USA > Massachusetts > Suffolk County > Winthrop > Town of Winthrop : Record of Deaths 1942 > Part 48
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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 aud take charge of the same; ...- General Laws, Chap. 38, Sec. 6.
RULES OF PRACTICE
The fulfillment of the purpose of these laws calls for the observance of the following rules of practice :
(1) Attending physiclans will certify to auch 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 disahled 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 ia needed.
(3) Medioal 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 aepticemla), 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. As principal cause name the disease 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 1m- 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 honre housework, write housework. For a person engaged in domestic service for wages, however, designate the occupation by the appropriate terma, aa housekeeper-private family, cook-hotel, etc. For a person who had no occupation whatever write none.
SPACE FOR ADDITIONAL INFORMATION
M R-301
Suffoch (County)
The Commonwealth of Massachusetts OFFICE OF THE SECRETARY DIVISION OF VITAL STATISTICS STANDARD CERTIFICATE OF DEATH
(City or town making return)
Registered No
144.
fff death occurred in a hospital or institution,
give its NAME instead of street and number)
2 FULL NAME
William Pappas
(If deceased is a married, widowed 6 divorced woman, give also maiden name.)
15 Coral Avenue
St.
(Usual place of abode)
".ength of stay : In hospital or institution
(Specify whether)
Hospital
years
months
days.
In this community P yrs.
mos.
days.
4 hrs.
PERSONAL AND STATISTICAL PARTICULARS
5 SINGLE
MARRIED
WIDOWED
or DIVORCED
manuel
Sa If married, widowed a diretoria Kaleris HUSBAND of (Give maiden name of wife in full)
6 Age of husband or wife if alive 38 Years
If less than 1 day
Hours
.Minutes
11 Social Security No .......
023-05-8390
Greece
13 NAME OF
FATHER
John Pappas
15 MAIDEN NAME
OF MOTHER
angelina Vlachos
17 anastasia Papper Relation, if any
... ).
I HEREBY CERTIFY that a satisfactory standard certificate of death was filed with me BEFORE the burial or transit permit was issued: Www. 2. Chil dress»
(Signature of Agent of Board of Health or other) / Le alta Officier 8/11/42 (Official Designation) (Date of Issue of Permit)
MEDICAL CERTIFICATE OF DEATH
(write the word)
DEATH
18 DATE OF
august
11
1942
(Month)
(Day)
(Year)
19 | HEREBY CERTIFY. That I attended, deceased from
15
42
Guest 11
1942
19.
to .....
Mast saw h ........... alive on
Chigust /1, 19 42, death is said
Duration
to have occurred on the date stated above, at 1/7.m.
Immediate cause of death ...
Carcinoma
of mouth
+ neck
Due Massive hemantail ...
from singular wenn v neck
Due toy ..
(right) 5 hrs.
Becer at concinonation
Other conditions
none
(Include pregnancy within 3 months of death)
Major findings :
Of operations
Lancer of vede
...
Date of Jan 1942
Of autopsy
nene
What test confirmed diagnosis ? clinical ...
........
PHYSICIAN
Underline the cause to which death should be charged sta- tistically.
20 Was disease or lojory lo any way related to occupation of deceased ?
If so, specify
Jacob Abrams/1.0
M. D.
(Signed) ....
562 Silent Date 0/11/19/2
(Address):
21 Mit Hopebut hop Bading. Place of Burial, Cremation or Removal. (City or Town)
DATE OF BURIAL. ..... 19. 5 2
22 NAME OF
FUNERAL DIRECTOR
ADDRESS
1654 WashingtonSt
Received and filed
A TRUE COPY ATTEST: 21 ...
(Registrar)
8mos.
.....
Informant .. (Address) Is comp and unillons
1 (City or Town) No PLACE OF DEATH (a) Residence. No .... per hospital 3 SEX male 4 COLOR OR RACE white (or) WIFE of (Husband's name in full) 7 IF STILLBORN, enter that fact here. 8 AGE 50 Years Months. Days Usual 9 Occupation: Manager 12 BIRTHPLACE (City) (State or country) 14 BIRTHPLACE OF FATHER (City) .... (State or country) 16 BIRTHPLACE OF MOTHER (City) (State or country) CAUSE OF DEATH in plain terms, so that it may be properly classified. Exact statement of OCCUPATION Industry information should be carefully supplied. AGE should be stated EXACTLY. PHYSICIANS should state is very important. See instructions and extracts from the laws on back of certificate. PARENTS N. B .- WRITE PLAINLY, WITH UNFADING BLACK INK-THIS IS A PERMANENT RECORD. Every item of 10 or Business: Restaurant 200m-10-'39. No. 8427-d
(If U. S. War Veteran. specify WAR)
(If nonresident, give city or town and state)
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 lias attended during his last illness, at the request of an undertaker or other authorlzed person or of any member of the family of the deceased, furnish for regis- tration a standard certificate of death, stating to the best of his knowledge and belief the name of the deceased, his supposed age, the disease of which he died, defined as required by section one, where same was contracted, the duration of his last illness, when last seen alive by the physician or officer and the date of his death ... Gen. Laws, Chap. 46, Scc. 9.
No undertaker or other person shall bury or otherwise dispose of a human body in a town, or remove therefrom a human body which has not been buried, until he has received a permit from the board of health or its agent appointed to issue such permits, or if there is no such board, from the clerk of the town where the person died ; and no undertaker or other person shall exhume a human body and remove it from a town, from one cemetery to another, or from one grave or tomb other than the receiving tomb to another in the same cemetery, until he has received a permit from the board of health or its agent aforesaid or from the clerk of the town where the body is buried. No such permit shall be issued until there shall have been de- livered to such board, agent or clerk, as the case may be, a satisfac- tory written statement containing the facts required by law to be returned and recorded, which shall be accompanied, in case of an original interment, by a satisfactory certificate of the attending physician, if any, as required by law, or in lieu thereof a certificate as hereinafter provided. If there is no attending physician, or if, for sufficient reasons, his certificate cannot be obtained early enough for the purpose, or is insufficient, a physician who is a member of the board of health, or employed by it or by the selectmen for the pur- pose, shall upon application make the certificate required of the at- tending physician. If death is caused by violence, the medical exam- iner shall make such certificate. If such a permit for the removal of a human body, not previously interred. from onc 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 a removal shall constitute a permit for such removal ; provided, that such body sball 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, that the deceased served in the army, navy or marine corps of the United States in any war in which it has been engaged, such recital shall appear upon the permit. The board of health, or its agent, upon receipt of such statement and certificate, shall forthwith countersign it and transmit it to the clerk of the town for registration. The person to whom the permit is so given and the physician certifying the cause of death shall thereafter fur- nish for registration any other necessary information which can be
obtained as to the deceased, or as to the manner or cause of the death, which the clerk or registrar may require .- Chap. 114, Sco. 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 perinlt so to do from the board of health or Its agent appointed to issue snch permits, or if there is no such board, from the clerk of the town where the body is to be buried or the funeral is to be held, or from a person appointed to have the care of the cemetery or burlal ground In which the interment is made .... Chap. 114, Sec. 46, G. L., (Tercentenary Edition.)
RULES OF PRACTICE
The fulfillment of the purpose of these laws calls for the observ- auce of the following rules of practice :
(1) Attending physicians will certify to such deaths only as those of persons to whom they have given bedside care during a last ill- ness from discase unrelated to any form of injury.
(2) Board of ilealth physicians will certify to such deaths only as those of persons who, though disabled by recognized disease un- related to any form of injury, have died without recent medical attendance or whose physician is absent from home when the certificate of death is needed.
(3) Medical Examiners will investigate and certify to all deaths supposably due to injury. These include not only deaths caused directly or indirectly by traumatism (including resulting septice- inia), and by the action of chemical (drugs or poisons), thermal, or electrical agents, and deaths following abortion, but also deaths from disease resulting from injury or infection related to occupa- tion, the sudden deaths of persons not disabled by recognized disease, and those of persons found dead.
Statement of Cause of Death .- Cause of death means the disease, or complication which causes death, not the mode of dying, e. g., heart fallure, asphyxia, asthenia, etc. As principal cause name the disease causing death. As related causes, name earlier morbid con- ditions, if any, related to the principal cause and any important complication of the principal causc.
Statement of Occupation .- Precise statement of occupation is very important, so that the relative healthfulness of various pursuits can be known. Make some entry in this section for every person aged 10 years or over. If the occupation had been given up or changed on account of the disease causing death, report the usual occupation prior to illness. If the deceased had retired from busi- ness, report the usual occupation prior to retirement. Children not gainfully employed may be returned as at school or at home. For a woman whose only occupation was that of home housework, write housework :. For a person engaged in domestic service for wages, however, designate the occupation by the appropriate terms, as housekeeper-private family, cook-hotel, etc. For a person who had no occupation whatever write none.
SPACE FOR ADDITIONAL INFORMATION
R-301 A
Suffolk (County)
'inthron
(City or Town) 23 Court Road
The Commonturalth 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.
145.
¿ f (If death occurred in a hospital or Institution, St. { give ita NAME instead of street and number)
2 FULL NAME
(If deceased is a married, widowed or divorced woman, give also maiden name.)
(a) Residence.
No.
2. Court Road
St.
(If nonresident, give city or town and State)
Length of stay: In hospital or Institution.
(Before death )
(Specify whether)
years
months
days.
In this community
40
yr8.
mos.
days.
PERSONAL AND STATISTICAL PARTICULARS
3 SEX Male
4 COLOR OR RACE|
/hite
5 SINGLE
(write the word)
Married
MARRIED
WIDOWED
or DIVORCED
5a If married, widowed, or divorced
HUSBAND of
Metriette Fodbold
(or) WIFE of
(Ilusband's name in full)
6 Age of husband or wife if alive
years
7 IF STILLBORN, enter that fact here.
8
AGE
6.6 Years
10
Months
23
Days
If less
than 1 day
Hours
Minutes
Usual
9 Occupation:
accountant
10 or Business!
Industry
Real Estate & Trust Co
11 Social Security No ..
031-01-1225
Hyde Park
12 BIRTHPLACE (City)
( State or country )
Massachusetts
13 NAME OF
FATHER
Frederick Jenks Thinple
PARENTS
14 BIRTHPLACE OF
FATHER (City)
Boston
(State or country)
Massachusetts
15 MAIDEN NAME
Lucinda Du Bois
OF MOTHER
16 BIRTHPLACE OF
Utica Falls
MOTHER (City)
(State or country)
Ilevr Yorl-
21
roodlawn Cemetery
Verett
DATE OF BURIAL
august
15.
(City of Town)
19
22 NAME OF
FUNERAL DIRECTOR
Charles R. Bennison
ADDRESS
Jin.t.h.r.o.n .......... co
Received and filed ........
19
( Registrar)
100m (d) -1-41-4667
I HEREBY CERTIFY that a satisfactory standard certificate of death was filed with me BEFORE the buffal or transit permit was issued:
(Signature of Agent of Board of Hleah! or other) Health Officer 8/14/42
7(Official Designation) (Date of Issue of Permity
18 DATE OF
DEATH
(Month)
(Day)
(Year)
19 | HEREBY CERTIFY.
That I attended deceased from
19 .......
to
19
I last saw h
allve on
19
death Is said to
have occurred on the date stated above, at.
apps. 6:30A
Immediate cause of death.
Pulmonary Embolism
MPORTANT
..........
16 mes
Due to.
cystitis prostatic
Due to.
Chronic Cystitis+ Prostatic
inflamation
Other conditions.
(Include pregnancy within 3 months of death)
Major findings :
Of operations.
Hypertrophy of Prostaty & Calculé
+ Ch. Cystitis
Date of Man 31/41
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 to occupation of deceased ?... 30
If so, specify.
Bichne Metralf
(Signed)
M. D.
(Address)
148 Winthrop & Withop Date aug 13 1942
In Wenthook B
Place of Burial, Cremation or Removal.
17
Informantamette hinter
(Address) 25 Court Road
Relation, if any
extracts from the laws on back of certificate. terms, so that it may be properly classified. Exact statement of OCCUPATION is very important. See instructions and If deceased was a U. S. War Veteran, G. L. Chap. 46, Section 10, requires physiolans to insert a reoital to that effeot.
1
PLACE OF DEATH
No.
James Aldrich hin le
PHYSICIAN - IMPORTANT (Was deceased a U. S. War Veteran, If so speolfy WAR)
(Usual place of abode)
MEDICAL CERTIFICATE OF DEATH
13
1942
.
(Give maiden name of wife in full)
67
Duration
m.
17mest
IMPORTANT Physician
Registered No.
EXTRACTS FROM THE LAWS OF THE COMMONWEALTH OF MASSACHUSETTS GOVERNING THE
RETURN OF CERTIFICATES OF DEATH
A physiolan or registared hospital medioal officar 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, furnisb 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 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 ariny, 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, sucb physician or offieer 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 humIred 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 aud 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 healthi, 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 hody is buried. No such permit shall he issued until there shall have been delivered to such hoard, agent or clerk, as the case may be, 8 satisfactory written statement containing the faets required by law to be returned and recorded, which shaH 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 cannut 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 inake the certificate re- quired of the attending physician. If death is caused by violence, the medi. cal examiner shall make sucb certificate. If such a permit for the removal of a human hudly, 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 coustitute a permit for auch 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 perinit in the usual form for the removal of such body has been sooner obtained hereunder. If the death certificate contains a reeital, as required
by section ten of chapter forty-six, that the deceased aerved in the army, navy or marine corps of the United States in any war iu which it has been engaged, such recital shall appear upon the permit. The board of health, or its agent, upon receipt of sucb 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 tbe 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 fromn 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 inake examination upon the view of the dead bodies of only such persons as are supposed to have died by vloleuce. If a medical examiner has notice that there is within his county the body of such a person, he shall fortbwith 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 theae 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 whoin they have given bedside care during & laat illness from disease uurelated to any form of injury.
(2) Board of Health physlolans 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 pbyal- 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 deathis from disease rasulting from Injury or infection related to occupation, the sudden deaths of persons not disablad by recognized disease, and those of persons found dead.
Statement of Causa 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 tu 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 wornan whose only occupation was that of honie bousework, write housework. For a person engaged in domestic service for wages, however, designate the occupation by the appropriate terms, as housekeeper-private family. cook-hotel, etc. For a person who had no occupation whatever write none.
SPACE FOR ADDITIONAL INFORMATION
R-301 A
Su foll
(County)
Winthrop.
(City or Town)
No.
24 Underhill st
The Commonforalth 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.
$ (If death occurred In a hospital or Institution, St [ give its NAME instead of street and number)
2 FULL NAME
Anna E. Quinlan Haley
(If deceased is a married, widowed or divorced woman, give also maiden name.)
24 Underhill St
St.
( If nonresident, give city or town and State)
Length of stay: In hospital or Institution ..
( Before death)
(Specify whether)
years
months
days.
In this community
yrs.
mos.
days.
PERSONAL AND STATISTICAL PARTICULARS
3 SEX
4 COLOR OR RACE|
5 SINGLE
(write the word)
MARRIED
WIDOWED
or DIVORCEDTried
()fonth)
(Day)
1942
(Year)
19 1 HEREBY CERTIFY,
19.
40
to
at I attended deceased from
Cung 16
19
(or) WIFE of
Josebilem
(Husband's name in full)
50
years
6 Age of husband or wife if alive
7 IF STILLBORN, enter that fact here.
AGET
Years
1
Months
5
Days
If less than 1 day
Hours
Minutes
Usual
9 Occupation :
housent to
Industry
10 or Business :
Qu .... Home
11 Social Security No ..
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