USA > Massachusetts > Suffolk County > Winthrop > Town of Winthrop : Record of Deaths 1945 > Part 28
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No Winthrop Community Hospitalst. Baby Boy Nielsen
(If deceased is a married, widowed of divorced woman, give also maiden name.)
(a) Residence. No.
(Usual place of abode)
1945.
776 19
19.
death is said to
Due to.
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 famlly 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 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 fourteen, 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, specifying 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 pro- vision of this section, such physician or officer shall forfeit ten dollars. For the purposes of this section 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 nineteen hundred and seventeen .- General Laws, 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 permlts, 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 receiv- Ing 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 in- sufficient, a physician who is a member of the board of health, or em- ployed by It or by the selectmen for the purpose, shall upon application make the certificate required 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 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 re- moval 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, auch 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 necessary 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 received a permit so to do 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 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 physiclans 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 physician is absent from home when the certificate of death is needed.
(3) Medical Examiners will investigate and certify to all deaths supposably 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 la very important, so that the relative healthfulness of various pursuits can be known. Make some entry in this section for every person aged 10 years or over. If the occupation had been given up or changed on account of the disease causing death, report the usual occupation prior to illness. If the deceased had retired from business. report the usual occupation prior to retirement. Children not gainfully employed may be returned an 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, however, designate the occupation by the appropriate terms, as housekeeper-private family, cook-hotel, etc. For a person who had no occupation whatever write none.
SPACE FOR ADDITIONAL INFORMATION
R-301 A +
extracts from the laws on back of certificate. If deceased was a U. S. Wer Veteran, Q. L. Chap. 46. Section 10, requires physicians to insert a recital to that effeot. PARENTS
+
The Commonwealth of Massachusetts OFFICE OF THE SECRETARY DIVISION OF VITAL STATISTICS
STANDARD CERTIFICATE OF DEATH
Registered No.
82
{ {If death occurred in a hospital or institution, St. [ give its NAME instead of street and number)
2 FULL NAME
Joseph J Cotreau
( If deceased Is a married, widowed or divorced woman, give also maiden name.)
PHYSICIAN - IMPORTANT
(Was deceased a
U. S. War Veteran,
if so specify WAR).
TTO
(a) Residenca. No.
72 Cottage Pk. Rd.
(Usual place of abode)
St.
(If nonresident, give clty or town and State)
Length of stay : In hospital or Institution
none
( Before death)
( Specify whether)
years
months
days.
In this community 20 yrs.
mos.
days.
PERSONAL AND STATISTICAL PARTICULARS
3 SEX
male
4 COLOR OR RACE
white
5 SINGLE
( write the word)
MARRIED
WIDOWED UZ
or DIVORCED dowed
5a If married, widgrudge diversey lette HUSBAND of
(Give maiden name of wife in full)
(or) WIFE of
( Husband's name în full)
6 Age of husband or wife if aliva years
7 IF STILLBORN, enter that fact here.
8 AGE 88 Years 3 Months
9
Days
If less then 1 day Hours Minutes
Usual
9 Occupation :
Retired Carpenter
Industry
10 or Business:
Navy Yard
11 Social Security No.
none
12 BIRTHPLACE (City)
( State or country)
Nova Scotia
13 NAME OF
FATHER
Mark Cotreau
14 BIRTHPLACE OF
FATHER (Clty)
Nova Scotia
(State or country)
15 MAIDEN NAME
OF MOTHER
Mary Le Blanc
16 BIRTHPLACE OF
MOTHER (City)
( State or country )
Nova Scotia
17 Informant irs Alabani Cotreau Relation 12 any ( Address) 72 Cottage PK. Rd. Winthrop
I HEREBY CERTIFY that a satisfactory standard oertifloats of death was filed with me, BEFORE the burial of transit permit was Issued: Wml. D. Cundressed.
( Signature of Agent of Board of Health or other) 4/10/45 (Official Designation) ( Date of Issue of Permit)
MEDICAL CERTIFICATE OF DEATH
18 DATE OF DEATH april
( Month)
7
1945
(Day)
(Year)
19 | HEREBY CERTIFY,
fau 1
44
april 3.
19
19.
1 last saw h ..
allve on.
april of
death is said to
have occurred on the date stated above, at 1 8, .m.
Duration
Immediate cause of Vanchal Empleadas
Cervico-
Comer of Carneal gland
140
Tyr
Other conditions
( Include pregnancy within 3 months of death)
IMPORTANT
Mejor findings : Dt operetions
Date of.
Of outopsy
Whet test confirmed diegnosis?
Physician Underline the cause to which death should be charged s listically La
20 Was disease or injury in any way related to occupation of deocesed ? If so, spaoify ... Jurk. It. Schwartz
M. D.
19 SES
21
Holy Cross
(City or Town) Place of Burial, Cremation or Removal. DATE OF BURIAL .. April 10 -19 45 .....
22 NAME DF
FUNERAL DIRECTOR
Richard C. Kirbaledich
ADDRESS 1.7 Bennington, Fast Boston
Received and Alad
APR 1 1 1945
19
( Registrar)
100m (1) - 1-44 13634
1
PLACE OF DEATH
Suffolk (County)
Winthrop (City or Town)
No. 72 Cottage Dk. Rd.
To be filed for burial permit with Board of Health or its Agent.
( Signed)
19 Pauralow Sr. E.13 Date 4/9
CLEANT
Due to
Due to.
Cancro / Cons
Thet attended deocased from
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 by 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 iu the certificate a recital to that effect, speci- fying the war, and shall also certify in such certificate hoth 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 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 body in a town, or remove therefrom a human body which has not heen 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 hoard, 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 tomh 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 hody 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 be 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 board 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 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 hody 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 hody has heen sooner obtained hereunder. If the death certificate contains a recital, as required
by section ten of chapter forty-six, tuat 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 hodies of only such persons as are supposed to have died hy violence. If a medical examiner has notice that there is within his county the body of such a person, he shall forthwith go to the place where the body lies and take charge of the same; .. . - General Laws, Chap. 38, Sec. 6.
No undertaker or other person shall hury a human hody 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 he 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).
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 hy 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 hy traumatism (including resulting septicemia), and hy 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 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 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
-301 A + - Winthrop
.....
The Commonwealth of Massachusetts OFFICE OF THE SECRETARY DIVISION OF VITAL STATISTICS STANDARD CERTIFICATE OF DEATH Hospital
To be filed for burial permit with Board of Health or its Agent.
Registered No. 83
{ (If death occurred in a hospital or institution, St. [ give its NAME instead of street and numher)
2 FULL NAME
(If deceased Is a married, widowed or divorced woman, give also maiden name.)
(a) Residence. No.
12 Crystal Gore Are
(Usual place of abode)
Hospital
months
11
(If nonresident, give clty or town and State)
In this community 36yrs.
mos.
days.
PERSONAL AND STATISTICAL PARTICULARS
3 SEX
Female
4 COLOR OR RACE
white
5 SINGLE
MARRIED
WIDOWED
or DIVORCED
( write the word)
Married
Sa If married, widowed, or divorced
HUSBAND of
(or) WIFE of
( Husband's pame in full)
6 Age of husband or wife if alive 76 years
7 IF STILLBORN, enter that fact here.
AGE
66
Yeara
Montha
Days
If
less than 1 day
Hours
Minutes
Usual
9 Occuoatlon :
House wife
10 or Business :
Industry
own home
11 Social Security No.
none
12 BIRTHPLACE (City)
( Siste or country)
Arachat
U.S.
13 NAME OF
FATHER
Thomas La Vache
14 BIRTHPLACE DF
Arachat
FATHER (Chy)
(State or country)
U.S.
15 MAIDEN NAME
OF MOTHER
Esther Ja Blanc
16 BIRTHPLACE DF
MOTHER (City)
(State or country)
U.S.
17 Martin J. Curran
Informent
thusband (Address) 22 Crystal Gove Are. Wir.
I HEREBY CERTIFY, they a satisfactory standard certificate of death was flod with me BEFORE the burjat/os transit bermit was Issued ? Will. D- Clubdreszx (Signature of Agent of Board of Health or other) Heatthe Quele 4/9/4-7
(Official Designation) (Date of Inque of Permit)
MEDICAL CERTIFICATE OF DEATH
18 DATE DF
DEATH
april
( Month)
7%
(Day)
1945 (Year)
19 | HEREBY CERTIFY,
April1
1945
Ło
april 7,
1945
I last saw h .. C ............ alive on
April ">
.. 19 40 douth Is said to
heve occurred on the date stated above, at
5 pm.
Immediate payse of death ... AMpertensino Myocarditis
Due to
Chronic Hypertension
Due to.
Dther conditiona
( Include pregnancy within 8 months of death)
Mejor Andings:
Df operations
Carcinomatos is of
Intestines
Date
of
Aprill'40
Of eutopsy
- vm
What test confirmed diegnos! Clinical Signs
IMPORTANT
Physician Underline the cause to which death should be charged sta. tistically.
20 Was disease or injury in any way related to gooupation of deceased ?
If so, spoolfy.
Daniel J.O Brien
. M. D.
( Signed ) ..
) Winthrop, mass
. Date /pri/ 7/ 1945
21
Holy Gross
Place of Burial Cremation pr Removal.
DATE OF
BURIAL ..
April
10
22 NAME DF
FUNERAL DIRECTOR
John 6. Kelly
ADDRESS
11 Meridian St. E. B.O
Received and fled
APR 1 1 1945
19
( Registrar)
CAtracts from the laws on back of certificate. If deceased was a U. S. War Veteran, Q. L. Chap. 46, Seotlon 10, requires physiolans to insert a recital to that effeot. PARENTS
100m(1)-1-44-13634
1
PLACE OF DEATH No.
Suffolk Syunty)
(City_or Towy) Winthrop Community Bertha M. Gurran
PHYSICIAN - IMPORTANT
(Was deceased a
U. S. War Veteran,
if so specify WAR)
no
Length of stay : In hnepital or institution ...
( Before death)
years
( Specify whether)
st.
Gauttrop
That I attended deceased from
Duration
IMPORTANT Sadden 5years
cualden (City or Town) 1945
Arachat
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 heeu engaged, insert in the certificate a recital to that effect, speci- fying the war, and shall also certify in such certificate hoth 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, he 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 niner teen hundred and seventeen. G. L. Chant 462 Sec. 10.
No undertaker or ofher.person shall hury or otherwise dispose of a human hody in a town, or remove therefrom a human hody which has not heen 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 hoard, 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 graves or tomb other than the receiving tomh to another in the.same comevery; until he has received a permit from the board of health or its agent aforesaid ,or from the clerk of the town where the hody is buried. No such permit shall be issued until there shall have heen 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 by the selectmen for the purpose, shall upon application make the certificate re- quired of the attending physician. If death is caused hy 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 hody 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 heen sooner obtained hereunder. If the death certificate contains a recital, as required
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