Town of Winthrop : Record of Deaths 1943, Part 43

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


USA > Massachusetts > Suffolk County > Winthrop > Town of Winthrop : Record of Deaths 1943 > Part 43


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MARRIED


WIDOWED


or DIVORCED


Married


5a If married, widowed, or divorced


Ida Berman


HUSBAND of


(Give maiden name of wife in full)


(or) WIFE of


(Husband'a name in full)


6 Age of husband or wife If alive 69


years


Due to


Due to. left hemiplegia due to


6 yrs ....


cerebral hemorrhage


Other conditions .... General arteriosclerosis


(Include pregnancy within 3 montha of death)


and prostatic hypertrophy


Physician


13 NAME OF


FATHER


Abraham Annapolsky


PARENTS


14 BIRTHPLACE OF


FATHER (City)


(State or country)


Russia


15 MAIDEN NAME


OF MOTHER


Leah


-


16 BIRTHPLACE OF


MOTHER (City)


(State or country)


Russia


17 Informant (Address)


Relation, if any ( ... wife


Of autopsy


What test confirmed diagnosis?


clinical


....


6-3


43


No.


(City or Town)


Jewish Memorial Hospital


BOSTON (City or town making"return)


(If U. S.


War Veteran,


speolfy WAR)


(If nonresident, give city or town and State)


1


1 1 1


1 1


1


3


1 1


1 1 1


1


3 1


M R-301 !|


1 PLACE OF DEATH 3 SEX male HUSBAND of (or) WIFE of PARENTS CAUSE OF DEATH in plain terms, so that it may be properly classified. Exact statement of OCCUPATION information should be carefully supplied. AGE should be stated EXACTLY. PHYSICIANS should state is very important. See instructions and extracts from the laws on back of certificate. IN. D .- WRITE PLAINLY, WITH ONFADING BLACK INK-THIS IS A PERMANENT RECORD. Every item of Industry 10 or Business:


Suffolk (County)


winthrop


(City or Town)


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


(City or town making return)


Registered No.


124


5 (If death occurred in a hospital or institution, No.Winthrop Community Hospital Inc.


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


2 FULL NAME


John F.


Finn


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


(a) Residence.


No.


379 Lovell St. Last Boston


St.


Lass


(Usual place of abode)


ength of stay: In hospital or institution


(Specify whether)


years


months


days.


(If nonresident, give city or town and state)


In this community


yrs.


mos.


days.


PERSONAL AND STATISTICAL PARTICULARS


4 COLOR OR RACE


white


5 SINGLE


MARRIED


WIDOWED


or DIVORCED single


5a If married, widowed, or divorced


(Give maiden name of wife in full)


(Husband's name in full)


6 Age of husband or wife if alive. .years


7 IF STILLBORN, onter thal fact here.


8 AGE Years. Monthy .. Days


If less than 1 day


17


... Hours


Minutes


Usucl


9 Occupation:


Tove


11 Social Security No.


12 BIRTHPLACE (City)


(State or country)


13 NAME OF


FATHER


Bernard Finn


14 BIRTHPLACE OF


FATHER (City)


Charlestown


(State or country)


00


C


15 MAIDEN NAME


OF MOTHER


Rite Teouch


16 BIRTHPLACE OF


MOTHER (City)


Ghelgen


(State or country)


-ass.


17 Bernard Jury Relation, it my


Informing


(Address)


379 Lettell & E Botas


I HEREBY CERTIFY that a satisfacigry standard certificate of death was tiled with me BEFORE the burial of Irapsil permit was issued:


Mm. J. Chil dress


(Signature of Agentsof Board of Health & Ater), Health officer 6/11/43


(official Designation)


(Date of Issue of Fofmit) /


MEDICAL CERTIFICATE OF DEATH


18 DATE OF


DEATH


June


9


1943


(Month)


(Day)


(Year)


19 1


HEREBY CERTIFY. That I attended deceased from


June 9


19 .. 98


9


I last saw hamn. .. alive on ..


to have occurred on the date stated above, at.


Duration


Immediate cause of death.


...


17 h


Due to Imauch formatione


que to mothers exames


Due to


pregnancy


Other conditions


(Include pregnancy within 3 months of death)


Major findings :


Of operations


.....


Date of ..


Of autopsy


What test confirmed diagnosis ?


20 Was disease or Injury In any way related to occupation of deccased ?


If so, specify.


(Signod)


Seschaffa


M. D.


Vidros) 19Bankster


Date


De 9 19 40


21


Holy tevoss


mardin


Place of Burial, Cremation or Removal. DATE OF BURIAL ....


Kine


19 43


22 NAME OF FUNER EL DIRECTOR Riderickmanauto


ADDRESS


East Bata


Received and filed.


MIN 1 4


15


A TRUE COPY ATTEST:


(Registrar)


PHYSICIAN


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


200m-10-'39. No. 8427-d


BOSTON NOTIFIED 1/9/43


(write the word)


.....


( U. S. War Veteran. specity WAR)


(City or Town)


to ..... 19.5 .... 5 death is said


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 eontracted, 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.


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 elerk 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 licu thereof a certificate as hereinafter provided. If there is no attending physician, or if, for sufficient reasons, his certificate cannot be obtained early enough for the purpose, or is insufficient, a physician who is a member of the board of health, or employed by it or hy the selectmen for the pur- pose, shall upon application make the certificate required of the at- tending physician. If death is caused by violence, the medical exam- iner shall make such certificate. If such a permit for the removal of a human body, not previously interred, from 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 obtained hereunder. If the death certificate contains a recital, as required by section ten of chapter forty-six, that the deceased served in the army, navy or marine corps of the United States in any war in which it has been engaged, such recital shall appear upon the permit. The board of health, or its agent, upon receipt of such statement and certificate, shall forthwith countersign it and transmit it to the clerk of the town for registration. The person to whom the permit is so given and the physician certifying the cause of death shall thereafter fur- nish for registration any other necessary information which can be


obtained as to the deceased, or as to the manner or cause of the death, which the clerk or registrar may require .- Chap. 114, Sec. 45, G. L., (Tercentenary Edition.)


No undertaker or other person shall bury a human body or the ashes thereof which have been hrought into the commonwealth until he has received a permit so to do from the board of health or its agent appointed to issue such permits, or if there is no such board, from the clerk of the town where the body is to be buried or the funeral is to be held, or 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.)


RULES OF PRACTICE


The fulfillinent of the purpose of these laws calls for the observ- ance of the following rules of practice :


(1) Attending physicians will certify to such deaths only as those of persons to whom they have given bedside care during a last ill- ness from disease unrelated to any form of injury.


(2) Board of Health physicians will certify to such deaths only as those of persons who, though disabled by recognized disease un- related to any form of injury, have died without recent medical attendance or whose physician is absent from home when the certificate of death is needed.


(3) Medical Examiners will investigate and certify to all deaths supposably due to injury. These include not only deaths caused directly or indirectly by traumatism (including resulting septice- mia), and by the action of chemical (drugs or poisons), thermal, or electrical agents, and deaths following abortion, but also deaths from disease resulting from injury or infection related to occupa- tion, the sudden deathis of persons not disabled by recognized disease, and those of persons found dead.


Statement of Cause of Death .-- Cause of death means the disease, or complication which causes death, not the mode of dying, e. g., heart failure, asphyxia, asthenia, etc. As principal cause name the disease causing death. As related causes, name earlier morbid con- ditions, if any, related to the principal cause and any important complication of the principal cause.


Statement of Occupation .- Precise statement of occupation is very important, so that the relative healthfulness of various pursuits can be known. Make some entry in this section for every person aged 10 years or over. If the occupation had been given up or changed on account of the disease causing death, report the usual occupation prior to illness. If the deceased had retired from busi- ness, report the usual occupation prior to retirement. Children not gainfully employed may be returned as at school or at home. For a woman whose only occupation was that of home housework, write housework. For a person engaged in domestic service for wages, however, designate the occupation by the appropriate terms, as housekeeper-private family, cook-hotel, etc. For a person who had no occupation whatever write none.


SPACE FOR ADDITIONAL INFORMATION


X


-301 A


PLACE OF DEATH


Suffolk (County)


1


Wint rop


...


(City or Town)


No. 33 Bay View Ave


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. 125


Registered No.


( If death occurred in a hospital or institution, St.


give its NAME instead of street and number)


2 FULL NAME


John A. Shea


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


(a) Residence. No.


33 Bay View Ave


(Usual place 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.O


yra.


mos.


days.


PERSONAL AND STATISTICAL PARTICULARS


3 SEX


Male


4 COLOR OR RACE


White


5 SINGLE


( write the word)


MARRIED


WIDOWED


or DIVORCED


Married


Sa If marrie


HUSBAND of


(Give maiden name of wife in full)


iyiarea Jacobson


(or) WIFE of


( Husband's name in full)


6 Age of husband or wife if alive


years


> IF STILLBORN. enter that fact here.


AGE


52


Years


Months


-


Days


-


If less than 1 day


Hours


Minutes


Usual


9 Occupation :


Bookeeper


Industry


10 or Business :


Rapid ..... Transit


11 Social Security No.


023- 10-6759


12 BIRTHPLACE (City)


(Siate or country)


Mass


13 NAME OF


FATHER


Michael Shea


14 BIRTHPLACE OF


FATHER (Clty)


(State or country)


Ireland


15 MAIDEN NAME


OF MOTHER


Hanna Sullivan


16 BIRTHPLACE OF


MOTHER (City)


(State or country)


Ireland


17 Mildred Shea


Walyier, If any


( Address)


33 Bay View Ave


I HEREBY CERTIFY that a satisfactory standard certificate of death was filed with me BEFORE the burial or transit permit was Issued : VMED. Clubdues


(Signature of Ageht of Board of Ipfaith or other) 6/14/43


( Date of Issue of Permit)


MEDICAL CERTIFICATE OF DEATH


18 DATE OF


DEATH


(Month )


(Day)


(Year)


19 I HEREBY CERTIFY, That I attended deosasod from


(


to


time 13.


1943


i last saw h. Iam alive on


1 . 19 death Is said to


have occurred on the date stated above, at


11.303


m.


Immediate gause of death.


Conmanifest


Duration


IMPORTANT ....


Due to.


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


L'uderline the cause to which death should be charged sta- tistically.


20 Was disease or injury in any way related to occupation of deceased? 10


If so, specify.


('Signed)


(Address)


Holy


Cross Mld


, M. D.


K


21


Place of Burial, Creniation or Removal.


DATE OF BURIAL ..


June ,I6.


(City or Town) 1.9.4.3 19/


22 NAME OF


FUNERAL DIRECTOR SIme LO Maten


ADDRESS


Winthrop


Received and Ated. JUN 1-4 -1943


19


( Registrar)


-


V


100M-G -2-42.8855


extracts from the laws on back of certificate. If deceased was a U. S. War Veteran, G. L. Chap. 46, Section 10, requires physicians to Insert a recital to that effect. PARENTS


Heatthe office " (Omclal Designation)


PHYSICIAN - IMPORTANT


(Was deceased a


U. S. War Veteran,


if so specify WAR)


1943


45


9 mm


Charlestown


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 illuesa, at the request of an undertaker or other authorizeil person or of any member of the family of the deceased, furnisb for registration a standard certifcate of death, stating to the best of his knowledge and beher the name of the deceased, his supposed age, the disease of which he died. defined as re- quired by section one. where ssme was enutracied. the duration of his last illness, when last meen alive by the physician or officer and the date of hia death ... Ceu. Laws, Cliap. 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. wavy 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 cause of death as nearly as he can state the saine. For neglect to comply with any provision of this section, such physician or officer shall forfeit ten dollars. For the purposes of thia sec- tion and of sectinus forty-five, forty-six and forty seven of said chapter one huitred and fourteen, the word "war" shall incinde the China relief ex- pedition aud 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 harder 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 body which has not been buried, until he haa 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 huinan body and remove it from a town, from one cemetery to another, or from one grave or tomb other than the receiving tonth 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 delivered to such hoard, agent or clerk, as the case inay he, 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 auy, as required by law, o1 in lieu thereof a certificate as liereinafter 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 hoard of health, or employed by it or by the aelectmen for the purpose, shall upon application niske the certificate re- quired of the attending physician. If death is csused by violence, the medl- cal examiner shall make such certificate. If such a permit for the removal of a human body, uot 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 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, unlesa 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 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 transnrit 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 mauter 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 body or the ashea thereof which have been brought luto the commonwealth until he has re- ceived a permit so to do from the board of health or its agent appointed to issue such perinits, or if there is no such hoard, from the clerk nf the town where the body 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. .. . Chap. 114. Sec. 46. G. L., (Tercentenary Edition).


Medical examiners shall make examination upon the view of the dead bodies of only such persons as are supposed to have died by vinlence. 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 liea aud take charge of the same; ... - General Laws, Chap. 38, Sec. 6.


RULES OF PRACTICE


The fulfillment of the purpose of these lawa calla for the ohaervance of the following rules of practice :


(1) Attending phyalcians will certify to such deatha only aa 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 physiolans will certify to such deaths 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 physi- 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 hy traumatism (including resulting septicemla), and by the action of chemical (drugs or poisons), therinal, or electrical agents, and deaths following abortion, but also deaths from dlacasa resulting from injury or Infection related to occupation, the sudden deaths of persons not disabled by recognized dlasaae, 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 ilying. e. g., heart failure, asphyxia, asthenia, etc. Aa principal cause name the disease caualng 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 Oocupatlon .- Precise statement of occupation Is very Im- portaut, so that the relative healthfulness 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 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 he returned as at school or at home. For a woman whose only occupatiou was that of home housework, write bousework. For a person engaged in domestic service for wages, however, designate the occupation by the appropriate terms, aa housekeeper-private family, cook-hotel, etc. For a person who had no occupation whatever write none.


SPACE FOR ADDITIONAL INFORMATION


301 A


1


PLACE OF DEATH


Suffolk ( County) Tutterole (City or Town 102 May View Ave No.


The Commonforalth 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 126


Registered No.


§ ( If death occurred in a hospital or institution,


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


PHYSICIAN - IMPORTANT


(Was deceased a #-S. War Veteran,


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


(a) Residence. No.


102 May View Sove


(Usual place of abode)


(If nonresident, /give cfty or town and State)


Length of stay: In hospital or Institution


( Refnre death)


(Specify whether)


yeara


8 months + days.


in this community


yrs.


3


mos.


days.


PERSONAL AND STATISTICAL PARTICULARS


MEDICAL CERTIFICATE OF DEATH


3 SEX


S


4 COLOR OR RACE|


( write the word)


5 SINGLE


MARRIED"


WIDOWED


Married


5a If married, widowed, or divorced HUSBAND of


(or) WIFE of


Policie Mac Donald


( Husband's name in fuli)


6 Age of husbandtor wife if alive 64


yaers


IF STILLBORN. enter that fact hera.


8


AGE 62


Years


2


Months


11


Days


if less than 1 day


Hours.


Minutes


Usual


9 Occupation :


At Home


Industry


10 or Business :


Own Home


11 Social Security No. hove


12 BIRTHPLACE (City


( State or country)


New Brunswick


13 NAME OF


FATHER


Foran Funny


14 BIRTHPLACE OF


FATHER (City)


St Stephens


(State or country)


15 MAIDEN NAME


OF MOTHER


Freuch


16 BIRTHPLACE OF


MOTHER (City)


(State or country)


Trew Brunswiche


17 Informant unfred Jearney ( Address )


I HEREBY CERTIFY that a satisfactory standard oartifioate of death wasy filed with me BEFORE the bodai of transit parmit was Issued:


(Signature of Agent of Board of Health or other) Health Check / 6/14/43


...... (Omcial Designation) ( Date of Issue of Permie)/


18 DATE OF


DEATH


Sime


14


( Mfonth)


(Day)


1943 (Year)


19 HEREBY CERTIFY,


That i attandad daosasad from


June 1, 1943


Ło ...


June 14


1943


I last saw her


alive on.


June 14, 19 43 death is said to


have occurred on the date stetad abova, at ..


t 11:50 Am


Immediate cause of death. Carcinoma of left


breast")


........... 6mos ....


Due to. General Carcinomatoris"


amos .......


Other conditions.


none


.... ( Include pregnancy within 3 months of death)


IMPORTANT Physician


Major findings:


Of operations.


carcinoma of


left breast


Date of


Of autopsy.


none


Underiino the cause to u hich death should be


What test confirmed diagnosis?


clinical x par charged st.


Zistically.


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


if so, spaolfy ... / ...


Jacob abrange M.W


M. D.


(Signad).


(Address) 562 HuskeyJ


Jul1419443.


Data .ln


21


DATE OF BURIAL


l'ia Y Creniation of Removal. 1 (City or Town) 43 19 .......


22 NAME OF FUNERAL DIRECTOR ADDRESS


34 Maple St Malden mass


Raoelved and Aled.


19.


JUN 1 1 1913


( Registrar)


.


-----


100M-6 - 2-42-8855


X


2 FULL NAME


Ada Gimma Trac Donald


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


Duration IMPORTANT


Due to


EXTRACTS FROM THE LAWS OF THE COMMONWEALTH OF MASSACHUSETTS GOVERNING THE


RETURN OF CERTIFICATES OF DEATH


A physlolan 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 an undertaker or other authorizeil 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. where same was contracted, the duration of his last illnesa, when last seen alive by the physician or officer and the date of bis death ... Gen. Lawa, Chap. 46, Sec. 9.




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