Town of Winthrop : Record of Deaths 1943, Part 52

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


USA > Massachusetts > Suffolk County > Winthrop > Town of Winthrop : Record of Deaths 1943 > Part 52


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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SPACE FOR ADDITIONAL INFORMATION


01 A


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


100M-6 - 2-42-8855


Informant


17


John J. Frily


Rejstion, it yny


I HEREBY CERTIFY that a satisfactory standard certificate of death was filed/with me BEFORE the burial of transit permit was Issued : Nau.S . Childress


(Signature of Arent of Bonco of Health or other) watch Miller 7/27/43


(Omclal Designation) / ( Date of Issue of Permit)


18 DATE OF


DEATH


25


1943


(Day)


(Year)


19 1 HEREBY CERTIFY,


19


Ło


That ! attended deceased from


I last saw h.


alive on.


19


death Is said to


have occurred on the date stated above,


8:12 a


„.m.


6 Age of husband or wife if alive


years


IF STILLBORN. enter that fact here. sportricei.


8 AGE Years Months Days


If less than 1 day Hours. Minutes


Usual


9 Occupation :


Industry


10 or Business :


11 Social Security No. Sindhups musa


'2 BIRTHPLACE (City)


( State or country}


13 NAME OF


FATHER


to: John J. Kirby


14 BIRTHPLACE OF


FATHER (City)


(State or country)


mass


East Bratr


15 MAIDEN NAME


OF MOTH


mary me muller


20 Was disease or injury in any way related to oooupation of deoeased ?. If so, spsolfy.


....


(Signed)


Fired ! llegan


............. M. D.


(Address)


Data


125, 1943


Place of Burist, Crenistion or Remoyal.


(City or Town)


DATE OF BURIAL.


19 43


22 NAME DF


FUNERAL DIRECTOR


ADDRESS


OR Riderisk magath


Rsosived and Alsd


"JUL. 8.8.1913


19


( Registrar)


1


Menthis Community Hotels ( If death occurred in a hospital or Institution, No.


give its NAME instead of street and number)


2 FULL NAME


Dirby


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


650 SaratogaOF


St.


East


A


PHYSICIAN - IMPORTANT


(Was deceased a


U. S. War Veteran,


(a) Residence. No.


(Usual place of abode)


Hospital


years


Length of stay: In hospital or Institution


(Before death)


(Specify whether)


months days.


In this community


yrs.


mos.


days.


PERSONAL AND STATISTICAL PARTICULARS


MEDICAL CERTIFICATE OF DEATH


3 SEX


4 COLOR OR RACEJ


Female Suite


5 SINGLE


MARRIED


WIDOWED


or DIVORCED


( write the word)


5a If married, widowed, or divorced HUSBAND of


(Give maiden name of wife in full)


(or) WIFE of


( Husband's name in full)


Duration +


IMPORTANT


Immedlate oause of death.


Still Bom


Due to


8mo


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 be charged sta. tistically.


16 BIRTHPLACE OF


MOTHER (City)


(State ar country)


East Boston


masa


1


PLACE OF DEATH


BOSTON NOTIFIED Suffolk 8/9/43


(County 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.


speolfy WAR) ..


(If nonresident, give city or town and State)


19


...


EXTRACTS FROM THE LAWS OF THE COMMONWEALTH OF MASSACHUSETTS GOVERNING THE


RETURN OF CERTIFICATES OF DEATH


A physician or registered hospital medical officer shall forilwith, after the death of a person whoin he has attemled during his last illness, at the request of an undertaker or other authorizeil person or of any meniber uf the family of the deceased, furnish for registration a standard certificate of death, siating to the best of his knowledge and belief the name of the decessed, his supposed age, the disease of which he died. defined as re- quired by section one. where same was contracteil. the duration of his last illness, when laat seen alive hy the physician or officer and the date of his death ... Gen. Lawa, Chap. 46, Sec. 9.


A physician or officer furnishing a certificate of death aa required by the preceding section or by acction forty-five of chapter one hundred and four- teen, shall, if the deceased, to the best of his knowledge and belief, served in the ariny, navy or marine corps of the I'nited States in any war in which it has been engaged. insert in the certificate a recital to that effect, speci- fying the war, and shall also certify in such certificate both the primary and the secondary or immediate 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 thia sec- tion and of sections forty-five, forty-six and forty-seven of said chapter one humulred and fourteen, the word "war" shall inchule 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 hundred and seventeen. G. L. Cliap. 46, Sec. 10.


No undertaker or other person shall hury or otherwise dispose of a human body in a town, or remove tierefrom 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 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 froin 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 frum the board of health or ita agent aforesaid or from the clerk of the town where the boily is buried. No such permit ahall be issued until tbere shail have been delivered to sucb board, agent or clerk, as the case inay 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 & satisfactory certificate of the attending physician, if any, aa required by law. o1 in lieu thereof a certificate as hereinafter provided. If there ia no attending physician, or if, for sufficient reasona, hia certificate cannot be obtained early enough for the purpose, or ia insufficient, a physi- cian who ia a member of the hoard 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 human body. not previuusly interred, fruin 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 haa heen sooner obtained hereunder. If the death certificate containa a recital, aa required


by section ten of chapter forty-six, that the deceased served in the army, navy or marine corps of the United States in any war In which It has heen engaged. such recital shall appear upon the permit. The board of health. or ils agent. upon receipt of such statement and certificate, shall forthwith countersign it and transmis 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 uther nece+ aury information which can be ubtained as to the deceased, ur 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 body or the ashes thereuf which have been brought Into the commonwealth until he has re- ceived a permit so to do fram the hoard 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 body is to be buried or the funeral is to he held, or from a person apointed to have the care of the cemetery or burial grouml in which ibe intervient ia made. .. . Chap. 114. Sec. 46. G. L., (Tercentenary Editiun).


Medical examiners shall make examination upon the view of the dead hodiea of ouly such persons as are supposed to have died by violence. If a medical examiner has notice that there is within lils county the hody of such a person, he shall forthwith go to the place where the hody liea 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 phyalcians will certify to such deatha only as those of persona to whont they have given bedside care during a last illness from disease unrelated to any form of injury.


(2) Board of Health phyalolans will certify to such deatha only as those of persons who, thuugh disahled by recognized disease unrelated to any form of injury. have died without recent medical attendance or whose phyaf- cian ia ahsent from home when the certificate of death ia needed.


(3) Medloal Examiners will investigate and certify to all deaths aup- posably due to Injury. These include not only deaths caused directly ur in- directly by traumatism (including resulting septicemia), and by the action of chemical (drugs or poisons), thermal, or electrical agruts, aml deaths following ahortion, but also deatha from diseasa resulting from injury or Infeotlon related to occupation, the sudden deaths of persona not disabled by recognized disease, and those of persons found dead.


Statement of Cause of Death .- Cause of death meana the dlaease, or complication which causea death. not the mode of ilying. e. g., hrart 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 principai cause.


Statement of Oooupatlon .-- Precise statement of occupation ia very im- portant, so that the relative healthfulnesa of various pursuits caur be known. Make some entry in this section for every person aged 10 yeara 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 businesa, report the usual occupation prior to retirement. Children not gainfully employed may be returned aa at school or at hume. For a woman whose only occupation waa that of home housework, write housework. For a person engaged in domestic service for wsges, however, designate the occupation hy the appropriate terma, as housekeeper-private family, cook-hotei, etc. For a person who had no occupation whatever write none.


SPACE FOR ADDITIONAL INFORMATION


301 A


Surrolk


(County)


Winthrop


(City or Town)


No.


05 Waldermar Ave.


........


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


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


Registered No.


( If desth occurred in a hospital or institution, · ( give its NAME instead of street aud number) St.


2 FULL NAME


Edmond Robert Harris


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


(a) Residence. No.


65 Waldermar Ave.


(Usual place of abode)


Length of stay: In hospital or Institution


(Before death )


years


months days.


(If nonresident, give city or town and State)


In this community 32


yrs.


mos.


days.


PERSONAL AND STATISTICAL PARTICULARS


3 SEX


Male


4 COLOR OR RACE|


White


5 SINGLE


( write the word)


MARRIED


WIDOWED


or DIVORCED


Single


5a If married, widowed, or divorced


HUSBAND of


(Give maiden name of wife in full)


(or) WIFE of


( Husband's name in full)


6 Age of husband or wife if alive


years


> IF STILLBORN. enter that fact here.


8 AGE 78 Years 1 Months 1 Days


If less than 1 day


Hours.


Minutes


Usual


9 Occuoatlon :


Station Agent (Retired)


Industry


10 or Business :


Rail Road


11 Social Security No.


None


Burmingham


12 BIRTHPLACE (City)


(Siste or conutry)


England


13 NAME OF


FATHER


Robert George Harris


14 BIRTHPLACE OF


FATHER (City)


(State or country)


England


15 MAIDEN NAME


OF MOTHER


Elizabeth C Dutton


16 BIRTHPLACE OF


MOTHER (City)


(State or country) England


17 Alfred Harris


Brother


Informant. ( Address ) 65 Waldermar Ave, Winthrop


I HEREBY CERTIFY that a satisfactory standard certificate of death was filled with me BEFORE) Me burist or transit permit was Issued :


. Childrens 8.


( Signature of Agent of Board of Health of other)


7/26/43 Multico


... (Omgfal Deslamafion) ( Date of Issue of Permit)


18 DATE OF


DEATH


(sonth )


(Day)


(Year)


19 HEREBY CERTIFY ,


19


That


attended deceased from


LS


19 ....


I last saw h ......... )allve on


July 24/ 194


death Is sald to have occurred on the date stated above, at 6 A m.


Immediate oause of, death ...


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?


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


If so, specify


(Signed)


y widahin to Date 726


(Address)


.......


M. D.


1900


21


Winthrop.


Winthrop


Place of Burial, Crenistion or Removal.


(City or Town)


DATE OF BURIAL


July



1943


22 NAME OF


FUNERAL DIRECTOR


Howard Surunold


ADDRESS


Received and Aled


HI+ 2.6 1943


19


(Registrar)


100M-G - 2-42-8855


extracts from the laws on hark at consilizabu Il VeLeaseO was.a U. S. War Veteran, G. L. Chap. 46, Section 10, requires physicians to insert a recital to that offoot. PARENTS


1 PLACE OF DEATH


1


...


......


St.


PHYSICIAN - IMPORTANT


U. S. War Veteran,


if so specify WAR)


( Specify whether)


MEDICAL CERTIFICATE OF DEATH


25 1973


IMPORTANT Physician


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


...


EXTRACTS FROM THE LAWS OF THE COMMONWEALTH OF MASSACHUSETTS GOVERNING THE


RETURN OF CERTIFICATES OF DEATH


A physioian or registered hospital medioai offioer shall forthwith, after the death of a person whoin he has attemled during his last illness, at the request of an undertaker or other authorizeil person or ol any member of the family of the deceased, furnish for registration a standard certificate of death, stating to the best of his knowledge sud behef the name of the deceased, bis supposed age, the disease of which he died. defined as re- quired by section one. whirre ssme was contracted. the duration of his last illnesa, when last seen alive by the physician or officer and the date of his death ... Gen. Laws, Clap. 46, Sec. 9.


A physician or officer furnishing a certificate of death as required by the preceiling 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 a recital to that effect, speci- fying the war, and shall also certify in such certificate both the primary and the secondary or immeiliate 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 this aec- tion and of sections forty-five, forty-six and forty-seven of said chapter one bumlred and fourteen, the word "war" shall inchide the Chins relief ex- pedition and the Philippine insurrection, which shall, for said purposea, 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 sixteen and nineteen hundred and seventeen. G. L. Cliap. 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 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 ahall exhume a human body and remove it from a town, from one cenietery to another, or from one grave or tomb other thau the receiving tomb to another In the same cemetery, until he has received a permit from the board of health or ita agent aforexaid 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 cierk, as the case inay be, a satisfactory written statement containing the fscta required by law to be returned and recorded, which shall be accompanied, in case of an original internient, by a satisfactory certificate of the sttending physician, if any, as required by law. 01 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 ia a meniber 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 medl- cal examhier 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 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 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 hren 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 shall thereafter furnish for registration any other nece+ sary information which can be obtained as to the deceased, or as to the mamuer of canse of the death, which the clerk or registrar uray 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 into the commonwealth until he has re- ceived a permit so to do from the hoard of health or its agent appointed to Issue such permits, or if there is no such hosrd, 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 Editiou).


Medical examiners shall make examination upon the view of the dead bodies of only 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 boxily iles aud take charge of the same; ... - General Laws, Chap. 38, Sec. 6.


RULES OF PRACTICE


The fulfillment of the purpose of these laws calla for the observance of the following rulea 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 physlolans 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 phyaf- cian is ahsent from home when the certificate of death is needed.


(8) 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, all deaths 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 .- Canse of deathi means the disease, or complication which causes death. not the moile of dying. e. g., heart fallure, asphyxia, aatbenia, etc. Aa 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 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 on account of the disease causing death, report the usual occupation prior to Illness. If the deceased had retired from businesa, report the usual occupation prior to retirement. Children not gainfully employed may be returned aa at school or at boine. 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 bousekeeper-private family, cook-hotel, etc. For a person who had no occupation whatever write none.


SPACE FOR ADDITIONAL INFORMATION


.


301 A


PLACE OF DEATH


Sūrfolk (County)


Winthrop


...


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.


S ( If death occurred in a hospital or institution, give ita NAME instead of street aud number)


2 FULL NAME


Katherine Morris


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


(a) Residence. No.


6 Lewis Ave.


(Usual place of abode)


(If nonresident, give city or town and State)


Length of stay: In hospital or Institution


(Before death)


yeara


months


days.


in this community30


yrs.


mos.


days.


PERSONAL AND STATISTICAL PARTICULARS


3 SEX


4 COLOR OR RACE


5 SINGLE


( write the word)


MARRIED


WIDOWED


or DIVORCED


Female!


White


Single


5a If married, widowed, or divorced


HUSBAND of


(Give maiden name of wife in full)


(or) WIFE of


( Husband's name in full)


have oocurred on the date stated above, at.


8:30 A:


m.


6 Age of husband or wife if alive years


> IF STILLBORN. enter that fact here.


8 AGE 68. Years 4 Months 2.5Days


If less than 1 day


Hours


Minutes


Usual


9 Occupation :


Book Keeper (Retired)


Industry


10 or Business :


Cotton


11 Social Security No.


None


12 BIRTHPLACE (City)


( State or country )


Mass.


East Boston


13 NAME OF


FATHER


William A Morris


14 BIRTHPLACE OF


Boston


FATHER (City)


(State or country)


Mass .


15 MAIDEN NAME


OF MOTHER


Catherine C Keefe


16 BIRTHPLACE OF


MOTHER (City)


Boston


(State or country)


Mass.


Piace of Burial, Creniation or Removal(


DATE OF BURIAL


July 28


1943


22 NAME OF


FUNERAL DIRECTOR


...


Howard S Quenolls


ADDRESS


(Signature of Ageht of Board At Health or other)


IHealth


Officer


7/27/43


( Date of Issue of/Permity


18 DATE OF


DEATH


uly


26


1943


0


(Month)


(Day)


(Year)


19 I HEREBY CERTIFY,


July


22


1943


en


ailve on ...


, 1943


death is said to


Immediate oause of death.


.


acute Coronary Montrais


Duration 4 days LEMPORTANT


...


1 year


2 years


Other conditions.


none


( Include pregnancy within 3 months of death)


Major findIngs :


Of operations


none


Date of


Of autopsy


none


What test confirmed diagnosis Chincali lat


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


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


if so, spaolfy ......


, M. D.


(Signed)deal, Claus M.W.


(Address) 562 Marley ST.


Date July 261943.


(City or Town)


17 Elizabetn Morris Relation, If


Informant


( Address)


O Lewis Ave. Winthrop


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


.... (Omcial Designation)


Reosivad and Alad JUL. ... 2.8 .... 1943


19


( Registrar)


100M-6 -2.42.8855


extracts from the laws on hack ne costibizates il voleasou was a U. S. War Veteran, G. L. Chap. 46. Section 10, requires physicians to insert a reoltal to that effect. PARENTS


1


(City or Town) 6 Lewis Ave.


No.


St.


St.


PHYSICIAN - IMPORTANT U. S. War Veteran, if so spoolfy WAR)


(Specify whether)


MEDICAL CERTIFICATE OF DEATH


That I attended deosased from


to .


19


July 26


,43


Due to.


artenviclerosis


Due to.




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