Town of Winthrop : Record of Deaths 1942, Part 46

Author: Winthrop (Mass.)
Publication date: 1942
Publisher:
Number of Pages: 524


USA > Massachusetts > Suffolk County > Winthrop > Town of Winthrop : Record of Deaths 1942 > Part 46


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).


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(Before death)


(Specify whether)


years


months


days.


In this community


15 yrs ._


mos.


days.


PERSONAL AND STATISTICAL PARTICULARS


3 SEX


Tema 1º


4 COLOR OR RACEĮ


White


5 SINGLE


( write the word)


MARRIED


WIDOWED


or DIVORCED


Widowed


Sa If married, widowed, or divorced HUSBAND of


(or) WIFE of


Alfredivermaiden name of wife in full )


( Ihusband's name in full)


6 Age of husband or wife if alive


years


7 IF STILLBORN. enter that fact here.


8 AGE 89 Years 11 Months 29. Days


If less than 1 day


Hours


Minutes


Usual


9 Occupation :


Housewife


Industry


At Home


10 or Business :


11 Social Security No.


ncne


12 BIRTHPLACE (City)


(State or country)


Birmingham England


13 NAME OF


FATHER


not known


14 BIRTHPLACE OF


FATHER (City)


(State or country)


Ing land


15 MAIDEN NAME


OF MOTHER


not known


16 BIRTHPLACE OF


MOTHER (City)


(State or country)


England


17 Maragret Thomas 9 Lewis Ave., Winthrop.


Relation, if any .Daughter .... 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


8/4/49


('Official Designation) (Date of Issue of Permit)


18 DATE OF


DEATH


August 2, 1942


(Month)


(Das)


(Year)


19 | HEREBY CERTIFY,


August 1,


42


19.


to


XXXXXXXXXXXXXXX19


I last saw her


alive on


August


....... , 1942


death Is sald to


have occurred on the date stated above, at.


1:30


A em.


Duration


Immediate cause of death


Bronchopneumonia


IMPORTANT


6 days


Due to


Due to.


Other conditions.


( Include pregnancy within 3 months of death)


Arteriosclerosis


Major findings :


Of operations


Date of


Of autopsy


What test confirmed diagnosis ?


None


20 Was disease of imury in any way related to oooupation of deceased ?...


If so, specify


OR(StandMAGMAN ...


28 WARHUNSTON AVENUE


AUG 1962


M. D.


WINTHROP, MASSACHUSETTS


21 Winthrop Winthrop.


DATE OF BURIAL


19


22 NAME OF


Richard. 16 Archite


ADDRESS


147 Winthrop St., Winthrop


Received and filed. AUG 1 1 1942


19


(Registrar)


100m (d)-1-41-4667


If deceased was a U. S. War Veteran, G. L. Chap. 46, Seotlon 10, requires physicians to Insert a recital to that effect. extracts from the laws on back of certificate. tc1119, 50 indt it may be properly classified. LAdet statement of VecerAften is very important. See instructions and PARENTS


KORTMars Physician


l'underline the cause to which death should be charged sta. tistically.


.19


l'lace of Burial, Cremation or Removal,


August


1942


City or Town)


Informant ( Address )


Registered No.


129.


PHYSICIAN - IMPORTANT


(Was deceased a


U. S. War Veteran,


if so specify WAR)


MEDICAL CERTIFICATE OF DEATH


That I attended deceased from


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 belief the name of the deceased, bis supposed age, the disease of which he died. defined as re- quired by section one. where same was contracted. the duration of his last illness, when last seen alive by the physician or officer and the date of his death ... Gen. Laws, Chap. 46, Sec. 9.


A physician or officer furnishing a certificate of death as required by the preceding section or by section forty-five of chapter one hundred and four- teen, shall, if the deceased, to the best of his knowledge and belief, served in the army, navy or marine corps of the I'nited 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 purposea. he deemed to have taken place hetwccn 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 ita agent appointed to issue such perinits, or if there is no such board, fromn 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 huried. No such permit shall be issued until there shall have been delivered to such board, agent or clerk, as the case inay 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. oi in lieu thereof a certificate as hercinafter 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 hoard of health, or employed by it or by the aelectmen for the purpose, shall upon application make the certificate re- quired of the attending physician. If death is caused by violence. the medi- cal examiner shall make such certificate. If such a permit for the removal of a human body, not previously interred, from one town to another within the commonwealth cannot be obtained carly 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 section 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 hren engaged. such recital shall appear upon the permit. The board of health, or its agent. upon receipt of such statement and certificate. shall forthwith counter ign it and transmit it to the clerk of the town for registration. The person to whom the permit is so given and the physician certifying the cause of death shall thereafter furnish for registration any other neces- sary information which can be obtained as to the deceased, or as to the manner or cause of the death, which the clerk or registrar may require .- Chap. 114. Sec. 45, G. L., (Tercentenary Edition).


No undertaker or other person shall bury a human body or the ashea thereof which have been brought into the commonwealth until he has re- ceived a perinit so to do From the board of health or its agent appointed to issue such permits, or if there is no such hoard, 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 liea and take charge of the same; ... - General Laws, Chap. 38, Scc. 6. .


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 deatha 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 pbysi- 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 ahortion, 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. As principal cause name the diaeaae cansing 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 home. For a woman whose only occupation was that of home housework. write bousework. 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


extracts from the laws on back of certificate.


100m (d)-1-41-4667 /


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 g


(Signature of Agent of Board of Health 'or other)


Health Officer 8/5/42


... (Official Designation) (Date of Issue of Permit)


18 DATE OF


DEATH


August


4


1942


(Jfonth )


(Day)


(Year)


5a If married, widowed, or divorced 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 AGE Crears


- Months


Months.


Days


If less than 1 day Hours. Minutes


Usual


9 Occupation :


4 Milady


Industry


10 or Business :


Paul Balon Co


11 Social Security No.


12 BIRTHPLACE (City)


(State or country)


Color Mix


13 NAME OF


FATHER


Chas Course


Major findings :


Of operations


Date of.


Of autopsy


What test confirmed diagnosis ?.


Underline the cause to which death should be charged sta- tistically.


20 Was disease or injury in any way related,to ocoupatlon of deceased ?........... If so, specify


(Signed).


(Address)


........


M. D.


1942.


Place of Burial, Cremation or Removal.


(City or Town)


DATE OF BURIAL


.....


22 NAME OF


FUNERAL DIRECTOR Mert OQuen 9 Jour


ADDRESS


Received and filed.


19


( Registrar)


If deceased was a U. S. War Veteran, G. L. Chap. 46, Section 10, requires physicians to insert a reoltal to that effeot. ( per. mr. O' Brien


BOSTON NOTIFIED SEP 9 1942


Suffolk County)


The Commontucalth 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.


140


WIty or Town) IFinchop Community Look. No. Elvis K. Connor


{ ( If death occurred in a hospital or institution, St. [ give its NAME instead of street and nuniber)


2 FULL NAME


(If deceased is a married, widowed or divorced woman, give also maiden name.) Trinity Court Chambers. Vertraut D


(a) Residence. No.


(Usual place of abode)


Length of stay : in hospital or institution ... (Before death ) (Specify' whether)


years


In this community 77


) yra.


mos.


days.


PERSONAL AND STATISTICAL PARTICULARS


MEDICAL CERTIFICATE OF DEATH


3 SEX


E. H nite


4 COLOR OF RACE


5 SINGLE


MARRIED


WIDOWED


DIVORCED


(write the word)


PARENTS


14 BIRTHPLACE OF


FATHER (City)


(State or country)


Boston Max


15 MAIDEN NAME


OF MOTHER


Elizabet Mall


16 BIRTHPLACE OF


MOTHER (City)


(State or country)


Boston Mass


17 Chas Informant .. (Address) 12 Fermale Ter


Cerebral Hemorrhage


12 hours


Due to


Due to.


Other conditions.


(Include pregnancy within 3 months of death)


IMPORTANT


Physician


Immediate cause of death


Duration IMPORTANT


have occurred on the date stated above, at .....


155


.


aug


I last saw her


allve on.


4 -


19.M .... , death is sald to


19 | HEREBY CERTIFY, That I attended deceased from August 4 (1549) 1942 to Mua 194/2


(Give maiden name of wife in full)


(If nonresident, give city of town and State) \


1 hr


months


+ days.


PHYSICIAN - IMPORTANT (Was deceased a N. S. War Veteran, if so specify WAR).


PLACE OF DEATH


1


21


EXTRACTS FROM THE LAWS OF THE COMMONWEALTH OF MASSACHUSETTS GOVERNING THE


RETURN OF CERTIFICATES OF DEATH


A physician or registered hospital medical officer shall forthwith, after the death of a person whom he has attended during his last illness, at the request of an undertaker or other authorized person or of any member of the family of the deceased, 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 bis last illness, when last seen alive by the physician or officer and the date of his death ... Gen, Laws, Chap. 46, Sec. 9.


A physician or officer furnishing a certificate of death as required by the preceding section or hy 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 bundred 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 huudred 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 tonib to another in the same cemetery, until he has received a permit fromn 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 bave been delivered to such board, agent or clerk, as the case may be, a satisfactory written statement containing the facts required by law to be returned and recorded, which shall be accompanied. in case of an original interment. by a satisfactory certificate of the attending physician, if any, as required by law, or in lieu thereof a certificate as hereinafter provided. If there is no attending physician, or if, for sufficient reasons, his certificate cannot be obtained early enough for the purpose, or is insufficient, a physi- cian who is a member of the board of health. or employed by it or by the selectmen for the purpose, shall upon application make the certificate re- quired of the attending physician. If death is caused by violence. the medi- cal examiner shall make such certificate. If such a permit for the removal of a human body. not previously interred, from one town to another within the commonwealth cannot be obtained early enough for the purpose, the certificate of death made as 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 section ten of chapter forty-six, tbat the deceased served in the army, navy or marine corps of the United Statea in any war in which it has been 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 is so given and the physician certifying the cause of death shall thereafter furnish for registration any other neces- sary information which can be obtained as to the deceased, or as to the manner or cause of the death, which the clerk or registrar may require .- Cbap. 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 iu 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 ia within bis county the body of such a person, he shall forthwith go to the place where the body lies and take charge of the same; ...- General Laws, Chap. 38, Sec. 6.


RULES OF PRACTICE


The fulfillment of the purpose of these lawa calls for the observance of the following rules of practice :


(1) Attending physiclans will certify to such deaths only as those of persons to whoin 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 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 by the action of chemical (drugs or poisons), thermal, or electrical agents, and deaths following abortion, but also deathis 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 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 .- 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 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, aa bousekeeper-private family, cook-hotel, etc. For a person wbo bad no occupation whatever write none.


SPACE FOR ADDITIONAL INFORMATION


R-301 A


1


Winthrop


494 Shirley Street


The Commontoralth of Massachusetts OFFICE OF THE SECRETARY DIVISION OF VITAL STATISTICS STANDARD CERTIFICATE OF DEATH


To be filed for burial permit with Board of Health or Its Agent.


141


[ { If death occurred in a hospital or Institution, St. \ give its NAME instead of street aud number)


2 FULL NAME


(If deceased is a married, widowed or divorced woman, give also maiden name.)


(a) Residence. No.


494 Shirley Street


St.


(If nonresident, give city or town and State)


Length of stay: In nosoltal nr Institution


(Before death)


(Specify whether)


years


months


days.


In this community


yrs.


60


mos.


days.


PERSONAL AND STATISTICAL PARTICULARS


3 SEX Male White


4 COLOR OR RACE


5 SINGLE


(write the word)


MARRIED


WIDOWED


.


or DIVORCEO Married


5a If married, widowed, or dent rude T Taylor


HUSBANO of


(Give maiden name of wife in full)


(or) WIFE of


( lushand's name in full)


5ろー


6 Age of husband or wife if alive years


7 IF STILLBORN. enter that fact here.


8


65


Years


8


Months


20 Days


If less than 1 day


Hours


Minutes


Usual


Fireman


(Retired)


Industry


Winthrop Fire Dept.


10 or Business :


None


11 Social Security No.


Chelsea


12 BIRTHPLACE (City)


(State or country)


Mass.


13 NAME OF


FATHER


Horace W Tewksbury


14 BIRTHPLACE OF


FATHER (City)


Winthrop


(State or country)


Mass.


15 MAIDEN NAME


OF MOTHER


Isabell Wheeler


16 BIRTHPLACE OF


MOTHER (City)


(State or country)


Mass.


Stoneham


17 Gertrude T Tewks bur Belation, tiffany


Informant ( Address) 494 Shirley St Winthrop Mass


I HEREBY CERTIFY that a satisfactory standard certificate of death was filed with me BEFORE/ the burial or transit permit was Issued : Ww. D. CNuldress


(Signature of Agent of Board off Health or other) 8/8/49


( Date of Issue of Permit)


MEDICAL CERTIFICATE OF DEATH


18 DATE OF


DEATH


August 6,


1942.


(Month )


(Day)


(Year)


to


19


19 | HEREBY CERTIFY,


That I attended deceased from


Feb.


40


August 6,


19


42


I last saw


h


alive on


im


August


4, 1942


death Is sald to


have occurred on the date stated above, at.


6: CC P.


m.


Immediate cause of death.


Respiratory failure


due to bulbar paralysis


Que to


Multiple Schlerosis


Que to


Other conditions.


(Include pregnancy within 3 months of death)


IMPORTANT


Major findings :


Of operations


Oate of


Of autopsy


What test confirmed diagnosis ?


20 Was disease or injury in any way related to occupation of deceased ? N.O ..


(Signed)


Robert K. Gordon


(Address)


Winthrop, Mass . Oate


8/7/1942.


21 Woodlawn Everett


l'lace of Burial, Cremation or Removal.


August


9


(City or Town)


OATE OF BURIAL


1942


22 NAME OF


FUNERAL DIRECTOR


Howard S Gumoles


ADDRESS


Received and filed.


2-51 II 20%


.19


(Registrar)


100m (d)-1-41-4667


If deceased was a U. S. War Veteran, G. L. Chap. 46, Section 10, requires physicians to insert a recital to that effect. extracts from the laws on back of certificate. terms, so that it may be properly classified. Exact statement of OCCUPATION is very important. Sce instructions and PARENTS


PLACE OF DEATH


Suffolk (County)


No.


Albertus Alden Tewksbury


PHYSICIAN - IMPORTANT


(Was deceased a


U. S. War Veteran,


if so specify WAR)


(Official Designation)


Duration IMPORTANT


3 da. 4 yrs.


Physician l'uderline the cause to which death should be charged sta- tistically.


M. D.


9 Occupation :


(Usual place of abode)


Registered No.


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 belief the name of the deceased, his supposed agc, the disease of which he died. defined as re- quired hy 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.




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