USA > Massachusetts > Suffolk County > Winthrop > Town of Winthrop : Record of Deaths 1944 > Part 32
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(City or Town)
19× ×
22 NAME OF
FUNERAL DIRECTOR
Schubert
1 ADDRESS 4/8 Berry st. MytfLa
Received and Alad
MAY Č 197
.........
( Registrar)
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.
100M-€ - 2·42-8855
If deceased was a U. S. War Veteran, G. L. Chap. 46. Section 10, requires physicians to insert a recital to that effect.
1
(City or Town) 10 moltedo ctva x Nevada No.
PHYSICIAN - IMPORTANT
(Was deceased a
U. S. War Veteran,
if so spaoify WAR)
(Give maiden name of wife in full)
12 BIRTHPLACE (City)
( State or country)
PARENTS
.....
19
EXTRACTS FROM THE LAWS OF THE COMMONWEALTH OF MASSACHUSETTS GOVERNING THE
RETURN OF CERTIFICATES OF DEATH
A physloian or registered hospital medical officer shall forthwith, after the death of a person whoin he has attemled 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 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, where same was contracted. the duration of his last illness, when last seen alive by the physician or officer and the date of bis death ... Cen. Laws, Chap. 46, Sec. 9.
A physician or officer furnishing a certificate of death aa required by the preceding section or by section forty-five of chapter one bundred and four- teen, shisIl, if the deceased, to the best of his knowledge and helief, served in the ariny. navy or marine corpa 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, and shall also certify in such certificate both the primary and the secondary or iinmediate cause of death as nearly aa he can state the saine. For neglect to comply with any provision of this section, sucb physician or officer shall forfeit ten dollars. For the purposes of thia sec- tlou and of sections forty-five, forty-aix and forty-seven of said chapter one hundred and fourteen, the word "war" shall include the China relief ex- pedition and tite 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 sixtcen and nineteen hundred and seventeen. G. L. Chap. 46, Sec. 10.
No undartaker or other person shall bury or otherwise dispose of a buman body in a town, or remove therefrom a human body which has not been buried, until he has received a permit from the board of bealth, or Ita 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 other person shall exhume a buman 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 aforesaid or from the clerk of the town where the boily is buried. No such permit ahali be lasued 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 an recorded, which shall be accompanied, in case of an original interment, by a satisfactory certificate of tbe attending physician, if any, as required by law, o1 in lieu thereof a certificate as flereinafter 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 pbysi- cian who ia 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, the medi- cal examluer shali make such certificate. If such a permit for the removal of a human body, not previously interred, from one town to another within the counnouwealth 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 renioval 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 haa bren engaged. sucb recital shall appear upon the permit. The board of health, or ins 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 la so given and the physician certifying the cause of death shall thereafter furnish for registration any other veces Bary information which can be obtained as to the deceased. or aa 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 ahall bury a human body or the ashes thereof which have been brought Into the commonwealth until he has re- ceived a permis so to do front the heard of health or its agent appluted to issue such permits, or if there is no such hoard, from the clerk of the town where the body is to be buried or the funeral is to he held, or from a person appointed to have the care of the cemetery or burial ground in which the interment is made. ... Chap. 114. Sec. 46. C. L., (Tercentenary Editiou).
Medical examiners shall make examination upon the view of the dead bodies of ouly such persons as are supposed to have died hy violence. If a medical examiner has notice that there is within lils county the body of such a person, he shall forthwith go to the place where the truly lies aud take charge of the same; ... - General Laws, Cbap. 38, Sec. 6.
RULES OF PRACTICE
The fulfillment of the purpose of these iaws calls for the observance of the following rules of practice :
(1) Attending physicians will certify to sucb deaths only aa those of persons to whom they have given bedside care during a iast illness from disease unrelated to any form of injury.
(2) Board of Health physlolans 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 phyaf- cian is absent from home when the certificate of death is needed.
(3) Medioal Examiners will investigate and certify to all deaths sup- posably due to Injury. These Include not only deaths caused directly or in- directly by traumatism (including resulting septicemla), and by the action of cilenical (drugs or poisons), thermal, or electrical agents, ail deaths following abortion, but also deatha from diseasa resulting from Injury or infeotlon related to occupation, the sudden deaths of persons not disablad by recognized disease, and those of persons found desd.
Statement of Cause of Death .- Cause of death meana the disease, or complication which causes death. not the mode of dying, e. g., heart fallure, asphyxia, satbenla, 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.
Statemant of Occupation .- Precise statement of occupation ia very im- portant, so that the relative heaithfulness 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 had retired from businesa, report the usuai 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 honie bousework, write bousework. 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)
/inthrop (City or Town)
No. 59 Summit
Ave
The Commontoralih 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, St. [ give its NAME instead of street aud nuniber) PHYSICIAN - IMPORTANT
2 FULL NAME
Alice Miaud Hatkeys
( If deceased is a married, widowed or divorced woman, give alao maiden name.)
59 Summit Ave
St.
(If nonresident, give city or town and State)
Length of stay: In hospital or Institutlon
(Before death)
(Specify whether)
years
months
days.
in this community
I Ogrs.
mos.
days.
PERSONAL AND STATISTICAL PARTICULARS
MEDICAL CERTIFICATE OF DEATH
18 DATE OF
DEATH
( Monthy
6
1944
(Day)
(Year)
19 | HEREBY CERTIFY,
That i attended deosased from
May 4
19.
4/4, 0
2may 6
1944
i last saw h.f.) .....
.alive on
May 5
. 19 44 death is said to
have occurred on the date stated above, at.
3. A.
m.
Immediate cause of death.
Coronary Thrombosis
Due to
Hypertensive Heart
/ Disease
Due to
Other conditions.
( Include pregnancy within 3 months of death)
Major findings :
Of operations
-22000
Date of.
Of autopsy
none
What test confirmed diagnosis?
Clinical Signs
Duration IMPORTANT 2 days
5 years
IMPORTANT
Physician Underline the cause to which death should be charged sta- tistically.
20 Was disease or injury in any way related to occupation of deceased 7220
If so, specify.
8 .10Bren In. O
(Signed)
, M. D.
(Address) Winthrop Wand
Date May ) 1944
21
woodlawn Crematory verett
DATE OF BURIAL
Lav
9
I944
19
22 NAME OF
J. S. "aterman & Sons
FUNERAL DIRECTOR
Boston
ADDRESS
Received and filled
MAY 11 1944
19
(Registrar)
100M-€ -2-42-8855
1
3 SEX
Femalel
(or) WIFE of
Industry
10 or Business :
PARENTS
If deceased was a U. S. War Veteran, G. L. Chap. 46, Seotlon 10, requires physicians to insert a recital to that effeot.
extracts from the laws on back of certificate.
terms, so that it may be properly classified. Exact statement of decorAtion is very important. See instructions and
(State or country)
4 COLOR OR RACE|
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)
( Husband's name in full)
6 Age of husband or wife if alive
years
> IF STILLBORN. enter that fact here.
09
AGE 74 Years TI. Months 8 Days
if less than 1 day
Hours.
Minutes
Usual
9 Occupation :
At Home
11 Social Security No.
'2 BIRTHPLACE (City)
Boston. Mass
13 NAME OF
FATHER
Villiam atkeys
14 BIRTHPLACE OF
FATHER (City)
Nova scotia
(State or country)
15 MAIDEN NAME
OF MOTHER
Elizabeth C. Jordan
16 BIRTHPLACE OF
MOTHER (City)
(State or country)
Nova scotia
17 Dr. Fred. .. Matkeys
Relation, if any
Place of Burial, Cremation or Removal.
(City or Town)
informant ( Address) II Lakeville id. Jan
i HEREBY CERTIFY that a satisfactory standard certificate of death was filed with me BEFORE the burial or transit permit was issued: William D. Childress
(Signature of Agent of Board of Health or other)
agent 5/7/44
(Official Designation) (Date of Issue of Permit)
(Was deceased a
U. S. War Veteran,
if so apeolfy WAR)
1:0
(a) Residence. No.
(Usual place of abode)
None
None
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 attemied during his last illness, at the request of an undertaker or other- authorized person or of any member of the faniily 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. wlirre same was contracted. the duration of his last illnesa, when last seen alive by the physician or officer and the date of bis death ... Cen. Laws, Cirap. 16, Sec. 9.
A' physician or officer furnishing a certificate of death as required by the preceiling 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 immediate cause of death as nearly as he can state the saine. For neglect to comply with any provision of this section, sucb physician or officer shall forfeit ten dollars. For the purposes of thia aec- tiou and of sections forty-five, forty-six and forty-seven of said chapter one bunilred and fourteen, the word "war" shall incinde 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 and sixteen and nineteen bundred and seventeen. G. L. Chap. 16, Sec. 10.
No undertaker or other person shall bury or otherwise dispose of a buman body in a town, or remove therefrom a human boxdly which has not been buried, until he has received a permit from the board of health, or ita agent appointed to issue sucb 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 froin a town. from one cenietery to another, or from oue grave or tomb other thau the receiving tonib 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 ahail be issued until there shall bave been delivered to sucb board, agent or cierk, as the case inay be, a satisfactory written atatenient 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, 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- Tciamwho is; a meniber of the board of health. or employed by it or by the selectien 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 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 renioval shall constitute a permit for such removal; provided, that such body shail be returned to the town from which it was removed within thirty-six hours after such removai, 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 aerved 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. upun 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 nece+ sary information which can be obtained as to the deceased, or us to the manner of cause 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 a human body or the ashes thereof which have been brought Into the commonwealth until he has re- ceived a permit so to do from the board of health or its agent appointed to issue such permits, or if there is no such hoard, from the clerk of the town where the body is to be buried or the funeral is to he held, or from a person appointed to have the care of the cemetery or burial ground in which the interaient is made. ... Chap. 114. Sec. 46. C. L., (Tercentenary Edition).
Medical examiners shall make examination upon the view of the dead bodies of only such persons as are supposed to have died by violence. if a medical examiner has notice that there is within his county the body of such a person, he shall forthwith go to the place where the body lies aud take charge of the same; ... - General Laws, Chap. 33, 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 phyalcians will certify to such deatha oniy aa those of persons to whom they have given bedside care during a last iliness from disease unrelated to any form of injury.
(2) Board of Health physlolans will certify to such deaths only as those of persons who, though disahled by recognized disease unrelated to any form of injury. have died without recent medical attendance or whose pbsaf- cian is absent from home when the certificate of death is needed.
(3) Medloai Examiners will investigate and certify to all cicatba sup- posably due to Injury. These include not only deaths caused directly or in- directly by traumatism (Including resulting septicemia), and by the actlon of cheniical (drugs or poisons), thermal, or electrical agents, aml deatbs following abortion, but also deaths from dlaeasa 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 deathi meana the disease, or complication which causes death. not the movie of dying, e. g., heart failure, asphyxia, asthenia, etc. Aa principal cause name tbe disease caualug death. As related causes, name earlier morbid conditions, if any, related to the principal cause and any important complication of the principai cause.
Statement of Occupation .- Precise statement of occupation ia very Im- portant, so that the relative beaithfuiness 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 liiness. If the deceased bad retired from business, report the usual occupation prior to retirement. Children not gainfully employed may be returned an at school or at hoine. For a woman wbose only occupation was that of honie bousework. write housework. For a person engaged in domestic service for wages, however, designate the occupation by the appropriate terms, as bousekeeper-private faniily, cook-hotel, etc. For a person wbo bad no occupation whatever write none.
SPACE FOR ADDITIONAL INFORMATION
R-301 A
Auffalls
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.
Registered No.
99
{ { If death occurred in a hospital or institution, i give its NAME fastead of street and number) PHYSICIAN - IMPORTANT
2 FULL NAME
{ If dereased is married, widowed or divorced woman, give also maiden name.)
1441 Bennington
St.
East Bing recity
(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
4 COLOR OR,RACE|
Female White
3 SEX
5 SINGLE
MARRIED
WIDOWED
( write the word)
Épingle
5a If married, widowed, or divorced
HUSBAND of
(Give maiden name of wife in hill)
(or) WIFE of
( Husband's name in full)
6 Age of husband or wife if alive years
> IF STILLBORN. enter that fact here.
00 AGES Years Months Days
If less than 1 day
Hours
Minutes
Usual
9 Occupation :
Housework
Industry
10 or Business :
Own Home
il Social Security No.
zione
12 BIRTHPLACE (City)
( Siale or country )
" Cast Boston Mass
13 NAME OF
FATHER
Jeremiale Twomey
14 BIRTHPLACE OF
FATHER' (City)
(State or country)
Ireland
15 MAIDEN NAME
OF MOTHER
Catturine Kelly
16 BIRTHPLACE OF
MOTHER (City)
( State or country)
treland
17 Joseph Twomens RelationSur
Informant ( Address )
14H/ Bundes 2 9.0
I HEREBY CERTIFY that a satisfactory standard certificate of death was filed with me. BEFORE the burial or transit permit wes Issued ? Ihm X- Childress
(Signature of Agent of Board it Heaith or other) 5//3/44
(Oficial Designation) / V (Date of Issue of Permit)
18 DATE OF
DEATH
May
( Month)
( Das)
1944 (Year)
19
HEREBY CERTIFY,
1940.
Ło ..
Man 11
19
44
That I attended deosased from
I Est saw h.
ailve on.
5/11
.4. 19 4. ( death Is said to
have occurred on the dete stated above, at
60
m.
Immedlate couse of death. Queria Endocarditis
Due to
Due to
Other conditions
( Include pregnancy within 3 months of death)
.... .......... IMPORTANT
Physician
U'nderiine the cause to which death should! be charged sta- tisticaliy.
20 Was disease or injury in any way related to occupation of deceased ? .....
If so, specify.
( Signed )
Hay Ollegan
.... . M. D.
(Address)
670 Samtmin Date 5/12 1944
21
Malden l'lece of Burian Cremation or Removal.
(Citfor Town)
DATE OF BURIAL
may 15
1944
22 NAME OF
FUNERAL DIRECTOR
Charles H. Treanor
ADDRESS
Each Boston
Received and Aied
MAY 15-944
19
( Registrar)
100M-G - 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 physicians to Insert a reoltai to that effect. PARENTS
PLACE OF DEATH
1
/Couptr) Winthrop
No.
Winthrop Community Hospitals
mary F. Twomey
(Was deceased a
U. S. War Veteran,
it to specify WAR)
.......
.........
Mejor findings :
Of operations
Dete of
Of autopsy
What test confirmed diagnosis ?
Duration
IMPORTANT
(a) Residence. No.
(Usuai piace of abode)
EXTRACTS FROM THE LAWS OF THE COMMONWEALTH OF MASSACHUSETTS GOVERNING THE
RETURN OF CERTIFICATES OF DEATH
A physiolan 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 ans meniber 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 allve by the physician or officer and the date of his death ... Gen. Laws, Chap. 46, Sec. 9.
A' physician or officer furnishing a certificate of death as required by the preceding section or by section forty-five of chapter one 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 immediate cause of death as nearly as he can state the saine. For neglect to comply with sny provision of this section, auch physician or officer shall forfeit ten dollars. For the purposes of thia aec- tion and of sections forty-five, forty-six and forty-seven of said chapter one bundred and fourteen, the word "war" shall include the Chins 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 and sixteen and nineteen bundred and seventeen. G. L. Chap. 46. Sec. 10.
No undertaker 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 ita agent appointed to lesue such permits, or if there is no such board, from the clerk of the town where the person died; and no undertaker or otber person shall exhume a buman body and remove it froin a town, from one cemetery 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 have been delivered to sucb board, agent or clerk, as the case may be, a satisfactory written statement containing the facta 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. 01 in lieu thereof a certificate as hereinafter provided. If there is no attending physician, or If, for sufficient reasons, hia certificate cannot be obtained early enough for the purpose, or is insufficient. a pbysl- 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, tbe medl. cal examhier aball make such certificate. If such a permit for the removal of a human body, not previously interred, froin one town to another within the commonwealth cannot be obtained early enough for the purpose, the certificate of desth made as above provided and in the possession of 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 contains a recital, as required
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