USA > Massachusetts > Suffolk County > Winthrop > Town of Winthrop : Record of Deaths 1944 > Part 23
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(Day)
(Year)
19 | HEREBY CERTIFY,
That I attended deosased from
Klach 20, 1944,
to .......
March 28.
19
44
I last saw h ............ allva on
Wach 28,, 194%, death Is said to
have occurred on the date statad abova, at.
2. 30 Am.
Immedlate cause of death ..
Stave in commen
?
bile duct Chalecohits
Due to CHOLECYSTI
Dua to
.... 8 days 8 cap
Other conditions.
( Include pregnancy within 3 months of death)
IMPORTANT
Major findIngs :
HAYMON
Of operations
Steve in Cammin
Of autopsy.
What test confirmed diagnosis ?.
Merlin
Physician Underline the cause to which death should be charged sta. tistically.
20 Was disease or injury in any way ralated to oooupation of daceased ? If so, specify ..
....
(Signed)
(Address)
2482 Waing
9/1044
M. D.
21
Holy Gross Malden
rt (City or Town)
30
...
Place of Burian Cremation or Removal,
DATE OF BURIAL
March
44
19.
22 NAME OF
FUNERAL DIRECTOR
Kolm C. Kelly
ADDRESS
11 Meridian St., 5.BIO
Raoalvad and Aled MAR 21 1944 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-£ - 2-42-8855
17
Winthrop Community Hospitals Anna Marie Stasio
(Was deosasad a
U. S. War Veteran,
no
if so speolfy WAR)
(If nonresident, give city or town and State)
months
days.
In this community
60 yrs.
mos.
days.
4 COLOR OR RACE|
1944
....
Duration MEPORTANT
...
....
later
EXTRACTS FROM THE LAWS OF THE COMMONWEALTH OF MASSACHUSETTS GOVERNING THE
RETURN OF CERTIFICATES OF DEATH
A physician or registered hospital medioai offioer shall forthwith, after the death of a person whoin he has attended during his last illness, at the request of an undertaker or other authorized person or of snr member of the family of the deceased, furniab for registration a standard certificate 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 Isst illness, when last seen alive by the physician or officer and the date of bia deatb ... Gen. Laws, Chap. 46, Sec. 9.
N 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 s recital to that effect, speci- fying the war, sud shall also certify in such certificste both the primary and the secondary or immediate cause of death as nearly as be can state the same. For neglect to comply with any provision of this section, such physiclan 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 said purposea, 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 and sixtcen and nineteen hundred and seventeen. G. L. Chiap. 46, Sec. 10.
No undartakar or other parson 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 its agent appointed to issue such permits, or if there is uo such board, from the clerk of the town where the person died; and no undertaker or otber person ahall exhume a human body and remove it fromn a town. from one cenietery to suother, or from one grave or tomb other thau tbe receiving tomb to another In the same cemetery, until he has received a permit from the board of health or its agent aforexaid 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 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 internieut, by a satisfactory certificate of the attending physician, if any, as required by law. o1 in fieu 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 deatb is caused by violence, tbe medi- cal examluer shall make such certificate. If such a permit for the removal of a human body, not previously interred, froin one town to another within the commonwealth cannot be obtained early enough for the purpose, the certificate of death made as above provided and in the possession ot tbe 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 containa 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, sucb recital shali appear upon the permit. The board of health, or its sgent. upon receipt of such statenient sud 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 shali thereafter furnish for registration any other orce+ sary information which can be obtained as to the deceased, or us to the manner or cause of the death, which the clerk or registrar may require .- Cbap. 114. Sec. 45, G. L., (Tercentenary Editlou).
No undertaker or other person shall bury a hunian 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 appuiluted 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 ibe interment 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 hy 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 Inxly iles aud take charge of the same; ...- General Laws, Chap. 38, Sec. 6.
RULES OF PRACTICE
The fulfillment of the purpose of these laws calls for the observance of the following rules of practice :
(1) Attending physicians will certify to sucb deaths only as those of persons to whom they have given bedside care during a fast illness 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 attendlance or whose pbyaf- cian ia ahsent from home when the certificate of death Is needed.
( 3) Medloal Examiners will investigate and certify to all dlcatba sup- posabiy due to injury. These Include not only deaths caused directly or in- directly by traumatism (including resulting septicemia), and by the action of chemical (drugs or poisons), thermal, or electrical agents, and deaths following shortion, but also deaths from diseass resulting from Injury or infootion related to oooupation, the sudden deaths of persons not disablad by recognized disease, and those of persons found dead.
Statemant of Cause of Death .- Cause of death meana the disease, or complication which causes death. not the mode of dying, e. g., heart faliure, 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.
Statemant of Occupation .- Precise statement of occupation is very im- portant, so that the relative healthfulness of various pursuits can be known. Make some entry in this section for every person aged 10 years or over. If the occupation had been given up or changed ou account of the discase causing death, report the usual occupation prior to illness, if tire deceased bad retired from business, report the usual occupation prior to retirement. Children not gainfully employed may be returned aa at school or at borne. For a woman wbose 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, as housekeeper-private family, cook- hotel, etc. For a person who had no occupation whatever write none.
SPACE FOR ADDITIONAL INFORMATION
-301 A
10/20144
Suffolk (County )
Winthrop (City or Town) Winthrop Community Hospital
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. 67
Registered No.
$ { If death occurred in a hospital or institution, St. [ give Its NAME instead of street and number )
PHYSICIAN - IMPORTANT
2 FULL NAME
BabyBoy Whalen
( If deceased is a married, widowed or divorced woman, give also maiden name.)
(Was decaased a
U. S. War Veteran,
if so speolfy WAR)
East Boston Mass
(a) Rasldenca. No.
7 Orient Ave
(Usual place of abode)
St.
(If nonresident, give city or town and State)
Length of stay: In hospital or Institution fremature (Before death)
yeara
months
days.
In this community
yrs.
mos.
days.
PERSONAL AND STATISTICAL PARTICULARS
3 SEX
Male
4 COLOR OR RACEĮ
White
5 SINGLE
( write the word)
MARRIED
WIDOWED
or DIVORCED
Single
5a If married, widowed, or divorced
HUSBAND of
(Give maiden name of wife in full)
(or) WIFE of
. ( Husband's name in full)
have occurred on tha data stated above, at
6.PM
m.
Immediata oausa of death Prematurity (Imo)
IMPORTANT
Due to
Due to
11 Social Security No.
none
'2 BIRTHPLACE (City)
( Siale or country)
Winthrop., ..... Mass.
13 NAME OF FATHER Thomas J. Whalen
14 BIRTHPLACE OF
FATHER (City)
East ..... Boston, ..... Mass.
(State or country)
15 MAIDEN NAME
OF MOTHER
Winifred Thompson
16 BIRTHPLACE OF
MOTHER (City)
East .... Boston., .... Mass.
(State or country)
17 Informant ( Address) 7 Orient Ave., Fast Boston
I HEREBY CERTIFY that a satisfactory standard certificata of daath was filed with me BEFORE the burial or transit parmit was Issued : Min. D. Children !
(Signature of Agent of Boardnt Health or other) Health office 4/3/44
(Official Designation) ( Date of Issue of Permity
MEDICAL CERTIFICATE OF DEATH
18 DATE OF
DEATH
march
30 1944
( Month )
(Day)
(Year)
19 | HEREBY CERTIFY,
That I attended deosased from
march 30, 1994.
to
Jar 30
1944
I last saw him
aliva on
mar 30
1944, death is said to
6 Age of husband or wife if aliva Stillhorn yaars
IF STILLBORN. enter that fact here. Premature mos.
8 AGE Years Months
If less than 1 day
Days
7 Hours 3 0Minutes
Usual
9 Occupation :
none
Industry
10 or Business :
Other conditions
( Include pregnancy within 3 months of death)
IMPORTANT Physician
Major findings :
Of operations
Data of.
Of autopsy
What test confirmed diagnosis?
20 Was disease or injury in any way ralated to oooupation of dacaased ?. no
If so, spaoify.
9. 11. Caplan
(Signad)
M. D.
(Address) 186 PmLeein 794. 13 Data 1/1
1944
21
St. Michaels Cemetery Roslindale
Place of Burial, Cremation or Removal.
(City or Town)
DATE OF BURIAL
April 3
19.44
22 NAME OF
FUNERAL DIRECTOR.
Richard C. Kirby Curly
ADDRESS
Boston, Mass.
Raceived and Alad 19
APP 3 1944
(Registrar)
100M-€ - 2-42-8855
1
PLACE OF DEATH
No.
r
corrected company unt 10/30/44
hospital 6144 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 offoot. PARENTS
Duration
Underline the cause to which death should be charged sta- tistically.
Thomas J. Whalen
...
(Specify whether)
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 person or of any member of the family of the deceased, furnisb 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, where same was contracted. the duration of his last illness, when last seen alive by the physician or officer aud 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 bundred 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 inmediste cause of death as nearly as he can stale the seine. For neglect to comply with any provision of this section, such physician or officer shall forfeit ten dollars. For the purposes of thia sec- tion and of sections forty-Ave, forty-six and forty-seven of said chapter one bullred and fourteen, the word "war" shall include the China relief ex- pedition and the Philippine insurrection, which shall, for said purposea, he deemed to have taken place between February fourteenth, eighteen hundred and ninety eight and July fourth, nineteen hundred and two, and the Mexi- can border service of nineteen hundred aud sixtcen and nineteen bundred 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 tlierefrom a human body which has not been buried, until he has received a permit from the board of health, or ita agent appointed to issue such permits, or if there is no such board, from the clerk of the town where the person died; and no undertaker or otber person shall exhume a buman body and remove it from a town, from one cenietery to another, or from one grave or tomb other thau tbe receiving tomb to another in the same cemetery, until be 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 bave 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 returned and recorded, which shall be accompanied. in case of an original internient, by a satisfactory certificate of the 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 health, or employed by it or by the aelectmen for the purpose, shall upon application make the certificate re- quired of the attending physician. If death is caused by violence, the medl- cal examiner chall make such certificate. If such a permit for the removal of a human body, not previously interred, from one town to another within tbe 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, unlesa 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. sucb recital shall appear upon the permit. The board of health, or its agent, upon receipt of such statement and certificate, shall forthwith counter-ign it and transmit It to the clerk of the town for registration. The person to whom the permit Is so giveu and the physician certifying the cause of death shall thereafter furnish for registration any other nece+ sary information which can be obtained as to the deceased, or as to the manner or canse of the death, which the clerk or registrar may require .- Cbap. 114. Sec. 45, G. L., ( Tercentenary Edition).
No undertaker or other person shall bury & 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 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 tbe care of the cemetery or burial ground in which the interment is made. ... Cbap. 114. Sec. 46. G. L., (Tercentenary Editiou).
Medical examiners shall make 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 lawe calle for the observance of the following rules of practice :
(1) Attending phyalcians will certify to sucb deatha only aa those of persons to whom they have given bedside care during a last illness from disease unrelated to any form of injury.
(2) Board of Health phyalolans will certify to such deaths only as 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 absent from home when the certificate of death is needed.
(3) Medloal Examinera will investigate and certify to all deaths aup- posably due to Injury. These include not only deaths caused directly or in- directly by traumatism (Including resulting septicemia), and by the actlon of chemical (drugs or poisons), thermal, or electrical agents, and deaths following abortion, but also deaths from dlacasa resulting from injury or Infeotion related to occupation, the audden 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, asthenia, 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 Ocoupatlon .- 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 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 boine. For a woman wbose only occupatiou was that of bome bousework. write bousework. For a person engaged in domestic service for wages, however, designate the occupation by the appropriate terma, aa housekeeper-private faniily, cook-hotel, etc. For a person who had no occupation whatever write none.
SPACE FOR ADDITIONAL INFORMATION
M R-302
PLACE OF DEATH
(County )
The Commonwealth of Massachusetts OFFICE OF THE SECRETARY DIVISION OF VITAL STATISTICS COPY OF CERTIFICATE OF DEATH
(City or town making return)
68
Registered No.
2732
5 (If death occurred in a hospital or institution, St.
{ give its NAME instead of street and number)
2 FULL NAME.
John Joseph Christopher
(If U. S.
War Veteran,
no
(If deceased is a married, widowed or divorced woman, give also maiden name.)
specify WAR)
(a) Residenoe. No.
152 Lincoln
St.
Winthrop
(Usual place of abode)
(If nonresident, give city or town and State)
Length of stay: In hospital or Institution ..... Hos.p
(Before death)
years
months
3 days.
In this communityl6
yrs.
mos.
days.
PERSONAL AND STATISTICAL PARTICULARS
MEDICAL CERTIFICATE OF DEATH
3 SEX
Male
4 COLOR OR RACE
white
5 SINGLE
MARRIED
WIDOWED
or DIVORCED
(write the word)
DEATH
Married
(Month)
(Day)
(Year)
5a If married, widowed, or HUSBAND of
CHEHerine H. Johnson
19
44
(or) WIFE of
(Husband's name in full)
have occurred on the date stated above, at ... .9.9.30 ... a .... m.
Duration
6 Age of husband or wife if alive years Immediate cause of death ..
7 IF STILLBORN, enter that fact here.
8
56
AGE
Years
Months
Days
If less than 1 day
Hours
Minutes
Usual
9 Occupation :
Towerman
Industry
10 or Business :
Railroad
11 Social Security No ......
023-10-6852
Other conditions.
(Include pregnancy within 3 months of death)
Physician
Major findings :
Of operations.
Underline the cause to
which death
Date of
should be
charged sta- tistically.
What test confirmed diagnosis?
20 Was disease or injury in any way related to ocoupatlon of deceased ?.
If so, specify
Č. R. Park
(Signed)
Peter B. Brigham
Date
3/19/ 440.
.........
21 PLACE OF BURIAL, Winthrop, winthrop, Mass.
CREMATION OR REMOVAL
DATE OF BURIAL
March El.
1944
(City or Town)
19
A TRUE COPY.
francis
ATTEST:
(Registrar of city or town where death occurred)
DATE FILED
March ... 22 ...... 1944
19
22 NAME OF
FUNERAL DIRECTOR
J. F. O'Maley
ADDRESS
Winthrop., .... Mas.s.
Received and filed
APR-1-0-1944
19
(Registrar of City or Town where deceased resided)
60m (e)-1-41-4667
Copies of returns of deaths recorded during the previous month which occurred in your city or town in case the deceased
resided in another city or town at the time of death should be made forthwith and transmitted on Form R-302 to the clerk
of the city or town in which the deceased resided. (See Chap. 46, Sec. 12, G. L.)
PARENTS
14 BIRTHPLACE OF
FATHER (City)
Newfoundland
(State or country)
15 MAIDEN NAME
OF MOTHER
Bridget O'Connell
16 BIRTHPLACE OF
MOTHER (City)
...
"Newfoundland
(State or country)
17
Informant
(Address)
Relation, if any
.
Wife
18 DATE OF
March
19, 1944
That I attended deceased from
19 | HEREBY CERTIFY,
March ...
16 19 44
to
March
19
Lobar pneumonia,/ Carcinoma of rt
6 days
upper lobe & metastases to regional
lymph nodes and liver
Term.
Meningloma - It. frontal lobe
cardiac hypertrophy and dilatation
12 BIRTHPLACE (City)
(State or country)
East Boston, Mass
13 NAME OF
FATHER
John Christopher
Of autopsy
(Address)
1
No.
(City or Town)
Peter Bent Brigham Hosp
(Specify whether)
I last saw h .. i.m ....... alive on .. March
1944 .. , death Is said to
(Give maiden name of wife in full)
50
RECEIVED
TOWI!
11 12
GL
1:0
WII
5
C
HROP.
APR1 01944 AM
M R-302
Essex
The Commonwealth of Massachusetts OFFICE OF THE SECRETARY DIVISION OF VITAL STATISTICS COPY OF CERTIFICATE OF DEATH
Danvers
(City or town making return) 69
Registered No.
(If death occurred in a hospital or institution, { give its NAME instead of street and number)
2 FULL NAME
(If deceased is a married, widowed or divorced woman, give also maiden name.)
(a) Residence. No.
(Usual place of abode)
St.
Winthrop.
(If nonresident, give city or town and State)
Length of stay: In hospital or institution
(Before death)
(Specify whether)
years
months
16 days.
in this community
yrs.
mos.
days.
PERSONAL AND STATISTICAL PARTICULARS
3 SEX
4 COLOR OR RACE|
5 SINGLE
(write the word)
female
white
MARRIED
WIDOWED
or DIVORCED
widowed
5a If married, widowed, or divorced HUSBAND of
(Give maiden name of wife in full)
(or) WIFE of
Walter .... Briggs
(Husband's name in full)
6 Age of husband or wife if alive years
7 IF STILLBORN, enter that fact here.
8
93
AGE
Years
Months.
Days
-
If less than 1 day
Hours
.Minutes
Usual
9 Occupation :
housewife
Industry
10 or Business :
Il Sooial Security No. .. .
none
12 BIRTHPLACE (City)
(State or country)
(E) Boston
13 NAME OF
FATHER
-
Fish
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