Town of Winthrop : Record of Deaths 1943, Part 91

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


USA > Massachusetts > Suffolk County > Winthrop > Town of Winthrop : Record of Deaths 1943 > Part 91


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(3) Medloal Examiners will investigate and certify to all deaths sup- posably due to Injury. These include not oniy deaths caused directly or in- directly hy traumatism (including resuiting septicemia), and by the action of cheniical (drugs or poisons), thermal, or electrical agenta, and deaths following ahortion, but also deatha from disease resulting from Injury or Infeotlon related to ocoupetlon, the sudden deaths of persons not disabled by recognized disease, and those of persons found deed.


Statement of Cause of Death .- Cause of deathi meana the disease, or complication which causea death, not the mode of dying, e. g., heart failure, asphyxia, asthenia, etc. As principal cause name the disease causing death. As related causes, name earlier morbid conditiona, if any, related to the principal cause and any important complication of the principal cause.


Statement of Oooupetlon .- Precise statement of occupation ia very im- portant, so that the relative healthfulnesa of variona pursuits can he known. Make some entry in thia aection 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 businesa, report the usual occupation prior to retirement. Children not gainfully employed may he returned an at school or at hoine. For a woman whose only occupation was that of honie housework, write housework. For a person engaged in domestic service for wages, however, designate the occupation by the appropriate terma, ao bousekeeper-private family, cook-hotei, etc. For a person who bad no occupation whatever write none.


SPACE FOR ADDITIONAL INFORMATION


-301 A Suffolk Mass (County) Winthrop 1 (City or Town) winthrop nellie M. Holey PLACE OF DEATH No.


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


CERTIFICATE OF DEATH


Hospital


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


2 FULL NAME


(If deceased is a married) widowed or divorced woman, give also maiden name.) 33 Dolphin ave


St.


(If nonresident, give city or town and State)


Length of stay: In hospital or Institution


( Before death )


( Specify whether)


PERSONAL AND STATISTICAL PARTICULARS


3 SEX


tem


4 COLOR OR RACE!


White


5 SINGLE


MARRIED


WIDOWED


or DIVORCED


5a If married, widowed, or divorced


HUSBAND of


(Give maiden name of wife in full)


(or) WIFE of


(flushand's name in full)


6 Age of husband or wife if alive years


7 IF STILLBORN. enter that fact here.


8


AGE


73


Years


6


Months


Days


-


If less than 1 day


Hours


Minutes


Usual


9 Occupation :


Industry 10 or Business :


11 Social Security No.


none


12 BIRTHPLACE (City)


( State or country )


No Reading Mars


13 NAME OF


FATHER


Dennis C Foley


14 BIRTHPLACE OF


FATHER (City)


(State or country)


Ireland


15 MAIDEN NAME


OF MOTHER


Barbara Williamson


16 BIRTHPLACE OF


MOTHER (City)


(State or country)


Ireland


17 Mary In Foley


Relation, if any


Informant ( Address)


yesaffilia Come sister


I HEREBY CERTIFY that & satisfactory standard certificate of death was filed with me BEFORE the burial or transit permit was Issued : Www.8. Childrens


(Signature of Agept of Board of Health or other)


Health Office 12/11/43


(Date of Issue of Perunit)


MEDICAL CERTIFICATE OF DEATH


18 DATE OF


DEATH


DESENDER


13 .


( Month)


(Day)


(Year)


19 | HEREBY CERTIFY,


That I attended deceased from


October 30


2


19.


to ...


DE: Ember 13 1913


I last saw h Sin alive on


DEC. 13, 1943, death Is said to


have occurred on the date stated above, a


9.45. P.


.m.


Immediate cause of death. Chimie Muscardis15


CHRONIC UNEchris


4


Due to


arterio - Schevous


Due to


Other conditions


(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 occupation of deoeased ?


If so, specify


Edward I. franger


( Signed)


M. D.


( Address )


200 Waskaut le Date DEC 14 1943


2254 Cinquetinas


Place of Burial, Cremation or Removal.


(City or Town)


DATE OF BURIAL


12/16/43


19


قو


22 NAME OF


FUNERAL DIRECTOR


ADDRESS


Reading


Grasa


Received and filed


DEC 15 1943


19


(Official Designation)


( Registrar)


Duration IMPORTANT


YEARS.


IMPORTANT


Physician


I'nderline the cause to which death .homnld be charged sta- 11stically.


100m: (d) -1-41-4667


extracts from the laws on back of certificate. If deceased was a U. S. War Veteran, G. L. Chap. 46, Seotlon 10, requires physloians to Insert a reoltal to that effeot. PARENTS


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


264


Registered No.


PHYSICIAN - IMPORTANT


(Was deceased a


U. S. War Veteran,


if so specify WAR)


(a) Residence. No.


(Usual place of abode)


X


years


X


months


14 days.


5


In this community


yrs.


mos.


days.


( write the word)


11-3


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 ileath, stating to the best of his knowledge and belief the name of the deceasedl, his supposed age, the disease ol which he thed. defined as re- quired hy section one, where same was contracted, the duration of his last illness, when last seen alive by the physician or officer and the date of his death ... Gen. Laws, Chap. 46, Sec. 9.


A physician or officer furnishing a certificate of death as required by the preceding section or by section forty-five of chapter one hundred and four- teen, shall, if the deceased. to the best of his knowledge and belief, served in the army. navy or marine corps of the United States in any war in which it has been engaged, insert in the certificate a recital to that effect, sju.ci- fying the war. and shall also certify in such certificate both the primary atul 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 inelnde the China relief ex- pedition aml 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 horder 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 hody and remove it from a town. from one cemetery to another, or from one grave or tomb other than the receiving tomb to another in the 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 he returned and recorded, which shall be accompanied. in case of an original interment. by a satisfactory certificate of the attending physician, if any, as required by law, ot in lieu thereof a certificate as hereinafter provided. If there is no attending physician, or if, for sufficient reasons, his certificate cannot he obtained early enough for the purpose, or is insufficient, a physi- cian who is a member of the board of health, or employed hy it or by the selretmen for the purpose, shall upon ajqdication make 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, from one town to another within the commonwealth cannot be obtained early enough for the purpose, the certificate of death made as above provided and in the possession of the undertaker desiring to make such removal shall constitute a permit for such removal; provided, that such body shall be returned to the town from which it was removed within thirty-six hours after such removal, unless a permit in the usual form for the removal of such body has been sooner obtained hereunder. If the death certificate contains a recital, as required


by section ten of chapter forty-six. that the deceased served in the army, navy or marine corps of the I'nited 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 atul certificate, shall forthwith counter-igu 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 canse of the death, which the clerk or registrar may require .- Chap. 114. Sec. 45, G. L., (Tercentenary Malition ).


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 frion 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 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 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 inedical 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, thengh disabled hy recognized disease unrelated to any form of injury, have died without recent medical attendance or whose physi- cian is ahsent 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 discase, or complication which causes death. not the mode of ilying, e. g., heart failure, asphyxia, asthenia, etc. As principal cause namne the discase cansing death. As related causes. naine earlier morbid comlitions, 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 ltealthfulness 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 uo occupatiou whatever write nonc.


SPACE FOR ADDITIONAL INFORMATION


PLACE OF DEATH


301 A Auffolle (County) 1 Winthrop (City or Towny 293 Bowdoin - No.


BORION NO 1/10/44


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. 265


Registered No.


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


PHYSICIAN - IMPORTANT


2 FULL NAME


Maria Bouchie


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


(a) Residence. No.


85 Lexington


St.


East Boston


(If nonresident, give city or town and State)


Length of stay : In nnsoltal or Institution


( Before death)


years


months


days.


In this community 0 yrs.


mos.


dayı.


PERSONAL AND STATISTICAL PARTICULARS


3 SEX F


4 COLOR OR RACE


w


5 SINGLE


( write the word)


MARRIED


WIDOWED


Or DIVORCEwidowed


5a If married, widowed, or divorced HUSBAND of


(or) WIFE of


Simon


(.Give maiden name ' gite in A)


( Husband's name in full)


6 Age of husband or wife if alive years


9 IF STILLBORN. enter that fact here.


8 AGE 78 Years 2 Months /4 Days


If less than 1 day


Hours


Minutes


Usual


9 Occupation :


Housework


Industry


10 or Business :


At home


11 Social Security No.


none


12 BIRTHPLACE (City)


( State or country)


Nova Scotia


13 NAME OF


FATHER


Wm. Le Blanc


14 BIRTHPLACE OF


FATHER (City)


(State or country)


Nova Scotia


15 MAIDEN NAME


OF MOTHER


Marcellina Martel


16 BIRTHPLACE OF


MOTHER (City)


(State or country)


Nova Scotia


17


Informant Mrs. Mary Frederick (daugh


on. "


DATE OF BURIAL


12-18:43


19


( Address )


293 howdoly sy


Winthrop


i HEREBY CERTIFY that a satisfactory standard certificate of death was filed, with ma BEFORE the burial er transit permit was Issued :


(Signature of ARgit of Board of Health(or other)


12/16/43


( Oficial Designation) ( Date of Issue of Permil)


18 DATE OF


DEATH


( Sfonth)


(Day)


14


1943


(Year)


19 | HEREBY CERTIFY,


Lv.15.


19


43.


Dan 14


....


19


47


f last saw h.


Itve on.


Un 14


194


death Is said to


have occurred on the date stated sbove, at


100


m.


D


Immedlate cause of death.


IMPORTANT


Due to


Due to


Other conditions.


( Include pregnancy within 3 months of death)


Major findings :


Of operations


Date of


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


20 Was disease or injury in ony way related to oooupation of deceased ? If so, spoolfy.


( Signed)


M. D,


(Address)


thanhich Date 12-18-19


22


Holy Cross Lem Malden


l'face of Burial, Cremation or Removal.


(City or Town)


22 NAME OF


FUNERAL DIRECTOR


A. J. Breslink Son


ADDRESS


Malden


Received and Ated


IL: 1 / 1443


......


19


( Registrar)


100M- 4 - 2-42-8855


...... ..... Til law) on Back of certificate. If deceased was & U. S. War Veteran, G. L. Chap. 46. Section 10, requires physicians to insert a recital to that effect. PARENTS


(Was deceased a


U. S. War Veteran,


if so speolfy WAR)


(Usual place of abode)


(Specify whether)


.....


MEDICAL CERTIFICATE OF DEATH


That I attended deocased from


Duration


IMPORTANT Physician


Of autopsy


What test confirmed diagnosis ?


EXTRACTS FROM THE LAWS OF THE COMMONWEALTH OF MASSACHUSETTS GOVERNING THE


RETURN OF CERTIFICATES OF DEATH


A physician or registered hospital medioal offioer shall forthwith, after the death of a person whoin he has attended during his last illness, at the request of an undertaker or other authorized person or of any member of the family of the deceased, furnish for registration a atandard certificate of death, stating to the best of his knowledge aud belief the name of the deceased, his supposed age, the disease of which he died. defined as re- quired by section one, where ssme was contracted. the duration of his last illness, when last seen alive by the physician or officer and the date of hia death ... Gen. Laws, Chap. 46, Sec. 9.


A physician or officer furnishing a certificate of death as required by the preceding section or by section forty-five of chapter one hundred and four- teen, shall, if the deceased, to the best of his knowledge and belief, served in the ariny, 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. sud shall also certify in such certificate both the primary and the secondary or immediste 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 thia sec- tion and of sections forty-five, forty-six and forty-zeven 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 purposea, he deemed to have taken place between February fourteenth, eigliteen 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 reniove therefrom a human body which has not been buried, 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 other person ahall 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 has received a permit from the board of health or its agent aforexsid 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 inay be, a satisfactory written atatenient containing the fscts 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 certificste as hereinafter provided. If there is no attending physician, or if, for sufficlent 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 medl- cal examluer shall make such certificate. If such a permit for the removal of a human body, not previously interred, froin one town to another within the commonwealth cannot be obtained early enough for the purpose, the certificate of desth made as above provided and in the possession of the undertaker desiring to make such removal slisli 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 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 giveu 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 aa to the manner of canse of the death, which the clerk or registrar way 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 huito the commonwealth until he has re- ceived a permit so to do from the hoard of health or its agent appointed to issue such permite, 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 Editiou).


Medical examiners shall mske examination upon the view of the dead bodies of only such persons as sre supposed to have died by violence. If a medical examiner has notice that there is within his county the body of such a person, he shall forthwith go to the place where the body lies aud take charge of the same; ... - General Laws, Chap. 38, Sec. 6.


RULES OF PRACTICE


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


(1) Attending physicians will certify to such deatha only aa 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 phyalolans will certify to such deaths only aa those of persons who, though disahled by recognized disease unrelated to any form of injury. have died without recent medical attendance or whose phyaf- clan is ahsent from home when the certificate of death is needed.


(3) Medloal Examiners will investigate and certify to all deaths sup- posably due to Injury. These include not only deaths csused directly or in- directly hy traumatism (including resulting septicemla), and by the action of clientical (drugs or poisons), thermal, or electrical agents, and deaths following abortion, but also deaths from diseasa resulting from Injury or Infeotlon related to oooupation, the sudden deaths of persons not disabled hy recognized disease, and those of persons found dead.


Statement of Cause of Death .- Canse of deatlı meana the disease, or complication which causes death, not the mode of dying. e. g., heart failure, asphyxia, asthenia, etc. As principal cause name the disease causing death. As related causes, name earlier morbid conditions, if any, related to the principal cause and any important complication of the principal cause.


Statement of Oooupatlon .- 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 disease causing death, report the usual occupation prior to Illness. If the deceased had retired from businesa, report the usual occupation prior to retirement. Children not gainfully employed may be returned as at school or at hoine. For a woman whose only occupatiou was 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 faniily, cook-hotel, etc. For a person who had no occupation whatever write none.


SPACE FOR ADDITIONAL INFORMATION


1 A


PLACE OF DEATH -


Suffolk (County)


Winthrop .........


(City or Town)


No.


799 Shirley Ave Jet


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.


266


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


2 FULL NAME


Ellerton Lodge Dorr


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


799 Shirley Ave


(a) Residence. No.


(Usual place of abode)


St.


(If nonresident, give city or town and State)


Length of stay: In hospital or Institution


(Before death)


years


months days.


In this community


yrs.


mos.


days.


PERSONAL AND STATISTICAL PARTICULARS


3 SEX Male


4 COLOR OR RACEJ


White


5 SINGLE


( write the word)


MARRIED


WIDOWED


or DIVORCEDIarried


5a If married, Hippwedl iradiord thompson


HUSBAND of


(or) WIFE of


( Husband's name in fuli)


54


6 Age of husband or wife if allve years


> IF STILLBORN. enter that fact here.


AGE


8


30


Years 6


Months 11 Days


If less than 1 day


Hours


Minutes


Usual


Cotton Broker (retired)


9 Occupation :


Industry 10 or Business:


11 Social Security No.


ifone


12 BIRTHPLACE (City)


(State or country)




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