Town of Winthrop : Record of Deaths 1943, Part 86

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


USA > Massachusetts > Suffolk County > Winthrop > Town of Winthrop : Record of Deaths 1943 > Part 86


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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SPACE FOR ADDITIONAL INFORMATION


R-301


PLACE OF DEATH


Suffolk (County)


The Commonwealth of Massachusetts OFFICE OF THE SECRETARY DIVISION OF VITAL STATISTICS STANDARD CERTIFICATE OF DEATH


(City or town making return)


Registered No.650


( (If death occurred in a hospital or institution, St. { give its NAME instead of street and number) PHYSICIAN-IMPORTANT (Was deceased a U. S. War Veteran? If so, (specify WAR).


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


(a) Residence. No ..


294 Bowdoin Street


St


(If nonresident, give city or town and State)


X


years


X


months


X


daya.


In this community


57 угв. Х


X


day8.


mos.


PERSONAL AND STATISTICAL PARTICULARS


6 SINGLE


(write the word)


MARRIED Married


WIDOWED


or DIVORCED


( Stephenson)


Tewksbury


67


years


If less than 1 day


Hours


.Minutes


Industry


Grower of plants and


flowers


18 MAIDEN NAME


OF MOTHER


Isabella J. Wheeler


(Stephenson) Tewksbury Relation. If any


Informant


Henrietta


Wife


(Address)


294 Bowdoin St, Winthrop


I HEREBY CERTIFY that a satisfactory standard certificate of death was filed with me BEFORE the burial or trensit parmit was issued: Khu. D. Children (Signature of Agent of Board of Health or other) Health Officer (Oficial Designation) (Date of Issue of Permit)


11/12/43


MEDICAL CERTIFICATE OF DEATH


18 DATE OF


DEATH


november


9


(Month)


(Day)


19 I HEREBY CERTIFY.


That I attended deceased from


February 1, 1943,


november 9 1943


I last saw h wh alive on


nor 9


19.43, death is said to


have occurred on the date stated above, at.


7:45P.m.


acute Coronary Thrombosis


Due to.


anguia Pectoris


Due to ..


arteriosclerosis


Other conditions.


none


(Include pregnancy within 3 months of death)


Major findings:


Of operations.


none


Date of


Of autopsy


none


What test confirmed diagnosis Clinical 8


laboratory


Duration Important 8 hours 10 mos Zyears


Important


PHYSICIAN


Underline the cause to which death should be charged sta- tistically.


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


If so, specify


(Signed) Jacob.


a) 562 Hurley St Date Nov 10 1943.


(Add


21 Winthrop Cemetery / Winthrop


Place of Burial, Cremation or Removal.


(City or Town)


DATE OF BURIAL


November


12


19.43


22 NAME OF


Charles R. Bennison


FUNERAL DIRECTOR


ADDRESS


Winthrop, Mass.


Received and filed NOVI. 1343


19


A TRUE COPY ATTEST:


(Registrar)


1943 (Year)


1


2 FULL NAME .... Charles.Edward ... Tewksbury


1


Winthrop


(City or Town)


No ....


294 Bowdoin Street


(Usual place of abode)


Length of stay: In hospital or institution.


X


(Before death)


(Specify whether)


3 SEX


Male


4 COLOR OR RACE


White


8. If morried, widowed, or digorced


HUSBAND of Henrietta


(Give maiden na


(or) WIFE of


(Husband's name in full)


6 Age of husband or wife if alive.


7 IF STILLBORN, onter that fact here.


8


AGE .... 7.3 .... Yoors.


9


.Months


27 Days


Usual


9 Occupation :


Florist


10 or Business :


11 Sociol Security No ...


Charlesfeyets


12 BIRTHPLACE (City) ..


(State or country)


Massa


13 NAME OF


14 BIRTHPLACE OF


FATHER (City).


Winthrop


(State or country)


Massachusetts


16 BIRTHPLACE OF


PARENTS


MOTHER (City).


Stone ham


(State or country)


Massachusetts


17


mationi should be carefully supplied. Hub aliquid De stated winvlut. FITsylvinNy svoju osusy vayu v.


FATHER


Horace W. Tewksbury


DEATH in plain terms, so that it may be properly classified. Exact statement of OCCUPATION is very important.


See instructions and extracts from the laws on back of certificate.


If deceased was a U. S. War Veteran, G. L., Chap. 46, Sec. 10, requires physician to insert a recital to that effect.


100m (h)-1-41-4695


abramo P.D.


M. D.


)


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 iilness, 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 required by section one, wbere same was contracted, tbe duration of bis last liinese, when last seen alive by tbe 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 bundred and fourteen, shaii, 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, specifying 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 pro- vision of this section, such physician or officer shail forfeit ten dollars. For the purposes of this section 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 expedition and the Philippine insurrection, which shall, for said purposes, be deemed to bave taken place between February fourteenth, eighteen hundred and ninety-eight and July fourth, nineteen hundred and two, and the Mexican border service of nineteen hundred and sixteen and nineteen hundred and seventeen .- General Laws, Chap. 46, Sec. 10.


No undertaker or other person shali 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 cierk 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 receiv- ing 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 in- sufficient, a physician who is a member of the board of health, or em- ployed by it or by the selectmen for the purpose, shali upon application make the certificate required of the attending physician. If death is caused by violence, the medical 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 re- movai 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, shail forthwith countersign it and transmit it to the cicrk of the town for registration. The person to whom tbe permit is so given and the physician certifying tbe cause of death shall thereafter furnish for registration any other necessary 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).


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 witbin 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.


No undertaker or other person sball bury a buman body or the asbes tbereof which have been brought into the commonwealth until he has received 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 tbe town where the body is to be buried or the funeral is to be held, or from a person appointed to have tbe care of the cemetery or burial ground in which the interment is made. . . . Chop. 114, Sec. 46, G. L., (Tercentenary Edition).


RULES OF PRACTICE


The fuifiliment of the purpose of these laws calls for the observance of the following rules of practice:


(1) Attending physicians wili certify to sucb 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 deatbs 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 physician is absent from home when the certificate of death is needed.


(3) Medical Examiners wiii investigate and certify to all deaths supposably due to injury. These include not only deaths caused directly or indirectly 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 principai 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 important, 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 cbanged on account of the disease causing death, report the usual occupation prior to iliness. If the deceased had retired from business, report the usual occupation prior to retirement. Children not gainfully employed may be returned as at school or at home. For a woman whose only occupation was that of home housework, write housework. For a person engaged in domestic service for wages, however, designate the occupation by the appropriate terms, as housekeeper-private family, cook-hotel, etc. For a person who had no occupation whatever write none.


SPACE FOR ADDITIONAL INFORMATION


301 A


1 1


PLACE OF DEATH


Suffolk (County)


Winthrop (City or Town) 26 Wave Way Ave.


The Commontoralth of Massachusetts OFFICE OF THE SECRETARY DIVISION OF VITAL STATISTICS STANDARD CERTIFICATE OF DEATH


To be filed for burial permit with Board of Health or its Agent .:


$ { If death occurred in a hospital or institution, St. [ give its NAME instead of street aud nuniber)


2 FULL NAME.


Christina E. Gillis


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


(a) Residence. No.


26 Wave Way Ave.


St.


(Usual place of abode)


(If nonresident, give city or town and State)


Length of stay: In hospital or Institution morrer


(Refore death)


years


months


days.


in this community


4 yrs.


mos.


days.


PERSONAL AND STATISTICAL PARTICULARS


3 SEX


4 COLOR OR RACEI


5 SINGLE


( write the word)


MARRIED


WIDOWED


or DIVORCEDmarried


5a If married, widowed, or divorced


HUSBAND of


(or) WIFE of


WalterGive Breiden Gangof y's in full)


( Husband's name in full)


6 Age of husband or wife if alive 48


years


> IF STILLBORN. enter that fact here.


8 AGE 48 Years Months ........... Days


-


If less than 1 day


Hours ..


Minutes


Usual


At Home


9 Occupation :


Industry


10 or Business :


none


11 Social Security No.


none


Boston


'2 BIRTHPLACE (City)


(State or country)


Mass.


13 NAME OF


FATHER


Alexander MacCormack


14 BIRTHPLACE OF


FATHER (City)


Sidney


(State or country)


Cape Breton


15 MAIDEN NAME


OF MOTHER


Elizabeth Curry


16 BIRTHPLACE OF


MOTHER (City)


Sidney Cape Breton


(State or country)


17


John Gillis


Informant


( Address)


20 wave may Ave ..


Solation, If any Winthrop


I HEREBY CERTIFY that a satisfactory standard certificate of death was filled with ma BEFORE the burial or transit permit was Issued ? ImSD- Childrenog


(Signature of, Agent of Board of Health or other) Health Officer 11/15/43


.... (Omcial Designation) ( Date of freue of Permit)


MEDICAL CERTIFICATE OF DEATH


18 DATE OF


DEATH


( Month)


(Day)


(Year)


19 | HEREBY CERTIFY,


may 15


That I attended deceased from


19.


4/1


to


2014


19.


i last saw him alive on.


1


19 ........ S death is sald to


have occurred on the date stated above, at.


9.30 À


.m.


Immedlate cause of death. Curcuma ritorno


Duration IMPORTANT


11


Due to


Due to


Other conditions


( Include pregnancy within 3 months of death)


Major findings:


Of operations


Data of


Of autopsy.


What test confirmed diagnosis ?.


IMPORTANT Physician Underline the cause to which death should be charged sta- tistically.


20 Was disease or injury in ony way related to occupation of dsoeased ?.


if so, spsoify.


(Signed)


(Address) Lunch


LA Date 11-11


19 .~ 5


., M. D.


Holy Cross, Maiden


Piace of Burial, Creniation or Removai.


DATE OF BURIALNOV. 17 1943


19


(City or Town)


22 NAME OF


FUNERAL DIRECTOR


ADDRESS


Boston


Reoaivad and Alad


1 8 1943


19


( Registrar) X


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


-


No.


Registered No.


251


PHYSICIAN - IMPORTANT


(Was deceased a


U. S. War Veteran, .


if so specify WAR):


no


14


1947


......


female


white


(Specify whether)


(2/1


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 anthorized person or of ans 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 naine of the deceased, his supposed age, the disease of which he died. defined as re- quired hy section one, where same wss contracteil. the duration of his last illnesa, when laat seen alive hy the physician or officer and the date of bia death ... Gen. Laws, Chap. 46, Sec. 9.


A' physician or officer furnishing a certificate of death aa required hy 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, apeci- fying the war, sud shall also certify in such certificate hoth the primary and the secondary or iinmediate cause of death as nearly as he can state the saine. For neglect to comply with any provision of this section, auch physician or officer shall forfeit ten dollars. For the purposes of this aec- tion and of sections forty-five, forty-six and forty-seven of said chapter one hundred and fourteen, the word "war" shall inchide the China relief ex- pedition and the Philippine insurrection, which shall, for sail 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. 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 hody which has not heen huried. 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 huinan hody and remove it froin a town. from one cenietery to another, or from one grave or tomh other thsu the receiving tomb to another in the same cemetery, until he haa received a permit from the board of health or ita agent aforesaid or from the clerk of the town where the body is buried. No such permit shall be issued until there ahall have been delivered to such board, agent or clerk, as the case inay he, a satisfactory written statement containing the facta required hy law to he returued and recorded, which shall he 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 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 make the certificate re- quired of the attending physician. If death is caused hy violence, the medl- cal examiner shall make such certificate. If auch 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 ahove 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 ususl form for the removal of such body has heen sooner obtained hereunder. If the death certificate containa a recital, aa required


by section ten of chapter forty-six, that the deceased served in the army, navy or marine corps of the United States in any war in which It has heen engaged, such recital shall appear upon the permit. The board of health, or its agent. upon receipt of such statement and certificate. shall forthwith countersign it and transmit it to the clerk of the town for registration. The person to whom the permit is so given and the physician certifying the cause of death shall thereafter furnish for registration any other neces aary information which can be obtained aa 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 hunisn 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 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 internient is made. .. . Chap. 114. Sec. 46. G. L., (Tercentenary Edition).


Medical examinera shall make examination upon the view of the dead hodies 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 hody of such a person. he shall forthwith go to the place where the body liea aud take charge of the same; ... - General Laws, Chap. 38, Sec. 6.


RULES OF PRACTICE


The fulfillment of the purpose of these laws calla for the observance of the following rulea of practice :


(1) Attending physicians will certify to such deatha only as those of persona to whom they have given bedside care during a last illneas from disease unrelated to any form of injury.


(2) Board of Health physlolans will certify to such deaths only as those of persona who. though disahled hy recognized disease unrelated to any form of injury. have died without recent medical attendance or whose phyef- cian ia absent from home when the certificate of death is needed.


(3) 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 resulting aepticemla), and hy the action of chemical (drugs or poisons), thermal. or electrical agents, and deaths following abortion, hut also deatha from disease 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 Death .- Cause of deathi means the disease, or complication which csusea death, not the mode of dying, e. g., heart failure, asphyxia, asthenia, etc. Aa principal cause name the diaease causing death. Aa 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 ia very im- portant, so that the relative healthfulnesa of various pursuits can be known. Make some entry in thia section for every persou aged 10 yeara or over. If the occupation had heen given up or changed ou account of the dixcase causing death. report the usual occupation prior to illness. If the deceased had retired from husinesa, 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 home housework. write housework. For a person engaged in domestic service for wages, however, designate the occupation hy the appropriate terma, aa housekeeper-private family, cook-hotel, etc. For a person who had no occupation whatever write none.


SPACE FOR ADDITIONAL INFORMATION


R-301 A


1


PLACE OF DEATH


(County) Kulturop


(City or Town 87 Upland 1Pd. No.


The Commonwealth 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. 252


Registered No.


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


(If U. S. War Veteran, specify, WAR)


(a) Residence. No ..


(Usual place of abode)


Length of stay : In hospital or institution ...


years


months


days.


In this community 5 yrs.


mos.


days.


PERSONAL AND STATISTICAL PARTICULARS


3 8EX


Female


4 COLOR OR RACE


If hete


5 SINGLE


MARRIED


WIDOWED


or DIVORCED


(wytite the word) Kadived


Sa If married, widowved. er diyorc HUSBAND of galiu a Milion (Give maiden name of wfre 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.


If less than 1 day


Months .......... Days


Hours


Minutes


home


Industry 10 or Business:


11 Social Security No ..


12 BIRTHPLACE (City)!


(State or country)


13 NAME OF


FATHER


John Carlson


PARENTS


14 BIRTHPLACE OF FATHER (City) (State or country) Awerden


15 MAIDEN NAME


OF MOTHER


Maria (Unknown)


16 BIRTHPLACE OF MOTHER (City) (State or country) Sweden


17 Carl Nelson


Relatigh, if any


Informant (Address)


1 HEREBY CERTIFY that a satisfactory yandard certificate of death was filed with me BEFORE the burla! or transit pormit was issued: Www. D. Childrener. (Signature of Agent of Board of Health or other) Health officer 11/17/43


(Official Designation) (Date of lasmelof Peforty


MEDICAL CERTIFICATE OF DEATH


18 DATE OF


DEATH


(Month)


(Day)


(Year)


19 I HEREBY CERTIFY 19 That I attended deceased from La /2, 194 to.


41 I last saw h., alive on. W14, 197 to have occurred on the date stated above, at .. ..... Q.Am. Immediate cause of death ...


Duration IAT PORTANT 30


100


Due to


...


Other conditions


(Include pregnancy within 3 months of death)


Major findings : Of operations


Of autopsy


What test confirmed diagnosis ?.


PHYSICIAN Underline the cause to which death should be charged sta- tistically.


20 Włas disease or Injury In any way related to cccupation sf deceased?


If so, specify (Signed)


. M. D.


(Address). PlecatinonDato 11-619


4.3


Place of Burial, Cremation of Removal. DATE OF BURIAL ....


(City or Town)


19 43


22 NAME OF FUNERAL DIRECTOR ADDRESS


19


Recoivod and fited 007 1 8 1943


(Registrar)


100m-10-'39. No. 8427-e


CAUSE OF DEATH in plain terms, so that it may be properly classified. Exact statement of OCCUPATION is very important. See instructions and extracts from the laws on back of certificate.




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