Town of Winthrop : Record of Deaths 1943, Part 64

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


USA > Massachusetts > Suffolk County > Winthrop > Town of Winthrop : Record of Deaths 1943 > Part 64


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years


months days.


In this communityO


yrs.


mos.


days.


PERSONAL AND STATISTICAL PARTICULARS


3 SEX


4 COLOR OR RACE


5 SINGLE


( write the word)


MARRIED


WIDOWED


or DIVORCED


Married


Female White


5a If married, widowed, or divorced


HUSBAND of


Timothy tideeye of wife in full)


(or) WIFE of


( Husband's name in fuli)


6 Age of husband or wife if alive


43


years


> IF STILLBORN. enter that fact here.


843 AGE Yeers


Months


Days


If less than 1 day Hours Minutes


Usual


9 Occupation :


Housewife


Industry


10 or Business :


Own .... Home


11 Social Security No.


Boston


12 BIRTHPLACE (City)


(Siate or country)


Mass


PARENTS


14 BIRTHPLACE OF


FATHER (City)


(State or country)


Ireland


15 MAIDEN NAME


OF MOTHER


Mary Keefe


16 BIRTHPLACE OF


MOTHER (City)


East Boston


(Stale or country)


Ma88


17 Timothy Lucey


Relation, If any Husband


Informant


( Address)


Plummer Ave


I HEREBY CERTIFY thet a satisfactory standard oartifioata of death was filed with me BEFORE the buti / or transit permit was issued : Childress


Signature of Agent of Board of Health x other Xong/30/43 Healthe Office


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


18 DATE OF


DEATH


August


28 1943


(Month)


(Day)


(Year)


19 | HEREBY CERTIFY,


42


to


That I attended deosased from


25


1917


20


19.Y .. )., death is said to


have occurred on the date stated above, at.


10:15 P


m.


Immediate cause of death


Duration IMPORTANT


2 yrs


Juan


Due to


Carminizy Bread


Other conditions


Felici di spina


( Include pregnancy within 3 months of death) . ..


IMPORTANT


Major findings :


Of operations


Of eutopsy.


Stechronic


What test confirmed diagnosis?


Hither on


V


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


20 Was disease or injury in any way related to oooupation of deceased ? If so, spaolfy


(Signed) 8 50 Magyar . M. D.


( Address)


1101 Boucom / Date 8/28 19)


2) Holy Cross Marden


(City or Town)


Place of Burial, Creniation or Removal.


DATE OF BURIAL.


Aug


3I


1943 --


19


22 NAME OF


FUNERAL DIRECTOR


ADDRESS


Winthrop


Racalved and Alad. 13 32 163


.19


( Registrar)


1


No. Winthrop Community Hospital ... St.


(Was deceased a U. S. Wer Veteran, if so apeolfy WAR)


(Specify whether)


MEDICAL CERTIFICATE OF DEATH


I last saw h alive on


Carcinatorii


Due to


13 NAME OF


FATHER


Daniel J. Bergin


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 whoin he has attemled during his last Inesa, at the request of an undertaker or other authorizeil person or of any member of the family of the deceased, furnisb for registration a atundard certifcate of death, stating to the best of his knowledge and belief the name of the deceased, his supposed uge, 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. 16, 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, werved 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 uearly 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-Ave, forty-six and forty-seven of said chapter one bumired and fourteen, the word "war" shall Include the China relief ex- pedition and the Philippine insurrection, which shall, for said purposea, 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 sixtcen and nineteen hundred and seventeen. G. L. Chiap. 46, Sec. 10.


No undertakar 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 ita agent appointed to issue such permits, or if there is uo such board, from the clerk of the town where the person died; and no undertaker or otber 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 ita agent aforesaid or from the clerk of the town where the body is buried. No such permit shall be issued until there aball have been delivered to sucb board, agent or clerk, as the case inay be, a satisfactory written statement containing the facta 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 hereinafter provided. If there Is no attending physician, or if, for sufficient reasona, 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 selectmen for the purpose, shall upon application niake 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 oue town to another within the comnonwealth cannot be obtained early enough for the purpose, the certificate of desth made as above provided aud in the possession ot 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, 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. 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 aa to the manuer 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 ashea thereof which have been brought Into the commonwealth until he has re- ceived a permit so to do froni the board of health or its agent appointed to issue such permita, 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 he 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. 16. C. L., (Tercentenary Editiou).


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 boundly lies aud take charge of the same; ...- General Laws, Cbap. 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 sucb deatba 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 physiolana will certify to such deaths only aa 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 ia needed.


(3) Medical Examinera will investigate and certify to all deatha sup- posably due to Injury. These include not only deaths caused directly or In- directly hy traumatism (including resulting septicemia), and by the action of cheniical (drugs or poisons), thermal, or electrical agents, ami deaths following abortion, but also deaths from diacasa resulting from Injury or Infection ralated to occupation, the sudden deatha of persona not disabled by recognized disease, and those of persons found dead.


Statemant of Cause of Death .- Cause of death means the disease, or complication which causes death, not the mode of dying, e. g., heart failure, asphyxia, astbenia, etc. Aa principal cause name the disease causing 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 Oooupation .- 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 on account of the dixcase causing death, report the usual occupation prior to Iliness. If the deceased had retired from business, report the usual occupation prior to retirement. Children not gainfully employed may be returned aa at school or at buine. For a woman whose only occupation waa that of home bousework, write housework. For a person engaged in domestic service for wages, however, designate the occupation hy the appropriate terms, as housekeeper -- private faniily, cook-hotel, etc. For a person who had no occupation whatever write none.


SPACE FOR ADDITIONAL INFORMATION


301 A Suffolk


1


PLACE OF DEATH


(County) Winthers Mas (City or Town) 22 Washington ave Wirdhigh


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


To be filed for burial permit with Board of Health or Its Agent.


Registered No.


( If death occurred in a hospital or institution, "{ give its NAME instead of street and number)


Mc Donough


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


(a) Residence. No.


(Usual place of abode)


22 Washington aven Winthing Mask.


Length of stay: In hospital or institution.


(Before death)


(Specify whether)


years


months days.


in this community


/


yrs.


mos. days.


PERSONAL AND STATISTICAL PARTICULARS


MEDICAL CERTIFICATE OF DEATH


3 SEX female


4 COLOR OR RACE|


White


5 SINGLE


MARRIED


WIDOWED


or DIVORCED


(write the word)


Wilco


5a If married, widowed, or divorced HUSBAND of


(or) WIFE of


They Give mais ter rita in (full) Siel


(Husband's name in full)


6 Age of husband or wife if alive years


7 IF STILLBORN, enter that fact here.


2


8 84x Years 10 Months 29 Days


If less than 1 day Hours Minutes


Usual


9 Occupation :


at Home


Industry


10 or Business :


assisting at house work Due to.


11 Social Security No.


2.


12 BIRTHPLACE (City)


(State or cuuntry )


Freland


13 NAME OF


FATHER


martin. Mcdonough


14 BIRTHPLACE OF


FATHER (City)


(State or country)


15 MAIDEN NAME


OF MOTHER


ann. Curran


16 BIRTHPLACE OF


MOTHER (City)


(State or country)


Ireland


17 Ire ann. J. Hoke


Informant (AdiliFax) 22 Washington aire (.)


daughter


I HEREBY CERTIFY that a satisfactory standard certificate of death was filed With me BEFORE/the burjal/or. transit bermit was Issued : WM. D. Childress


'(Signature of Aggnt of Board of llealthfor other)


Health Officer 8/31/43


(Official Designation) (Date of lame of Permit)


18 DATE OF


DEATH


August


30


(Vonth)


(Day)


1943 (Year)


19 | HEREBY CERTIFY,


That 1 attended deceased from


Aug. 24. 1943,


to.


Aug. 30


19 .... 3.


1 last saw h ............. alive on. Aug. 30, 1943 death is said to have occurred on the date stated above, at 12:15 Am. Duration Immediate cause of death. Chronic Myocarditis


Generalized arteriosclerosis


Due to.


Other conditions.


NONE


(Include pregnancy within 3 months of death)


Major findings :


Of operations.


NONE


Date of.


Of autopsy


NONE


What test confirmed diagnosis ? clinical


20 Was disease or injury in any way related to occupation of deceased? Na If so, specify


(Signed)


sou


ER ....


M. D.


(Address)


Winthrop, Mass Date Aug. 309-43


Joseph Corelay West Roxbury Bata


Place of Burial, Cremation or Romoral


(City or Towny


DATE OF BURIAL


21


22 NAME OF


FUNERAL DIRECTOR


Cha. R. Bennem


ADDRESS


Received and filed.


.NIC ....... ... 1 ..... 1943


19


( Registrar)


IMPORTANT 3yrs


IMPORTANT Physician


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


100m (d)-1-41-4667


If deceased was a U. S. War Veteran, G. L. Chap. 46, Section 10, requires physicians to Insert a reoltal to that effeot. PARENTS


(If nonresident, give city or town and State)


PHYSICIAN - IMPORTANT (Was deceased a U. S. War Veteran, if so specify WAR)


2 FULL NAME


No. Sarah. Gill


Rentions yKy adoil


AGE .


EXTRACTS FROM THE LAWS OF THE COMMONWEALTH OF MASSACHUSETTS GOVERNING THE


RETURN OF CERTIFICATES OF DEATH


A physloian or registered hospital medioal officer shall forthwith, after the death of a person whom he has attended during his laat illnesa, at the request of an undertaker or other authorized person or of any member of the family of the deceased, furnish for registration a atandard certificate of death, stating to the best of his knowledge and belief the name of the deceased. his supposed age, the disease of which he died, defined as re- quired by section one, where same was contracted. the duration of his last illness, when last seen alive by the physician or officer and the date of hia death ... Gen. Laws, Chap. 46, Sec. 9.


A physician or officer furnishing a certificate of death aa 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, aerved in the army, navy or marine corps of the United States in any war in which it has been engaged, insert in the certificate a recital to that effect, speci- fying the war, and shall also certify in such certificate both the primary and the secondary or immediate cause of death as nearly as he can state the same. For neglect to comply with any provision of this aection, such physician or officer shall forfeit ten dollars. For the purposea 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 Chins relief ex- pedition and the Philippine insurrection, which shall, for said purposes. be deemed to have taken place hetween 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 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 personi 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 body is buried. No such permit shall be issued until there shall have been delivered to such board, agent or clerk, as the case may be, a satisfactory written statement containing the facts required by law to be returned and recorded, which shall 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 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 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 conunonwealth cannot 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-aix. 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 ia ao 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 haa 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 fromn a person appointed to have the care of the cemetery or burial ground in which the interment ia made. ... Chap. 114. Sec. 46, G. L., (Terccutenary Edition).


Medical examinera 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 ia 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 Lawa, Chap. 38, Sec. 6.


RULES OF PRACTICE


The fulfillment of the purpose of theae 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 laat illneas from disease unrelated to any form of injury.


(2) Board of Health physicians will certify to such deaths only as those of persons who, though disabled by recognized disease unrelated to any form of injury, have died without recent medical attendance or whose phyai- cian is ahsent from home when the certificate of death ia 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 reaulting 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 meana the disease, or complication which causes death. not the mode of dying, e. g., heart failure, asphyxia, asthenia, etc. As principal cause name the disease causing death. As related causes, name earlier morbid conditions, if any, related to the principal cause and any important complication of the principal canse.


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 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


301 A Suffolk . (County) Jethrop 1 (City or Town) 27


9/9/42


The Commonforalth ot HassarInusetts OFFICE OF THE SECRETARY DIVISION OF VITAL STATISTICS STANDARD CERTIFICATE OF DEATH


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


Registered No.


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


PHYSICIAN - IMPORTANT


(Was deceased a U. S. War Veteran,


( If deceased is a marmed, widowed or divorced woman, give alao maiden name.)


143 marston


(a) Residence. No.


(Usual place of abode)


Length of stay: In hospital or Institution


( Before death)


( Specify whether)


years


months


days.


In this community


mos.


days.


PERSONAL AND STATISTICAL PARTICULARS


3 SEX


4 COLOR OR RACE|


Stemale White


5 SINGLE


( write the word)


Widow


MARRIED


WIDOWEO


or DIVORCED


5a If married, widowed, or divorced


HUSBANO of


If (Give maiden point of write in full)


(or) WIFE of


( Tinshand's name mhull)


6 Age of husband or wife if alive years Immediate cause of death Chronic myo- 7 IF STILLBORN. enter that fact here. carditis and chronic nephritis


AGE


8


77%


4


Months


29 Days


If less than 1 day


Hours


Minutes


Usual


9 Occupation :


at home


Industry 10 or Business :


11 Social Security No.


12 BIRTHPLACE (City)


( State or country)


Ireland


13 NAME OF


FATHER


matthew Bahill


14 BIRTHPLACE OF


FATHER (City)


Deland


(State or country)


15 MAIOEN NAME


OF MOTHER


Unknown


16 BIRTHPLACE OF


MOTHER (City)


(State or country)


Deland


Relation, if any


( A.hlress) 143 Marslow . med.


I HEREBY CERTIFY that a satisfactory standard oertificale of death was filed with me BEFORE the burial or transit permit was Issued :


(Signature of Agent of Board of Health or othery seattle of fick 9/2/43


.... (Official Designation ) (Date of Issue of Pormit)/


MEDICAL CERTIFICATE OF DEATH


18 DATE OF


DEATH


( Month)


August 31


1943


(Day)


(Year)


19 | HEREBY CERTIFY,


That I attended deceased from


Aug. 25


1913, to Aug. 31


......


19


43


I last saw h.C .......... alive on


Aug. 31, 1943, death Is said to


have occurred on the date stated above, at ..


9:45 P. m.


Que to


Que to.


Other conditions


(Include pregnancy within 3 months of death)


Major findings :


Of operations


None


Date of


Of autopsy


NONE


What test confirmed diagnosis ?


Clinical


No


20 Was disease or injury in any way related to occupation of deceased ?... If so, specify .... Fardiego Dichunasoci M. D. ( Sig.red ) (Aodress)


winthrop, Mas Date Dept. 21913 Jak Chave- medford l'lace of Burial, Creniation or Removal (City or Town)


OATE OF BURIAL.


Left 3,


19


4/3


Thank W. Brayan


AOORESS


Received and filed


SEP 2 ········· 1043


(Registrar)


If deceased was a U. S. War Veteran, G. L. Chap. 46, Section 10, requires physlolans to Insert a reoltal to that effect. PARENTS


100m (d)-1-41-4667


PLACE OF DEATH


No.


2 FULL NAME


Mary & Fitzgerald


St. Medford


so specify WAR) marco.


(If nopresident, give city or town and State)


18 yrs.


Duration IMPORTANT 1. 3 css 2. Cours


IMPORTANT


Physician


l'uderline the cause to which death


be charged sta- Istically.


21


22 NAME OF


FUNERAL DIRECTOR


11 Vembroke It. medford


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 forthwith. after the death of a person whom he has attereled 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 atandard certificate of bath, stating to the best of his knowledge and behef the name of the deceased, bis supposed age, the disease of which he ched. 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.




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