Town of Winthrop : Record of Deaths 1945, Part 19

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


USA > Massachusetts > Suffolk County > Winthrop > Town of Winthrop : Record of Deaths 1945 > Part 19


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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SPACE FOR ADDITIONAL INFORMATION


-301 A


extracts from the laws on back of certificate. If deceased was a U. S. War Veteran, G. L. Chap. 46. Seotlon 10, requires physicians to insert a recital to that effeot. PARENTS


100m(i)-1-44-13634


I HEREBY CERTIFY that a satisfactory standard oertifloste of death was filled with me BEFORE the burial or transit permit was Issued ? Wal-D- Childrenx (Stensture of Ageuf of Board of Health or other)


Health Officer 3/7/45 (Official Designation) (Date of Issue of Permit)


18 DATE OF


DEATH


(Jfonth)


(Day)


(Year)


19 | HEREBY CERTIFY,


Thet I attended daoaasad from


Rel 15 1941.


to


1945


I last saw h


.allve on.


queria 6, 1945, death Is said to


have occurred on the date stated above, at.


5- 20 Am.


Immediate oeuse of death


Brauche - pneumonia


Due to


Due to.


Clucia Myecanditi


3 ym


Other conditions


( Include pregnancy within 3 mouthe of death)


Major findIngs: Of operations


Date of


Of eutopsy


Whet test confirmed dlegnosis ?.


20 Was diseasa or injury in any way related to oooupation of deoeasad ?


If so, specify.P. 7 5 alens


. M. D.


(Signed


(Address) 12 5 Pleurant fr


Date Maren 7 1945


21 How


Place of Burial, Cremation or Removal. DATE OF BURIAL. 19.Y ....


22 NAME OF


FUNERAL DIRECTOR : way


ADDRESS


Reosived and Alad MAR 1 4 1945 19


( Registrar)


1


PLACE OF DEATH


Suffolk /XCounty)


.... (City or Towns


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.


Registered No.


54


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


Emma W. with


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


(a) Residence. No.


(Usual place of abode)


.......... St.


(If nonresident, give city or town and State)


Length of stay : In hosoltal or Institution


( Before death)


( Specify whether)


years


months


days.


In this community


8 gre.


-mos.


days.


PERSONAL AND STATISTICAL PARTICULARS


3 SEX


4 COLOR OR RACEJ


5 SINGLE


( write the word)


mannen


MARRIED


WIDOWED


or DIVORCED


5a If married, widowed, or divorced HUSBAND of


(or) WIFE ot


( Husband's name in full)


6 Age of husband or wife if aliva


64


years


7 IF STILLBORN, enter that fact here.


8 AGE 73 Years - Months ... . Days


If less than 1 day Hours Minutas


Usual


9 Occupation :


Industry 10 or Business :


11 Social Security No.


12 BIRTHPLACE (City)


(Siate or commitry)


13 NAME OF


FATHER


14 BIRTHPLACE OF FATHER (Clty) (State or country) 2 . 1


15 MAIDEN NAME


1


OF MOTHER 24 alle de statain


16 BIRTHPLACE OF MOTHER (City) (State or country) ) ralle te attain


170 Informent ( Address )


Relation, If any


(City or Town)


Duration


IMPORTANT 5 days


IMPORTANT


Physician Underline the cause to which death should he charged sta. tistically.


No. 155


2 FULL NAME


PHYSICIAN - IMPORTANT


(Was deceased a


U. S. War Veteran,


if so specify WAR)


MEDICAL CERTIFICATE OF DEATH


1 175


( Give maiden name of wife In fill)


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 helief the name of the deceased, his supposed age, the disease of which he died, defined as re- quired hy section one, where same was contracted, the duration of his last illness, when last seen alive hy 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 hy the preceding section or hy section forty five of chapter one hundred and four- teen, shall, if the deceased, to the best of his knowledge and helief, 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 relicf expedition and the Philippine insurrection, which shall, for said purposes, he deemed to have taken place between February fourteenth, eighteen hundred and ninety-eight and July fourth, nineteen hundred and two, and the Mexican horder service of nineteen hundred and sixteen and nine- teen hundred and seventeen. G. L. Chap. 46, Sec. 10.


No undertaker or other person shall bury or otherwise dispose of a human hody in a town, or remove therefrom a human hody which has not heen huried, 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 hody and remove it from a town, from one cemetery 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 huried. No such permit shall be issued until there shall have been delivered to such hoard, agent or clerk, as the case may he, a satisfactory written statement containing the facts required by law to he returned and recorded, which shall he 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 he 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 selectmen for the purpose, shall upon application make the certificate re- quired of the attending physician. If death is caused by violence, the medi- cal examiner shall make such certificate. If such a permit for the removal of a human hody, not previously interred, from one town to another within the commonwealth cannot he 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 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 heen engaged, such recital shall appear upon the permit. The hoard 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 manner or cause of the death, which the clerk or registrar may require .- Chap. 114, Sec. 45, 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 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.


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 hody is to be huried or the funeral is to be held, or from a person appointed to have the care of the cemetery or hurial 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 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 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, hut 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 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 morhid 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 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 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 hy the appropriate terms, as housekeeper -- private family, cook-hotel, etc. For a person who had no occupation whatever write none.


SPACE FOR ADDITIONAL INFORMATION


R-301 A +


1


PLACE OF DEATH


Suffolk (County) Winthrop (City or Town) 38 Forrest No.


The Commontralth 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.


Registered No.


55


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


2 FULL NAME Frances Siegal


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


(a) Residence. No.


38 Forrest


(Usual place of abode)


Length of stay : In hospital nr institution


( Before death)


(Specify whether)


yeara


months days.


In this community


18 yrs.


mos.


days.


PERSONAL AND STATISTICAL PARTICULARS


MEDICAL CERTIFICATE OF DEATH


3 SEX


4 COLOR OR RACE


Female White


( write the word)


18 DATE OF


DEATH


March


12


1945


(Month)


(Day)


(Year)


19 | HEREBY CERTIFY,


Nov . 22


19 44.


9 .........


That I attended deosased from


to


March 12.


19 45


(or) WIFE of


(Husband's name In full)


have occurred on the date stated above, at.


5.05 .


.m


Duration


> IF STILLBORN. enter that fact here.


8 AGE 52 Years Months Days


If less than 1 day


Hours


Minutes


Usual


9 Occupation :


Housewife


Industry


10 or Business :


11 Social Security No.


none


·2 BIRTHPLACE (City)


( State or country)


Ruavia


Other conditions


( Include pregnancy within 3 months of death)


Major findings :


Of operations.


Carcinoma of CEaum


Date of /6


Q11.2.1445


Of autopsy


What test confirmed diagnosis ?.


L'uderline the cause to which death should ba charged sta- tistically.


20 Was disease or injury in any way related to occupation of deceased? NO


If so, specify ..


(Signed)


Edward Li granger


M. D.


200 Was hamatin Date Mar 121945


(Address)


adatto Parael W. Roybury


DATE OF BURIAL


march


13,


22 NAME OF


Manuel Staneteby


FUNER


ADDRESS


/ Washington It, DOU


Received and fled


VAR 1 4 1945


19


( Registrar)


100M-4 -2-42-8855


extracts from the laws on back of certificate. If deceased was a U. S. War Veteran, G. L. Chap. 46, Section 10, requires physiolans to Insert a reoltal to that effect.


PARENTS


14 BIRTHPLACE OF


FATHER (City)


Russia


(State or country)


cannotlys


15 MAIDEN NAME


OF MOTHER


Jannie (learned)


16 BIRTHPLACE OF


MOTHER (City)


(State or country)


.... Russia


17 Jacob Siegal Relation, Many Informant (Address) 98 Havreaf Ist, Wutherapy


Place of Burial, Cremation or Removal


(City or Town)


1945


I HEREBY CERTIFY that a satisfactory standard, certificata of death was filled with ma BEFORE the burial or transit permit was issued:


Tomy populares


(Signature of Agent of Doard of Heaith or other) 3/13/45


(omclai Dealgas Mon) ( Date of Trave of Permit)


CarciNÁTesis


5 Años


Due to.


4Mos


Due to


IMPORTANT Physician


13 NAME OF


FATHER


Forshiel Liesel Fleicher


IMPORTANT


I last saw h


alive on ....


March 12


19545., death is said to


6 Age of husband or wife if alive 51 . yea Immedlate cause of death


5 SINGLE


MARRIED


WIDOWED Married


or DIVORCED


Sa If married, widowed, or divorced


HUSBAND of


Facigive maiden some of wight sunt


St.


Gtanthrop


(If nonresident, give city or town and State)


PHYSICIAN - IMPORTANT


(Was deceased a


U. S. War Veteran,


na


if sg) spoolfy WAR)


St.


EXTRACTS FROM THE LAWS OF THE COMMONWEALTH OF MASSACHUSETTS GOVERNING THE


RETURN OF CERTIFICATES OF DEATH


A physician or ragistered hospital madioal offioer shall forthwith, after the death of a person whoin he has atteinled during his last illness, at the request of an undertsker or other authorizeil person or of any member of the family of the deceased, furnisb 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 one. wlirre same was contracteil, the duration of his last IlInesa, when Isst aeen alive by the physician or officer and the date of his death ... Gen. Laws, Chap. 46, Sec. 9.


N physician or officer furnishing a certificate of death aa required by the preceiling section or by section forty-five of chapter one hundred and four- teen, shall, if the deceased, to the best of his knowledge and helief, aerved 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. snd shall slso certify in such certificate both the primary and the secondary or immediste cause of death as nearly as he can state the same. For neglect to comply with any provision of this section, auch physician or officer shall forfeit ten dollars. For the purposes of this aec- tion and of sections forty-five, forty-six and forty-seven of said chapter one bumulred 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 Mexi- can border service of nineteen hundred and sixteen and nineteen bundred and seventeen. C. L. Cliap. 46, Sec. 10.


No undertakar or othar parson shall bury or otherwise dispose of a buman body in a town, or remove therefrom a human budy which has not been buried, until he haa received a permit from the board of health, or ita 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 froin a town, from one cenietery to another, or from one grave or tomb other thau 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 boily is buried. No such permit ahall he isaued until there aball have been delivered to sucb board, agent or clerk, as the case may be, & astisfactory written statement containing the facta 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. 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 physi- cian who ia a member of the board of health, or employed by it or by the aelectinen for the purpose, shall upon application niake the certificate re- quired of the attending physician. If death ia csused by violence. the medl- cal examluier ahall 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 tbe 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 hody has been sooner obtained hereunder. If the death certificate containa a recital, aa required


by section ten of chapter forty-aix, 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 fortliwith 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 becer sary information which can be obtained as to the deceased, or as to the msuner 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 $ human body or the ashea thereof which have been brought luto 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 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 ibe internient ia made. ... Cbap. 114. Sec. 46. C. L., (Tercentenary Editiou).


Medical examinera shall make examination upon the view of the dead hodiea 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 lody of such a person, he shall forthwith go to the place where the hody lles aud take charge of the same; ... - General Laws, Chap. 38, Sec. 6.


RULES OF PRACTICE


The fulfillment of the purpose of these lawa calls for the observance of the following rulea 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 illueaa from disease unrelated to any form of injury.


(2) Board of Haalth physlolans will certify to such deatha only as those of persons who, though disahled by recognized disease unrelated to any form of injury. have died without recent medical attendance or whose phyaf- cian ia absent from home when the certificate of death ia needed.


(3) Medloal Examinars will investigate and certify to all deaths sup- posably due to Injury. These include not only deaths caused directly or in- directly hy traumatism (Including resulting septicemia), and by the action of chemical (drugs or poisons), thermal, or electrical agruts, amul deaths following abortion, but also deaths from disaasa rasulting from Injury or Infeotlon related to occupation, the suddan daatha of persons not disabled hy recognized disaase, and those of persons found daad.


Statement of Cause of Death .- Cause of death means the dlaease, or complication which causea death. not the moile of ilylng, e. g., hrart failure, asphyxia, asthenia, etc. Aa principal cause name the disease caualng death. As related causes, name earlier morbid conditiona, if any, related to the principal cause and any important complication of the principal cause.


Statamant of Oooupatlon .- Precise statement of occupation ia very im- portant, so that the relative healthfulnesa of various pursuits can be known, Make some entry in thia aection for every person aged 10 yeara or over. If the occupation had been given up or changed ou account of the discase causing death, report the usual occupation prior to illness. If the deceased had retired from businesa, report the usual occupation prior to retirement. Children not gainfully employed may be returned aa at school or at hoine. For a woman wbose only occupatiou was that of honie bousework, write bousework. For a person engaged in domestic service for wages, however, designate the occupation hy the appropriate terms, aa housekeeper-private family, cook-hotel, etc. For a person who had no occupation whatever write none.


SPACE FOR ADDITIONAL INFORMATION


301 A +


1 Suffolk (County


(City or Town) No. ... 3 .. 5.


legust Road


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. 56


Registered No. { (If death occurred in a hospital or institution, St. { give its NAME instead of street and number)


2 FULL NAME mary a. Shiran


( If deceased Is a married, widowed or divorced woman, give also


234 Hleary Road


St.


( If nonresident, give clty or town and State)


months days.


In this community &


yrs.


mos.


days.


PERSONAL AND STATISTICAL PARTICULARS


3 SEX


Female


4 COLOR OR RACEJ


White


5 SINGLE


MARRIED


WIDOWED


( write the word)


NED Single


5a If married, widowed, or divoroed HUSBAND of


(or) WIFE of


( Husband's name in full)


6 Age of husband or wife if alive yaars


7 IF STILLBORN, enter that fact here.


8 89 Years Months Days


If less than 1 day Hours Minutas


Usual 9 Occupation :


at Home


Industry


10 or Business :


11 Social Security No.


East Born


12 BIRTHPLACE (City)


( State or country)


masa


HE Thomas W. Sheeran


14 BIRTHPLACE OF


FATHER (Clty)


...


(State or country)


15 MAIDEN NAME


OF MOTHER


Annie M. Melody


16 BIRTHPLACE OF


MOTHER (City)


(State of country) ;It how chalant


17 Informar ( Address)


I HEREBY CERTIFY that a satisfactory standard certificate of daath was Alad with me BEFORE the Durlet or transit parmit was Issued:


{Signature sort of Board " Hewith or other)


Health Cheer 3/14/45


(Oficial Designation) V There of inoue/ of Permit)


MEDICAL CERTIFICATE OF DEATH


18 DATE OF


DEATH


march


( }fonth)


13


1945


(Year)


19 | HEREBY CERTIFY, That I attendad deoeasad from


1940 ..


March 13, 1945


I last saw help


allve on


March 12, 1945, death Is said to


hava occurred on the date statad abova, at ..... A .. m.


Immadlate cause of death


Braucheo - Pneumonia


6 deux


Due to


Due to


Chronic Myocarditis


4 yrs


Other conditiona.


( Include pregnancy within 3 montba of death)


Major findIngs: Of oparations


Data of


Of autopsy


What test confirmed diagnosis ?


20 Was disease or injury in any way relatad to occupation of daocasad ? . If so, specify.


( Signad)


Louis 7, Salerno


. M. D. (Address) 17 5 P hasout St Los gato Meu 13 19 45


21


eataly


Place of Burial, Crems Mon or Removal. (City or Town) 15 19 45


DATE OF BURIAL ..


march


22 NAME OF


FUNERAL DIRECTOR


ADDRESS


Each Besten of


on Thederik magath


19


Received and Aled MAR ... 1 .9 .1945


( Registrar)


If deceased was a U. S. War Veteran, Q. L. Chap. 46, Section 10, requires physicians to insert a reoltal to that effect. PARENTS


100m(:) . 1.44.13634


(a) Rasidence. No.


....


(Usual place of abode)


Langth of stay: In nnspital or Institution


( Before death)


(Specify whether)


years


maiden name.)


PHYSICIAN - IMPORTANT (Was deceased a U. S. War Veteran, if so specify WAR)


none


(Day)


Duration


IMPORTANT


IMPORTANT


Physician


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


chiland


Rention, If any


PLACE OF DEATH


(Give maiden name of wife in fill)


EXTRACTS FROM THE LAWS OF THE COMMONWEALTH OF MASSACHUSETTS GOVERNING THE RETURN OF CERTIFICATES OF DEATH




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