USA > Massachusetts > Suffolk County > Winthrop > Town of Winthrop : Record of Deaths 1944 > Part 77
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No undertaker or other person shall hury a hunian hody or the ashea thereof which have been brought Into the commonwealth until ile has re- ceived a permit so to do from the board of health or its agent apyminted to issue such pernrita, or if there is no such hoard, from the clerk of the town where the holy is to be buried or the funeral is to he held, or from a person apiminted 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 boily lles aud take charge of the same; ... - General Laws, Cbap. 38, Sec. 6.
RULES OF PRACTICE
The fulfillment of the purpose of these lawa calls for the observance of the following rules of practice :
(1) Attending phyalclans will certify to sucb deaths only as those of persons to whom they have given hedside care during a last liiness from disease unrelated to any form of injury.
(2) Board of Health physlolans wili certify to such deaths only as those of l'ersons 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.
(8) Medloal Examiners will Investigate and certify to all ileatha 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 chenrical (drugs or poisons), thermal, or electrical agents, aml deaths following abortion, hut also deaths from diseasa resulting from Injury or Infection related to occupation, the sudden deatha 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 dying, e. g., heart fallure, 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 la very im- portant, so that the relative bealthfulness 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 be returned as at school or at hoine. For a woman whose only occupatiou was that of home bousework, write housework. For a person engaged in domestic service for wages, however, designate the occupation by the appropriate terms, aa bousekerper-private family, cook-hotel, etc. For a person wbo bad no occupation whatever Write none.
SPACE FOR ADDITIONAL INFORMATION
1 R-303-A
PLACE OF DEATH
Sullalle (County) Winthrop (City or Town) 19 Bellevue ave No.
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.
229
St. § ( If death occurred in a hospital or institution, { give its NAME instead of street and number)
nelson
(If deceased is a married, widowed (or divorced woman, give also maiden name.)
(a) Residence. No.
19 Bellewe are Ninthizado
(Usual place of abode)
years
months
days.
In this community
yTs.
mos.
days.
MEDICAL CERTIFICATE OF DEATH
18 DATE OF
DEATH
Kemper-20-1944
(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: (¥ an injury was involved, etate fully.) Brindisi tongue numa Fracture Right Humerus Cardiac Decompensation
20 Accident, suicide, or homicide (specify) accidental
Date of occurranca.
OCT-30-
19440
Where did
Huittrop
Injury occur ?
(City or town and State)
00
Did Injury ocour in or about home, on farm, In Industrial place, or In publio
place ?
(Specify type of place)
Injury
Manner of tell accidentally on stairs at
Natura of
home on Oct-30-1944
Injury
While at work ?.
Was thera an autopsy ?.
200
21 Was disease or Injury In any way related to ocoupation of deceased ?
If so, specify.
She Driekler
M. D.
(Signed)
(Address)
Brother
Kero-20
1944
22
Winthrop
Winthrop
Place of Burial, Cremation or Removal.
(City or Town)
Nov.24
194
23 NAME OF
FUNERAL DIRECTOR
Gerhard 6. July
Boston
19
Received and filed
MOV 2 7 1944
(Registrar)
=
5 SINGLE
(write the word)
Widow
years
If less than 1 day
Hours.
.....
Minutes
50m (g)-1-41-4667
1
alice mare
2 FULL NAME
Length of stay: In hospital or Institution.
None
( Before death)
(Specify whether)
PERSONAL AND STATISTICAL PARTICULARS
3 SEX
4 COLOR OR RACEJ
White
Female
MARRIED
WIDOWED
or DIVORCED
5a If married, widowed, or divorced
HUSBAND of
(or) WIFE of
William mNelgosp wife in full)
(Husband's name in full)
6 Age of husband or wife If allve
Seceased
7 IF STILLBORN, enter that fact here.
8
AGE
91
Years
.Months
Days
Usual
Housewife
9 Occupation :
Industry
At home
10 or Business :
11 Social Security No ..
ivone
St. Johns
12 BIRTHPLACE (City)
13 NAME OF
FATHER
John Hogan
14 BIRTHPLACE OF
FATHER (City)
St. Johns
(State or country)
Newfoundland
15 MAIDEN NAME
OF MOTHER
Mary Nolan
PARENTS
16 BIRTHPLACE OF
St. Johns
MOTHER (City)
(State or country)
Newfoundàand
Informant ..
( Address)
19 Bellevue Ave ..
extracts from the laws relative to the return of certificates of death.
If deceased was a U. S. War Veteran, G. L. Chap. 46, Section 10, requires physiolans to insert a reoltal to that effeot
Sodio be carefully supplico. MEDIVAL BAAMINERS Should state CAUSE AND MANNER OF DEATHT In plain terms,
(State or country)
Newfoundland
so that it may be properly classified under the International Classification of Causes of Death. See reverse side for
17 Mary E. Adams Daughter DATE OF. BURIAL
I HEREBY CERTIFY that a satisfactory standard certificate of death was filed with me BEFORE !! Issued : 1 ADDRESS
ADRIAN E. CRAMPTON
NOV2 21944 of Board of Health or other ) 21
(Official Designati ROSTON"HEALTH DEPT. (Date of Issue of Permit)
PHYSICIAN-IMPORTANT (Was deceased a U. S. War Veteran, If so specify WAR) NO
(If nonresident, give city or town and State)
40
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 bis knowledge and belief the name of the deceased, his supposed age, the disease of which he died, defined as required by section one, where saine was contracted, the duration of his 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 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 canse 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 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 bundred and two, and the Mexi- can border service of nineteen bumlred 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 recelving tonib to another in the same cemetery, until he has received a permit from the board of bealth or its agent aforesaid or from the clerk of the town where the body is buried. No such permit shall be Issued until there sball 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 leath is caused by violence, the medical examiner shall make such certificate. If such a permit for the removal of a human body, not previously interred, from one town to an- other within the commonwealth cannot be obtained early enough for the purpose, the certificate of death made as above provided and in the pos- session 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 re- moval, unless a permit in the usual form for the removal of such body haa been sooner obtained bereunder. 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 aod certificate, shall forthwith countersign it and transmit It to the clerk of the town for regis- tration. The person to whom the permit is so given and the pbyaician cer- tifying the cause of death shall thereafter furnish 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 regiatrar may re- quire .- 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 conunonwealth 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 ia to be held, or from a per- son appointed to have the care of the cemetery or burial ground in which the interment is made. ... Chap. 114, Sec. 46, G. L., (Tercentenary Edi- tion).
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.
. . He shall in all cases certify to the town clerk or registrar in the place where the deceased died his name and residence, if known; otherwise a description as full as may he, with the cause and manner of death .- General Laws, Chap. 38, Sec. 7.
... The medical examiner certifies the cause and manner of death to the best of his knowledge and belief.
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, tlumgh disabled by recognized disease unrelated to aoy form of injury, have died without recent medical attendance or whose physi- ciap 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 actlon 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
Medical Examiners in certifying to a death will atate the cause and mar.ner thereof, and will specify : (1) Under cause, the nature of an Injury and of its consequences; and (2) under manner, tbe mode of its production together with the circumstances when these are known. For example: "Com- pound fracture of the femur with ensuing septicemia (gas bacillus) caused by a steam railway accident." "Pistol shot wound of the chest with asso- ciated hemorrhage, homicidal." "Asphyxiation by suspension, suicidal." "Syncope while under the influence of ether administered as a surgical anaesthetic." "Fracture of the skull with associated internal Injury sus- tained under circumstances unknown."
If disease or injury was related to occupation, specify. If investigation shows the death to have been due to disease, specify : (1) Under cause its known or presumable nature; and (2) under manner, indicate the circum- stances leading to medico-legal inquiry. For example : "Hemorrhage spon- taneous of the brain (basal ganglia) (found dead in bed)." "Heart disease, presumably coronary sclerosis. (Sudden death.)"
DESCRIPTION (for unknown person)
NOTICE TO UNDERTAKERS: No embalming fluid, or any substitute therefor, shall be injected into the body of any person supposed to have met his death by violence, until a permit, signed by the Medical Examiner, has first been obtained .- General Laws, Chap. 38, Sec. 14.
THIS CERTIFICATE CONSTITUTES SUCH PERMIT
301 A
1
PLACE OF DEATHI
Suffolk (County)
1 Winthrop (City or Town)
183 Lincoln Street
St.
2 FULL NAME
Francis George Brumby
(If deceased is a married, widowed or divorced woman, give also maiden namc.)
(a)
Residence. No.
183 Lincoln Street
St.
(Usual place of abode)
(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 34yrs.
m.os.
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
5a If married, widowed, or divorced
HUSBAND of
Ethel C WilliamsonAz
1
(Give maiden name of wife in full)
(or) WIFE of
(Husband's name in full)
6 Age of husband or wife if alive. 69
years
7 IF STILLBORN, enter that fact here.
8
AGE
69 Years.
2
Months.
27
Days
If less than 1 day
Hours ..
Minutes!
Usual
9 Occupation:
Stationary Engineer
Industry
10 or Business:
Theater.
11 Social Security No.
021-01 4796
12 BIRTHPLACE (City)
Shortie
Sheffield
(Stape or country)
Englend
13 NAME OF
FATHER
Harry Brumby
14 BIRTHPLACE OF
FATHER (City)
(State or country)
England
15 MAIDEN NAME
OF MOTHER
Rebecca
?
16 BIRTHPLACE OF
MOTHER (City)
(State or country)
England
17 Ethel C Brumby
Rvatipre if any
Informant.
(Address)
183 Lincolin St. Winthrop
was filed with me BEFORE the burial or transit permit was issued: I HEREBY CERTIFY that a satisfactory standard certificate of death Www. L' Valdres x.
(Signature of Agent of Board of Health or others Health Oficer 11/24/44
(Official Designation) (Date of Issue of Permit)
18 DATE OF
DEATH
(Month)
(Day)
19, I HEREBY CERTIFY,
That I attended deccased from
19 30 to 1x 15
1944
last saw h
Longlive on
02.1.15, 104, death is said to
have occurred on the date stated above, at 12:45 AM. Immediate cause of death. Coronary Sullasom
Duration
IMPORTANT
14 yrs
Due
6 ha 5, waived
-Jurisdiction)
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.
M. D.
(Signed)
(Address)
thrashom Toch Date 11/12/04/4
21
Winthrop
Winthrop
Place of Burial, Cremation or Removal.,
(City or Town)
DATE OF BURIAL
Nov. 24,
19
44
Haward SOmolts
Received and filed. NOV 2-7- 1944 19
(Registrar)
1/22/48 If deceased was a U. S. War Veteran, G. L., Chap. 46, Sec. 10, requires physicians to insert a recital to that effect. Correction 19%.S. Trynotlet.
from the laws on back of certificate.
PARENTS
50m-(e)-3-43-11574
No.
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.
Registrar's No.
230
§ (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).
22
1944 (Year)
Due to.
Underline the cause to which death should be charged sta- tistically.
22 NAME OF
FUNERAL DIRECTOR
ADDRESS
Winthrop muss.
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 ecrtificate 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, where same was contracted, the duration of his last illness, when 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 border 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 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 tonth 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 casc 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 ohtained early enough for the purpose, or is insufficient, a physi- cian who is a member of the hoard of health, or employed by it or 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 ahove 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 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 inanner 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 buried or the funcral 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 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. 33, 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 by traumatism (including resulting septicemia), and by the action of chemical (drugs or poisons), thermal, or electrical agents, and deaths following ahortion, 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.
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