Town of Winthrop : Record of Deaths 1945, Part 11

Author: Winthrop (Mass.)
Publication date: 1945
Publisher:
Number of Pages: 522


USA > Massachusetts > Suffolk County > Winthrop > Town of Winthrop : Record of Deaths 1945 > Part 11


Note: The text from this book was generated using artificial intelligence so there may be some errors. The full pages can be found on Archive.org (link on the Part 1 page).


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Suffolk (County)


.Winthrop (City "or Town)


The Commonwealth of Massachusetts OFFICE OF THE SECRETARY DIVISION OF VITAL STATISTICS STANDARD CERTIFICATE OF DEATH


(City or town making return)


Registered No.


32


(If death occurred in a hospital or institution, St. { give its NAME instead of street and number)


S


2 FULL NAME ... Carolyn Fleming


(If deceased is a married, widowed or divorced woman, give also maiden name.)


.St.


Winthrop Moss


(a) Residence. No .. 56 ... Court Road


(Usual place of abode)


length of stay : In hospital or institution


(Specify whether)


months


I7


days.


In this community


2℃


yrs.


mos.


days.


PERSONAL AND STATISTICAL PARTICULARS


4 COLOR OR RACE


White


5 SINGLE


MARRIED


WIDOWED


or DIVORCEDMarried


5a If married, widowed, or divorced


HUSBAND of


John (Gpe majet eamd of gife in full)


(or) WIFE of


(Husband's name in full)


6.7


.years


7 IF STILLBORN, enter that fact here.


ÅGE


Years ..


Months.


.Days


If less than I day


Hours


.Minutos


Usual


9 Occupation:


Housewife


Own Home


1I Social Security No.


Lawrence


12 BIRTHPLACE (City)


(State or country)


Mass


13 NAME OF


FATHER


Charles S, Sargent


14 BIRTHPLACE OF


FATHER (City)


Lawrence


(State or country) Mass


15 MAIDEN NAME


OF MOTHER


Matilda Thorne


16 BIRTHPLACE OF


MOTHER (City)


Philadelphia


(State or country)


Pa.


17 Inlorman ohn T. Fleming


I HEREBY CERTIFY that a satisfactory standard certificate of death was filed with me BEFORE the burial or transit pormit was issued: Wani S. Childerst .....


(Simature of Szent of Board of Health or other) Healite Officer 2/2/45


(Official Designation) (Date of Issue of Permit)/


18 DATE OF


1945


(Month)


(Day)


('Year)


19 | HEREBY CERTIFY, That I attended deceased, from


Mar. 1


I last saw her ....... alive on


Feb. 1


19.44


death is said


to have occurred on the date stated above, af ..:. 20 .A.m.


Immediate cause of death.


Carcinom tosis


Duration


...


2 yrs. R ...


Due to


Duc to


Other conditions


.......


(Include pregnancy within 3 months of death)


Major findings :


Of operations


Date of ..


Of autopsy ..


What test confirmed diagnosis ?


PHYSICIAN Underline the cause to which death should be charged sta- tistically.


20 Was disease or lejory In any way related to eccopatioe of deceased ? NO


If so, specify


-Enered Je tranger


(Signed)


. Fraunque


M. D.


(Address) 200 Ul andmed By the Date 122 2 1945


21 Woodlawn


Place of Burial, Cremation or Removal DATE OF BURIAL


Feb. 5, 1945,00


-(City or Town)


22 NAME OF


FUNERAL DIRECTOR


ADDRESS


Winthrop


Received and filed .........


A TRUE COPY ATTEST:


(Registrar)


(.Sargent.)


(H U. S.


War Veteran.


specify WAR)


(If nonresident, give city or town and state)


years


MEDICAL CERTIFICATE OF DEATH


6 Age of husband or wife if alive.


(write the word)


DEATH


Feb. 2


1944 .... , to .... Feb, 1


Everett


Relation, if any


Husband


(Addres:55 Court Rd, 6, 7


No ... Winthrop Community Hospital


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 tbc deceased, furnish for regis- tration 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 required by section one, where same 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.


No undertaker or other person shall bury or otherwise dispose of a human body in a town, or remove therefrom a buman body which has not been buried, until he has received a permit 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 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 onc 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 dc- livered to such board, agent or clerk, as the case may be, a satisfac- tory 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 physician who is a member of the board of health, or employed by it or by the selectmen for the pur- pose, shall upon application make the certificate required of the at- tending physician. If death is caused by violence, the medical exam- iner shall make such certificate. If such a permit for the removal of a human body, not previously interred, from one town to another within the commonwealth cannot be obtained early enough for the purpose, the certificate of death made as above provided and in the possession of the undertaker desiring to make such a 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 certificatc, 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 fur- nish for registration any other necessary information which can be


obtained as to the deceased, or as to the manner or cause of the deatb, 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 received 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 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.)


RULES OF PRACTICE


The fulfillment of the purpose of these laws calls for the observ- ance 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 ill- ness 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 un- related to any form of injury, have died without recent medical attendance or whose physician is absent from home when the certificate of death is ncedcd.


(3) Medical Examiners will investigate and certify to all deatbs supposably due to injury. These include not only deaths caused directly or indirectly by traumatism (including resulting scptice- mia), 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 occupa- tion, the sudden deaths of persons not disabled by recognized disease, and tbosc of persons found dead.


Statement of Cause of Death .- Cause of death mcans the disease, or complication which causes death, not the mode of dying, e. g., heart failure, asphyxia, asthenia, etc. As principal cause name the discase causing death. As related causes, name earlier morbid con- ditions, if any, related to the principal cause and any important complication of the principal cause.


Statement of Occupalion .- Precise statement of occupation is very important, 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 busi- ness, report the usual occupation prior to retirement. Children not gainfully employed may be returned as at school or at home. For a woman wbose only occupation was that of home bousework, write housework. For a person engaged in domestic service for wages, however, designate the occupation by the appropriate terms, as housekeeper-private family, cook-hotel, etc. For a person who had no occupation whatever write none.


SPACE FOR ADDITIONAL INFORMATION


RM R-302


SUFFOLK BOSTON


The Commonturalth of Massachusetts OFFICE OF THE SECRETARY DIVISION OF VITAL STATISTICS COPY OF CERTIFICATE OF DEATH


BOSTON


(City or town making return)


1147


33


St.


(If death occurred in a hospital or institution,


3


give its NAME instead of street and number)


2 FULL NAME


Fredrick W Alexander


(If deceased is a married, widowed or divorced woman, give also maiden name.)


(a) Residenoe. No. 30 Emerson Rd


St.


Winthrop


Mas.s


(Usual place of abode)


(If nonresident, give city or town and State)


Length of stay: In hospital or Institution ..


(Before death)


Hosp.


-


years


months


6


days.


In this community


9


yrs.


mos.


-


days.


PERSONAL AND STATISTICAL PARTICULARS


MEDICAL CERTIFICATE OF DEATH


3 SEX


M


4 COLOR OR RACE


W


5 SINGLE


MARRIED


WIDOWED


or DIVORCED


(write the word)


Married


5a If married, widowed, or divorced


HUSBAND of


Geraldine ...


.Moore


(or) WIFE of


(Husband's name in full)


6 Age of husband or wife if alive 43


years


7 IF STILLBORN, enter that fact here.


8


61


AGE


Years


Months.


Days


If less than 1 day Hours Minutes


Usual


Purchasing Agent


9 Occupation :


Industry


United Consumers Inc. Boston


10 or Business :


11 Social Security No ....


Unknown


12 BIRTHPLACE (City)


(State or country)


East ..... Boston


Mass


13 NAME OF


FATHER


William Alexander


PARENTS


14 BIRTHPLACE OF


3


FATHER (City)


(State or country)


Ireland


15 MAIDEN NAME


OF MOTHER


Mary Elliott


16 BIRTHPLACE OF


?


MOTHER (City)


(State or country)


Ireland


Relation, if any


17 Mrs.Geraldine .... Alexader. ( .... Wifa (Address) 30 Emarson Rd. Winthrop


A TRUE COPY.


ATTEST :


(Registrar of city or town where death occurred)


DATE FILED 19


18 DATE OF


DEATH


Feb


3


(Month)


(Year)


(Day)


That I attended deceased from


19 | HEREBY CERTIFY,


Jan 29


19 ..


45


to


Feb


3


.4.5


I last saw h.im


....... allve on


Feb ........ 3 .... , 19 ... 45 death Is sald to


have oocurred on the date stated above, at. 3,50 .m.


Duration


Immedlate cause of death Lobar Pneumonia, Left Lower &


Days


Upper Lobes (Type Unknown)


Rheumatic Heart Disease


Aortic Stenosis&Insufficiency


Yrs.


Due to.


Other conditions.


(Include pregnancy within 3 months of death)


Physician


Major findings :


Of operations


Date of


should be charged sta- tistically.


Of autopsy


As .... Above


What test confirmed diagnosis?


20 Was disease or Injury In any way related to ocoupatlon of deceased ?...


No


If so, specify


(Signed) .... William .R.


.. Duden


(Address) P .. B.Brigham ... HospitalDate.


M. D.


2 /3 19 45


Woodlawn


Everett Mass.


21 "PLACE OF BURIAL,


CREMATION OR REMOVAL


(Cemetery)


(City or Town)


DATE OF BURIAL


2/6


19


45


22 NAME OF


FUNERAL DIRECTOR


Stookwell Funeral House,


ADDRESS Peabody .... Mass


John ...... Dunn


2/7


19 45


Received and filed


MAR" 3"


1945


(Registrar of City or Town where deceased resided)


Copies of returns of deaths recorded during the previous month which occurred in your city or town in case the deceased


resided in another city or town at the time of death should be made forthwith and transmitted on Form R-302 to the clerk


of the city or town in which the deceased resided. (See Chap. 46, Sec. 12, G. L.)


50m (e)-1-41-4667


PLACE OF DEATH


(County)


1


(City or Town)


No.


..


Peter Bent Brigham Hospital


Registered No.


....


(If U. S.


War Veteran,


specify WAR)


No


(Specify whether)


1945


(Give maiden name of wife in full)


Underline the cause to which death


Autopsy


R-301 A


extracts from the laws on back of certificate. terms, so that it may be properly classified. Exact statement of OCCUPATION is very important. See instructions and If deceased was a U. S. War Veteran, G. L. Chap. 46, Section 10, requires physicians to Insert a recital to that effect. PARENTS


100M-6 - 2-42-8855


I HEREBY CERTIFY that a satisfactory standard certificata of death was filed with ma BEFORE the burial or transit permit was Issued : Wmstabuldrer


(Signature of Agent of Heard of health or other)


-Feb-3/As


....... (Omclal' Dealgnation) ( Date of Issue of Permit)


18 DATE OF


DEATH


February


3.


1945


( Month )


(Day)


(Year)


19 | HEREBY CERTIFY, That I attended deosased from


19 .. 55 ......


DEC - 22


Ło


February 2.


19.416 ...


I last saw h = \" alive on.


February 2, 191/5, death is said to


have occurred on the date stated above, at


6 - 25 A


... m.


6 Age of husband or wife if alive


years


9 IF STILLBORN. enter that fact here.


8 AGE 65 Years


Months


Days


If less than 1 day Hours. Minutes


Usual 9 Occupation :


Industry 10 or Business :


11 Social Security No.


*2 BIRTHPLACE (City)


(Siate or country)


Montrealla


13 NAME OF


FATHER


Wand Mandelson


14 BIRTHPLACE OF


FATHER (City) ( State or country)


sia


15 MAIDEN NAME


OF MOTHER


16 BIRTHPLACE OF


MOTHER (City)


(State or country)


17 Informant ( Address)


ation, If any


i'lace of Burial, Cremation Q Removal. (City or Town)


DATE OF BURIAL


19


22 NAME OF


FUNERAL DIRECTOR ...


ADDRESS


10-


Reoalvad and Alad


19.


....


Due to.


Due to.


Other conditions. Chronic Arthritis Deformans. ( Include pregnancy within 3 months of death)


3 gm.


IMPORTANT Physician


Major findings: Of operations


Date of


Of autopsy


What test confirmed diagnosis ?.


0 Was disease or injury in any way related to occupation of deceased? IVO


80, specify ...


(Signed) Clients


Frances M. D.


194.5


21


Written


(Address) 200 Washere .Date ....... Correct


Duration


Immediate cause of death. Chronic Endocarditis-


IMPORTANT


3 SEX


4 COLOR OR RACEI firmale white


5 SINGLE


MARRIED


WIDOWEDU


or DIVORCED


(write the word)


5a If married. widowed, or divorced HUSBAND of


(or) WIFE of


Placedog pavien


( Husband's name in full)


to


(If nonresident, give city or town and State)


Length of stay: In hospital or Institution


(Before death)


-


years


months days.


In this community


20 yes.


mos.


dayı.


(Specify whether)


The Commonwealth of Massachusetts OFFICE OF THE SECRETARY DIVISION OF VITAL STATISTICS STANDARD CERTIFICATE OF DEATH Parle


To be filed for burial permit with Board of Health or its Agent.


34


S ( If death occurred in a hospital or institution, St.


{ give its NAME instead of street and number)


2 FULL NAME


PLACE OF DEATH


00 Suffolk ...... (County)


......


1


No.


(City or Town) 28-Thou


Rebecca


Lavier


(If deceased is a married, widowed or divorced woman, give alao maiden name.)


(a) Residence. No. (Usual place of ahode)


28-Juan


PHYSICIAN - IMPORTANT


(Was deceased a


U. S. War Veteran,


if so specify WAR)


touttungs


PERSONAL AND STATISTICAL PARTICULARS


MEDICAL CERTIFICATE OF DEATH


( Registrar)


Underline the cause to which death should ba charged sta. tistically.


ank


Registered No.


EXTRACTS FROM THE LAWS OF THE COMMONWEALTH OF MASSACHUSETTS GOVERNING THE


RETURN OF CERTIFICATES OF DEATH


A physician or registered hospital medloal offioer shall forthwith, after the death of a person whoin he has attended during his last illness, at the request of an undertsker 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 bebel the nante of the deceased. lis supposed sge, 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 aeen alive hy the physician or officer and the date of hia death .. . Gen. Laws, Chap. 46, Sec. 9.


N physician or officer furnishing a certificate of death as required by the preceding section or by section forty-five of chapter one hundred and lour- teen, shall, if the decessed, to the best of his knowledge and helief, 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 s recital to that effect, speci- fying the war. sud shall siso certify in such certificate hoth the primary and the secondary or iinmediate 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 thia 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 purposea, he deemed to have taken place between February fourteenth, eighteen hundred and ninety-eight and July fourth, nineteen hundred and two; and the Stexi- can horder service of nineteen hundred and sixteen and nineteen hundred and seventeen. G. L. Chap. 46, Sec. 10.


No undertaker or other person shall hury or otherwise dispose of a human body in a town, or remove tlierefrom a human body which has not been buried, until he has received a permit from the board of health, or ita agent appointed to lasue such permits, or if there is no such board, from the clerk of the town where the person died; aud no undertaker or other person shall exhume a human body and remove it from a town, from one cenietery to another, or from one grave or tomb other than the receiving tomh to another in the same cemetery, until he has received a permit from the board of health or its agent aforesaid or from the clerk of the town where the 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 he returned and recorded, which shall be accompanied. in case of an original interment, by a satisfactory certificate of the attending physician, if any, aa 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 hoard of health, or employed by it or hy the aelectinen for the purpose, shall upon application niake the certificate re- quired of the attending physician. If death is csused by violence, the medl- cal examluer shall make such certificate. If such a permit for the removal of a liumsn hody, 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 which it was removed within thirty-six hours after such removal, unlesa a permit in the usual form for the removal of such hody has been sooner ohtalued hereunder. If the death certificate containa a recitsl. 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 certilying the cause of death shall therealter furnish for registration any other neces sary information which can be obtained as to the deceased, or as to the manner of cause of the death, which the clerk or registrar may require .- Chap. 114. Sec. 45, G. L., ( Tercentenary Edition).


No undertaker or other person shall bury a human body or the ashea thereof which have been brought Into the commonwealth until he has re- ceived a permit so to do from the haard of health or its agent appointed to issue such perinits, 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 tbe care of the cemetery or burial ground in which the intermeut is made. .. . Chap. 114. Sec. 46. 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 hy 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 hody lies aud take charge of the same; . .. - General Laws, Chap. 38. Sec. 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 such deatha 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 physlolana will certify to such deaths only aa those of persons who, though disahled by recognized disease unrelated to any form of injury. have died without recent medical attendance or whose physi- cian is absent from home when the certificate of death is needed.


(3) Medloal 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 septicemla). and by the action of clientical (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 hy recognized disease, and those of persons found dead.


Statement of Cause of Death .- Cause of deatlı means the disease, or complication which causes death. not the mode of dying, e. g., heart failure, asphyxia, asthenia, etc. Aa principal cause name the 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 Occupation .- Precise statement of occupation la very im- portant, so that the relative healthfulness of various pursuits can be known. Make some entry in this section for every person aged 10 years or over. If the occupation had been given up or changed on account of the discase causing death. report the usual occupation prior to illness. If the deceased had retired from business, report the usual occupation prior to retirement. Children not gainfully employed may he returned aa at school or at hoine. For a woman whose only occupatiou was that of home housework, write bousework. For a person engaged in domestic service for wages, however, designate the occupation by the appropriate terma, aa housekeeper-private family, cook-hotel. etc. For a person who had no occupation whatever write none.


SPACE FOR ADDITIONAL INFORMATION


M R-301 A


PLACE OF DEATH


Suffolk U (County) Winthrop


(City, or Town) 25 Washington avenue No.


The Commonforall of Massachusetts OFFICE OF THE SECRETARY DIVISION OF VITAL STATISTICS STANDARD CERTIFICATE OF DEATH


To be filed for burial pormit with Board of Health or its Agent.


Registered No.


35


( It death occurred in a hospital or institution, give its NAME instead of street and number)


( Coburn)


(If deceased is a married, widowed or divorced woman, give also maiden name.)


(a) Residenca.


No.


125 Washington Live


(Usual place of abode)


Length of stay: In hospital or Institution


(Refore desth)


(Specify whether)


PERSONAL AND STATISTICAL PARTICULARS


4 COLOR OR RACE


white


5 SINGLE


( write the word)


Willowed


MARRIED


WIDOWED


or DIVORCED


5a If married, widowed, or divorced HUSBAND of


(or) WIFE of


El (Give maiden name of wife in full)


Vaicon


( Husband's name in full)


6 Age of husband or wife if alive


years


> IF STILLBORN. enter that fact here.


8 AGE 16 Years 11 Months 24 Days


If less than 1 day


Hours


Minutes


Usual


9 Occupation :


at home


11 Social Security No.


12 BIRTHPLACE (City)


Barbara County


(Siate or country)


West Virginia


13 NAME OF


FATHER


Marshall Coburn


14 BIRTHPLACE OF


FATHER (City)


Barbero County


(State or country)


West Virginia


15 MAIDEN NAME


OF MOTHER


Columbia arnold


16 BIRTHPLACE OF


MOTHER (City)


Barbour County


(State or country)


West Virginia


Relation, if any




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