USA > Massachusetts > Suffolk County > Winthrop > Town of Winthrop : Record of Deaths 1942 > Part 22
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
by aection ten of chapter forty-aix, that the deceased served in the army, navy or marine corps of the United States in any war in which it has heen engaged, sucb 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 la 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 haa 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 froin a peraon appointed to have the care of the cemetery or burial ground in which the interment ia made. ... Chap. 114, Sec. 46. G. L., (Terccutenary Edition).
Medical examinera 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 ia within his county the body of such a person, he shall forthwith go to the place where tlie body lies and take charge of the same ;...- General Laws, Chap. 38, Sec. 6.
RULES OF PRACTICE
The fulfillment of the purpose of these lawa calls for the observance of the following rulea of practice :
(1) Attending physicians will certify to such deaths only as those of persona to whom they have given bedside care during a last illneas 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 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 traumatiam (including resulting septicemia), and hy the action of chenncal (drugs or poisons), thermal. or electrical agents, and deaths following abortion, but also deaths froin disease resulting from Injury or infection related to occupation, the sudden deaths of persons not disabled by recognized disease, and those of persons found dead.
Statement of Cause of Death .- Cause of death means the disease, or complication which causes death, not the mode of dying, e. g., heart failure, asphyxia, asthenia, etc. As principal cause name the disease causing death. As related causes, name earlier morbid conditions, if any, related to the principal cause and any important complication of the principal cause.
Statement of Occupation .- Precise statement of occupation is very Im- portant, so that the relative healthfulness of various pursuits can be known. Make some entry in this section for every person aged 10 yeara 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 A
information should be carefully supplied. AGE should be stated EXACTLY. PHYSICIANS should state preEgyen . EOD_BINDINIZ
.... I 3 SEX Male Usual PARENTS 100m-2-'40-D-729-a 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
PLACE OF DEATH
Sufflok (County)
Winthrop
(City or Town)
The Commonwealth of Massachusetts OFFICE OF THE SECRETARY DIVISION OF VITAL STATISTICS
STANDARD CERTIFICATE OF DEATH
Registered No.
S (If death occurred in a hospital or institution, .St. [ give its NAME instead of street and number)
2 FULL NAME
Jefferson Davis Clark
(If deceased is a married, widowed or divorced woman, give also maiden name.)
(a) Residence. No.
45 Hillside Ave.
St
(If nonresident, give city or town and state)
(Usual place of abode)
Hospital
years
-
months
days.
In this community - yrs.
7
days.
(Specify whether)
PERSONAL AND STATISTICAL PARTICULARS
4 COLOR OR RACE
White
5 SINGLE
(write the word)
MARRIED
WIDOWED
DIVORCED Marrie
5a If married, widowed, or divorced,
Innie Jane Rhea
HUSBAND of.
(Give maiden name of wife in full)
(or) WIFE of
(Husband's name in full)
77
.years
6 Age of husband or wife if alive.
7 IF STILLBORN, enter that fact here.
8
ÅGE ... 77
... Years.
7
Months ...
28 Days
If less than I day
Hours.
Minutes
9 Occupation :
Trucking
(Retired)
10 or Business :...
U S Mail
11 Social Security No. None
Sherman
13 NAME OF
FATHER
Levin Larkin Clark
14 BIRTHPLACE OF
?
15 MAIDEN NAME
OF MOTHER
Unknown
16 BIRTHPLACE OF
MOTHER (City)
Unknown
(State or country)
Unknown
17 Nelson Clark
Relation, if any
Son
Informant
(Address)
45 Hillside Ave. Winthro
I 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 3/18/42
(Official Designation) (Date of Issue of Permit)
18 DATE OF
DEATH.
March
17
(Month)
(Day)
1
1942 (Year)
19
I HEREBY CERTIFY,
That I attended deceased from march 13, 19 42, to March 17, 1942 I last saw hun alive on March 16, 1942, death is said to .... m. have occurred on the date stated above, at 11:30 A Immediate cause of death.
Duration IMPORTANT
Terminar bronchopneumonia 1 day
Due Cerebral hemorrhage
4 days
Other conditions.
(Include pregnancy within 3 months of death)
IMPORTANT
PHYSICIAN
Underline the cause to which death should be charged sta- tistically.
20 Was disease or injury in any way related to occupation of deceased?
If so, specify Arthur CdiTrail
/M. D.
(Signed)
(Address) Mintha Plass Date 8/1)
19.42
21
Texarkana '
Texas
Place of Burial, Cremation or Removal.
(City or Town)
DATE OF BURIAL.
19
22 NAME OF
FUNERAL DIRECTOR ..
ADDRESS
Winthrop Miles
Forward S Punaldo
Received and filed.
Y!AM 2 0 1942
..........
19
(Registrar)
Major findings:
Of operations.
.Date of.
Of autopsy.
What test confirmed diagnosis ?.
per tel call haskets
No ..
Winthrop Community Hospital
To be filed for burial permit with Board of Health or its Agent.
(If U. S.
War Veteran.
specify WAR).
Length of stay: In hospital or institution
MEDICAL CERTIFICATE OF DEATH
Due to ... generalized arterio-eleman.
12 BIRTHPLACE (City) ... Texas"
(State or country)
FATHER (City) .....
(State or country)
Conn.
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 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 hest 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 body which has not heen buried, until he has received a permit from the hoard of health, or its agent appointed to issue such permits, or if there is no such board, from the clerk of the town where the person died; and no undertaker or other person shall exhume a human hody and remove it from a town, from one cemetery to another, or from one grave or tomh other than the receiv- ing 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 cierk 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 he accompanied, in case of an original interment, by a satisfactory certificate of the attending physician, if any, as required by law, or in lieu thereof a certificate as hereinafter provided. If there is no attending physician, or if, for sufficient reasons, his certificate cannot be obtained early enough for the purpose, or is in- sufficient, a physician who is a member of the board of health, or em- ployed by it or by the selectmen for the purpose, shall upon application make the certificate required of the attending physician. if death is caused hy violence, the medical examiner shall make such certificate. If such a permit for the removal of a human body, not previously interred, from one town to another within the commonwealth cannot he 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 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 obtained 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 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 brought into the commonwealth until he has received a permit so to do from the board of health or its agent appointed to issue such permits, or if there is no such board, from the clerk of the town where the hody is to be huried 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 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 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 disabled 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) Medical Examiners will investigate and certify to all deaths supposahly due to injury. These include not only deaths caused directly or indirectly hy 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., hcart failure, asphyxia, asthenia, etc. As principal cause name the disease causing death. As related causes, name earlier morbid conditions, if any, related to the principal cause and any important complication of the principal cause.
Statement of Occupation .- Precise statement of occupation is very important, so that the relative healthfulness of various pursuits can be known. Make some entry in this section for every person aged 10 years or over. if the occupation had been given up or changed on account of the disease causing death, report the usual occupation prior to 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
RM R-301 A
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 information should be carefully supplied. AGE should be stated EXACTLY. PHYSICIANS should state
100m-2-'40-D-729-a
I HEREBY CERTIFY that a satisfactory standard certificate of death was filed with me BEFORE the burial/or transit permit was issued: Www. D. Children (Signature of Agent of Board of Health or other) Health Officer 3/18/42
(Official Designation) (Date of Issue of Permit}
18 DATE OF
DEATH
March 17 - 1942
(Month)
(Day)
(Year)
19 -I HEREBY CERTITY
Mavis
That I attended deceased from
19 44 10.
niav.
17
1942
I last saw h Or alive on
mar 16
, 19 4 ? death is said to
have occurred on the date stated above, at. 5.30 a
Immediate cause of death. Create cystitis capacité
aute pyelites papelice
Due to
Quite pyelonepurities
pelonephritis
Due to
Other conditions.
(Include pregnancy within 3 months of death)
IMPORTANT
PHYSICIAN
Major findings:
Of operations.
Of autopsy
Same as caused death
What test confirmed diagnosis ?.
Laboratory.
Underline the cause to which death should be charged sta- .... tistically.
20 Was disease or injury in any way related to occupation of deceased? no
If so, specify ...
Charles nieminen.
(Signed)
305 Haven Boston
(Address).
M. D.
3/18/9/2
21 .. Place of Burial, Cremation or Removal. (City or Town)
DATE OF BURIAL
March
20
.19
22 NAME OF
FUNERAL DIRECTOR
ADDR
04 Maverick 1. 83
19
(Registrar)
Duration IMPORTANT untenown 5 weeks Unknown
6 Age of husband or wife if alive ...
.years
7 IF STILLBORN, enter that fact here.
If less than 1 day
.. Years
- Months ........ - Days
Hours Minutes
Usual
9 Occupation :
at home
Industry
10 or Business :
11 Social Security No ....
12 BIRTHPLACE (City)
(State or country)
13 NAME OF
FATHER
Ellianco Vájego
14 BIRTHPLACE OF
FATHER (City) .....
(State or country)
Italy
PARENTS
15 MAIDEN NAME
OF MOTHER
Usola Chirelli
16 BIRTHPLACE OF
MOTHER (City) ...
(State or country)
Italy
17 Peter Cytolow
Relation, if any
Informant .......
(Address)
9)212 Brummt
MEDICAL CERTIFICATE OF DEATH
3 SEX
Female White
4 COLOR OR RACE
5 SINGLE
(write the word)
MARRIED?
Manuel
or DIVORCED
5a If married, widowed, or divorced
HUSBAND of ............
(or) WIFE of
teter
(Give maiden name of wife in full)
Catalan
(Husband's name in full)
BOSTON NOTIFIED
PLACE OF DEATH
Suffolk (County) thuop Mart (City or Town) Winthrop mainly Hospital
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.
59
Registered No.
St.
....
Catalan
2 FULL NAME.
(If deceased is a married, widowed or divorced woman, give also maiden name.)
212 /Urlmin
St
(a) Residence. Now
....
(Usual place of abode)
Length of stay: In hospital or institution. (Specify whether)
years
months
/
days.
In this community
-
mos.
· days.
yrs.
PERSONAL AND STATISTICAL PARTICULARS
( (If death occurred in a hospital or institution, ¿ give its NAME instead of street and number)
(If U. S. War Veteran, specify WAR) ...
(If nonresident, give city or town and state)
Received and filed. ; 9 0 1942
1
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 belief the name of the deceased, his supposed age, the disease of which he died, defined as required by scction 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 thercfrom 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 receiv- ing tomb to another in the same cemetery, until he has received a permit from the board of health or its agent aforesaid or from the clerk of the town where the body is buried. No such permit shall be issued until there shall have been delivered to such board, agent or clerk, as the case may be, a satisfactory written statement containing the facts required by law to be returned and recorded, which shall be accompanied, in case of an original interment, by a satisfactory certificate of the attending physician, if any, as required by law, or in lieu thereof a certificate as hereinafter provided. If there is no attending physician, or if, for sufficient reasons, his certificate cannot be obtained early enough for the purpose, or is in- sufficient, a physician who is a member of the board of health, or em- ployed by it or by the selcctmen for the purpose, shall upon application make the certificate required of the attending physician. If death 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 such body shall be returned to the town from which it was removed within thirty-six hours after such removal, unless a permit in the usual form for the re- moval of such body has been sooner obtained hcreundcr. 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 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 buricd or the funeral is to be held, or from a person appointed to have the care of the cemetery or burial ground in which the interment is made. . . . Chap. 114, Sec. 46, G. L., (Tercentenary Edition).
RULES OF PRACTICE
The fulfillment of the purpose of these laws calls for the observance of the following rules of practice:
(1) Attending physlclans will certify to such deaths only as those of persons to whom they have given bedside care during a last illness from disease unrelated to any form of injury.
(2) Board of Health physicians will certify to such deaths only as those of persons who, though disabled by recognized disease unrelated to any form of injury, have died without recent medical attendance or whose physician is absent from home when the certificate of death is needed.
(3) Medical Examiners will investigate and certify to all deaths supposably due to injury. These include not only deaths caused directly or indirectly by 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 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 morbid conditions, if any, related to the principal cause and any important complication of the principal cause.
Statement of Occupation .- Precise statement of occupation is very important, so that the relative healthfulness of various pursuits can be known. Make some entry in this section for every person aged 10 years or over. If the occupation had been given up or changed on account of the disease causing death, report the usual occupation prior to illness. If the deceased had retired from business, report the usual occupation prior to retirement. Children not gainfully employed may be returned as at school or at home. For a woman whose only occupation was that of home housework, write housework. For a person engaged in domestic service for wagcs, 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
OM R-301 A
1
PLACE OF DEATH
Suffolk (County) anthrop
Zastor (City or Town) 28 Thornton
The Commontoralth of Massachusetts OFFICE OF THE SECRETARY DIVISION OF VITAL STATISTICS STANDARD CERTIFICATE OF DEATH
To be filed for burlal permit with Board of Health or Its Agent.
60
( ( If death occurred in a hospital or institution, St. ¿ give its NAME instead of street and nuniber)
Denis . M. Brennan
(If deceased is a married, widowed or divorced woman, give also maiden name.)
(a) Residence. No. 28 Thornton
(Usual place of abode)
Length of stay : In hospital or institution ...
(Before death)
(Specify whether)
years
months
days.
(If nonresident, give city 'or town and State)
in this community 60 yrs.
mos. /
days.
PERSONAL AND STATISTICAL PARTICULARS
3 SEX
4 GOLOR OR RACE|
5 SINGLE
(write the word)
male White
MARRIED
WIDOWED
or DIVORCED finale
5a If married, widowed, or divoroed HUSBAND of
(Give maiden name of wife in full)
(or) WIFE of
(Husband's name in full)
6 Age of husband or wife if alive
years
7 IF STILLBORN, enter that fact here.
ÅGE 60 Years. - Months. - Days
If less than 1 day Hours. Minutes
Usual
9 Occupation :
Special carrier
Industry
10 or Business :
Post Office.
11 Social Security No .. none
12 BIRTHPLACE (City)
(State or country)
Boston. mars
13 NAME OF
FATHER
neal Brennan.
14 BIRTHPLACE OF
FATHER (City)
(State or country)
Ireland.
15 MAIDEN NAME
OF MOTHER
Elenar Barr.
16 BIRTHPLACE OF
MOTHER (City)
(State or country)
Ireland,
17 Katherine. E. Brennan ester
Informant ( Address) 28 Thornton; ST Winthrop
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.