USA > Massachusetts > Suffolk County > Winthrop > Town of Winthrop : Record of Deaths 1943 > Part 15
Note: The text from this book was generated using artificial intelligence so there may be some errors. The full pages can be found on Archive.org (link on the Part 1 page).
Part 1 | Part 2 | Part 3 | Part 4 | Part 5 | Part 6 | Part 7 | Part 8 | Part 9 | Part 10 | Part 11 | Part 12 | Part 13 | Part 14 | Part 15 | Part 16 | Part 17 | Part 18 | Part 19 | Part 20 | Part 21 | Part 22 | Part 23 | Part 24 | Part 25 | Part 26 | Part 27 | Part 28 | Part 29 | Part 30 | Part 31 | Part 32 | Part 33 | Part 34 | Part 35 | Part 36 | Part 37 | Part 38 | Part 39 | Part 40 | Part 41 | Part 42 | Part 43 | Part 44 | Part 45 | Part 46 | Part 47 | Part 48 | Part 49 | Part 50 | Part 51 | Part 52 | Part 53 | Part 54 | Part 55 | Part 56 | Part 57 | Part 58 | Part 59 | Part 60 | Part 61 | Part 62 | Part 63 | Part 64 | Part 65 | Part 66 | Part 67 | Part 68 | Part 69 | Part 70 | Part 71 | Part 72 | Part 73 | Part 74 | Part 75 | Part 76 | Part 77 | Part 78 | Part 79 | Part 80 | Part 81 | Part 82 | Part 83 | Part 84 | Part 85 | Part 86 | Part 87 | Part 88 | Part 89 | Part 90 | Part 91 | Part 92 | Part 93 | Part 94 | Part 95 | Part 96 | Part 97 | Part 98 | Part 99 | Part 100 | Part 101
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 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" shaft 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 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 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 he issued until there shall have been delivered to such board. agent or clerk. as the case may be, a satisfactory written statement containing the facts required by law to he 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. of 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 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 ahove 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, that the deceased aerved 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-igu 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 canse of death shall thereafter furnish for registration any other neces- sary information which can be obtained as to the deceased. or as to the manter or canse 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 hody or the ashea 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 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 he held. or front 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 ouly such persons as are supposed to have died by violence. If a medical examiner has notice that there is within his county the hody 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, 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 thoae of persons who, though disabled by recognized disease unrelated to any form of injury. have died without recent medical attendance or whose phyai- 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 of in- directly by traumatism (including reaulting 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 discase cansing death. As related causes, naine 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- portaut. 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 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 uot gainfully employed may be returned as at school or at home. For a woman whose only occupation was that of honie 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 uone.
SPACE FOR ADDITIONAL INFORMATION
1 R-301 A
1
PLACE OF DEATH
Suffolk county) Winthrop
(City or Towny 25 Palmyra 1 No.
St.
S ( If death occurred in a hospital or institution, { give its NAME instead of street aud number)
PHYSICIAN - IMPORTANT
(Was deceased a U. S. War Veteran, if so speolfy WAR)
World Warl
(a) Residence. No.
25 Palmyra
St.
(If nonresident, give city or town and State)
In this community
2 yrs.
mos.
dayı.
PERSONAL AND STATISTICAL PARTICULARS
3 SEX
male
4 COLOR OR RACE
White
5 SINGLE
( write the word)
MARRIED
WIDOWED
or DIVORCED
marnes
Margaret King
(or) WIFE of
(Gife maiden name of wife in fuft)
( Husband's name in full)
6 Age of husband or wife if alive 32 years
IF STILLBORN. enter that fact here.
AGE
8
52 Years
- Months
.........
. Days
i less than 1 day
Hours
Minutes
Usual
9 Occupation :
Printer
10 or Business :
Industry
City of Boston
11 Social Security No.
'2 BIRTHPLACE (City)
(State or country)
Clinton mas
13 NAME OF
FATHER
Martin Sennett
14 BIRTHPLACE OF
FATHER (City)
No. adams
(State or country)
Mass
15 MAIDEN NAME
OF MOTHER
Helen Scully
16 BIRTHPLACE OF
MOTHER (City)
(State or country )
Chicago
17 Ms M Sennett Relation, cd any
Informant
( Address)
I HEREBY CERTIFY that a saudactory standard certificata of death was filed with me BEFORE the barrel-or trapalt permit was Issued ?
(Signature of Kkent of Board of Health for other) Health Officer 3/23/43
(Omcial Designation) ( Date of Issue of Permit)
18 DATE OF
DEATH
Fel.
21
1943
(Month)
(Day)
(Year)
19 | HEREBY CERTIFY,
to.
tam 19
1993
72.2021
19
13
Mast saw h ............... alive on
201-19, 1943, death Is said to
have occurred on the date stated above,
at 4.15h
.m.
Immediate oause of death.
Coronary Infant
Duration IMPORTANT ....
Due to. Benalu anterio
sitennis
Due to ..
Comovascular disease
2
Other conditions.
( Include pregnancy within 3 months of death)
IMPORTANT
Major findinga:
Oi operations
Physician
Underline the cause to
Of autopsy.
-
should be
Ycharged sta.
What test confirmed diagnosis ?
et canon istically.
20 Was disease or injury in ony way related to occupation of deceased ?. 4
If so, speolfy.
M. D.
(Address)
21
Wirchip Gemity Windows
l'lace of Burial, Ofeniation or, Removal,
DATE OF BURIAL ..
2/24/43
(City or Town)
19
22 NAME OF
FUNERAL DIRECTOR
Kindly Bros
ADDRESS
210 Wirsching so Wendung
Received and Aled. 19
....
( Registrar)
100M-6 -2.42-8855
If deceased was a U. S. War Veteran, G. L. Chap. 46, Section 10, requires physicians to insert a recital to that effect. PARENTS
2 FULL NAME
Chrohur
4 Sennett So
(If deceased Is a married, widowed or divorced woman, give alao maiden name.)
(Usual place of abode)
Length of stay: In mesoltal or Institution
(Before death)
yeara
months
days.
(Specify whether)
The Commonwealth of Massachusetts OFFICE OF THE SECRETARY DIVISION OF VITAL STATISTICS STANDARD CERTIFICATE OF DEATH
To be filed for burial permit with Board of Health or its Agenti
Registered No.
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
1
Date of .........
carder giren which death
(Signed)
4 contato con Date 2-21-1943
That & attended deceased from
HUSBAND of
MEDICAL CERTIFICATE OF DEATH
....
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 attended 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 death, stating to the best of his knowledge and hehef the name of the deceased, his supposed age, the disease of which he died. defined as re- quired hy section one. where same was contracieil. the duration of his last flineas, when last seen alive hy the physician or officer and the date of his death ... Gen. Lawa, Chap. 46, Sec. 9.
A physician or officer furnishing a certificate of death as required hy the preceding section or by section forty-five of chapter one hundred and four- teeu, sliall. if the deceased, to the best of his knowledge and helief, aerved in the army, uavy 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. snd shall also certify in such certificate hoth 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 inchile the China relief ex- pedition and the Philippine insurrection, which shall, for said purposea, he deemed to have taken place hetwcen February fourteenth, eighteen hundred and winety 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. 16, Sec. 10.
No undertaker or other person shall bury or otherwise dispose of a human body in a town, or remove therefrom a human hody which has not been buried, until he has received a permit from the board of health, or ita agent appointed to issue such permits, or if there is no such board, from the clerk of the town where the person died; aud no undertaker or other person shall exhume a human hody and remove it fromn a town, from one cemetery to another, or from oue grave or tomh other than the receiving tomh to another In the same cemetery, until he has received a permit from the hosrd of health or ita agent aforesaid or from the clerk of the town where the body is buried. No such permit ahall he isaued until there ahall have been delivered to such hoard, agent or clerk, as the case inay he, a satisfactory written statement containing the facts required hy law to he returned ail recorded, which shall be accompanied. in case of an original intermeut, by a satisfactory certificate of the attending physician, if any, as required by law. 01 in lieu thereof a certificate as liereinafter provided. If there ia no attending physician, or if, for sufficient reasona, his certificate cannot be obtained early enough for the purpose, or is insufficient, a physi- cian who ia a meniber of the board of health, or employed by it or hy the selectinen for the purpose, shall upon application make the certificate re- quired of the attending physician. If death is caused by violence. the medl. cal examiner shall make such certificate. If such a permit for the removal of a human body, not previously interred, froin one town to another within the commonwealth cannot be obtained early enough for the purpose, the certificate of death made as ahove provided and in the possession ot the undertaker desiring to make such rentoval 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, 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 hoard of health, or its agent. upon receipt of such statement and certificate, shall forthwith counter-ign 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 neces- sary information which can be obtained as to the deceased. or as to the manner of callse 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 hunisn hody 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 agem appointed to issue such permits, or if there is no such hoard, from the clerk of the town where the body is to he 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 intervient is made. . . . Chap. 114. Sec. 16. G. L., (Tercentenary Edition).
Medical examiners shall make examination upon the view of the dead bodies of ouly such persons as are supposed to have died hy violence. If a medical examiner has notice that there is within lris county the hody 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 iawa calls for the ohservance of the following rules of practice :
(1) Attending phyalcians will certify to such deatha only as those of persons to whom they have given hedside care during a last illness from disease unrelated to any form of injury.
(2) Board of Health physlolans will certify to such deatha only as those of persons who, though disabled hy recognized disease unrelated to any form of injury. have died without recent medical attendance or whose phyof- cian is absent from home when the certificate of death is 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 reauiting septicemia), and by the action of chemical (drugs or poisons). therinal, or electrical agents, att deaths following abortion, hut also deatha from diseasa resulting from injury or Infection related to ocoupation, the sudden deatha of persons not disabled by recognized disease, and those of persons found dead.
Statement of Cause of Death .- Cause of deathi meana 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 .- Precise statement of occupation is very im- portant, so that the relative healthfulness of various pursuits can he known. Make some entry in this section for every person aged 10 years or over. If the occupation had heen given up or changed ou account of the dixcase 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 he returned an at school or at hoine. For a woman whose only occupation waa 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
ORM R-301 !!
Suffolk
(County)
REVERE NOTIFIED 3 .9: 43
... Winthrop (City or Town). Winthrop 26 orbital No ...
The Commonwealth of Massachusetts OFFICE OF THE SECRETARY DIVISION OF VITAL STATISTICS STANDARD CERTIFICATE OF DEATH
(City or town making return) 39
Registered No
(If death occurred in a hospital or institution, give its NAME instead of street and number)
2 FULL NAME Boby 16: aboutok
(If deceased is a married, widowed or divorced woman, give also maiden name.)
850 Winthrop Ave
St.
Revere
(a) Residence.
No.
(Usual place of abode)
ength of stay: In hospital or institution
(Specify whether)
years
months
days.
In this community
yrs.
mos.
days.
PERSONAL AND STATISTICAL PARTICULARS
HUSBAND of
(Give maiden name of wife in full)
6 Age of husband or wife if alive years
If less than 1 day
3 ... Hours ....... Minuies
13 NAME OF
FATHER
Inthomas Haboustok
15 MAIDEN NAME
OF MOTHER
Sophie Charte
17 ) Gaspedal Records Relation, if any (Address)Wenthypo 2 Coopities
I HEREBY, CERTIFY that a satisfactory standard certificate of death was filed with me BEFORE the burial or transit permit was issued:
Children of
(Signature of Agent of Board of Health an other)
the altle offreet
3/1/44
(Official Designation) (Date of Issue of Permit)
MEDICAL CERTIFICATE OF DEATH
18 DATE OF
23
1943
(Month)
(Day)"
(Year)
19 | HEREBY CERTIFY. That I attended deceased from
2/22/43
., 19.
.....
to ..
19 .......
I last saw h ......... alive on
2/22/
-2
19.93, death is said
to have occurred on the date stated above, at 2:20 A.m.
Immediate cause of death Lack of
development of 52NED and
genital trakt
.....
spine
Due to
...
Due to
prematurity-
Other conditions
(Include pregnancy within 3 months of death)
Major findings :
Of operations
Date of ...
Of autopsy ...
What test confirmed diagnosis ?.
Clinical
20 Was discase or Injory In any way related to occupation of deceased ?
If so, specify ......
Charles Liber
M. D.
(Address 26 Ware Way Wirth Dat 2/23/1943
(Signed).
Withit
21
Winthat
Place of Burial, Cremation or Removal.
(City or Town)
DATE OF BURIAL March 1
.....
22 NAME OF
schau 6 White
FUNERAL DIRECTOR
ADDRESS
147 Winthis4 Months
Received and filed. 15
A TRUE COPY ATTEST:
(Registrar)
Duration
2/2hrs
PHYSICIAN Underline the cause to which death
should be charged sta- tistically.
pu hospital PARENTS N. B .- WRITE PLAINLY, WITH UNFADING BLACK INK-THIS IS A PERMANENT RECORD. Every item of .... 200m-10-'39. No. 8427-d
I
PLACE OF DEATH
3 SEX
4 COLOR OR RACE
white
hat
5 SINGLE
MARRIED
WIDOWED
or DIVORCED
le
5a If married, Widowed, or divorced
(or) WIFE of.
(Husband's name in full)
7 IF STILLBORN, enter that fact here.
Stille
8
Daya
AGE
.Years
Months.
Usual
9 Occupation:
Industry
10 or Business:
11 Social Security No.
12 BIRTHPLACE (City)
(State or country)
Windhugo
maso
14 BIRTHPLACE OF
FATHER (City)
Leadville
16 BIRTHPLACE OF
MOTHER (City)
Chelsea
(State or country)
mars
is very important. See instructions and extracts from the laws on back of certificate.
information should be carefully supplied. AGE should be stated EXACTLY. PHYSICIANS should state
CAUSE OF DEATH in plain terms, so that it may be properly classified. Exact statement of OCCUPATION
(State or country)
Colorado
(write the word)
DEATH
Feb.
Single
St.
(II U. S.
War Veteran.
specity 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 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 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 tbe 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 inake 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 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 a 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 obtaincd hereunder. If the death certificate contains a recital, as required by section ten of chapter forty-six, that the deceased served in the ariny, 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
Need help finding more records? Try our genealogical records directory which has more than 1 million sources to help you more easily locate the available records.