USA > Massachusetts > Suffolk County > Winthrop > Town of Winthrop : Record of Deaths 1944 > Part 75
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224
§ (If death occurred in a hospital or institution, St. { give its NAME instead of street and number) PHYSICIAN-IMPORTANT
2 FULL NAME
May Ada Perry nee' Piggrem
(If deceased is a married, widowed or divorced woman, give also maiden name.)
(a)
Residence. No.
263 Main
St.
Winthrop
(Usual place of abode)
Length of stay: In hospital or Institution
(Before death)
(Specify whether)
years
months
days.
In this community
2 yrs. 2
mos.
days.
PERSONAL AND STATISTICAL PARTICULARS
MEDICAL CERTIFICATE OF DEATH
3 SEX
Female
4 COLOR OR RACE
White
5 SINGLE
(write the word)
MARRIED
WIDOWED
or DIVORCED
Married
5a If married, widowed, or divorced
HUSBAND of
(Give maiden name of wife in full)
(or) WIFE of
Alton Leslie Perry
(Husband's name in full)
6 Age of husband or wife if alive. 55
years
7 IF STILLBORN, enter that fact here.
8
AGE.49 Years
10
Months.26
Days
If less than 1 day
Hours.
Minutes
Usual
9 Occupation :
Housewife
Industry
10 or Business:
At home
11 Social Security No.
12 BIRTHPLACE (City)
Framingham
(State or country)
Mass.
13 NAME OF
FATHER
Roland Piggrem
14 BIRTHPLACE OF
FATHER (City)
Unknown
(State or country)
Nova Scotia
15 MAIDEN NAME
OF MOTHER
Ella Hetherington
16 BIRTHPLACE OF
MOTHER (City)
(State or country)
New Brunswick
If so, specify
(Signed).
)305 HamesTVvom Date 10 15 1944
M. D.
(Addre
21 Woodlawn Everett
Place of Burial, Cremation or Removal.
November 17
DATE OF BURIAL
19
(City or Town)
44
22 NAME OF
E. Parku
FUNERAL DIRECTOR
ADDRESS
300 Meridian St. E. Boston
Received and filed.
19
7(Official Designation)
(Date of Issue of Permit)
18 DATE OF
DEATH
November
14
1944
(Month)
(Day)
(Year)
40
19 I HEREBY CERTIFY!
That I attended deceased from
Jan
19
to.
14
44
19
I last saw
her
have occurred on the date stated above, at.
M.
Immediate cause of death
Diabetes
Duration IMPORTANT 1940
1942
Due to.
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 ?
Underline the cause to which death should be charged sta- tistically.
20 Was disease or injury in any way related to occupation of deceased ?... C.
st John
17 Alton L.Perry
Relation, if any husband
(Address) 263 Main St. Winthrop Mass.
was filed with me BEFORE the Burial/or transit permit was issued: I HEREBY CERTIFY that A satisfactory standard certificate of death Www. D. Children
(Signature of Agent of Board of Health or other) Health Offick 11/6/44
50m-(e)-3-43-11574
Informant
from the 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)
X
Registrar's No.
(Was deceased a
U. S. War Veteran,
if so specify WAR)
(If nonresident, give city or town and State)
alive on
nov 18
19f, death is said to
EXTRACTS FROM THE LAWS OF THE COMMONWEALTH OF MASSACHUSETTS GOVERNING THE RETURN OF CERTIFICATES OF DEATH
A physician or registercd 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 tbc 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 discase of which lic died, defined as re- quired by section one, where same was contracted, the duration of bis last illness, when last seen alive by the physician or officer and the date of his death ... Gen. Laws, Chap. 46, Sec. 9.
A physician or officer furnishing a certificate of death as required by the preceding section or by section forty-five of chapter one bundred and four- teen, shall, if the deceased, to the best of his knowledge and belicf, scrved 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 hoth the primary and the secondary or immediate cause of death as nearly as he can statc 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, wbich sball, for said purposes, be deemed to have taken place between February fourteenth, eighteen bundred and ninety-eight and July fourth, nineteen hundred and two, and the Mexican border service of nineteen hundred and sixteen and nine- teen 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 thercfrom a human body which bas not been buried, until he has received a permit from the board of bealth, 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 bave 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 interinent, by a satisfactory certificate of the attending physician, if any, as required by law, or in lieu thereof a certificate as hercinafter 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 tbe 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 cnough 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-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 sball appcar upon the permit. The board of health, or its agent, upon receipt of such statement and certificate, shall forthiwith countersign it and transinit it to the clerk of the town for registration. The person to whom the perinit 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 eause of the death, which the clerk or registrar may require .- Chap. 114, Sec. 45, G. L., (Tercentenary Edition).
No undertaker or other person shall bury a human body or the ashes thereof which have been brought into the commonwealth until he has re- ceived a permit so to do from the board of health or its agent appointed to issuc such permits, or if there is no such board, from the clerk of the town where the body is to be buricd 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).
Medical examiners shall make examination upon the view of the dead bodics 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 sball 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 diseasc unrelated to any form of injury.
(2) Board of Health physicians will certify to such deathis only as those of persons who, though disabled by recognized disease unrelated to any form of injury, have died without recent medical attendance or whose phy- sician is absent from home when the certificate of death is needed.
(3) Medical Examiners will investigate and certify to all deaths sup- posably due to injury. These include not only deaths caused directly or indirectly by traumatism (including resulting septicemia), and by the aetion of chemical (drugs or poisons), therinal, 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, astbenia, 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 agcd 10 years or over. If the occupation had been given up or changed on account of the disease causing death, report the usual occupation prior to illness. If the deceased had retired from business, report the usual occupation prior to retirement. Children not gainfully employed may be returned as at school or at home. For a woman whose only occupation was that of home housework, write bouscwork. For a person engaged in domestic service for wages, how- ever, designate the occupation by the appropriate terms, as housekeeper- private family, cook-hotel, etc. For a person who had no occupation whatever write none.
SPACE FOR ADDITIONAL INFORMATION
If deceased was a U. S. War Veteran, G. L., Chap. 46, Sec. 10, requires physicians to insert a recital to that effect.
1
PLACE OF DEATH
Suffolk (County)
Winthrop
(City or Town)
The Commonwealth of Massachusetts OFFICE OF THE SECRETARY DIVISION OF VITAL STATISTICS STANDARD CERTIFICATE OF DEATH
To be filed for burial permit with Board of Health or its Agent.
225
St. § (If death occurred in a hospital or institution,
{ give its NAME instead of street and number)
PHYSICIAN-IMPORTANT
(Was deceascd a
U. S. War Veteran,
if so specify WAR)
(a) Residence. No. 267 Bowdoin Street St.
(Usual place of abode)
(If nonresident, give city or town and State)
Length of stay: In hospital or Institution
Hospital
years
months
1
days.
In this community POyrs.
mos.
days.
(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)
MARRIED
WIDOWED
or DIVORCED Widow
5a If married, widowed, or divorced
HUSBAND of
(Give maiden name of wife in full)
(or) WIFE of
Harold C Bartlett
(Husband's name in full)
years
7 IF STILLBORN, enter that fact herc.
8
AGE
Years.
81
10
Months.
14
Days
If less than 1 day
Hours ..
Minutesi
Usual
9 Occupation:
Housewife
Industry
10 or Business:
At Home
11 Social Security No. .
None
12 BIRTHPLACE (City)
New York City
(State or country)
New York
PARENTS
14 BIRTHPLACE OF
FATHER (City)
(State or country)
Unable to obtain
15 MAIDEN NAME
OF MOTHER
Unable to obtain
16 BIRTHPLACE OF
MOTHER (City)
(State or country)
Unable to obtain
17 Ruggell F Bartlett Belation, if any
Informant
(Address)
267 Bowdoin St. W.
was filed with me BEFORE the burial or transit permit was issued: I HEREBY CERTIFY that a sangfactory standard certificate of death Www. D. Childress
(Signature of Agent of Board of Ilealth'or other)
The atthe office 11/18/44
(Official Designation) (Date of Issue of Permit)
18 DATE OF
DEATH
November
15
(Month)
(Day)
1944 (Year)
19 I HEREBY CERTIFY,
1
to
That I attended deceased from
19
44
Nov. 15
19.
44
I last saw h.
N
alive on
Nov. 15, 19 44,
death is said to
have occurred on the date stated above, at
Immediate cause of death
Duration IMPORTANT
-
36 hours.
Due to .....
arTerio- Sclerosis -
years.
Due to.
Other conditions
(Include pregnancy within 3 months of death)
IMPORTANT Physician
Major findings:
Of operations
Date of.
Underline the cause to which death should be charged sta- tistically.
20 Was diseasc or injury in any way related to occupation of deceased? NO
If so, specify.
award Fra
Ti tranger
M. D.
(Signed)
200 War mington HTE Date No . 17 19 44
21
winthrop
Place of Burial, Cremation or Removal.
(City or Town)
DATE OF BURIAL
22 NAME OF
FUNERAL DIRECTOR
ADDRESS
Howard Schynotado
Received and filed
19.
(Registrar)
from the laws of pack of certificate.
50m-(e)-3-43-11574
-
No. Winthrop Community Hospital
2 FULL NAME
Edith Eldridge (Ames) Bartlett
(If deceased is a married, widowed or divorced woman, give also maiden nanic.)
Registrar's No.
winthrop
November 18
19.44.
13 NAME OF :44
FATHER
2
Ames
Of autopsy
What test confirmed diagnosis?
0
Cerebral Thrombo815
6 Age of husband or wife if alive.
EXTRACTS FROM THE LAWS OF THE COMMONWEALTH OF MASSACHUSETTS GOVERNING THE RETURN OF CERTIFICATES OF DEATH
A physician or registercd 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 beliet the name of the deceased, his supposed age, the disease of which he died, defined as re- quired by section one, where same was contracted, the duration of his last illness, wben last scen alive by the physician or officer and the date of his death ... Gen. Laws, Chap. 46, Sec. 9.
A physician or officer furnishing a certificate of death as required by the preceding section or by section forty-five of chapter one hundred and four- teen, shall, if the deceased, to the best of his knowledge and belief, served in the army, navy or marine corps of the United States in any war in which it has been engaged, insert in the certificate a recital to that effect, speci- fying the war, and shall also certify in such certificate both the primary and the secondary or immediate cause of death as nearly as he can state the same. For neglect to comply with any provision of this section, such physician or officer shall forfeit ten dollars. For the purposes of this sec- tion and of sections forty-five, forty-six and forty-seven of said chapter one hundred and fourteen, the word "war" shall include the China relief expedition 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 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 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 hoard, from the clerk of the town where the person died; and no undertaker or other person shall exhumc 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 hcen 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, 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 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 hody, not previously interred, from one town to another within the commonwealth cannot be obtained early enough for the purpose. tlie 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-six, that the deceased served in the army, navy or marine corps of the United States in any war in which it has been engaged, such recital shall appear upon the permit. The board of health, or its agent, upon receipt of such statement and certificate, shall forthwith countersign it and transinit it to the clerk of the town for registration. The person to whom the permit is so given and the physician certifying the cause of death shall thereafter furnish for registration any other neces- sary information which can be obtained as to the deceased, or as to the manner or cause of the death, which the clerk or registrar may require .- Chap. 114, Sec. 45, G. L., (Tercentenary Edition).
No undertaker or other person shall bury a human body or the ashes thereof which have been brought into the commonwealth until he has re- ceived a permit so to do from the board of health or its agent appointed to issue such permits, or if there is no such board, from the clerk of the town where the body is to be buricd 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 hodies of only such persons as are supposed to have dicd 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 lics and take charge of the same; . . . - General Laws, Chap. 38, Sec. 6.
RULES OF PRACTICE
The fulfillment of the purpose of these laws calls for the observance of the following rules of practice :
(1) Attending physicians will certify to such deaths only as those of persons to whom they have given bedside care during a last illness from disease unrelated to any form of injury.
(2) Board of Health physicians will certify to such deaths only as those of persons who, though disabled by recognized disease unrelated to any form of injury, have died without recent medical attendance or whose phy- sician is absent from home when the certificate of death is needed.
(3) Medical Examiners will investigate and certify to all deaths sup- posably due to injury. These include not only deaths caused directly or indirectly hy traumatism (including resulting septicemia), and by the action of chemical (drugs or poisons), thermal, or clectrical agents, and deaths following abortion, but also deaths from disease resulting from injury or infection related to occupation, the sudden deaths of persons not disahled by recognized disease, and those of persons found dead.
Statement of Cause of Death .- Cause of death means the diseasc, 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 carlier morbid conditions, if any, related to the principal cause and any important complication of the principal cause.
Statement of Occupation .- Precise statement of occupation is very im- portant, so that the relative healthfulness of various pursuits can be known. Make some entry in this section for every person aged 10 years or over. If the occupation had been given up or changed on account of the disease causing death, report the usual occupation prior to illness. If the deceased had retired from business, report the usual occupation prior to retirement. Children not gainfully employed may be returned as at school or at home. For a woman whose only occupation was that of home housework, write housework. For a person engaged in domestic service for wages, how- ever, designate the occupation by the appropriate terins, as housekeeper -- private family, cook-hotel, ctc. For a person who had no occupation whatever write none.
SPACE FOR ADDITIONAL INFORMATION
RM R-301 1
1 PLACE OF DEATH 3 SEX 13 NAME OF FATHER PARENTS information should be carefully supplied. AGE should be stated EXACTLY. PHYSICIANS should state 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 Industry N. B .- WRITE PLAINLY, WITH UNFADING BLACK INK-THIS IS A PERMANENT RECORD. Every item of (State or country) 200m-10-'39. No. 8427-d
Suffolk (County) Winthrop (City or Town)
The Commonwealth of Massachusetts OFFICE OF THE SECRETARY DIVISION OF VITAL STATISTICS STANDARD CERTIFICATE OF DEATH
Winthrop (City or town making return
Registered No. 226 ...............
(If death occurred in a hospital or institution, Winthrop Community Nook. St.
give its NAME instead of street and number)
Gertrude Sparer
(Hf U. S. Wor Veteran. specify WAR)
na
(If deceased is a married, widowed or divorced woman, give also maiden name.) 29 Tewksbury .St. Winthrop
(a) Residence. No .. (Usual place of abode) Length of stay: In hospital or institution hoop. (Specify whether)
years
months
15 days.
In this community 25 yrs.
mos.
days.
PERSONAL AND STATISTICAL PARTICULARS
4 COLOR OR RACE
5 SINGLE
MARRIED
WIDOWED
OF DIVORCED
Emarried
5a If married, widowed, or divorced
HUSBAND of
nativan
(or) WIFE of.
(Husband's name in fun)
6 Age of husband or wife if alive.
49
years
7 IF STILLBORN, enter that fact here.
AGE 48 Years .Months Days
If less than 1 day
Hours
Minutes
Usual
9 Occupation:
Housewife
10 or Business:
athome
11 Social Security No. none
12 BIRTHPLACE (City)
(State or country)
austria
ER: Jacob Wolf Pearlmutter
14 BIRTHPLACE OF
FATHER (City)
austria
15 MAIDEN NAME
OF MOTHER
natalie (learned)
16 BIRTHPLACE OF
MOTHER (City)
(State or country)
austria.
17 nathan Sparer Koziany
Informant
(Address) 29 Tewksbury St, Winthrop
1 HEREBY CERTIFY that a satisfactory standard certificate of death was filed with me BEFORE the burial or Gangt permit was issued: Na. D. Chilidesses
Signature of Agent of Board of Health or other) Healthy officer 11/16/44 V(Official Designation) (Date of Issue of Permit)
MEDICAL CERTIFICATE OF DEATH
(Month)
(Day)
(Year)
19 | HEREBY CERTIFY. That I attended deceased from
Nousman
19.HH, to
Nomention 15, 1944
I last saw b ..... 1 .... alive on.
2
member 15 19 11, death is said
to have occurred on the date stated above, at 12:52 Am.
Duration
Immediate cause of death ..
acute intestinal obstruction
1
Due to Cancer of descending
Colors
Due to
Other conditions
(Include pregnancy within 3 months of death)
Major findings :
Of operatio
Growth in depending Cole
abcess . Peritonitis Date of Nov. 9. 19 41
Of autopsy
What test confirmed diagnosis ?
PHYSICIAN Underline the cause to which death should be charged sta- tistically.
20 Was discase or Injury In any way related to occupation et deceased ? If so, specify ..
1)
21
(Signed).
Edward tramaw
, M. D.
(Address) 200 Washington Ang Dato Nov. 15 19.4.
austrian A Woburn
Place of Burial, Cremation or Reinoval.
(Chy or Town)4
DATE OF BURIAL. november 1 1944
22 NAME OF
manuelstanetsky
FUNERAL DIRECTOR
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