USA > Massachusetts > Suffolk County > Winthrop > Town of Winthrop : Record of Deaths 1943 > Part 49
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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 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 funcral 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, Scc. 46, G. L., (Tercentenary Edition.)
RULES OF PRACTICE
The fulfillment 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 inelude 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 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, astbenia, etc. As principal cause name the discase causing death. As related causes, name earlier morbid con- ditions, if any, related to the principal eause 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 domestie service for wages, however, designatc the occupation by the appropriate terms, as housekeeper-private family, cook-hotel, etc. For a person who bad no occupation whatever write none.
SPACE FOR ADDITIONAL INFORMATION
.
-301 A Suffolk
1
PLACE OF DEATH
ACounty
Winthrop
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 Agent.
Registered No
St.
(If death occurred in a hospital or institution, give its NAME instead of street and number)
2 FULL NAME
(If deceased is a married, widowed or divorced woman, give also maiden name.)
41 Court Road
St.
Winthrop
(If nonresident, give city or town and state)
Length of stay: In hospital or institution ...
(Specify whether)
years
months
days.
In this community HOyrs.
mos.
days.
PERSONAL AND STATISTICAL PARTICULARS
3 SEX
Female
4 COLOR OR RACE
White
5 SINGLE
MARRIED
WIDOWED
or DIVORCED
(write the word)
Married
5a If married, widowed, or divorced HUSBAND of
(or) WIFE of
....
Williamid aly
(Husband's name in full)
70 1
.years
6 Ago of husband or wife if alive.
7 IF STILLBORN, enter that fact here.
If less than 1 day
AGE
-
Months- Days
Hours.
Minutes
Usual
9 Occupation:
House wife
Industry
10 or Business:
own home
11 Social Security No.
none
12 BIRTHPLACE (City)
So. Boston
(State or country)
casa
13 NAME OF
FATHER
John M. Moriarty
14 BIRTHPLACE OF
FATHER (City)
(State or country)
wass.
15 MAIDEN NAME
OF MOTHER
Delia O' Connor
16 BIRTHPLACE OF
MOTHER (City)
(State or country)
Ireland
17 William 7, Dealy husband Relations if any 21 Winthrop Winthrop
Informant.
(Address)
4) Court Rd. Winthrop
I HEREBY CERTIFY that a satisfactory standard certificato of death was filed with me BEFORE the burial or transit permit was lasued:
(Signature of Agent of Board of Hatth or other)
Health Grader
(Official Designation )
(Date of Issue of Permit)
7/2/43
MEDICAL CERTIFICATE OF DEATH
18 DATE OF
DEATH.
July
9
1943
(Month)
(Day)
(Year)
19 I HEREBY CERTIFY
august 15
19.42
to ..
19 43
I last saw h &M alive on .... Salus 6 0 1943 death is said to have occurred on the date stated above, at 8 30 .. in.
Immediate cause of death .. 1 Cerebral Thrombosis
Duration IMPORTANT 3 min
? 15 mg
Due
Hypertension
120 gr
4 yrs
Other conditions
Aminutaces - arcuuma
(Include pregnancy within 3 months of death)
of Breast
Major findings :
Of operations
Cascuronam!
of Breast
PHYSICIAN Underline Date of Kov '39 the cause to which death Of autopsy none should be charged sta- What test confirmed diagnosis ?
20 Was discose or lojery la any way related to occupation ol deceased?
, M. D.
(Address) ...
Place of Burial, Cremation qr Removal.
DATE OF BURIAL.
19.
43
July City of Town)
W & Kelly
22 NAME OF
FUNERAL DIRECTOR
ADDRESS
11 Mesidide St. C.13
Recelved and filød
JUL 15 1043
19
(Registrar)
100ın-10-'39. No. 8427-e
is very important. See instructions and extracts from the laws on back of certificate. PARENTS
specify WAR)
(II U. S.
War Veteran,
no.
(a) Residence. No ...
(Usual place of abode)
Ho
That I attended deceased from
8
66 Years
Due to
arteriosclerosis generalized
Boston
tistically.
If so, specify.
(Signed)
4123
Ost Bortonnis ,
July, 101943
....
(City or Town) 41 Court Road No Ellen Marie Deaby
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 hest of his knowledge and helief 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.
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 tomh 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 de- livered to such hoard, 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 the 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 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 hody. 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 ahove provided and in the possession of the undertaker desiring to make such removal shall constitute a permit for such removal ; provided, that such hody shall he 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 hody 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 inforination 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 received 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 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 fulfillment 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 hy recognized disease un- related to any form of injury, have died without recent medical attendance or whose physician is absent from home when the ecrtificate of deatlı 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 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 disease causing death. As related causes, name carlier morhid 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
301 A Suffolk (County) Wintheok 1 (City or Town) 105 Johnson ave No. Carrie Edith (Hurder) Westcott PLACE OF DEATH
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"
Registered No.
2 FULL NAME.
(If deceased is a married, widowed or divorced woman, give also maiden name.)
(a) Residence. No.
105 Johnson Que Winthroes
(Usual place of abode)
Length of stay: In hospital or Institution ..
( Before death )
(Specify whether)
years - months days.
(If nonresident, give city or town and State)
In this community 20 yrs.
mos.
days.
PERSONAL AND STATISTICAL PARTICULARS
MEDICAL CERTIFICATE OF DEATH
3 SEX
female
4 COLOR OR RACE|
white
5 SINGLE
(write the word)
married
MARRIED
WIDOWED
or DIVORCED
18 DATE OF
DEATH
July
11
1943
(Month)
(Day) (Year) That I attended deceased from
19 | HEREBY CERTIFY.
June
1942.
to
July 11
[ last saw h.
er
alive on
July 9,, 1943 death is said to
have ocourred on the date stated above, at
8.30 0
.m.
6 Age of husband or wife if alive 64
years
7 IF STILLBORN, enter that fact here.
8
65 Years
11
Months.
26 Days
AGE.
If less than 1 day
Hours
Minutes
Usual
9 Occupation :
at home
Industry 10 or Business :
-
11 Social Security No ..
St. Johns
12 BIRTHPLACE (City)
(State or country)
New Brunswick
13 NAME OF
FATHER
William J. Hurder
Major findings :
Of operations.
22000
Of autopsy ..
What test confirmed diagnosis ?..
Clinical Sigas
Underline the cause to which death should be charged sta- tistically.
20 Was disease or injury in any way related to occupation of deceased ?220
If so, specify
('Signed)
Name for Imi
M. D.
(Address)
WinnaGop ness Date July11, 1943
21
Winthrop Cemetery, Winthrop, Mass
l'lace of Burial, Cremation or Removal.
(City or Town)
DATE OF BURIAL July 14,
1943
I HEREBY CERTIFY that a satisfactory standard certificate of death was filed with me BEFORE the Burial og transit permit was Issued : Www. D. Clubdelas
(Signature of Agent of Board of Health or other) Health affecte 7/12/43
(Official Designation) (Date of Issue of Permity
22 NAME OF
FUNERAL DIRECTOR.
Charles R. Bennison
ADDRESS
Winthrop, Mais
Received and filed
JUL 1 5 -1943
19
(Registrar)
-
100m (d)-1-41-4667
If deceased was a U. S. War Veteran, G. L. Chap. 46, Section 10, requires physicians to insert a recital to that effect. PARENTS
14 BIRTHPLACE OF
FATHER (City)
Springfield
(State or country)
New Brunswick
15 MAIDEN NAME
OF MOTHER
Mary Elizabeth Burns
16 BIRTHPLACE OF
MOTHER (City)
Springfield
(State or country)
Men Brunswick
17 Roy Loque Westcott Relation, if any Informant (Address) 105 Johnson ave, Windhusband)
Due to.
Other conditions
(Include pregnancy within 3 months of death)
IMPORTANT Physician
Date of
Duration
Immediate cause of death.
Coronary Thrombosis
IMPORTANT
Due to.
Chronic Hypertension
2 7
5a If married, widowed, or divorced
HUSBAND of
...
(or) WIFE of
Roy Give maiden name of life in fubet
(Husband's name in full)
( (If death occurred in a hospital or institution,
S: { give its NAMIE instead of street and number)
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 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 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 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 United 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 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 include 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 fromn 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 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 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 shall he 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 the purpose, or is insufficient, a physi- cian who is a member of the board of health, or employed by it or by the selectmien 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 made 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 goouer 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 hren engaged. such recital shall appear upon the permit. The board of health, or its agent. upon receipt of such statement and certificate, shall farthwith 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- sary information which can be obtained as to the deceased, or as to the maner 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 ashes thereof which have been brought into the commonwealth until he has re- ceived a perinit so to do from the board of health or its agent 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 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).
Medical examiners shall make examination upon the view of the dead bodies 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 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 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 recent medical attendance or whose physi- 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 or in- directly by traumatism (including resulting septicemia), and by the action of chemical (drugs or poisons), thermal, or electrical agents, and deatha following abortion, but also deaths from disease resulting from injury or Infection related to ocoupation, 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 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 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 ou 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 retiremeut. Children not gainfully employed may be returned as at school or at home. For a woman whose only occupatiou 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
-301 Aj
is very important. See instructions and extracts from the laws on back of certificate.
100m-10-'39. No. 8427-e
PLACE OF DEATH
Suffolk (County)
wilfried
5/9/45
The Commonbrealth 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, give its NAME instead of street and number)
St. {
2 FULL NAME .... Arthur Levine
(If deceased is a married, widowed or divorced woman, give also maiden name.)
40 Browne Street
St.
Brookline
(If nonresident, give city or town and state)
years
months
days.
In this community 7 yrs.
mos.
days.
PERSONAL AND STATISTICAL PARTICULARS
MEDICAL CERTIFICATE OF DEATH
18 DATE OF
DEATH
July
16
(Day)
(Month)
1943 (Year)
18 I HEREBY CERTIFY ( That attended deceased from 43 ... July TE, 1943, to 4 16 19
Mlast sany heMmalive on ...... July 16, 1943 death is said to have occurred on the date Glated above, at ........... 5A.m. Immediate cause of death ........ lesute Coronary Thrombosis
Duration IMPORTANT 2 days
Due to
angina Pectoris
Usual
Wholesale Heat Dealer
Industry 10 or Business: For .... Himself
11 Social Security No.
none
Russia
13 NAME OF
FATHER
Noah Levine
Major findings :
Of operations
Of autopsy
...
What test confirmed diagnosis ?.
Climaal
3 yas
PHYSICIAN Underline the cause to which death should be charged sta- Isistically.
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