USA > Massachusetts > Suffolk County > Winthrop > Town of Winthrop : Record of Deaths 1945 > Part 59
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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
1
PLACE OF DEATH
Suffolk (County)
Winthrop (City or Town) No. 64Enfield .... Road ..... 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.
176
S (If death occurred in a hospital or institution, st. [ give its NAME instead of street and number)
2 FULL NAME.
Ellen E Carter
( Foley)
( If deceased is a married, widowed or divorced woman, give also maiden name.)
(a) Rasidence. No.
64 Enfield Road
(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
19 yrs.
mos.
days.
PERSONAL ANO STATISTICAL PARTICULARS
3 SEX
F
2
4 COLOR OR RACE|
5 SINGLE
( write the word)
MARRIED
WIDOWEO
or DIVORCED
Widowed
5a If marrlad, widowad, or divorced
HUSBAND of
(Give maiden name of wife In full)
(or) WIFE of
Percy.A ....... Carter
{ Husband's name in full)
6 Age of husband or wife if alive yaars
7 IF STILLBORN, enter that fact hera.
AGE
8
67
Years
1
Months
8 ... Days
If less than 1 day
Hours
Minutes
Usual
9 Ocouoation :
At ... home.
Industry
10 or Business :
Housewife
11 Social Security No.
None
12 BIRTHPLACE (City)
( State of country)
East .... Boston
Mass
13 NAME OF
FATHER
John Foley
14 BIRTHPLACE OF
FATHER (Clty)
Ireland
(State or country)
15 MAIDEN NAME
OF MOTHER
Margaret Sheeran
16 BIRTHPLACE OF
MOTHER (City)
(State or country )
...
Ireland
17
Informant Albert Carter Relation, if any .... Son (Address)64 Enfield Bd. Winthrop
I HEREBY CERTIFY that a petisfactory standard certifioala of daath was fled Ath me BEFORE Un burial of trinsit parmit was Issued : Home & Childrex (Signature of Agent of Board of Health or other) Health Optick 9/24/15
(Official Designation) ( Date of Issue of Permit)
MEDICAL CERTIFICATE OF DEATH
18 DATE OF
DEATH
Sept
·
20
1945
( Month)
(Day)
(Year)
That t attended doosasad from
19 | HEREBY CERTIFY.
19.
July 20
45
Sept
2 6
I last saw h .. E.( ....... alive on ...
0
Sept 19
have occurred on tha data stated above, at
6:20Am.
Immediata cause of death
Carencia
of diamond
₹
Que to.
Due to.
Other conditions.
Terminal pulmonia
( Include pregnancy withio 8 months of death)
Major findings :
Of operations
Data of
Of autopsy
What test confirmad diagnosis?
X-Ray-
Sept 12 .... 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 dageasad ? ....
if so, specify
( Signad)
M. D.
(Address) 56 Unews Que For Data 18/ 22 19
21 Winthrop Cemetery, Winthrop
Place of Burial, Cremation or Removal.
(City or Town)
DATE OF BURIAL ... S.e.p.t ... 24
19.4.5
22 NAME OF
FUNERAL DIRECTOR Richard C. Kirby
ADDRESS1.7 .... Bennington St. .. Fast ..... Boston
Reoalved and flad
SEP 2 5 1945
19
( Registrar)
1
...
19
, 19.
¥, death Is said to
Duration
IMPORTANT
If deceased was a U. S. War Veteran, G. L. Chap. 46, Section 10, requires physicians to insert a recital to that effect. PARENTS
100m. (g) - 1.45-15510
301 A 1
Registered No.
PHYSICIAN - IMPORTANT
(Was deceased 2
U. S. War Veteran,
if so specify WAR).
NO
None
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
by section ten or 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 sucha 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 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, 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
DATE OF ENTERING MILITARY SERVICE
DATE OF DISCHARGE RANK, RATING
ORGANIZATION AND OUTFIT
SERVICE NUMBER
+
Suffolk
(County)
Winthrop
(City or Town)
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.
§ (If death occurred in a hospital or institution, St ( give its NAME instead of street and numher)
2 FULL NAME
{Baby) Kirkpatrick
( If deceased Is a married, widowed or divorced
woman, give also maiden name.)
(a) Residence. No.
(Usual place of abode)
(If nonresident, give city or town and State)
Length of stay : In hospital or institution
( Before death)
-
years
months
days.
In this community
yrs.
mos.
days.
PERSONAL AND STATISTICAL PARTICULARS
MEDICAL CERTIFICATE OF DEATH
18 DATE OF
DEATH
(Month)
(Day)
(Year)
5a If married, widowed, or divorced HUSBAND of
(or) WIFE of
( Husband's name in full)
6 Age of husband or wife if alive years
7 IF STILLBORN, enter that fact here.
Stillborn
8
AGE
Years
Months
Dayı
If less than 1 day Hours ....... Minutes
Usual
9 Docupation :
Industry
10 or Business :
11 Social Security No.
Winthrop
12 BIRTHPLACE (City)
(Siste or country)
Mass
13 NAME OF
FATHER
Gilbert Kirkpatrick
14 BIRTHPLACE OF
FATHER (Clty)
Early
(State or country)
Iowa
15 MAIDEN NAME
OF MOTHER
Helen Boland
16 BIRTHPLACE OF
MOTHER (City)
( State or country)
Mass.
17 Helen Boland Grandmothery
Informant
( Address)
2 Bayou St Wes
I HEREBY CERTIFY that a satisfactory standard certificate of death was Mied with me BEFORE the burial or lyansit gerrit was issued : Wm. 5 Childrens
(Signature of Agent of Board nf Health or other),
HO Soft, 28/45 .
..... (Official Designation) Mate of Imque of Permit)
19 | HEREBY CERTIFY,
That i attended deosased from
19.
...
,
19
r'last saw h ...
... alive on
19
death is said to
have occurred on the date stated above, at
m.
Duration
immediate cause of death
Due to
Still born
Due to
Chapelet Separativis
of placeter
Other conditions ..
( Include pregnancy within 3 montba of death)
IMPORTANT
Major findings:
Of operations
Date of
Of autopsy
What test confirmed diagnosis?
Clicca
welche fred classically.
20 Was disease or injury in any way related to opoyonHon of deocaved ?
If so, specify ...
('Signed)
(Address) 199 Shure Away Date 9/26
Winthrop
M. D.
19 42
21
Winthrop
Place of Burial, Cremation or Removal.
(City or Town)
DATE OF BURIAL
Sept. 29.
19 45
22 NAME OF
FUNERAL DIRECTOR
Howard S Finaldo
ADDRESS
Winthrop, mas
Received and Aled. SEP 28 1945 19
(Registrar)
If deceased was a U. S. War Veteran, Q. L. Chap. 46, Section 10, requires physicians to Insert a recital to that offoot. PARENTS
100m(1).1.44-13634
4 COLOR OR RACE
5 SINGLE
MARRIED
WIDOWED
or DIVORCED
( write the word)
24,1943
IMPORTANT
...
Physician Underline the cause to which death "should be charged sta-
01 A
1
PLACE OF DEATH
No.
Winthrop Community Hospital
199 Winthrop
St.
PHYSICIAN - IMPORTANT
(Was deceased a
U. S. War Veteran,
if so specify WAR).
r
(Specify whether)
3 SEX
Female
White
(Give maiden name of wife in full)
Winthrop
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 iu the certificate a recital to that effect, speci- fying the war, and shall also certify in such certificate both the primary and the secondary or immediate cause of death as nearly as he can state the same. For neglect to comply with any provision of this section, such physician or officer shall forfeit ten dollars. For the purposes of this sec- tion and of sections forty-five, forty-six and forty-seven of said chapter one hundred and fourteen, the word "war" shall include the China relicf expedition and the Philippine insurrection, which shall, for said purposes, 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 110 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 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 he returned to the town from which it was removed within thirty-six hours after such removal, unless a permit in the usual form for the removal of such body has been sooner obtained hereunder. If the death certificate contains a recital, as required
by section ten of chapter forty-six, that the deceased served in the army, navy or marine corps of the United States in any war in which it has 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 hody of such a person, he shall forthwith go to the place where the body lies and take charge of the same; . . . - General Laws, Chap. 38, Sec. 6.
No undertaker or other person shall bury a human body or the ashes thereof which have been brought into the commonwealth until he has re- ceived a permit so to do from the board of health or its agent appointed to issue such permits, or if there is no such board, from the clerk of the town where the 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 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, 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
A R-301 A X
PLACE OF DEATH
Suffolk (County) Winthrop (City or Town) 179 Pauline .... No.
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. 178
Registered No. ( (If death occurred in a hospital or institution, give its NAME instead of street and number)
2 FULL NAME
Mary B Mac Donald
( If deceased is a mifried, widowed or diyorced woman, give also maiden name.)
(a) Residence. No.
179
......
Pauline
(Usual place of abode)
Length of stay : In ansoltal or Institution
(Before death)
(Specify whether)
years
months
days.
In this community / yrs.
mos.
days.
PERSONAL AND STATISTICAL PARTICULARS
MEDICAL CERTIFICATE OF DEATH
3 SEX
4 COLOR OR RACE
Female White
5 SINGLE
( write the word)
MARRIED
WIDOWED"
or DIVORCED
5a If marrlad, widowed, or divoroed HUSBAND of
(or) WIFE of
( Husband's name in full)
6 Age of husband or wife if alive
years
7 IF STILLBORN, enler that fact hera.
8
AGE 50 Years
Months
-
Days
If less than 1 day
Hours ....
Minutes
Usual
9 Occupetion :
at Home
Industry
10 or Business :
11 Social Security No. none
12 BIRTHPLACE (City)
( Siste or country)
Indican
13 NAME OF
FATHER
Donald Mac Donald
14 BIRTHPLACE OF
FATHER (City)
n. 5.
(State or country)
15 MAIDEN NAME
OF MOTHER
annie Carmichael
16 BIRTHPLACE OF
MOTHER (City)
( State or country)
17 Mrs amie Paryal
Relationsifany
Informant ( Address) 179 Pauline SE
I HEREBY CERTIFY that a fatisfactory standard certiffoste of death was fleg with BEFØRE (o baris) or transit permit was Issued : m. S. Children
BUfeature of Akent of Board Offireith or other) officee 9/27/45
Health ( Official Designation) ( Date of inoue of Patmin) /
18 DATE OF
Sept.
25%.
1945
DEATH
(Month)
(Day)
(Year)
19 | HEREBY CERTIFY,
That I attandad daosasad from
July 1,
19.
45
to
Sept. 26,
1945
1 last saw her
allva on
Sept. 25, 1945, death Is said to
have occurred on the date stated above, at
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