USA > Massachusetts > Suffolk County > Winthrop > Town of Winthrop : Record of Deaths 1944 > Part 11
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by sertion 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 statenient and certificate, shall forthwith countersign it and transmiit It to the clerk of the town for registration. The person to whom the permit is so given and the physiclan certifying the cause of death shall thereafter furnish for registration any other neces sary information which can he obtained as to the deceased, or as to the manter or 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 hunian body or the ashes thereof which have been brought into the coninionwealth until he has re- ceived a permit so to do from the board of health or its agent appointed to Issue such permita, or if there is no such hoard, from the clerk of the town where the hody is to he 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 interment is made. ... Chap. 114. Sec. 46. G. L., (Tercentenary Edition).
Medical examiners shall make examination upon the view of the dead bodies of ouly 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 lles aud take charge of the same; ... - General Laws, Chap. 38, Suc. 6.
RULES OF PRACTICE
The fulfillment of the purpose of these lawa calls for the observance of the following rules of practice :
(1) Attending phyalcians will certify to such deatha only as those of persons to whom they have given bedside care during a fast iliness from disease unrelated to any form of injury.
(2) Board of Health physiolans will certify to such deaths only as those of persons who, though disahled by recognized disease unrelated to any form of injury. have died without recent medical attendance or whose phyaf- clan is absent from home when the certificate of death is needed.
(3) Medical Examiners will investigate and certify to all destha aup- posably due to Injury. These include not only deaths caused directly or in- directiy hy traumatiam (including resulting septicemia), and by the action of chemical (drugs or poisons), thermal, or electrical agents, and desths following abortion, hut also deaths from dlacasa resulting from Injury or Infection reisted to cooupation, the sudden deaths of persons not disabled by recognized dlacase, and those of persons found dead.
Statement of Cause of Death. Cause of death meana the disease, or complication which causes death, not the mode of dying, e. g., heart failure, asphyxia, asthenla, 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 la very Im- portant, so that the relative healthfulness of various pursuits can he 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 aa at school or at hoine. For a woman whose only occupatiou was that of honie housework, write housework. For a person engaged in domestic service for wages, however, designate the occupation by the appropriate terms, aa housekeeper-private family, cook-hotel, etc. For a person who had no occupation whatever write none.
SPACE FOR ADDITIONAL INFORMATION
RM R-302
resided in another city or town at the time of death should be made forthwith and transmitted on Form R-302 to the clerk Copies of returns of deaths recorded during the previous month which occurred in your city or town in case the deceased
of the city or town in which the deceased resided. (See Chap. 46, Sec. 12, G. L.)
50m (e)-1-41-4667
A TRUE COPY.
ATTEST :
(Registrar of city or town where death occurred)
DATE FILED
Feb 4.44
19
18 DATE OF
DEATH
Feb. 2
1944
(Month)
(Day)
(Year)
19 | HEREBY CERTIFY, That I attended deceased from
.. Feb ....... 1/44
19
to .... F.e.b ....
.. ,
2/44
19
I last saw h ... j.m ..... alive on
Feb .... 2 .44
., 19
...... death Is sald to
have occurred on the date stated above, at
6.05
A
.m.
Duration
Immediate cause of death
Prematurity
Due to.
Due to.
Other conditions.
(Include pregnancy within 3 months of death)
Physician
Major findings :
Of operations.
which death
Date of.
should be
charged sta- tistically.
What test confirmed diagnosis ?
20 Was disease or injury in any way related to ocoupation of deceased?
(Signed) ...
M. D.
(Address)
Carney Hosp.
Date
2/2
19.44
21 PLACE OF BURIAL, Mt. Lebanon-Workmen's Circle CREMATION OR REMOVAL
DATE OF BURIAL
Feb ..... 3./44
.19
22 NAME OF
FUNERAL DIRECTOR
M. Stanet sky
ADDRESS
Boston Mass.
Received and filed
FEC 11 1977
19
(Registrar of City or Town where deceased resided)
1
PLACE OF DEATH
( SUFFOLE ( BOS(County)
(City or Town)
Carney Hospital No.
The Commonwealth of Massachusetts OFFICE OF THE SECRETARY DIVISION OF VITAL STATISTICS COPY OF CERTIFICATE OF DEATH
RASTON
(City or town making return)
32
Registered No.
1225
(If death occurred in a hospital or institution, { give its NAME instead of street and number)
2 FULL NAME
Baby Boy Goldenbert
(If deceased is a married, widowed or divorced woman, give also maiden name.)
(a) Residenoe. No.
34 Sea Foam Ave.
St.
Winthrop ..
Mass.
(Usual place of ahode)
(If nonresident, give city or town and State)
Length of stay : In hospital or Institution.
(Before death)
(Specify whether)
...
years
months
days.
In this community
yrs.
mos.
days.
PERSONAL AND STATISTICAL PARTICULARS
MEDICAL CERTIFICATE OF DEATH
3 SEX
M
4 COLOR OR RACE|
W
MARRIED
WIDOWED Single
or DIVORCED
5a If married, widowed, or divorced
HUSBAND of
(Give maiden name of wife in full)
(or) WIFE of
(Hushand's name in full)
6 Age of husband or wife if alive
years
7 IF STILLBORN, enter that fact here.
8 AGE Years Months Days
less than 1 day
.. Hours .. 3Q ... Minutes
Usual
9 Occupation :
Industry 10 or Business :
Il Social Security No.
12 BIRTHPLACE (City)
(State or country)
South Boston, Mass.
13 NAME OF
FATHER
Morris Goldenberg
14 BIRTHPLACE OF
FATHER (City)
(State or country)
Boston, Mass.
15 MAIDEN NAME
OF MOTHER
Helen Alodofsky
16 BIRTHPLACE OF
MOTHER (City)
(State or country)
Russia
17 Informant. (Address)
Relation, if any ( ..... Father
(Cemetery)
(City or Town)
If so, speolfy.
R ....... Levine
Underline the cause to
Of autopsy
PARENTS
5 SINGLE
(write the word)
St.
(If U. S.
War Veteran,
-
-301 A
1
PLACE OF DEATH
Suffolk (County)
Winthrop ....
(City or Town) 19 Pleasant Park Rd.
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. 33
S ( If death occurred in a hospital or institution, St. [give its NAME instead of street aud nuniber)
2 FULL NAME
Annie F. Mckeon
( Holland )
( If deceased is a married, widowed or divorced woman, give also maiden name.)
19 Pleasant Park Rd.
(a) Residence. No.
(Usual place of abode)
Length of stay: In hospital or Institution.
(Before death)
none
yeara
months
days.
In this community
35%.
mos.
days.
PERSONAL AND STATISTICAL PARTICULARS
MEDICAL CERTIFICATE OF DEATH
18 DATE OF
DEATH
2
1974
( Month)
(Day)
(Year)
5e If married, widowed, or divorced
HUSBAND of
(or) WIFE of
(Give meidenrygeprie Html) Mckeon
( Husband's neme in full)
years
6 Age of husband or wife if alive 73
IF STILLBORN. enter that fact hera.
g 82
AGE Years Months ... Days
If less than 1 day Hours. .Minutes
Usual 9 Occupation :
At Home
Industry
10 or Business :
Housewife
11 Social Security No.
none
'2 BIRTHPLACE (City)
( State or country)
Miine
Eastport
Other conditions
( Include pregnancy within 3 months of death)
IMPORTANT
Major findings:
Of operations
Physician
Underline the cause to which death should be charged sta- tistically.
20 Was disease or injury in ony way related to oooupation of deceased ?
If so, specify ...
('Signad)
, M. D.
(Addrass)
21
Calvary
Boston , MaBs
Place of Burial, Cremation or Removal. (City or Town)
DATE OF BURIAL
February 4,1944
19
22 NAME OF
FUNERAL DIRECTOR
R. C. Kirby KUkk
ADDRESS
Bos.t.on
Raoelved and fled
19
(Registrar)
100M-6 - 2-42-8855
I HEREBY CERTIFY that a satisfactory standard certificata of death was filed with me BEFORE the burjal or transit permit was Issued : Pau -x- Childress
(Signature of Afeft of Board of Health or other)
Health aquar 21/3/44
(Officiel Designation) (Date of Issue of/Permit)
19 | HEREBY CERTIFY,
That 1 attanded deosased from
19 ..
19
1 last saw h
.allve on
19.
., death Is sald to
have occurred on the date stated abova,
a
7.30A
.m.
Immedlate oause of death.
Duration
Dua to
Due to.
13 NAME OF
FATHER
Cannot be learned
14 BIRTHPLACE OF FATHER (City) (State or country) Ireland
15 MAIDEN NAME
OF MOTHER
Cannot be learned
16 BIRTHPLACE OF
MOTHER (City)
(State or country) Ireland
Joseph H . Mckeon tion, if any
17 Informant ( Address) 19 Pleasant Park Rd .Winthrop
extracts from the laws on back of certificate. If deceased was a U. S. War Veteran, G. L. Chap. 46, Section 10, requires physicians to Insert a recital to that effeot. PARENTS
3 SEX
4 COLOR OR RACEL
5 SINGLE
( write the word)
MARRIED
WIDOWED
or DIVORCED
married
female white
(Specify whether)
St.
(If nonresident, give city or town and State)
No
PHYSICIAN - IMPORTANT
(Was deceased a
U. S. War Veteren,
if so speolfy WAR)
Registered No.
No.
Date of
Of eutopsy
What test confirmed diagnosis ?.
EXTRACTS FROM THE LAWS OF THE COMMONWEALTH OF MASSACHUSETTS GOVERNING THE
RETURN OF CERTIFICATES OF DEATH
A physician or ragiatared hospital medical offioar shall forthwith, after the death of a person whoin he has attemuled during his last illuesa, at the request of an undertaker or other authorized person or of any member of the family of the deceased, furnisb for registration a atandard certificate of death, stating to the best of his knowledge and belief the name of the deceased, his supposed age, the disease of which he died. defined as re- quired by section one. wlirre same was contracted. the duration of his last illness, when last seen alive by the physician or officer and the date of bis 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 four- teen, shall, if the decessed, to the best of his knowledge and belief. served in the armny, navy or marine corps of the I'nited States in any war in which it has been engaged, insert in the certificate a recital to that effect, speci- fying the war. and shall also certify in such certificate both the primary and the secondary or immerliste csuse of death as nearly as he can state the saine. For neglect to comply with any provision of this section, sucb physician or officer shali forfeit ten dollars. For the purposes of thia aec- tion and of sections forty-five, forty-six and forty-seven of said chapter one bunilred 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 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 sixteen and nineteen bundred and seventeen. G. L. Chap. 46, Sec. 10.
No undertaker or othar peraon shall bury or otherwise dispose of a buman body in a town, or remove tlierefrom a human body which has not been buried, until he haa received a permit from the board of health, or ita agent appointed to issue sucb 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 cenietery to another, or from one grave or tomb other than the receiving tomb to another In the same cemetery, until be has received a permit from the board of health or its agent aforexaid or from the clerk of the town where the boily is buried. No such permit shall be issued until there shall have been delivered to sucb board, agent or clerk, as the case may be, a satisfactory written statement containing the facts required by law to be returned ail recorded, which shall be accompanied. in case of an original interment, by a satisfactory certificate of the attending physician, if any, as required by law, or in lieu thereof a certificate as liereinafter provided. If there is no attending physician, or if, for sufficient reasons, his certificate camiot be obtained early enough for the purpose, or is insufficient, a pbysi- cian who is a meniber of the board of health, or employed by it or by the aelectmen for the purpose, shall upon application miske the certificate re- quired of the attending physician. If death is caused by violence. tbe medl- cal examiner chall make such certificate. If such a permit for the removal of a liuman body, not previously interred, froin one town to another within the commonwealth cennot be obtained early enough for the purpose, the certificate of desth made as above provided and in the possession ot tbe undertaker desiring to make such renioval alısli 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 ohtalned hereunder. If the death certificate contains a recital, as required
by section ten of chapter forty-six, that the deceased aerved in the army, navy or marine corps of the United States in any war In which It has bren engaged. such recital shall appear upon the permit. The board of health, or ils agent. upon receipt of such statenient and certificate, shall fortliwith countersign it and transniit 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 deceaseil, or us to the maliner or 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 hunian body or the ashee 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 appluted to issue such permits, or if there is no such hoard, front the clerk of the town where the boily is to be buried or the funeral is to he held, or from a person appointed to have the care of the cemetery or burial ground in which the interment is made .... Cbap. 114. Sec. 46. G. L., (Tercentenary Editiou).
Medical examiners shall mske examination upon the view of the dead bodies of only such persons ss are supposed to have died hy 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 llea aud take charge of the same ;...- General Laws, Chap. 38, Sec. 6.
RULES OF PRACTICE
The fulfillment of the purpose of these iawa calla for the observance of the following rules of practice :
(1) Attending phyalciana 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 phyalolana 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 pbyaf- cian is ahsent from home when the certificate of death is needed.
(3) Madloal Exeminara will investigate and certify to all deatha sup- posably due to Injury. These include not only deaths cancer directly on in- directly by traumatism (Including resulting septicemia), and by the action of chemical (drugs or poisons), thermal, or electrical agents, aml dearbs following abortion, but also deaths from dlaaasa resulting from injury or Infeotlon related to occupation, the auddan deaths of paracna not disablad by recognized dlaaese, and those of persons found deed.
Statement of Cause of Death. Cause of death means the disease, or complication which causes death. not the moile of dying. e. g., heart failure, asphyxia, astbenia, etc. Aa principal cause name the disease caualng 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 Oooupetlon .- Precise statement of occupation la very im- portant, so that the relative healthfulness of various pursuita 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 businesa, report the usual occupation prior to retirement. Children not gainfully employed may be returned as at school or at hoine. For a woman wbose only occupatiou was that of honie bousework, write bousework. For a person engaged in domestic service for wages, however, designate the occupation by the appropriate terma, aa bousekeeper-private family, cook-hotel, etc. For a person wbo bad no occupation whatever write none.
SPACE FOR ADDITIONAL INFORMATION
301
PLACE OF DEATH
Suffolk (County)
.......
Winthrop
(City or Town)
No.
521 Pleasant
The Commontoralth of MassacInisetts OFFICE OF THE SECRETARY DIVISION OF VITAL STATISTICS STANDARD CERTIFICATE OF DEATH
To be filed tor burial permit with Board of Health or its Agent.
Registered No. .......
( If death occurred in a hospital or Institution, give its NAME instead of street aud nuniber)
2 FULL NAME
J .HaroldStrang
( If deceased is a married, widowed or divorced woman, give also maiden name.)
(a) Residence. No.
521 Pleasant
(Usual place of abode)
St.
Winthrop
(If nonresident, give city or town and State)
Length of stay: In nosoltal or Institution
(Before death)
years
months
days.
In this community
18 yra.
mos.
days.
PERSONAL AND STATISTICAL PARTICULARS
3 SEX
Male
4 COLOR OR RACE
White
5 SINGLE
( write the word)
MARRIED
WIDOWED
or DIVORCED
Married
Sa If married, widowedp &r .gyorced Marsters
HUSBAND of
(Give maiden name of wife in full)
(or) WIFE of
( Husband's name în full)
6 Age of husband or wife if alive years
> IF STILLBORN. enter that fact here.
8
AGE
54 Years
8
Months
5 Days
If less then 1 dey
Hours
Minutes
Usual
9 Occupation :
none
Industry
10 or Business :
at home
11 Social Security No.
.none
Port Clyde
12 BIRTHPLACE (City)
( State or country)
Nova Scotia
13 NAME OF
FATHER
J. Hayward Strang
14 BIRTHPLACE OF
FATHER (City)
Unknown
(State or country)
Nova Scotia
15 MAIDEN NAME
OF MOTHER
Frances A. Tait
16 BIRTHPLACE OF
MOTHER (City)
....
Unknown
(State or country)
Nova Scotia
17 Relation, If any
informant ( Address )
BET Pleasant SE .. . + +88
I HEREBY CERTIFY that a satisfactory standerd certificate of death was filed with me BEFORE the burial or transit permit was issued : Han-x. Childress
(Signeture of Ageat of Board of Health or other)
Wealth Ofcer 2/7/44
(Officiel Designation) (Date of Issue of Permit)
MEDICAL CERTIFICATE OF DEATH
18 DATE OF
DEATH
February
4
1944
(Month)
(Day)
(Year)
19 + HEREBY CERTIFY,
That i attended deceased from
July - 17:
1942
February 4.
:
191/4
i last saw h IM alive on ...
February 4, 1942
... deeth is said to
have occurred on the date stated above, at.
6.30
.m.
Immediate oause of death.
IMPORTANT
Due to.
Lobar PNEUMONIA
.......
2 days
Due to
Other conditions.
Multiple Saleros is
( Include pregnancy within 3 months of death)
IMPORTANT
Physician
Major findings:
Of operations
Date of
Of outopsy
What test confirmed diagnosis?
NONE-
Underline the cause to which death should be charged sta- tistically.
20 Was diseese or injury in any wey related to ocoupation of deceased ? . 4.
If so, specify .....
('Signed)
Columna We. Tranger
1
M. D.1
(Addre
200 Washmiglia /2 Date Feb. 5
19 44
21
w.o.o.d.lawn
Piece of Buriel, Cremation or Removel.
Everett (City or Town)
DATE OF BURIAL ...
February Y,
19.44
22 NAME OF
FUNERAL DIRECTOR
E Ocupa
ADDRESS
300 Meridian St., E. Boston
19
Received and Aled
FEB -8-1944
( Registrar)
100M-6 - 2-42-8855
extracts from the laws on back of certificate. If deceased was a U. S. War Veteran, G. L. Chap. 46, Section 10, requires physiolans to insert a reoltal to that effeot. PARENTS
1
St.
(Sperify whether)
PHYSICIAN · IMPORTANT
(Was deceased a
U. S. War Veteran,
if so spoolfy WAR)
...
Duration
years
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 authorized per-on or of ans meniber of the family of the decessed, furnish for registration a standard certifcate of desth, stating to the best of his knowledge and belief the name of the deceased, his supposed age, the disease of which he died. defined as re- quired by section one. wlirre same was contracted. the duration of his last Illness, when last seen slive by the pbyaician or omcer and the date of his deatb ... 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 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. iusert in the certificate a recital to that effect, speci- fying the war. and shall also certify In such certificate both the primary and the secondary or immediate cause of death as nearly as he can state the saine. For neglect to comply with any provision of this section, such physician or officer 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, he 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 aud sixteen and nineteen hundred and seventeen. G. L. Clisp. 46, Sec. 10.
No undertakar or other parson shall hury or otherwise dispose of a buman body in a town, or reniove therefrom a human budy which has not been buried, until he has received a permit from the board of health, or its agent appointed to lasue such permits, or if there is no such board, from the clerk of the town where the person died; and no undertaker or otber person shall exhume a human body and remove it 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 statement containing the facts required by law to be retomed and recorded, which shall be accompanied. in case of an original Internient, by a satisfactory certifleste of tbe attending physician, if any, as required by law. 01 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 beslth, or employed by It or by the selectmen for the purpose, shall upon application make the certificate re- quired of the attending physician. If deatb is caused by violence. the medl- cal examiner sball 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, tbe certificate of death made as above provided and in the possession of the undertaker desiring to make such removal sliall 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
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