USA > Massachusetts > Suffolk County > Winthrop > Town of Winthrop : Record of Deaths 1944 > Part 17
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
No undertaker or other person shall bury a human body or the ashes 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 care of the cemetery or burial ground in which the interment is made. . . . Chop. 114, Sec. 46, G. L., (Tercentenary Edition).
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, though disabled by recognized disease unrelated to any form of injury, have died without recent medical attendance or whose physician is absent from home when the certificate of death is needed.
(3) Medical 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 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 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 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 occupation had been given up or changed on account of the disease 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 no occupation whatever write none.
SPACE FOR ADDITIONAL INFORMATION
R-301 A
PLACE OF DEATH
Suffolk (County)
Winthrop
(City or Town)
Winthrop
The Commonwealth 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 death occurred in a hospital or institution, ¿ give its NAME instead of street and number) -
2 FULL NAME
Alice
Etta
Downes
(If deceased is a married, widowed or divorced woman, give also maiden name.)
65
Prospect Ave.
St
(a) Residence. No
(Usual place of abode)
Hospital
years
months
12 days.
(If nonresident, give city or town and state)
In this community 32yrs.
mos.
days.
PERSONAL AND STATISTICAL PARTICULARS
3 SEX
Female
4 COLOR OR RACE
White
5 SINGLE
(write the word)
Single
5a If married, widowed, or divorced
HUSBAND of
(Give maiden name of wife in full)
(or) WIFE of.
(Husband's name in full)
.. years
7 IF STILLBORN, enter that fact here.
AGE
8
78
Years.
2
Months.
4 Days
If less than 1 day
Hours
Minutes
Usual
Housework
9 Occupation:
Industry
At
Home
11 Social Security No.
None
Roxbury
12 BIRTHPLACE (City).
(State or country)
Mass
PARENTS
14 BIRTHPLACE OF
FATHER (City)
Roxbury
(State or country)
Mass.
15 MAIDEN NAME
OF MOTHER
Elizabeth Ann Sargent.
16 BIRTHPLACE OF
MOTHER (City).
(State or country)
Mass.
Relation, if any
.17 Elizabeth S Downes( Neice
Informant ..
(Address)
63 Prospect Ave, 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)
2/29/44
Health Ihrer (Official Designation) 0 1 (Date of Issue of Permit) /
MEDICAL CERTIFICATE OF DEATH
18 DATE OF
DEATH
Feb
27
1944
(Month)
(Day)
(Year)
PI HEREBY CERTIFY,
15
1993, to tat 2)
That I attended deceased from
19 44
I last saw her alive on
Feb 27
.
19.44, death is said to
have occurred on the date stated above, at /04/2 P.
m.
Duration IMPORTANT
Immediate cause of death
Broken Compensation Conclure 10 days
mitral lecron
Due to ..
Double metal Gron
Due
Other conditions.
automo activaso . Sanality
(Include pregnancy within 3 months of death)
IMPORTAXT
PHYSICIAN
Major findings:
Of operations.
Of autopsy.
What test confirmed diagnosis?
20 Was disease or injury in any way related to occupation of deceased ?. ....
If so, specify
(Signed)
148 hun thought fuck Date Feb 28 194/4
(Address) ..
21.
Mt .
Hope
Boston
Place of Burial, Cremation or Removal.
(City or Town)
44
DATE OF BURIAL.
March
19
22 NAME OF
Howard S Parnolds
FUNERAL DIRECTOR
ADDRESS
Received and filed 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
No.
Community Hospital
St.
(If U. S.
War Veteran.
specify WAR).
Length of stay: In hospital or institution.
(Specify whether)
MARRIED
WIDOWED
or DIVORCED
6 Age of husband or wife if alive.
10 or Business:
0
.Date of.
Underline the cause to which death should be charged sta- tistically.
M. D.
Roxbury
13 NAME OF
FATHER
Ephraim Daniel Downes
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 perinits, 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 tonib 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 originalinterment, 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 transınit 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).
No undertaker or other person shall bury a human body or the ashes 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 care 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 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, though disabled by recognized disease unrelated to any form of injury, have died without recent medical attendance or whose physician is absent from home when the certificate of death is needed.
(3) Medical Examiners will investigate and certify to all deaths supposably due to injury. These include not only deaths caused directly or indirectly by trauinatism (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 dlsease, 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 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 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 occupation had been given up or changed on account of the disease 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 no occupation whatever write none.
SPACE FOR ADDITIONAL INFORMATION
M R-301
PLACE OF DEATH
Suffolk
(County)
"inthron
(City or Town)
32 Atlantic
The Commonwealth of Massachusetts OFFICE OF THE SECRETARY DIVISION OF VITAL STATISTICS STANDARD CERTIFICATE OF DEATH
(City or town making return)
Registered No ..
48
f (If death occurred in a hospital or institution, St. ¿ give ita NAME instead of street and number)
PHYSICIAN-IMPORTANT
(Was deceased a U. S. War Veteran? If so, (specify WAR)
22 Atlantic
St
(If nonresident, give city or town and State)
months
days.
In this community C
yr8.
mos.
days.
PERSONAL AND STATISTICAL PARTICULARS
4 COLOR OR RACE
Mit-
8 SINGLE
(write the word)
MARRIED
WIDOWED
or DIVORCED Vidowe
Ba If married, widowed, or divorced
HUSBAND of
(Give maiden name of wife in full)
(or) WIFE of
Tohn MacDonald
(Husband's name in full)
6 Age of husband or wife if alive.
years
7 IF STILLBORN. enter that fact here.
AGE
.Years
Month ......
Days
If less than 1 day Hours .Minutes
9 Oooupation :
It Tome
11 Social Security No.
12 BIRTHPLACE (City)
(State or country)
ova Scotta
19 NAME OF
FATHER
Daniel !cheod
14 BIRTHPLACE OF
FATHER (City).
(State or country)
077005 E10
18 MAIDEN NAME
OF MOTHER
Unknown
16 BIRTHPLACE OF
MOTHER (City) .....
Move Sorti.
.: (State or country)
Informant
Fred renson
(.
Manhour
I HEREBY CERTIFY that a satisfactory standard certificate of death was filled with me BEFORE the burial or transit permit was issued: Man. D. Childress (Signature of Agent of Board of Health or other)
Health piliet
2/29/74
/ (Official Designation) (Date of Issue of/Permit)
MEDICAL CERTIFICATE OF DEATH
18 DATE OF
DEATH
(Month)
(Dat)
1944 (Year)"
19 | HEREBY CERTIFY.
19.
....... , to ..
19
I last saw h ...
.........
alive on
19
., death is said to
have occurred on the date stated above, at.
1 P.
m.
Duration
Important
Due to.
Important
Other conditions
(Include pregnancy within 3 months of death)
1
Major findings: Of operations
Date of
Of autopsy.
What test confirmed diagnosis ?.
20 Was disease or injury in any way related to occupation of deceased?
If so, specify
(Signed).
(Address) Wesleyto Con Dote 2/28
19
21 ....
inthron Cometer winthrop
-(City of Town)
Place of Burial, Cremation or Removal. DATE OF BURIAL
Drury
19
22 NAME OF
Kirby Pros.
FUNERAL DIRECTOR ..
ADDRESS
IO
Vinthro, St.
Received and filed
MAR ......
6-1944
19
A TRUE COPY ATTEST: (Registrar)
100m(h)-1-41-4695
1 ..... No. 3 8EX Tamole 8 22. Uoual PARENTS 17 (Address) If deceased was a U. S. War Veteran, G. L., Chap. 46, Sec. 10, requires physician to insert a recital to that effect. See instructions and extracts from the laws on back of certificate. DEATH in plain terms, so that it may be properly classified. Exact statement of OCCUPATION is very important. mation should be carefully supplied. AGE should be stated EXACTLY. PHYSICIANS should state CAUSE OF Industry 10 or Bueinese:
2 FULL NAME
Christy VeDon-13 ("clear)
(If deceased is a married, widowed or divorced woman, give also maiden name.)
(a)
Residence. No.
(Usuai place of abode)
Length of stay: In hospital or institution.
(Before death)
years
(Specify whether)
27
That I attended deceased from
Immediate cause of death .......
cuses
PHYSICIAN Underline the cause to which death should be charged sta- tistically.
M. D.
Reiation, if any
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 liiness, 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 hls knowledge and bellef 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 iliness, when last seen alive hy 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 hy section forty-five of chapter one hundred and fourteen, shall, if the deceased, to the best of his knowledge and helief, 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 recltal to that effect, specifying 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 pro- vision of this section, such physician or officer shall forfeit ten dollars. For the purposes of this section and of sections forty-five, forty-six and forty-seven of said chapter one hundred and fourteen, the word "war" shaii include the China relief expedition 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 Mexican border service of nineteen hundred and sixteen and nineteen hundred and seventeen .- General Laws, Chap. 46, Sec. 10.
No undertaker or other person shall hury or otherwise dispose of a human body in a town, or remove therefrom a human body which has not heen 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 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 he, 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, hy 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 hy 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 hody, 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 ahove provided and in the possession of the undertaker desiring to make such removal shail constitute a permit for such removal; provided, that such hody shall he 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 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 auch 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 .- Chop. 114, Sec. 45, G. L., (Tercentenary Edition).
Medical examiners shall make examination upon the vlew 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.
No undertaker or other person shall hury a human body or the ashes 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 hoard, 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. . .. Chop. 114, Sec. 46, G. L., (Tercentenary Edition).
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 hedside 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, though disabled hy recognized disease unrelated to any form of injury. have died without recent medical attendance or whose physician Is absent from home when the certificate of death is needed.
(3) Medical Examiners will investigate and certify to all deaths supposahly due to injury. These Include not only deaths caused directly or indirectly hy traumatism (including resulting septicemia), and by the action of chemical (drugs or polsons), thermal, or electrical agents, and deaths following abortion, hut aiso 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 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 Occupation .- Precise statement of occupation la 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 occupation had been given up or changed on account of the disease 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 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 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
DEPARTMENT OF COMMERCE
BUREAU OF THE CENSUS
STANDARD CERTIFICATE OF DEATH
State File No.
Registrar's No. _ A66
$9
State of NEW HAMPSHIRE
1. PLACE OF DEATH:
2. USUAL RESIDENCE OF DECEASED:
(a) County
Carroll
(a) State Mass
(b) County
(b) City or town
ssipee
(If outside city or town limita, write RURAL)
(If outside city or town limite. write RURAL)
(c) Name of hospital or institution:
Carroll County Home
(d) Street No.
(If rural, give location)
(d) Length of stay: In hospital or institution 5 .¿ months.
(Specify whether
In this community
years, months or days)
If foreign born, how long in U. S. A .?
years.
3. (a) FULL NAME Mrs. Bertha Wilson
MEDICAL CERTIFICATION
6
3. (b) If veteran, name war
3. (c) Social Security No.
ear
1944
hour
1
minute
15 A.M.
Female
race
6. (b) Name of husband or wife
6. (c) Age of husband or wife if alive years
( and that death occurred on the date and hour stated above. Immediate cause of death Bronchopneumonia
Duration 4 days
7. Birth date of deceased Sept.28,1868
(Month)
(Day)
(Year)
8. AGE:
Years
Months 3
Days 8
If less than one day
Carcinoma of skin of face
3yrs,
9. Birthplace
Reading, lass.
Due to
10. Usual occupation
Housewife
11. Industry or business
Other conditions.
PHYSICIAN
[ 12. Name
13. Birthplace
(City. town, or county)
(State or foreign country)
14. Maiden name
15. Birthplace
(City. town, or county) (State or foreign country)
Of autopsy
16. (a) Informant's own signature
Charles Severance
(b) Address Ossipee ,N.H.
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.