USA > Massachusetts > Suffolk County > Winthrop > Town of Winthrop : Record of Deaths 1944 > Part 60
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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, bave 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 healtbfulness of various pursuits can be known. Make some entry in this section for every person aged 10 years or over. If the occupation bad 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-botel, etc. For a person who had no occupation whatever write none.
SPACE FOR ADDITIONAL INFORMATION
101 A
1
PLACE OF DEATH
Suffolk (County)
Winthrop (City of Town)
No. 28I Court rd
The Commonwealth of Massachusetts OFFICE OF THE SECRETARY DIVISION OF VITAL STATISTICS STANDARD CERTIFICATE OF DEATH
To be fled for burial permit with Board of Health er its Agent.
176
St . § (If death occurred in a hospital or institution, {give its NAME instead of street and number) PHYSICIAN-IMPORTANT
2 FULL 1
Walter
Whitmore
(If deceased is a married, widowed or divorced woman, give also maiden name.)
(a) Residence. No. 28I Court Rd
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
33yrs.
mos.
days.
PERSONAL AND STATISTICAL PARTICULARS
MEDICAL CERTIFICATE OF DEATH
3 SEX Male
4 COLOR OR RACE
White
5 SINGLE
(write the word)
MARRIED
WIDOWED
or DIVORCED
Married
(Month)
(Day)
(Year)
5a If married, widowed, or divorced
HUSBAND of
Barbara
Eaton
(or) WIFE of
(Husband's name in full)
6 Age of husband or wife if alive. 55
.years
7 IF STILLBORN, enter that fact here.
Years.
Months.
Days
If less than 1 day
Hours.
Minutes
Usual
9 Occupation
Electrical Enginker
Industry New Eng. Tel &Tel Co
11 Social Security No.
011-07-4932
12 BIRTHPLACE (City)
Newburyport
(State or country)
Massachusetts
13 NAME OF
FATHER
William R. Whitmore
14 BIRTHPLACE OF
FATHER (City)
Newburyport
(State or country)
Massachusetts
15 MAIDEN NAME
OF MOTHER
Abby A. Foote
16 BIRTHPLACE OF
MOTHER (City)
Newburyport
(State or country)
Massachusetts
17
Relation if any Informant. Barbara Whitmore (Address) 281 Court Road Winthrop
was filed with me BEFORE the burial or transit permit was issued: I HEREBY CERTIBY that a satisfactory standard certificate of death Dasn. D. Lebuldrero
(Signature of Agent off OLAY board of Health or other) 9/14/44
(Official Designation)
(Date of Issue of Permit)
(Registrar) V
.
19
19
I HEREBY CERTIFY, That I attended deceased from
19
to
I last saw h
alive on.
., 19
death is said to
have occurred on the date stated above, at.
9A
M.
Immechate cause of death
Duration
IMPORTANT
Due to. mit warved
Due to
Other conditions.
(Include pregnancy within 3 months of death)
IMPORTANT Physician
Major findings:
Of operations
Date of.
Of autopsy
What test confirmed diagnosis?
20 Was disease or injury in any way related to occupation of deceased? If so, specify
(Signed)
(Address) Y.WecanyLos Dat 9/1 1944
21 Winthrop
Winthrop
Place of Burial, Cremation or Removal.
(City or Town)
DATE OF BURIAL __
September
15
1944
22 NAME OF
FUNERAL DIRECTOR
JohnJ O malley
ADDRESS
Winthrop Massachusetts.
Received and filed .. SEP 14 1944
16
50m-(e)-3-43-11574
Irom ine laws on back of certificate. If deceased was a U. S. War Veteran, G. L., Chap. 46, Sec. 10, requires physicians to insert a recital to that effect. PARENTS
Registrar's No.
(Was deceased a
U. S. War Veteran,
if so specify WAR)
(Usual place of abode)
18 DATE OF
DEATH
13
1944
(Give maiden name of wife in full)
Underline the cause to which death should be charged sta- tistically.
M. D.
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 dicd, defined as re- quired by section que, where same was contracted. the duration of his last illness, when last seen alive by the physician or officer and the date of hia death ... Gen. Laws, Chap. 46, Sec. 9.
A physician or officer furnishing a certificate of death as required by the preceding section or by section forty-five of chapter one hundred and four- teen, shall, if the deceased, to the best of his knowledge and belier, 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 shail 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, eightecu hundred and ninety-eight and July fourth, nineteen hundred and two, and the Mexi- can border service of nineteen hundred and sixteen and nineteen 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 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 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 above provided and in the possession of the undertaker desiring to make such renioval 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 served in the army, navy or marine corps of the United States in any war in which it has hecn 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 ashea 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 phyai- 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 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, c. 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 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 home. For a woman whose only occupation was that of home 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
0548 9
9
M R-301 A
PLACE OF DEATH
.(County)
(City or Town)
CERTIFICATE OF DEATH
To be filed for burial permit with Board of Health or its Agent.
Registered No ..
§ (If death occurred in a hospital or institution, ¿ give its NAME instead of street and number)
(If U. S. War Veteran, specify WAR) .. no
(If nonresident, give city or town and state)
In this community
yrs.
mos.
days.
PERSONAL AND STATISTICAL PARTICULARS
4 COLOR OR RACE
white
5 SINGLE
MARRIED
WIDOWED Lugce
or DIVORCED
5a If married, widowed, or divorced
HUSBAND of.
(Give maiden name of wife in full)
(Husband's name in full)
6 Age of husband or wife if alive. Blittlord ... years 7 IF STILLBORN, enter that fact here.
AGE Years. .Months. Dayı
10 or Business:
11 Social Security No ...
12 BIRTHPLACE (CHY
(State or country)
13 NAME OF
Ruthny L & Conte
14 BIRTHPLACE OF
FATHER (City)
(State or country)
Boite
15 MAIDEN NAME
OF MOTHER
Delen Mutolli
16 BIRTHPLACE OF MOTHER (City). (State or country) mall
₹17 buchung 2010 Relation, if any (nite ( aller)
Informoas .. (Address) 88) 46 Ih lette . 816.
100m-2-'40-D-729-2
I HEREBY CERTIFY that a satisfactory standard certificate of death was filed with me BEFORE the burial or transit permit was issued : Wm.D. Childrenx (Signature of Agent of Board of Health or other) Health Officer 9/25/44
(Official Designation) (Date of Issue of Permit)
MEDICAL CERTIFICATE OF DEATH
18 DATE OF
DEATH
geht 17 144
(Month)
Day)
(Year)
19 HEREBY CERTIFY. 17 1944 to
That I attended deceased from
Sept 17 19 45
I last saw h ..
......
alive on
'19.
death is said to
have occurred on the date stated above, at 3:45 P.
m.
Immediate cause of death.
Durction IMPORTANT
Due to.
Due to.
Other conditions. (Include pregnancy within 3 months of death)
Carraron
Major findings:
Of operations.
Stillborn with apart of
.Date of
9/17/44
Of autopsy. What test confirmed diagnosis ?.
IMPORTANT
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
(Signed)
238 Month
(Address).
.......
M. D.
Date 9/23
19.8℃
It. Muchasle Basti
21. ...... Place of Burial, Cremation gf Removal. (City or Town) DATE OF BURIAL Lect 25 19. KLO
22 NAME OF OR lancy Dilecto ADDRESS 04 Marcial It PB ....
Received and filed.
SEP 25 1944
19
(Registrar)
1 . 3 SEX male (or) WIFE of. 8 PARENTS is very important. See instructions and extracts from the laws on back of certificate. CAUSE OF DEATH in plain terms, so that it may be properly classified. Exact statement of OCCUPATION information should be carefully supplied. AGE should be stated EXACTLY. PHYSICIANS should state Usual 9 Occupation : Industry
2 FULL NAME.
(If deceased t? a married, widowed or divorced woman, give also maiden name.)
(a) Residence. No/16 Medit (Usual place of abode) Length of stay: In hospital or institution
years
months
days.
(Specify whether)
The Commonwealth of Massachusetts OFFICE OF THE SECRETARY DIVISION OF VITAL STATISTICS STANDARD
Mithop Community Ifthetal Baby Boy 2° Conte
St.
St.
(write the word)
If loss than 1 day Hours Minutes
EXTRACTS FROM THE LAWS OF THE COMMONWEALTH OF MASSACHUSETTS GOVERNING THE
RETURN OF CERTIFICATES OF DEATH
A physician or registered hospital medical officer shall forthwith, after the death of a person whom he has attended during his last illness. at the request of an undertaker or other authorized person or of any member of the family of the deceased, furnish for registration a standard certificate of death, stating to the hest of his knowledge and helief the name of the deceased, his supposed age, the disease of which he died, definded as required hy section one, where same wag 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.
No undertaker or other person shall hury or otherwise dispose of a human hody in a town, or remove therefrom a human hody which has not heen huried, until he has received a permit from the hoard of health, or its agent appointed to issue such permits, or if there is no such hoard, from the clerk of the town where the person died; and no undertaker or other person shall exhume a human hody and remove it from a town, from one cemetery to another, or from one grave or tomh other than the receiv- ing 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 huried. 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 hy law to he returned and recorded, which shall he accompanied, in case of an original interment, hy a satisfactory certificate of the attending physician, if any, as required 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 he obtained early enough for the purpose, or is in- sufficient, a physician who is a member of the hoard of health, or em- ployed hy it or hy the selectmen for the purpose, shall upon application make the certificate required of the attending physician. If death is caused hy violence, the medical 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 be returned to the town from which it was removed within thirty-six hours after such removal, unless a perinit in the usual form for the re- moval of such body has heen sooner ohtained hereunder. If the death certificate contains a recital. as required hy 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 recltal 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 necessary information which can he ohtained 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 hury a human body or the ashes thereof which have heen hrought into the commonwealth until he has received a permit so to do from the hoard of health or its agent appointed to issue such permits, or if there is no such hoard, from the clerk of the town where the hody Is to he huried or the funeral is to he held, or from a person appointed to have the care of the cemetery or burial ground in which the interment is made. . . . Chap. 114, Sec. 46, G. L., (Tercentenary Edition).
RULES OF PRACTICE
The fulfillment of the purpose of these laws calls for the 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 disahled hy recognized disease unrelated to any form of injury, have died without recent medical attendance or whose physician is ahsent from home when the certificate of death is needed.
(3) Medical Examiners will investigate and certify to all deaths supposably 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 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 morhid conditions, if any. related to the principal cause and any important complication of the principal cause.
Statement of Occupation .- Precise statement of occupation Is very Important, 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, however. designate the occupation hy the appropriate terms. as housekeeper-private family, cook-hotel, etc. For a person who had no occupation whatever write none.
SPACE FOR ADDITIONAL INFORMATION
A R-SVT A
Suffolk
(County)
1
Winthrop
(City or Town) No. winthrop Community Hospital
The Commontoralil! 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.
( If death occurred in a hospital or institution, st.
give its NAME instead of street and number)
2 FULL NAME Benjamin M. Stewart
( If deceased is a married, widowed or divorced woman, give also maiden name.)
(a) Residence. No.
.70.Moore ... St .....
(Usual place of abode)
St.
(If nonresident, give clty or town and State)
Length of stay: In hospital or Institution
(Before death)
years
months
7
days.
In this community
43 yrs.
mos.
days.
PERSONAL AND STATISTICAL PARTICULARS
3 SEX
4 COLOR OR RACE| 5 SINGLE
( write the word)
MARRIED
WIDOWED
or DIVORCED
Male White
Widowed
Sa If married, widowed, or divorced
HUSBAND of
Lille ... D .... Johnstone
(Give maiden name of wife In full)
(or) WIFE of
( Husband's name in full)
6 Age of husband or wife if alive
years
> IF STILLBORN. enter that fact here.
8 AGE 81 Years .9 ... Months 10 ... Days
If less than 1 day
Hours
Minutes
Usual
9 Dccuoatlon :
Salesman
Industry
10 or Business :
Butter & Eggs
11 Social Security No.
12 BIRTHPLACE (City)
(Siate or country)
Prince Edward Isle
13 NAME OF
FATHER
Peter Stewart
14 BIRTHPLACE OF
FATHER (City)
(State or country) Prince Edward Isle
15 MAIDEN NAME
OF MOTHER
Margaret Coffin
16 BIRTHPLACE OF
MOTHER (City)
(State or country) Prince Edward Isle
17 Herbert s. Stewart
Region, If any
Informant (Address) 69 Taylor St., Wollaston
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 Septi 20/44
.... (Officia) Designation) ( Date of Issue of Pefmic)
MEDICAL CERTIFICATE OF DEATH
18 DATE OF
DEATH
Sept . 17 1944
(Month)
(Day)
(Year)
19 I HEREBY CERTIFY,
That I altanded deceased from auquel 30, 1944 September 17. 194.11 I last sawh IM alive on DebtEmber: 41, 19 14, death Is said to have occurred on the date stated above, at 6:00 p m.
Immediate cause of death.
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