USA > Massachusetts > Suffolk County > Winthrop > Town of Winthrop : Record of Deaths 1942 > Part 2
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by aection ten of chapter forty-aix, 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 appcar 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 physician certifying the cause of death shall thereafter furnish for registration any other uecea- 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. L., (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. G.
RULES OF PRACTICE
The fulfillment of the purpose of these lawa calls for the observance of the following rules of practice :
(1) Attending physicians will certify to such deaths only as those of persons to whom they have given bedside care during a last illness from disease unrelated to any form of injury.
(2) Board of Health physiclans will certify to such deaths only as those of persons who, though disabled by recognized discase unrelated to any form of injury, have died without recent medical attendance or whose physi- cian is absent from home when the certificate of death is needed.
(3) Medical Examiners will investigate and certify to all deaths sup- posably due to injury. These include not only deaths 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, e. g., heart failure, asphyxia, asthenia, etc. Aa principal cause name the discase 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 .- l'recise 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 illuesa. 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
1
RM R-301 A
PLACE OF DEATH
Suffolk (County) Winthrop (City or Town)
No .. 90 Atlantic
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.
1
Registered No
( (If death occurred in a hospital or institution, { give its NAME instead of street and number)
Mary Ann Wallinee Breckenridge
2 FULL NAME.
(If U. S. War Veteran, specify WAR)
(If deceased is | married, widowed or divorced woman, give also maiden name.)
90 Atlantic
St
(If nonresident, give city or town and state)
Length of stay: In hospital or institution. (Specify whether)
years
months
days.
In this community 2.5
yrs.
- mos. - days.
PERSONAL AND STATISTICAL PARTICULARS
4 COLOR OR RACE
white
5 SINGLE
MARRIED
WIDOWED
or DIVORCED
(write the word)
5a If married, widowed, or divorced HUSBAND of.
(or) WIFE of
DEclan
(Give maiden name of wife in full)
A. Walsh
(Husband's name in full)
6 Age of husband or wife if alive. years
7 IF STILLBORN, enter that fact here.
8
79 Years
.Monthe ..
" Days
If less than 1 day Hours. .Minutes
Usual
9 Occupation:
housewrite
Industry
at home
11 Social Security No.
Marc
12 BIRTHPLACE (City)
(State or country)
London
England
13 NAME OF
FATHER
James Breckenridge
14 BIRTHPLACE OF
FATHER (City)
(State or country)
England
15 MAIDEN NAME
OF MOTHER
Catherma Casey
16 BIRTHPLACE OF
MOTHER (City).
(State or country)
Ireland
E17 Edward Walch (San
Informant ...
(Address)
Winthrop St Wieting
I HEREBY CERTIFY that a satisfactory standard certificate of death was filed with me BEFORE the burial or transit permit was issued: Www. S. Children (Signature of Agent of Board of Health brother) Health Officer 1/9/42
(Official Designation) (Date of Issue of Permit)
MEDICAL CERTIFICATE OF DEATH
18 DATE OF
DEATH.
(Month)
(Day)
(Year)
That I attended deceased from
19 I HEREBY CERTIFY, Las 24 . 1975 to Km) ....
19 4/2
I last saw he alive on 19 44, death is said to have occurred on the date stated above, at. 12.4.5A .m.
Immediate cause of death ...
Duration IMPORTANT
Due to.
Due to.
Other conditions ..
-
(Include pregnancy within 3 months of death)
IMPORTANT
PHYSICIAN
Underline the cause to which dcath should be charged sta- tistically.
20 Was disease or injury in any way related to occupation of deceased? Wo
If eo, epecify ....
(Signed)
(Address) + Washington And Date 1-8-
19 /2
M. D.
Solens
Place of Burial, Cremation or Removal.
(City or Town)
DATE OF BURIAL ...
pan. 10.
19 42
22 NAME OF
RECFormant Human
ADDRESS ...
257 Beach St Releve
Received and filed. 19
(Registrar)
X
100m-2-'40-D-729-a N. B .- WRITE PLAINLY, WITH UNFADING BLACK INK-THIS IS A PERMANENT RECORD. Every item of PARENTS
I 3 SEX female 4 AGE 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 10 or Business:
Majer findings: Of operations.
.Date of.
Of autopsy ......
What test confirmed diagnosis ?.
Relation, if any 21 Maren
St.
(a) Residence. No. (Usual place of abode)
-
-
7
1942
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 belicf the name of the deceased, his supposed age, tbe disease of which be died, definded ag required by section one, where same was contracted, the duration of his last illness, wben 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 wbich has not been buried, until he has received a perinit 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 otber person shall exhume a human body and reinove it from a town, from one cemetery to another, or from one grave or tomb other than the receiv- ing tonib to another in the same cemetery, until be has received a permit from the board of bealth or its agent aforesaid or from the clerk of the town where the body is buried. No such permit shall be issued until there sball 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, bis certificate cannot be obtained early enough for the purpose, or is in- sufficient, a physician wbo is a member of the board of health, or em- ployed by it or by the selectmen for the purpose, sball upon application make the certificate required of the attending physician. If deatb is caused by violence, the medical examiner shall make such certificate. If such a permit for the removal of a human body, not previously interred. from one town to another within the commonwealth cannot be obtained early enough for the purpose, the certificate of death made as above provided and in the possession of the undertaker desiring to make such removal shall constitute a permit for such removal; provided, that sucb body shall be returned to the town from which it was removed witbin thirty-six bours after sucb removal, uuless a permit in the usual form for the re- moval of such body bas becn sooner obtained bereunder. 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 bag been engaged, such recital shall appear upon tbe permit. The board of health, or its agent, upon receipt of such statement and certificate, shall fortbwith countersign it and transmit it to the clerk of the town for registration. The person to whom the permit is so given and tbe physician certifying the cause of death shall thereafter furnisb for registration any other necessary information which can be obtained as to the deceased, or as to tbe manner or cause of tbe deatb, wbich 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 asbes thereof wbicb bave been brought into the commonwealth until he bas received a permit so to do from the board of bealth or its agent appointed to issue such permits, or if there is no such board, from the clerk of tbe town wbere tbe body is to be buried or the funeral is to be held, or from a person appointed to have tbe 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 sucb deathis 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 wbo, though disabled by recognized disease unrelated to any form of injury, have died without recent medical attendance or wbose 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 deatbs 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 deatb means the disease, or complication which causes death, not the mode of dying, e. g., beart failure, asphyzia, 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 bad 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 wbose only occupation was that of home bousework, write housework. For a person engaged in domestic service for wages, however, designate tbe occupatlon by tbe appropriate terms, as housekeeper-private family, cook-hotel, etc. For a person wbo liad no occupation whatever write none.
SPACE FOR ADDITIONAL INFORMATION.
RM R-301 A
PLACE OF DEATH
Sufflok
(City or Town) 65 Loring Road
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.
5
§ (If death occurred in a hospital or institution. St. ¿ give its NAME instead of street and number)
2 FULL NAME
Mary Oliver Hamilton (Barnes )
(If deceased is a married, widowed or divorced woman, give also maiden name.)
(a) Residence. No ..
65 Loring Road
St
(If nonresident. give city or town and state)
Length of stay: In hospital or institution
(Specify whether)
years
months - days.
In this community 25 yrs.
mos.
days.
PERSONAL AND STATISTICAL PARTICULARS
5 SINGLE
(write the word)
MARRIED
WIDOWED
or DIVORCED
Widowat
(Month)
(Day)
(Year)
19 I HEREBY CERTIFY, That I attended deceased from
19.4.1, to.
19.5. 2.
I last saw her alive on.
Jam 8, 1942 death is said to
have occurred on the date stated above, at.
P
.m.
5
Immediate cause of death
Duration
IMPORTANT
Chemie myeredità
Due to.
Due to.
Senilito
Other conditions.
(Include pregnancy within 3 months of death)
Major findings: Of operations.
Date of
Of autopsy
What test confirmed diagnosis?
20 Was disease or injury in any way related to occupation of deceased? Au .....
If so, specify ......
(Signed
Levis 7 Salerno
M. D.
(Address) 25 Pleaseup St Date Du9 1940
25 Pl
21 ....
Forest Hills
Place of Burial, Cremation or Removal.
(City or Town)
DATE OF BURIAL
January
10
22 NAME OF
Howard S Dansles
FUNERAL DIRECTOR
ADDRESS.
Muchof Thous.
Received and filed. 19
AN 10 1947
(Registrar)
...
8
93
Years
Months
Days
If less than 1 day
Hours
Minutes
12 BIRTHPLACE (City)
Boston
13 NAME OF
FATHER
David Barnes
14 BIRTHPLACE OF
FATHER (City) ....
(State or country)
Mass.
Boston
Anna Maria (Unknown)
Unknown
Relation, if any
Informant.
Harry D Hamilton Step-Son
(Address) 65 Loring Rd. Winthrop Mass
I HEREBY, CERTIFY that a satisfactory standard certificate of death was filed with me BEFORE the burial or transit permit was issued: Wmit. Children x, (Signature of Agent of Board of Health,or other)
1 health officer 1/9/4 2
(Official Designation) (Date of Issue of Permit)
MEDICAL CERTIFICATE OF DEATH
18 DATE OF
DEATH
January
8
(Give maiden name of wife in full)
(or) WIFE of.
CharlesF .Hamilton
(Husband's name in full)
.years
(County)
1
Winthrop
No.
(Usual place of abode)
3 SEX
4 COLOR OR RACE
White
Female
5a If married, widowed, or divorced
HUSBAND of
6 Age of husband or wife if alive
7 IF STILLBORN. enter that fact here.
AGE.
Usual
9 Occupation:
Housewife
10 or Business:
11 Social Security No.
None
(State or country)
15 MAIDEN NAME
OF MOTHER
16 BIRTHPLACE OF
MOTHER (City) ..
PARENTS
(State or country)
17
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
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
Industry
Own Home
100m-2-'40-D-729-8
Registered No.
....
(If U. S.
War Veteran,
specify WAR)
1942
IMPORTANT
PHYSICIAN
Underline the cause to which death should be charged sta- tistically.
Boston
1942
EXTRACTS FROM THE LAWS OF THE COMMONWEALTH OF MASSACHUSETTS GOVERNING THE
RETURN OF CERTIFICATES OF DEATH
A physician or registered hospital medical officer shali forthwith, after the death of a person whom he has attended during his last iliness, 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 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 hury or otherwise dispose of a human body in a town, or remove therefrom a human hody which has not been huried, until he has received a permit from the board of health, or its agent appointed to issue such permits, or if there is no such board, from the clerk of the town where the person died; and no undertaker or other person shall exhume a human hody and remove it from a town, from one cemetery to another, or from one grave or tomh other than the receiv- ing tomh to another in the same cemetery, until he has received a permit from the board of health or its agent aforesaid or from the clerk of the town where the body is huried. No such permit shall be issued until there shall have been delivered to such board, agent or clerk, as the case may be, a satisfactory written statement containing the facts required hy law to be returned and recorded, which shall be accompanied, in case of an originai 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 physiclan, 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 hy it or hy 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 shali 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 ohtalned 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 shali 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- movai 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 shali appear upon the permit. The board of health, or its agent, upon receipt of such statement and certificate, shali 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 necessary information which can be 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 hury a human body or the ashes thereof which have been hrought 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 hurled or the funeral is to be heid, or from a person appointed to have the care of the cemetery or hurlal ground in which the interment is made. . . . Chap. 114, Sec. 46. G. L., (Tercentenary Edition).
RULES OF PRACTICE
The fuifiliment of the purpose of these laws calis for the ohservance 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 iliness 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 disahied hy recognized disease unrelated to any form of injury, have died without recent medical attendance or whose physician is ahsent from home when the certificate of death is needed.
(3) Medicai Examiners will investigate and certify to ali deaths supposably due to injury. These include not only deaths caused directly or indirectly hy 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 disahied hy recognized disease, and those of persons found dead.
Statement of Cause of Death .- Cause of death means the discase. 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 morhid 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 iliness. 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.
SPACE FOR ADDITIONAL INFORMATION
EOSTON NORTHITY
RM R-301 A
1942
FESuffolk 0 (County)
1
Tinthrop
(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.
6
S (If death occurred in a hospital or institution, St .- ( give its NAME instead of street and number)
2 FULL NAME
William J. McCartney
(If deceased is a married, widowed or divorced woman, give also inaiden name.)
(If U. S.
War Veteran.
specify WAR)
(a) Residence. No ..
40 Dartmouth Street
St.
Boston ... Mas.s.
(If nonresident, give city or town and state)
(Usual place of abode)
Length of stay: In hospital or institution ..
(Specify whether)
PERSONAL AND STATISTICAL PARTICULARS
3 SEX
4 COLOR OR RACE
White
5 SINGLE
(write the word)
MARRIED
Married
WIDOWED
or DIVORCED
(Month)
(Day)
(Year)
Sa If married, widowed, or divorced
HUSBAND of
EmmaAcornley
(Give maiden name of wife in full)
-
have occurred on the date stated above, at. ₾ .45 ... p ..... m.
Immediate cause of deathCerebral-vascular
accident , cerebral thrombosis ;mani
fested by partial right hemiplegia
mewand terminal uremia.
De to
Other conditions.
Arteriosclerosis , senile,
.generatized.
(Include pregnancy within 3 months of death)
IMPORTANT
PHYSICIAN
Underline the cause to which death should be charged sta- tistically.
20 Was disease of fajupf in anf fay related tooccupation of deceased ?. Marco
If so, specify
(Signed)/
John . Calarco, Capt., M. C.,
M. D.
(Address) .......
Fort Banks Mass.
.DateJan.
21942
21.
new Calvary
Place of Burial, Cremation of Removal. (City or Town)
DATE OF BURIAL ..
Jan 12
1943
22 NAME OF
FUNERAL DIRECTORY
ADDRESS 254
Beach st Revere
Received and filed
19
1 C 1942
(Registrar)
.
AGE
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