USA > Massachusetts > Suffolk County > Winthrop > Town of Winthrop : Record of Deaths 1943 > Part 84
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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 lasue 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 cenietery 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 its agent aforesaid or from the clerk of the town where the body is buried. No such permit shall be issued until there aball bave been delivered to sucb board, agent or clerk, as the case inay be, a satisfactory written atatement 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. o1 in lieu thereof a certificate aa hereinafter provided. If there is no attending physician, or if, for sufficient reasoua, his certificate cannot be obtained early enough for the purpose, or is 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 caused by violence. the medl- 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 comnouwealth cannot be obtained early enough for the purpose, the certificate of death made as above provided and in the possession of tbe undertaker desiring to make such removal shall constitute a permit for such removal; provided, that auch 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 hody 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 heen engaged. sucb 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 la 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 as to the msumer or cause of the death, which the clerk or registrar may require .- Cbap. 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 luto 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 tbe 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 examiustion upon the view of the dead hodiea of only such persons as are supposed to have died hy violence. If a medical examiner has notice that there is within hils county the body of such a person, he shall forthwith go to the place where the hody lies aud take charge of the same; ... - General Laws, Cbap. 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 deatha 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 physlolans 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 pbyaf- cian is absent from home when the certificate of death is needed.
(8) Medloal Examiners will investigate and certify to all deatha sup- posably due to Injury. These include not only deaths caused directly or in- directly hy traumatism (including recuiting septicemia), and by the action of cliemical (drugs or poisons), thermal, or electrical agents, and dealbs following abortion, but also deaths from disease resulting from injury or Infeotlon related to ocoupatlon, 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 causea death. not the mode of dying. e. g., heart failure, asphyxia, asthenia, etc. As principai cause name tbe 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 ou account of the discase causing death. report the usual occupation prior to illness. If the deceased had retired from husineaa, report the usual occupation prior to retirement. Children not gainfully employed may he returned an at school or at boine. For a woman whose only occupation waa that of bone housework, write bousework. For a person engaged in domestic service for wages, however, designate the occupation by the appropriate terms, as housekeeper-private faniily, cook-hotel, etc. For a person who had no occupation whatever write none.
SPACE FOR ADDITIONAL INFORMATION
R-301 A
Suffolk
( county ) Winthrop
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, St. { give its NAME instead of street aud number)
PHYSICIAN - IMPORTANT
2 FULL NAME
( If deceased is a married, widowed or divorced
woman, give also maiden name.)
SE inbaños
(Usual place of abode)
Length of stay: In hospital or Institution
(Before desth)
(Specify whether)
PERSONAL AND STATISTICAL PARTICULARS
MEDICAL CERTIFICATE OF DEATH
3 SEX
male
4 COLOR OR RACE
muito
5 SINGLE
MARRIED
WIDOWED
or DIVORCESmanuel
18 DATE OF
DEATH
( Month)
(Year)
Sa If married, widowed, or divorce
HUSBAND of
(Give maiden name of wife o full)
(or) WIFE of
( Husband's name in full)
have occurred on the date stated above, at ..
1:20 A:
m.
6 Age of husband or wife if alive 45
years
" IF STILLBORN. enter that fact here.
8 45 Yea AGE Years - Months - Days
If less than 1 day
Hours
Usual
9 Occupation :
Salesman
Industry
10 or Business :
Insulation
11 Social Security No.
'2 BIRTHPLACE (City)
( State or country)
Russia
13 NAME OF
FATHER
Samuel D. Steinberg
14 BIRTHPLACE OF
FATHER (City)
Russia
( State or country)
15 MAIDEN NAME
OF MOTHER
Auch (whenm)
16 BIRTHPLACE OF
MOTHER (City)
(State or country}
Prissin
17 Rise Steinberg; Relationa if any
informant
( Address)
Il suferimentre withings!
I HEREBY CERTIFY that a satisfactory standard certifioste of death was filed with me BEFORE the bunny or transit permit was issued :
(Bignature of Agents of Board of Health and others, Health (Official Designation) (Date of lesue of Pepmit)
11/5/43
22 NAME OF
FUNERAL DIRECTOR WILL BE Kamm
ADDRESS
324 Washington at. Her
.....
19
( Registrar)
zylaws
Due to
Other condition
none
( Include pregnancy within 3 months of death)
IMPORTANT Physician
Major findIngs:
Of operations.
none
Date of.
Of autopsy
none
What test confirmed dlagngals ?... clinical &
no
20 Was disease or injury in any way related to oooupation of deceased ? if so, spaolfyf ....
(Signed) Jacob
Obraquo M.D.
M. D. (Add ) 562 Hlemley Date Car 5, 194.
Place of Dorin, Cremation or Removal.
DATE OF BURIAL ..
Mr.5
19.
(City or Town)
100M-6 -2-42-8855
If deceased was a U. S. War Veteran, G. L. Chap. 46. Section 10, requires physicians to insert a recital to that effect. extracts from the laws on back of certificate. selma, Je fuet it may de property classified. Fast statement of VeverATTeit is very important. see instructions and PARENTS
1
PLACE OF DEATH
(City or Town) 11 dea toam ave- No.
Louis Steinberg.
(Was deceased
& Word War
U. S. War Veteran, &
if so specify WAR).
1.
(a) Residence. No.
....
1) La Fram cave.
yeara
months
days.
(if nonresMent, give city or town and State)
In this community
1
yrs.
6
mos.
days.
( write the word ) '
Rese Reznick
19/1
HEREBY CERTIFY,
-
That i attended deceased from
November 1
1943
november 5
1943
to.
i last saw h 441
alive on
Unrember 4 1943 death Is said to
Duration
Immediate/oauseof death ........ mm acute Cormicy Tumbona
1year
Minutes
Due
augura Pectoris
Underline the cause to which death shouldi bo charged sta- tistically
Raoaived and Aled NUV & 1943
(Day)
5
1943
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 s person whoin he has atteroled during his last illness, at the request of an undertaker or other authorizeil person or of any meniber 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. where same was contracted. the duration of his last illneaa, when laat 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 preceiling 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 l'uited States in any war in which it has been engaged, insert in the certificate s recital to that effect, speci- fying the war. and shall also certify in such certificate both the primary and the secondary or iinmeiliate cause of death as nearly as he can state the same. 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 humulred and 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 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. 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 isaue such permita, 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 cemetery to another, or from one 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 ita sgent aforesaid or from the clerk of the town where the boily is buried. No such permit shall be issued until there ahall 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 aml recorded, which shall be accompanied. in case of an original internient, by a satisfactory certificate of the attending physician, if any, aa required by law. 01 in lieu thereof a certificate aa hereinafter provided. If there is no attending physician, or if, for sufficient reasona, hia certificate cammot be obtained early enough for the purpose, or ia insufficient, a physi- cian who ia a member of the hoard of health, or employed by it or by the selectmen for the purpose, shall upon application niake the certificate re- quired of the attending physician. If death is caused by violence, the medl- cal examiner shall make such certificate. If auch a permit for the removal of a human boily, 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 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 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 counter-ign 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+ aary information which can be obtained as to the deceased. or as to the manter or canse of the death, which the clerk or registrar uiay 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 appminted to issue such permita, or if there is no such hoard, from the clerk of the town where the boily is to be buried or the funeral is to he held, or from a person appointed to have tbe care of the cemetery or burial grouml in which the interment ia made. .. . Chap. 114. Sec. 46. G. L., (Tercentenary Editiou).
Medical examinera shall make examination upon the view of the dead bodies of only such persons as are supposed to have died hy violence. If a meilical examiner has notice that there is within his county the body of such a person, he shall forthwith go to the place where the hoily lies aud take charge of the same; ... - General Laws, Chap. 38, Scc. 6.
RULES OF PRACTICE
The fulfillment of the purpose of these laws calls for the obaervance of the following rulea of practice :
(1) Attending physicians will certify to such deatha only as those of persona to whoin they have given bedside care during a last illneaa from disease unrelated to any form of injury.
(2) Board of Health physiolans will certify to such deatha only as those of persons who, though disahled by recognized disease unrelated to any form of injury. have died without recent meilical atteinlance or whose phyal- cian ia ahsent from home when the certificate of death ia needed.
(3) Medloal Examiners will investigate and certify to all ilcaths sup- posably due to Injury. These include not only desths caused directly or in- directly by traumatism (including resulting septicemia), and by the action of cliemical (drugs or poisons), thermal, or electrical agents, aml deaths following abortion, but also deatha from diseass resulting from injury or Infootion 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 causea death. not the moile of ilying. 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 healthfulnesa of various pursuits can be known. Make some entry in thia aection for every person aged 10 yeara 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 aa at school or at hoine. For a woman whose only occupatiou waa that of hone housework, write bousework. 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
R-301 A
Suffolk
(County)
Winthrop
(City or Town) 19 Thornton Street
The Commontoralth of Massarinisetts 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 ita NAME instead of street and number)
2 FULL NAME
Benjamin Howatt
( If deceased Is a married, widowed or divorced woman, give also maiden name.)
(a) Residence. No.
19 Thornton Street
St.
(If nonresident, give city or town and State)
Length of stay : In nnspital or Institution
( Before death)
yeara
months days.
In this community
54 yrs.
mos.
days.
PERSONAL AND STATISTICAL PARTICULARS
MEDICAL CERTIFICATE OF DEATH
3 SEX
Male
4 COLOR OR RACEĮ
White
5 SINGLE
( write the word)
MARRIED
WIDOWED
or DIVORCEMarried
5a If married, widowed, or divorcejennie Mackenzie
HUSBAND of
(Give meiden name of wife in full)
(or) WIFE of
( Husband's name In full)
69
years
> IF STILLBORN. enter that fact here.
8 AGE 82 Years 3 Months 8 Days
If less than 1 dey
Hours
Minutes
Usual
Retired, Police Officer
9 Occupation :
Industry
Winthrop Police Dept.
10 or Business :
11 Social Security No.
None
12 BIRTHPLACE (City)
( Siate or country)
Prince Edward Island
13 NAME DF
FATHER
James Howatt
14 BIRTHPLACE OF
FATHER (City)
(State or country) Prince Edward Island
15 MAIDEN NAME
OF MOTHER
Jenet MacPherson
16 BIRTHPLACE OF
MOTHER (City)
(State or country) Prince Edward Island
17 Jennie Howatt Reletigg Hany
Informent
( Address )
19 Thornton St. Winthrop
I HEREBY CERTIFY that a satisfactory standard certificate of death wes filed with ma BEFORE the burial or transit permit was Issued : w. X. Childress
(Signature of Agent of Board of health or other)
health price 11/8/43
(Official Designation) (Date of Issue of Permit)
18 DATE OF
DEATH
(Month)
(Day)
6
1943 (Year)
19 | HEREBY CERTIFY, Sett, 194 1
Thet I attended deocesed from
to.
nr. 6
19.
.....
I last saw h ............... alive on.
mr.5. 194
death Is said to
have occurred on the date stated above,
16-30A
m.
Immediate osuse of death.
Duration
"IMPORTANT
....... 1 p
Due to.
arturo Beleño
2%
Due to.
Other conditions
( Include pregnancy within 3 months of death)
IMPORTANT Physician
Mejor findings:
Df operations
Dete of.
Of eutopsy
What test confirmed diagnosis ?.
20 Was disease or injury in eny wey related to ccoupation of deocesed ?
If so, spsolly ......
(Signed)
.19
(Address) 4 Washington to Date 11/6
.
M. D
21
winthrop (,
winthrop
l'lace of Burial, Creniation or Removal.
(City or Town)
DATE OF BURIAL.
Nov. 8
43
19
22 NAME DF
FUNERAL DIRECTOR
Howard S hunolds
ADDRESS
10 nitrop
malas
Received and filed.
.19
( Registrar)
=
100M-6 -2-42-8855
1
PLACE OF DEATH
No.
St.
PHYSICIAN - IMPORTANT
U. S. Wer Veteran,
if so spoolty WAR)
(Usual place of abode)
(Specify whether)
6 Age of husband or wife if alive
extracts from the laws on back of certificate. If deceased was a U. S. War Veteran, G. L. Chap. 46, Seotion 10, requires physicians to insert a reoltal to that offoot. PARENTS
U'nderline the cause to which death should ba charged sta- tistically.
EXTRACTS FROM THE LAWS OF THE COMMONWEALTH OF MASSACHUSETTS GOVERNING THE
RETURN OF CERTIFICATES OF DEATH
A physioisn or registered hospital medical officer shall forthwith, after the death of a person whoin he has atteruled 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 same was contracted. the duration of his last ilinesa, 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 can state the saine. For neglect to comply with any provision of this section, such physician or officer shail forfeit ten dollars. For the purposes of thia aec- tion and of sections forty-five, forty-six and forty-seven of said chapter one hunilred and fourteen, the word "war" shall include the Chins 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 horder service of nineteen hundred and sixteen and nineteen hundred and seventeen. G. L. Chap. 46, Sec. 10.
No undertaker or other person shall hury 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 dled; and no undertaker or other person ahall exhume a human body and remove it from a town, from one cemetery to another, or from one grave or tomb other thau the receiving tomh 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 hoily is buried. No such permit shall he issued until there aball have been delivered to such hoard, agent or clerk, as the case inay he, a satisfactory written statement containing the facts required by law to he returned ail 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 hereinafter provided. If there Is no sttending 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 aelectmen for the purpose, shall upon application niske the certificate re- quired of the attending physician. If death is caused by violence. the medl- 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 he obtained early enough for the purpose, the certificate of death made as above provided and in the possession ot the undertaker desiring to make such removal shall constitute a permit for such removal; provided, that such body shall be returned to the town from which it was removed within thirty-six hours after such removal, unless a permit In the usual form for the removal of such hody has been sooner ohtalned 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 hren 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 transmi 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 lece+ 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 .- Chap. 114. Sec. 45, G. L., (Tercentenary Edition).
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