USA > Massachusetts > Suffolk County > Winthrop > Town of Winthrop : Record of Deaths 1943 > Part 81
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No underteker or other person shsii hury or otherwise dispose of a human body in a town, or remove tilerefrom a human body which has not been buried, untii he has received a permit from the hosrd of heaith, 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 froin a town, from one cenietery to another, or from one grsve or tomb other thau the receiving tomb to another in the same cemetery, until he has received a permit from the board of health or its agent sforesaid or from the clerk of the town where the hody is buried. No such permit shsii be issued until there shall have been delivered to such hoard, agent or clerk, as the case thay he, a satisfactory written statement containing the facts required hy iaw to he returned smi recorded, which shail he accompanied. in case of an original internient, by a satisfactory certificate of the attending physician, if any, as required by law. o1 in iieu 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 hy the selectmen for the purpose, shaii upon application miske the certificate re- quired of the attending physician. if death is caused hy violence, the medi- cai examiner chaii make such certificate. If such a permit for the removal of a ilunisu body, not previously interred, from one town to another within the commonwealth cannot be obtained early enough for the purpose, the certificate of desth made as above provided and in the possession of the undertaker desiring to make such renovai slisli constitute a permit for such removal; provided, that such body shaii be returned to the town from which it was removed within thirty-six hours after such removai, unless a permit in the usual form for the removal of such hody has been sooner ohtalned hereunder. If the death certificate contains a recitai, 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 heen engaged. such recital shall appear upon the permit. The board of health, or its agent. upon receipt of such ststenient and certificate. shall fortiiw Ith countersign it and transmit it to the clerk of the town for registration. The person to whom the permit is so giveu 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 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 hury a human body or the ashea thereof which have been brought Into the commonwealth until ile has re- ceived a jærmit so to do from the board of health or its agent appointed to issue such permits, or if there is no such hosrd, 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. 46. G. L., (Tercentenary Editiou).
Medicai examiners shaii mske examination upon the view of the dead bodies of only such persons as are supposed to have died hy violence. If a medical examiner hos notice that there is within his county the body of such a person, he shaii forthwith go to the place where the body lies and take charge of the same; ... - Genersi Laws, Chap. 38, Sec. 6.
RULES OF PRACTICE
The fulfillment of the purpose of these iawe calle for the observance of the foliowing rules of practice :
(1) Attending physicians wiii certify to such deaths oniy as those of persons to whom they have given bedside care during a iast iiiness from disease unrelated to any form of injury.
(2) Board of Health physiolans will certify to such deaths only aa those of persons who, though disahled hy recognized disease unrelated to any form of injury. have died without recent medicai attendance or whose phyaf- cian is ahsent from home when the certificate of death is neededi.
(3) Medlosi Examiners will investigate and certify to all deaths sup- posebly due to Injury. These include not only deaths caused directly or in- directiy hy traumatism (including resulting septicemia), and hy the action of cilenical (drugs or poisons), thermal, or electrical agents, and deaths foliowing abortion, hut aiso deaths from diseass resulting from injury or infeotlon related to occupation, the sudden deaths of persons not disabled by recognized disease, and those of persons found dead.
Statement of Cause of Desth .- 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 reiated causes, name earlier morbid conditions, if any, related to the principal cause and any important complication of the principai cause.
Statement of Oooupation .- Precise statement of occupation is very im- portant, so that the reiative healthfuiness 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 usuai occupation prior to iilnese. If the deceased had retired from business, report the ususl'occupation prior to retirement. Children not gainfuliy employed may he returned an at school or at home. For a woman whose oniy occupatiou wsa that of honie housework, write housework. For s person engaged in domestic service for weges, however, designate the occupation hy the appropriate terms, aa housekeeper-private family, cook-hotel, etc. For a person who had no occupation whatever write none.
SPACE FOR ADDITIONAL INFORMATION
301 A
extracts from the laws on back of certificate. If deceased was a U. S. War Veteran, G. L. Chap. 46. Section 10, requires physicians to insert a recital to that effect. PARENTS
100M-6 - 2-42-8855
PLACE OF DEATH
Suffolk (County)
1
Winthrop
(City or Town) 10 Highland Ave.
The Commontoralth of Massachusetts OFFICE OF THE SECRETARY DIVISION OF VITAL STATISTICS STANDARD CERTIFICATE OF DEATH
To be tiled for burial permit with Board of Health or its Agent.
Registered No. ..................
S ( If death occurred in a hospital or Institution, St. give ita NAME instead of street and number)
2 FULL NAME
Nelson Ernest Hayden
( If deceased is a married, widowed or divorced woman, give also maiden name.)
(a) Residence. No.
10 Highland Ave.
(Usual place of abode)
Length of stay: In hospital or Institution
(Before death)
...
yeara
months
days.
In this community 50 yra.
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, widowed, or divorcedMartha A Baxter
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
70
Yeara
Montha
Daya
If less than 1 dey
Hours
Minutes
Usual
9 Occupation :
Builder
Industry
10 or Business :
Contractor
11 Social Security No.
None.
Bakerville
12 BIRTHPLACE (City)
(Siale or country)
Conn.
13 NAME OF
FATHER
Edward Hayden
14 BIRTHPLACE OF
FATHER (City)
(State or country)
Conn.
15 MAIDEN NAME
OF MOTHER
Pheybe Finn
16 BIRTHPLACE OF
MOTHER (City)
(State or country)
Comn.
Rettighet any
17 Martha Hayden Informant ( Address) IO Highland Ave: Winthrop
I HEREBY CERTIFY that a satisfactory standard certificata of death was filed/ with me BEFORE the burial or transit permit was Issued : Vm. D. Vil delffx
(Signature of Agent of Board of Health or other)
Health Officer 10/25 /43
(Omcial Designation) ( Date of Toque of Permit)
. 1
MEDICAL CERTIFICATE OF DEATH
18 DATE OF
DEATH
@cx
26
(Month)
(Day)
1943 - (Year)
19 | HEREBY CERTIFY,
Oct. 23
1943, to
Get . 26
1943
1 last saw h ................ alive on
Bet. 25
19.4.3., death is said to
have occurred on the data stated abova, at.
1
P.m.
Duration
Immediate cause of death.
Chronic Myocarditis
Due to
Due to
Other conditions ..
Brancho - processorcanne
3 days
( Include pregnancy within 3 months of death)
Major findIngs:
Of operations
Date of
Of autopsy
What test confirmed diagnosis ?.
20 Was disease or Injury in any way related to oooupation of deceased ?
If so, spaolfy ......
(Signed).
Louis + Salerno
M. D.
(Address) 175 Pleasant St
Dato Cc+ 2) 1943
Winthrop
21
winthrop
Place of Burial, Creniation or Removal.
DATE OF BURIAL
October 29
2+3
(City or Town)
22 NAME OF
FUNERAL DIRECTOR ......
Forward Spagnolo
ADDRESS
Reoaivad and Alad 19
( Registrar)
-
No.
(Specify whether)
PHYSICIAN - IMPORTANT
U. S. War Veteran,
if so speolfy WAR)
St.
( If nonresident, give city or town and State)
That I attended deceased from
"IMPORTANT
IMPORTANT Physician
Underline the cause to which death should be charged sta- tistically.
16
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 attewled during his last illness, at the request of an undertaker or other authorizeil person or of any member of the family of the deceased, furnish for registration a standard certifcate 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. whirre ssme was contraciel. 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 helief, 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 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 aec- tion and of sections forty-five, forty-six and forty-seven of said chapter one huwired and fourteen, the word "war" shall inchble the China relief ex- pedition and the Philippine insurrection, which shall, for said purposea, 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 sixteen and nineteen hundred and seventeen. G. L. Chiap. 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 burled, until he has 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 otber person shall exhume a human body and remove it from a town, from one cemetery to another, or from oue grave or tomb other thau the receiving tomb to another In the same cemetery, until he haa 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 aball have been delivered to sucb board, agent or clerk, as the case may 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. 01 in lieu thereof a certificate as liereinafter provided. If there la no attending physician, or if, for sufficient reasons, hla certificate cannot be obtained early enough for the purpose, or is insufficient, a pbysl- cian who ia a member of the board of health, or employed by it or by the aelectmen for the purpose, shall upon application niake the certificate re- quired of the attending physician. If death Is caused by violence. the medl- cal examliier 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 connnonwealth cannot be obtained early enough for the purpose, the certificate of death made as above provided and in the possession ot tbe undertaker desiring to make such renioval 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 lo any war In which It has heen engaged. sucb recital shall appear upon the permit. The board of health, or its agent. upon receipt of such statement and certificate, shall forthwith coumersign 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 aa to the manner or callse of the death, which The clerk or registrar way require .- Cbap. 114. Sec. 45, G. L., ( Tercentenary Edition).
No undertaker or other person shall bury a hunian body or the ashea thereof which have been brought luto the commonwealth until he has re- ceived a permis so to do from the board of health or its agem 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 perwa 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 as are supposed to have died hy 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 boily 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 will certify to sucb deatbs 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 physlolana will certify to such deaths only as those of persons who, though disshled 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 is needed.
(3) Medloal Examiners will investigate and certify to all deatba sup- poaably due to injury. These include not only deaths caused directly or in- directly by traumatism (including resulting septicemia), and by the action of chienilcal (drugs or poisons), thermal, or electrical agenta, aml deaths following abortion, but also deatha from dlacasa resulting from Injury or Infection related to occupation, the sudden deatha of peraona not disablad 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 fallure, asphyxia, asthenia, etc. Aa principal cause name tbe disease caualug 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 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 persou aged 10 years 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 bad retired from businesa, report the usual occupation prior to retirement. Children not gainfully employed may be returned aa at school or at boine. For a woman wbose only occupatiou was that of bone bousework, write bousework. For a person engaged in domestic service for wages, however, designate the occupation by the appropriate terms, aa bousekerper-private faniily, cook- hotel, etc. For a person who had no occupation whatever write none.
SPACE FOR ADDITIONAL INFORMATION
-301 A
1
PLACE OF DEATH
Suffolk (County)
Winthrop (City or Town) 165 Taft Ave. Point Shirley,
The Commonforall 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. 238
Registered No.
Winthrop (If death occurred in a hospital or institution, &( give its NAME instead of street and nuniber) PHYSICIAN - IMPORTANT
2 FULL NAME
LAWRENCE E. DONOVAN
( If deceased Is a married, widowed or divorced woman, give aleo maiden name.)
(a) Residence. No.
165 Taft Ave ..
Point Shirley. Winthrop.
(Usual place of abode)
(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 14 yrs.
mos.
days.
PERSONAL AND STATISTICAL PARTICULARS
MEDICAL CERTIFICATE OF DEATH
3 SEX Male
4 COLOR OR RACE
White
5 SINGLE
( write the word)
Divorced
MARRIED
WIDOWED
or DIVORCED
18 DATE OF
DEATH
Oct. 27, 1943.
(Month)
(Day)
(Year)
19 | HEREBY CERTIFY,
That I attanded daoeased from
1943. to.
Beef 27
1943
I last saw h ............. alive on.
Oct 27
19.3, death is said to
have occurred on the date stated above, at
8.05 Pm.
6 Age of husband or wife if alive years
> IF STILLBORN. enter that fact hera.
8
AGE
49Years
-
Montha
Days
If less then 1 day
Hours
Minutes
Usual
9 Occupetion :
Inspector - Real Estate.
Industry
10 or Business :
Aetna Insurance .Co
11 Social Security No.
unknown
12 BIRTHPLACE (City)
(Siate or country)
Charlestown.
13 NAME OF
FATHER
John L. Donovan.
14 BIRTHPLACE OF
FATHER (City)
(State or country)
Ireland.
15 MAIDEN NAME
OF MOTHER
Cannot be learned.
16 BIRTHPLACE OF
MOTHER (City)
(State or country)
Ireland.
17 James J. Donovan
Informent ( Address)
135 Washington St.
Brighton
I HEREBY CERTIFY that a satisfactory standard certificats of deeth waa filled with ma BEFORE the burial or transit permit was Issued :
(Blenature of Agent of Board ht Health or other)
Health office 10/25/43
(omclai Designation) ( Date of Issue of Permit)
20 Was disease or injury in any way related to posupation of deceased ? ?
If so, spaolfy ......................
('Signad )
M. D.
(Address)
148 Met Dst Date Cof28-1943
21
Holy Cross
.Malden ..
theop May
l'lace of Burial, Cremation or Removal.
(City or Town)
DATE OF BURIAL
Oct.
30,
1943.
19
22 NAME OF
FUNERAL DIRECTOR
Frederic& Crosby
ADDRESS
867
Geacon mi
Boston
.
Reoaived and Alsd 19
( Registrar)
Duration IMPORTANT
twh.
Due to.
Carcinomatous
Due to.
Tropandel malignant Queno
2yrs
Other conditions.
( Include pregnancy within 3 months of death)
IMPORTANT
Major findings :
Of oparations
Date of
Of autopsy
What test confirmed diegnosis?
Climent
Physician Underline the cause to which death should ba charged sta- tistically.
100M-6 - 2-42-8855
extracts from the laws on back of certificate. If deceased was a U. S. War Veteran, G. L. Chap. 46, Section 10, requires physicians to Insert a reoltal to that effect. PARENTS
5a If married, widowfl Urinde Gordon.
HUSBAND of
(Give maiden name of wife in full)
(or) WIFE of
( Husband's name In full)
immediate cause of death ...
....
No.
(Was daceased a
U. S. War Veteran,
if so specify WAR)
EXTRACTS FROM THE LAWS OF THE COMMONWEALTH OF MASSACHUSETTS GOVERNING THE
RETURN OF CERTIFICATES OF DEATH
A physician or registered hospital medioal 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 authorizeil person or of aos meniber of the family of the deceased, furnisb for registration a standard certificate of death, ststing to the best of his knowledge and belief the naine of the deceased, his supposed sge, the disesse of which he died. defined as re- quired by section one, where ssme wss contracted. the duration of his last illness, when Isst seen alive by the physician or officer and the date of hia death ... Geir. Laws, Chiap. 46, Sec. 9.
A' physician or officer furnishing a certificate of death as required hy the preceding section or by section forty five of clispter 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 sny war in which it has been engaged. insert in the certificate a recital to that effect, speci- fying the war. sud shall also certify in such certificate both the primary and the secondary or iinmediste cause of death ss uearly 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 aud forty-seven of said chapter one humIred aud fourteen, the word "war" shall include the China relief ex- pedition and the Philippine insurrection, which shall, for ssid purposes, he deemed to have taken place hetween February fourteenth, eighteen hundred and ninety-eight and July fourth, nineteen hundred and two, and the Slexi- can border service of nineteen hundred and sixtcen and nineteen bundred and seventeen. G. L. Chsp. 46, Sec. 10.
No undertaker or other person shall bury or otherwise dispose of a buman body in a town, or remove therefrom a human body which has not heen buried, until he has received a permit from the board of health, or ita agent appointed to lesue such permits, or if there is no such board, from the clerk of the town where the lierson died; and no undertaker or otber person shall exhume a human body and remove it from a towu, from one cemetery to another, or from one grave or tomb other than the receiving tomb to snother 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 boily ia buried. No such permit ahsll be issued until there sball have been delivered to sucb board, agent or clerk, as the case may be, a satisfactory written statement containing the facts required by law to be returned sind 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 as hereinafter provided. If there is no attending physician, or if, for sufficient reasous, his certificate cannot be obtained early enough for the purpose, or is insufficient, a physl- cian who is a member of the board of health, or employed by It or by the selectmen for the purpose, shall upon application niske the certificate re- quired of the attending physician. If death ia caused by violence, the med !- cal examiner shall make such certificate. If such a permit for the removal of a liumsn body, not previously interred, from one towi to another within the commonwealth cannot be obtained esrly enough for the purpose, the certificate of desth made as above provided and in the posaesaion ot the undertaker desiring to make such removal shall constitute a permit for such removal; provided, thst 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 ususl 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 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 certificste, shall forthrwith 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 as to the manner or canse of the death, which the clerk or registrar may require .- Cbap. 114. Sec. 45, G. L., ( Tercentenary Edition).
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