Town of Winthrop : Record of Deaths 1943, Part 50

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


USA > Massachusetts > Suffolk County > Winthrop > Town of Winthrop : Record of Deaths 1943 > Part 50


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


If so, specie


(Signed)


M. D.


(Add


(3) 26 Wave Way Que Date 7/16/19 43


21 Chelsea Cemetery -- Woburn


(City or Town)


....


Place of Burial, Cremation or Removal.


DATE OF BURIAL


July


18,


19.43


22 NAME OF FUNERAL DIRECTOR Manuel .... Stanetsky ADDRESS 10 Washington .... St., Dorchester


Rocoivod and filed 2 1943


19


(Official Designation )


5 SINGLE


(write the word)


MARRIED


WIDOWED Married


or DIVORCED


5a If married, widowed, or divorced HUSBAND of


Manya .... Shapiro


(Give maiden name of wife in full)


(Husband's name in full)


6 Age of husband or wife if alive.


50


years


7 IF STILLBORN, enter that fact here.


If less than 1 day


Days Hours.


Minutes


PARENTS


FATHER (City)


-Russia


15 MAIDEN NAME


OF MOTHERSophie-cannot be learned


16 BIRTHPLACE OF


MOTHER (City)


(State or country)


- Russia


17 Informant (Address) 40 Browne St., Brookline


Relation, if any


Manya Levine


Wife


I HEREBY CERTIFY that a satisfactory standard certificate of death was filed with me BEFORE tho burjal or transit/permit was issuod: Nu-A- tuldefet (Signature of Agony of Board of Health of other) Health office


7/07/43


(Registrar)


(If U. S.


War Veteran,


specify WAR)


No


(a) Residence. No.


(Usual place of abode)


Length of stay: In hospital or institution.


(Specify whether)


4 COLOR OR RACE


White


No. 45 Forest


Winthrop 1 (City or Town) A 3 SEX Male (or) WIFE of 8 9 Occupation: 12 BIRTHPLACE (City) ..... (State or country) 14 BIRTHPLACE OF (State or country) plan tering, so that it may be properly classified. Enact sidiclient of Ovvi Ativa AGE 53 Years. .. Months.


Due to Other conditions Diabetes Mellitus (Include pregnancy within 3 months of death)


Date of ..


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.


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 shåll exhume a human body and remove it from a town, from one cemetery to another, or from one grave or tomnb 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 shail 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 by the selectmen for the pur- posc, 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 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 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 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 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 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 relaled 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 dcath. 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 pursults 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- nesa, report the usual occupation prior to retirement. Children not gainfully employed may be returned as at school or at home. For a woman whoze only occupation was that of home housework, write housework. For a person engaged in domestic service for wages, however, designate the eceupation by the appropriate terms, as housekocper-private family, cook-hotel, etc. For a person who had no occupation whatever write none.


SPACE FOR ADDITIONAL INFORMATION


1 A


1


PLACE OF DEATH -


Suffolk (County)


Winthrop (City or Town) Community Hospital


The Commonforall 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.i


Registarad No.


{ { If death occurred in a hospital or institution, St. [ give its NAME instead of street aud nuniber)


2 FULL NAME


Lillia n


May


Hazen


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


(a) Residenca. No.


46 Bates Ave


St.


Finthrop.


(Usual place of abode)


(If nonresident, give city or town and State)


Length of stay: In hospital nr institution


Hospitā


....


yeare


1 months


80 days.


in this community


10grs.


mos.


dayı.


(Refnre death)


(Specify whether)


PERSONAL AND STATISTICAL PARTICULARS


3 SEX


4 COLOR OR RACEI


5 SINGLE


( write the word)


MARRIED


WIDDWED


or DIVORCED


Female


nWhite


Married


5a If married, widowed, or divorced


HUSBAND of


(Give maiden name of wife in full)


(or) WIFE of


Daniel ... A.Haz.on ..


( Husband's name in fu !! )


6 Age of husband or wife if alive .7.5


yaars


> IF STILLBORN. enter that fact here.


8


AGE .. .. 6.7 Years


5. Months


25Days


If less than 1 day


Hours


Minutes


Usual


9 Occupation :


At Home


Industry


10 or Business :


11 Social Security No.


None


'2 BIRTHPLACE ( City)


( State or country)


England


13 NAME OF


FATHER


John B. Morphay


14 BIRTHPLACE DF


FATHER (City)


England


(State or country)


15 MAIDEN NAME


OF MOTHER


Anna mae Ford


16 BIRTHPLACE OF


MOTHER (City)


(State or country)


...


England ..


(Address)


Craft La Date 7-20~19


42


21


Forest Hills ... Cemetery


Place nf Burial, Crematinn or Removal.


(City or Town)


Boston


DATE OF BURIAL


July 23


19


43


22 NAME OF


FUNERAL DIRECTOR


J.,S. "aterman & .... Sons


ADDRESS


Boston, Mass


(Signature of Akont of Board of Health or other


Heatthe Seiches 21/4/3


Comcial Designation (Date of Issue of Permit)


18 DATE OF


DEATH


( Month)


(Đay)


That


attended deosased from


last saw h 22


alive ones


20 , 19 death Is said to


have occurred on the data stated above,


4.45A


.m.


Immediate oausa of death. Pancho pocomania


IMPORTANT


patrio salarios


Due to


Due to


Other conditions.


include pregnancy within 3 months of death)


Major findings: what wentonits Of operations


Date


of


6/1/43


Df autopsy.


What test confirmed diagnosis?


IMPORTANT


Physician Cuderline the cause to which death should be charged sts- tistically.


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


If so, speoity .....................


(Signed)


M. D.


17 Herbert Hazen


Informant


.Son Relation, If any (Address) 46 Bayes Ave Winthrop


I HEREBY CERTIFY that a satisfactory standard certificate of death was filed with me BEFORE the burilor transit permit was Issued :


100M- 6 . 2.42 - 8855


Tr w.c.asuu was a . S. War Veteran, G. L. Chap. 46, Section 10, requires physicians to Insert a recital to that offoot. PARENTS


Received and Aled JUL. 8.6- 1043


19


( Registrar)


None


(Was deocased a


U. S. War Veteran,


if so specify WAR)


20


1947


(Year)


19 || HEREBY CERTIFY.


Amil


191


.....


19


Duration


MEDICAL CERTIFICATE OF DEATH


PHYSICIAN · IMPORTANT


No.


EXTRACTS FROM THE LAWS OF THE COMMONWEALTH OF MASSACHUSETTS GOVERNING THE


RETURN OF CERTIFICATES OF DEATH


A physician or registered hospital medical officer shail forthwith, after the death of a person whoin he has attended during his last illness, at the request of an undertsker or other authorized person or of sor meniber of the family of the deceased, furnisb for registration s standard certificate of desth, stating to the best of his knowledge and belief the name of the deceased. his supposed age, the disease of which he died. defined as re- quired by section one. wirre same was contracted. the duration of his last illness, when last seen alive hy the physician or officer and the date of bia death ... Gen. Laws, Chap. 46, Sec. 9.


A physician or officer furnishing s 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 helief, 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 u 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, sucb 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 bundred 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 Mexi- can border service of nineteen hundred and sixtcen and nineteen bundred and seventeen. G. L. Chap. 46, Sec. 10.


No undertaker or other person shall hury or otherwise dispose of a buman body in a town, or remove tilerefrom a human budy 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 me was where da. .. aus Gled; 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 thau tbe 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 bave been delivered to sucb 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 be accompanied. in case of an original interment, by a satisfactory certificate of the attending physician, if any, as required by law. o1 in lieu thereof a certificate as liereinafter provided. If there is no attending physician, or if, for sufficient reasons, his certificate camnot be obtained early enough for the purpose, or is insufficient, a physi- cian who is a member of the board of health, or employed by it or by the selectmen for the purpose, shall upon application niske the certificate re- quired of the attending physician. If death is caused by violence, tbe medi- cal examiner ahall make sucb certificate. If such a permit for the removal of a human body, not previously interred, from one town to another within tbe cominonwealth 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 renioval 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 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 heen engaged. sucb 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 shail thereafter furnish for registration any other nece+ sary information which can be obtained as to the deceased, or as to the manner of cause 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 Into the commonwealth until le has re- ceived a permit so to do from the hoard of health or its agent appointed to issue such perinits, or if there is no such hoard, from the clerk of the town where the body is to be buried or the funeral is to he held, or from a person appointed to have tbe care of the cemetery or burial ground in which ibe internetit is made. .. . Cbap. 114. Sec. 46. G. L., (Tercentenary Editiou).


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 jerson, he shall forthwith go to the place where the body lica aud take cburge of the same; ... - General Laws, Chap. 38, Sec. 6.


RULES OF PRACTICE


The fulfillment of the purpose of these lawa calla 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 physiclans 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) Medioal Examiners will investigate and certify to all deaths sup- posably due to Injury. These include not only deaths canved directly or in- directly by traumatism (including resulting septicemia), 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 hy recognized disease, and those of persons found dead.


Statement of Cause of Death .- Callse of deatlı means the disease, or complication which causes death, not the moile of dying, e. g., heart failure, asphyxia. aatbenia, etc. As principal cause name tbe 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- portant. so that the relative bealthfulness 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 bad retired from business, report the usual occupation prior to retirement. Children not gainfully employed may he returned aa at school or at hoine. 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, as housekeeper-private family. cook-hotel, etc. For a person wbo bad no occupation whatever write none.


SPACE FOR ADDITIONAL INFORMATION


R-301 1


Suffolk REVERE NOTHING 8/9/43


(County)


Winthrop


(City or Town)


No. Winthrop com


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


(City or town making return)


Registered No.


(If death occurred in a hospital or institution,


give its NAME instead of street and number)


2 FULL NAME


Infant Pinstein


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


(a) Residence.


No ..


7 Summer


St.


Rever


mans


(Usual place of abode)


Length of stay: In hospital or institution


(Specify whether)


years


months


days.


In this community


yrs.


mos.


days.


PERSONAL AND STATISTICAL PARTICULARS


4 COLOR OR RACE


White


5 SINGLE


MARRIED


WIDOWED


or DIVORCED


(write the word)


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 that fact here.


Stillborn


8


ÅGE


0


Years


Months


Days


Hours. Minutos


11 Social Security No.


12 BIRTHPLACE (City)


(State or country)


Winthrop inen


13 NAME OF


FATHER


Abraham Pinstein


14 BIRTHPLACE OF


FATHER (City)


Boston


(State or country)


15 MAIDEN NAME


OF MOTHER


Sylvia Lampert


16 BIRTHPLACE OF


MOTHER (City)


New York City, N. Y.


(State or country)


New York State


17 Benjamin Pinotein Relation, if any


Unde


Informant


45 Radno Rd Brighton


I HEREBY CERTIFY that a satisfactory standard certificate of death was filed with me BEFORE the burial or tranatt permit was issued;


Name: D. Couldrifts.


Healthe Que 1/21/43 7 (Official Designation) (Date of Issue of Pormit)


MEDICAL CERTIFICATE OF DEATH


18 DATE OF


DEATH


20,


1947


(Day)


(Year)


19 I HEREBY CERTIFY. That I attended deceased from


19.


.... , to.


19


I last saw h ...


.. alive


19.


.... , death is said


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


4:22am


Duration


Immediate cause of death


Due to


Still for


Due to


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 lo any way related to occopation sf deceased ?


If so, specify.


(Signed)


......


M. D.


(Address) 12 Ahialas During


7/21 19 43


21 Beth Larael cem. Everest mass Place of Burial, Cremation or Removal. (City or Town)


DATE OF BURIAL


July 22


1943


22 NAME OF


FUNERAL DIRECTOR


manuel Stanetter


ADDRESS


10 Washington St. Dort


Received and filed 101- 2-6 1949 19


A TRUE COPY ATTEST:


(Registrar)


...


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


-


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


I PLACE OF DEATH 3 SEX Fcma HUSBAND of (or) WIFE of. Usual 9 Occupation: PARENTS vivuiu ve carefully supplied. AGE should be stated LAACILI. PHYSICIANS should state Industry 10 or Business:


CAUSE OF DEATH in plain 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.


. ..


(If U. S. War Veteran. specify WAR)


...


(If nonresident, give city or town and state)


If less than I day


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 deccased, his supposed age, the disease of which he died, defined as required by section one, where samc 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 hody 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 hody 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 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 npon 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 remova! ; provided, that such body 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 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- nigh for registration any other necessary information which can be




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