USA > Massachusetts > Suffolk County > Winthrop > Town of Winthrop : Record of Deaths 1944 > Part 16
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Major findings :
Of operations
Petration of Sall Hadde
0
Date of Fel- 18/uy
Of autopsy
What test confirmed diagnosis ?
Climaul
PHYSICIAN Underline the cause to which death should be charged sta- tistically.
20 Was disease or Injury In any way related te occupation of daceased ? 200
If so, specify
(Signed)
(Address) 148N'Shost
M. D.
Date +1-18 1944
21 Newton Cremator Pneuto mars.
Place of Point, Cremation er Removal.
(City or Town)
Feb
21
DATE OF DURIAL.
Cremativa
1944
22 NAME OF
E W.Pratt Co., Fredric S. Pry, Proprietor
FUNERAL DIRECTOR ..
ADDRESS
101 Union St. Newton Centre
Received and filed
19
(City or town making rete a)
Registered No.
(If death occurred in a hospital or institution,
give its NAME instead of street and number)
Mary ann Small " Ree Marken"
(If deceased is a married, widowed, or divorced woman, give also maiden name.)"
59 Crystal Cove QUE
St.
Winthrop, maso
(a) Residence. No ....
(Usual place of abode)
".ength of stay : In hospital or institution
(Specify whether)
years - months
4
days.
(If nonresident, give city or town and state)
In this community
yrs.
mos.
days.
PERSONAL AND STATISTICAL PARTICULARS
Sullek (County) Winthrop (City of Town) Winthrop Community Hospital St. No ..
The Commonwealth of Massachusetts OFFICE OF THE SECRETARY DIVISION OF VITAL STATISTICS STANDARD CERTIFICATE OF DEATH
(If U. S.
War Veteran.
specify WAR)
A TRUE COPY ATTEST:
(Registrar)
EXTRACTS FROM THE LAWS OF THE COMMONWEALTH OF MASSACHUSETTS
GOVERNING THE
RETURN OF CERTIFICATES OF DEATH
A physician or registered hospital medical offeer 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 regis- tration 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.
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 huried, until he has received a permit from the board of health or its agent appointed to issue sueh permits, or if there is no sueh 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 tomh 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 elerk of the town where the body is buried. No such permit shall be issued until there shall have been de- livered to sueh board, agent or elerk, as the case may be, a satisfac- tory 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 eannot be obtained early enough for the purpose, or is insufficient, a physician who is a member of the hoard of health, or employed by it or by the selectmen for the pur- pose, shall upon application make the certificate required of the at- tending physician. If death is eaused by violence, the medical exam- iner shall make sueh certificate. If such a permit for the removal of a human body, not previously interred, from one town to another within the eomnionwealth cannot be obtained carly enough for the purpose, the certificate of death made as above provided and in the possession of the undertaker desiring to make such a removal shall constitute a permit for such removal ; provided, that sueh 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 sueh body has been sooner obtained hereunder. If the death certificate eontains a reeital, as required by seetion 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 reeital shall appear upon the permit. The board of health, or its agent, upon receipt of sueh statement and certifieate, shall forthwith countersign it and transmit it to the elerk of the town for registration. The person to whom the permit is so given and the physician eertifying the eause of death shall thereafter fur- nish for registration any other necessary information which can be
obtained as to the deceased, or as to the manner or cause of the death, which the clerk or registrar may require .- Chop. 114, Seo. 45, G. L., (Tercentenary Edition.)
No undertaker or other person shall bury a human body or the asbes thereof which have been brought into the commonwealth until he has received a permit so to do from the board of health or its agent appointed to issue such permits, or if there is no such board, from the clerk of the town where the body is to be buried or the funeral is to be held, or from a person appointed to have the eare of the cemetery or burial ground in which the interment is made .... Chap. 114, Sec. 46, G. L., (Tercentenary Edition.)
RULES OF PRACTICE
The fulfillment of the purpose of thesc laws calls for the observ- ance 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 eare during a last ill- ness from disease unrelated to any form of injury.
(2) Board of Health physicians will eertify to sueh deaths only as those of persons who, though disabled by recognized disease un- related to any form of injury, have died without reeent medical attendance or whose physician is absent from home when the certificate of death is needed.
(3) Medieal Examiners will investigate and certify to all deaths supposably due to injury. These include not only deaths caused directly or indirectly by traumatism (including resulting septiee- mia), and by the action of chemical (drugs or poisons), thermal, or electrical agents, and deaths following ahortion, but also deaths from disease resulting from injury or infection related to occupa- tion, the sudden deathis of persons not disabled by recognized disease, and those of persons found dead.
Statement of Caure of Death .- Cause of death means the disease, or complication which causes death, not the mode of dying, e. g., heart failure, asphyxia, asthenia, etc. As principal cause name the disease causing death. As related causes, name earlier morbid con- ditions, if any, related to the principal cause and any important complication of the principal cause.
Statement of Occupation .- Precise statement of occupation is very important, so that the relative healthfulness of various pursuits can be known. Make some entry in this section for every person aged 10 years or over. If the oceupation had been given up or ehanged on account of the disease causing death, report the usual occupation prior to illness. If the deceased had retired from busi- ness, report the usual oeeupation 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, designatc the occupation hy the appropriate terms, as housekeeper-private family, cook -- hotel, etc. For a person who had no occupation whatever write none.
SPACE FOR ADDITIONAL INFORMATION
301 A
1
PLACE OF DEATH
Suffolk (County)
Winthrop
No.
(City or Town) ( 14 Egelton Pk
The Commontoralthe 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.
[ { If desth occurred in a hospital or institution, St. { give its NAME Instead of street and nuniber)
PHYSICIAN - IMPORTANT
2 FULL NAME
Charles F ..... Tancred
(If deceased is a married, widowed or divorced woman, give also maiden name.)
(a) Residence. No.
14 Egelton
PK
St.
(If nonresident, give city or town and State)
Length of stay: In hospital or Institution
( Refore desth)
(Specify whether)
yeara
months
days.
In this community
4
yra.
mos.
daya.
PERSONAL AND STATISTICAL PARTICULARS
3 SEX
4 COLOR OR RACE
5 SINGLE
(write the word)
MARRIED
WIDOWED
or DIVORCEDMarried
5a If married, widowed, or divoiced
HUSBAND of
(Give maiden name of wife in full)
(or) WIFE of
( Husband's nathe in full)
have occurred on the date stated above, at
8, A
m.
6 Age of husband or wife if alive
50
years
> IF STILLBORN. enter that fact here.
8
AGE
5%
Years
1
Months
14
Days
If less than 1 day
Hours
Minutes
Usual
9 Occupation
Electricalgeht Bethlehem
Industry
Elec . Statura Martin
11 Social Security No.
011-12-8883
12 BIRTHPLACE (City)
( State or country)
13 NAME OF
FATHER
Peter Tancred
14 BIRTHPLACE OF
FATHER (City)
Boston
(State or country)
Mass.
15 MAIDEN NAME
OF MOTHER
Elizabeth French
16 BIRTHPLACE OF
MOTHER (City)
South Boston
(State or country)
Mass.
17 ILdow Informant Mrs Chas F. Tancred Relation, if any Address) 14 Egelton PK Winthrop
I HEREBY CERTIFY that a satisfactory standard certificate of death was filed with me BEFORE the burial or transit permit was issued :
(Signature of Agent of Board of Health or other)
Health office 2/2/44
/(Official Designation) (Date of Issue of Permity
18 DATE OF
DEATH
Feb. 20, 1944.
(Month)
(Day)
(Year)
19 | HEREBY CERTIFY,
That i attended deosased from
Jan 5
1944, to
o Fel 20
19 44
I last saw h ..... frnt ... alive on.
Feb 20
19.44, death is said to
Duration
Immediate oause of death.
Cachecia
Due to
metastores general
Due to
neuro fibromia
? yr
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 any way related to oooupallon of deoeased ?....... d If so, specify.
(Signed)
Richard Intend
(Address) 148 W-Chap St.
. M. D.
Feb 20 1944
21
Brakdale
l'lace of Burial, Cremation or Removal.
DATE OF BURIAL ..
Ref. 221944
19
(City or Town)
22 NAME OF
FUNERAL DIRECTOR
WallenHeneg
ADDRESS
Newton
Ma.s.s ...
Reoelved and Aled 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
100M-6 - 2-42-8855
MEDICAL CERTIFICATE OF DEATH
Male
White
Hayes
IMPORTANT
10 or Business
Stare to
Date of
Of autopsy
What test confirmed diagnosis ?
biopsy + clinical
(Was deceased a
U. S. War Veteran,
if so specify WAR)
(Usual place of abode)
Ole
EXTRACTS FROM THE LAWS OF THE COMMONWEALTH OF MASSACHUSETTS GOVERNING THE
RETURN OF CERTIFICATES OF DEATH
A physlolan or registered hospital medical officer shall forthwith, after the death of a person whoin he has attemuled 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 re- quired by section one, wlirre same was contracted, the duration of his last illness, when laat seen alive by the physician or officer and the date of his death ... Ceu. 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 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 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, he deemed to have taken place hetween 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. 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 ita agent appointed to issue such permita, or if there is no such board, from the clerk of the town where the person died; and no undertaker or other person shall exhume a 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 thay he, 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, 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 physl- 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 med]- 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 he obtained early enough for the purpose, the certificate of death made as above provided and in the possession ot the undertaker desiring to make such removal shall constitute a permit for such removal; provided, that such body shall be returned to the town from which it was removed within thirty-six hours after such removal, unless a permit in the 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 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 ia so given and the physician certifying the cause of death shall thereafter furnish for registration any other urce+ sary Information which can be obtained as to the deceased, or an to the manner or cause of the death, which the clerk or registrar may require .- Chap. 114. Sec. 45, C. 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 hoard of health or its agent appminted to Issue such permita, 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 he held, or from a person appointed to have the csre of the cemetery or burial ground in which the interment is made. ... Chap. 114. Sec. 46. G. L., (Tercentenary Editou).
Medical examiners shall make examination upon the view of the dead bodies of ouly such persons as are supposed to have died hy vinleuce. If a medical examiner has notice that there is within hls 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. 88, 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 phyalcians will certify to such deatha only as those of persona 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 as those of persons who, though disabled by recognized disease unrelated to any form of injury, have died without recent medical attendance or whose physf- cian is ahsent from home when the certificate of death is needed.
(3) Medloai Examiners will investigate and certify to all dicatha aup- 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, aml deaths following abortion, but also deatha from diseass resulting from injury or infection related to oooupatlon, the sudden deaths of persons not disabled by recognized disease, 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 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 Oooupation .- Precise statement of occupation ia very im- portant, so that the relative healthfulness of various pursuits can be known, Make some entry in this section for every persou 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 business, report the usual occupation prior to retirement. Children not gainfully employed may he returned an at school or at boine. 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 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
..
R-301 A
Suffolk (County)
Winthrop
(City or Town)
No. 117 Loring Rd.
The Commonwealth of Massarqunetta 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.
St. (If death occurred in a hospital or institution. ¿ give its NAME instead of street and number)
2 FULL NAME
Reuben Cale Little
(If deceased is a married. widowed or divorced woman. give also maiden name.)
117 Loring Rd.
St
(If nonresident, give city or town and state)
years
months
days.
In this community
yrs.
18
days.
PERSONAL AND STATISTICAL PARTICULARS
MEDICAL CERTIFICATE OF DEATH
3 SEX
Male
4 COLOR OR RACE
White
5 SINGLE
(write the word)
MARRIED
WIDOWED
or DIVORCED
Married
5a If married, widowed, or divorced
HUSBAND of.
Anna M Abbott
(Give maiden name of wife in full)
(or) WIFE of.
(Husband's name,in full)
6 Age of husband or wife if alive.
years
7 IF STILLBORN, enter that fact here.
8
77
Years
4
Months.
Days
If less than 1 day
Hours
Usual
9 Occupation:
Clerk (Retired)
Industry
10 or Business :.
Paper Co ...
11 Social Security No ... None
12 BIRTHPLACE (City)
Greenbank
(State or country) New Jersey
13 NAME OF
FATHER
John Little
PARENTS
14 BIRTHPLACE OF
FATHER (City).
(State or country)
New Jersey
15 MAIDEN NAME
OF MOTHER
Sarah Cale
16 BIRTHPLACE OF
MOTHER (City)
(State or country)
New Jersey
Relation, if any
Informant
(Address)
117 Loring Rd. Winthrop
I HEREBY CERTIFY that a satisfactory standard certificate of death was filed with me BEFORE the burial or transit permit was issued:
(Signature of Ageny of Board of Health or other)
Health officer 2/73/44
(Official Designation) (Date of Issue of Permit)
18 DATE OF
DEATH.
February
22
1944
(Month)
(Day)
(Year)
19 I HEREBY CERTIFY, That I attended deceased from
October 22, 1943, to Feb. 22
19 .. 5.9
I last saw h.j .. AL ... alive on ..... ].1.6 .... 22
19.9%.», death is said to
have occurred on the date stated above, at .. 11: P.M.
Immediate cause of death. chronic myocarditis -
arterio
Metrocia
Due to.
Other conditions.
none
(Include pregnancy within 3 months of death)
IMPORTANT
PHYSICIAN
Major findings:
Of operations.
nong
Date of.
Of autopsy ..
nous
What test confirmed diagnosis ?.
clinical
Underline the cause to which death should be charged sta- tistically.
20 Was disease or injury in any way related to occupation of deceased ?. No
If so, specify.0
Gardien gubinson
M. D.
(Signed)
(Address)
Wirthing, Mass Date feb. 23.1944
21 ....
Harleigh
Camden New Jersey
Place of Burial, Cremation or Removal.
(City or Town)
DATE OF BURIAL.
Feburary
25
44
19
22 NAME OF
Howard Rinaldo
FUNERAL DIRECTOR .....
ADDRESS
Winthrop Miles
Received and filed ...... FEB 29 7914
19
(Registrar)
100m-2-'40-D-729-a
CAUSE OF DEATH In plain terms, so that it may be properly classified. Exact statement of OCCUPATION is very important. See instructions and extracts from the laws on back of certificate.
1
PLACE OF DEATH
(a) Residence. No.
(Usual place of abode)
Length of stay: In hospital or institution.
(Specify whether)
(If U. S.
War Veteran,
specify WAR)
Duration IMPORTANT 3 4-15. 4-this.
Minutes Due to.
AGE
3
7%
17
Benjaminą Little (
Son
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.
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 receiv- ing tomb to another in the same cemetery, until he has received a permit from the board of health or its agent aforesaid or from the clerk of the town where the body is buried. No such permit shall be issued until there shall have been delivered to such board, agent or clerk, as the case may be, a satisfactory written statement containing the facts required by law to be returned and recorded, which shall be accompanied, in case of an original interment, by a satisfactory certificate of the attending physician, if any, as required by law, or in lieu thereof a certificate as hereinafter provided. If there is no attending physician, or if, for sufficient reasons, his certificate cannot be obtained early enough for the purpose, or is in- sufficient, a physician who is a member of the board of health, or em- ployed by it or by the selectmen for the purpose, shall upon application make the certificate required of the attending physician. If death is caused by violence, the medical examiner shall make such certificate. If such a permit for the removal of a human body, not previously interred, from one town to another within the commonwealth cannot be obtained early enough for the purpose, the certificate of death made as above provided and in the possession of the undertaker desiring to make such removal shall constitute a permit for such removal; provided, that such body shall be returned to the town from which it was removed within thirty-six hours after such removal, unless a permit in the usual form for the re- moval of such body has been sooner obtained hereunder. If the death certificate contains a recital, as required by section ten of chapter forty- six, that the deceased served in the army, navy or marine corps of the United States in any war in which it has been engaged, such recital shall appear upon the permit. The board of health, or its agent, upon receipt of such statement and certificate. 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 necessary information which can be obtained as to the deceased, or as to the manner or cause of the death, which the clerk or registrar may require .- Chap. 114, Sec. 45, G. L., (Tercentenary Edition).
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