Town of Winthrop : Record of Deaths 1944, Part 54

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


USA > Massachusetts > Suffolk County > Winthrop > Town of Winthrop : Record of Deaths 1944 > Part 54


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No undertaker or other person shall bury a hunian body or the ashes thereof which have been brought lino the commonwealth until he has re- ceived a jærnit 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 ibe interment is made. ... Cbap. 114. Sec. 46. G. L., (Tercentenary Editiou).


Medical examiners shall make examination upon the view of the dead bodies of only such persons as are supposed to have died by violence. if a medical exanriner has notice that there is within Iris 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. 38, Sec. 6.


RULES OF PRACTICE


The fulfillment of the purpose of these laws calls for the observance of the following rules of practice :


(1) Attending physicians will certify to sucb deatha 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 physiolans will certify to such deaths only as those of persons who, though disahled by recognized disease unrelated to any form of injury, have died without recent medical attendance or whose pbyaf- cian ia ahsent from home when the certificate of desth is needed.


(3) Medloal Examiners will investigate and certify to all deatba 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 sgents, aml deaths following abortion, but also deaths 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 dead.


Statement of Cause of Death .- Csuse of death means the disease, or complication which causes death. not the mode of dying, e. g., heart failure, asphyxia. astbenia, etc. 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 cause.


Statement of Occupation .- Precise statement of occupation ia very im- portant, so that the relative bealthfulness 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 borne. For a woman wbose only occupatiou was that of bone bousework. write bousework. For a person engaged in domestic service for wages, however, designate the occupation by the appropriate terms, as bousekeeper-private family, cook- hotel, etc. For a person wbo bad no occupation whatever write none.


SPACE FOR ADDITIONAL INFORMATION


-301 A


1


PLACE OF DEATH


Suffolk (County)


Winthrop (City or Town)


No. 64 Enfield Road Winthrop


The Commonforalth 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 Ageff,


Registered No.


(If death occurred in a hospital or institution, St. give ita NAME instead of street aud number)


2 FULL NAME Percy A. Carter


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


(a) Residence. No. 64 Enfield Rd. Winthrop St.


(Usual place of abode)


(If nonresident, give clty or town and State)


Length of stay: In hospital or Institution.


.none .....


years


months days.


In this community 18 yrs. - mos. - days.


PERSONAL AND STATISTICAL PARTICULARS


3 SEX


4 COLOR OR RACE|


5 SINGLE


( write the word)


MARRIED


WIDOWED


or DIVORCEmarried


5a If married, widowed, or divorced


HUSBAND of


(Give maiden name of wife In full)


(or) WIFE of


( Husband's name in full)


6 Age of husband or wife if alive 66


IF STILLBORN. enter that fact here.


AGE 58 .. Years .4. Months 1.7 Days


If less than 1 day


Hours


Minutes


Usual


9 Occupation :


Clerk


Industry


10 or Business :


Brokerage .... House


11 Social Security No.


'2 BIRTHPLACE (city Gloucester


(State or country)


Mass.


13 NAME OF FATHER Levy Carter


14 BIRTHPLACE OF


FATHER (City)


(State or country)


Newfoundland


15 MAIDEN NAME


OF MOTHER


Anne Coolin


16 BIRTHPLACE OF MOTHER (City) (State or country)


Newfoundland


17 Informant ( Address) Mrs. Ellen E. Carter Relation Wany 64 Enfield Rd Winthrop Ma


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


(Signature of Agent of Board of Health or other)


8/18/44


(Official Désignation) ( Date of Issue/of Dermit)


18 DATE OF


DEATH


aug


16,


1984


( Month )


(Year)


(Day)


19 I HEREBY CERTIFY, That I attended deceased from


gel/6 19. 44. 10.


hai alive on Quy 15/ 2. 1944


..... is sald to have occurred on the date stated above, at/10 pm m.


years Immediate oause of death.


IMPORTANT .... ............... 8/12/44


Chini neflutes


Due


19.49.


Other conditions.


( Include pregnancy within 3 months of death)


IMPORTANT


Major findings:


Of operations


Physician


Underline the cause to which death should be charged sta. Mistically.


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


If so, specify ....


Eschiappa


('Signed)


, M. D.


(Address) 1968


o


21 Winthrop Winthrop


Place of Burial, Cremation or Removal. (City or Town)


DATE OF BURIAL ..


August ..... 19 , 1944


............. 19.


...


22 NAME OF


FUNERAL DIRECTOR


R.C.Kirby


ADDRESS


Boston


Reoelved and filed


AUG 2 ~ 1944


.19


(Registrar)


100M-€ - 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 physiolans to insert a recital to that effect. PARENTS


male


white


Ellen E ..... Foley


19


Duration


Viens


Date of


Of autopsy ....


What test confirmed d


Chemedy Cale exo


PHYSICIAN - IMPORTANT (Was deceased a U. S. War Veteran, if so speolfy WAR) no


(Before death)


(Specify whether)


MEDICAL CERTIFICATE OF DEATH


EXTRACTS FROM THE LAWS OF THE COMMONWEALTH OF MASSACHUSETTS GOVERNING THE


RETURN OF CERTIFICATES OF DEATH


A physioian or registered hospital medical officer shall forthwitb. 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 aus 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. las 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 bia death ... Gen. Laws, Chiap. 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 helief, aerved 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 sec- tion and of sections forty-five, forty-six and forty-seven of said chapter one butulred and fourteen, the word "war" shall include the China relief ex- pedition and the Philippine insurrection, which shall, for said purposea, he deemed to have taken place hetwcen Februsry fourteenth, eighteen hundred and ninety-eight and July fourth. nineteen hundred and two, and the Slexi- can border service of nineteen hundred and sixtcen and nineteen hundred and seventeen. G. L. Chiap. 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 body which has not been buried, until he has received a permit from the board of health, or ita ageut appointed to issue such 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 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 sucb permit shall be Issued until there shall have been delivered to sucb board, agent or clerk, as the case tnay 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, aa required by law. o in lieu thereof a certificate aa hiereinafter provided. If there is no attending physician, or if, for sufficient reasous, 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 niake the certificate re- quired of the attending physician. If death is caused by violence, tbe medl- cal examiner chall make such certificate. If such a permit for the removal of a human body, not previously interred, froin one town to another within tbe commonwesith cannot be obtained early enough for the purpose, the certificate of death 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


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 heen engaged. such recital shall appear upon the permit. The board of health, or ins agent. upon receipt of such statement and certificate, shall forthwith counter-ign it and transmit it to the clerk of the town for registration. The person to whom the permit is so 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 as to the manner of 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 hoard of health or its agent apointed to issue ruch permits, or if there is no such hoard, from the clerk of the town where the body is to be buried or the funeral is to he held, or from a person appointed to have the care of the cemetery or burial ground in which ibe Interment is made. .. . Cbap. 114. Sec. 46. G. L., (Tercentenary 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 lundly lles aud take charge of the same; ... - General Laws, Chap. 38, Sec. 6.


RULES OF PRACTICE


The fulfillment of the purpose of these lawe calls for the observance of the following rules of practice :


(1) Attending physicians will certify to sucb deatha 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 such deathe 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 pbyaf- cian ia ahsent from home when the certificate of death ia needed.


(3) Medloai Examiners will investigate and certify to all ileathe sup- posably due to Injury. These include not only deaths caused directly or In- directly hy traumatism ( including resulting septicemia), and by the action of chemical (drugs or poisons). thermal. or electrical agents, and deatbe following abortion, but also deaths from diseasa resulting from Injury or Infeotlon related to oooupation, the sudden deaths of persons not disabled by recognized disease, and those of persons found dead.


Statement of Cause of Death .- Cause of deathi means the disease, or complication which causes death, not the mode of dying. e. g., heart fallure, asphyxia, astbenia, etc. Aa principal cause name tbe disease caualng death, As related causes, name earlier morbid conilitions, if any, related to the principal cause and any important complication of the priucipal cause.


Statement of Oooupatlon .- Precise statement of occupation ia very im- portaut, so that the relative bealthfulness of various pursuits can be known, Make some eutry in this section for every person aged 10 years or over. If the occupation had been given up or changed on 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 as at school or at home. 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 terma, aa housekeeper-private faniily, cook- hotel, etc. For a person who had no occupation whatever write none.


SPACE FOR ADDITIONAL INFORMATION



01 A


1


PLACE OF DEATH


Suffolk Winthrop


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.f.


Registered No.


{ {If death occurred in a hospital or institution, { give its NAME instead of street and number)


2 FULL NAME.


( If deceased fe a married, pidowed or dhoged wom ", give also maiden name.) 15 Myitle itt


St.


(If nonresident, give city or town and State)


Length of stay: In hospital or Institution


(Before death)


(Specify whether)


yeara


months


days.


In this community 29rs.


mos.


dayı.


PERSONAL AND STATISTICAL PARTICULARS


MEDICAL CERTIFICATE OF DEATH


3 SEX


male


4 COLOR OR RACE


White


5 SINGLE


MARRIED


WIDOWED


or DIVORCED


( write the word)


single


5a If married, widowed, or divorced HUSBAND of


(or) WIFE of


{ Husband's name in full)


6 Age of husbend or wife if ellve years


7 IF STILLBORN, enter that fect here.


8


79


Yeers


Months


AGE


Days


If less then 1 dey Hours Minutes


Usual


9 Occupetion :


Broker


Industry


10 or Business :


retired


11 Social Security No.


Hone


12 BIRTHPLACE ( City)


(Sinte or country)


Chelsea Mars


13 NAME OF


FATHER


Bartholomew Hlemina


14 BIRTHPLACE OF


FATHER (City)


(State or country)


Halland


15 MAIDEN NAME


OF MOTHER'


Margaret (unknown)


16 BIRTHPLACE OF


MOTHER (City)


(State or country)


Scotland


17 Wellane Soit 6


Relation, if any


Informent


( Address)


Handicap, Mais


I HEREBY CERTIFY that a satisfactory standard certificate of deeth wes filled with me BEFORE the burial or transit permit was Issued : William D. Childress


(Signature of Agent of Board of Health or other)


agent


aug. 18/44


( Date of youe of Permity


18 DATE OF


DEATH


0


Cruz


(Math)


16


1944 (Year)


191


HEREBY CERTIFY,


1


1943


Ło


Cruz 16


Thet I attended deosased from


19 44


I last saw h


allve on.


16


... 0. 1944, death Is sald to


have occurred on the date stated above, at 8.30 P m.


Immedlate oeuse of death.


Corona Thati


Duration 3 dio IMPORTANT -.....


3 yrs


CL. Iyorditi


Due to ..


Custa Schenous


Other conditions.


Samlity


( Include pregnancy within 8 months of death)


Mejor findIngs :


Of operetions


Date of.


Of eutopsy


What test confirmed diagnosis ?


Climaul


20 Was diseese or injury in any way related to gooupation of dengesed ? If so, spoolfy ............... ........


( Signed)


M. D.


(Address) 198 WarburgSt With P Date


aug 18 1944


21 Menchrap tem Winthrop Place of Burial, Cremadon or Removal. (City or Town)


DATE OF BURIAL


aug 19


1944


Printy


22 NAME OF


FUNERAL DIRECTOR


Wenthosp.st., Wendung


ADDRESS


Received and Aled.


AUG-2-2 -1944-


.19


( Registrar) +


fer hr. metcalf


If deceased was a U. S. War Veteran, G. L. Chap. 46, Section 10, requires physicians to Insert a recital to that effect. PARENTS


..


....


IMPORTANT


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


100m(i)-1-44-13634


..... (Official Designation)


No. 15 Muaatt It Winthrop Valeghing cine, John Po Hleming


PHYSICIAN - IMPORTANT


(Was deceased a


U. S. War Veteran,


if so specify WAR)


(a) Residence/ No. (Usu/place of abode)


(Cive maiden name of wife in hill)


( Day)


=


Due to


Disease


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 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 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 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 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 hoard, 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 tomh other than the receiving tomh 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 hody is buried. No such permit shall he issued until there shall have been delivered to such hoard, agent or clerk, as the case may he, a satisfactory written statement containing the facts required by 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 by 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 hody has been sooner ohtained hereunder. If the death certificate contains a recital, as required


by section ien vi 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 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 body or the ashes thereof which have been 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 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, 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 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 disabled 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 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 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.




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