USA > Massachusetts > Suffolk County > Winthrop > Town of Winthrop : Record of Deaths 1943 > Part 91
Note: The text from this book was generated using artificial intelligence so there may be some errors. The full pages can be found on Archive.org (link on the Part 1 page).
Part 1 | Part 2 | Part 3 | Part 4 | Part 5 | Part 6 | Part 7 | Part 8 | Part 9 | Part 10 | Part 11 | Part 12 | Part 13 | Part 14 | Part 15 | Part 16 | Part 17 | Part 18 | Part 19 | Part 20 | Part 21 | Part 22 | Part 23 | Part 24 | Part 25 | Part 26 | Part 27 | Part 28 | Part 29 | Part 30 | Part 31 | Part 32 | Part 33 | Part 34 | Part 35 | Part 36 | Part 37 | Part 38 | Part 39 | Part 40 | Part 41 | Part 42 | Part 43 | Part 44 | Part 45 | Part 46 | Part 47 | Part 48 | Part 49 | Part 50 | Part 51 | Part 52 | Part 53 | Part 54 | Part 55 | Part 56 | Part 57 | Part 58 | Part 59 | Part 60 | Part 61 | Part 62 | Part 63 | Part 64 | Part 65 | Part 66 | Part 67 | Part 68 | Part 69 | Part 70 | Part 71 | Part 72 | Part 73 | Part 74 | Part 75 | Part 76 | Part 77 | Part 78 | Part 79 | Part 80 | Part 81 | Part 82 | Part 83 | Part 84 | Part 85 | Part 86 | Part 87 | Part 88 | Part 89 | Part 90 | Part 91 | Part 92 | Part 93 | Part 94 | Part 95 | Part 96 | Part 97 | Part 98 | Part 99 | Part 100 | Part 101
(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)
Need help finding more records? Try our genealogical records directory which has more than 1 million sources to help you more easily locate the available records.