USA > Massachusetts > Suffolk County > Winthrop > Town of Winthrop : Record of Deaths 1944 > Part 83
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No undertaker or other person shall bury or otherwise dispose of a human body in a town, or remove therefrom a human body which has not been buried, until he has received a permit from the board of health, or its agent appointed to issue such permits, or if there is no such board, from the clerk of the town where the person dicd; 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 healthi, 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 carly enough for the purpose, the certificate of death made as above provided and in the possession of the undertaker desiring to make such removal shall constitute a permit for such removal; provided, that such body shall he 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 appcar 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 deccased, 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 heen 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 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 hodies of only such persons as are supposed to have died by violence. If a incdical examiner has notice that there is within his county the hody 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 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 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 duc 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 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 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 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, 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
M R-302
of the city or town in which the deceased resided. (See Chap. 46, Sec. 12, G. L.) resided in another city or town at the time of death should be made forthwith and transmitted on Form R-302 to the clerk Copies of returns of deaths recorded during the previous month which occurred in your city or town in case the deceased
50m (e)-1-41-4667
A TRUE COPY.
ATTEST :
(Registrar of city or town where death occurred)
19
Deo. 19, 1944
18 DATE OF
DEATH
Dec. 14, 1944
(Month)
(Day)
(Year)
19 | HEREBY CERTIFY, Oct 9, 1944 19
That I attended deceased from
to
Dec ..... 14 194419
I last saw h ..... @ x ..... allve on ...
Dec ...
14. .... 1944 ..
death Is sald to
have occurred on the date stated above, at ...... 7 .. 2.5 .... p.
.m.
Duration
Immediate cause of death
Braintumor ....... metastati ........ from Carcinoma of the lung
5 ... mos lus
Due to
5.mos ...
plus
...
Due to.
Other conditions
(Include pregnancy within 3 months of death)
Major findIngs : Of operations
Date of
none
Physician Underline the cause to which death should be charged sta- tistically.
What test confirmed diagnosis?
Autopsy
20 Was disease or Injury In any way related to oooupation of deceased ?
If so, specify ..
C. L. Clay
(Signed)
(Address)
Mass. Gen. Hosp
12/15/44
M. D.
21 "PLACE OF BURIAL, Winthrop, Winthrop, Mass.
CREMATION OR REMOVAL.
(Cemetery)
(City or Town)
DATE OF BURIAL
Doc. .. 18 ..... 1944
19
22 NAME OF
FUNERAL DIRECTOR
J.F.O'Maley
ADDRESS
Winthrop
Received and filed
19
DATE FILED
MEDICAL CERTIFICATE OF DEATH
3 SEX F
4 COLOR OR RACE
W
5 SINGLE
MARRIED
WIDOWED
or DIVORCED
(write the word)
Married
Sa If married, widowed, or divoroed HUSBAND of
(or) WIFE of
(Give maiden name of wife in full)
.Harry .... Frith ..
(Husband's "name in full)
6 Age of husband or wife If alive
years
7 IF STILLBORN, enter that fact here.
8 AGE. 43. Years Months. Days
If less than 1 day Hours. Minutes
Usual
9 Occupation :
Housewife
Industry
10 or Business :
own home
11 Social Security No.
none
12 BIRTHPLACE (City)
(State or country)
E. Boston, Mass.
13 NAME OF
FATHER
Peter Christopher
PARENTS
14 BIRTHPLACE OF
FATHER (City)
(State or country)
Newfoundland
15 MAIDEN NAME
OF MOTHER
Bridget Fitzgibbons
16 BIRTHPLACE OF
MOTHER (City)
(State or country)
Ireland
17 Informant ( Address)
Relation, if any (
1
PLACE OF DEATH
SUFFOLK BOSTON (County)
(C'ity or Town)
Mass. Gen. Hosp
The Commonfocalth of Massachusetts OFFICE OF THE SECRETARY DIVISION OF VITAL STATISTICS COPY OF CERTIFICATE OF DEATH
BOSTON (City or town making return)
Registered No.
10858248
( If death occurred in a hospital or institution, St. give its NAME instead of street and number)
Elizabeth Edith Frith
2 FULL NAME
(If deceased is a married, widowed or divorced woman, give also maiden name.)
74 Bowdoin
St.
Winthrop
(a) Residenoe. No.
(Usual place of abode)
Length of stay: In hospital or Institution
(Before death)
Hosp
years
2 months
5
days.
(If nonresident, give city or town and State)
2
5
In this community
yrs.
mos.
days.
(Specify whether)
PERSONAL AND STATISTICAL PARTICULARS
(If U. S.
War Veteran,
specify WAR)
no
No.
Husband
(Registrar of City or Town where deceased resided)
Of autopsy
RECEIVE
TOM
OFFICE OF
11 12
2
WIN
TROP
JAN-91945 AM
M R-305
PLACE OF DEATH
SUFFOLK (Comty DION
(City or ToIng Tremont St., Room 1102
The Commonwealth of Massachusetts OFFICE OF THE SECRETARY COPY OF MEDICAL EXAMINER'S CERTIFICATE OF DEATH
BOSTDI
(City or town making return)
Registered No.
1085849
(If death occurred in a hospital or institution, St.
give its NAME instead of street and number)
James Stanley Pratt
(If deceased is a married, widowed or divorced woman, give also maiden name.)
(a) Residence. No.
90 Putnam St.
(Usual place of abode)
Length of stay: In hospital or Institution.
(Before death)
(Specify whether)
years
months
days.
In this community
yrs.
mos.
1
days.
PERSONAL AND STATISTICAL PARTICULARS
4 COLOR OR RACE|
5 SINGLE
(write the word)
DEATH
MARRIED
WIDOWED
or DIVORCEDMarried
5a If married,
widowed, or divorced Florence G. Lucas
HUSBAND of
(Give maiden name of wife in full)
(Husband's name in full)
6 Age of husband or wife if allve
67
years
7 IF STILLBORN, enter that fact here.
8
63 Years
5
Months
20
Days
if less than 1 day
.. Hours.
.Minutes
Usual
9 Occupation :
Manager.
Industry
10 or Business :
Gilman .... Nicoll .... Ru.thman
12 BIRTHPLACE (City)
(State or country)
Wollaston, Mass.
13 NAME OF
FATHER
Wm. B. Pratt
14 BIRTHPLACE OF
FATHER (City)
-- Mass.
(State or country)
15 MAIDEN NAME
OF MOTHER
Anna Stanley
16 BIRTHPLACE OF
MOTHER (City)
Attleboro, Mass.
(State or country)
(-
Relation,warte)
17 Informant (Address)
A TRUE COPY.
ATTEST:
(Registrar of city or town where death occurred)
DATE FILED
Dec ....... 18, 1944
........
.. 19
MEDICAL CERTIFICATE OF DEATH
18 DATE OF
Dec. 14, 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.) Bullet wound thru skull
Internal & external hemorrhage
20 Accident, suicide, or homicide (specify)
Suicidal
Date of occurrence
DOC. 14, 1944
19
Where did
Boston
Injury occur ?
(City or town and State)
Did injury occur in or about the home, on farm, in Industrial piace, or In
publio place ?
his office
(Specify type of place)
Manner of
Found dead in his office
Injury
Nature of
in Boston
Injury
While at work?
?
Was there an autopsy ?.
yes
21 Was disease or injury in any way related to occupation of deceased ? -
If so, specify
(Signed)
W. T Brickley
M. D.
(Address)
BostonDate 12/14/44
22
Mt .... Auburn .... Crematory
(City or Town) Place of Burial, Cremation or Removal.
DATE OF BURIAL
Dec. 16, 1944
19
23 NAME OF
FUNERAL DIRECTOR
J .... S.Waterman .... & .... Sons.
ADDRESS
Boston
Received and filed
19
(Registrar of City or Town where deceased resided)
25m (h)-1-41-4667
1
No.
2 FULL NAME
3 SEX
M
W
(or) WIFE of
AGE
PARENTS
of the city or town in which the deceased resided as soon as possible after the close of the month in which the death
resided in another city or town at the time of death should be made forthwith and transmitted on Form R-305 to the clerk
Copies of returns of deaths recorded during the previous month which occurred in your city or town in case the deceased
11 Social Security No ..
occurred. (See Chap. 46, Sec. 12, G. L.)
(If U. S.
War Veteran,
specify WAR)
no
Winthrop
St.
(If nonresident, give city or town and State)
RECEIVED
TO!
OFFICE OF
11 12. .
17
.2
GLER
-2
WI
7
6
155.
THROP. N
-
JAN-91945 AM
1 A
If deceased was a U. S. War Veteran, G. L., Chap. 46, Sec. 10, requires physicians to insert a recital to that effect. PARENTS
50m-(e)-3-43-11574
PLACE OF DEATH
Suffolk (County)
Winthrop
(City or Town)
No. 831 Shirley St
The Commonwealth of Massachusetts OFFICE OF THE SECRETARY DIVISION OF VITAL STATISTICS STANDARD CERTIFICATE OF DEATH
To be fled før bariel permit with Board of Health or its Agent.
Registrar's No. 250
§ (If death occurred in a hospital or institution, St. { give its NAME instead of strect and number) PHYSICIAN-IMPORTANT (Was deceased a U. S. War Veteran, if so specify WAR)
2 FULL NAME
Thomas Edward Tobin
(If deceased is a married, widowed or divorced woman, give also maiden name.)
(a)
Residence. No ..
831 Shirley_St
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
mos.
days.
PERSONAL AND STATISTICAL PARTICULARS
MEDICAL CERTIFICATE OF DEATH
3 SEX
Male
4 COLOR OR RACE
White
5 SINGLE
(write the word)
Married
MARRIED
or DIVORCED
5a If married, widowed, or divorced
HUSBAND of
Frances McCormack
(or) WIFE of
(Husband's name in full)
75
years
7 IF STILLBORN, enter that fact here.
8
85
AGE
Years
Months.
Days
If less than 1 day
Hours.
Minutes !!
Usual
9 Occupation :
Retired Letter Carrier
Industry
10 or Business:
U. S. Postal Dept
11 Social Security No.
Jamaica Plain
12 BIRTHPLACE (City)
(State or country)
Massachusetts
13 NAME OF
FATHER
Laurence Tobin
14 BIRTHPLACE OF
FATHER (City)
(State or country)
Ireland
15 MAIDEN NAME
OF MOTHER
Julia Crowley
16 BIRTHPLACE OF
MOTHER (City)
(State or country)
fc'Ireland
Relation, if any Brother
17 Informant William McCormack (Address) 39 Malden St Medford law
was filed with me BEFORE the burial or transit permit was issued: I HEREBY CERTIFY that a satisfactory standard certificate of death Wiliam to, Children
(Signature of Agent of Board of Health or other)
agent
12/17/44
(Official Designation) (Date of Issue of Permit)
18 DATE OF
DEATH
(Month)
(Day)
(Year)
19 I HEREBY CERTIFY,
1
That I attended deceased from
19
+4 to.
On 15
19.
.
last saw
h
umalive on
Da 15
death is said to
have occurred on the date stated above, at.
6.30 PM
Immediace cause of death
Duration IMPORTANT
Due to.
Due to.
anterio vituno
1 yr
Other conditions.
(Include pregnancy within 3 months of death)
Major findings:
Of operations.
Date of.
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.
M. D.
(Signed).
(Address) Nashan Cer Date 1 2-16- 1944
21 Holy Cross
Malden
Place of Burial, Cremation or Removal.
(City or Town)
DATE OF BURIAL December 18,
44
19.
22 NAME OF
FUNERAL DIRECTOR
John F. Omalley
ADDRESS
Winthrop, Massachusetts
Received and filed .....
19
(Registrar)
20 yrs.
IS 1944
(Give maiden name of wife in full)
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 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 deccased, 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 onc, where samnie 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 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 tomb to another in the same cemetery, until he has received a permit fromn 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 carly enough for the purpose. the certificate of death made as above provided and in the possession of the undertaker desiring to make such removal shall constitute a permit for such removal; provided, that such body shall be returned to the town from which it was removed within thirty-six hours after such removal, unless a permit in the usual form for the removal of such body has been sooner obtained hereunder. If the death certificate contains a recital, as required
by section ten of chapter forty-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 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 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 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 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 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 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 terms, as housekeeper- private family, cook-hotel, etc. For a person who had no occupation whatever write none.
SPACE FOR ADDITIONAL INFORMATION
01 A
1 1
Winthrop
(City or Town)
No. 19 Jefferson St
The Commonwealth of Massachusetts OFFICE OF THE SECRETARY DIVISION OF VITAL STATISTICS STANDARD CERTIFICATE OF DEATH
To be filled for burial permit with Board of Health or its Agent.
251
St.
§ (If death occurred in a hospital or institution,
{ give its NAME instead of street and number)
(Gagan)
(If deceased is a married, widowed or divorced woman, give also maiden name.)
(a) Residence. No.
19 Jefferson St
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 25yrs.
mos.
days.
PERSONAL AND STATISTICAL PARTICULARS
3 SEX
Female
4 COLOR OR RACE
White
5 SINGLE
(write the word)
MARRIED
WIDOWED
or DIVORCEDVidowed
5a If married, widowed, or divorced
HUSBAND of
(Give maiden name of wife in full)
(or) WIFE of
Thomas J Dailey
(Husband's name in full)
6 Age of husband or wife if alive. ycars
7 IF STILLBORN, enter that fact here.
8
AGE65
Years
Months.
Days
If less than 1 day
Hours.
Minutes
Usual
9 Occupation :
Housewife
Industry
10 or Business:
Own Home
11 Social Security No.
12 BIRTHPLACE (City)
East Boston
(State or country)
Massachusetts
13 NAME OF
FATHER
Michael Gagan
14 BIRTHPLACE OF
FATHER (City)
Boston
(State or country)
Massachusetts
15 MAIDEN NAME
OF MOTHER
Mary Anderson
16 BIRTHPLACE OF
MOTHER (City)
Boston
(State or country)
Massachusetts
Relation, if any
Informant
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