USA > Massachusetts > Suffolk County > Winthrop > Town of Winthrop : Record of Deaths 1943 > Part 8
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).
Part 1 | Part 2 | Part 3 | Part 4 | Part 5 | Part 6 | Part 7 | Part 8 | Part 9 | Part 10 | Part 11 | Part 12 | Part 13 | Part 14 | Part 15 | Part 16 | Part 17 | Part 18 | Part 19 | Part 20 | Part 21 | Part 22 | Part 23 | Part 24 | Part 25 | Part 26 | Part 27 | Part 28 | Part 29 | Part 30 | Part 31 | Part 32 | Part 33 | Part 34 | Part 35 | Part 36 | Part 37 | Part 38 | Part 39 | Part 40 | Part 41 | Part 42 | Part 43 | Part 44 | Part 45 | Part 46 | Part 47 | Part 48 | Part 49 | Part 50 | Part 51 | Part 52 | Part 53 | Part 54 | Part 55 | Part 56 | Part 57 | Part 58 | Part 59 | Part 60 | Part 61 | Part 62 | Part 63 | Part 64 | Part 65 | Part 66 | Part 67 | Part 68 | Part 69 | Part 70 | Part 71 | Part 72 | Part 73 | Part 74 | Part 75 | Part 76 | Part 77 | Part 78 | Part 79 | Part 80 | Part 81 | Part 82 | Part 83 | Part 84 | Part 85 | Part 86 | Part 87 | Part 88 | Part 89 | Part 90 | Part 91 | Part 92 | Part 93 | Part 94 | Part 95 | Part 96 | Part 97 | Part 98 | Part 99 | Part 100 | Part 101
If so, specify
(Signed)
"Inomas " Fay ed. Corps,
(Address) Station Hospit&
M. D.
Date .......
1929. .. 1943.
Fort Banks, wass
DATE OF BURIAL
4.0.2
1943
22 NAME OF
FUNERAL DIRECTOR
AOORESS
254
et Reme
Received and filed.
.. 19
( Registrar)
100m (d) -1-41-4667
PARENTS
If deceased was a U. S. War Veteran, G. L. Chap. 46, Seotion 10, requires physicians to insert a reoltal 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. ACE should be stated EXACTLY. PHYSICIANS should state CAUSE OF DEATH in plain
Registered No.
PHYSICIAN - IMPORTANT
(Was deceased a
U. S. War Veteran, + 2
if so specify WAR)
(Usual place of abode)
Male
years failure
EXTRACTS FROM THE LAWS OF THE COMMONWEALTH OF MASSACHUSETTS GOVERNING THE
RETURN OF CERTIFICATES OF DEATH
A physician or registered hospital medical officer shall forthwith, after the death of a person whom he has attended during his last illness. at the request of an midertaker 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 are, 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 hy 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 l'uited 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 atni the secondary or immediate canse 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 inchide the China 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 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, fromn 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 froin 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 froin 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 intermeut, 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 commonwealth 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 heen 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 I'nited States in any war In which it has been engaged. such recital shall appear upon the perinit. The board of hwralth, or its agent, upum receipt of such statement and certificate, shall forthwith counter-ign it aud transmit it to the clerk of the town for registration. The person to whom the permit is so given and the physician certifying the can-e 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 hody 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 issne snch permits, or if there is no such board, from the clerk of the town where the body is to be buried or the funeral is to be held, or from a persoll 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 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 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 pliysi- cian is absent from home when the certificate of death is needed.
(3) Medical Examiners will investigate and certify to all deaths sup- posably due to Injury. These include not only deaths caused directly or in- directly by traumatism (including resulting septicemia), and by the action of chemical (drugs or poisons), thermal, or electrical agents, and deaths following abortion, but also deaths from disease resulting from injury or Infection related to occupation, the sudden deaths of persons not disabled by recognized disease, and those of persons found dead.
Statement of Cause of Death. Cause of death means the disease, or complication which causes death. not the mode of dying. e. g .. heart failure, asphyxia. asthenia, etc. As principal cause naine the disease causing death. As related causes, naine earlier morbid conditions, if any, related to the principal cause and any important complication of the principal cause.
Statement of Occupation .- 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 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 occupatiou whatever write none.
SPACE FOR ADDITIONAL INFORMATION
ORM R-301 A
N. B .- WRITE PLAINLY, WITH UNFADING BLACK INK-THIS IS A PERMANENT RECORD. Every item of information 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
If deceased was a U. S. War Veteran, G. L. Chap. 46, Section 10, requires physicians to insert a reoital to that effect. extracts from the laws on back of certificate.
1
PLACE OF DEATH
Suffolk Q county) Winthrop (City of Town) 419A Rune IT -
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.
19
Registered No.
{ (If death occurred in a hospital or institution, St. [ give its NAME instead of strect and number)
PHYSICIAN - IMPORTANT
2 FULL NAME
(If deceased is a married, widowed or divorced woman, give also maiden name.)
4194
REVERE
St.
(If nonresident, give city or town and State)
Length of stay: In hospital or Institution
(Before death)
(Specify whether)
-
- years
months
-
days.
In this community
6
yrs.
~ mos. - days.
PERSONAL AND STATISTICAL PARTICULARS
3 SEX
4 COLOR OR RACEJ
It What
5 SINGLE
(write the word)
MARRIED
WIDOWED
or DIVORCED
Married
5a If married, widowed, or divorced
HUSBAND of
(Git maiden name of FiGen.
in full)
(Hushand's name in full)
6 Age of husband or wife if alive 76
years
7 IF STILLBORN, enter that fact here.
8 78 Years AGE Months. .Days
If less than 1 day
.Hours.
.Minutes
Usual
9 Occupation :
Industry
10 or Business :
Amusinge
11 Social Security No.
12 BIRTHPLACE (City)
(State or country)
13 NAME OF
FATHER
John Shiel
Major findings :
Of operations
Date of
Of autopsy
What test confirmed diagnosis ?.
Underline the cause to which death should be charged sta- tistically.
20 Was disease or injury in any way related to oooupation of deoeased ? If so, specify
(Signed)
(Address)
Daten30-
19 ... ₺
21
Cambridge Catholic
Cambridge
Place of Burial, Cuemation or Removal.
(City or Town)
DATE OF BURIAL
2-2-43
22 NAME OF
FUNERAL DIRECTOR
JamelJuan 19
/seattle (Official Designation)
(Date of lasue of Permit)
18 DATE OF
DEATH
January
30#
1943
(Monthy
(Day)
(Year)
19 | HEREBY CERTIFY,
That I attended deceased from
19
to
19
I last saw h ..
-
... alive on
19
death is said to
have occurred on the date stated above, at
m.
Immediate cause of death.
Duration
IMPORTANT
Due torturia solução
Due to.
In BouffHult
Other conditions.
(Include pregnancy within 3 months of death)
IMPORTANT
Physician
14 BIRTHPLACE OF
FATHER (City)
new york.
(State or country)
15 MAIDEN NAME
OF MOTHER
16 BIRTHPLACE OF
MOTHER (City)
( State or country)
9-
17 Informant. ( Address)
Jisque LORANCE 419A Bune Qr
I HEREBY CERTIFY that a satisfactory, standard certificate of death was filed with me BEFORE the burial of transit permit was Issued : Chil dress 8
Signature of Agent of Board of Health or other
2/3/43
ADDRESS
Cambridge 3g
19
Received and filed 1713
(Registrar)
100m (d)-1-41-4667
....
No.
Anna Lorance
(SHIEL)
(Was deceased a
U. S. War Veteran,
If so specify WAR)
(a) Residence. No.
(Usual place of ahode)
MEDICAL CERTIFICATE OF DEATH
(or) WIFE of
PARENTS
M. D.
EXTRACTS FROM THE LAWS OF THE COMMONWEALTH OF MASSACHUSETTS GOVERNING THE
RETURN OF CERTIFICATES OF DEATH
A physlolan or registered hospital medical officer shall forthwith, after the death of a person whom he has attended during his last illness, at the request of an undertaker or other authorized person or of any member of the family of the deceased, furnish for registration a standard certificate of death, stating to the best of his knowledge and belief the name of the deceased, his supposed age, the disease of which he died, defined as re- quired by section one, where saine 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 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 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, 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, A satisfactory written statement containing the facts required by law to be returned and recorded, which shall be accompanied, in case of an original interment, by a satisfactory certificate of the attending physician, if any, as required by law, or in lieu thereof a certificate as hereinafter provided. If there is no attending physician, or if, for sufficient reasons, his certificate cannot be obtained early enough for the purpose, or is insufficient, a physi- cian who is a member of the board of health, or employed by it or 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 front 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 transmit it to the clerk of the town for registration. The person to whom the permit is so given and the physician certifying the cause of death shall thereafter furnish for registration any other neces- sary information which can be obtained as to the deceased, or as to the manner or cause of the death, which the clerk or registrar may require .- Chap. 114, Sec. 45, G. L., (Tercentenary Edition).
No undertaker or other person shall bury a human body or the ashes thereof which have been brought into the commonwealth until he has re- ceived a permit so to do from the board of health or its agent appointed to issue such permits, or if there is no such board, from the clerk of the town where the body is to be buried or the funeral is to be held, or 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 causc.
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 persou 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
ORM R-302
Copies of returns of deaths which occurred in your city or town in case the deceased resided in another city or town at the time WITH!, MITIT ONPALING BLACK INK - THIS IS A PERMANENT RECORD Industry 10 or Business:
2 FULL NAME
Nancy Wells
(a) Residence. No ..
(Usual place of abode)
Length of stay .: In hospital or institution
(Specify whether)
PERSONAL AND STATISTICAL PARTICULARS
3 SEX
4 COLOR OR RACE 5 SINGLE
MARRIED
White
WIDOWED
or DIVORCED
Female
5a If married, widowed, or divorced
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.
7 IF STILLBORN, enter that fact here.
8
AGE
Years
3
Months.
Days
Usual
9 Occupation:
1I Social Security No ......
12 BIRTHPLACE (City)
(State or country)
Cambridge Mass
13 NAME OF
FATHER
Leslie Wells
14 BIRTHPLACE OF
FATHER (City)
15 MAIDEN NAME
OF MOTHER
Dorothy McKee
16 BIRTHPLACE OF
PARENTS
MOTHER (City)
(State or country)
Everett Mass
17
Informant
(Address)
SOM-10-'39. No. 8427-f
after the close of the month in which the death occurred. (Sce Chap. 46, Sec. 12, G. L.)
of death should be transmitted on Form R-302 to the clerk of the city or town in which the deceased resided as soon as possible
(State or country)
Cambridge Mass
(write the word)
Single
years
If less than 1 day
Hours.
.. Minutes
Relation, if any
(father
A TRUE COPY.
ATTEST:
(Registrar of sity or towa where death occurred)
DATE FILED
19
MEDICAL CERTIFICATE OF DEATH
18 DATE OF
DEATH
Jan 1, 1943
(Month)
(Day)
(Year)
19 I HEREBY CERTIFY.
Dec
31/42
19.
That I attended -deceased from
to
Jan 1/45
19.
I last saw h.e ......
.. alive
Jan.
1/43, 19.
, death is said
to have occurred on the date stated above, at.
4:10a
....... m.
Immediate cause of death.
Influenza meningitis
1% dys
Due to
Otitis media
2-3 dys
-
Other conditions
(Include pregnancy within 3 months of death)
Major findings :
Of operations
Of autopsy
What test confirmed diagnosis ?
20 Was disease or injury in any way related to occopation oi deceased ?
If so, specify.
(Signed)
Chas H Hollis
(Address) ...
.Boston
Dato
1/2/493
M. D.
21 PLACE OF BURIAL,
CREMATION OR REMOVAL ...
Oak Grove Cem
DATE OF BURIAL
1/4/43
(Cemetery)
Medfordº
19
22 NAME OF
J A Langone
ADDRESS
Boston ..... ilas.s.
Received and fled
Jen 5, 2×413
19
113
(Registrar of City or Town where deceased resided)
1
Boston
(City or Town)
The Commonwealth of Massachusetts OFFICE OF THE SECRETARY DIVISION OF VITAL STATISTICS COPY OF CERTIFICATE OF DEATH
Boston
(City or town making return)
Registered No.
21 20
No.
Boston Floating Hospital
5
(If death occurred in a hospital or institution,
give its NAME instead of street and number)
(If deceased is a married, widowed or divorced woman, give also maiden name.)
843 Shirley St
St.
(If nonresident, give city or town and state)
16 hrs
In this community
yrs. 4
mos.
days.
....
years
months
days.
St.
(If U. S.
War Veteran,
specify WAR)
Winthrop Mass
FUNERAL DIRECTOR
Date of.
Duration
Due to
PHYSICIAN
Underline the cause to which death should be charged sta- tistically.
PLACE OF DEATH
Suffolk
(County)
ORM R-302
of the city or town in which the deceased resided. (See Chap. 46, Sec. 12, G. L.) resided in another city or town at the time of death should be made forthwith and transmitted on Form R-302 to the clerk Copies of returns of deaths recorded during the previous month which occurred in your city or town in case the deceased WRITE PLAINLY, WITH UNFADING BLACK INK - THIS IS A PERMANENT RECORD
PLACE OF DEATH
Suffolk (County)
The Commontoralth of Massachusetts OFFICE OF THE SECRETARY DIVISION OF VITAL STATISTICS COPY OF CERTIFICATE OF DEATH
Boston
(City or town making return)
21
Registered No.
7.95
S (If death occurred in a hospital or institution, St. give its NAME instead of street and number)
2 FULL NAME.
Elta or Marie Magee
(If deceased is a married, widowed or divorced woman, give also maiden name.)
90 Atlantic St
St.
(If nonresident, give city or town and State)
Length of stay: In hospital or institution.
(Before death)
(Specify whether)
years
months
16
days.
In this community
yrs.
mos.
days.
PERSONAL AND STATISTICAL PARTICULARS
3 SEX
4 COLOR OR RACE
White
5 SINGLE
(write the word)
MARRIED
WIDOWED
or DIVORCED
Married
5a If married, widowed, or divoroed HUSBAND of
(or) WIFE of
JS'Yirmaiden name of wife in full)
(Hushand's name in full)
6 Age of husband or wife if alive
25
years
7 IF STILLBORN, enter that fact here.
8
AGE
22
Years.
5
Months
4
.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)
Pittsburgh Pa
13 NAME OF
FATHER
Ernest 0 Emmerich
PARENTS
14 BIRTHPLACE OF
FATHER (City)
(State or country)
Crookson Minnestoa
15 MAIDEN NAME
OF MOTHER
Florence L Evans
16 BIRTHPLACE OF
MOTHER (City)
(State or country)
Pittsburgh Pa
17
Informant
(Address)
Relation, if any, (Husband-)
A TRUE COPY.
ATTEST :
J. Fay
(Registrar of city or town where death occurred)
DATE FILED 19
MEDICAL CERTIFICATE OF DEATH
18 DATE OF
DEATH
Jan 23, 1943
Need help finding more records? Try our genealogical records directory which has more than 1 million sources to help you more easily locate the available records.