. G.
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 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 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, c. 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 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 liome. For a woman whose ouly 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-301 A
1942
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.
Registered No.
253
wxStation Hospital, Fort Banks, Mass. ........
(If death occurred In a hospital or Institution. ¿ give its NAME instead of street and number)
2 FULL NAME
Baby Girl Spencer
(If deceased is a married, widowed or divorced woman give also maiden name.)
14- Laur
(If U. S.
War Veteran,
specify WAR)
(a) Residence. No ....
(Usual place of abode)
ion Her
... Fort .. Banks.,Mass ... St
malden mars
(If nonresident. give city or town and state)
Length of stay: In hospital or institution.
(Specify whether)
MEDICAL CERTIFICATE OF DEATH
18 DATE OF
DEATH
December
10,
(Month)
(Day)
(Year)
19
HEREBY CERTIFY.
19
That I attended deceased from
19. 1 last saw her. Xix on December 10 19 4 death is said to have occurred on the date stated above, at ...... Duration IMPORTANT 4:15 P ... m. Immediate cause of death .... Stillbirth; prema- ture separation of placente.
Due to ...
Other conditions
(Include pregnancy within 3 months of death)
IMPORTANT PHYSICIAN
Underline the cause to which death should be charged sta- tistically. NO
20 Was disease or injury in any way related to occupation of deceased ?....
If so, specify,
Platt R. Powell, Ist Lt. , M.C.,
(Signed) ...
Fort Banks Mass.
Date ...
24 (Address).
21.
Wordlan
Event
Place of Burial, Cremation or Removal.
17,(City or Town)
DATE OF BURIAL.
Ilec. 11
19-4
22 NAME OF
FUNERAL DIRECTOR
ADDRESS 254 Beach St Rever
Received and filed. DEC 1: 1941 ..... 19
(Registrar)
1 3 SEX Female Residence per Birch Carl. (or) WIFE of 8 Usual 9 Occupation : - per mos alex PARENTS 17 100m-2-'40-D-729-a N-R . WRITE DI AINI VOTITU !NAHIRISIA 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 Industry 10 or Business :.
PERSONAL AND STATISTICAL PARTICULARS
4 COLOR OR RACE
White
(write the word)
6 SINGLE
MARRIED
WIDOWED
or DIVORCED
Single
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 hero. STILLBORN
AGE e Years 0 Months 0 Days
If less than 1 day
Hours
Minutes
Due to.
11 Social Security No ...
12 BIRTHPLACE (City).
(State or country)
Winthrop, Mass.
13 NAME OF
FATHER
Lawrence (None ) Spencer
14 BIRTHPLACE OF
FATHER (City) ...
Not furnished
(State or country)
Saugus, mass.
15 MAIDEN NAME
OF MOTHER
Dorothy Eleanor Anderson
16 BIRTHPLACE OF MOTHER (City) (State or country)
Malden, Mass.
Hazel D. Anderson
Relation, if any Grandmother
Informant ...
(Address)
14 Sawyer Court, Malden, Mass.
I HEREBY CERTIFY that a satisfactory standard certificate of death was filed with me BEFORE the burial or transit permit was issued: Www. D . Childress
(Signature of Agent of Board of Health or other) Healthe Officer
12/11/41
(Official Designation) V (Date of Issue of/Permit)
Major findings:
Of operations.
Of autopsy.
No
Date of.
........
Dec. 11,941
M. D.
What test confirmed diagnosis? None
to
1941
years O months 0 days. 0 In this community O yrs. 0 mos. 0 days.
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 deccased, furnish for registration a standard certificate of death, stating to the best of his knowledge and belicf tlie name of the deceased, his supposed age, the discasc of which he dicd, defined as required hy section one, where same was contracted, the duration of his last iliness, when last seen alive hy the physician or officer and the date of his death . . . Gen. Laws, Chap. 46, Sec. 9.
No undertaker or other person shall bury or otherwise dispose of a human body in a town, or remove therefrom a human body which has not 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 body 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 cetnetery, 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 buricd. 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 sufficlent 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 hy violence, the medical examiner shall make such certificatc. If such a permit for the removal of a human hody, not previously interred, from one town to another within the commonwealth cannot be obtained early enough for the purpose, the certificate of death made as above provided and in the possession of the undertaker desiring to make such removal shali constitute a permit for such removal; provided, that such hody shall be returned to the town from which it was removed within thirty-six hours after such removai, unless a permit In the usual form for the re- moval of such body has been sooner ohtalned 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 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 heen brought into the commonwealth until ile 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 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 rulcs of practice:
(1) Attending physicians will certify to such deaths only as those of persons to whom they have given bedside care during a iast lliness 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 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 by traumatism (including resulting septicemia), and hy the action of chemical (drugs or poisons), thermal, or electrical agents, and deaths following abortion, hut also deaths from disease resulting from injury or infection related to occupation, the sudden deaths of persons not disabied 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 morhld conditions, if any. related to the principai cause and any Important complication of the principal cause.
Statement of Occupation .- Precise statement of occupation Is very Important, so that the relative healthfulness of various pursuits can be known. Make some entry. in this section for every person aged 10 years or over. If the occupation had heen given up or changed on account of the disease causing death, report the usual occupation prior to Illness. If the deceased had retired from husiness, 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.
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