USA > Massachusetts > Suffolk County > Winthrop > Town of Winthrop : Record of Deaths 1945 > Part 24
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14 BIRTHPLACE OF
Evento
-
FATHER (City)
( State or country)
Dress
15 MAIOEN NAME
OF MOTHER
Et Boston,
Date /23
19 93
21 19. Murede
Gemil
Place of Burial, Crematinn er Removal,
_(City or Town )
OATE OF BURIAL.
Lafamil 1)
19×6
22 NAME OF
FUNERAL DIRECTOR
Heller it
9
ADORESS
.....
Jonaloga
. GA. !
cyBosta
Racalved and Alad
APR 5
1945
19.
(Official Designation)
20 Was disease or injury
If so, spaoify
( Signed )
56 Unieur
, M. D.
( Address)
16 BIRTHPLACE OF
MOTHER (City)
( State or country)
Iness
Of autopsy
What test confirmed diagnosis ?
Physician Underline the cause to which death should be charged sa- tistically.
(Registrar) ......
417/15
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 name of the deceased, bis supposed age, 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 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 tbe preceding section or by section forty-five of chapter one hundred and four- teen, sball, if the deceased, to the best of his knowledge and belief, served in the army, navy or marine corps of the United States in any war in which it has been engaged, insert in the certificate a recital to that effect, speci- fying the war, and shall also certify in such certificate both the primary and the secondary or immediate cause of death as nearly as he can state the same. For neglect to comply with any provision of this section, such physician or officer shall forfeit ten dollars. For the purposes of this sec- tion and of sections forty-five, forty-six and forty-seven of said chapter one hundred and fourteen, the word "war" shall include the China relief expedition and the Philippine insurrection, which shall, for said purposes, be deemed to have taken place between February fourteenth, eighteen hundred and ninety-eight and July fourth, nineteen hundred and two, and the Mexican border service of nineteen hundred and sixteen and nine- teen hundred and seventeen. G. L: Chap. 46, Sec. 10.
No undertaker or other person shall bury or otherwise dispose of a human body in a town, or remove therefrom a human body which has not been buried, until he has received a permit from the board of health, or its agent appointed to issue such permits, or if there is no such board, from the clerk of the town where the person died; and no undertaker or other person sball 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, agentFor Clerk, as the case may be, a satisfactory written statement containing the facts required by law to be returned and recorded, which shall be accompanied, in case of an original interment, by a satisfactory certificate of the attending physician, if any, as required by law, or in lieu thereof a certificate as hereinafter provided. If there is no attending physician, or if, for sufficient reasons, his certificate cannot be obtained early enough for the purpose, or is insufficient, a physi- cian who is a member of the board of health, or employed by it or by the selectmen for the purpose, shall upon application make the certificate re- quired of the attending physician. If deatb is caused by violence, the medi- cal examiner shall make such certificate. If such a permit for the removal of a human body, not previously interred, from one town to another within the commonwealth cannot be obtained 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, unless a permit in the usual form for the removal of such body has been sooner obtained hereunder. If the death certificate contains a recital, as required
by section ten of chapter forty-six, that the deceased served in the army, navy or marine corps of the United States in any war in which it has been engaged, such recital shall appear upon the permit. The board of health, or its agent, upon receipt of such statement and certificate, shall forthwith countersign it and transmit it to the clerk of the town for registration. The person to whom the 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:
(1) Attending physicians will certify to such deaths only as those of persons to whom they have given bedside care during a last illness from disease unrelated to any form of injury.
(2) Board of Health physicians will certify to such deaths only as those of persons who, though disabled by recognized disease unrelated to any form of injury, have died without recent medical attendance or whose pby- sician is absent from home when the certificate of death is needed.
(3) Medical Examiners will investigate and certify to all deaths sup- posably due to injury. These include not only deaths caused directly or indirectly by traumatism (including resulting septicemia), and by the action of chemical (drugs or poisons), thermal, or electrical agents, and deaths following abortion, but also deaths from disease resulting from injury or infection related to occupation, the sudden deaths of persons not disabled by recognized disease, and those of persons found dead.
Statement of Cause of Death .- Cause of death means the disease, or complication which causes death, not the mode of dying, e. g., heart failure, asphyxia, asthenia, etc. As principal cause name the disease causing death. As related causes, name earlier morbid conditions, if any, related to the principal cause and any important complication of the principal cause.
Statement of Occupation .- Precise statement of occupation is very im- portant, so that the relative healthfulness of various pursuits can be known. Make some entry in this section for every person aged 10 years or over. If the occupation had been given up or changed on account of the disease causing death, report the usual occupation prior to illness. If the deceased had retired from business, report the usual occupation prior to retirement. Children not gainfully employed may be returned as at school or at home. For a woman whose only occupation was that of home housework, write housework. For a person engaged in domestic service for wages, how- ever, designate the occupation by the appropriate terms, as housekeeper --- private family, cook-hotel, etc. For a person who had no occupation whatever write none.
SPACE FOR ADDITIONAL INFORMATION
R-301 A
1
PLACE OF DEATH
Suffolk (County)
Winthrop
(City or Town)
No.
212 Woodsideav.
The Commontoralth of Massachusetts OFFICE OF THE SECRETARY DIVISION OF VITAL STATISTICS STANDARD CERTIFICATE OF DEATH
To be filed tor burial permit with Board of Health or its Agent.
Ragistared No.
y
.....
( If death occurred in a hospital or institution, give ita NAME instead of street aud number)
PHYSICIAN - IMPORTANT
2 FULL NAME.
Eliza E Webster nee ' Ferguson
( If deceased is a married, widowed or divorced woman, give also maiden name.)
(a) Rasidanca. No.
212 Woodside.a.v .....
(Usual place of abode)
St.
Winth
(If nonresident, give clty or town and State)
Length of stay: In nosoltal or Institution.
( Before death)
(Specify whether)
years
months
days.
In this community 2'7 yrs.
mos.
days.
PERSONAL AND STATISTICAL PARTICULARS
3 SEX
4 COLOR OR RACE|
5 SINGLE
( write the word)
MARRIED
WIDOWED
or DIVORCED
Widow
5a If married, widowed, or divorced
HUSBAND of
(or) WIFE of
George" wider sims pf wife in full)
( Husband's name in fuli)
6 Age of husband or wife if alive
yaars
> IF STILLBORN. enter that fact here.
AGE
8 77 Years 11 Months 24 Days
If less than 1 day
Hours
Minutes
Usual
9 Occupation :
none
Industry
at home
10 or Business :
11 Social Security No.
none
Quoddy.
12 BIRTHPLACE (City)
( State or country)
Nova Scotia
13 NAME OF
FATHER
Thomas Ferguson
PARENTS
14 BIRTHPLACE OF
FATHER (City)
Unknown
-
(State or country)
Scotland
15 MAIDEN NAME
OF MOTHER
200
Unknown
16 BIRTHPLACE OF
MOTHER (City)
(State or country)
Unknown
21
Relation, if any
.. son
17 Informant Lewis A Webster
(Address) 8 Hamilton St. Wollaston
I HEREBY CERTIFY that a satisfactory standard certificate of death was filed with me BEFORE tha burial or transit permit was Issued ; (tick dress
(Signature of Agent of Board nt Heldth or other)
Theater Gelecek
3/17/4/
( Date of Trque of Permit)
MEDICAL CERTIFICATE OF DEATH
DEATH
(Month)
(Day)
(Year)
19THEREBY CERTIFY.
That I attended deceased from
un 10
1945
to
1945
I last saw nfc
.aliva on
Maxwell 24, 1946, death Is said to
hava oocurred on tha date stated above, at.
80
m.
Immedlate cause of death ..
IMPORTANT
........... 1941
Due to
autor Dolorena
Due to.
a: ce :c + +
1722
Other conditions.
( Include pregnancy within 3 months of death)
IMPORTANT
Physician
Underlina the cause to which death should be charged sta- tistically.
20 Was disease or injury in any way related to oooupation of deceased ?.
If so, spoolfy.
(Signed)
(Address) 91 Quity 100
Date /2/1 26 1945
Everett
l'lace of Burial, Cremation or Removal.
(City or Town)
19.45
DATE OF BURIAL
March 28
22 NAME OF
FUNERAL DIRECTOR
E Parken
ADDRESS
300 Meridian St . E.Boston
Reoelvsd and Alsd.
NAR 2 0-1945
19
(Omciai Dealgnation)
( Registrar)
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 rooital to that effeot.
100M-6 - 2-42-8855
.
Major findings :
Of operations
Data of.
Of autopsy
H.W. Kil
1
What test confirmed diagnosis ?.
...
*........... , M. D.
Unknown
St.
(Was deceased a
U. S. War Veteran,
if so specify WAR)
Fema le White
18 DATE OF
March
25
1945
Duration
.....
EXTRACTS FROM THE LAWS OF THE COMMONWEALTH OF MASSACHUSETTS GOVERNING THE
RETURN OF CERTIFICATES OF DEATH
A physician or registered hospital medioal offioer shall forthwith, after the death of a person whoin he has attemuled during his last illness, at the request of an undertaker or other anthorized person or of any meniber of the lamily of the deceased, furnisb for registration a standard certifcate 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 ssme 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, shail, 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, sud shall also certify in such certificate both the primary and the secondary or immeiliate cause of death as nearly as he can state the ssine. For neglect to comply with any provision ol this section, auch physician or officer shall forfeit ten dollars. For the purposes of thia aec- tion and of sections forty-five, forty-six and lorty-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, he deemed to have taken place hetween February lourteenth, eighteen hundred and ninety-eight and July fourth, nineteen hundred and two, and the Mexi- can border service of nineteen hundred and sixtcen 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 ita agent appointed to issue sucb 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 be has received a permit from the board of health or its agent aforesaid or from the clerk of the town where the boily 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, & satlafactory written statement containing the facts required by law to be returned and recorded, which shall be accompanied. in case of an original internient, by a satisfactory certificate of the attending physician, if any, as required by law. o1 in lieu thereof a certificate as hereinafter provided. If there Is no attending physician, or if, for sufficient ressons, 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, ibe medi- cal examiner shall make such certificate. If such a permit for the removal of a human body, not previously interred, from one town to another within the conunouwealth cannot be obtained early enough for the purpose, the certificate of desth made as above provided and in the possession ot tbe undertaker desiring to make such removal elisll 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 aerved in the army, navy or marine corps of the United States in any war In which It has heen engaged. sucb recitai shall appear upon the permit. The board of health, or its agent. upon receipt of such statenient and certificate, shall lorthiwith countersign it and transmit it to the clerk of the town for registration. The person to whom the permit is so giveu and the physician certifying the cause of death shall thereafter furnish for registration any other nece+ sary information which can be obtained as to the deceased, or aa to the manner of cause of the death, which the clerk or registrar way require .- Cbap. 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 hoard of health or its agen appointed to issue such permits, or If there is no such hoard, from the cierk of the town where the body is to be buried or the funeral is to he held, or from a person apointed 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 exsminers shall mske 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 hls county the hody of such a person, he shall forthwith go to the place where the boily fies 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 as those of persons to whom they have given bedside care during a last illneaa from disease unrelated to any form of injury.
(2) Board of Health phyalolans 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 pbyal- cian is absent from home when the certificate of death is needed.
(3) Medlosl Examiners will investigate and certify to all deathe 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 cliemical (drugs or poisons), thermal, or electrical agents, ami deatbs following abortion, but also deaths from discasa resulting from injury or Infection related to occupation, the audden deaths of persons not disablad by recognized disease, and those of persons found dead.
Statement of Cause of Death .- Cause of death meana the disease, or complication which causes death, not the mode of dying, e. g., heart fallure, asphyxia, astbenia, etc. As principal cause name tbe 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 Oooupation .- Precise statement of occupation ia very im- portant, so that the relative healthfulness of various pursuits can be known, Make some entry in this section for every person aged 10 years or over. if the occupation had been given up or changed on account of the disease causing death, report the usual occupation prior to illuesa. If the deceased bsd retired from business, report the usual occupation prior to retirement. Children not gainfully employed may be returned an at school or at borne. For a woman whose only occupation was that of bone bousework, write bousework. For a person engaged in domestic service for wages, however, designate the occupation by 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 +
PLACE OF DEATH
Suffolk Winthrop ........
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.
68.
(City or Total Comman Winthrop Hospital
§ (If death occurred in a hospital or institution, St. { give its NAME instead of street and number)
2 FULL NAME ....
( If deceased is a married, widowedjor divorced woman, give also maiden name.)
(a) Residence. No. ... 60 Byron of
(Usual place of abode)
Length of stay: In Ansoltal or Institution
(Before death)
(Specify whether)
PERSONAL AND STATISTICAL PARTICULARS
3 SEX 4 COLOR OR RACE Female White
5 SINGLE
MARRIED
WIDOWED
( write the word) 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 olive
years
7 IF STILLBORN, enter that fact here.
& 48 AGE Years Months Days
If less than 1 day Hours Minutes
Usual 9 Occupation :
Cafeteria Worker
Industry 10 or Business :
Earl Boston High School
11 Social Security 034-18-0040
12 BIRTHPLACE (City)
( Siate or country)
East Boston
13 NAME OF FATHER august Czarnetzki
14 BIRTHPLACE OF
FATHER (Clty) ( State or country)
Germany
15 MAIDEN NAME OF MOTHER mary Mc Sweeney
16 BIRTHPLACE OF
MOTHER (City)
(State or country)
Gelund
17 Louis barnetgli gutten
( Address)
I HEREBY CERTIFY that a satisfactory standard certificate of death was fled, with me BEFORE the burial or tramit permit was Issued 1
(Signature of Agreat , Board of Health or other)
Health
3/3/145
( Date of Taque of Permity
18 DATE OF
DEATH
March 28. 1945.
( Month )
(Day)
(Year)
19 I HEREBY CERTIEY, March 22 45
That I Attended deceased from
I last saw h
alive on ..
have occurred on the date stated above, at.
.m.
Duration
Immeglio cause of death ..... Julianovary Euchlise
Due to Chimi hijacardiles Thion
6 lunicas .....
Due to ..
Throwde bly Sapleures
rui.
Other conditions.
( Include pregnancy within 3 months of death)
IMPORTANT
Mejor findings:
Of operations
Thisblic left Laglunes Kein
13/26/45 Date of.
Of autopsy ...
What test confirmed diagnosis?
Physician Underline the cause to which death should be charged sta. tistically!
20 Was disease or injury in any way related to oooupation of deceased ?
if so, spoolfy ..
H- Fehmarnty
M. D.
( Signed )
119 Prawalm 52
Date 3/20
19 Kr
21
Place of Burg, Cremation or Removal.
malin Town )
DATE OF BURIAL
apr 2
19.
45
22 NAME OF
FUNERAL
Charles H- Treanor
ADDRESS
East Boston, Ma
Received and fled
APR .... 3
1945
( Registrar)
extracts from the laws on back of certificate. 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(i) -1.44.13634
+/7/45
1
No. anna F barnetsbi
PHYSICIAN - IMPORTANT (Was deceased a U. S. War Veteran,
if so wecify WAR).
East Boston Don
St.
months
days.
years
( If nonresident, give city or town and State)
In this community 4 2 Fs.
mos.
days.
MEDICAL CERTIFICATE OF DEATH
March 28
to
March 28, 19 45, de
Is said to
Thick
19
(Oficial Designation)
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 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 illness, when last seen alive by the physician or officer and the date of his death . . . Gen. Laws, Chap. 46, Sec. 9.
A physician or officer furnishing a certificate of death as required by the preceding section or by section forty-five of chapter one hundred and four- teen, shall, if the deceased, to the best of his knowledge and belief, served in the army, navy or marine corps of the United States in any war in which it has been engaged, insert in the certificate a recital to that effect, speci- fying the war, and shall also certify in such certificate both the primary and the secondary or immediate cause of death as nearly as he can state the same. For neglect to comply with any provision of this section, such physician or officer shall forfeit ten dollars. For the purposes of this sec- tion and of sections forty-five, forty-six and forty-seven of said chapter one hundred and fourteen, the word "war" shall include the China relief expedition and the Philippine insurrection, which shall, for said purposes, be deemed to have taken place between February fourteenth, eighteen hundred and ninety-eight and July fourth, nineteen hundred and two, and the Mexican border service of nineteen hundred and sixteen and nine- teen hundred and seventeen. G. L. Chap. 46, Sec. 10.
No undertaker or other person shall bury or otherwise dispose of a human body in a town, or remove therefrom a human body which has not been buried, until he has received a permit from the board of health, or its agent appointed to issue such permits, or if there is no such board, from the clerk of the town where the person died; and no undertaker or other person shall exhume a human body and remove it from a town, from one cemetery to another, or from one grave or tomb other than the receiving tomb to another in the same cemetery, until he has received a permit from the board of health or its agent aforesaid or from the clerk of the town where the body is buried. No such permit shall be issued until there shall have been delivered to such board, agent or clerk, as the case may be, a satisfactory written statement containing the facts required by law to be returned and recorded, which shall be accompanied, in case of an original interment, by a satisfactory certificate of the attending physician, if any, as required by law, or in lieu thereof a certificate as hereinafter provided. If there is no attending physician, or if, for sufficient reasons, his certificate cannot be obtained early enough for the purpose, or is insufficient, a physi- cian who is a member of the board of health, or employed by it or by the selectmen for the purpose, shall upon application make the certificate re- quired of the attending physician. If death is caused by violence, the medi- cal examiner shall make such certificate. If such a permit for the removal of a human body, not previously interred, from one town to another within the commonwealth cannot be obtained 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, 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
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