USA > Massachusetts > Suffolk County > Winthrop > Town of Winthrop : Record of Deaths 1945 > Part 2
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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. 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 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 ma to the manner or callse 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 hunian 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 ruch 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 the Interment is made. ... Chap. 114. Sec. 46. G. L., (Tercentenary Edition).
Medical examiners shall mske examination upon the view of the dead bodies of only such persons as are supposed to have died hy vinleuce. If a medical examiner hss notice that there is within his county the body of such a person, he shall forthwith go to the place where the body Hes aud 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 phyalciana will certify to such deatha only aa 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 ae those of persons who, though disshled by recognized disease unrelated to any form of injury. have died without recent medical attendance or whose pbyaf- cian is ahsent from home when the certificate of death is needed.
(8) Medloal Examiners will investigate and certify to all deatha aup- posebly due to Injury. These include not only deaths caused directly on in- directly hy traumatism (including resulting septicemla), and hy the action of chemical (drugs or poisons), thermal, or electrical agents, and deaths following abortion, but also deaths from diseasa resulting from injury or Infeotlon releted to occupetion, the audden deatha of persons not disabled by recognized disease, and those of persons found deed.
Statement of Cause of Death. Cause of death meana the disease, or complication which causes death. not the mode of dying, e. g., heart failure, asphyxia, asthenla, etc. Aa principal cause name the disease caualug death, Aa related causes, name eerlier morbid conditions, if any, related to the principal cause and any Important complication of the principal cause.
Statement of Oooupation .- Precise statement of occupation is very Im- portant, so that the relative bealthfulness of various pursuits can he known. Make some entry in this section for every persou 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 illuess. If the deceased had retired from husinesa, report the usuai occupation prior to retirement. Children not gainfully employed may he returned an at school or at hoine. For a woman wbose only occupatiou was that of home bousework, write bousework. For s person engaged in domestic service for wages, however, designate the occupation hy the appropriate terms, as bousekeeper-private family, cook-hotel, etc. For a person who had no occupation whatever write none.
SPACE FOR ADDITIONAL INFORMATION
M R-301 ||
Suffolk
1
PLACE OF DEATH
2 FULL NAME
(Usual place of abode)
Hospital
length of stay: In hospital or institution
(Specify whether)
PERSONAL AND STATISTICAL PARTICULARS
3 SEX
5 SINGLE
MARRIED
WIDOWED
or DIVORCED
Female
4 COLOR OR RACE
White
(or) WIFE of.
7 IF STILLBORN, enter that fact here.
8
64
AGE
Years
Months ..
Days
Usual
9 Occupation:
House wife
Industry
10 or Business:
own home
11 Social Security No.
none
12 BIRTHPLACE (City)
East Boston
(State or country)
ruase.
14 BIRTHPLACE OF
FATHER (City)
(State or country)
Ireland
16 BIRTHPLACE OF
MOTHER (City)
PARENTS
Ireland
(State or country)
CAUSE OF DEATH in plain terms, so that it may be properly classified. Exact statement of OCCUPATION
information should be carefully supplied. AGE should be stated EXACTLY. PHYSICIANS should state
is very important. See instructions and extracts from the laws on back of certificate.
(Signature of Agem of Board of Health & other)
N. B .- WRITE PLAINLY, WITH UNFADING BLACK INK-THIS IS A PERMANENT RECORD. Every item of
13 NAME OF
FATHER
Thomas Garvey
200m-10-'39. No. 8427-d
I HEREBY CERTIFY that a satisfactory standard certificate of death was filed with me BEFORE the burial or transit permit was issued: Wau: D. Cüldress ...... Health Officer 1/8/45 (Oficial Designation) (Date of Issue of Permit)
MEDICAL CERTIFICATE OF DEATH
18 DATE OF
DEATH
(Month)
(Day)
(Year)
19 I HEREBY CERTIFY. 3
19.
45
Jan 7
1945
I last saw b.l ..... alive on
......
Jan/6, 19 45,
to have occurred on the date stated above, at .... /2.
.m.
death is said
Duration
Immediate cause of death
Carcinoma Caarhus Altri
Due to
....
Thour
Other conditions
(Include pregnancy within 3 months of death)
................
Major findings;
Sihay Radium
Of operations ..
near mint.
1) Date of Jam 6. 1945 hich death
Of autopsy
Botan
What test confirmed diagnosis ?..
.........
20 Was disease or Injury In any way related to occupation of deceased ?
If so, specify
John T. Williams
M. D.
(Signed)
429 Bracing1, BAD at6 6 7 19 45
(Address)
21
HolyGross, Malden
Place of ByMal, Cremation or Removal. (City/or Town)
DATE OF BURIAL
January
VI0,
1945
FUNERAL DIRECTOR
ADDRESS
11 Meridian St. E. (13
Received and filed 19
Å TRUE COPY ATTEST:
(Registrar)
6
Registered No.
(If death occurred in a hospital or institution,
St. { give its NAME instead of street and number)
(If U. S.
War Veteran.
„specity WAR)
n/a
(If deceased is a married, widowed or divorced woman, give also maiden name.)
(a) Residence.
No ...
6/ Waldemar
Are.
.. St.
Wrathof
(If nonresident, give city or town and state)
₩ years
- months
5
days.
In this community 20 yrs. - mos. - days.
(write the word)
Married
5a If married, widowed, or divorced
HUSBAND of
Patrive tiden ane Vrilivan
(Husband's name in full)
6 Age of husband or wife if alive. 70 years
If less than 1 day
Hours
Minutes
11/0 1/2ts
Due to
Cardiac failure
turi
PHYSICIAN ...
Underline
the cause to
should be charged sta- tistically.
15 MAIDEN NAME
OF MOTHER
Bridget Feighery
17 Patrick , Sullivan, Rusland)
Informant ...
(Address)
6/ Waldemar Are, Win.
The Commonwealth of Massachusetts OFFICE OF THE SECRETARY DIVISION OF VITAL STATISTICS STANDARD CERTIFICATE OF DEATH Hospital
(County) Winthrop (City or /Town) No Withrok Community Martha M. Sullivan
(City or town making return)
1945
7
That I attended deceased from
22 NAME OF
John 06 Kelly
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 deeeased, furnish for regis- tration a standard eertifieate 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 eontracted, the duration of his last illness, when last seen alive by the physician or offieer 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 human body which has not been buried, until he has received a permit from the board of health or its agent appointed to issue sueh permits, or if there is no sueli 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 eemetery, until he has received a permit from the board of health or its agent aforesaid or from the elerk of the town where the body is buried. No such permit shall be issued until there shall have been de- livered to sueh board, agent or elerk, as the ease 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 certifieate eannot 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 eaused by violenee, the medieal exam- iner shall make sueh eertifieate. If sueh a permit for the removal of a human body, not previously interred, from one town to another within the commonwealth eannot be obtained early enough for the purpose, the eertifieate of death made as above provided and in the possession of the undertaker desiring to make sueh a removal shall constitute a permit for sueh removal ; provided, that such body shall be returned to the town from which it was removed within thirty- six hours after sueh removal, unless a permit in the usual form for the removal of sueh body has been sooner obtained hereunder. If the death certificate contains a reeital, as required by seetion 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, sueh reeital shall appear upon the permit. The board of health, or its agent, upon receipt of sueh statement and certifieate, shall forthwith eountersign it and transmit it to the elerk of the town for registration. The person to whom the permit is so given and the physician eertifying the eause 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 eause of the death, which the elerk or registrar may require .- Chap. 114, Sec. 45, G. L., (Tercentenary Edition.)
No undertaker or other person shall bury a human body or tbe ashes thereof which have been brought into the commonwealth until be has received a permit so to do from the board of health or its agent appointed to issue sueh permits, or if there is no sueh 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 bave the eare of the cemetery or burial ground in which the interment is made .... Chap. 114, Sec. 46, G. L., (Tereentenary Edition.)
RULES OF PRACTICE
The fulfillment of the purpose of these laws calls for the observ- anee of the following rules of practice :
(1) Attending physicians will certify to sueh deaths only as those of persons to whom they have given bedside eare 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 reeent medieal attendance or whose physician is absent from home when the certificate of death is needed.
(3) Medieal Examiners will investigate and certify to all deaths supposably due to injury. These inelude not only deaths eaused directly or indirectly by traumatism (ineluding resulting septiee- mia), and by the aetion of ehemieal (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 those of persons found dead.
Statement of Cause of Death .- Cause of death means the disease, or complication which eauses death, not the mode of dying, e. g., heart failure, asphyxia, asthenia, ete. As principal cause name the disease eausing death. As related causes, name earlier morbid eon- ditions, if any, related to the principal cause and any important complication of the principal eause.
Statement of Occupation .-- Preeise statement of oeeupation is very important, so that the relative healthfulness of various pursuits ean be known. Make some entry in this seetion for every person aged 10 years or over. If the occupation had been given up or changed on aeeount of the disease causing death, report the usual occupation prior to illness. If the deceased had retired from busi- ness, report the usual oeeupation prior to retirement. Children not gainfully employed may be returned as at school or at home. For a woman whose only oeeupation was that of home housework, write housework. For a person engaged in domestie serviee for wages, however, designate the oeeupation by the appropriate terms, as housekeeper-private family, eook-hotel, etc. For a person wbo bad no oeeupation whatever write none.
SPACE FOR ADDITIONAL INFORMATION
-302
Essex
(County) Danvers
The Commonwealth of Massachusetts OFFICE OF THE SECRETARY DIVISION OF VITAL STATISTICS COPY OF CERTIFICATE OF DEATH
Danvers
(City or town making return)
Registered No.
(If death occurred in a hospital or institution, St. give its NAME instead of street and number)
2 FULL NAME
Harry W. Davis
(If deceased ia a married, widowed or divorced woman, give also maiden name.)
249 Shore Drive
St.
Winthrop
(If nonresident, give city or town and State)
Length of stay: In hospital or Institution.
(Before death)
(Specify whether)
years
montha 7
daya.
In this community
yTs.
mos.
days.
PERSONAL AND STATISTICAL PARTICULARS
MEDICAL CERTIFICATE OF DEATH
3 SEX
4 COLOR OR RACE|
5 SINGLE
(write the word)
MARRIED
WIDOWEDried
or DIVORCED
(Month)
(Day)
(Year)
5a If married, widowed,
dewith gelogd learned 2. Mary Lee
(Give maiden name of wife in full)
HUSBAND
of ...
(or) WIFE of
(Husband'a name in full)
6 Age of husband or wife If alive
years
7 IF STILLBORN, enter that faot here.
8
AGE
81 Years.
Months. .. Days
If less than 1 day Hours Minutes
Usual
9 Oooupation :
Manufacturer
Industry
10 or Business:
Fire works
11 Social Security No ......
cannot ..... be ...... learned
12 BIRTHPLACE (City)
(State or country)
(5) Boston
13 NAME OF
FATHER
Warren Davis
PARENTS
14 BIRTHPLACE OF
Bolton
FATHER (City)
(State or country)
Canada
15 MAIDEN NAME
OF MOTHER
Ellen Cragg
16 BIRTHPLACE OF
MOTHER (City)
(State or country)
Milton
17 M.K.McPhillips
Relation, if any
Informant.
(Address)
A TRUE COPY.
ATTEST :
DATE FILED
15/45
Ir qlatray 84 city or town where death occurred)
19
19 | HEREBY CERTIFY,
That 1 attended deceased from
Jan. 1 19
45
toJan.
8
19
45
1 last saw h.
im
Jan. 81.45
death Is sald to
2.25P
Duration
Immediate cause of death heart disease Arterioscler
Due to
Due to
Other conditions.
(Include pregnancy within 3 months of death)
Physician
Major findings :
Of operations.
Date of
Underline the cause to which death should be charged sta- tistically.
Of autopsy.
clinical
What test confirmed diagnosis ?
20 Was disease or injury in any way related to occupation of deceased ?.
If so, speoif
Pasquale Buoniconto
(Signed)
"DSH
(Address)
Date
1/12; M. 495
21 PLACE OF BURIALWinthrop
winthrop
DATE OF BURIAL
John F. o Maley
22 NAME OF
FUNERAL DIRECTOR
ADDRESS
Winthrop
Received and filed
19
(Registrar of City or Town where deceased resided)
25 M-(f) -11-42 10746
PLACE OF DEATH -
No.
(City or Town) Danvers state Hospital
(If U. S.
War Veteran,
speolfy WAR)
(a)
Residence, No.
(Usual place of abode)
male
white
18 DATE OF
DEATH
Jan. 8, 1945
68
have occurred on the date stated above, at
.m.
CREMATION OR REMOVAL.
(Cemetery)
1/11/45City or Town)
19
01
Uf deceased was a U. S. War Veteran, G. L., Chap. 48, Sec. 10, requires physiciana to insert a recital to that effect PARENTS
from the laws on back of certificate.
50m. (c) -6-43-12056
I HEREBY CERTIFY that a satisfactory standard certificate of death war filed with me BEFORE the burial or transit permit was issued: Www. S. Wildresh
(Signature of Agent of Board of Health or other) / Seattle Office 1/9/40
(Official Designatlon) (Date of Issue of Permit)
MEDICAL CERTIFICATE OF DEATH
18 DATE OF
DEATH
January
8
1945
(Month)
(Day)
(Year)
5a Ti married, widowed, or divorced HUSBAND of
(or) WIFE of
(Husband's name in full)
" Age of husband or wife if alive ..... 60 years
7 IF STILLBORN, enter that fact here.
8 AG 7 Years.
Days Months hs 2 Da 7
If less than 1 day
Hours
Minutes
Usual
9 Occupation:
at Home
Industry
10 or Business:
11 Social Security No.
12 BIRTHPLACE (City (State or country)
13 NAME OF
FATHER
Percival Marsden)
14 BIRTHPLACE OF
FATHER (City)
(State or country)
England
15 MAIDEN NAME
OF MOTHER
* Mary northin
16 BIRTHPLACE OF
MOTHER (City)
(State or country)
(Signed) Edward Outrasiga M. D (Address) 200 Wellington Le Date Dan. 8 1945
21 (City of Town) Die Blue Itilla Cem. Braintree Place of Burial, Cremation or Removal. DATE OF BURIAL 10 049
22 NAME OF
Donald Deware
FUNERAL
ADDRESS
576 Hancock St. Quincy
Recelved and filed. .19
1.95
(Reglatrar)
1
PLACE OF DEATH
Suffolk
(County) Manthrop
(City or Town) 15 Summit Que
The Commonwealth of Massachusetts OFFICE OF THE SECRETARY DIVISION OF VITAL STATISTICS STANDARD CERTIFICATE OF DEATH
(City or town making return)
Registrar's No.
9
S (If death occurred in a hospital or institution, { give ita NAME instead of street and number)
Quelinie REMuraden) Raisons
PHYSICIAN-IMPORTANT (Was deceased a U. S. War Veteran, if so specify WAR)
(If deceased ia a maffied, widoved or divorced woman, give allo maiden name) 15 Summit are Worthrap (a) Residence. No. (Usual place of abode)
Length of stay: In hospital or Institution (Before death)
(Specify whether)
PERSONAL AND STATISTICAL PARTICULARS
3 SEX
female
4 COLOR OR RACE
white
5 SINGLE
(write the word)
iel
MARRIED
WIDOWED
or DIVORCED
19 I HEREBY CERTIFY That I attended deceased from to. September7 1944 January 8 1945
I last saw h Ci_alive on
January 4, 1945, death in said to
have occurred on the date stated above, at 11-36 AM.
Immediate cause of death
Coronary Thromborio
Duration IMPORTANT 4 MAS
Due to.
Due to
Other conditions.
(Include pregnancy within 3 months of death)
--
Major findinga:
Of operations
Date of
Of autopsy
What test confirmed diagnosis ?.
IMPORTANT Physician
Underline the cause to which death should be charged ata- tiatically.
20 Was disease or injury in any way related to occupation of deceased NA If so, specify -
Wilfred Raudon Relation, if any 15 Sumenthave " husband
Informant (Address)
No.
St.
3 FULL NAME
(If nonresident, give city or town and State)
years months days.
In this community
mos.
days.
A TRUE COPY ATTEST:
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 equest of an undertaker or other authorized person or of any member of he family of the deceased, 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 one, where same was contracted, the duration of his last Ilness, when last seen alive by the physician or officer and the date of is death . .. Gen. Laws, Chap. 46. Sec. 9.
A physician or officer furnishing a certificate of death as required by the receding section or by section forty-five of chapter one hundred and four- een, shall, if the deceased, to the best of his knowledge and belief, served n the army, navy or marine corps of the United States in any war in which t has been engaged, insert in the certificate a recital to that effect, speci- ying 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 he same. For neglect to comply with any provision of this section, such hysician or officer shall forfeit ten dollars. For the purposes of this sec- ion and of sections forty-five, forty-six and forty-seven of said chapter ne hundred and fourteen, the word "war" shall include the China relicf expedition and the Philippine insurrection, which shall, for said purposes, e deemed to have taken place between February fourteenth, eighteen undred and ninety-eight and July fourth, nineteen hundred and two, and he Mexican border service of nineteen hundred and sixteen and nine- een hundred and seventeen. G. L. Chap. 46, Sec. 10.
No undertaker or other person shall bury or otherwise dispose of a human ody in a town, or remove therefrom a human body which has not been uried, until he has received a permit from the board of health, or its gent appointed to issue such permits, or if there is no such board, from he clerk of the town where the person died; and no undertaker or other erson shall exhume a human body and remove it from a town, from one emetery to another, or from one grave or tomb other than the receiving omb to another in the same cemetery, until he has received a permit from he 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 ave been delivered to such board, agent or clerk, as the case may be, satisfactory written statement containing the facts required by law to be eturned and recorded, which shall be accompanied, in case of an original nterment, by a satisfactory certificate of the attending physician, if any, s required by law, or in lieu thereof a certificate as hereinafter provided. f there is no attending physician, or if, for sufficient reasons, his certificate annot be obtained early enough for the purpose, or is insufficient, a physi- ian who is a member of the board of health, or employed by it or by the electmen for the purpose, shall upon application make the certificate re- uired of the attending physician. If death is caused by violence, the medi- al examiner shall make such certificate. If such a permit for the removal f a human body, not previously interred, from one town to another within he commonwealth cannot be obtained early enough for the purpose, the ertificate of death made as above provided and in the possession of the undertaker desiring to make such removal shall constitute a permit for uch removal; provided, that such body shall be returned to the town from which it was removed within thirty-six hours after such removal, unless permit in the usual form for the removal of such body has been sooner btained hereunder. If the death certificate contains a recital, as required
by section ten of chapter forty-six, that the deceased served in the army, navy or marine corps of the United States in any war in which it has been engaged, such recital shall appear upon the permit. The board of health, or its agent, upon receipt of such statement and certificate, shall forthwith countersign it and transmit it to the clerk of the town for registration. The person to whom the permit is so given and the physician certifying the cause of death shall thereafter furnish for registration any other neces- sary information which can be obtained as to the deceased, or as to the 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 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.
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).
RULES OF PRACTICE
The fulfillment of the purpose of these laws calls for the observance of the following rules of practice:
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