USA > Massachusetts > Suffolk County > Winthrop > Town of Winthrop : Record of Deaths 1943 > Part 101
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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 husi- ness, report the usual occupation prior to retirement. Children not gainfully employed may he 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
M R-302
PLACE OF DEATH r
SUFFOLK BOSTON
(City or Town)
Hotel Statler
The Commonwealth of Massachusetts OFFICE OF THE SECRETARY DIVISION OF VITAL STATISTICS COPY OF CERTIFICATE OF DEATH
BOSTON
(City or town making return).
Registered No.
11525
S (If death occurred in a hospital or institution, ( give its NAME instead of street and number)
2 FULL NAME
(If deceased is a married, widowed or divorced woman, give also maiden name.)
(If U. S.
War Veteran,
specify WAR)
(a) Residence. No.
(Usual place of ahode)
103 Bay View Ave.
St.
Winthrop Mass.
(If nonresident, give city or town and State)
Length of stay: In hospital or institution.
(Before death)
(Specify whether)
years
6 months
days.
In this community
yrs.
mos.
days.
PERSONAL AND STATISTICAL PARTICULARS
MEDICAL CERTIFICATE OF DEATH
3 SEX
M
4 COLOR OR RACE
W
5 SINGLE
MARRIED
WIDOWED
or DIVORCED
(write the word)
Married
5a If married, widowed, or divorced HUSBAND of
Annie Neilson
(Give maiden name of wife in full)
(or) WIFE of
(Hushand's naine in full)
60
6 Age of husband or wife if alive years
7 IF STILLBORN, enter that fact here.
8
AGE .... 61 Years
2
Months
15
Days
If less than 1 day Hours. Minutes
Usual
9 Oocupation :
Steel Engraver
Industry
10 or Business :
Il Social Security No.
12 BIRTHPLACE (City)
(State or country)
Norway
13 NAME OF
FATHER
14 BIRTHPLACE OF
FATHER (City)
(State or country)
Norway
15 MAIDEN NAME
OF MOTHER
16 BIRTHPLACE OF
MOTHER (City)
(State or country)
Denmark
17
Informant
H. J. Lovett
( Address)
A TRUE COPY.
ATTEST :
Francis
(Registrar of city or town where death occurred)
DATE FILED
Dec .... 21/43
19
18 DATE OF
DEATH
December
16
1943
(Month)
(Day)
(Year)
19 | HEREBY CERTIFY,
Dec. 6/43
19
That I attended deceased from
to.
Dec. 7/43
19
I last saw h ..... im ..... alive on
Dec. 7/43
19
....... , death is said to
have occurred on the date stated above, at ? Found Dead
Duration
Immediate cause of death. Acute endocarditis and
myocarditis
Due to
Over exertion - weather
Due to
Pityrinsis Rosae
Other conditions.
(Include pregnancy within 3 months of death)
Physician
Major findings :
none
Of operations
Date of
Of autopsy
none
What test confirmed diagnosis?
20 Was disease or Injury in any way related to ocoupatlon of deceased ?.
If so, specify.
(Signed)
W. H.
Grant
(Address)
Baston ..... Mas.s ....
Date
12/16
"43.
19
21 PLACE OF BURIAL,Winthrop Cem - Winthrop, Mass.
CREMATION OR REMOVAL
DATE OF BURIAL
(City or Town)
(Cemetery)
De.c . 20/43
19
22 NAME OF
J.S.Waterman % Sons
FUNERAL DIRECTOR
ADDRESS
Boston 'ass.
Received and filed
JAN 1-1-1944
19
(Registrar of City or Town where deceased resided)
60m (e) -1-41-4667
resided in another city or town at the time of death should be made forthwith and transmitted on Form R-302 to the clerk of the city or town in which the deceased resided. (See Chap. 46, Sec. 12, G. L.)
1
No.
St.
Hjalmar Johnsen
PARENTS
Relation, if any
( son-in-law)
Underline the cause to which death should be charged ata- tistically.
PLACE OF DEATH -
SUFFOLK (County) BOSTON
(City or Town)
Boston City Hospital
OFFICE OF THE SECRETARY COPY OF MEDICAL EXAMINER'S CERTIFICATE OF DEATH
HOSTUN
(City or town making return)
288
Registered No.
11770
(If death occurred in a hospital or institution, St. give its NAME instead of street and number)
2 FULL NAME
(If deceased is a married, widowed or divorced woman, give also maiden name.)
51 Somerset Ave.
St.
(If nonresident, give city or town and State)
Length of stay : In hospital or Institution.
(Before death)
years
months
days.
In this community
yrs.
mos.
days.
PERSONAL AND STATISTICAL PARTICULARS
3 SEX F
4 COLOR OR RACE
W
5 SINGLE
(write the word)
MARRIED
WIDOWED
or DIVORCED
Widowed
5a if married, widowed, or divorced HUSBAND of
(Give maiden name of wife in full)
(or) WIFE of William Burroughs ..
(Husband's name in full)
6 Age of husband or wife If alive years
7 IF STILLBORN, enter that fact here.
8
AGE
69
Years.
Months.
Days
If less than 1 day
Hours
Minutes
Usual
9 Occupation :
At home
Industry
10 or Business :
11 Social Security No.
12 BIRTHPLACE (City)
(State or country)
East Boston, Mass.
13 NAME OF
FATHER
William Dearing
14 BIRTHPLACE OF
FATHER (City)
(State or country)
England
15 MAIDEN NAME
OF MOTHER
Anna DeLacy
16 BIRTHPLACE OF
MOTHER (City)
(State or country)
England
17
B.
Griffin
Relation, if any
(.daughter ....
.. )
Informant
(Address)
A TRUE COPY.
Francis × 4am
ATTEST :
(Registrar of city or town (where death occurred)
DATE FILED Dec. 27/43 19
MEDICAL CERTIFICATE OF DEATH
18 DATE OF
DEATH
Dec.
24
1943
(Month)
(Day)
(Year)
19 | HEREBY CERTIFY that I have Investigated the death of the person above-named and that the CAUSE AND MANNER thereof are as follows: (If an injury was involved, state fully.) Subdural ... hematoma
20 Accident, suloide, or homloide
(specify) ..........
accident
Date of ooourrenoe.
Nov. 3/43
19
Where did
Injury oocur?
Boston
(City or town and State)
Did Injury occur in or about the home, on farm, In Industrial place, or In
publlo place?
At home
(Specify type of place)
Injury
Fell down stairs
Nature of
Head injury
Injury
While at work?
Was there an autopsy?
no
21 Was disease or Injury In any way related to oooupation of deceased ? .. no
If so, speolfy
(Signed)
A. R. Moritz
M. D.
(Address) 25 .... Shattuck St.
Date
12/29 1943
22
Winthrop Cem - Winthrop, T'ass.
Place of Burial, Cremation or Removal.
(City or Town)
DATE OF BURIAL
Dec. 27/13
19
23 NAME OF
FUNERAL DIRECTOR
V ... kirby
ADDRESS
Winthrop .Lass.
Received and filed 19
L.A.L ... 1.1.10
(Registrar of City or Town where deccased resided)
=
=
occurred. (See Chap. 46, Sec. 12, G. L.) of the city of towir in Which ure deceased resided as soon as possible after the close of the month in which we deatu PARENTS
25m (h)-1-41-4667
No.
Katherine M. Burroughs
(If U. S.
War Veteran,
speolfy WAR)
Winthrop,
Mass.
(a) Residenoe.
No.
(Usual place of abode)
(Specify whether)
1
Manner of
M R-302
\ SUFFOLK
The Commontucalth of Massachusetts OFFICE OF THE SECRETARY DIVISION OF VITAL STATISTICS COPY OF CERTIFICATE OF DEATH
ROSTOR
(City or town making return) 289 11799
Registered No.
5
(If death occurred in a hospital or institution,
( give its NAME instead of street and number)
Jacob Loew
2 FULL NAME
(If deceased is a married, widowed or divorced woman, give also maiden name.)
(If U. S.
War Veteran,
specify WAR)
(a) Residenoe. No.
(Usual place of abode)
14 Wave Way Ave.
St.
(If nonresident, give city or town and State)
Length of stay : In hospital or Institution.
(Before death)
(Specify whether)
years
1
months
days.
In this community
yra.
mos.
days.
PERSONAL AND STATISTICAL PARTICULARS
3 SEX
M
4 COLOR OR RACE|
5 SINGLE
(write the word)
MARRIED
WIDOWED Married
or DIVORCED
5a If married, widowed, or divorceGertrude Leibler
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 3.8
years
7 IF STILLBORN, enter that fact here.
AGE
8
37
Years
Months
Days
If less than 1 day Hours. Minutes
Usual
9 Ocoupation :
Motion Pictures Operator
Industry 10 or Business :
Il Social Security No ..
12 BIRTHPLACE (City)
(State or country)
Rumania
Other conditions.
(Include pregnancy within 3 months of death)
Physician
Major findings :Bleeding peptic ulcers
Of operations
Date of
12/10/43
Of autopsy
Perforated duodenal stump
What test confirmed diagnosis ?
20 Was disease or injury In any way related to oooupation of deceased ?...
... no
If so, specify
(Signed) ..
B.Moorstein
M. D.
(Address)
B. I. Hosp
Date
12/219 43
Lass.
21 PLACE OF BURIAL, Adath-Jeshurun-Boston,
CREMATION OR REMOVAL.
(Cemetery)
(City or Town)
DATE OF BURIAL
Dec ..
26/43
19
A TRUE COPY.
ATTEST :
Cyrancis
(Registrar of city or town where death occurred)
DATE FILED
Dec ...... 2.8 ...... 19 43
MEDICAL CERTIFICATE OF DEATH
18 DATE OF
DEATH
De c.
24
1943
(Month)
(Day)
(Year)
19 | HEREBY CERTIFY,
Dec ....... 10. 4.3, 19
to ..
Dec. 24/43
19
That I attended deceased from
I last saw h.
im .... alive on
Dec. 24
1943
death Is sald to
have occurred on the date stated above, at.
10.10
P
.m.
Duration
Immediate cause of death.
Acute pulmonary
edema ... and .... pneumonia .... with
peritonitis
7 days
Due to.
Perforated duodenal stump
Due to.
post-gastrectomy
13 NAME OF
FATHER
Harry Loew
PARENTS
14 BIRTHPLACE OF
FATHER (City)
(State or country)
Rumania
15 MAIDEN NAME
OF MOTHER
Sarah Dynes
16 BIRTHPLACE OF
MOTHER (City)
(State or country)
Runenia
17
Informant
E. M. Loew
Relation, if any
(Brother
50m (e)-1-41-4667
resided in another city or town at the time of death should be made forthwith and transmitted on Form R-302 to the clerk of the city or town in which the deceased resided. (See Chap. 46, Sec. 12, G. L.)
PLACE OF DEATH
(County)
1
1
(City or Town)
No.
Beth Israel Hospital
St.
22 NAME OF
FUNERAL DIRECTOR
H. Levine
ADDRESS
Boston Mass.
Reoelved and filed
TAN-13-1944
1.9
( Registrar of City or Town where deceased resided)
Underline the cause to which death should be charged sta- tistically.
(Address)
Winthrop,
Mass.
M R-302
1
PLACE OF DEATH
Essex (County) Danvers
(City or Town)
The Commonwealth of Massachusetts OFFICE OF THE SECRETARY DIVISION OF VITAL STATISTICS COPY OF CERTIFICATE OF DEATH
Danvers (City or town making return)
Registered No.
290
(If death occurred in a hospital or institution, Danvers State Hospital, Hathorne, Mass No.
give its NAME instead of street and number)
2 FULL NAME ..
Emma F. Coates (Jones)
(If deceased is a married, widowed or divorced woman, give also maiden namc.)
(a) Residence. No.
143 .... Pleasant.
(Usual place of abode)
St.
Winthrop Mass
(If nonresident, give city or town and State)
Length of stay: In hospital or Institution
(Before death)
(Specify whether)
years 1 months 8 days.
In this community
yrs.
mos.
days.
PERSONAL AND STATISTICAL PARTICULARS
MEDICAL CERTIFICATE OF DEATH
18 DATE OF
DEATH
D.e.c.
25
1.9.43
(Month)
(Day)
That I attended deceased from
19 | HEREBY CERTIFY,
Nov. 17
43
Dec. 25
19
19
to
1 last saw h ............ alive on
Dec ..
25 .......... ,
1943., death Is said to
have occurred on the date stated above, at.
Duration
.8 .:. 3.5 ..... p .... m.
Immediate cause of death Chronic Myocarditis
5yrs.
Generalized arteriosclerosis
5 yrs.
Due to.
Due to.
Other conditions
(Include pregnancy within 3 months of death)
Physician
Major findIngs:
Of operations
Underline the cause to
which death
Date of
should be
charged sta-
tistically.
What test confirmed diagnosis
clinical
20 Was disease or Injury In any way related to ocoupatlon of deceased ? If so, speolfy. (SignedPasquale Buonicsonto M. D. (Address) Ha.t.horne., .... Mas.S ... Date.12/319 43
21 PLACE OF BURIA Cambridge Cemetery, Cam- CREMATION OR REMOVAL. bridge., .... Mass.
DATE OF BURIAL
Deč ...
27
19
22 NAME OF
FUNERAL DIRECTOR Bennison .... Fun ........... H .... m.e , ...... Inc
ADDRESS
Winthrop Mass
19
Received and filed
JAN 23 2017
(Registrar of City or Town where deceased resided)
60m (e)-1-41-4667
3 SEX
4 COLOR OR RACE|
female
white
5a If married, widowed, or divorced
HUSBAND of
7 IF STILLBORN, enter that fact here.
Years
8
AGE .. 8.6
Months.
Days
Usual
9 Occupation :
at home
Industry
10 or Business:
Il Social Security No ..
none
12 BIRTHPLACE (City) Townsend
(State or country)
Mass.
13 NAME OF
FATHER
Francis Jones
14 BIRTHPLACE OF
FATHER (City) Townsend
PARENTS
of the city or town in which the deceased resided. (See Chap. 46, Sec. 12, G. L.)
topics of łętuttis of deathis iętorucu during the previous głoadł which bectired In your City or towir in case the deceased
(State or country)
Mass.
resided in another city or town at the time of death should be made forthwith and transmitted on Form R-302 to the clerk
5 SINGLE
(write the word)
MARRIED
WIDOWED
or DIVORCED marr.
(or) WIFE of
Edwardve paidc Cou tese
in full)
(Husband's name in full)
6 Age of husband or wife if alivcannot ..... be .... learned years
If less than 1 day
Hours.
Minutes
16 BIRTHPLACE OF
MOTHER (City)
(State or country)cannot be learned
Relation, if any
17 InformanMary K. McPhillips (Address)Hathorne, Mass.
A TRUE COPY. ATTEST : (Registrar of city or town where death occurred)
DATE FILED
Jan. 4
19
44
(If U. S.
War Veteran,
specify WAR)
(Year)
43
Of autopsy
15 MAIDEN NAME
OF MOTHER
Eliza Frederick
(Cemetery
(City or Town
43
M R-302
SUFFOLK
The Commonturalth of Massachusetts OFFICE OF THE SECRETARY DIVISION OF VITAL STATISTICS COPY OF CERTIFICATE OF DEATH
ROSTON
(City or town making return)
Registered No.
119511
(If death occurred in a hospital or institution,
St.
give its NAME instead of street and number)
2 FULL NAME
Alice Gillon
(If deceased is a married, widowed or divorced woman, give also maiden name.)
(a) Residenoe. No.
154 Lincoln St.
St.
Winthrop
Mass
(If nonresident, give city or town and State)
Length of stay: In hospital or Institution ..
(Before death)
(Specify whether)
years
months
1 days.
in this community 30 yrs.
mos.
days.
PERSONAL AND STATISTICAL PARTICULARS
MEDICAL CERTIFICATE OF DEATH
18 DATE OF
DEATH
Dec.
28
(Month)
(Day)
(Year)
19 | HEREBY CERTIFY,
That I attended deceased from
Dec ..
17/43
19
to
Tec. 28/43
19
1 last saw her
alive on.
...
Dec .
28/43
19
death Is sald to
have occurred on the date stated above, at.
5.05
m.
Duration
Immediate cause of death. Arteriosclerotic heart disease
Due to.
Heart and kidney disease
11 days
Due to.
Uremia
Other conditions.
(Include pregnancy within 3 months of death)
Physician
Major findings :
Of operations.
Date of
Underline the cause to which death should be charged sta- tistically.
Of autopsy
What test confirmed diagnosis ?.
no
20 Was disease or Injury In any way related to oooupation of deceased?
If so, specify.
.T. T. O'Connell
(Signed)
(Address)
St. Eliz. Hosp.
Dato
12/28
.. ,
M. D.
43
19.
21 PLACE OF BURIAL, winthrop Cem winthrop Lass
CREMATION OR REMOVAL.
(Cemetery)
(City or Town)
19
22 NAME OF
FUNERAL DIRECTOR
J. F. O'laley
ADDRESS
inthro ass
Received and filed. 19
(Registrar of City or Town where deceased resided)
50m (e)-1-41-460 % Correct
,
(Usual place of abode)
3 SEX
4 COLOR OR RACE|
W
F
5a If married, widowed, or divorced
HUSBAND of
6 Age of husband or wife if alive
7 IF STILLBORN, enter that fact here.
Usual
9 Ocoupation :
Housework
Il Social Security No.
none.
nicholas
14 BIRTHPLACE OF
FATHER (City)
(State or country)
16 BIRTHPLACE OF
PARENTS
MOTHER (City)
(State or country)
17
Informant ..
(Address)
resided in another city or town at the time of death should be made forthwith and transmitted on Form R-302 to the clerk
of the city or town in which the deceased resided. (See Chap. 46, Sec. 12, G. L.)
Copies of returns of deaths recorded during the previous month which occurred in your city or town in case the deceased
Industry
10 or Business :
own home
5 SINGLE
MARRIED
WIDOWED Married
or DIVORCED
(write the werd)
(Give maiden name of wife in full)
(or) WIFE of
Thomas
(Husband's name in full)
66
years
8 AGE .. 6.6. .... Years Months. Days
If less than 1 day
Hours
.Minutes
Housewife
12 BIRTHPLACE (City)
(State or country)
Gloucester, Lass.
13 NAME OF
FATHER
JeGA Harren
Halifax, n.S
Nova Scotia-
15 MAIDEN NAME
OF MOTHER
Bridget Kimmory-
Kinnery
A TRUE COPY.
Francis
1
1
ATTEST :
(Registrar of city or town where death occurred)
DATE FILED Iec. 30/43 19
St. Elizabeth's Hospital 3º1.
No.
r
PLACE OF DEATH
duplicate file)
1
(City or Town)
Thomade Sillon
Ireland
Relation, if any husband.) DATE OF BURIAL
Dec. 30/43
Dep. #
(If U. S.
War Veteran,
specify WAR)
1943
RM R-302
2 FULL NAME
3 SEX
F
(or) WIFE of
8
AGE
9 Oooupation :
Industry
10 or Business :
PARENTS
17
Informant
( Address)
of the city or town in which the deceased resided. (See Chap. 46, Sec. 12, G. L.)
resided in another city or town at the time of death should be made forthwith and transmitted on Form R-302 to the clerk
Copies of returns of deaths recorded during the previous month which occurred in your city or town in case the deceased
Il Social Security No.
4 COLOR OR RACE|
W
5 SINGLE
(write the word)
MARRIED
WIDOWED
or DIVORCED
U
ingle
5a If married, widowed, or divorced
HUSBAND of
(Give maiden name of wife in full)
(Husband's name in full)
6 Age of husband or wife if alive years
7 IF STILLBORN, enter that fact here.
6
Years6
Months.
Days
If less than 1 day
Hours.
Minutes
Usual
Student
12 BIRTHPLACE (City)
(State or country)
East Boston, Mass.
13 NAME OF
FATHER
Simon Vincent
14 BIRTHPLACE OF
FATHER (City)
(State or country) East Boston, Mass.
15 MAIDEN NAME
OF MOTHER
Theresa Hoey
16 BIRTHPLACE OF
MOTHER (City)
(State or country)
East Boston, Mass.
Relation, if any ( Father
A TRUE COPY.
ATTEST :
(Registrar of city or town where death occurred)
DATE FILED
Jan 3/44
19
MEDICAL CERTIFICATE OF DEATH
18 DATE OF
DEATH
Dec
29
1943
(Month)
(Day)
(Year)
19 | HEREBY CERTIFY,
Dec 23 /4319
to
Dec 29/43
19
That I attended deceased from
I last saw h.@ ........... alive on.
Dec. 29/43
19 ..
.. , death is sald to
have occurred on the date stated above, at ...........
.8.50
8.m.
Duration
Immediate cause of death
Glomerulonephritis
2 wks
Due to.
Due to ... chicken pox
5 days
Other conditions.
Streptococcal sinusitis
VKS
Physician
(Include pregnancy within 3 months of death)
Major findings :
Of operations ..
Date of
Underline the cause to which death should be charged ata-
tistically.
What test confirmed diagnosis? clinical tests
20 Was disease or Injury in any way related to occupation of deceased ?.
no
If so, speolfy
(Signed)
Berenberg
M. D.
(Address)
Boston, l'ass.
Date
12/29 13
21 PLACE OF BURIAL, inthrop Cem - Winthrop, Mass
CREMATION OR REMOVAL.
(Cemetery)
(City or Town)
DATE OF BURIAL
Dec 31/43
19
22 NAME OF
FUNERAL DIRECTOR
F. J. Marrath
ADDRESS
oston, Lass.
Received and filed JAN 11 1914
19
(Registrar of City or Town where deceased resided)
50m (e)-1-41-4667
PLACE OF DEATH
SUFFOLK SCOUTESTON
The Commonwealth of Massachusetts OFFICE OF THE SECRETARY DIVISION OF VITAL STATISTICS COPY OF CERTIFICATE OF DEATH
(City or town making return) 292
Registered No.
12096
(City or Town)
No.
The Children's Hospital
S
( If death occurred in a hospital or institution,
St.
{ give its NAME instead of street and number)
Pauline Vincent
(If deceased is a married, widowed or divorced woman, give also maiden name.)
(a) Residence. No.
472 Winthrop
St.
Winthrop, Mass.
(If nonresident, give city or town and State)
Length of stay : In hospital or Institution
(Before death)
(Specify whether)
years
months
52 days.
In this community
yrs.
mos.
days.
(If U. S.
War Veteran,
specify WAR)
(Usual place of abode)
PERSONAL AND STATISTICAL PARTICULARS
1
lus
Of autopsy
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