USA > Massachusetts > Suffolk County > Winthrop > Town of Winthrop : Record of Deaths 1943 > Part 60
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Statement of Occupation .- Precise statement of occupation ia 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 disease causing death, report the usual occupation prior to iliness. If the deceased bsd retired from business, report the usual occupation prior to retirement. Children not gainfully employed may be returned aa at school or at boine. For a woman wbose only occupatiou was that of honre bousework. write bousework. For a person engaged in domestic service for wages, however, designate the occupation hy the appropriate terma, as housekeeper-private family, cook-hotel, etc. For a person who had no occupation whatever write none.
SPACE FOR ADDITIONAL INFORMATION
1 A
Suffolk
(County)
Winthrop
No.
(City or Town) 59 Cottage Ave.
The Commautoralth 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 nr Institution, St. ( give its NAME instead of street and number)
Edward S. Snow
2 FULL NAME
(If deceased is a married, widowed or divorced woman, give also maiden name.)
59 Cottage Ave
(a) Residence. No.
(Usua! place of abode)
St.
(If nonresident, give city or town and State)
Length of stay: In hospital or institution.
( Reforo .hall)
( Specify schothor)
years
months
days.
in this community
yrs.
mos.
days.
PERSONAL AND STATISTICAL PARTICULARS
3 SEX
Male
4 COLOR OR RACEJ
White
5 SINGLE
(write the word)
MARRIED
WIDOWED
or DIVORCED
Married
5a If married, widowed, or divo dice Rose Snow
HUSBAND of
(Give maiden name of wife in full)
(or) WIFE of
( llu 6 Age of husband or wife if alive 74 years 7 IF STILLBORN. enter that fact here. 8 AGE 82 ... Years 3 Months 2days If less than 1 day Hours Minutes Usual 9 Occupation : Buyer Industry Wholesale Fruit 10 or Business : 11 Social Security No. None Rockland 12 BIRTHPLACE (City) ( Siate or country) Me. 13 NAME OF FATHER George Snow PARENTS 14 BIRTHPLACE OF FATHER (City) Rockland (State or country) Me . 15 MAIDEN NAME OF MOTHER Lucy Snow 16 BIRTHPLACE OF MOTHER (City) (State or country) Me. Rockland 21 Ripple if any 17 Alice Rose Snow Informant 59-Cottage Ave"Winthrop I HEREBY CERTIFY that a satisfactory standard certificate of death was filed, with me BEFORE the burial or transit permit was Issued : Www . Childrento. .... (Signature of Agent of Board of ficalth or other) Health Office 8/19/43 (Oficial Designation) (Date of Issue of Permk) 18 DATE OF DEATH Aug 17 43 (Monthi) (Day) (Year) 19 | HEREBY CERTIFY, 11 42 19. to Ong 17 1943 ...... I last saw have alive on. aug 17 19 ..! % ... , death is sald to have occurred on the date stated above, at .. 11.20 am. Immediate cause of death. generalized activo Sclerorio chronic myo carditis Due to. age. Due to. Other conditions. (Include pregnancy within 3 months of death) IMPORTANT Physician L'uderline the cause to which death should be charged sta- tiatically. 20 Was disease or injury in any way related to occupation of deceased? 20 If so, specify ...·········· Jauli 20 Dickinson M. D. ( Signed) (Aodress) Mulherto maso Date aug 19 .19.93 l'lace of Burial, Cremation or Removal. Aug 20 (City or Town) 43 19 ........ 22 NAME OF FUNERAL DIRECTInthros St. Winthrop ADDRESS Received and filed LUO 33 1943 19 (Registrar) 100m (d)-1-41-4667 MEDICAL CERTIFICATE OF DEATH That I attended deceased from Duration IMPORTANT Major findings : Of operations. Date of Of autopsy. What test confirmed diagnosis ? Clinical Rockland Me. O DATE OF BURIAL Richard 6 totale 1 PLACE OF DEATH PHYSICIAN - IMPORTANT (Was deceased a U. S. War Veteran, none 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 behef 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 bis 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 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 inimmediate canse 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 inchide 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 liman hody and remove it fromn 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 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 he 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 he obtained early enough for the purpose, or is insufficient, a physi- cian who is a member of the hoard of health, or employed hy 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 fruman 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 forin 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 I'nited States in any war in which it has been engaged. such recital shall appear upon the perinit. 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 case of death shall thereafter furnish for registration any other neces sary information which can he obtained as to the deceased, or as to the manner 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 hrought into the commonwealth until he has re- ceived a permit so to do from the hoard of health or its agent appointed to issue snch permits, 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 front 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 hy violence. If a medical examiner has notice that there is within his county the body of such a person, he shall forthwith go to the place where the body lies and 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, thengh disabled by recognized disease unrelated to any form of injury. have died without recent medical attendance or whose pbysi- cian is ahsent 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 deaths following abortion, but also deaths from disease resulting from injury or infection related to occupation, the sudden deaths of persons not disabled by recognized diseasc, 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, naine earlier morbid conditions, if any, related to tbe 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 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 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, aa housekeeper-private family, cook-hotel, etc. For a person who had no occupation whatever write none. SPACE FOR ADDITIONAL INFORMATION PLACE OF DEATH 3-A Sulla [County) 1 Winthrop (City or Town) Hauttrop Community Hospital No. The Commonfuealth of Massachusetts OFFICE OF THE SECRETARY DIVISION OF VITAL STATISTICS MEDICAL EXAMINER'S CERTIFICATE OF DEATH To be filed for burial permit with Board of Health or its Agent. Registered No. N ... St. § ( If death occurred in a hospital or institution, ( give its NAME instead of street and number) 2 FULL NAME Margaret Whitney (If deceased is a married, widowed or divorced woman, give' also maiden name.) (a) Residence. No. 453 Stunden St. Nathrop St. (Usual place of abode) (If nonresident, give city or town and State) Length of stay: In hospital or Institution ... Hosp. years months 6 days. In this community 60 grs. mos. days. PERSONAL AND STATISTICAL PARTICULARS 3 SEX 4 COLOR OR RACE| 5 SINGLE (write the word) MARRIED WIDOWED or DIVORCED Widow Sa If married, widowad, or divorced HUSBAND of (or) WIFE of CHundry ofHaithey (Ilusband'a name in full) 6 Age of husband or wifa if alive years 7 IF STILLBORN, enter that fact here. 8 78 Years. 7 Months AGE Days 19 If less than 1 day .Hours. .Minutes Usual 9 Occupation : House wife Industry 10 or Business : Own Home 11 Social Security No ..... None 12 BIRTHPLACE (City) (State or country ) Canada 13 NAME OF FATHER Unable to obtain 14 BIRTHPLACE OF FATHER (City) Unable to obtain (State or country) Canada 15 MAIDEN NAME OF MOTHER Unable to obtain 16 BIRTHPLACE OF MOTHER (City) Unable to obtain (State or country) Canada 17 John Flanagan Relatistrany Informant 453 Shirley St Winthrop I HEREBY CERTIFY that a satisfactory standard certificate of death was filed with me BEFORE the boyist or transit permit was Issued: (Signature of Agent of Board of Health or other) 8/19/43 Health affect (Official Designation) (Date of Issue of I'ermit) MEDICAL CERTIFICATE OF DEATH 18 DATE OF DEATH august-17-1943 (Month) (Dáy) (Year) 19 1 HEREBY CERTIFY that I have Investigated tha death of tha person above-named and that the CAUSE AND MANNER thereof are as follows: (If an injury was involved, state fully.) por while under the influence Collar 1 Spinal anaes Thesia fibien fu Fication of Fracti at temur 20 Accident, sulolde, or homiolde (specify) accident Date of ooourrenoo. 19 Where did Injury ocour ? (Qity or town and State) Did Injury ooour In or about home, on farm, In Industrial place, or In publlo place ? (Specify type of place) Manner of Tell accidentally at her home Injury Natura of on august 11-1940 While at work? Was there an autopsy? 21 Was disease or Injury in any way related to ocoupation of deceased ? If so, specify Ham Trickle (Signed) M. D. (Address) Bratu and-17- 19:13 22 Winthrop- Uc .. Winthrop Place of Burial, Cremation or Removal. (City or Town) DATE OF BURIAL August 19.5 ZU 23 NAME OF FUNERAL DIRECTOR. Howard S Tismolos ADDRESS Wininop Adas Reoelved and filed AUG 23 1943 19 ( Registrar) 5Qm (g)-1-41-4667 Ir deceased was a U. S. War Veteran, G. L. Chap. 46, Seotion 10. requires physicians to insert a recital to that effect PARENTS Female White (Before death) (Specify whether) PHYSICIAN-IMPORTANT (Was deceased a U. S. War Veteran, If so specify WAR) Injury EXTRACTS FROM THE LAWS OF THE COMMONWEALTH OF MASSACHUSETTS GOVERNING THE RETURN OF CERTIFICATES OF DEATH A physician or registered hospital medloal 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 hest of his knowledge and helief the naine of the deceased, his supposed age, the disease of which he died, defined as required hy section one, where same was contracted, the duration of his last illness, when last seen alive hy 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 hy the preceding section or hy section forty-five of chapter one hundred and four- teen, shall, if the deceased, to the hest of his knowledge and helief, 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 hoth 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 horder 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 hody which has not heen 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 hody 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 hoard of health or its agent aforesaid or from the clerk of the town where the body is huried. No such permit shall he issued until there shall have heen delivered to such hoard, agent or clerk, as the case may be, & satisfactory written statement containing the facts required by law to he returned and recorded, which shall be accompanied, in case of an original interment, hy 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 he obtained early enough for the purpose, or is insufficient, a physi- cian who is a member of the hoard of health, or employed hy it or hy the selectmen for the purpose, shall upon application make the certificate re- quired of the attending physician. If death is caused hy violence, the medical examiner shall make such certificate. If such a permit for the removal of a human body, not previously interred, from one town to an- other within the commonwealth cannot he obtained early enough for the purpose, the certificate of death made as ahove provided and in the pos- session 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 re- moval, 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 hy 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 regis- tration. The person to whom the permit is so given and the physician cer- tifying the cause of death shall thereafter furnish for registration any other necessary information which can he obtained as to the deceased, or as to the manner or cause of the death, which the clerk or registrar may re- quire .- 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 permit 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 hody is to be buried or the funeral is to he held, or from a per- son appointed to have the care of the cemetery or burial ground in which the interment is made .... Chap. 114, Sec. 46, G. L., (Tercentenary Edi- tion). 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 hody of such a person, he shall forthwith go to the place where the hody lies and take charge of the same ;... - General Laws, Chap. 38, Sec. 6. ... He shall in all cases certify to the town clerk or registrar in the place where the deceased died his name and residence, if known; otherwise a description as full as may he, with the cause and manner of death .- General Laws, Chap. 38, Sec. 7. ... The medical examiner certifies the cause and manner of death to the best of his knowledge and helief. 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 hedside 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 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) 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 hy the action of chemical (drugs or poisons), thermal, or electrical agents, and deaths following ahortion, hut also deaths from disease resulting from Injury or Infection related to occupation, the sudden deaths of persons not disabled by reoognized disease, and those of persons found dead. STATEMENT OF CAUSE OF DEATH Medical Examiners in certifying to a death will state the cause and manner thereof, and will specify: (1) Under cause, the nature of an injury and of its consequences; and (2) under manner, the mode of its production together with the circumstances when these are known. For example: "Com- pound fracture of the femur with ensuing septicemia (gas bacillus) caused hy a steam railway accident." "Pistol shot wound of the chest with asso- ciated hemorrhage, homicidal." "Asphyxiation hy suspension, suicidal." "Syncope while under the influence of ether administered as a surgical anaesthetic." "Fracture of the skull with associated internal injury sus- tained under circumstances unknown." If disease or injury was related to occupation, specify. If investigation shows the death to have heen due to disease, specify : (1) Under cause its known or presumahle nature; and (2) under manner, indicate the circum- stances leading to inedico-legal inquiry. For example : "Hemorrhage spon- taneous of the brain (basal ganglia) (found dead in hed)." "Heart disease, presumably coronary sclerosis. (Sudden death.)" DESCRIPTION (for unknown person) NOTICE TO UNDERTAKERS: No embalming fluid, or any substitute therefor, shall be injected into the body of any person supposed to have met his death by violence, until a permit, signed by the Medical Examiner, has first been obtained .- General Laws, Chap. 38, Sec. 14. THIS CERTIFICATE CONSTITUTES SUCH PERMIT A Suffolk (County) 1 Winthrop (City or Town) 21 Loring Road No. Christian Frederick William 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.i Registered No. S ( If death occurred in a hospital or institution, give its NAME instead of street aud nuniber) PHYSICIAN - IMPORTANT 2 FULL NAME. ( If deceased is a married, widowed or divorced woman, give aleo maiden name.) 21 Loring Road St. (If nonresident, give city or town and State) Length of stay : In hosoltal or Institution (Before death) years months days. In this community 10yrs. mos. days. PERSONAL AND STATISTICAL PARTICULARS 3 SEX 4 COLOR OR RACEĮ 5 SINGLE ( write the word) MARRIED WIDOWED or DIVORCED, /idowed White Sa If married, widowed cor divorced HUSBAND of Anna ........ Barnes (Give meiden 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 AGE7.8 .. Years .5 ... Months 24 .. Days If less than 1 day Hours Minutes Usual 9 Occupation : Instructor .... State ... Prison. Industry 10 or Business : (retired) 11 Social Security No. None '2 BIRTHPLACE ( City) ( State or country) Germany PARENTS 14 BIRTHPLACE OF FATHER (City) (State or country) Germany 15 MAIDEN NAME OF MOTHER Christiani- Kuhoft 16 BIRTHPLACE OF MOTHER (City) Germany (State or country) 17 Helen Hansen Informent ( Address) Need help finding more records? Try our genealogical records directory which has more than 1 million sources to help you more easily locate the available records.