USA > Massachusetts > Suffolk County > Winthrop > Town of Winthrop : Record of Deaths 1943 > Part 62
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No undertaker or other person shall bury or otherwise dispose of a human body in a town, or remove therefrom a human budy which has not been buried, until he has received a permit from the board of health, or ita agent appointed to lasue such permits, or if there is no such board, from the clerk of the town where the person died; and no undertaker or other person shall exhume a human body and remove it froin a town, from one centetery 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 its agent aforesaid or from the clerk of the town where the boily is buried. No such permit shall be Issued until there aball have been delivered to such board, agent or clerk, as the case inay be, a satisfactory written statement containing the facts required by law to be returned atul 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 physi- cian who is a member of the board of health, or employed by it or by the aelectinen 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 ahall 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 esrly 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, unlesa a permit in the usual form for the removal of such body has been sooner obtained hereunder. If the death certificate contains a recital, 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 haa 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 18 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 manner of cause 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 ashes thereof which have been brought Into the commonwealth until he has re- ceived a permit so to do from the huard 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 boily 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 Interneut ia 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 ss 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 boily lica aud take charge of the same; ... - General Laws, Chap. 38, Sec. 6.
RULES OF PRACTICE
The fulfillment of the purpose of these lawa calls for the observance of the following rules of practice :
(1) Attending phyalciana will certify to such deatha 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 phyalolana will certify to such deaths only aa those of persons who, though disabled by recognized disease unrelated to any form of injury, have died without recent medical attendance or whose phyaf- cian is absent from home when the certificate of death ia needed.
(3) Medical Examiners will investigate and certify to all deatha aup- posably due to injury. These include not only deaths caused directly or in- directly by traumatism (Including resulting septicemla), and by the action of chemical (drugs or poisons), thermal, or electrical agents, and deaths following abortion, but also deaths from dlaeaaa resulting from injury or Infeotlon related to occupation, the sudden deaths of persons not disabled by recognized dlaease, and those of persons found dead.
Statement of Cause of Death .- Cause of deathi meana the disease, or complication which causes death. not the moile of dying, e. g., heart failure, asphyxia, aathenia, etc. Aa principal cause name the disease caualng death. Aa 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 la 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 desth, 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 an at school or at horne. For a woman whose only occupation waa that of home housework, write housework. For a person engaged in domestic service for wages, however, designate the occupation by the appropriate terma, aa housekeeper-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
No.
Suffolk (County) WINTHROP withrop (City or Town) I26 Court rd
The Commonmuralth 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.
13"
" ( If death occurred in a hospital or institution, St. [ give its NAME instead of street and number)
2 FULL NAME
Aus. ada Letitia(Crowell) Hilts
(If deceased is a married, widowed or divorced woman, give also maiden name.
(a) Residence. No.
126 Court Good
(Usual place of abode)
Length of stay : In hospital or Institution ..
( Before death)
(Specify whether)
years
months
days.
In this community
yrs.
mos.
days.
PERSONAL AND STATISTICAL PARTICULARS
3 SEX
4 COLOR OR RACEĮ
5 SINGLE
(write the word)
MARRIED
WIDOWED
or DIVORCED
Widowed
Female
-
White
18 DATE OF
DEATH
aug
23
1943
(Month)
(Day)
(Year)
19 | HEREBY CERTIFY,
That I attended deceased from
19 ....
to ..
aux 13
aug 23
43
19.
43
I last saw h. 22
„alive on
aug 230
1943
.. , death Is sald to
have occurred on the date stated above, at.
3.20 pm.
6 Age of husband or wife if alive years
7 IF STILLBORN, enter that fact here.
84
8
AGE ...
Years
Months.
Days
If less than 1 day Hours. ... Minutes
Usual
9 Occupation :
Housewife
Industry
10 or Business :
Own Home
11 Social Security No.
12 BIRTHPLACE (City)
(State or country )
Nova Scotia
13 NAME OF
FATHER
James Crowell
Major findings :
Of operations.
none
Date of
Of autopsy
none
What test confirmed diagnosis ?
Clinical
200
(Signed)
Syndi W. Richustou
M. D. (Address) Boardof Health Date Cung 23 1943
21 Winthrop Winthrop
Place of Burial, Cremation or Removal. DATE OF BURIAL .Aug 25 1943 Town)
19
22 NAME OF FUNERAL DIRECTOR. John F. O'malley
ADDRESS
Winthrop
Signature of Agent of Board of dlealth or other)
Health Affiche 8/24/43
Official Designation) (Date of fame of Permity
00tu (d)-1-41-4667
17
Informant.
( Address)
Mrs .. John Doleman 126 Court Road
I HEREBY CERTIFY that a satisfactory standard certificate of death was filed with me BEFORE the Burial or transit permit was Issued:
Daughter
PARENTS
14 BIRTHPLACE OF
FATHER (City)
(State or country)
Nova Scotia
15 MAIDEN NAME
OF MOTHER
Mary Stevens
16 BIRTHPLACE OF
MOTHER (City)
(State or country)
Nova Scotia
Due
Or age.
Due to.
Other conditions.
(Include pregnancy within 3 months of death)
IMPORTANT Physician
Underline the cause to which death should be charged sta- tistically.
20 Was disease or injury in any way related to oooupation of deceased ? If so, specify
Duration
Immediate oause of death
Spontaneous Cerebral Hemorrha
IMPORTANT
5a If married, widowed, or divorced
HUSBAND of
(or) WIFE of
Geoffgerai" " tif in full)
(ITusband's name in full)
MEDICAL CERTIFICATE OF DEATH
PHYSICIAN - IMPORTANT
(Was deceased a
U. S. War Veteran,
If so specify WAR)
St.
(If nonresident 0
rive city or town and State)
Received and filed AUG-2-5-1049 .19
2
EXTRACTS FROM THE LAWS OF THE COMMONWEALTH OF MASSACHUSETTS GOVERNING THE
RETURN OF CERTIFICATES OF DEATH
A physiolan 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 naine of the deceased, his supposed age, the disease of which he died, defined as rc- quired by section one, where same was contracted, the duration of his last illness, when last seen alive by the physiciau 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 hy 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 ariny, 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, be 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 from one grave or tomb other than the receiving tomb to another in the same cemetery, until he has received a permit fromn the board of health or its agent aforesaid or from the clerk of the town where the body is buricd. No such permit shall he 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 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 physi- cian who is a member of the board of health, or employed by it or hy 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 previously interred, from one town to another within the commonwealth cammot be obtained carly 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 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 sucb 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 neces- sary 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 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 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 iu which the interment is made .... Chap. 114. Sec. 46. G. L., (Tercenteuary 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 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, though disahled by recognized disease unrelated to any form of injury, have died without recent nicdical 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 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 disease, and those of persons found dead.
Statement of Cause of Death .- Cause of death means the disease, or coniplication 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 the principal cause and any important complication of the principal cause.
Statement of Occupation .- l'recise statement of occupation is very im- portant, so that the relative healthfulness of various pursuits can be kuown. 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 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, as housekeeper-private family, cook-hotel, etc. For a person who had no occupation whatever write none.
SPACE FOR ADDITIONAL INFORMATION
I A
BOSTON NUTIFIED 9/9/43
Suffolk
(County)
1
inthron
(City or Town)
No. Station Hospital. Fort Banks.
........
St.
f ( If death occurred in a hospital or institution,
I give its NAME instead of street and number)
2 FULL NAME
SYDNEY OLANSKY
( If decea ,ed is a married, widowed or divorced woman, give also maiden name.)
(a) Residence. No.
75 Fowler Street
St.
Dorchester
(If nonresident, give city or town and State)
Length of stay: In hospital or Institution
15 minutes
( Before death)
( Specify whether)
PERSONAL AND STATISTICAL PARTICULARS
3 SEX
Male
4 COLOR OR RACEJ
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
(Iushand's name in full)
6 Age of husband or wife if alive years
7 IF STILLBORN. enter that fact here.
8
AGE .29
Years
11
Months
26
Days
If less than 1 day
.
Hours - Minutes
Usual
9 Occupation :
Soldier
Industry
10 or Business :
UI. S. rmy
11 Social Security No.
011-01-2633
12 BIRTHPLACE (City)
( State of country)
Massachusetts
PARENTS
14 BIRTHPLACE OF
FATHER (City)
(State or country)
missia
15 MAIDEN NAME
OF MOTHER
Ida Cohen
16 BIRTHPLACE OF
MOTHER (City)
(State or country)
Russia
Relation,, if any
17 Informant braham ... lansky ( .orother
56 Gray Cliff Road, Brighton, Lass
I HEREBY CERTIFY that a satisfactory standard certificate of death was filed with me BEFORE the burial or transit permit was issued : Mm.D. Nuldreng
(Signature of Agepf of Board of alealh or other) Health affiche 8/25/43
{ Date of Tagna of Warmit)
MEDICAL CERTIFICATE OF DEATH
18 DATE OF
DEATH
August
24
1943
( Month )
(Day)
(Year)
19 | HEREBY CERTIFY,
That I attended deceased from
August 24
19.13
to Auvust 24
1.3
19
....
I last saw
him
alive on ...
Auist
24
19.1.2., death is sald to
have occurred on the date stated above, at
.1.52
.D.m.
Immediate cause of death
Meningitis etiolom
unknown.
Duration IMPORTANT
18 hrs.
Due to.
-
Due to.
Other conditions.
None
( include pregnancy within 3 months of death)
Major findings :
Of operations.
None
Date of.
Of autopsy With cell count in spinal
What test confirmed dlagnosis ?
20 Was disease or injury inlany way related to oooupation of deceased ?
If so, specify.
--
(Signed) ... . TT
;t .... Liouty ....... G ...... , M. D.
Fort pankS ........ ass ...... Date. U ....... 2.519.43
( Address)
21 Hebreur Rogressive W. Korbany
Hace of Burial, Creniation of Removal.
(City or Town) 43 19
DATE OF BURIAL ..
plus 26
22 NAME OF
FUNERAL DIRECTOR Such A Lerine
ADDRESS
394 Washington At abuchet
Received and filed AUG 2 5 1843
19
00m (d) -1-41-4667
PLACE OF DEATH
The Commonforalth ot 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.
PHYSICIAN - IMPORTANT
(Was deceased a
U. S. War Veteran,
if so specify WAR)
world
var IT
(Usual place of abode)
years"
months"
days.
in this community
yrs.
Omos.
O dayı.
-
--
..... oston
13 NAME OF
FATHER
Lax Olansky
l'nderline he canse to 4 hich death
charged sta. llalCally.
IMPORTANT
Physician
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. bis supposed age, the disease of which he chol. defined as re- quired hy 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 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 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 humlred and fourteen, the word "war" shall inchide the Chiva 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 hunian 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 suche 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 fromn 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. ot 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 physi- cian who is a member of the board of health, or employed by it or hy the selectmen for the purpose, shall upon application make the certificate re- quired of the attending physician. If death is caused by violence. the medli- 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 carly enough for the purpose, the certificate of death miade 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 aerved In the army, navy or marine corps of the United States in any war in which it has been engaged. such recital skall appear upon the permit. The board of health, or its agent. upon receipt of suck statement all certificate, shall forthewith counter-ign it and transmit it to the clerk of the town for registration. The person to whom the permit is so given aml 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 manner of 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 ashca 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 board. from the clerk of the town where the boily is to be buried or the funeral is to be hell, or from a persou appointed to have the care of the cemetery or burial ground in which the interment is made. .. . Chap. 114. Sec. 46. G. L., (Tercentenary K'dition).
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