Town of Winthrop : Record of Deaths 1943, Part 7

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


USA > Massachusetts > Suffolk County > Winthrop > Town of Winthrop : Record of Deaths 1943 > Part 7


Note: The text from this book was generated using artificial intelligence so there may be some errors. The full pages can be found on Archive.org (link on the Part 1 page).


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Hospital


Length of stay: In hospital or Institution


( Before death)


( Specify whether)


years


months


2 days.


In this community


yrs.


mos.


days.


PERSONAL AND STATISTICAL PARTICULARS


MEDICAL CERTIFICATE OF DEATH


18 DATE OF


DEATH


January


( Month)


29 1943


(Day)'


(Year)


That I attended deceased from


19 I HEREBY CERTIFY ,


november 22 1942


Summary 29


1943


1 last saw ham.


en


.alive on ...


January 29,643


death Is said to


have occurred on tha date stated above, at.


Immediate cause


death,


acute Myelogencons


Leukemia


4 mos


Due to.


Due to.


Other conditions.


Enlayed Hayrand


(Inelude pregnancy within & months of death)


Major findings :


Of operations


Sitestural obstruction


due to adhesion Date of July 25/194


Of autopsy


none


What test confirmed diagnosis ?..


.................... 2 years IMPORTANT


Physician t'nderline Alie cause to which death


charged sta- tistically.


20 was disease or injury in any way related to ocoupation of deceasedk2 ...


If so, specify.A ..


(Signed) Jacob Olan 1.80


.....


M.


P


(Address) 562 Munley Ti


Date Jau 3/


1043


21


Winthrop


Winthrop


l'lace of Burial, Cremation or Removal.


(City_or Town)


1


43


19.


I HEREBY CERTIFY that a satisfactory standard certificate of death was filed with me BEFORE the butlal of transi! permit was Issued : Www. D. Childress


(Signature of Kgout of Board of flealtR or other)


Ve allti


officer


2/1/43


(Official Designation) (Date of Issue of Permis)"


100m (d)-1-41-4067


4 COLOR OR RACEI 5 SINGLE


(write the word)


Female


White


MARRIED


WIDOWED


or DIVORCED


Married


Sa If married, widowed, or divorced


HUSBAND of


(Give mideberb Dodson


(or) WIFE of


( 11nsband's name in full)


6 Age of husband or wife if alive


49


years


7 IF STILLBORN. enter that fact here.


8


487,


5


Months


Days


4


If less than 1 day


Hours


Minutes


Usual


Housewife


Industry


Own Home


11 Social Security No.


None


Revere


12 BIRTHPLACE (City)


(State or country)


Mass


13 NAME OF


FATHER


J Neils Miller


FATHER (City)


(State or country)


Denmark


15 MAIDEN NAME


OF MOTHER


Anna Nelson


16 BIRTHPLACE OF


MOTHER (City)


(State or country)


Denmark


17 Albert Dodson


Informant. ( Aldre<4) 17" Bartlett Parkway winthrop


RHus band


DATE OF BURIAL


February


22 NAME OF


FUNERAL DIRECTOR Toward S Gerolds


ADDRESS


Want It That


Received and filed. .19


1


(Registrar)


No. 3 SEX AGE 9 Occupation : 10 or Business : PARENTS If deceased was a U. S. War Veteran, G. L. Chap. 46, Seotlon 10, requires physiolans to insert a recital to that effect. extracts from the laws on back of certificate. terms, so that it may be properly classified. Exact statement of OCCUPATION is very important. See instructions and should be carefully supplied. AGE should be stated EXACTLY. PHYSICIANS should state CAUSE OF DEATH in plain N. B .- WRITE PLAINLY, WITH UNFADING BLACK INK -- THIS IS A PERMANENT RECORD. Every item of information 14 BIRTHPLACE OF


PLACE OF DEATH


PHYSICIAN - IMPORTANT


(Was deceased a


U. S. War Veteran,


if so specify WAR)


...


St.


(If nonresident, give city or town and State)


16


5:157:


m.


Duration IMPORTANT


....


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 deaili of a person whom he has attended during his last illness, at the request of an undertaker or other authorized person or of any member of the family of the deceased, furnish for registration a standard certificate of death, stating to the best of his knowledge and behef the name of the deceased, his supposed age, the disease of which he died. defined as re- quired 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 cau state the same. For neglect to comply with any provision of this section, such physician or officer shall forfeit ten dollars. For the purposes of this sec- tion and of sections forty-five, forty-six and forty-seven of said chapter one hundred and fourteen, the word "war" shall include the China relief ex- pedition and the Philippine insurrection, which shall, for said purposes, he deemed to have taken place between February fourteenth, eighteen hundred and ninety-eight and July fourth, nineteen hundred and two, and the Mexi- can 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 exlume a human hody 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 sante 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 huried. No such permit shall he issued until there shall bave 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. o1 in lieu thereof a certificate as liereinafter 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 commonwealth cannot be obtained early enough for the purpose, the certificate of death made as above provided and in the possession of the undertaker desiring to make such removal shall constitute a permit for such removal; provided, that such body shall be returned to the town from which it was removed within thirty-six hours after such removal, unless a permit in the usual 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 heen engaged. such recital shall appear upon the permit. The board of livalth, 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 acces- sary information which can he obtained as to the deceased, or as to the manner or cause of the death, which the clerk or registrar may require .- Chap. 114. Sec. 45, G. L., ( Tercentenary Edition ).


No undertaker or other person shall hury a human hody or the ashes thereof which have been brought into the conrmonwealth until he has re- ceived a permit so to do from the hoard 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 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 in which the interment is made .... Clap. 114. Soc. 46. G. L., (Tercentenary Edition).


Medical examiners shall make examination npon the view of the dead bodies of ouly such persons as are supposed to have died by violence. If a medical examiner has notice that there is within his county the hody of such a person, he shall forthwith go to the place where the 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 discase unrelated to any form of injury.


( 2) Board of Health physicians will certify to such deaths only as thoae 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 death‹ 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 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 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 gaiufully employed inay 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 uone.


SPACE FOR ADDITIONAL INFORMATION


-


M R-301 A


PLACE OF DEATH


Suffolk (County) Winthrop


2.9.43


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 Ägent.


Registered No.


( ( If death occurred in a hospital or institution, ¿ give its NAME instead of street aud nuniber) PHYSICIAN - IMPORTANT


mary J. Quigley


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


(a) Residence. No.


280 Mesh Eagle St


St.


East Balon


(If nonresident, give city or town and State)


Length of stay: In hospital or Institution


( Refore desth)


( Specify whether)


yeara


months


3


days.


In this community / yrs.


mos.


daya.


PERSONAL AND STATISTICAL PARTICULARS


3 SEX Female Mute


5 SINGLES


( write the word)


MARRIED


WIDOWED


or DIVORCED2 Med


Sa If married, widowed, or divorced


HUSBAND of


(or) WIFE of


-Give maiden name of wife in full)


( Husband's name in full)


6 Age of husband or wife if alive


55 years


9 IF STILLBORN. enter that fact here.


AGE


8


72


Years


Months


-


Days


If less than 1 day


Hours


Minutes


Usual


9 Occupation :


Houserack


Industry


Olun Home


11 Social Security No.


12 BIRTHPLACE (City)


( Stale or country)


East Boston


masa


13 NAME OF


FATHER


Carneilus Lynch


14 BIRTHPLACE DF


FATHER (City)


(State or country)


chiland


15 MAIDEN NAME


OF MOTHER


ME Hancora Leather


16 BIRTHPLACE DF


MOTHER (City)


(State or country)


Chiland


17 Informant ( Address )


I Quiles


Relation, If any


. I HEREBY CERTIFY that a satisfactory standard certificate of death was filed with me BEFORE the burial or transit permit was Issued : William & Childress (Signature of Agent of Board of Ileaith or other) augent 1/31/43


(Omciai Designation) Mate of fQue of Permit)


18 DATE DF


DEATH


Jan


29 1943


( Month )


(Day)


(Year)


19 | HEREBY CERTIFY,


face. 15


43


19.


to ..


That I attended deceased from au. 29


last saw h


alive on ..


Jan. 29 1943


.. , death is said to


have occurred on the date stated above, at


m.


Duration


Immediate cause


acuta Pulmonar actuar


Due to


Cardiac Fallera


2 days


5 ways


Other conditions.


( Include pregnancy whhin 3 months of death)


IMPORTANT


Major findIngs:


Df operations


Physician


Underline the cause to which death should charged sta- tisticallyf


20 Was disease or injury in any way related to ocoupation of degeased ?.


If so, specify


(Signed) Jens. H. Schmacht ..... ... , M. D.


(Address) 19 Questo Sv Ens Date 1/30, 19963


21


Place of Barial, Crepustion or Removal.


DATE OF BURIAL


1943


(City or Town)


22 NAME DF


FUNERAL DIRECTOR


Judeneck & manach


ADDRESS


East Boston


Received and Aled


19


( Registrar)


100M-6 -2-42-8855


extracts from the laws on back of certificate. terms, so that it may be properly classified. Exact statement of OCCUPATION is very important. See instructions and should be carefully supplied. ACE should be stated EXACTLY. PHYSICIANS should state CAUSE OF DEATH in plain If deceased was a U. S. War Veteran, G. L. Chap. 46. Section 10, requires physicians to insert a recital to that effect. PARENTS


1


... (City, or Town) Manchaop Community Hospitals. No.


2 FULL NAME


(Was deceased a


U. S. War Veteran,


if so specify WAR)


home


(Usual place of abode)


Habestal


MEDICAL CERTIFICATE OF DEATH


IMPORTAN 1 day


Due to


Streptococcus foryngites


Date of


Of autopsy


...


What test confirmed diagnosis?


aux phonynales


10 or Business :


4 COLOR OR RACEJ


BORTON NOTIFIED


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 attended during his last illness, at the request of an undertaker or other authorized per-on or of any meniber of the family of the deceased, furnish for registration a standard certificate of death, stating to the best of his knowledge and behet the name of the deceased, bis 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 as required by the preceding section or by section forty-five of chapter one hundred and four- teen, shall, if the decessed, 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- fylug the war. and shall also certify in such certificate both the primary and the secondary or inmediate cause of death as nearly 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 sec- tion and of sections forty-five, forty-six and forty-seven of said chapter one hundred and fourteen, the word "war" shall include the China relief ex- pedition and the Philippine insurrection, which shall, for said purposes, he deenicd to have taken place hetwcen February fourteenth, eigliteen 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 permits, or if there is no such board, from the clerk of the town where the person died; and no undertaker or other person ahall exhume a human body and remove it froin 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 aforexaid or from the clerk of the town where the body is buried. No such permit ahall be issued until there shall have been delivered to such board, agent or clerk, as the case thay be, a satisfactory written atatenient containing the facta required by law to be returned ankl 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 ilereinafter 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, froin one town to another within the commonwealth cannot be obtained early enough for the purpose, the certificate of death made as above provided and in the possession of the undertaker desiring to make such renioval shall constitute a permit for such removai; 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 aerved 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 statenient 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 veces 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 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 hoard 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 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. .. . Cbap. 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 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 calls for the observance of the following rules of practice :


(1) Attending physicians wili certify to such deatha only an those of persons to whom they have given bedside care during a iast iliness from disease unrelated to any form of injury.


(2) Board of Health physiolans 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 medical attendance or whose phyaf- cian is ahsent from home when the certificate of death is needed.


(8) Medloal Examiners will investigate and certify to all dcatha sup- posably due to injury. These include not only deaths caused directly or in- directiy by traumatism (including resulting septicemia), and by the action of chemical (druga or poisons), thermal, or electrical agents, and deaths following abortion, but also deaths from diseasa 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 deathi 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 conditiona, If any, related to the principal cause and any important complication of the principal cause.


Statement of Occupation .- Precise statement of occupation ia very im- portant, so that the relative healthfulness of various pursuits can be known, Make some entry in this section for every person aged 10 yeara or over. If the occupation had been given up or changed ou account of the disease causing death, report the usual occupation prior to illness. If the deceased had retired from business, report the usuai occupation prior to retirement. Children not gainfully employed may be returned aa at school or at home. For a woman whose only occupation waa that of honie housework, write housework. For a person engaged in domestic service for wages, however, designate the occupation by the appropriate terma, aa housekeeper-private faniily, cook-hotel, etc. For a person who had no occupation whatever write none.


SPACE FOR ADDITIONAL INFORMATION


RM R-301 A


Cambridge notified 2-9-43


1


1


PLACE OF DEATH


Suffolk (County)


Winthrop


(City or Town) Station Hospital, Fort Banks, Mass. No.


The Commontoralth 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.


18


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


2 FULL NAME


HERBERT ALONZO WADSWORTH


(If deceased is a married, widowed or divorced


woman, give also maiden name.)


(a) Residence. No.


983 Memorial Drive


xx ... Cambridge ....


Mass.


(If nonresident, give city or town and State)


Length of stay : In hospital or Institution


( Before death)


(Specify whether)


years


months


21days.


In this community


yrs.


O


mos.


days.


PERSONAL AND STATISTICAL PARTICULARS


3 SEX


4 COLOR OR RACE|


White


5 SINGLE


(write the word)


MARRIED


WIDOWED


DIVORCEO Married


Sa If married, widowed, or;


Afitgingtre Norman


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 Unknown


7 IF STILLBORN. enter that fact here.


8


AGE .


55


Years


1


Months.


.22 Days


If less than 1 day Hours ........... ....... Minutes


Usual


9 Occupation :


officer


Industry


U. S. Army


10 or Business :


11 Social Security No.


None


12 BIRTHPLACE (City)


Lewiston, Idaho


(State or country)


13 NAME OF


FATHER


John Ribble Wadsworth


14 BIRTHPLACE OF


FATHER (City)


(Unknown)


-


(State or country)


Indiana


15 MAIOEN NAME


OF MOTHER


Mary Herbert


16 BIRTHPLACE OF


MOTHER (City)


(Unknown) -


(State or country)


Indiana


17 U. S. Army


Informant.


(Address)


.......... ( Relatlon, if any


I HEREBY CERTIFY that a satisfactory, standard certificate of death was filed with me BEFORE the burial or transit permit was Issued : Www. D- Childefter.


(Signature of Adept of Board of llbalth or other)


The alta Office 2/1/43


( Officlal Designation ) ( Date of Issue of PermitY


MEDICAL CERTIFICATE OF DEATH


18 DATE OF


OEATH


January


29.


1943


(Month)


(Day)


(Year)


19 1 HEREBY CERTIFY,


That I attended deceased from


January 8,


19 43, to January 29,


1943


1 last saw


him


.alive on


January 29 19 43, death Is said to


have occurred on the date stated above, at.


6:30


a.


Immediate cause of death.


Congestive heart


Duration IMPORTANT


10 days


Due to.


Mitral insufficiency and


arteriosclerosis.


Due to.


Other conditions


Broncho pneumonia(Fried-


(Include preguancy within 3 months of death) Lander.


Cardiac hypertrophy. Anemia, simple


Major findings :


Of operations.


None


Date of


Of autopsy.


None


What test confirmed diagnosis?


IMPORTANT Physician


l'uderline the cause to which death should be charged sta- tistically.


20 Was disease or injury in any way related to ocoupation of deceased ?.......




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