USA > Massachusetts > Suffolk County > Winthrop > Town of Winthrop : Record of Deaths 1945 > Part 44
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SPACE FOR ADDITIONAL INFORMATION
DATE OF ENTERING MILITARY SERVICE
DATE OF DISCHARGE RANK, RATING
ORGANIZATION AND OUTFIT
SERVICE NUMBER
R-301 A
1
PLACE OF DEATH
Suffolk Winthrop (City ,or Town) Winther
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.
125
ty 400. ( (If death occurred in a hospital or institution, ¿. give its NAME instead of street and number)
2 FULL NAME
Bobai
Gold
( If deceased is a married, widowed or divorced woman, give allo maiden name.) 14- Watre Way Over si
(a) Residence. No.
(Usual place of abode)
Length of stay: In Anspital nr Institution. ( Before death)
( Specify Whether)
years 3
Months
days.
In this community
yrs.
mos.
days.
PERSONAL AND STATISTICAL PARTICULARS
3 SEX
Female
4 COLOR OR RACEĮ
White
5 SINGLE
MARRIED
WIDOWED
or DIVORCED
(write the word)
Single
5a If married, widowed, or divoroed
HUSBAND of
(Clve maiden name of wife in full)
(or) WIFE of
( Husband's name In full)
6 Age of husband or wife if allva
years
IF STILLBORN, enler that fact here. 3 KM.V
8
AGE Years Months .... 7 Days
If jless than 1 day Hours Minutas
Usual
9 Occupetion :
Industry
10 or Business :
11 Social Security No.
12 BIRTHPLACE (City)
( Siale or country)
Winthrop, les"
13 NAME OF
FATHER
Swing Gould
14 BIRTHPLACE OF
FATHER (Clty)
(State or country)
Boston Wass.
15 MAIDEN NAME
OF MOTHER
Eva Weiner
16 BIRTHPLACE OF
MOTHER (City)
(State of country )
Boston, Class.
17 Informant ( Address ) 14-82
I HEREBY CERTIFY that a faithsfactory standard oartifort of deathit was fled with me BEFORE the burial ar transit permit wa) wm. D. lehedicho (Signature of Aryobst Board of Healthy The other)
aff July 2/45
( Oficial Dealgnation) mate of Imque yt Permit)
MEDICAL CERTIFICATE OF DEATH
18 DATE OF
DEATH
June
29 th
1995
( Month)
(Day)
(Year)
19 | HEREBY CERTIFY, That I attended daosased from
June 29
1945
June 29
1945
I last naw hal alive on.
June 29,
1945, death is said to
have occurred on the date stated above, at 11:05 am. Immedlate cause of death
Duration
IMPORTANT
Prematurity
Due to
atelectasia
ater at.
Due to
Other conditions
(Include pregnancy within 8 monthe of death)
Major findings : Of operations
Date of
Of autopsy
What test confirmed diagnosla?
IMPORTANT
Physician Underline the cause to which death should be charged sta- tistically.
20 Was disease or injury in any way ralatad to occupation of deoaased ? If so, apacify.
( Signed)
. M. D.
& (Address) Betty Ward 21 Place of Burial, Cremation Or
WEG 1045
DATE OF BURIAL
(City or Town) 3
1945
22 NAME OF
FUNERAL DIRECTOR.
ADDRESS
10 - West. It was
Recalved and Alad 1945
( Registrar)
100m- (x). 8. 45.15510
(per hasp. 3/6/45 extracts from the laws on back of certificate. terme, 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, Q. L. Chap. 46, Seotlon 10, requires physicians to insert a reoltal to that affect. PARENTS
No.
Registared No.
PHYSICIAN - IMPORTANT (Was deceased a U. S. War Veteran, if sp specify WAR). Winthrop
(If nonresident, give clty or town and State)
(
EXTRACTS FROM THE LAWS OF THE COMMONWEALTH OF MASSACHUSETTS GOVERNING THE RETURN OF CERTIFICATES OF DEATH
A physician or registered bospital medical officer shall fortbwith, 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 samne 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 hest 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 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 takeu 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 hody in a town, or remove therefrom a human hody which has not heen buried, until he has received a permit from the hoard 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 tomh to another in the same cemetery, until he has received a permit from the hoard 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 hy 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 hoard of health, or employed hy 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 auch removal; provided, that such hody 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 heen sooner obtained bereunder. If the death certificate contains a recital, as required
by section ten of chapter forty-six, that the deceased served in the army, navy or marine corps of the United States in any war in which it has heen engaged, such recital shall appear upon the permit. The board of health, or its agent, upon receipt of such statement and certificate, shall forthwith countersign it and transmit it to the clerk of the town for 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 hy 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, Cbap. 38, Sec. 6.
No undertaker or other person shall bury a human body or the asbes thereof which have heen brought into the commonwealth until he bas re- ceived a permit so to do from the hoard of health or its agent appointed to issue such permits, or if there is no such hoard, from the clerk of the town where the body is to be huried 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 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 disahled hy recognized disease unrelated to any form of injury, have died without recent medical attendance or whose phy- sician is ahsent 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 hy the action of chemical (drugs or poisons), thermal, or electrical agents, and deaths following ahortion, 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 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 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 by the appropriate terms, as housekeeper -- private family, cook-hotel, etc. For a person who bad no occupation whatever write none.
SPACE FOR ADDITIONAL INFORMATION
DATE OF ENTERING MILITARY SERVICE
DATE OF DISCHARGE RANK, RATING ORGANIZATION AND OUTFIT
SERVICE NUMBER
1 R-301 A
1
Suffolk (County) Winthrop (City or Town) PLACE OF DEATH No. 320 Bowdoin Street
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.
126
St. § (If death occurred in a hospital or institution, } I give its NAME instead of strect and number) )
2 FULL NAME
David P. Harrigan
(If deceased is a married, widowed or divorced woman, give also maiden name.)
(a) Residence. No. 320 Bowdoin Street (Usual place of abode)
St.
(If nonresident, give city or town and State)
Length of stay: In hospital or institution
(Before death)
(Specify whether)
years
months
days.
In this community 30
yrs.
mos.
days.
PERSONAL AND STATISTICAL PARTICULARS
MEDICAL CERTIFICATE OF DEATH
18 OATE OF DEATH June ( Month)
29 (Day)
1945 (Ycar)
5a If married, widowed or divfrescura C. Hines HUSBANO of .. .
(Give maiden name of wife in full)
(Husband's name in full)
46
years
7 IF STILLBORN, enter that fact here.
8 AGE Years - Months - Oays
If less than 1 day
Hours
Minutes
Machinist
U. S. Navy
11 Social Security No ..
12 BIRTHPLACE (City)
(State or Country)
Massachusetts
13 NAME OF
FATHER
David J. Harrigan
14 BIRTHPLACE OF
FATHER (City)
(State or Country)
East Boston
Massachusetts
15 MAIOEN NAME OF MOTHER Elizabeth Fitzpatrick East Boston
16 BIRTHPLACE OF
MOTHER (City)
(State or Country)
Massachusetts
17 Laura C Harrigan
( Rw/ 1'fef any )
Informant (Address) 320 Bowdoin St Winthrop
I HEREBY CERTIFY that a satisfactory standard certificate of death was filed with me BEFORE the burial or transit permit was Issued Um. Dlechildren (Signature of Agent of Board of Health or other)
HO.
(Official Designation) GH June 29/45
(Date of Issue of Permy
19 I HEREBY CERTIFY, That I attended deceased from November 3. 1944, to
JUNE 29. . 1945
I last saw h & m alive on
JUNE
29 . 1945, death is said to
have occurred on the date stated above, at 12.30 A.m.
Duration
Immediate cause of death Carcinomatosio
IMPORTANT
9 MOS -
Que to
Que to
Other conditions
(Include pregnancy within 3 months of death)
Major findings: LEsions. in prostate- Bladder. Of operations
Liver - Sigmoid -
Date of
April - 13- 1945
What test confirmed diagnosis?
Of autopsy
Pathological.
No
20 Was disease or injury in any way related to occupation of deceased? If so, specify Eduardo
, M. O.
(Signed)
200 Washington Arz Date June 241945
21
Winthrop
Winthrop
Place of Burial, Cremation or Rebroval.
(City or Town)
July 2 45
19
22 NAME OF
FUNERAL DIRECTOR
OATE OF BURIAL
John F. D. maley
AOORESS
Ninthrop Massachusetts
Received and Filed
JUL 3
1945
19
(Registrar)
100m-9-44-14955
DEATH in plain terms, so that it may be properly classified. Exact statement of OCCUPATION is very important.
3 SEX Male (or) WIFE of 47 Usual 9 Occupation: PARENTS If deceased was a U. S. War Veteran, G. L. Chap. 46, Section 10, requires physicians to insert a recital to that effect. See instructions and extracts from the laws on back of certificate. information should be carefully supphed. AGE should be stated GanciLI. CHIDivina around gais Industry 10 or Business:
PHYSICIAN - IMPORTANT ( Was deceased a U. S. War Veteran, if so specify WAR) .
4
COLOR OR RACE
White
5 SINGLE (write the word)
MARRIEO
WIDOWED
or DIVORCEDIarried
6 Age of husband or wife if alive
East Boston
IMPORTANT
Physician Underline the cause to which death should be charged sta- tistically.
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 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 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 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 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 hury or otherwise dispose of a human hody 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 10 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 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 buried. No such permit shall be issued until there shall have been delivered to such hoard, agent or clerk, as the case may be, a satisfactory written statement containing the facts required by law to he 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 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 hody has been 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 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 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 hody is to he huried 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 forum 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 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 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 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
M R-302
1
PLACE OF DEATH
WORCESTER
(County)
RUTLAND (C'ity or Town)
No. Rutland tate ~anatorium
The Commonmuralth of Massachusetts OFFICE OF THE SECRETARY DIVISION OF VITAL STATISTICS COPY OF CERTIFICATE OF DEATH
RUTLAND.
(City or town making return)
S (If death occurred in a hospital or institution,
St.
give its NAME instead of street and number)
-
2 FULL NAME
Patricia Arnes Honan
(If deceased is a married, widowed or divorced woman, give also maiden name.)
23 r'remont
St.
(If nonresident, give city or town and State)
Length of stay: In hospital or Institution sanatorium4 years 1 months] 7
(Before death)
(Specify whether)
days.
In this community 4 yrs. 1
mos.
17 days.
PERSONAL AND STATISTICAL PARTICULARS
MEDICAL CERTIFICATE OF DEATH
18 OATE OF
DEATH
June
(Month)
(Day)
(Year)
19 I HEREBY CERT.
pril 15
19.
.
FY .
That I attended deceased from
41
June 1
...
to
19
45
I last saw her
.alive on
June 1 1945
death Is said to
have occurred on the date stated above, at
1:00A.M.
a.m.
Duration
Imimedlate cause of death
Pulmonary tuberculosis
4 years
7 IF STILLBORN, enter that faot here.
8
AGER6
Years
O
Months.
1.5 Days
If less than 1 day .. Hours. ..... .Minutes
Clerk
029-03-3677
inthr.o.p. Mass.
13 NAME OF
FATHER
Daniel Honan
FATHER (City)
Fall hiver
15 MAIOEN NAME
OF MOTHER
Josephine Grimes
16 BIRTHPLACE OF
MOTHER (City)
(State or country)
Ireland
17 State San.hecords
Relation, If any
A TRUE COPY.
ATTEST :
Frances PItauff
(Registrar of city or town where deam occurred)
DATE FILED
June 1,1945
19
22 NAME OF
FUNERAL DIRECTOR
Lirby Bros.
ADORESS
1
inthrop, Mas.s ...
Reoelved and filed
JUL-9 1945
19
(Registrar of City or Town where deceased resided)
1
LO mos.
Due to
Due to.
Other conditions
(Include pregnancy within 3 months of death)
Major findings :
Of operations
Oate of
Physician Underline the cause to which death should be charged sta- tistically.
Of autopsy
Microscopical
What test confirmed diagnosis?
20 Was disease or injury in any way related to oocupatlon of deoeased ?
(Signed)
If so, speolfy.
Gabriel liadeau
M. O.
(Address)
utland tate San Date 6/1 19 45
21 "PLACE OF BURIAL,
(City or Town)
CREMATION OR REMOVAL inthrop , Winthrop, Lass .
(Cemetery )
4,1945
19
OATE OF BURIAL
June
_. 31-1f)-12-12 10716
3 SEX
Female
(or) WIFE of
Usual
9 Ocoupatlon :
Industry
10 or Business :
11 Social Security No ...
12 BIRTHPLACE (City)
(State or country)
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