USA > Massachusetts > Suffolk County > Winthrop > Town of Winthrop : Record of Deaths 1944 > Part 56
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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 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 sueh 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 selectinen 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 carly 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-aix, 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 fortliwith eountersign 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 furulsh 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 haa 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, See. 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 exantiner lias notice that there is within his county the body of such a person, lic 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 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 eaused 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 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 discase, or complication which causes death, not the mode of dying, e. g., heart failure, asphyxia, asthenia, etc. As principal cause name the discase 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 .- l'recise statement of occupation is very im- portant, so that the relative healthifulness 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 lione 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 who had no occupation whatever write none.
SPACE FOR ADDITIONAL INFORMATION
............................................................. ....
R-301 A
extracts from the laws on back of certificate. If deceased was a U. S. War Veteran, G. L. Chap. 46, Section 10, requires physicians to insert a reoital to that effect.
1
PLACE OF DEATH
Suffolk
(County) Wunschich
(City or Town) Winthrop Community Hospital No.
The Commontoralth of Massachusetts OFFICE OF THE SECRETARY DIVISION OF VITAL STATISTICS STANDARD
· CERTIFICATE OF DEATH
Registered No.
St. ( If death occurred in a hospital or institution,
give ita NAME instead of street and nuniber)
2 FULL NAME. Scheda. (Hunter) Eskrigge
( If deceased is a married, widowed or divorced woman, give also maiden name.)
(a) Residence. No. 573 Shirley 81. Wucht Seaso
(Usual place of abode)
2 Hours
(If nonresident, give city or town and State)
Length of stay: In hospital or Institution
(Before death)
( Specify whether)
PERSONAL AND STATISTICAL PARTICULARS
MEDICAL CERTIFICATE OF DEATH
3 SEX Female
4 COLOR OR RACE
white
5 SINGLE
( write the word)
mand
MARRIED
WIDOWED
or DIVORCED
18 DATE OF
DEATH
ang,
14
( Month
(Days
1944 (Year)
5a If married, widowed, or divoroed HUSBAND of
(or) WIFE o
( Husband's name in full)
6 Age of husband or wife if alive - 65
years
" IF STILLBORN. enter that fact here.
AGE
8 53 Yeers X Months Days
if less then 1 day
Hours
Minutes
Usual
9 Occupation :
Industry
10 or Business :
at Home
Due to
Other conditions
arteriose
cetosis
( Include pregnancy within 3 months of death)
IMPORTANT
Major findings:
Of operations
Name
1
Physician
Underline the cause to which death should be charged sta- tistically.
20 Was disease or injury in any way related to occupation of deceased ?
If so, specify .........
son
M. D.
(Signed)
(Address) ................ ...
/ man Date ALno 0 85 19984
21 Nunchuck Cemetery Place of Burial, Cremation or Removal.
(City or Town)
DATE OF BURIAL
august 28E
22 NAME OF
FUNERAL DIRECTOR Tehas. R. PBennicom
ADDRESS
Reoolved and Aled 19 ....
AUG 28 1944
(Registrar)
.
7
...
Duration
Immadieta cause of death.
Chania Nephites
IMPORTANT
Due to
11 Social Security No.
12 BIRTHPLACE (City)
(State or country)
13 NAME OF
FATHER
Henry Hunter
14 BIRTHPLACE OF
mathe to obtain
FATHER (City)
(State or country)
1
"
15 MAIDEN NAME
OF MOTHER
Y
16 BIRTHPLACE OF
MOTHER (City)
(State or country)
17 Charles. E. Esknigge Relation If any (Address) 3 93 5 Lully Sheet wirchut
I HEREBY CERTIFY that a satisfactory standard certifioats of death was filed with me BEFORE the Curial or transit permit was issued : Lux Childrens
(Signature of Agent of Board of Health or other) 8/24/44
tad
(Officfal' Designation) (Date of Issue 'of Permit)
19 | HEREBY CERTIFY,
aug 22
1944.
to
ang 241.
1944
That i attended deosased from
I last sa
whet
.alive on
ausg 24, 194 4 death Is said to
have occurred on the date stated above, at 10
.m.
years
X months
days.
In this community 3 6 yrs. mos. days.
100M-€ · 2-42-8855
PARENTS
Date of
Of autopsy
Name
Y
clinical
What test confirmed diegnosis?
NO
....
To be filed for burial permit with Board of Health or its Agent ..
PHYSICIAN - IMPORTANT
(Wes deceased a
U. S. War Veteran,
if so specify WAR)
EXTRACTS FROM THE LAWS OF THE COMMONWEALTH OF MASSACHUSETTS GOVERNING THE
RETURN OF CERTIFICATES OF DEATH
A physloian or registered hospital medical officer shall forthwith, after the death of a person whoin he has attemuled during his last illness, at the request of an undertaker or other authorizei 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 iliness, when last seen slive by the physician or omcer 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, 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 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 between February fourteenth, eighteen hundred and ninety. eight and July fourth, nineteen hundred and two, and the Jtexi- 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 body which has not been buried, until he has received a permit from the board of health, or ita agent appointed to lesue wuch permits, or if there is no such board. from the clerk of the town where the person died; and,.no undertaker or otber person shall exhume a human body and remove it froin a town. from one cenietery to another. or from one grave or tomb other thau the receiving tomb to another In the same cemetery, until he has received a permit from the board of health or its agent aforesaid or from the clerk of the town where the boily is buried. No such permit shall be Issued until there shall have been delivered to such 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. 01 in lieu thereof a certificate as hereinafter provided. If there is no attending physician, or If, for sufficient reasons, his certificate cannot be obtained early enough for the purpose, or is insufficient, a 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 niake the certificate re- quired of the attending physician. If death Is caused by violence, tbe medi- cal examluer 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, tbe certificate of desth made as above provided and in the possession ot tbe undertaker desiring to make such removal slisli 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 such removal, unless a permit In the usual form for the removal of such body has been sooner obtained hereunder. If the death certificate containa 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, sucb recital shali appear upun the permit. The board of health, or its agent. upon receipt of such statement and certificate, shall forthwith countersign it and transmilt 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 registrating any other nece+ sary infurmation which can be obtained as to the deceased, or as to tha manner of cause of the death, which the clerk or registrar may require .- Cbap. 114. Sec. 45. G. L., ( Tercentenary Edition).
No undertaker or other person shall bury a human body or the ashea tbereof which have been brought Into the commonwealth until he has re- ceived a jærmit so to do fruni the board of health or its agent appointed to Issue auch permita, 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 .... Cbap. 114. Sec. 16. 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 hody lles 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 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 medical atteinlance or whose phyaf- cian is ahsent from home when the certificate of death is needed.
(3) Medloal Examiners will Investigate and certify to ali deatba sup- posably due to Injury. These include not only deaths caused directly or in- directly by traumatism (including resulting septicemla), and by the action of chemical (drugs or poisons), thermal, or electrical agents, all 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 .- Cause of death means the disease, or complication which causes desth. not the mode of dylug, e. g., heart fallure, asphyxia, asthenla, etc. As principal cause name the disease caualng death. As related causes, name esrlier morbid conditions, If any, related to the principal cause and any important complication of the principal cause,
Statement of Oocupation .- Precise statement of occupation la 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 discase 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 boine. For a woman whose only occupation was that of home bousework, write bouxework. For a person engaged in domestic service for wages, however, designate the occupation by the appropriate terms, aa housekeeper-private family, cook- hotel, etc. For a person who had no occupation whatever write none.
SPACE FOR ADDITIONAL INFORMATION
1 R-301 1
BOSTON NOTIFIED 9/9/4
The Commontoealth of Massachusetts OFFICE OF THE SECRETARY DIVISION OF VITAL STATISTICS STANDARD CERTIFICATE OF DEATH
(City or town making return)
Registered No. 05
(If death occurred in a hospital or institution, St. { give its NAME instead of street and number)
Baby Girl Mute
2 FULL NAME
(If deceased is a married widowed or divorced woman, give also maiden name.)
165 Julnam
St.
(a) Residence.
(Usual place of abode)
ength of stay : In hospital or institution
(Specify whether)
... years
months
days.
(If nonresident, give city or town and state)
In this community
yrs.
mos.
days.
PERSONAL AND STATISTICAL PARTICULARS
3 SEX Femal White
4 COLOR OR RACE
(wrDe the word)
5 SINGLE
MARRIED
WIDOWED
Or DIVORCED Jungle
5a If married, widowed, or divorced HUSBAND of
(or) WIFE of.
(Husband's name in full)
6 Age of husband or wife if alive.
... Years
7 IF STILLBORN, onter that fact here fliebort
If less than 1 day
8 AGE Yeara Months Days Hours Minutes
Usual 9 Occupation: Industry 10 or Business:
11 Social Security No ..
12 BIRTHPLACE (City) Winthrop (State or country)
PARENTS
14 BIRTHPLACE ØF FATHER (City)
(State or country)
15 MAIDEN NAME
OF MOTHER
Chiarina Venuti.
16 BIRTHPLACE OF MOTHER (City) (State or country)
Italy
17 Marcella OFagony, Man Kany
Informant.
(Address) 165 Jutnau ST. SB
I HEREBY CERTIFY that a satisfactory standard certificate of death was filed with me BEFORE the burial or transit permit was issued:
Um. s. tuldress
(Signature of Agent of Board of Health or other) Health Officee 8/29/44 (Official Designation) (Date of Issue of Permit)
MEDICAL CERTIFICATE OF DEATH
18 DATE OF
DEATH
25 1943
(Month)
(Day)
(Year)
19 | HEREBY CERTIFY. That I attended deceased from
25 1985 ......... , to ...
.......
19 ....... , death is said
to have occurred on the date stated above, at. 9:30 P.m.
Immediate cause of death ...
Due to procapes dund
Duc to
Other conditions
(Include pregnancy within 3 months of death)
Major findings :
Of operations
Date of.
Of autopsy ..
What test confirmed diagnosis ?.
PHYSICIAN Underline the cause to which death should be charged sta- tistically.
20 Was disease or Injory lo any way related to occupation of deceased ?
If so, specity.
M. D. (Signed). 56 0ment au E hvor Max 26 1944 (Address) ... St. Michael Doston ...... Place of Burial, Cremation or Removal. (City ou
DATE OF BURIAL 30 1944
22 NAME OF
FUNERAL DIRECTOR
Patate Papino
ADDRESS 9 Chelsea Str ElBoston
Received and filed AUG 30 1044 19
A TRUE COPY ATTEST: (Registrar)
AGE should be stated EXACTLY. PHYSICIANS should stato CAUSE OF DEATH in plain terms, so that it may be properly classified. Exact statement of OCCUPATION information should be carefully supplied.
is very important. See instructions and extracts from the laws on back of certificate.
200m-10-'39. No. 8427-d
PLACE OF DEATH
Suffolk
(County)
1
(City or Town
Winthrop Com. Hospital
.....
(If U. S. War Veteran.
fapecity WAR) Elastan
25 19 48
I last
.alive on. aus 25
(Give maiden name of wife in full)
Duration
13 NAME OF
FATHER
George Mute
Brockton
EXTRACTS FROM THE LAWS OF THE COMMONWEALTH OF MASSACHUSETTS
. GOVERNING THE
RETURN OF CERTIFICATES OF DEATH
A physlelan or registered hospital medical officer shall forthwith, after the death of a person wbom 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 regis- tration 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 wbicb be died, defined as required by section one, where same was contracted, tbe 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.
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 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 be has received a permit from the board of health or its agent aforesaid or from the clerk of the town where the body is buried. No such permit shall be issued until there shall have been de- livered to such board, agent or clerk, as the case may be, a satisfac- tory ,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 physician who is a member of the board of health, or employed by it or by the selectmen for the pur- pose, shall upon application make the certificate required of the at- tending physician. If death is caused by violence, the medical exam- iner shall make such certificate. If such a permit for the removal of a human body, not previously interred, from one town to another within the commonwealth cannot be obtained early enough for the purpose, the certificate of death made as above provided and in the possession of the undertaker desiring to make such a 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 healtlı, 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 fur- nish for registration any other necessary 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 buman body or the ashes thereof which have been brought into the commonwealth until he has received a permit so to do from the board of health or its agent appointed to issuc 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 tbe 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 observ- ance 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 ill- ness 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 un- related to any form of injury, have died without recent medical attendance or whose physician is absent from home when the certificate of death is needed.
(3) Medical Examiners will investigate and certify to all deatbs supposably due to injury. These include not only deaths caused directly or indirectly by traumatism (including resulting septice- mia), 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 occupa- tion, the sudden deaths of persons not disabled by recognized disease, and those of persons found dead.
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