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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