USA > Massachusetts > Suffolk County > Winthrop > Town of Winthrop : Record of Deaths 1944 > Part 68
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1
Length of stay: In hospital or Institution
(Before death)
(Specify whether)
years
months
days.
In this community
15 yrs.
mos.
days.
PERSONAL AND STATISTICAL PARTICULARS
MEDICAL CERTIFICATE OF DEATH
3 SEX
4 COLOR OR RACE!
Female White
( write the word)
5 SINGLE
MARRIED
WIDOWED
married
5a If married, widowed, or divorced
HUSBAND of
aldertien (): filiale
(or) WIFE of
( Husband's name in full)
6 Age of husband or wife if alive 69.
years
9 IF STILLBORN. enter that fact here.
8 AGE 6.9 Years
Months
Days
It less than 1 day
Hours
Minutes
Usual
9 Occupation :
Housework
Industry
10 or Business :
Own Home
11 Social Security No.
More
12 BIRTHPLACE (City)
(State or country )
Boston Mass
13 NAME OF
FATHER
Michael Connelly
14 BIRTHPLACE OF
FATHER (City)
(State or country)
Ireland
15 MAIDEN NAME
OF MOTHER
Margaret Odonnell
16 BIRTHPLACE OF
MOTHER (City)
(State or country)
Ireland
17 albert W filch
Relation it any
( Address )
44 Fairen Daw
I HEREBY CERTIFY that a satisfactory standard certificate of death was filed with me BEFORE the burial or transit dermit was Issued : Www. D. Childrens, x
...... (Signature of Agent of Board of Health of other) Health Officer 10/17/44
/(Official Designation) ( Date of Issue of Permity
18 DATE OF
DEATH
Ort
13 1944
( Month)
(Day)
(Year)
19 A HEREBY CERTIFY,
That I attended deosased from
Oct is
19
...
I last saw h.
en
alive on
Oct 13
19
death is said to
11.0
Duration
IMPORTANT
Immediate oause of death .... Chronic Livrardia
Due to di
Due to
Other conditions.
( Include pregnancy within 3 months of death)
IMPORTANT
Major findings :
Of operations
Date of
Of autopsy
What test confirmed diagnosis?
20 Was disease or injury in any way related to cooupation of deceased ?
If so, specify ..
(Signed)
62 90% Date
M. D.
(Address)
21
Withna
Place of burial, Crematios
DATE OF BURIAL
Oct 17
Removal.
( City of Town)
1944
22 NAME OF
FUNERAL DIRECTOR
Charles H. Treamer
ADDRESS
Received and Aled.
COUR/ 1944
Boston
19
( Registrar)
1
Underline the cause to which death should be charged sta- tistically.
100M-€ - 2-42-8855
If deceased was a U. S. War Veteran, G. L. Chap. 46, Seotlon 10, requires physicians to Insert a recital to that effect. extracts from the laws on back of certificate. scimmia, de tudt it may vs properly classified. Exder statement of decoration is very important. See instructions and PARENTS
No. Delia G. Silda
Silvio
St.
(Connally){
(Was deocased a U. S. War Veteran, it so speoity WAR)
St.
(If nonresident, give city or town and State)
acts
1944 40
have occurred on the date stated above, at
.m.
Physician
Get/6 1944
.19
Informant
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 attetuled during his last illness, at the request of an undertsker or other authorized person or of sny member of the family of the deceased, furnish for registration a standard certifcate of desth, sisting 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. wlire same was contracted. the duration of his last illness, when Isst seen alive by the physician or omcer and the date of his death ... Gen. Laws, Clap. 46, Sec. 9.
A' physician or officer furnishing s certificste 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 ariny, nevy or marine corps of the I'nited States in any war in which it has been engaged. insert in the certificate s recital to that effect, speci- fylng the war, sud shall siso 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 ahsll forfeit ten dollars. For the purposes of this sec- tion and of sections forty-five, forty-six and forty-seven of said clispter one bumired and fourteen, the word "war" shall inclinle the China relief ex- pedition and the Philippine insurrection, which shall, for said purposes, he deenied to have taken place between February fourteenth, eighteen hundred and ninety-eight and July fourth. nineteen hundred and two, and the Mexi- can border service of nineteen hundred aud sixtcen and nineteen bundred and seventeen. G. L. Chsp. 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 its ageut appointed to issue sucb permits, or if there is no such board, from the clerk of the town where the person died; and no undertaker or other person shall exhume a buman body aud remove it from a town, from one cenietery to another, or from one grave or tomb other than the receiving tonib to another In the same cemetery, until 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 sucb permit shall be Issued until there shall have been delivered to sucb board, agent or clerk, as the case may be, a satisfactory written statement containing the facta required by law to be returned and recorded, which shall be accompanied, in case of an original internient, by a satisfactory certificate of tbe 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, hia certificate cannot be obtained early enough for the purpose, or is insufficient, a pbysi- cian who is a member of the board of bealth, or employed by It or by the selectmien for the purpose, shall upon application make the certificate re- quired of the attending physician. If deatb Is caused by violence. tbe medl- cal examliier shall make sucb 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 removal shall 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. such recital shall appear upon the permit. The bosrd 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 lerson 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 manter 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 lie has re- ceived a permit so to do froni the board of healtb or its sgent appointed to Issue such permits, or if there is no such hoard. from the clerk of the town where the bouly is to be buried or the funeral is to he held, or from a person appointed to have tbe care of the cemetery or burial ground in which ibe interment is made. ... Cbap. 114. Sec. 16. 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 ly 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 lles aud take charge of the same; ... - General Laws, Cbap. 38, Suc. 6.
RULES OF PRACTICE
The fulfillment of the purpose of these lawa calla 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 phyalolana will certify to such deaths only aa those of persons who, though dixahled by recognized disease unrelated to any form of injury. have died without recent medical atteiklance or whose pbsof- cian ia absent from home when the certificate of death is needed.
(8) Medloal Examinera will investigate and certify to all destba 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 agruts, and deaths following abortion, but also deaths from disease resulting from Injury or Infection related to occupation, the sudden deaths of persons not disablad by recognized disease, and those of persons found dead.
Statement of Cause of Death .- Cause of death means the disease, or complication which causes death, not the mode of dying, e. g .. heart fallure, asphyxia, astbenia, etc. As principal cause name the disease causing death. Aa related causes, name earlier morbid conditions, If any, related to the principal cause and any important complication of the principal cause.
Statement of Oooupation .- Precise statement of occupation la very im- portaut, so that the relative bealtbfulness of various pursuits can be known. Make some entry in tbia section for every person aged 10 years or over. If the occupation had been given up or changed ou account of the disease causing death, report the usual occupation prior to illness. If the deceased bad retired from businesa, report the usual occupation prior to retirement. Children not gainfully employed may be returned as at school or at boine. For a woman wbose only occupstiou was that of bone bousework, write housework. For a person engaged in domestic service for wsges, however, designate the occupation by the appropriate terms, aa bousekeeper-private family, cook-hotel, etc. For a person who had no occupation whatever write none.
SPACE FOR ADDITIONAL INFORMATION
1
R-301 A
1
PLACE OF DEATH
Suffolk (County)
Winthrop
(City or Town)
-
No.
90 Circuit Rd
The Commontoralth of Massachusetts OFFICE OF THE SECRETARY DIVISION OF VITAL STATISTICS STANDARD CERTIFICATE OF DEATH
To be filed for burial permit with Board of Health or its Agent.
Registered No.
200
S ( If death occurred in a hospital or institution, give Its NAME instead of street and nuniber) st.
2 FULL NA
Elizabeth L .Griffin
Welch
(If deceased Is a married, widowed or divorced woman, give also maiden name.)
(a) Residence. No.
90 Circuit Rd
(Usual place of abode)
Length of stay: In hospital or Institution
(Before death)
(Specify whether)
yeara
months
days.
In this community
yrs.
mos.
dayı.
PERSONAL AND STATISTICAL PARTICULARS
3 SEX
Female
4 COLOR OR RACE
White
5 SINGLE
( write the word)
MARRIED
WIDOWED
or DIVORCEWidowed
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
> IF STILLBORN. enter that fact here.
AGE Years Months Days
If less than 1 day
Hours
Minutes
Usual
9 Decupation :
Housewife
Industry
10 or Business :
Own ......... Home
11 Social Security No.
East Boston
12 BIRTHPLACE (City)
(Siate or country)
Mass
PARENTS
14 BIRTHPLACE OF
FATHER (City)
(State or country)
England
15 MAIDEN NAME
OF MOTHER
Cannot be Learned
16 BIRTHPLACE OF
MOTHER (City)
(State or country)
Ireland
17
InformanRose
Welch
Daughter
( Address)
90 Circuit
RC IN
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 Cel: 14/44 ( Date of Issue of Fermit),
MEDICAL CERTIFICATE OF DEATH
18 DATE DF
DEATH
(Month)
(Day)
(Year)
19 | HEREBY CERTIFY,
That I attended deosased from
...
Wast saw her
.. allve on
Cant 12 1944 de
death Is sald to
have occurred on the date stated above, at ... 7.301 m. Immedlate cause of death
Duration
IMPORTANT
4 ..
Due to
Due to
Other conditions
( Include pregnancy within 3 months of death)
IMPORTANT
Major findings :
Df operations
Date of
Of autopsy
What test confirmed diagnosis?
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)
....... M. D.
(Address) EWant
Date JONY-19925
21 Holy Cross /Majden
l'lace of Burial, Cremation or Removal.
DATE OF BURIAL
odt I6
(City, or Town)
1944
/19
22 NAME DF
FUNERAL DIRECTOR
ADDRESS
John HO mateu Winthrop
Received and filled O.C.T ..... 1 .... 7 ..... 1944 .. 19
( Registrar)
terms, so that it may be properly classified. Exact statement of OCCUPATION is very important. Sce instructions and
extracts from the laws on back of certificate.
100M-6 -2-42-8855
If deceased was a U. S. War Veteran, G. L. Chap. 46, Section 10, requires physicians to Insert a reoltai, to that effect.
19
44
19
14
PHYSICIAN - IMPORTANT
(Was deceased a
U. S. War Veteran,
if so specify WAR)
St.
(If nonresident, give city or town and State)
40
1944
.... (Dificiat Designation)
Physician
13 NAME DF
FATHER
Thomas Griffin
ame of wife In full)
0775
EXTRACTS FROM THE LAWS OF THE COMMONWEALTH OF MASSACHUSETTS GOVERNING THE
RETURN OF CERTIFICATES OF DEATH
A physician or registered hospital medical officer shall forthwith, after the death of a person whoin he has atietled during his last illness, at the request of an undertaker or other authorizeil person or of ans 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 one. wlire same was contraciel. the duration of his last illnese, when last seen alive by the physician or officer and the date of bia 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 ol this section, such physician or officer shall forfeit ten dollars. For the purposes of thie aec- tion and of sections forty-five, forty-six and forty-seven of said chapter one bumlred and fourteen. the word "war" shall include the China relief ex- pedition and the Philippine insurrection, which shall, for sail purposes, he deencd to have taken place hetwcen February fourteenth, eigliteen hundred and ninety-eiglit and July fourth. nineteen hundred and two, and the Mexi- can border service of nineteen hundred and sixtcen and nineteen bundred and seventeen. G. L. Chap. 46, Sec. 10.
No undertaker or other person shall bury or otherwise dispose of a human body in a town, or remove therefrom a human body which has not been buried, until he has received a permit from the board of health, or its agent appointed to issue such permits, or if there is no such board, from the clerk of the town where the person died; and no undertaker or other person shall exhume a 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 he has received a permit from the board of health or its agent aforexaid or from the clerk of the town where the boily is buried. No such permit shall be Issued until there shall bave been delivered to sucb board, agent or clerk, as the case inay be, a satisfactory written atatenient containing the facts required by law to be returned ail 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 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 csused by violence, the 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 the commonwealth cannot be obtained early enough for the purpose, the certificate of death made as above provided and in the possession ol 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, ae required
.
by section ten of chapter forty-eix, 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 stairmeny 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 registration any other nece+ sary information which can be obtained as to the deceased, or as to the manner of callse of the death, which the clerk or registrar may require .- Cbap. 114. Sec. 45. C. 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 lie has re- ceived a permit so to do from the board of health or its agent appointed to issue such permite, or if there is no such hosrd, 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. ... Chap. 114. Sec. 46. G. L., (Tercentenary Editiou).
Medical examiners shall mske 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 hody ol such a person, he shall forthwith go to the place where the holy lies aud take charge of the same; . ..- General Laws, Chap. 38, Sec. 6.
RULES OF PRACTICE
The fulfillment of the purpose of these laws calla for the observance of the following rules of practice :
(1) Attending phyalcians will certify to such deatha only as those of persons to whom tlicy 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 as those of persons who, though disahled by recognized disease unrelated to any form of injury. have died without recent medical attendance or whose phyaf- cian is absent from home when the certificate of death is needed.
(3) Medloal Examiners will investigate and certify to all dcatba sup- poaably 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 agenta, aml deaths following abortion, but also deaths from diseass resulting from Injury or Infeotlon related to occupation, the audden 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 moile of ilying. e. g., heart failure, asphyxia, asthenia, etc. Aa principal cause name tbe disease caualng death. As related causes, name earlier morbid conditions, if any, related to the principal cause and any important complication of the principal cause.
Statement of Oooupation .- Precise statement of occupation ia very im- portant, so that the relative healthfulness of various pursuita can be known, Make some entry in this section for every person aged 10 yeara or over. If the occupation had been given up or changed on account of the dixcase causing death, report the usual occupation prior to illness. If the deceased bad retired from businesa, report the usual occupation prior to retirement. Children not gainfully employed may be returned an at school or at hoine. 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 terma, as bousekeeper-private family. cook- hotel, etc. For a person who had no occupation whatever write none.
SPACE FOR ADDITIONAL INFORMATION
M R-303-A
(County)
1
Witterob
2 FULL NAME
(a) Residence.
21440
( Usual place of abode)
3 SEX
4 COLOR OR RACEI
Male
White
(or) WIFE of
(Hushand's name in full)
6 Age of husband or wife If alive
6.1
7 IF STILLBORN, enter that fact here.
8
AGE .... 7 O ... Years.
8
Months.
Usual
5 Days
9 Occupation :
Elevator Operator
10 or Business :
11 Social Security No ..
010-05-3689
12 BIRTHPLACE (City)
New York City
(State or country)
New York
13 NAME OF
FATHER
Timothy Hines
14 BIRTHPLACE OF
FATHER (City)
New York City
(State or country)
New York
15 MAIDEN NAME
OF MOTHER
Barth
PARENTS
16 BIRTHPLACE OF
MOTHER (City)
New York City
(State or country)
New York
17
Informant.
Janie P Hines
If deceased was a U. S. War Veteran, G. L. Chap. 46, Scotion 10, requires physlolans to Insert a reoltal to that effect
extracts from the laws relative to the return of certificates of death.
so that it may bo properly classified under the International Classification of Causes of Death. See reverse side for
should bo carefully supplied. MEDICAL EXAMINERS should state CAUSE AND MANNER OF DEATH in plain terms,
Industry
Passenger Eleaator
50m (g)-1-41-4667
I HEREBY CERTIFY that a satisfactory standard certificate of death was filed with me BEFORE the burial or transit permit was issued :
(Signature of Agent of Board /of Health or other) Health Ofluck 10/18 8/44
KOfficial Designation) (Date of Issue of Permit)
MEDICAL CERTIFICATE OF DEATH
18 DATE OF
DEATH
Oct -17-1944
(Month)
((Day)
(Year)
19 | HEREBY CERTIFY that I have Investigated the death of the person above-named and that the CAUSE AND MANNER thereof are as follows: (If an injury was involved, state fully.) acute Cardiac Dulalalcon Private Preununca PF.& Lt.
20 Accident, suicide, or homiolde (specify) Date of ocourrenge.
19
Where did Injury occur ?
(City or town and State)
Did Injury occur In or about home, on farm, In Industrial place, or in pubilo
place ?
Manner of
Injury
(Specify type of place) Collabred & died quickly
Nature of Injury
While at work?
Was there an autopsy?
200
21 Was disease or Injury In any way related to occupation of deceased ?
If so, specify
(Signed)
M. D.
(Address)
Bister
Dosto- 17-
1944
22 Winthrop Cemetery
Winthrop
Place of Burial, Cremation or Removal.
(City or Town)
DATE OF BURIAL
October
20
44
19.
23 NAME OF
FUNERAL DIRECTOR
Howard Spagnolo
ADDRESS
Winshop Thass.
Received and filed.
OCT ......
19
...
(Registrar)
1
=
PLACE OF DEATH C
(City of Town) Winthrop Community Hospital No. Frank Hunes
The Commonwealth of Massachusetts OFFICE OF THE SECRETARY DIVISION OF VITAL STATISTICS MEDICAL EXAMINER'S CERTIFICATE OF DEATH
To be filed for burial permit with Board of Health or its Agent.
Registered No.
201
St. [ ( If death occurred in a hospital or institution, ( give its NAME instead of street and number)
PHYSICIAN-IMPORTANT (Was deceased a U. S. War Veteran, If so specify WAR)
(If deceased is a married, widowed or divorced woman, give also maiden name.)
107 Winthrop Str Winthrop
St.
Length of stay : In hospital or Institution
( Before death)
(Specify whether)in ther.
Hospital
year's
months
days.
(If nonresident, give city or town and State)
25
in this community
STS.
mos.
days.
PERSONAL AND STATISTICAL PARTICULARS
5 SINGLE
(write the word)
MARRIED
WIDOWED
or DIVORCED Married
5a If married, widowed, or divorced
HUSBAND of
(Give maiden name of wife in full)
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