USA > Massachusetts > Suffolk County > Winthrop > Town of Winthrop : Record of Deaths 1945 > Part 12
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).
Part 1 | Part 2 | Part 3 | Part 4 | Part 5 | Part 6 | Part 7 | Part 8 | Part 9 | Part 10 | Part 11 | Part 12 | Part 13 | Part 14 | Part 15 | Part 16 | Part 17 | Part 18 | Part 19 | Part 20 | Part 21 | Part 22 | Part 23 | Part 24 | Part 25 | Part 26 | Part 27 | Part 28 | Part 29 | Part 30 | Part 31 | Part 32 | Part 33 | Part 34 | Part 35 | Part 36 | Part 37 | Part 38 | Part 39 | Part 40 | Part 41 | Part 42 | Part 43 | Part 44 | Part 45 | Part 46 | Part 47 | Part 48 | Part 49 | Part 50 | Part 51 | Part 52 | Part 53 | Part 54 | Part 55 | Part 56 | Part 57 | Part 58 | Part 59 | Part 60 | Part 61 | Part 62 | Part 63 | Part 64 | Part 65 | Part 66 | Part 67 | Part 68 | Part 69 | Part 70 | Part 71 | Part 72 | Part 73 | Part 74 | Part 75 | Part 76 | Part 77 | Part 78 | Part 79 | Part 80 | Part 81 | Part 82 | Part 83 | Part 84 | Part 85 | Part 86
I HEREBY CERTIFY that a satisfactory standard certificate of death was filed with me BEFORE the Durisi or transit permit was Issued?
(Signature of Agent of Board of Health or other)
Helle Miler 2/6/49
(Omcisi Designation) ( Date of Trque of Permit)
MEDICAL CERTIFICATE OF DEATH
18 DATE OF
DEATH
Feb
4
1945
(Month)
(Day)
(Year)
19
HEREBY CERTIFY,
1943
That I attended deosased from
to.
Feb
4
19 45
i last saw hall.
... alive on ...
Tel 4
19%, death is said to
have oocurred on the date stated above, at. .m.
Immediate cause of death
Cerebral Hemma
5 de
Due to. Hejpertenciai
Due to
Other conditions.
arthuis
.....
( include pregnancy within 3 months of death)
Major findings :
Of operations
Date of
Of autopsy
What test confirmed diagnosis ?.
Underline the cause to which death shouldi be charged sta- tistically.
20 Was disease or injury in any way related to oooupation of deceased ?. 20
If so, specify
, M. D.
(Signed) Louis t. Salerno
(Address) 175 Pleasant St
Date Zel 5 1945
21 Wintherche Cemetery
Winthrop til
Place of Burisi, Crenistion or Removal.
(City or Town)
DATE OF BURIAL Feb 6
19:1.5
22 NAME OF
FUNERAL DIRECTOR.
Chas. R Dennison
ADDRESS
Reosivad and Alad 19
( Registrar)
-
JOOM-6 -2-42-8855
1 3 SEX Femule 2/15/45 per margaret If deceased was a U. S. War Veteran, G. L. Chap. 46, Section 10, requires physicians to insert a recital to that effect. PARENTS should be carefully supplied. ACE should be stated EXACTLY. PHYSICIANS should state CAUSE OF DEATH in plain Industry 10 or Business : 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
2 FULL NAME
C Jessiej Nacion
PHYSICIAN - IMPORTANT
(Was deceased a
U. S. War Veteran,
if so specify WAR)
.... St.
(If nonresident, give city or town and State)
years
montha
days.
In this community 30 yra.
mos.
days.
Jan
Duration
IMPORTANT
IMPORTANT Physician
Elques E Dawson, In (Son
17 Informant ( Address) Pittsfield Mange
EXTRACTS FROM THE LAWS OF THE COMMONWEALTH OF MASSACHUSETTS GOVERNING THE
RETURN OF CERTIFICATES OF DEATH
A physiolan or registered hospital medioel officer shall forthwith, after the death of a person whoin he has attended during his last Illness, at the request of an undertaker or other authorized person or of ans meniber of the family of the deceased, furnisb for registration a standard certificate of deeth, 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 illneaa, when lest seen alive by the physician or officer and the date of his death ... Cei. Lawa, Chap. 16, Sec. 9.
A physician or officer furnishing a certificate of death aa required by the preceiling section or by acction forty-five of chapter one hundred and four- teen, slrall, if the deceased, 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 a recital to that effect. speci- fyIng the war, and shall also certify in such certificate both the primary and the secondary or immediate cause of death as nearly as he can state the saine. For neglect to comply with any provision of this section, auch 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 humulred 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 hetwcen February fourteenth, eighteen hundred and ninety. eight and July fourth. nineteen hundred and two, and the Siexi- can border service of nineteen hundred and sixteen and nineteen bundred and seventeen. G. L. Chap. 46, Sec. 10.
No undertaker or other person shall bury or otherwise dispose of a buman body in a town, or remove therefrom a human body which has not been buried, until he has received a permit from the board of health, or its agent appointed to issue such permita, or if there is no such board. from the clerk of the town where the person died; and no undertaker or otber person shall exhume a human body and remove it from a towil, from one cemetery to another, or from one grave or tomb other than the receiving tomb to another in the same cemetery, until he haa received a permit from the board of health or ita agent aforesaid or from the clerk of the town where the body Is buried. No such permit shell be issued until there shall have been delivered to sucb board, agent or clerk, as the case may be, a satisfactory written statement containing the fscta required by law to be returned antl recorded, which shall be accompanied. in case of an original interment, by a satisfactory certificate of the ettending physician, if any. aa required by law. o1 in lieu thereof a certificate aa hereinafter provided. If there is no attending physician, or if, for sufficient reasons, hia certificate cannot be obtained early enough for the purpose, or ia insufficient, a pbysi- cian who ia a member of the board of health, or employed by it or by tbe selectmen for the purpose, shall upon application niake the certificate re- quired of the attending physician. If death ia caused by violence, the medi- cal examiner chall make such certificate. If such a permit for the removal of a human boily, not previously interred, froin one town to another within the commonwealth cannot be obtained early enough for the purpose, the certificate of death made as above provided and in the possession ot tbe undertaker desiring to make such renioval 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 containa 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. sucb 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 la so giveu and the physician certifying the cause of death shall thereafter furnish for registration any other neces Bary information which can be obtained as to the deceased, or as to the manner or cause of the death, which the clerk or registrar way require .- Cbap. 114. Sec. 46. 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 hoard of health or its agent appointed to issue such permita, or if there is no such hoard, from the clerk of the town where the body la 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. ... Cbap. 114. Sec. 46. G. L., (Tercentenary Editiou).
Medice! examinera shall make examination upon the view of the dead bodies of only such persons as ere 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 body iies aud take charge of the same; ... - General Laws, Cbap. 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 sucb deatha only as those of persone to whom they have given bedside care during a last illness from disease unrelated to any form of injury.
(2) Board of Health physlolans will certify to such deaths only as those of persons who, though disahled by recognized disease unrelated to any form of injury. have died without recent medical attemlance or whose pbsal- cian ia absent from home when the certificate of death ia needed.
(3) Medloal Examiners will investigate and certify to all dlcatbs sup- posably due to Injury. These include not only deaths cansed directly or in- directly by traumatism (including resulting septicemia). and by the action of chemical (drugs or poisons), thermal, or electrical agruta, aml deatbs following abortion, but also deatha from diseaca resulting from Injury or Infeotlon related to oooupatlon, the sudden deaths of persons not disabled by recognized disease, and those of persons found deed.
Statement of Cause of Death .- Cause of deatlı meana the disease, or complication which causea death. not the mode of dying, e. g., heart fallure, asphyxia, asthenia, etc. Aa principal cause name tbe disease causing death, Aa related causes, name earlier morbid conditiona, If any, related to the principal cause and any important complication of the principal cause.
Statement of Oooupetlon .- Precise statement of occupation ia very im- portant, so that the relative bealthfulnesa of various pursuita 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 ou account of the disease causing death. report the usual occupation prior to illness. If the deceased bad retired from business, report the usual occupation prior to retirement. Children not gainfully employed may be returned as at school or at borne. For a woman wbose only occupatiou waa that of bone bousework, write bousework. For a person engaged in domestic service for wages, however, designate the occupation by the appropriate terms, aa bousekeeper-private family, cook-hotei, etc. For a person who had no occupation whatever write none.
SPACE FOR ADDITIONAL INFORMATION
M R-303-A
PLACE OF DEATH
Sel/lk County ) Furtheron. (City or Town) 25 charles St.
The Commonfocalth of Massachusetts OFFICE OF THE SECRETARY DIVISION OF VITAL STATISTICS MEDICAL EXAMINER'S CERTIFICATE OF DEATH
To be filed for burlal permit with Board of Health or its Agent.
Registered No.
36
St. § (If death occurred in a hospital or institution, ( give its NAME instead of street and number)
Katherine m. glassett
(If deaeased is a married, widowed or divorced woman, give also maiden name.)
(a) Residence. No.
25 Charles ST Wunstorf.
St.
(If nonresident, give city or town and State)
months
days.
In this community
5
yrs.
mos.
days.
PERSONAL AND STATISTICAL PARTICULARS
MEDICAL CERTIFICATE OF DEATH
18 DATE OF
DEATH
Heb -
6-1945
(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.) Sas Posing
20 Accident, sulolde, or homiolde (specify)
Annons accidental
Date of occurrence.
-
1945
Where did
Twitterop 3
Injury occur ?
(City dr town and State)
Did Injury ocour In or about home, on farm, in Industrial place, or In pubilo
place ?
(Specify type of place)
Manner of
Injury
Found dead in her for filled.
Nature of
Kitchen
Injury
While at work?
Was there an autopsy ?.
21 Was disease or Injury In any way related to ocoupation of deceased ?.
If so, specify
M. D.
(Signed)
Lotto-6-
1965
(Address)
22 Holy
Place of Bumfal, Cremation or Removal.
(City or Town)
9
23 NAME OF
FUNERAL DIRECTOR Medniek Y manatt
ADDRESS
Each Blottie O
Received and filed
FEB 14 1945
19
(Registrar)
50m (g) -1-41-4667
1
No .
2 FULL NAME
(Usual place of abode)
Length of stay : In hospital or Institution.
(Before death)
(Specify whether)
3 SEX
Female
4 COLOR OR RACE|
White
MARRIED
WIDOWED
Sa If married, widowed, or divorced
T.
HUSBAND of
7 IF STILLBORN, enter that fact here.
8
Years
Months
Days
Hoseunk
Usual
9 Occupation :
10 or Business :
11 Social Security No ..
none
12 BIRTHPLACE (City)
(State or country)
14 BIRTHPLACE OF
FATHER (City)
(State or country)
PARENTS
If deceased was a U. S. War Veteran, G. L. Chap. 46, Section 10, requires physicians to Insert a reoltal to that effect
extracts from the laws relative to the return of certificates of death.
so that it may be properly classified under the International Classification of Causes of Death. See reverse side for
should be carefully supplied. MEDICAL EXAMINERS should state CAUSE AND MANNER OF DEATH in plain terms,
Industry
Cum Home
5 SINGLE
(write the word)
(or) WIFE of
Give maiden name of wife in ful soett
(Husband's name in full)
6 Age of husband or wife If alive 5/ 51 years
If less than 1 day
Hours ..
.Minutes
East Bota
mora
13 NAME OF
FATHER
James P. Foly
Halit
n.8.
15 MAIDEN NAME
OF MOTHER
mary Q' Donnell
16 BIRTHPLACE OF
MOTHER (City)
East Boston
(State or country)
T.
mass
Informa
35 Chaves at Driven
I HEREBY CERTIFY that a satisfactory standard certificate of death was filed with me BEFORE the burjel or transit permit was Issued :
( Signature of Agony of Board of With other )
The atthe office
3/8/45
( Officlal Designation) ( Date of Issue of Permilt)
-
maiden
17 Walter J. Sterett Relation, if any DATE OF BURIAL ....... 19 Y.S
PHYSICIAN - IMPORTANT
(Was deceased a
U. S. War Veteran,
if so specify WARY
years
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 his knowledge and belief the wanie 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.
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 inarine 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 sliall 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 hundred and two, and the Mexi- can border service of nineteen hundred and sixteen and nineteen bundred and seventeen. G. L. Chap. 46, Sec. 10.
No undertaker or other person shall bury or otherwise dispose of a buman body in a town, or remove therefrom a human body which has not been buried, until he has received a permit from the board of health, or its 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 otber 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 statenrent 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 pbysi- 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 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 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 heen 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 regis- tration. The person to whom the permit is so given and the physician cer- tifying the cause of death shall thereafter furnish for registration any other necessary information which can be obtained as to the decedard. or as to the manner or cause of the death, which the clerk or registrar 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 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 hoard, from the clerk of the town where the body is to be buried or the funeral is to be lield, 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.
... lle 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 be, 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 physiolans 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 uurelated 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) 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 action of chemical (drugs or poisons), therinal, or electrical agents, and deathis following abortion, but also deaths from disease resulting from Injury or infection related to oocupation, 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 deatb will state tbe cause and manner thereof, and will specify: (1) Under cause, the nature of an injury and of its consequences; and (2) under manner, the 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 sbows the death to have been due to disease, specify : (1) Under cause its known or presumrable nature; and (2) under manner, indicate the circum- stances leading to inedico-legal inquiry. For example : "Hemorrhage spon- taneous of the brain (basal ganglia) (found dead in bed)." "Heart disease, presumalily 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
R-301 A
1
Boston
(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.
Registared No. 37
-
No. Winthrop Community Hospital
St.
{ {If death occurred in a hospital or institution,
{ give its NAME instead of street and number)
2 FULL NAME
Male Gillis
( If deceased 19 a married, widowed or divorced woman, give also maiden name.)
(a) Rasidence. No.
55 Sea View Ave. . Winthrop-
St.
(If nonresident, give city or town and State)
Length of stay: In noscital or Institution
( Before death)
( Specify whether)
hospital-year ;
months -
days.
In this community - yrs. - mos.
- days.
PERSONAL AND STATISTICAL PARTICULARS
3 SEX
male
4 COLOR OR RACE
white
5 SINGLE
( write the word)
MARRIED
WIDOWED
or DIVORCE@Single
5a If married, widowed, or divorced
HUSBAND of
(Give maiden name of wife in full)
(or) WIFE of
( Husband's name In full)
6 Age of husband or wife if afiva
fyaars
7 IF STILLBORN, enter thal faci here. Stillborn
8
AGE
Years
Months
Days
If less than 1 day
Hours
Minutas
Usual
9 Occuoetlon :
none
Industry
10 or Business :
none
11 Social Security No. none
12 BIRTHPLACE (City)
Winthrop
( Siate or country)
Mass
13 NAME OF
FATHER
Alexander Gillis
14 BIRTHPLACE OF
FATHER (City)
Boston
(State or country)
Mass
15 MAIDEN NAME
OF MOTHER
Constance Murray
16 BIRTHPLACE OF
MOTHER (City)
( State or country)
Ma 88
Boston
(Address) Yhandla mor 8-1943
21 Winthrop, winthrop Burial, C
(City or Town)
DATE OF BURIAL
Feb 13,1945.
19
I HEREBY CERTIFY that a sufisfactory standard certificate of daath was Aled with me BEFORE the postal of transit permit was issued : W.m. D. Childrenst
( Signature of Agent of Board of health or other)
W Healthe Office 2/15/49
(Omcial Designation) ( Date of Taque of/Permie)
18 DATE
DEATH
(Month)
(Day)
(Year)
19 | HEREBY CERTIFY,
That I attendad deocasad from
19
19
....
to
I fast saw h.
........... alive on.
19
daath is said to
have occurred on tha date stated above, at.
m.
Immediate cause of death ...
Dua to
Due to
Other conditiona
( Include pregnancy within 3 months of death)
Major findIngs :
Of operations
Data of.
Of autops
What test confirmed diagnosty
Duration
IMPORTANT
1
IMPORTANT
Physician Underline the cause to which death should be charged sta- tistically.
20 Was disease or injury in any way ralatad to occupation of deocasad ?
If so, spacify ..............
( Signad )
. M. D.
17 Mrs. Edmund Murray 'grandmother Informant ( Address ) 55 Sea View Ave. Winthrop
22 NAME OF
FUNERAL DIRECTOR
R C Kirby
Boston .... ?... .........
ADORESS
Reoalved and flad
MAR 3-1945
19
( Registrar)
100m(1) -1.44.13654
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.
(per hospital 3/9/45
PARENTS
PLACE OF DEATH
Suffolk (County)
PHYSICIAN - IMPORTANT
(Was deceased a
U. S. War Veteran, no
if so specify WAR)
( Usual place of abode)
Need help finding more records? Try our genealogical records directory which has more than 1 million sources to help you more easily locate the available records.