USA > Massachusetts > Suffolk County > Winthrop > Town of Winthrop : Record of Deaths 1943 > Part 68
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SPACE FOR ADDITIONAL INFORMATION
PLACE OF DEATH -
1
Winthrop
.... (City or Town)
The Commontoralth 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." 108
Registered No.
No. Winthrop Community .... Hospital St. { { If death occurred in a hospital or Institution,
( give its NAME instead of street aud number)
PHYSICIAN - IMPORTANT
(Wes deccesed a
U. S. War Veteran,
if so speoffy WAR)
no
(a) Residence. No.
133 Cliff Ave.
(Usual place of abode)
Length of stay: In hospital or Institution
Hosp
(Before death)
(Specify whether)
years
months
days.
In this community 36
yrs.
- mos.
days.
PERSONAL AND STATISTICAL PARTICULARS
3 SEX
Female
4 COLOR OR RACEI
white
5 SINGLE
( write the word)
MARRIED
WIDOWED
or DIVORCED Widowed
5a If married, widowFourfiveced Foley
HUSBAND of
( Give maiden name of wife in full)
(or) WIFE of
( Husband's name in full)
6 Age of husband or wife if alive
years
> IF STILLBORN. enter that fact here.
8
AGE
Years
Months
Days
-
If less than 1 day
Hours
Minutes
Usual
9 Occupation :
At Home
Industry
10 or Business :
None
11 Social Security No.
none
East Boston
'2 BIRTHPLACE (City)
( State or country)
Mass.
13 NAME OF
FATHER
John Marshall
14 BIRTHPLACE OF
FATHER (Clty)
Boston,
(State or country)
Mass.
15 MAIDEN NAME
OF MOTHER
Catherine Shechan
16 BIRTHPLACE OF
MOTHER (City)
St. John,
(State or country)
New Brunswick
17 Zita Foley daughter Informant (Address) 133 Cliff Ave., Winthrop
I HEREBY CERTIFY that a satisfactory standerd certificate of death was filled with ma BEFORE the burial or Transit perfilt was issued : W/m . D. Children
(Signature of Agent of Vara of Health or other)
Sept 10/43,1
. .... (Official Deelgnation) ( Date of Trque of Permit)
MEDICAL CERTIFICATE OF DEATH
18 DATE OF
DEATH
(Month)
2
1949
(Day)
(Year)
19 | HEREBY CERTIFY,
aux20
That ! attended deosased from
19.
43.
0
19
I last saw her ailve on .... Sape 3 ., 19. & death Is said to have occurred on the date stated above, at 5:15 a m.
Immedlate oeuse of death ...
Right hemiflager
due
to
Central Thebasis
Due to. Diabetes Mellitus
1929
Due to
Other conditions.
( Include pregnancy within 3 months of death)
IMPORTANT
Physician
Underline the cause to which death shouldt be charged sta- listically.
20 Was disease or injury in any way releted to oooupation of deceased ?.
f so,
(Signed).
Jam 98chullo
, M. D,
(Address) Is Bela 82
Date 20 Re 7
1983
21 Winthrop, MaBB.
winthrop
(City or Town)
Place of Burial, Cremation or Removal.
DATE OF BURIALSept
1943
19
22 NAME OF
FUNERAL DIRECTOR
ADDRESS
Boston
Received and Aled SEF 1.1943
.19
( Registrar)
If deceased was a U. S. War Veteran, 3 L.Chan. 46, Section 10.requireszahvalniane. PARENTS
IA
L Suffolk (County)
mary
2 FULL NAME
6. toley
( If deceesed is a married, widowed or divorced woman, give alao maiden name.)
St.
(If nonresident, give city or town and State)
Dete of
Major findinga:
Of operations
Of eutopsy
What test confirmed diagnosis? Jak & chemicalera
Duration
IMPORTANT
68
EXTRACTS FROM THE LAWS OF THE COMMONWEALTH OF MASSACHUSETTS GOVERNING THE
RETURN OF CERTIFICATES OF DEATH
A physioien or registered hospital medioel officer shall forthwith, after the death of a person whoin he has atteinled during his last illnesa, at the request of ao undertaker or other authorized person or of aor 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 name of the deceased, lis supposed age, the disease of which he died. defined as re- quired by section Que, where same was contracted. the duration of his last illneaa, when last seen alive by the physician or officer and the date of his death ... Gen. Lawa, Chap. 46, Sec. 9.
A physician or officer furnishing a certificate of death aa required by the preceding section or by 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 iinme liate cause of death as nearly as he can stste the saine. For neglect to comply with any provision of this section, auch physician or officer shall forfeit ten dollars. For the purposes of this aec- tion and of sections forty-five, forty-six and forty-seven of said chapter one 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 hetwcen February fourteenth, eighteen hundred and ninety-eight and July fourth, nineteen hundred and two, and the Mexi- can border service of nineteen hundred and sixtcen and nineteen hundred and seventeen. G. L. 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 haa received a permit from the board of health, or ita agent appointed to issue such permita, or if there is no such boerd, 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 haa 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 ahall be issued until there aball have been delivered to such board, ogent or clerk, as the case inay be, & aatisfactory written atetement 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, aa required by law. o1 in lieu thereof a certificate aa liereinafter provided. If there ia no attending physician, or if, for sufficient reasona, hia certificate cannot be obtained early enough for the purpose, or ia insufficient, a physi- cian who ia a member of the 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 ia csused by violence, the medi- cal examiner shall make such certificate. If auch a permit for the removal of a liuman 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 posaesaion ot the undertaker desiring to make such rentoval 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 containa a recital, aa required
by section ten of chapter forty-six, that the deceased served in the army, navy or marine corps of the United States in any war in which It has heen engaged. such recital shall appear upon the permit. The board of health, or 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 neces aary information which can be obtained as to the deceased, or ma to the manter 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 hunian body or the ashee thereof which have been brought Into the commonwealth until he has re- ceived s permit so to do from the hoard of health or its agem appointed to issue such permita, or if there is no such hoard, from the clerk of the town where the body is to be buried or the funeral is to he held, or from # 1.ersun appointed to have the care of the cemetery or burial ground in which the interment ia made. .. . Chap. 114. Sec. 46. G. L., (Tercentenary Editiou).
Medical examiners shall make examination upon the view of the dead bodies of ouly such persons as are supposed to have died hy violence. If e 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 body lies aud take charge of the same; ... - General Laws, Chap. 38, Sec. 6.
RULES OF PRACTICE
The fulfillment of the purpose of these laws calle for the obaervance of the following rulea of practice :
(1) Attending physicians will certify to such deaths only as those of persona to whom they have given bedside care during a last illueaa from disease unrelated to any form of injury.
(2) Boerd of Health physlolans will certify to such deatha 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 phyaf- cian ia ahsent from home when the certificate of death ia needed.
(3) Medloai Exeminers 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, andl deaths following ahortion, but also deatha from disease resulting from injury or Infection related to ocoupatlon, the sudden deaths of persons not disabled by recognized disease, and those of persons found deed.
Statement of Cause of Death .- Cause of death meana the disease, or complication which causea death, not the mode of dying, e. g., heart failure, asphyxia, asthenia, etc. Aa principal cause name the disease causing death. As related causes, name earlier morbid conditiona, if any, related to the principal cause and any important complication of the principal cause,
Statement of Occupation .- Precise statement of occupation is very im- portant, so that the relative healthfulnesa of various pursuits can be known. Make aome entry in thia aection for every persou aged 10 yeara or over. If the occupation had been given up or changed ou account of the discase causing death, report the usual occupation prior to illness. If the deceased had retired from business, report the usual occupation prior to retirement. Children not gainfully employed may be returned as at school or at hoine. For a woman whose only occupatiou waa that of home housework, write housework. For a person engaged in domestic service for wages, however, designate the occupation by 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 Syfolk (County)
1
-
(City or Town) 38. mai that No.
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. 199
Registered No.
§ (If death occurred in a hospital or institution, St. i give its NAME instead of street and nuniber)
Lester Charles. Lichtner
(If deceased is a married, widowed or divorced woman, give also maiden name.) 38 mai SA -
St.
(If nonresident, give city or town and State)
Length of stay: In hospital or Institution.
(Refnre death)
(Specify whether)
years
months days.
In this community3 yrs.
mos.
days.
PERSONAL AND STATISTICAL PARTICULARS
MEDICAL CERTIFICATE OF DEATH
3 SEX
quale
4 COLOR OR RACE
while
5 SINGLE
MARRIED
WIDOWED
or DIVORCED
(write the word) married
18 DATE OF
DEATH
(Month)
8.
1993
(Day)
( Year)
5a If married, widowed Dob divorced HUSBAND of
ra anderson
fichtner
Give maiden name of wife in full)
(Ilusband's name in full)
6 Age of husband or wife if alive
41
years
7 IF STILLBORN, enter that fact here.
AGE
8 44 Years 8 Months Days
8
If less than 1 day
Hours.
...... Minutes
Usual
9 Occupation :
bare Gasoline Staten
Industry
10 or Business :
- owner -
11 Social Security No.
12 BIRTHPLACE (City)
( State or country )
Miranenn
13 NAME OF
FATHER Louis Bare Füchtner
14 BIRTHPLACE OF
FATHER (City)
unable to obtain
(State or country)
.
15 MAIDEN NAME
OF MOTHER
Mary Boural
relevantse
16 BIRTHPLACE OF
MOTHER (City)
( State or country)
Wisconsin
Thelma. Q. Fichtner Relation, Warz
17 Informant (Nililiana) 3 8- Main St wiriting mais
I HEREBY CERTIFY that a satisfactory standard certificate of death was filed with me BEFORE the burjal or transit permit was Issued : William D. Childres
(Signature of Agent of Board of flealth or other)
agent-
Soft, 10/43
(Officlal UNignation) ( Date 'of Isme of Pofmit)
19 | HEREBY
CERTIFY,
1943.
....
That I attended deceased from
8
....
19.
.....
19
death Is sald to
have occurred on the date stated above, at. 17-300 .m.
Immediate causo of death!
Duration IMPORTANT
Due to
prediction
Due to.
Other conditions.
(Include pregnancy within 3 months of death)
Major findings : Of operations.
Date of.
Of autopsy
What test confirmed dlagnosis ?.
Underline the cause to which death should be charged sta- tistically.
20 Was disease or injury in any way related to occupation of deceased ?. If so, specify
(Signed)
(Address)
.... , M. D.
Windex My
(Cly or Town)
Place of Burlal, Cromation or ftemoval.
DATE OF BURIAL
Seft- 11K
19.543
22 NAME OF
FUNERAL DIRECTOR LabiN. R. R cmos
ADDRESS
Wedlug It Wurdees Mas
Received and filed
SEP 10 1943
19
( Registrar)
PARENTS
100m (d)-1-41-4667
PLACE OF DEATH
2 FULL NAME
PHYSICIAN - IMPORTANT (Was deceased a U. S. War Veteran, If so specify WAR)
(a) Residence. No.
(Usual place of abode)
(or) WIFE of
I last saw h
alive on
IMPORTANT Physician
21
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 best of his knowledge and belief the nanie 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 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 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 United States in any war in which it has been engaged, insert in the certificate a recital to that effect, specl- 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 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, 8 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 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 connnonwealth cannot be obtained early enough for the purpose, the certificate of death made as above provided and in the possession of the undertaker desiring to make such removal shall constitute a permit for such removal; provided, that such body shall be returned to the town from which it was removed within thirty-six hours after such removal, unless a permit in the usual form for the removal of such body 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 such statement and certificate, shall forthwith countersign it and transinit it to the clerk of the town for registration. The person to whom the permit ls 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 fromn 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 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 disabled by recognized disease unrelated to any form of injury, have died without recent medical 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 deatha 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 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 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 disease causing death, report the usual occupation prior to illuess. 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
BSuffolk
1
(County)
Winthrop
(City or Town)
42 Madison Ave
The Commontoralth 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 nunibar) PHYSICIAN - IMPORTANT
2 FULL NAME
Patrick J. Fay
(If deceased is a married, widowed or divorced woman, give also maiden name.)
(a) Residence. No.
42 Madison Ave
(Usual place of abode)
Length of stay: in hospital or institution.
(Before death)
(Specify whether)
years
months days.
In this community
yes.
mos.
days.
PERSONAL AND STATISTICAL PARTICULARS
3 SEX
Male
4 COLOR OR RACE!
White
5 SINGLE
( write the word)
MARRIED
WIDOWED
or DIVORCED Married
5ª if married
HUSBAND of
(Give maiden name of wife in full)
Ma Fyivoped Murphy
(or) WIFE of
( Husband's name in full)
6 Age of husband or wife if alive 54
years
IF STILLBORN. enter thal fact hera.
8 654 Years
Months - Days
If less than 1 day Hours. .Minutas
Usuai
9 Occupation :
Manager.
industry
10 or Business :
Ecomony
Store
11 Social Security No.
Boston
12 BIRTHPLACE (City)
( State or country)
Masa
PARENTS
14 BIRTHPLACE OF
FATHER (City)
(Stata or country)
Ireland
15 MAIDEN NAME
OF MOTHER
Susan McNamara
16 BIRTHPLACE OF
MOTHER (City)
(State or country)
Brookline
Mass
17
Informant
(Address)
Mary. Fay Madison Ave
I HEREBY CERTIFY that a satisfactory standard oartifioste of death was filled with ma BEFORE the bugial or yangit parmit was Issued ? wm A Childress
(Signature of Agent & Board of Health or other)
4.O.
at Sehr.0/43
(Omcial Designation) (Date of/Asque of Permk)
18 DATE OF
DEATH
September 10
( Month )
(Day)
(Year)
19 I HEREBY CERTIFY.
That ? attanded daosased from
Cuz 15
19 43, to
Dept 10, 1943
I last saw h ( M alive on.
Sepet 9, 1943, death Is said to
have occurred on the date stated above, at.
2.9
.m.
immadiate oause of death ...
Chronic Endocarditis
Due to
Due to.
Other conditions
( Include pregnancy within 3 months of death)
Major findings :
Of operations
Date of.
Of autopsy
What test confirmed diagnosis ?
Clinical Signs
Duration IMPORTANT 14 years
IMPORTANT
Physician Underline the cause to which death should be charged sta- tistically.
20 Was disease or injury in any way related to occupation of deoeasad ?. If so, speolfy ..
(Signad)
(Address)
21
Winthrop
l'lace of Burial, Cremation or Removal.
DATE OF BURIAL
Sept
I3
Fown)
19
22 NAME OF
FUNERAL DIRECTOR
ADDRESS
alm HOmally
Winthrop
Raosived and filed
SEP 10 1943
19
( Registrar)
A
PLACE OF DEATH
No.
St.
(Was deceased a
U. S. War Veteran,
if so spoolfy WAR)
St.
(If nonresident, give city or town and State)
24
MEDICAL CERTIFICATE OF DEATH
1943
M. D.
Winthrop
Date Wyotro1943
TieIf any
13 NAME OF
FATHER
Thomas
Fay
EXTRACTS FROM THE LAWS OF THE COMMONWEALTH OF MASSACHUSETTS GOVERNING THE
RETURN OF CERTIFICATES OF DEATH
A physician or registered hospital medioal offiosr shall forthwith, after the death of a person whoin he has attended during his last illueas, at the request of an undertaker or other authorized person or of ans meniber of the faniily of the deceased, furnisb for registration a standard certificate of death, ststing to the best of his knowledge and belief the walne 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 his death ... Gen. Laws, Chap. 16, Sec. 9.
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