Town of Winthrop : Record of Deaths 1943, Part 2

Author: Winthrop (Mass.)
Publication date: 1943
Publisher:
Number of Pages: 594


USA > Massachusetts > Suffolk County > Winthrop > Town of Winthrop : Record of Deaths 1943 > Part 2


Note: The text from this book was generated using artificial intelligence so there may be some errors. The full pages can be found on Archive.org (link on the Part 1 page).


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5 SINGLE


MARRIED


WIDOWED


"or DIVORCED idoyca


5a If married, widowed, or divorced


HUSBAND of


23 (Give, maiden name of wife, in full)


(or) WIFE of


( Husband's name in full)


years


9 IF STILLBORN. enter that fact here.


8


AGE


75


Years


Months


Days


-


If less than 1 day Hours. .Minutes


Usual


9 Occupation :


Industry


IO or Business :


11 Social Security No.


12 BIRTHPLACE ( City)


( Siate or country)


13 NAME OF


FATHER


Thomas corbett


PARENTS


14 BIRTHPLACE OF


FATHER (City)


(State or country)


Imalara


15 MAIDEN NAME


OF MOTHER


16 BIRTHPLACE OF


London


MOTHER (City)


(State or country)


England


(


Relation, If any


17


Informant


( Address )


I HEREBY CERTIFY that a satisfactory standard certificata of death was fled with ma BEFORE the burial or transit permit was issued ? Man. D. Children


(Signature of Agent of Board of Health or other) Health Office 1/5/43


(Omcial Designation) (Date of Issue of Permit)


18 DATE OF


DEATH


(Month )


(Day)


(Year)


19 | HEREBY CERTIFY.


NO SEMOLL 1940,


to


January 2


1963


i last saw !


En alive on ...


January 2, 197


death is said to


have occurred on the date stated above,


a


6.00 A.m.


Immediate cause of death.


IMPORTANT


...........


2 105 -


Due to


Due to.


Other conditions.


( Include pregnancy within 3 months of death)


IMPORTANT


Major findings:


Of operations.


Carcinoma adENod - MExt


auxiliary Glands.


Date of


1-19-12


Of autopsy.


Ntnuogical mab.


What test confirmed diagnosis ?.


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


If so, speolfy.


Edial J: triman


........


. M. D.


('Signed) ...


(Address) 20010


Ima!


Date ..........


/ 19 40


21


FOREST Hills


Place of Burial, Creniation or Removal. (City or Town)


DATE OF BURIAL


January


7


1943


22 NAME OF


FUNERAL DIRECTOR


ADDRESS


nt/100 suchpatty


.M.


Reoalved and Alad.


.19


( Registrar)


should be carefully supplied. ACE should be stated EXACTLY. PHYSICIANS should state CAUSE OF DEATH in plain


N. B .- WRITE PLAINLY, WITH UNFADING BLACK INNOTICED A TERMINENT NOVVALO


If deceased was a U. S. War Veteran, G. L. Chap. 46, Section 10, requires physiolans to insert a reoital to that effeot. 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


100M-4 -2-42-8855


1


PLACE OF DEATH


(City or Town) 15 Toodsje Pork


No.


(Usual place of abode)


MEDICAL CERTIFICATE OF DEATH


4


1743


That I attended deosased from


Duration


Carcinoma of Live "


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


Boston


John F. Oraley


( write the word)


6 Age of husband or wife if alive


EXTRACTS FROM THE LAWS OF THE COMMONWEALTH OF MASSACHUSETTS GOVERNING THE


RETURN OF CERTIFICATES OF DEATH


A physioian or registered hospital medical officer shall forthwith, after the death of s person whoin he has attemuled during his last illness, at the request of ao undertaker or other suthorized person or of ans meniber 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. wlure same was contracted. the duration of his last illness, when Isst seen slive by the physician or officer and the date of hia death ... Gen. Laws, Clap. 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 konwledge 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 and the secondary or inmediste cause of death as uearly as he can state the ssine. For neglect to comply with suy 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 bumulred and fourteen, the word "war" shall include the Chins relief ex- pedition and the Philippine insurrection, which shall, for ssid purposes. he deenicd to have taken place between February fourteenth, eigliteen hundred and ninety- eight and July fourth, nineteen hundred and two, and the Mexi- can border service of nineteen hundred and sixtcen and nineteen hundred and seventeen. G. L. Clisp. 46, Sec. 10.


No undertaker or other person shall bury or otherwise dispose of a buman body in a town, or remove therefrom a human body which has not been buried, until he has received a permit from the board of health, or ita agent appointed to issue such permits, or if there is no such board, from the clerk of the town where the person died; and no undertaker or otber person shall exhume a human body and remove it fromn a town, from one cenietery to another, or from one grave or tomb other thau the recelving tomb to another In the same cemetery, until he has received a permit from the board of health or its agent aforessid or from the clerk of the town where the boily is buried. No such permit shall be issued until there aball have been delivered to sucb board, agent or clerk, as the case inay be, a satisfactory written statement containing the facta required by law to be returned andl recorded, which shall be accompanied, in case of an original interment, by a satisfactory certificate of the sttending physician, if any, as required by law. o1 in lieu thereof a certificate as hereinafter provided. If there is no attending physician, or if, for sufficient reasons, hls certificate cannot be obtained early enough for the purpose, or ia 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 liumsu body, not previously interred, from one town to another within the commonwealth cannot be obtained esrly enough for the purpose, the certificate of death msde as above provided and in the possession ot tbe 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 obtalued 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. sucb recital shall appear upon the permit. The board of health, or its agent. upon receipt of such statenient 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 nece+ sary information which can be obtained as to the deceased, or as to the manner of canse of the death, which the clerk or registrar may require .- Cbap. 114. Sec. 45. G. L., ( Tercentenary Edition ).


No undertaker or other person shall bury a human body or the ashes thereof which have been brought luto the conimonwesith 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, front the clerk of the town where the boils 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 ibe interment is made. .. . Cbap. 114. Sec. 46. G. L., (Tercentenary Edition).


Medical examiners shall make examination upon the view of the dead bodies of only such persons as sre supposed to have died hy violence. If s medical examiner has notice that there is within hils county the liody 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 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.


(2) Board of Health physiolans 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 pbyaf- cian is ahsent from home when the certificate of death is needed.


(3) Medical Examiners will Investigate and certify to sil dicatba 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 deatbs following abortion, but also deaths from diseass 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 deathi meana the disease, or complication which causes death, not the more of dying. e. g., heart fallure, asphyxia, astbenia, 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 Oooupation .-- Precise statement of occupation ia very im- portaut, so that the relative bealthfulness of various pursuita 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 bsd retired from business, report the usual occupation prior to retirement. Children not gainfully employed may be returned aa at school or at boine. For a woman wbose only occupatiou waa that of bone bousework, write bousework. For a person engaged in domestic service for wages, however, designste the occupation by the appropriate terms, aa housekeeper-private fanrily, cook-hotel, etc. For a person who had no occupation whatever write none.


SPACE FOR ADDITIONAL INFORMATION


M R-301 A


Jaffer 1 09


(County) Windhops (City or Town) 9 bellevue ore No.


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


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


Registered No.


§ ( If death occurred in a hospital or institution, I give its NAME Instead of street aud nuniber) St.


2 FULL NAME


George F Mahon


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


(a) Residence. No.


9 Bellevue que


St.


(Usual place of abode)


(If nonresident, give city or town and State)


Length of stay: In hnepltal or Institution


(Refnre death)


(Specify whether)


years


months


days.


In this community


7


yrs.


mos.


days.


PERSONAL AND STATISTICAL PARTICULARS


4 COLOR OR RACE


Muito


5 SINGLE


MARRIED


WIDOWED


or DIVORSED


( write the word)


manuel


5a If married,


HUSBAND of


wood & Hvid Tucker


(Give maiden name of wife in full)


( Husband's name in full)


6 Age of husband or wife if alive 37 years


9 IF STILLBORN. enter that fact here.


8 6.2 Years Months Days


If less than 1 day


Hours.


......... Minutes


Filing clerk


United Shoe


11 Social Security No.


'2 BIRTHPLACE (City)


(Siate or country )


Vermont


13 NAME OF


FATHER


John Mahon


14 BIRTHPLACE OF


FATHER (City)


(State or country) C.


1


Swanton VF


15 MAIDEN NAME


OF MOTHER


Elwith ORiferr


16 BIRTHPLACE OF


MOTHER (City)


(State or country)


17 Mra Marin Mahan


Informaat


Relation, If any (Address) 9 Bellas uve


I HEREBY CERTIFY that a satisfactory standard certifioste of death was filled with ma BEFORE the burial of transit permit was Issued:


(Signature of Agent of Board nt(Health or other) seattle office 1/8/43


f ( Official Designation) (Date of Fate of Permit)


MEDICAL CERTIFICATE OF DEATH


18 DATE OF


DEATH


6


1943


( Month)


(Day)


(Year)


19 | HEREBY CERTIFY,


That I attended deosased from


19 ....


....... ₺0.


19


.........


I last saw h ................ alive on


19 ........ , death Is said to


have occurred on the date stated above, at


3 a


m.


Immediate cause of death ... .....


Duration IMPORTANT


Due to. inter valuais)


Due to


Other conditions


( Include pregnancy within 3 months of death)


Major findings:


Of operations


Date of.


Of autopsy


What test confirmed diagnosis ?


IMPORTANT Physician


Underline the cause to which death should ba charged sta. tistically.


20 Was disease or injury in ony way related to oooupation of deceased?


If so, spoolfy ...


('Signed)


(Address)


Date1/6/194)


21


yet it Basin Cremation of Honeyed.


DATE OF BURIAL.


19 43


22 NAME OF


FUNERAL DIRECTOR.


ADDRESS 10 Wenthing is Worthys.


Received and Aled 19


( Registrar)


100M-6 - 2-42-8859


1 3 SEX Male (or) WIFE of AGE Usual 9 Occupation : PARENTS V - If deceased was a U. S. War Veteran, G. L. Chap. 46, Section 10, requires physicians to insert a reoital to that offoot. 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. HUE should be stated EAAGILT. PHYSICIANS should state CAUSE OF DEATH in plain Industry 10 or Business :


PLACE OF DEATH


PHYSICIAN · IMPORTANT


(Was deceased a


U. S. War Veteran,


if so specify WAR)


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 anthorized person or of any member of the family of the deceased, furnish for registration a standard certificate of death, stating to the best of his knowledge and belief the name of the deceased, his supposed age, the disease of which he died. deflued as re- quired by section one, where same was contracted. the duration of his last illneaa, when last seen alive hy the physician or officer and the date of hia death ... Gen. Laws, Chap. 46, Sec. 9.


A physician or officer furnishing a certificate of death aa 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 hoth 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, auch physician or officer shall forfeit ten dollars. For the purposes of this aec- tion and of sections forty-five, forty-six and forty-seven of said chapter one hundred and fourteen, the word "war" shall include the China relief ex- pedition and the Philippine insurrection, which shall, for said purposes, he deemed to have taken place hetwcen February fourteenth, eighteen hundred and ninety-eight and July fourth, nineteen hundred and two, and the Jtexi- can horder service of nineteen hundred and sixteen and nineteen hundred and seventeen. G. L. Chap. 46, Sec. 10.


No undertaker or other person shall hury 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 its agent appointed to isaue such permita, 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 cenietery to another, or from one grave or tomb other than the receiving tonih to another In the same cemetery, until he has received a permit from the hoard of health or its agent aforesaid or from the clerk of the town where the hoily is huried. No such permit shall be 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 be returned and recorded, which ahall he accompanied. in case of an original interment, by a satisfactory certificate of the attending physician, if any, aa required by law. 01 in lieu thereof a certificate aa hereinafter provided. If there ia no attending physician, or if, for sufficient reasona, hia certificate cannot be obtained early enough for the purpose, or is insufficient, a physi- cian who ia a meniher of the hoard of health, or employed by it or hy the selectmen for the purpose, shall upon application niake the certificate re- quired of the attending physician. If death ia caused hy violence, the medi- cal examluer shall make such certificate. if auch a permit for the removal of a human body. not previously interred, from one town to another within the cominonwealth cannot he 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 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 haa heen sooner ohtained hereunder. If the death certificate containa a recital, aa required


SPACE FOR ADDITIONAL INFORMATION


by sertion 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 board of health, or its agent. upon receipt of such statement and certificate, shall forthwith countersign it and transmit it to the clerk of the town for registration. The person to whom the permit is so given and the physician certifying the cause of death shall thereafter furnish for registration any other neces- aary 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 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 permita, or if there is no such hoard, from the clerk of the town where the holy 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 ibe interment is made. .. . Chap. 114. Sec. 46. G. L., (Tercentenary Edition).


Medical examinera 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 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 Lawa, Chap. 38, Sec. 6.


RULES OF PRACTICE


The fulfillment of the purpose of these laws calls for the ohaervance of the following rules of practice :


(1) Attending physicians will certify to such deatha only as those of persona 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 disahled hy recognized disease unrelated to any form of injury, have died without recent medical attendance or whose phyaf- cian is ahsent from home when the certificate of death is needed.


(3) Medloal 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 abortion, hut also deatha from diseasa resulting from injury or Infection related to oooupatlon, the sudden deaths of persons not disabled by recognized disease, and those of persons found dead.


Statement of Cause of Death .- Cause of death meana the disease, or complication which causea 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 conditiona, if any, related to the principal cause and any important complication of the principal cause.


Statement of Oooupation .- Precise statement of occupation ia very im- portant, so that the relative healthfulnesa of various pursuits can he known, Make some entry in this section for every person aged 10 yeara or over. if the occupation had heen given up or changed on account of the discase causing death, report the usual occupation prior to illness. if the deceased had retired from husinesa, report the usual occupation prior to retirement. Children not gainfully employed may be returned aa at school or at home. For a woman whose only occupatiou waa that of honie housework, write housework. For a person engaged in domestic service for wages, however, designate the occupation hy the appropriate terma, an housekeeper-private family, cook-hotel, etc. For a person who had no occupation whatever write none.


061 211 ? 6


FORM R-301 ||


MARGIN RESERVED FOR BINDING


200m-10-'39. No. 8427-d N. B .- WRITE PLAINLY, WITH UNFADING BLACK INK-THIS IS A PERMANENT RECORD. Every item of is very important. See instructions and extracts from the laws on back of certificate. CAUSE OF DEATH in plain terms, so that it may be properly classified. Exact statement of OCCUPATION Industry


Suffolk (County) Mintha (City or Tom)


ER REVERE NOTIFIED 2-9:48


The Commonwealth of Massachusetts OFFICE OF THE SECRETARY DIVISION OF VITAL STATISTICS STANDARD


CERTIFICATE OF DEATH


(City or town making return)


Registered No. 6


(If death occurred in a hospital or institution,


St. { give its NAME instead of street and number)


Marguerite & Murphy


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


(a) Residence. No 87 Recevoirque Range .St.


(Usual place of abode)


length of stay: In hospital or institution


(Specify whether)


years


months


3


days.


In this community


yrs.


mos.


days.


MEDICAL CERTIFICATE OF DEATH


1943


(Month)


(Day)


(Year)


19


HEREBY CERTIFY, That I attended deceased from


2


1943, to


Jan 7


19.4.3


I last saw hun alive on ....


Fan


19 ..... 3 death is said


to have occurred on the date stated above, at .. 5.15R.


.years Immediate cause of death ...... Shiptremens heniticus


.......


5 days.


Septicemia.


Due to


otitis media


OTITIS


Due to


Other conditions


(Include pregnancy within 3 months of death)


Major findings :


Of operations


Paracentesis 1


Of autopsy


What test confirmed diagnosis ?.


formation -


20 Was disease or Injury lo any way related to occupation of deceased ?


If so, specify/


(Signed)


Frank FSandler


M. D.


(Address) Lever


Date 1/7


21


Holy Grask


Place of Burial, Cremation op Removal. DATE OF BURIAL. 19/3


22 NAME OF


FUNERAL DIRECTOR


ADDRESS


Derece


Received and filed. 19


Å TRUE COPY ATTEST:


(Registrar)


PERSONAL AND STATISTICAL PARTICULARS


5 SINGLE


MARRIED


WIDOWED


Or DIVORCED Vred)


5a If married, widowed, or divorced HUSBAND of They live maider Tam Murfly (Husband's name in fud)


If less than 1 day


Hours


Minutes


12 BIRTHPLACE (City)


(State or country)


Mas


13 NAME OF


FATHER


Casas Enastura Newell


14 BIRTHPLACE OF


FATHER (City)


Cambridge


- RE.2.


Relation, if any


I HEREBY CERTIFY that a satisfactory standard certificate of death was tilod with me BEFORE the burial or transit permit was issued:


21 m A lehildre kw


(Signature of Att of Board of Health or other)


Ho


Jan, 5/43


(Official Designation) (Date of Issue of Permit)


18 DATE OF


(write the word)


DEATH


Jan


2


1


(If U. S.


war Veteran.


specity WAR)


(If nonresident, give city or town and state)


Duration


10days


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


Date of 1/5/43


1943


(City or Town)


1


PLACE OF DEATH


2 FULL NAME


4 COLOR OR RACE


3 SEX


Marte


(or) WIFE of


6 Age of husband or wife if alive


48


7 IF STILLBORN, enter that fact here.


AGE 47 Years -


.Months.


Days


Usual


Og ame.


9 Occupation:


Il Social Security No.


(State or country)


15 MAIDEN NAME


OF MOTHER


PARENTS


16 BIRTHPLACE OF


MOTHER (City)


(State or country)


17


Informant


(Address)


information should be carefully supplied. AGE should be stated EXACTLY. PHYSICIANS should state


10 or Business:


Phasemark


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, Sec. 9.




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