USA > Massachusetts > Suffolk County > Winthrop > Town of Winthrop : Record of Deaths 1943 > Part 14
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.. Minutes
Usual
9 Occupation :
Canvas Broker
Industry
10 or Business :
Canvas
11 Social Security No.
none
12 BIRTHPLACE (City)
( Siale or country)
lucass.
PARENTS
14 BIRTHPLACE OF
FATHER (Clty)
Burlington
( State or country)
Orx.
15 MAIDEN NAME
OF MOTHER
Margaret E. Kerr
16 BIRTHPLACE OF
MOTHER (City)
(State or country)
ruasa.
17 Informantosepleine 2. grady Kelation daughter
(Addley) 62 Sargent JSt, E. 113.
I HEREBY CERTIFY that istisfactgry standard certificata of death wss fied with me BEFORE the outhil or transit permit was Issued : Www. D. Childrenog
(Signature of Agent of Board "thewith or other) Health Officer 1/21/43
(Omclal Designation) ( Date of Issue of l'ermit)
MEDICAL CERTIFICATE OF DEATH
18 DATE OF
DEATH
February -
18
144.3
( Month)
(Day)
(Year)
19 | HEREBY CERTIFY,
That I attended deosased from
July
1
1942 to.
February 18, 1943
I last saw him alive on
February 18, 1943
ath Is sald to
heve occurred on the date stated ehove, at.
16.00 P.
m.
Immediate cause of death .......... Chronic Interstitial Nephritis
arteriosclerosis
Due to
Due to
Other conditions.
( Include pregnancy within 3 months of death)
.... IMPORTANT
Physician
L'iderline the cause to which death should be charged sta- tistically.
20 Was disease or injury in any way related to oooupation of deceased ?. 1
If so, spaolfy .......
(Signed)
Edward Ste Fanger 6:5 19 19:00
M. D.
(Address) 200 Wackemaimi Date
21
Winterof
Cinturón
l'lace of Burial, Cremation or Removal.
DATE OF BURIAL ..
February
(City or Town)
22
83
22 NAME OF
FUNERAL DIRECTOR
14. F. Kelly
ADDRESS
11 Meridian (St., E. 013
Recalvad and Aled .19
( Registrar)
100M- G - 2-42-8855
13 NAME OF
FATHER
Edmund J. Grady
Major findings :
Of operations
Date of
Of autopsy
1
What test confirmed diagnosis? Urinalysis
NO
No.
(City or Town) 62 Sargent Francis Henry Grady
(Was deceased a
U. S. War Veteran,
if so specify WAR)
no.
(Usual place of abode)
(Specify whether)
Josephine A. Walsh
(Cire maiden name of wife in full)
Duration
IMPORTANT 8 MOS year's(?)
East Boston
Boston
T
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 whoin he has attemuled during his last illness, at the request of an undertaker or other authorized person or of any meniber of the family of the deceased, furnish for registration a standard certificate of desth, 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. wlivre 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. 16, Sec. 9.
A physlelan or officer furnishing a certificate of death as required by the preceiling 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 s 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 saine. For neglect to comply with any provision of this section, such phyalclan or officer shall forfeit ten dollars. For the purposes of this sec- tion and of sections forty-five, forty-aix and forty-seven of said chapter one hunilred and fourteen. the word "war" shall Include the China relief ex- pedition sud the Philippine insurrection, which shall, for said purposes, he deemed to have taken place hetween February fourteenth, eighteen hundred and ninety- eight and July fourth, nineteen hundred and two, and the Mexi- can border service of nineteen hundred aud slxtcen and nineteen hundred and seventeen. G. L. Chap. 46, Sec. 10.
No undertakar or other person shall bury or otherwise dispose of a human body iu 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 lasue 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 froin a town. from one cenietery 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 boily is buried. No such permit shall be issued until tbere 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. o1 in lieu thereof a certificste 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 niake 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, tbe certificate of death made as above provided and in the possession ot the undertaker desiring to make auch 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 obtahned 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 heen engaged. such recital shall appear upon the permit. The bosrd of health, or its agent. upon receipt of such statenient and certificate, shall forthwith countersign it and transniit 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 veces sary information which can be obtained as to the deceased, or as to the manner or cause of the death, which the clerk or registrar may require .- Chap. 114. Sec. 45, G. L., ( Tercentenary Edition).
No undertaker or other person shall bury a human body or the ashes thereof which have been brought Into the commonwealth until he has re- ceived a permit so to do from the hoard of health or its sgent appointed to issue such permits, or if there is no such hoard, from the clerk of the town where the boily is to be buried 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).
Medical examiners ahall make examination upon the view of the dead bodies of only such persons ss are supposed to have died ily violence. If a medical examiner has notice that there is within lils county the body of such a person, he shall forthwith go to the place where the lundly lles 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 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 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 phys- cian is ahsent from home when the certificate of death Is needed.
(8) Medical Examiners will investigate and certify to all deaths sup- posably due to injury. These include not only desthe caused directly or in- directly by traumatiam (including resulting septicemia), and by the action of chemical (drugs or poisons), thermal, or electrical agents, aml deaths following shortion, but also deaths from diseass resulting from injury or Infection relsted to ocoupatlon, 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 causea death. not the moile 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 Oooupation .- 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 persou aged 10 years or over. If the occupation had been given up or changed on account of the discase 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 aa at school or at hoine. For a woman wbose only occupatiou waa 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 faniily, cook-hotel, etc. For a person who had no occupation whatever write none.
SPACE FOR ADDITIONAL INFORMATION
RM R-301 A
suffolk
(County)
The Commonturalth 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. 36
Registered No.
S { if death occurred in a hospital or Institution, St. [ give its NAME instead of street and number)
2 FULL NAME
Le Vinnie Nichlos Donaghy
(If deceased is a married, widowed or divorced woman, give also maiden name.)
(a) Residence. No. 45 Pleasant st. (Usual piace of abode)
......
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.
3
mos.
days.
PERSONAL AND STATISTICAL PARTICULARS
5 SINGLE
(write the word)
MARRIED
WIDDWED
or DIVORCED
Married
5a If married, widowed, or divoroed
HUSBAND of
Cheatoire miderpane of prife in fuil)
( Ilnshand's name in full)
years
if less than 1 day
Hours
Minutes
Nova scotia
100m (d)-1-41-4667
i HEREBY CERTIFY that a satisfactory standard certificate of death was filed with me BEFORE the pydal of transit permit was issued; W.m. D. Children
(Signature af Agent of Board of Ilgaith or other)
He altle Officer 2/23/43
(Dificlal Designationy (Date of Issue of Vermit)
18 DATE DF
DEATH
Teb.
19.
1943
( Montii )
(Day)
(Year)
19 | HEREBY CERTIFY, Nov. 15 .
19.
43, to.
19
I last saw h.
er
alive on
Feb 19
1943, death is said to
have occurred on the date stated above, at 12/2ooth
Immediate cause of death.
IMPORTANT
Due to Hypertension
5 years ..........
Due to
Other conditions.
(Include preguancy within 3 months of death)
Major findings:
Of operations
Date of.
Of autopsy
What test confirmed diagnosis? Clinical Signs
20 was disease or injury in any way relaled to occupation of deceased ?. If so, specify
M. D
Date 2008121945
21
l'iace of Burial, Cremation or Removal.
DATE OF BURIAL
Feb. 23,
193 City or Towu)
..... 19
22 NAME OF
FUNERAL DIRECTOR-
ADDRESS
147 Winthrop #t., Winthrop
Received and filed
19
(Registrar)
IMPORTANT Physician
t'inleriine the cause lo which death silvuid be charged sta- tisticaily.
16 BIRTHPLACE OF
MOTHER (City)
(State or country )
Nova Seotis
('Signed)
(Aodress)
Marblehead
45 Pressant it", Winthrop
MEDICAL CERTIFICATE OF DEATH
Duration
PLACE OF DEATH
Winthrop 1 (City or Town) Pleasant x., No. 3 SEX 4 COLOR OR RACEJ White Female (or) WIFE of 6 Age of husband or wife if alive 7 IF STILLBORN. enter that fact here. 8 5 Months Years 22. Days AGE Usual 9 Dccupation : Housewife industry lome 10 or Business : 11 Social Security No. 12 BIRTHPLACE (City) (State or country) 13 NAME OF Irneat Nochlos FATHER 14 BIRTHPLACE OF FATHER (City) 15 MAIDEN NAME OF MOTHER not mown PARENTS 17 Chester E. Donaghy Informant ( Address) If deceased was a U. S. War Veteran, G. L. Chap. 46, Section 10, requires physicians to Insert a recital to that effect. terms, so that it may be properly classified. Exact statement of OCCUPATION is very important. See instructions and extracts from the laws on back of certificate. should be carefully supplied. AGE should be stated EXACTLY. PHYSICIANS should state CAUSE OF DEATH in plain N. D .- WRITE PLAINLT, WITTT ONTADINO DLAGR INA-THIS IS A PERMANENT RECORD. Every ITem of information (State or country) Nova scotia
PHYSICIAN - IMPORTANT
(Was deceased a
U. S. War Veteran,
if so specify WAR)
That I attended deoeased 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 attendel during his last illness, at the request of an umlertaker or other authorizel 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 aml behef the name of the deceased, his supposed age, 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.
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 l'uited 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 all the secondary or immeliate canse 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 inchide the China relief ex- pedition and the Philippine insurrection, which shall, for said purposes. he deemed to have taken place between February fourteenth, eighteen hundred and ninety-eight ail July fourth, nineteen hundred and two, and the Mexi- can border service of nineteen humlred and sixtcen 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 therefroma 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 hody and remove it froin a town, from one cemetery to another, or from one grave or tonib other than the receiving tomb to another in the same cemetery, until he has received a permit from the board of licalth or its agent aforesaid or from the clerk of the town where the body is huried. No such permit shall he 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. on in lieu thereof a certificate as hereinafter provided. If there is no attending physician, or if, for sufficient reasons, his certificate cammot he 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 maile 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 hercunder. If the death certificate contains a recital, as required
by aection 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 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 canse of the death, which the clerk or registrar may require .- Chap. 114. Sec. 45, G. L., (Tercentenary Edition).
No umleriaker or other person shall bury a human hody or the ashes thereof which have been brought into the commonwealth until he has re- ceived a permit so to do front 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 buried or the funeral is to he held, or from a person aplmintel 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 boilies 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 boily lies and 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 physicians will certify to such deaths only as those of persons to whom they have given bedside care during a last illness from disease unrelated to any form of injury.
() 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 reccut medical attendance or whose phyai- cian is al-ent 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, aml 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 .- Callse of death means the disease, or complication which causes death. not the modle of dying. e. g., heart faihre, 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 thic 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 honre. 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
Suffolk
(County)
(City or Town)
235 Bowdoin 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. 37
Registered No. [ { If death occurred in a hospital or institution, give its NAME instead of street and number) St.
PHYSICIAN - IMPORTANT
(Was deceased a
U. S. War Veteran,
if so specify WAR)
(a) Residence. No.
235 Bowdoin Street
St.
(If nonresident, give city or town and State)
Length of stay: In hospital or Institution.
( Rifare death )
( Specify whother)
years
months
days.
In this community 17 yrs.
mos.
days.
PERSONAL AND STATISTICAL PARTICULARS
4 COLOR OR RACEJ
White
5 SINGLE
(write the wurd)
MARRIED
WIDOWED
or DIVORCED Married
5a If married, widowed, or divorcedMary Ellen Keating
HUSBAND of
(Give inaiden name of wife in full)
( Husband's name in full)
6 Age of husband or wife if alive
70
years
Immediate cause of death
7 IF STILLBORN. enter that fact here.
AGE
7.2Years
11Months 15 Days
If less than 1 day
Hours
Minutes
Usual
Cigar Maker
(Retired)
industry
Cigar Factory
11 Social Security No.
None
12 BIRTHPLACE (City)
Allentown
( State or country)
Penn.
13 NAME OF
FATHER
Frank Sterner
100m (d)-1-41-4667
I HEREBY CERTIFY that a setisfactory standard certificate of death was filed with me BEFORE the burial or transit permit was issued: Wan-D- Children8 .... Signalure of Agent of Board of llontth or other)
Health Officer 2/21/43
(Official Designation) (Date of Issue of Permit)
18 DATE OF
DEATH
Jul. 19 - 1943
( Month)
(Day)
(Year)
19 /
HEREBY CERTIFY,
That I attended deceased from
Sept
42,
to.
Feb 19
1943
i last saw h
Lunalive on
have occurred on the date stated above, at.
10 30
.. m
d'arcinca
Metastatic Sanoma
5 mos
...
Due to.
01
Other conditions
(Include pregnancy within 3 mouths of death)
IMPORTANT
Major findings :
Of operations
Sarcoma of prostate
Physician
t'inlerline the cause to which death
Of autopsy.
What test confirmed dlagnosis?
Laboratory
chargeil sta- tisticaHly.
20 was disease er Injury in any way related to occupation of deceased ? no
speci
('Signed )
205 Havre & Sko
.Date ..
724,29,43
( Aodress)
21
Winthrop
Winthrop
l'lace of Burial, Creniation
FeBurary (Sit or Towu)
43
DATE OF BURIAL
19
22 NAME OF
FUNERAL DIRECTOR
Howard JU Lynott
ADDRESS
...
Received and filed
19
(Registrar)
. 19 43
eath Is sald to
Duration IMPORTANT
Sauna 1 prostrate
Date of
15 MAIDEN NAME
OF MOTHER
Sarah Edelman
ReWdof,& any
17 Informant. 235 Bowdoin Street winthrop
1
Winthrop
No.
2 FULL NAME
(Usual place of abode)
3 SEX
Male
(or) WIFE of
8
9 Occupation :
10 or Business :
14 BIRTHPLACE OF
FATHER (City)
PARENTS
16 BIRTHPLACE OF
MOTHER (City)
(State or country )
Penn.
If deceased was a U. S. War Veteran, G. L. Chap. 46, Seotlon 10, requires physicians to insert a recital to that effect.
terms, so that it may be properly classified. Exact statement of OCCUPATION is very important. See instructions and
extracts from the laws on back of certificate.
should be carefully supplied. ACE should be stated EXACTLY. PHYSICIANS should state CAUSE OF DEATH in plain
N. B .- WRITE PLAINLT, WITHT UNFADING BLACK INK-THIS IS A PERMANENT RECORD. Every item of Information
(State or country)
Penn.
PLACE OF DEATH
William Peter Sterner
(If deceased is a married, widowed or divorced woman, give also maiden uante.)
MEDICAL CERTIFICATE OF DEATH
19
M. D.
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 hest of his knowledge and belief the name of the deceased, his supposed age. 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 aeen alive by the physician or officer and the date of his death ... Gen. Laws, Chap. 46, Sec. 9.
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