Town of Winthrop : Record of Deaths 1944, Part 35

Author: Winthrop (Mass.)
Publication date: 1944
Publisher:
Number of Pages: 526


USA > Massachusetts > Suffolk County > Winthrop > Town of Winthrop : Record of Deaths 1944 > Part 35


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18 DATE OF


DEATH


May


23


1944 (Year)


19 HEREBY CERTIFY, May 3 44, 40


That I attended deosased from


23


19


44


I last saw h. A ..... .. allva on.


May 23, 1944, death Is said to


have occurred on the date stated above, at.


10 m.


Duration


IMPORTANT .......


Due to


Due to


Cardiac Embar quent


Conjunto deco Pula


Other conditions.


( Include pregnancy within 3 months of death)


... IMPORTANT


Major findinga:


Of operations


Date of


Of autopsy


What test confirmed diagnosis?


Physician Underline the cause (o) which death should be charged sta. tistically


20 Was disease or injury in any way related to occupation of deceased ?


If so, spaoify.


David Dauxo


( Signed)


. M. D.


(Address)


416 Thallows Date May 24 1944


21


Pride of Jacob Cem. Dendam Mass.


Place of Burial, Cremation or Removal.


(City or Town)


7


ay ..... 24 ..


1944


22 NAME OF


FUNERAL DIRECTOR


ADDRESS


1272 Blue Hill


ve att.


Received and flad


MAY 26 1947


19


(Omcial Designation) 1


( Registrar)


.


extracts from the laws on back of certificate. If deceased was a U. S. War Veteran, Q. L. Chap. 46, Seotion 10, requires physicians to insert a recital to that effect.


100m(i).1.44.13634


Informant :


DATE OF BURIAL


B


Schlossbergt-


6-12 kors


home


Immediate osuse of death


heart failure


(Month)


(Day)


PHYSICIAN - IMPORTANT


( Was deceased a


U. S. War Veteran,


if so specify WAR) ...


No.


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 hest of his knowledge and helief the name of the deceased, his supposed age, the disease of which he died, defined as re- quired hy section one, where same was contracted, the duration of his last illness, 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 hy the preceding section or hy section forty-five of chapter one hundred and four- teen, 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 iu the certificate a recital to that effect, speci- fying the war, and shall also certify in such certificate hoth 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 expedition 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 Mexican horder service of nineteen hundred and sixteen and nine- teen hundred and seventeen. G. L. Chap. 46, Sec. 10.


No undertaker or other person shall hury or otherwise dispose of a human hody in a town, or remove therefrom a human hody which has not heen huried, until he has received a permit from the hoard 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 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 tomh other than the receiving tomh to another in the same cemetery, until he has received a permit from the hoard of health or its agent aforesaid or from the clerk of the town where the hody is huried. No such permit shall he issued until there shall have heen delivered to such hoard, agent or clerk, as the case may he, a satisfactory written statement containing the facts required hy law to he returned and recorded, which shall he accompanied, in case of an original interment, hy a satisfactory certificate of the attending physician, if any, as required hy law, or in lieu thereof a certificate as hereinafter provided. If there is no attending physician, or if, for sufficient reasons, his certificate cannot he obtained early enough for the purpose, or is insufficient, a physi- cian who is a member of the hoard of health, or employed hy it or hy the selectmen for the purpose, shall upon application make the certificate re- quired of the attending physician. If death is caused hy violence, the medi- cal 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 he 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 shall 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 removal of such body has heen sooner ohtained herennder. If the death certificate contains a recital, as required


hy section ten ot chapter torty-six, that the deceased served in the army, navy or marine corps of the United States in any war in which it has heen engaged, such recital shall appear upon the permit. The hoard 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 neces- sary information which can he 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).


Medical examiners shall make examination upon the view of the dead hodies 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 hody of such a person, he shall forthwith go to the place where the hody lies and take charge of the same; ... - General Laws, Chap. 38, Sec. 6.


No undertaker or other person shall hury a human hody or the ashes thereof which have heen brought into the commonwealth until he has re- ceived a permit so to do from the hoard 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 hody is to he huried or the funeral is to he held, or from a person appointed to have the care of the cemetery or burial ground in which the interment is made. . .. Chap. 114, Sec. 46, G. L., (Tercentenary Edition).


RULES OF PRACTICE


The fulfillment of the purpose of these laws calls for the ohservance 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 phy- sician is ahsent from home when the certificate of death is needed.


(3) Medical Examiners will investigate and certify to all deaths sup- posably due to injury. These include not only deaths caused directly or indirectly hy traumatism (including resulting septicemia), and hy the action of chemical (drugs or poisons), thermal, or electrical agents, and deaths following ahortion, hut also deaths from disease resulting from injury or infection related to occupation, the sudden deaths of persons not disahled hy 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 morhid 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 im- portant, so that the relative healthfulness of various pursuits can he known. Make some entry in this section for every person aged 10 years or over. If the occupation had been given up or changed on account of the 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, how- ever, 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


R-301 A


Suffolk


( County) Winthrop


Winthrop Community Hospital No.


St. S ( If death occurred in a hospital or institution, ( give its NAME instead of street and number)


Lillian Goldberg


( If deceased Is a married, widowed or divorced woman, give also maiden name.)


24 Trident Que


St.


Wint


(Was deceased a


U. S. War Veteran,


if so specify WAR)


hrob


(a) Residence. No.


(Usual piace of abode)


Length of stay: In hospital or Institution


(Before death)


(Specify whether)


years


months days.


In this community


12


yrs.


mos.


days.


PERSONAL AND STATISTICAL PARTICULARS


MEDICAL CERTIFICATE OF DEATH


3 SEX


4 COLOR OR RACE|


Female White


5 SINGLE,


( write the word)


MARRIED


WIDOWED


married


5a If married, widowed, or divorced HUSBAND of


(or) WIFE of


( Husband's name in full)


6 Age of husband or wife if alive 40


years


9 IF STILLBORN. enter that fact here.


8 AGE 38 Years 11 Months 22 Days


If less than 1 day


Hours


Minutes


Usual


9 Occupation :


Housewife


Industry 10 or Business :


11 Social Security No. none


:2 BIRTHPLACE ( City)


(State or country)


13 NAME OF


FATHER


Louis Pearlmutter


14 BIRTHPLACE OF


FATHER (City)


(State or country)


austria


15 MAIDEN NAME


OF MOTHER


March Marion Rosenberg


16 BIRTHPLACE OF


MOTHER (City)


(State or country)


"lustria"


17 Informant


Relation, If any abraham fishler (metall) (Address) 23 Wave Way Tree. Whatthe


I HEREBY CERTIFY that a satisfactory standard certificate of death was filed with me BEFORE the burial or transit permit was Issued :


22 NAME OF


FUNERAL DIRECTOR.


manuel staneteby


ADDRESS


10 washinton tr. Dar


19


...


(Official Designation) (Date of Issue of Permit)


18 DATE OF DEATH May 25 1944


( Month)


(Day)


(Year)


19 | HEREBY CERTIFY,


That i attended deosased from


Jan


mary


7 1944


1 last saw h.


el


.. alive on


May 2st 10+4.


death is said to


have occurred on the date stated above, at 3:30 p. m.


immediate cause of death.


Carcinoma of left breast


Due to.


Several carcinomatores


......


6 mod ......


Due to


Other con


none


( Include pregnancy within 3 months of death)


IMPORTANT


Major findings:


Of operations


Carcinoma left fread


Date of


1941


Of autopsy.


none


What test confirmed d


clinical x


labrador


Physician Underline the cause to which death should be charged sta- tistically.


20 Was disease or injury in any way related to oooupation of deceased ?...


If so, specify~


(Signed) Jaert


(Address) 562 Hurleyas


Date May 25 1944


abraço M.82


M. D.


Place of Burial, Cremation or Removal.


(City or Town)


DATE OF BURIAL


muy


26


1944


.......


Received and Alled MAY 28 1015


( Registrar)


100M-G - 2-42-8855


- extracts from the laws on back of certificate. terms, so that it may be properly classified. Exact statement of OCCUPATION is very important. See instructions and If deceased was a U. S. War Veteran, G. L. Chap. 46, Section 10, requires physicians to Insert a recital to that effect. PARENTS


1


PLACE OF DEATH


2 FULL NAME.


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. 105


Registered No.


PHYSICIAN - IMPORTANT


(If nonresident, give city or town and State)


to .


May 25


1944


Duration


.....


(Signature of Agent of Board of Health or other) Health Office 5/26/44


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 s 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 ar re- quired by section one. wlire same was contracteil. the duration of his last illness, when last seen alive hy the physician or officer and the date of hia death ... Gen. Laws, Chap. 46, Sec. 9.


A physician or officer furnishing a certificate of death as required by the preceding section or by section forty-five of chapter one bundred and four- teen, shall, if the decessed. to the best of his knowledge and belief, served in the army, wavy 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 atate the saine. For neglect to comply with any provision of this section, sucb physicien 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 incliule the China relief ex- pedition and the Philippine insurrection, which shall, for said purposes, he deeincd 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 sixtcen and nineteen hundred 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 therefrom a human hody 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 uo such board, from the clerk of the town where the person died; and no undertaker or otber person shall exhume a human body and remove it froin a town, from one cenietery to snother, or from one grave or tomb other than the receiving tomb to another in the same cemetery, until be has received a permit from the board of health or its agent aforesaid or from the clerk of the town where the body is buried. No such permit shall be issued until there aball have been delivered to sucb board, agent or clerk, as the case inay 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 Internient, by a satisfactory certificate of the attending physician, if any, as required by law. oi 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 medi- cal examiner 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 commonwealth cannot be obtained esrly enough for the purpose, the certificate of death made as above provided and in the possession ot the undertaker desiring to make such renioval aliall 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 recitai, 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 hren engaged. sucb recital shall appear upon the permit. The board of health, or its sgent. 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 theresfter furnish for registration any other nece+ sary information which can be obtained as to the deceased. or sa to the malmer 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 ashea thereof which have been brought into the conimonweslih until he has re- ceived a permit so to do fruni the hoard 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 ibe interment ia made .... Cbap. 114. Sec. 16. G. L., (Tercentenary Editiou).


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 hody of such a person, he shall forthwith go to the place where the body lies 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 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 phyalolana 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 attenulance or whose pbyaf- cian is ahsent from home when the certificate of death Is needed.


(3) Medloal Examiners will investigate and certify to all deatha 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, and deaths following abortion, but also deaths from diseasa resulting from injury or Infection related to occupation, the sudden deaths of persona 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 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 Ocoupatlon .- Precise statement of occupation is very im- portant, so that the relative bealthfulness of various pursuits can he known. Make some entry in this section for every persou aged 10 yeara 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 hsd retired from business, report the usual occupation prior to retirement. Children not gainfully employed may he returned aa at school or at hoine. For a woman whose only occupatiou waa that of bonie bousework, write bousework. For a person engaged in domestic service for wages, however, designate the occupation hy the appropriate terma, aa housekeeper-private family, cook-hotel, etc. For a person who had no occupation whatever write none.


SPACE FOR ADDITIONAL INFORMATION


RM R-301


PLACE OF DEATH


Siffuk "(County)


(City or Towy


The Commonwealth of Massachusetts OFFICE OF THE SECRETARY DIVISION OF VITAL STATISTICS STANDARD CERTIFICATE OF DEATH


(City or town making return)


Registered No ..


106


[ (If death cccurred in a hospital or institution, St. [ give its NAME instead of etreet and number) PHYSICIAN- IMPORTANT (Was deceased a U. S. War Veteran? If so, (specify WAR)


1010 Shirley AT


St.


(If nonresident, give city or town and State)


Length of stay: In hospital or institution.


(Before death)


(Specify whether)


years


monthe


days.


In this community 22 yrs.


mos.


days.


PERSONAL AND STATISTICAL PARTICULARS


4 COLOR OR RACE


Female White


6 SINGLE


(write the word)))


widaved


MARRIED


WIDOWED


or DIVORCED


Sa If married, widowed, or divorced HUSBAND of ..


(or) WIFE of ....


(Give maiden name of wife le full) .


pragah 60


(Husband's name in full)


6 Age of husband or wife if alive. .years


7 IF STILLBORN, enter that fect here.


8 AGE 81 Yoera Months. ...... Days


If less than I day


Hours.


Minutes


º Occupation :...


at Home


Industry


10 or Business:


11 Social Security No.


12 BIRTHPLACE (City)


(State or country)


Boston


13 NAME OF


FATHER


unknown


14 BIRTHPLACE OF


FATHER (City) ...


alsace foratine


(State or country)


18 MAIDEN NAME


OF MOTHER


Elizabeth Finite


16 BIRTHPLACE OF


MOTHER (City) ...


(State or country)


Germany


Reiation, if any


Informant.


(Address)


1010 0shelley St


I HEREBY CERTIFY that a eatjefactory standard certificate of death was filed with me BEFORE the burial or transit permit was issued:


(Signature of Agent of/ Heard of Health or 6ther)


aire


(3/26/44


(Oficial Designation) (Date of Issue of Permit)


MEDICAL CERTIFICATE OF DEATH


18 DATE OF


DEATH


May -


24


14 - .....


(Month)


(Day)


(Year)


19 I HEREBY CERTIFY. That I attended deceased froro


Duration m. Important 1943, to. May 23 1944 I last saw h ir alive on. May-24 1944 death is said to have occurred on the date stated above, at / @- P Immediate cause of death


(Teneral


Carcinomatasis


Due to.


Due to.


Other conditions.


(Include pregnancy within 3 months of death)


Major findings: Of operations


Date of


Of autopsy


What test confirmed diagnosis ?.


Xray"


20 Was disease er injury in any way related to occupation of deceased ?. NO


If so, specify.


Edward d' risquev, M. D.


(Signed)


(Address) LIJ VAD


my Doto A+951944


21


St. Joseph 2 Cemetery Boston


Piace of Burial Cremacion or Removal.


(City or Town)


DATE OF BURIAL.


May 2711


19 44


22 NAME OF


FUNERAL DIRECTOR


ADDRESS 210 Winthrop 25.


Received and filed


MAY 31 1944


.19


A TRUE COPY ATTEST: (Registrar) V


Important


PHYSICIAN Underline the cause to which death should be charged sta- tistically.


1 3 SEX Ueual PARENTS 17 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 100m(h)-1-41-4695 N. B .- WRITE PLAINLY, WITH UNFADING BLACK INK-THIS IS A PERMANENT RECORD. Every item of infor- Hx


1010 Shirley at Winthrop


No ...


...


alezabeth High (Fix) ( Baker)


2 FULL NAME


(If degeased is a married widowed or divorced woman, give also maiden name.)


(a) Residence. No ..


(Usuai piace of abode)


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 his knowledge and belief the name of the deceased, his supposed age, the disease of which he dled, defined as required by section one, where same was contracted, the duration of hls last illness, when last seen alive 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 hundred and fourteen, shall, if the deceased, to the best of his knowledge and belief. 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 recital to that effect, specifying the war, and shall aiso 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" shali 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 horder service of nineteen hundred and sixteen and nineteen hundred and seventeen .- General Laws, Chap. 46, Sec. 10.




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