USA > Massachusetts > Suffolk County > Winthrop > Town of Winthrop : Record of Deaths 1944 > Part 53
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No undertaker 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 such permits, or if there is no such board, from the clerk of the town where the person died; and no undertaker or other person shall exhume a human 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 same cemetery, until he has received a permit from the board of health or its agent aforesaid or from the clerk of the town where the body is buried. No such permit shall be issued until there shall have been delivered to such board, agent or clerk, as the case may be, a satisfactory written statement containing the facts required by law to be returned and recorded, which shall be accompanied, in case of an 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 wbo 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 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 deatb 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 bas been sooner obtained hereunder. If the death certificate contains a recital, as required
by section ten or chapter forty-six, tuat the deceased served in the army, navy or marine corps of the United States in any war in which it has been engaged, such recital shall appear upon the permit. The board of health, or its agent, upon receipt of such statement and certificate, shall forthwith countersign it and 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 be obtained as to the deceased, or as to the manner or cause of the death, which the clerk or registrar may require .- Chap. 114, Sec. 45, G. L., (Tercentenary Edition).
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 and take charge of the same; . . . - General Laws, Chap. 38, Sec. 6.
No undertaker or other person sball bury a human body or the asbes thereof which have been brought into the commonwealth until he bas 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 from a person appointed to have the care of the cemetery or burial ground in which the interment is made. . .. Chap. 114, Sec. 46, G. L., (Tercentenary Edition).
RULES OF PRACTICE
The fulfillment of the purpose of these laws calls for the observance of the following rules of practice:
(1) Attending physicians will certify to sucb deatbs only as those of persons to whom they have given bedside care during a last illness from disease unrelated to any form of injury.
(2) Board of Health physicians will certify to sucb deatbs 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 phy- sician 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 indirectly by traumatism (including resulting septicemia), and by the action of chemical (drugs or poisons), thermal, or electrical agents, and deaths following abortion, but also deaths from disease resulting from injury or infection related to occupation, the sudden deaths of persons not disabled by recognized disease, and those of persons found dead.
Statement of Cause of Death .- Cause of death means the disease, or complication which causes death, not the mode of dying, e. g., heart failure, asphyxia, asthenia, etc. As principal cause name the disease causing death. As related causes, name earlier morbid conditions, if any, related to the principal cause and any important complication of the principal cause.
Statement of Occupation .- Precise statement of occupation is very 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 had retired from business, report the usual occupation prior to retirement. Children not gainfully employed may be returned as at school or at home. For a woman whose only occupation was that of home housework, write housework. For a person engaged in domestic service for wages, how- ever, 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
LA
Suffolk
(County)
Winthrop
(City or Town)
The Commonwealth of Massachusetts OFFICE OF THE SECRETARY DIVISION OF VITAL STATISTICS STANDARD CERTIFICATE OF DEATH
To be filed for barial permit with Board of Health or ita Agent.
Registrar's No.
St. § (If death occurred in a hospital or institution, { give its NAME instead of street and number) PHYSICIAN-IMPORTANT
2 FULL NAME
Lucy 0 (Smith) Mckinnon
(If deceased is a married, widowed or divorced woman, give also maiden name.)
(a) Residence. No.
70 Sagamore Ave.
(Usual place of abode)
St.
(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 10yrs.
mos.
days.
PERSONAL AND STATISTICAL PARTICULARS MEDICAL CERTIFICATE OF DEATH
3 SEX
Female
4 COLOR OR RACE
White
5 SINGLE
(write the word)
MARRIED
WIDOWED
DIVORCED
Married
5a If married, widowed, or divorced
HUSBAND of
(Give maiden name of wife in full)
(or) WIFE
Daniela " J"Mckinnon
(Husband's name in full)
56
6 Age of husband or wife if alive. .years
7 IF STILLBORN, enter that fact here.
8
AGE47
O
Month
Days
If less than 1 day
Hours.
Minutes
Usual
9 Occupation :
Housewife
Industry
10 or Business:
Own Home
11 Social Security No.
None
12 BIRTHPLACE (City)
Ayer
(State or country)
13 NAME OF FATHER Douglas Smith
14 BIRTHPLACE OF
FATHER (City)
(State or country)
Novia Scotia
15 MAIDEN NAME
OF MOTHER
Abbie Hutchinson
Westford"
17 Danield J Mckinnon Hu'sbandany
Iuformant .:
(Address)
70 Sagamore Ave. Winthrop
was filed with me BEFORE the burial or transit permit was issued: I HEREBY CERTIFY that a satisfactory standard certificate of death William D. Childress
(Signature of Agent of Board of Health or other)
Cegent aug 14/44 (Date ei Issue of Dermat)
(Official Designation)
18 DATE OF
DEATH
Month)
(Day)
That I attended deceased from _
44 13
I lassaw h
alive on
all 0, 944, death is said to
have occurred ou the date stated above, at ,150
Duration IMPORTANT 13 horas
Immediate cause of death Pulmonary Embolism
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?
Clement
20 Was disease or injury in any way related to occupation of deceased ? Le
If so, specify Michael Instead
(Sigued
(Address) 148 Withop St
M. D.
Date Gy12 1944
2Woodlawn Cemetery
Ayer Mass.
(City or Town)
Place of Burial, Cremation or Removal.
August 14
44
19
DATE OF BURIAL
22 NAME OF
FUNERAL DIRECTOR Fouzia 5 Minutos
ADDRESS
Minito mars
Received and filed AUG 15 1944 19
(Registrar)
IMPORTANT Physician
Underline the cause to which death should be charged sta- tistically.
50m-(c)-3-43-11574
. If deceased was a U. S. War Veteran, G. L., Chap. 46, Soc. 10, requires physicians to Insert a recital to that effect. PARENTS
1
PLACE OF DEATH
No. 70 Sagamore Ave,
(Was deceased a
U. S. War Veteran,
if so specify WAR)
11.
1944
HEREBY CERTIFY,
19
41.
to
Years. 14
yas 10?
16 BIRTHPLACE OF
MOTHER (City)
(State or country)
EXTRACTS FROM THE LAWS OF THE COMMONWEALTH OF MASSACHUSETTS GOVERNING THE RETURN OF CERTIFICATES OF DEATH
A physician or registered hospital medical officer shall forthwith, after the death of a person whom he has attended during his last illness, at the request of an undertaker or other authorized person or of any member of the family of the deceased, furnish for registration a standard certificate of death, stating to the best of his knowledge and belief the name of the deceased, his supposed age, the disease of which he died, defined as re- quired by section onc, where same was contracted, the duration of his last illness, when last scen 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 four- teen, 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, 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, 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 cxpedition 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, ninetcen hundred and two, and the Mexican border service of nineteen hundred and sixteen and nine- teen hundred 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 huried, until he has received a permit from the board of health, or its agent appointed to issue such permits, or if there is no such board, from the clerk of the town where the person died; and no undertaker or other person shall exhume a human 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 same cemetery, until he has received a permit from the board of health or its agent aforesaid or from the clerk of the town where the body is buried. No such permit shall be issued until there shall have been delivered to such board, agent or clerk, as the case may be, a satisfactory written statement containing the facts required by law to be returned and recorded, which shall be accompanied, in case of an 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 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 ahove 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 secuon ten of chapter forty-six, that the deceased served in the army, navy or marine corps of the United States in any war in which it has been engaged, such recital shall appear upon the permit. The board of health, or its agent, upon receipt of such statement and certificate, shall forthwith countersign it and 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 be obtained as to the deceased, or as to the manner or cause of the death, which the clerk or registrar may require .- Chap. 114, Sec. 45, G. L., (Tercentenary Edition).
No undertaker or other person shall bury a human body or the ashes thereof which have been brought into the commonwealth until he has 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 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).
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 and 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 such deaths only as those of persons to whom they have given bedside care during a last illness from disease unrelated to any form of injury.
(2) Board of Health physicians will certify to such deaths only as those of persons who, though disabled by recognized disease unrelated to any form of injury, have died without recent medical attendance or whose phy- sician 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 indirectly by traumatism (including resulting septicemia), and by the action of chemical (drugs or poisons), thermal, or electrical agents, and deaths following abortion, but also deaths from disease resulting from injury or infection related to occupation, the sudden deathis of persons not disabled by recognized disease, and those of persons found dead.
Statement of Cause of Death .- Cause of death means the disease, or complication which causes death, not the mode of dying, e. g., heart failure, asphyxia, asthenia, etc. As principal causc name the disease causing death. As related causes, name earlier morbid conditions, if any, related to the principal cause and any important complication of the principal cause.
Statement of Occupation .- Precise statement of occupation is very 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 had retired from business, report the usual occupation prior to retirement. Children not gainfully employed may be returned as at school or at home. For a woman whose only occupation was that of home housework, write housework. For a person engaged in domestic service for wages, how- ever, 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 Sulfolla
1
PLACE OF DEATH
(Court) Winthrop (Citz ; Town) 15 Wilshire
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. 1.58
Registered No.
$ { If death occurred in a hospital or institution, St. ¿ give its NAME instead of street aud number)
PHYSICIAN - IMPORTANT
(Was deceased a U. S. Wer Veteran, if so specify WAR) .....
(a) Residence. No.
(Usual place of abode)
St.
(If nonresident, give city or town and State)
Length of stay: In nosoltal or Institution
(Before death)
(Specify whether)
yeara
months days.
in this community
yrs.
11
mos.
dayı.
PERSONAL AND STATISTICAL PARTICULARS
3 SEX
4 COLOR OR RACE
Female White
5 SINGLE
( write the word)
MARRIED
WIDOWED
or DIVORCED
Evidoved
Sa If married, widowed, or divorced HUSBAND of
(or) WIFE of
Peteride Prema
( Husband's name in full)
6 Age of husband or wife if elive years
> IF STILLBORN. enter that fact here.
AGE
Years
Months
Days
If less than 1 day
Hours.
Minutes
Usual
9 Occupation :
none
Industry
10 or Business :
none
11 Social Security No.
More
12 BIRTHPLACE (City)
(State or country )
Ireland
13 NAME OF
FATHER
James Me Donough,
14 BIRTHPLACE OF
FATHER (City)
(State or country)
Deland
15 MAIDEN NAME
OF MOTHER
Unknown.
16 BIRTHPLACE OF
MOTHER (City)
(State or country)
Ireland
17
Informant ..
( Address }
Elizabeth Conway d'avion lite 0 15 Wilshire PRI
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- aug 16/44
..... (Official Designation) ( Date [Asque of Permit)
MEDICAL CERTIFICATE OF DEATH
18 DATE OF
DEATH
august. 12.
(Klonth )
(Day)
(Year)
19 I HEREBY CERTIFY,
711
19×4
Ło.
Que 12
19×4
1944
Is sald to
have occurred on the date stated above, at
11.A.m.
Duration
Immediate cause of death
IMPORTANT
Bronchi- Precioma
2 cups
Due to.
chronic musculitos
1 yr
Due to
Chirie Pelotaslial depletes
i enteretive de
Other conditions
( Include pregnancy within 3 months of death)
IMPORTANT
Major findIngs :
Of operations
Date of
Of autopsy
What test confirmed diagnosis ?
tio
20 Was disease or injury in any wey related to ccoupation of deceased ? ....
If so, specify ............
('Signed):
Scorsa. H . Schwartz
(Address) 19 Primali St. L.R bate
8/15
M. D.
1944
21
Minthn
l'lace of Burial, Cremetion of Removal.
(Cfty or Town)
DATE OF BURIAL
Que 16
19.544
22 NAME OF
FUNERAL DIRECTOR ...
Charles H. Treanor
ADDRESS
Cast Baston
19
Received and fled
AUG 18 1944
(Registrar)
V
100M-6 - 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
No. Mary E. Began
2 FULL NAME
(if deceased is a married, widowed or divorced
15 Wilshire
woman, give also maiden name.)
1944
Thet I attended decaased from
I last saw
h
EN
allve on
aug 12
...
Physician Underline the cause to which death should be charged sta- tisticalif.
8
90%
EXTRACTS FROM THE LAWS OF THE COMMONWEALTH OF MASSACHUSETTS GOVERNING THE
RETURN OF CERTIFICATES OF DEATH
A physician or registered hospital medioal officer shall forthwith. after the death of a person whoin he has attetuled during his last illness, at the request of an undertaker or other authorized person or of any meniber of tbe family of the deceased, furnisb for registration a standard certifcate of death, stating to the best of his knowledge and belief the naine 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 iliness, when last seen alive by the physician or officer and the date of bis death ... Gen. Laws, Chap. 16, 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 any provision of this section, sucb physician or officer shall forfeit ten dollars. For the purposes of this sec- tion snd of sections forty-five, forty-six and forty-seven of said chapter one bunuilred 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 hetween February fourteenth. eigliteen 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 sucb 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 cemetery to another, 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 tbere aball 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 interment, 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 pbysi- 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. the medi- cal examiner shall make such certificate. If sucb a permit for the removal of a lruman body. not previously interred, froin one town to another within the commonwealth cannot be obtained esrly enough for the purpose, tbe certificate of death made as above provided and in the posaession ot the undertaker desiring to make such removal sliall constitute a permit for such removal; provided, that such body shall be returned to the town from wbich it was removed within thirty-six hours after sucb 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. sucb recital shall appear upon the permit. The board of health, or ils agent. upon receipt of such statenient and certificate, shall forthwith countersign it and transmit It to the clerk of the town for registration. The juerson to whom the permit is so given and the physiciau certifying the cause of death shall thereafter furnish for registration any other urce+ sary information which can be obtained as to the deceased, or as to the manner of cause of the death, which the clerk or registrar way require .- Cbap. 114. Sec. 45, G. L., (Tercentenary Edition).
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