USA > Massachusetts > Suffolk County > Winthrop > Town of Winthrop : Record of Deaths 1943 > Part 97
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
Statement of Ceuse of Death .- Canse of deathi meana the disease, or complication which causea death. not the mode of ilying, e. g., heart fallure, asphyxia, astbenia, etc. Aa principal cause name tbe disease causing death. As related causea, name earlier morbid conditiona, if any, related to the principal cause and any important complication of the principal cause.
Statement of Oooupatlon .-- Precise statement of occupation ia very im- portant, so that the relative healthfulnesa of various pursuits can be known. Make some eutry in this section for every persou aged 10 years or over. If the occupation had been given up or changed on account of the disease causing death, report the usual occupation prior to illness. If the deceased bad retired from busineaa, report the usual occupation prior to retirement. Children not gainfully employed may be returned an at school or at hoine. For a woman whose only occupation was that of honre bousework, write housework. For a person engaged in domestic service for wages, however, designate the occupation by the appropriate terma, as bousekeeper-private family, cook-hotel, etc. For a person who had no occupation whatever write none.
SPACE FOR ADDITIONAL INFORMATION
1 A
1
PLACE OF DEATH
Suffolk (County)
Winthrop (City or Town) 47 Center
SF.
The Commonforall of Massachusetts OFFICE OF THE SECRETARY DIVISION OF VITAL STATISTICS STANDARD CERTIFICATE OF DEATH
To be filed for burial permit with Board of Health or its Agent
Registered No.
S ( If death occurred in a hospital or institution, St. give its NAME instead of street and number)
2 FULL NAME
Elizabeth
M. Kirby (Cahalanc)
( If deceased is a married, widowed or divorced woman, give also maiden name.)
(e) Residence. No.
......
77 Center Et.
St.
(Usual place of abode)
(If nonresident, give city or town and State)
Length of stey: In hospital or Institution
(Before death)
(Specify whether)
yeara
months
days.
in this community / @ yrs.
mcs.
deys.
PERSONAL AND STATISTICAL PARTICULARS
MEDICAL CERTIFICATE OF DEATH
3 SEX
female
-
4 COLOR OR RACE
white
5 SINGLE
( write the word)
MARRIED
WIDOWED
5a If married, widowed, or divorced HUSBAND of
(or) WIFE of
( Husband's name In fully
6 Age of husband or wife if alive years
> IF STILLBORN. enter that fact here.
8
AGE
7.7 Years
Months
Days
If less than 1 day
Hours
Minutes
Usual
9 Occupation :
Industry
10 or Business :
at home
11 Social Security No.
·2 BIRTHPLACE (City)
( Siate or country)
Ruland
13 NAME O
FATHER
Michael Catalane
PARENTS
L 100M- 6 - 2-42-8855
17
Informant
(Address) 47 820
Leary
I HEREBY CERTIFY that a satisfactory standerd certificate of death was filled with me BEFORE the byrjar or transit permit was Issued i Num=D. Childress x.
(Signature of Agent of Board of Health of other)
Health Officer 12/27/43
(Omcial Designation) ( Date of Issue of Permity
18 DATE OF
DEATH
(Month)
25.
1943
(Day)
(Year)
19 | HEREBY CERTIFY,
That i attended deceased from
Dre.15.
to ..
1943
One. 25
19 43
....
I last saw h.
alive on ...
Dr. 25
19 ×3
death is said to
have occurred on the dete stated above, at ....
> OSP.
m.
Duration
Immediate peuse of death.
acute Pulmonary edema
IMPORTANT ......
6 Turbo .....
Due to.
chronic 4 flinte
L'houres ....
Other conditions
( Include pregnancy within 3 months of death)
Major findings :
Of operations
Date of.
Of autopsy
What test confirmed diagnosis?
Underline the cause to which death should be charged sts- 1istically
20 Was disease or injury in any way related to oooupation of deocesed ?
If so, speolfy ............
Grossa. 4. Schments
('Signed)
(Address)
19 Prennentos Sr 2.1B Date 12/25
Pants
arlington
DATE OF BURIAL
Dec. 28
1943
22 NAME OF RECT Murray Myway 1:
ADDRESS
254 Beach Se Refere
19
( Registrar)
M. D. 1943
21
t'lace of Burial, Cremation or Removal.
(City or Town)
IMPORTANT Physician
14 BIRTHPLACE OF
FATHER (City)
( State or country)
Fichaud
15 MAIDEN NAME
OF MOTHER
Budget Durer
16 BIRTHPLACE OF
MOTHER (City)
(State or country)
Ireland
Due to
...
(Give maiden name of wifefin full)
No.
PHYSICIAN - IMPORTANT
(Was deceased a
U. S. War Veteran,
if so specify WAR)
Received and Aled DE0 271943
EXTRACTS FROM THE LAWS OF THE COMMONWEALTH OF MASSACHUSETTS GOVERNING THE
RETURN OF CERTIFICATES OF DEATH
A physician or registered hospitsi medical officer shall forthwith, after the death of a person whoin he has attemiled during his last illness, at the request of an undertaker or other anthorizeil person or of any meniber of the family of the deceased, furnisb for registration a standard certificate of death, ststing to the best of his knowledge and belief the 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 illness, when last seen alive by the physician or officer and the date of hia death ... Geu. Laws, Chap. 16, Sec. 9.
A physician or officer furnishing a certificate of death aa required by the preceding section or by section forty-five of chapter one hundred and four- teen, shall, if the decessed, 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. snd shall also certify in such certificate both the primary and the secondary or iinmediste cause of death as nearly as he can state the ssine. 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 bundred and fourteen, the word "war" shall include the China relief ex- pedition and the Philippine insurrection, which shall, for sail purposea, he deemed to have taken place hetwcen February fourteenth, eigliteen hundred and ninety-eight and July fourth, nineteen hundred and two, and the Mexi- can border service of nineteen hundred and sixtcen and nineteen hundred and seventeen. G. L. Chap. 46, Sec. 10.
No undertaker or other person shall bury or otherwise dispose of a buman body in a town, or remove therefrom a human body which has not been buried, until he has received a permit from the board of health, or ita ageut appointed to lesue such permits, or if there is no such board, from the clerk of the town where the person died; and no undertaker or other person shall exhume a human body and remove it froin a town. from one 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 sforesaid 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 sucb board, agent or clerk, as the case inay be, a satisfactory written statenient containing the facta required by law to be returned and recorded, which shall be accompanied. in case of an original interment, by a satisfactory certifleste of the attending physician, if any, as required by law. o1 in lieu thereof a certificate as liereiuafter provided. If there is no attending physician, or if, for sufficient ressous, his certificate cannot be obtained early enough for the purpose, or is insufficient, a physi- cian who is a member of the hoard of health, or employed by it or by tbe selectmen 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 be obtained early enough for the purpose, the certificate of desth made as above provided and in the possession ot the undertaker desiring to make such removal shall constitute a permit for such removal; provided, thst such body shall be returned to the town from which it was removed within thirty-six hours after such removal, unlesa a permit in the usual form for the removal of such hody has been sooner obtalued hereunder. If the death certificate contains a recital, as required
by section ten of chapter forty-six, that the deceased served in the army, Davy 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 noce+ aary information which can be obtained as to the deceased, or as to the mother of canse of the death, which the clerk or registrar inay 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 luto the commonwesith 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. ... Cbap. 114. Sec. 46. G. L., (Tercentenary Edition).
Medical examiners shall mske examination upon the view of the dead bodies of only such persons as are supposed to have died ly 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 fiea and take charge of the same; ... - General Laws, Chap. 38, Sec. 6,
RULES OF PRACTICE
The fulfillment of the purpose of these lawa calla for the observance of the following rules of practice :
(1) Attending physicians will certify to sucb deatha only as those of persons to whuilt 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 disshled by recognized disease unrelated to any form of injury. have died without recent medical attemlance or whose pbsaf- cian is ahsent from home when the certificate of death ta needed.
(3) Medloal Examiners will investigate and certify to all deatba 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 chenrical (drugs or poisons), thermal, or electrical agents, and deatbs following abortion, but also deaths 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 death means the disease, or complication which causes death, not the mode of ilying, e. g., heart failure, asphyxia, asthenia, etc. As principal cause name tbe disease caualug death. As related causes, name earlier morbid conditions, if any, related to the principal cause and any important complication of the principal cause.
Statement of Occupation .- Precise statement of occupation la 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 bad retired from husinesa, 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 occupation was that of home bousework, write bousework. For a person engaged in domestic service for wages, however, designste the occupation by the appropriate terms, as bousekeeper-private family, cook-hotel, etc. For a person who had no occupation whatever write none.
SPACE FOR ADDITIONAL INFORMATION
303-A 5ml/ KG ((County) Ministerob 1 (City or Town)
The Commonturalth of Massachusetts OFFICE OF THE SECRETARY DIVISION OF VITAL STATISTICS MEDICAL EXAMINER'S CERTIFICATE OF DEATH
To be filed for burial permit with Board of Health or its Agent.
Registered No.
279
en route To Winthrop Communist (Hospital si. (I death occurred in a hospital or institution, { give its NAME instead of street and number)
2 FULL NAME
Benjamin 2 Davies
(If deceased is a married, widowed or . divorced, woman, give also maiden name.)
(a) Residence. No.
" Share Drive Withers?
St.
(Usual place of abode)
(If nonresident, give city or town and State)
Length of stay : In hospital or Institution ..
( Before deatlı)
(Specify whether)
years
months
days.
In this community /5 yrs.
mos.
days.
PERSONAL AND STATISTICAL PARTICULARS
3 SEX
Whale
4 COLOR OR RACEI
5 SINGLE
MARRIED
WIDOWED
or DIVORCED
(write the word) single
5a If married, widowed, or divorced HUSBAND of
(or) WIFE of
(Husband's name in full)
6 Age of husband or wife If allve years
7 IF STILLBORN, enter that fact here.
8 AGE 66 Years Months.
Days
If less than 1 day Hours ....... Minutes
Usual
9 Occupation :
Civil Engineer
Industry
10 or Business :
metivel
11 Social Security No.
CNBL
12 BIRTHPLACE (City)
(State or country)
England
13 NAME OF
FATHER
John Lavier
14 BIRTHPLACE OF
FATHER (City)
England
(State or country)
15 MAIDEN NAME
OF MOTHER
unknown
16 BIRTHPLACE OF
MOTHER (City)
(State or country)
England
17 Ho Mony Welcome
Relation, If any ( neves
I HEREBY CERTIFY that a satisfactory standard certificate of death was filed with me BEFORE the burial of tramit permit was issued:
Signature of Agent of Board of Health or other)/ Health Officer 12/28/43
(Official Designation) (Date of Issue of Permlt)
18 DATE OF
DEATH
December -25 -1943
( Month)
(Day)
(Year)
19 | HEREBY CERTIFY that I have Investigated the death of the person above-named and that the CAUSE AND MANNER thereof are as follows: (If an injury was involved,(state fully.) acule cardenc tauxure dermic hugocarditis
20 Accident, sulolde, or homlolde (specify)
Date of occurrence.
19
Where did Injury occur ?
(City or town and State)
Did Infury ocour In or about home, on farm, In Industrial place, or In publlo
plaog?
(Specify type of place)
Manner of
collapsed on a bun in Northern.
Injury
Nature of
Injury
While at work ?.
Was there an autopsy ?.
21 Was disease or Injury In any way related to ocoupation of deceased?
If so, specify.
M. D.
(Signed)
(Address)
Bitte
Tre. 26-1943
22
Place of Burial, Cremation or Removel.
(City or Town)
DATE OF BURIAL
Dec 29. 1965
19
23 NAME OF
FUNERAL DIRECTOR
ADDRESS
Werchap ut Ketchup
Received and filed
19
(Registrar)
If deceased was a U. S. War Veteran, G. L. Chap. 46, Section 10, requires physicians to Insert a recital to that effect PARENTS
50m (g)-1-41-4667
1
PLACE OF DEATH
No.
Informant
24 River road
MEDICAL CERTIFICATE OF DEATH
(Give maiden name of wife in full)
PHYSICIAN-IMPORTANT (Was deceased a U. S. War Veteran, if so specify WAR)
EXTRACTS FROM THE LAWS OF THE COMMONWEALTH OF MASSACHUSETTS GOVERNING THE RETURN OF CERTIFICATES OF DEATH
A physician or registered hospital medical officer shall forthwith, after the death of a person whom 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 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, 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, 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 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 include the China relief ex- pedition and 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 border service of nineteen hundred and sixteen and nineteen hundred and seventeen. G. L. Chap. 46, Scc. 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 body 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 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 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 medical examiner shall make such certificate. If such a permit for the removal of a human body, not previously interred, from one town to an- other within the commonwealth cannot be obtained early enough for the purpose, the certificate of death made as above provided and in the pos- session 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 re- moval, unless a permit in the usual form for the removal of such body has been sooner obtaincd 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 appcar 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 regis- tration. The person to whom the permit is so given and the physician cer- tifying the 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 re- quire .- 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 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 per- son appointed to have the care of the cemetery or burial ground in which the interment is made. ... Chap. 114, Sec. 46, G. L., (Tercentenary Edi- tion).
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 within 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.
... He shall in all cases certify to the town clerk or registrar in the place where the deceased died his name and residence, if known; otherwise a description as full as may be, with the cause and manner of death .- General Laws, Chap. 38, Sec. 7.
... The medical examiner certifies the cause and manner of death to the best of his knowledge and belief.
RULES OF PRACTICE
The fulfillment of the purpose of these laws calls for the observance of the following rules of practice :
(1) Attending physiolans 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 physiclans will certify to such deaths 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 physi- cian is absent from home when the certificate of death is needed.
(3) Medical Examiners will investigate and certify to all deaths sup- posably dus 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, ths sudden deaths of persons not disabled by recognized disease, and those of persons found dead.
STATEMENT OF CAUSE OF DEATH
Medical Examiners in certifying to a death will state the cause and manner thereof, and will specify: (1) Under cause, the nature of an injury and of its consequences; and (2) under manner, the mode of its production together with the circumstances when these are known. For example: "Com- pound fracture of the femur with ensuing septicemia (gas bacillus) caused by a steam railway accident." "Pistol shot wound of the chest with asso- ciated hemorrhage, homicidal." "Asphyxiation by suspension, suicidal." "Syncope while under the influence of ether administered as a surgical anaesthetic." "Fracture of the skull with associated internal injury sus- tained under circumstances unknown."
If disease or injury was related to occupation, specify. If investigation shows the death to have been due to disease, specify: (1) Under cause its known or presumable nature; and (2) under manner, indicate the circum- stances leading to medico-legal inquiry. For example : "Hemorrhage spon- taneous of the brain (basal ganglia) (found dead in bed)." "Heart disease, presumably coronary sclerosis. (Sudden death.)"
DESCRIPTION (for unknown person)
NOTICE TO UNDERTAKERS: No embalming fluid, or any substitute therefor, shall be injected into the body of any person supposed to have met his death by violence, until a permit, signed by the Medical Examiner, has first been obtained .- General Laws, Chap. 38, Sec. 14.
THIS CERTIFICATE CONSTITUTES SUCH PERMIT
-
303-A
extracts from the laws relative to the return of certificates of death. If deceased was a U. S. War Veteran, G. L. Chap. 46, Seotion 10, requires physicians to insert a recital to that effect
PARENTS
14 BIRTHPLACE OF
FATHER (City)
England
(State or country)
15 MAIDEN NAME
OF MOTHER
Mary Scanlon
16 BIRTHPLACE OF
MOTHER (City)
(State or country)
England
17 Mr. Man Farrell ( Adress) 37 Deilk one Herchurch
I HEREBY CERTIFY that a satisfactory standard certificate of death was filed with me BEFORE me burlay or transit permit was Issued : Man. D. Chlorefig (Signature of Agent of Board of Wealth or other) Heatthe Office Official Designation y (Date of Issue of Permit)
12/78/43
18 DATE OF
DEATH
December - 27-1943
(Month)
(Day)
(Year)
5a If married,
HUSBAND of
w Mary oro Cartman
(or) WIFE of
(fave maiden name of wife in full)
(Husband's name in full)
6 Age of husband or wife If allve
34 years
7 IF STILLBORN, enter that fact here.
8 60 Years Months
Days
If less than 1 day .Hours .......... .Minutes
Usual
9 Occupation :
Printer
Industry
10 or Business :
Хангранит
11 Social Security No ....
011-05-4179
12 BIRTHPLACE (City)
(State or country)
England
Did Injury coour In or about home, on farm, In Industrial place, or In publlo place?
(Specify type of place)
Manner of
Injury
Collapsed & lied quickly
Nature of
Injury
While at work?
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.