USA > Massachusetts > Suffolk County > Winthrop > Town of Winthrop : Record of Deaths 1944 > Part 5
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SPACE FOR ADDITIONAL INFORMATION
M R-301 A Suffolk ...... U County)
1
PLACE OF DEATH r
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.
98Bellevie are Withus! (If death occurred in a hospital or institution, No.
"I give its NAME instead of street and number)
Ralph. Frank Turnbull
(If deceased is a marricd, widowed or divorced woman, give also maiden name,) 98 Bellevue ave Wineauch
(a) Residence. No.
(Usual place of abode)
Length of stay: In hospital or institution
(Before death)
(Specify whether)
years
months
days.
In this community
50 yrs.
mos.
days.
PERSONAL AND STATISTICAL PARTICULARS
3 SEX
male
4 COLOR OR RACE
white
5 SINGLE
MARRIED
WIDOWED
or DIVORCED
( write the word)
Single
Sa If married, widowed, or divorced HUSBAND of
(or) WIFE of
(Ilusband's name in full)
6 Age of husband or wife if alive years
7 IF STILLBORN, enter that fact here.
AGE
Months.
Days
If less than 1 day
Hours ..
.....
Minutes
Usual
9 Occupation :
Photographer
Industry
10 or Business :
Photographing
11 Social Security No.
12 BIRTHPLACE (City)
(State or country )
13 NAME OF
FATHER
James. P. Turnbull
14 BIRTHPLACE OF
East Boston
FATHER (City)
(State or country)
mass
15 MAIDEN NAME
OF MOTHER
Mary Peck
16 BIRTHPLACE OF
MOTHER (City)
Pennyan
(State or country)
new york
17 Lottic. M. Whitemore Relation, if any (Address) 98 Beleives att
Sula
I HEREBY CERTIFY that a satisfactory standard certificate of death was filed with me BEFORE the burial or transit permit was Issued :
(Siguature of Agent of Board of flealth or other) Healthe Office 1/23/44
( Official Designation) (Date of Issue of Permits
18 DATE OF
DEATH
January
21,
1944
(Year)
(Month )
(Day)
19 | HEREBY CERTIFY,
That I attended deoeased from
40
...
to.
January
1944
I last saw him
alive on
Man
2/, 1944, death is sald to
have occurred on the date stated above, at
5.30 P
.m.
Immediate cause of death.
Cerebral Hemorrhage
IMPORTANT
44
3 years
Due to.
Hypertension
Due to.
Other conditions
Diabetes
(Include pregnancy within 3 months of death)
Major findings :
Of operations.
2200g
Of autopsy.
What test confirmed diagnosis?
Chico Signs
charged sta- tistically.
20 Was disease or injury in any way related to occupation of deceased ? To If so, specify
(Signed)
(Address)
M. D.
21
Writing Comeley
Place of Burial, Cremation or Removal.
(City or Town) ..... DATE OF BURIAL. Jan 25
1944
22 NAME OF
FUNERAL DIRECTOR
Chas RBemein
ADDRESS
Received and filed
JAN-2-6-1944
.19
( Registrar)
100m (d)-1-41-4667
if deceased was a U. S. War Veteran, G. L. Chap. 46, Section 10, requires physicians to insert a recitai to that effeot.
extracts from the laws on back of certificate.
should be carefully supplied. ACE should be stated EXACTLY. PHYSICIANS should state CAUSE OF DEATH in plain
terms, so that it may be properly classified. Exact statement of OCCUPATION is very important. See instructions and
PARENTS
...
Date Vanty 1944
5 years ....
IMPORTANT
Physician
Date of
Underiine the cause to which death should be
2 FULL NAME
PHYSICIAN - IMPORTANT (Was deceased a U. S. War Veteran, If so specify WAR) r
(If nonresident, give city or town and State)
MEDICAL CERTIFICATE OF DEATH
Duration
8
73 Years
(Give maiden name of wife in fuli)
EXTRACTS FROM THE LAWS OF THE COMMONWEALTH OF MASSACHUSETTS GOVERNING THE
RETURN OF CERTIFICATES OF DEATH
A physiolan or registered hospital medloal 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 tbe family of the deceased, furnisb for registration a standard certificate of death, stating to the best of his knowledge and belief the nanie 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 ... 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 four- teen, sliall, 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, speci- fying the war, and shall also certify in such certificate both the primary and the secondary or inimediate cause of death as nearly as be can state the same. For neglect to comply with any provision of this section, sucb physician or officer shall forfeit ten dollars. For the purposes of this sec- tion and of sections forty-five, forty-six and forty-seven of said chapter one hundred and fourteen, the word "war" shall include the China relief ex- pedition and the Philippine insurrection, which shall, for said purposes, be 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 sixteen and nineteen bundred and seventeen. G. L. Chap. 46, Sec. 10.
No undertaker or other person shall bury or otherwise dispose of a human body in a town, or remove therefrom a human body which has not been buried, until he has received a permit from the board of health, or 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 huinan body and remove it from a town, from one cemetery to another, or from one grave or tomb other than the receiving tomb to another in the saine cemetery, until he has received a permit from the board of liealth or its agent aforesaid or from the clerk of the town where the body is buried. No such permit shall he issued until there shall bave been delivered to such board, agent or clerk, as the case may be, 8 satisfactory written statement containing the facts required by law to be returned and recorded, which shall be accompanied, in case of an original interment, by a satisfactory certificate of the attending physician, if any, as required by law, or in lieu thereof a certificate as hereinafter provided. If there is no attending physician, or if, for sufficient reasons, his certificate cannot be obtained early enough for the purpose, or is 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 death is caused by violence, the medi- cal examiner shall make such certificate. If sucb a permit for the removal of a human body, not previously interred. from one town to another within tbe connnonwealth 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 removal of such body has been sooner obtained hereunder. If the death certificate contains a recital, as required
by section ten of chapter forty-six, that the deceased served in the army, navy or marine corps of the United States in any war In which it has been engaged, such recital shall appear upon the permit. The board of healtb. 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 furuish for registration any other neces- sary information which can be obtained as to the deceased, or as to tbe manter or cause of the death, which the clerk or registrar may require .- Chap. 114, Sec. 45, G. L., (Tercentenary Edition).
No undertaker or otber 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 board, from the clerk of the town where the body is to be buried or the funeral is to be held, or froin a person appointed to have the care of the cemetery or burial ground in which tbe intermeut is made. .. . Chap. 114. Sec. 46, G. L., (Tercentenary Edition).
Medical examiners shall make examination upon the view of the dead bodies of ouly sucb 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 sball forthwith go to the place where the body lies and take charge of the same; ... - General Laws, Chap. 38, Scc. 6.
RULES OF PRACTICE
The fulfillment of the purpose of these laws calls for tbe 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 physlolans will certify to sucb 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 physi- cian is absent 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 in- directly by traumatism ( including resulting septicemia), and by the action of chemical (drugs or poisons), thermal. or electrical agents, and deaths following ahortion, but also deaths from disease resulting from Injury or Infection related to occupation, the sudden deaths of persons hot 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, ctc. As principal cause name tbe disease causing death. As related causes, name earlier morbid conditions, if any, related to the principal cause and any important complication of the principal canse.
Statement 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 on account of the disease causing death, report the usual occupation prior to illness. If the deceased bad 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 honte 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 wbo had no occupation whatever write none.
SPACE FOR ADDITIONAL INFORMATION
R-301 A
PLACE OF DEATH
Suffolk (County) Whilethrow
The Commontoralth of Massaelpisetts 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.
12
( If death occurred in a hospital or institution, St.
( give its NAME instead of atreet and number)
2 FULL NAME
(If deceased is a married, widowed or divorced woman, give also maiden name.)
(a) Residence. No.
26 Enfield
Road
St.
Winthrop
(If nonresident, give city or town and State)
Length of stay: In hospital or Institution.
(Before death)
(Specify whether)
PERSONAL AND STATISTICAL PARTICULARS
4 COLOR OR RACEj
white
5 SINGLE
(write the word)
Widowed
MARRIED
WIDOWED
or DIVORCED
Sa If married, widowed, or divorced Gertrude 6. Bagley HUSBAND of
(Give maiden name of wife in full)
( Husband's name In full)
6 Age of husband or wife if alive deceased
years
9 IF STILLBORN. enter that fact here.
8 68 Years Months Days
If less than 1 day
Hours.
Minutes
Attorney at Law
Self
11 Social Security No.
none
East 1300lon
12 BIRTHPLACE (City)
(Siste or country)
tuasa.
13 NAME OF
FATHER
William J. Burke
14 BIRTHPLACE OF
FATHER (City)
St. John
(State or country)
New Brunswick
15 MAIDEN NAME
OF MOTHER
Margaret 7. Ryan
16 BIRTHPLACE OF
MOTHER (City)
(State or country)
Ireland
17 William E. Burke Dr. Relation, if any
Informant. 36 Enfield Pd., Winthrop
I HEREBY CERTIFY that a satisfactory standard certificate of death was filed with me BEFORE theybyflal or transit permit was Issued : N.M. D. Childrenin
(Signature of Agent of Board of Health or other)
Health Office 1/25/44 .....
"(Official Designation
(Date of Issue of Permity
18 DATE OF
DEATH
(Month)
(Day)
19440 (Year)
19 I HEREBY CERTIFY,
That I attended deosased from
19.
43
Ło.4
19
I last saw h.
.. alive on.
1233, 19 YYa
have occurred on tha date stated above, at ,
Immedlate cause of death .....
- IMPORTANT
Due to. anteroplein
10 100
Due to
Other conditions.
( Include pregnancy within 3 months of death)
IMPORTANT
Physician
Major findIngs : Of operations
Date of
Of autopsy
What test confirmed dlagnosla?
20 Was disease or injury in any way related to oooupation of deceased ?
If so, spacify .......................
(Signed)
(Address)
M. D.
1-24-19456
21 St. Paula Arlington (Cit or Town)
l'lace of Burial, Cremation or Removal.
BURIAL January 26
1944 .....
22 NAME OF
FUNERAL DIRECTOR.
M. Kelly
ADDRESS
11 Mondial St , E. ITS,
Recalvad and Aled. 19
JA* 86-1944
(Registrar)
100M-6 - 2-42-8855
1 3 SEX Tuale (or) WIFE of Usual 9 Occuoatlon : PARENTS If deceased was a U. S. War Veteran, G. L. Chap. 46, Section 10, requires physiolans to insert a recital to that effect. 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. angelo pe corsteny supplice. Aut anouto be stated LAReIsi. FrISTelANS should state CAUSE Of DEAin in plain Industry 10 or Business :
No.
(City or Town) 20 Enfield Road
William E. Burke
PHYSICIAN - IMPORTANT
(Was deceased a
U. S. War Veteran,
210.
If so specify WAR)
(Usual place of abode)
no.
yeara
months
days.
In this community 30 yra. - mos. ~ days
MEDICAL CERTIFICATE OF DEATH
death Is sald to
2L
m.
Duration
...
Underline the cause to which death should ba charged sta- tistically.
Gook
Registered No.
23
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 atterled 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 certifcate of death, stating to the best of his knowledge and belief the name of the deceased. his supposed age, the disease of which he died. defined as re- quired by section one. wlirre same was contracted. the duration of his last illness, when laat seen alive by the physician or officer and the date of his death ... Gen. Lawa, Chlap. 16, Sec. 9.
A' physician or officer furnishing s certificate of death aa 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 auy war in which it has been engaged, insert in the certificate a recital to that effect, speci- fying the war, and shall also certify in such certificate both the primary and the secondary or immediate cause of death as nearly as he can state the same. For neglect to comply with any provision of this section, sucb physician or officer shall forfeit ten dollars. For the purposes of thia sec- tion and of sectinns forty-five, forty-six and forty-seven of said chapter one hundred and fourteen. the word "war" shall inclinle the China relief ex- pedition and the Philippine insurrection, which shall, for said purposes. he deemed to have taken place hetween February fourteenth, eighteen hundred and ninety- eight and July fourth, nineteen hundred and two, and the Mexi- can border service of nineteen hundred aud sixtcen and nineteen bundred and seventeen. G. L. Cliap. 46, Sec. 10.
No undertakar 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 health, or its agent appointed to issue sucb 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 buman body and remove it fromn a town, from one cenietery to another, or from one grave or tomb other than the receiving tonib to another In the same cemetery, until he haa received a permit from the board of health or its agent aforexaid or from the clerk of the town where the boily is buried. No such permit shall be issued until there shall have 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. o1 in lieu thereof a certificate as hereinafter provided. If there is no attending physician, or if, for sufficient reasons, his certificate cannot be obtained early enough for the purpose, or is insufficient, a physl- cian who is a member of the board of health. or employed by it or by the selectmen for the purpose, shall upon application niake the certificate re- quired of the attending physician. If death is caused by violence. the medi- cal examiner shall make such certificate. If such a permit for the removal of a human body. not previously interred, froin one town to another within the commonwealth cannot be obtained early enough for the purpose, the certificate of death made as above provided and in the possession ot the undertaker desiring to make such removal shall constitute a permit for such removal; provided, that such body shall be returned to the town from which it was removed within thirty-six hours after such removal, unless a permit in the usual form for the removal of such body has been sooner obtained hereunder. If the death certificate contains a recital, as required
by section ten of chapter forty-six, that the deceased 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. upon receipt of such statement and certificate, shall forthwith counter-ign it and transmit It to the clerk of the town for registration. The jurson to whom the permit is so given and the physician certifying the cause of death shall thereafter furnish for registration any other urce+ sary information which can be obtained as to the deceased, or us to the manner or 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 perniit so to do froni the hoard of healib or its sgem appminted 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 apjminted to have tbe care of the cemetery or burial grouml in which the interment is made .... Cbap. 114. Sec. 46. C. 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 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 body lies aud take charge of the same; ...- General Laws, Cbap. 38, Sec. 6.
RULES OF PRACTICE
The fulfillment of the purpose of these laws calla for the observance of the following rules of practice:
(1) Attending physicians 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 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 meilical attendance or whose pbyaf- cian is absent from home when the certificate of death is needed.
(3) Medical Examiners will investigate and certify to all ilcatbe sup- posably due to injury. These include not only deaths caused directly or in- directiy by traumatism (including resulting septicemla), and by the action of chemical (drugs or poisons), thermal, or electrical agents, aml deaths following abortion, but also deaths from disease resulting from Injury or Infection related to occupation, the sudden deaths of persons not disablad by recognized disease, and those of persons found dead.
Statement of Cause of Death .- Callse of death meana the disease, or complication which causes death, not the moile of dying, e. g., heart failure, asphyxia, asthenla, etc. Aa principal cause name tbe disease caualng death, As related causes, name earlier morbid conditions, if any, related to the principal cause and any important complication of the principal cause.
Statement of Oooupation .- Precise statement of occupation ia very im- portant, so that the relative healthfulness of various pursuits can be known. Make some entry in this section for every person 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 bad retired from business, report the usual occupation prior to retirement. Children not gainfully employed may be returned aa at school or at huine. For a woman whose only occupatiou was that of home bousework. write housework. For a person engaged in domestic service for wages, however, designate the occupation by the appropriate terms, aa bousekerper-private faniily, cook- hotel, etc. For a person wbo bad no occupation whatever write none.
SPACE FOR ADDITIONAL INFORMATION
R-301 A
Suffolk
(County)
Winthrop
......
(City or Town)
No.
4 Elmwood Court
........
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.
13
§ ( If death occurred In a hospital or Institution, [ give its NAME instead of street aud nuniber) St.
PHYSICIAN - IMPORTANT
2 FULL NAME
Delia ... M ....... Curran ......... Marr
(if deceased Is a married, widowed or divorced woman, give also maiden name.)
(Was deoeased a
U. S. War Veteran,
if so specify WAR)
(a) Rasidence. No.
4 Elmwood Court
(Usuni place of abode)
Length of stay: In hospital or Institution
(Before death)
years
months days.
In this community
yrs.
6
mos.
days.
PERSONAL AND STATISTICAL PARTICULARS
3 SEX
Female
4 COLOR OR RACE
White
5 SINGLE
(write the word)
MARRIED
WIDOWED
or DIVORCEDTidowed
Sa If married, widowed, or divorced HUSBAND of
(or) WIFE of
Jofire maiden name of wife in full)
( Husband's name in full)
6 Age of husband or wife if alive
yaars
" IF STILLBORN. enter that fact hera.
8 78
AGE
Years
Months
Days
If less than 1 day
Hours
Minutes
Usual
9 Occuoation :
Housewife
Industry
10 or Business :
Own Home
11 Social Security No.
Portland
12 BIRTHPLACE (City)
(State or country)
Me
13 NAME OF
FATHER
patrick Curran
14 BIRTHPLACE OF
FATHER (City)
(State or country)
Ireland
15 MAIDEN NAME
OF MOTHEMMary Curran
16 BIRTHPLACE OF
MOTHER (City)
(State or country)
Ireland
17 Ursula Haraden
påunter
informant
( Address)
4 Elmwood Ct
I HEREBY CERTIFY that a satisfactory standard certificate of death was filed with me BEFORE the burial or transit parmit was issued: m.D. Childrenet
(Signature of Agent of Board of health or other)
Health officer
1/24/44
.... (Official Designation) (Date of Issue of Permit)
18 DATE OF
DEATH
77 (Month)
(Day)
19 || HEREBY CERTIFY,
That i attandad deosasad from
19.
Yu
to
....
Am 23
19
I jast saw h ........... alive on ..
Arf 23, 19 death is said to
have occurred on the date stated above, at
7.2010
m.
Immadiate cause of death ..
Duration IMPORTANT
1
Due to
Blind
Other conditions.
( Include pregnancy within 3 months of death)
... IMPORTANT
Major findings:
Of operations
Date of
Of autopsy
What test confirmed diagnosis?
Physician Underiina the cause to which death should be charged sta- tistically.
20 Was disease or injury in any way related to oooupation of deceasad ?.
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