USA > Massachusetts > Suffolk County > Winthrop > Town of Winthrop : Record of Deaths 1945 > Part 62
Note: The text from this book was generated using artificial intelligence so there may be some errors. The full pages can be found on Archive.org (link on the Part 1 page).
Part 1 | Part 2 | Part 3 | Part 4 | Part 5 | Part 6 | Part 7 | Part 8 | Part 9 | Part 10 | Part 11 | Part 12 | Part 13 | Part 14 | Part 15 | Part 16 | Part 17 | Part 18 | Part 19 | Part 20 | Part 21 | Part 22 | Part 23 | Part 24 | Part 25 | Part 26 | Part 27 | Part 28 | Part 29 | Part 30 | Part 31 | Part 32 | Part 33 | Part 34 | Part 35 | Part 36 | Part 37 | Part 38 | Part 39 | Part 40 | Part 41 | Part 42 | Part 43 | Part 44 | Part 45 | Part 46 | Part 47 | Part 48 | Part 49 | Part 50 | Part 51 | Part 52 | Part 53 | Part 54 | Part 55 | Part 56 | Part 57 | Part 58 | Part 59 | Part 60 | Part 61 | Part 62 | Part 63 | Part 64 | Part 65 | Part 66 | Part 67 | Part 68 | Part 69 | Part 70 | Part 71 | Part 72 | Part 73 | Part 74 | Part 75 | Part 76 | Part 77 | Part 78 | Part 79 | Part 80 | Part 81 | Part 82 | Part 83 | Part 84 | Part 85 | Part 86
Registered No.
give its NAME instead of street and number) (If death occurred in a hospital or inetitution, St . give it
2 FULL NAME
John O'Brien
(If deceased is a married, widowed or divorced woman, give aleo maiden name.)
(If U. S.
War Veteran,
specify WAR)
(a) Residenoo. No.
(Usual place of abode)
43 ... Seaview .... Ave.
St.
Winthrop
Mass,
(If nonresident, give city or town and State)
Length of stay: In hospital or Institution.
(Before death)
(Specify whether)
years
months
1
days.
In this community
yre.
mos.
days.
PERSONAL AND STATISTICAL PARTICULARS
MEDICAL CERTIFICATE OF DEATH
3 SEX
4 COLOR OR RACE
White
5 SINGLE
(write the word)
MARRIED
WIDOWED
or DIVORCEDSingle
(Month)
(Day)
(Year)
19 | HEREBY CERTIFY,
9./14/4.5
19
That I attended deceased from
to
9/18/45
19
I last saw h ....... j.m ... alive on
8/18/15
19 ..
... , death is sald to
have occurred on the date stated above, at
2:15 0
m.
Duration
Immediate cause of death
6 Age of husband or wife if alive
years
7 IF STILLBORN, enter that faot here.
8
AGE
Years
Months .. .10 ... Days
If less than 1 day Hours ..... .Minutes
Usual
9 Occupation :
Due to
Diarrhea
Industry
10 or Business :
11 Social Security No.
12 BIRTHPLACE (City)
(State or country)
Winthrop Mass.
13 NAME OF
FATHER
John J O'Brien
14 BIRTHPLACE OF
FATHER (City)
(State or country)
Pittsfield Mass:
15 MAIDEN NAME
OF MOTHER
Mary Archdeacon
16 BIRTHPLACE OF
MOTHER (City)
(State or country)
winthrop Mass.
17
Informant.
Very .... Archdeacon ......
(
Relation, if any
(Address)
A TRUE COPY.
ATTEST :
(Registrar of city or town where death occurred)
DATE FILED
Sept 21/45
19
21 PLACE OF BURIAL,
CREMATION OR REMOVAL ...
Holy Cross
Malden.
(Cemetery)
(City or Town)
DATE OF BURIAL
Sept 20/15
19
22 NAME OF
FUNERAL DIRECTOR
J ........ Q) !. paley.
ADDRESS
winthro.p ..... 8.66 ..
Received and filed
1/1/25
19
( Registrar of City or Town where deceased resided)
which death should be charged sta-
Of autopsy
same as above
autopsy
tistically.
What test confirmed diagnosis?
20 Was disease or Injury in any way related to oocupation of deceased ?
If so, specify
no
(Signed)
H.B.Atherton
M. D.
(Address)
Boston
Date
9.1.2045
Underline the cause to
Major findings :
Of operations
Date of
Physician
Other conditions
(Include pregnancy within 3 months of death)
PARENTS
18 DATE OF
DEATH
Sept 18/45
5a If married, widowed, or divoroed
HUSBAND of
(Give maiden name of wife in full)
(or) WIFE of
(Husband's name in full)
.....
Due to
Bronchopneumonia
Suffolk
R-302
PLACE OF DEATH -
Suffolk (County)
Roston
(C'ity or Town)
No.
Beth Israel Hospital
The Commonwealth of Massachusetts OFFICE OF THE SECRETARY DIVISION OF VITAL STATISTICS COPY OF CERTIFICATE OF DEATH
Boston
(City or town making return)
Registered No.
820588
St. (If death occurred in a hospital or inetitution, give its NAME instead of street and number)
2 FULL NAME
Meyer Frank
(If deceased ie a married, widowed or divorced womau, give also maiden name.)
(a) Residenoo. No.
(Usual place of abode)
38 Forrest St
st.inthron Mass.
(If nonresident, give city or town and State)
Length of stay : In hospital or Institution
(Before death)
(Specify whether)
years
monthe
2 days.
In this community
yrs.
mos.
2
days.
PERSONAL AND STATISTICAL PARTICULARS
MEDICAL CERTIFICATE OF DEATH
3 SEX
viale
white
4 COLOR OR RACE|
5 SINGLE
(write the word)
MARRIED
WIDOWED
or DIVORCED arried
5a If married, widowed, or divorced Annie Finn
HUSBAND of
(Give maiden name of wife in full)
(or) WIFE of
(Husband's name in full)
6 Age of husband or wife if alive 59
years
7 IF STILLBORN, enter that faot here.
8
AGE.68
Years
Months.
Days
If less than 1 day
Hours
Minutos
Usual
9 Oooupation :
Real Estate Dealer
Industry
10 or Business :
Retired
11 Social Security No ..
12 BIRTHPLACE (City)
(State or country)
Russia
Other conditions
(Include pregnancy within 3 months of death)
Major findings :
Of operations
Date of
Physician Underline the cause to which death should be charged sta- tistically.
Of autopsy .
.see ... above
What test confirmed diagnosis ?
20 Was disease or Injury in any way related to oocupation of deceased ?
If so, speolfy
no
(Signed)
L Eric Liberman
M. D.
(Address)
Boston .Ma.s.s ...
Date 9/23/19
21 PLACE OF BURIAL,
CREMATION OR REMOVAL
Winthrop
Everett
DATE OF BURIAL
Sept ... 24/45
.19
22 NAME OF
FUNERAL DIRECTOR
1ª Stanetsky
ADDRESS
Roston Mas ...
19
DATE FILED
Sert 25/45 19
18 DATE OF
DEATH
sept 23/45
(Month)
(Day)
(Year)
19 | HEREBY CERTIFY,
That I attended deceased from
Sept 21/45 19
to
Sept ... 23/4519
I last saw h ....... j.m ... alive on.
Sept .... 23. 19 ... 4.5 death Is sald to
have occurred on the date stated above, at.
......
8,50g ....
Duration
Immediate cause of death
Pulmonary edema
Dur to Congestive heart failure
3 das
Due to.
Hypertensive and arteriosclerotic
heart disease
yr plus
1
13 NAME OF
FATHER
Morris Frank
PARENTS
14 BIRTHPLACE OF
FATHER (City)
Russia
(State or country)
15 MAIDEN NAME
OF MOTHER
Fannie
--
16 BIRTHPLACE OF
MOTHER (City)
Russia.
(State or country)
Relation, if any
17
Informant
(Address)
Wife
(
A TRUE COPY.
ATTEST :
(Reglatrar of city or jown where death occurred)
...
Received and filed NOV. 1 1945
(Registrar of City or Town where deceased resided)
25M-10)-11-12 10746
CopCIM Ne. Vy of town at the time of death should be made forthwith and transmitted on Form R-802 to the clerk of the city or town in which the deceased resided. (See Chap. 46, Sec. 12, G. L.)
1
(If U. S.
War Veteran,
speolfy WAR)
(Cemetery)
(City or Town)
9
R-301 A
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. Per ms Pagine 11/1/45
100m. (g).1.45-15510
I HEREBY CERTIFY that a satisfactory standard certificats of death was Nied with me BEFORE the butial or transit Wermit was Issued : Ma. S. Childrenet Health 10/4/45 (Signature of Agreat of Board of Health or other). ( Omelal Designation) (Date of Issue of Permit)
MEDICAL CERTIFICATE OF DEATH
18 DATE OF
DEATH
October
19.45
( Month)
(Day)
(Year)
Female
4 COLOR OR RACE|
White
5 SINGLE
( write the word)
MARRIED
WIDOWED
or DIVORCED Single
Sa If married, widowed, or divoroed HUSBAND of
(Give maiden name of wife in full)
(or) WIFE of
( Husband's name in full)
6 Age of husband or wife if aliva
yaars
7 IF STILLBORN, enter that fact here.
8 AGE 75 Years 6 Months 25 Days
If lesa than 1 day
Hours
Minutes
Usual
9 Occupation :
Book-keeper
Industry
10 or Business :
Insurance Company.
11 Social Security No.
031-05-1975
Fairhaven
12 BIRTHPLACE (City)
( Siate or country)
vermont
13 NAME OF
Peter Durivage
FATHER
Unable to obtain
14 BIRTHPLACE OF
FATHER (Clty)
(State or country)
11
11
t1
15 MAIDEN NAME
11
OF MOTHER
Solome Goodrich
11
16 BIRTHPLACE OF
MOTHER (City)
( State or country )
17 Relation, If any Informant iss Marion Merrill (Friend. ( Address)
Place of Burial, Cremation or BemQUX
(City or Town)
DATE OF ELHAL Cremation Qct. 4145
19
22 NAME OF
FUNERAL DIRECTOR
alfred B. Marsle
ADDRESS
17.4. Winthrop. St ... linthro p
19
( Regletrar)
...
Due to
Hy pertenand HeartDisease
2 mm
Other conditions
( Include pregnancy within 8 months of death)
Major findinga: Of operations
Date of
Of autopsy
What test confirmed diagnosis?
IMPORTANT
Physician Underline the cause to which death should be charged sta. tistically.
20 Was disease or injury in any way related to occupation of deceased ?
If so, spaoffy.
( Signed)
an cantar
. M. D.
(Address)
19 mariana Wasthe Data 10. 3 -19/
PARENTS
PLACE OF DEATH
Suffolk. (County)
Tinthrop. (City or Town) 22 Wheelock St.
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. 189
Registered No. { (If death occurred in a hospital or institution, St. [ give its NAME instead of street and number)
2 FULL NAME
Rose Virginia Durivage.
( If deceased Is a married, widowed or divorced woman, give also maiden name.)
(a) Residenca. No.
22 Wheelock St.
St.
(If nonresident, give city or town and State)
(Usual place of abode)
Length of stay: In Anspital or Institution
( Before death )
( Specify whether)
years
months
days.
In this community35 yrs.
mos.
days.
PERSONAL AND STATISTICAL PARTICULARS
3 SEX
19 | HEREBY CERTIFY,
That I attended deosased from
...
19%). to.
1945
I last saw hen alive on Chang Oct /. 194). death is said to
have occurred on the date stated above, at.
m.
Immediate cause of death.
Due to
Uremia -
Duration
IMPORTANT
1 week
2 yrs
21
foodlawn Cemetery averatt
Received and flad
OCT .5 1945
PHYSICIAN - IMPORTANT (Was deceased a U. S. War Veteran, if so specify WAR). NO
1
No.
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 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 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 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 he 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 forth with 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 ahortion, 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 canse 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 heen 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
R-302
3 SEX Female HUSBAND of (or) WIFE of PARENTS (Address) 50m.10-'39. No. 8427-f after the close of the month in which the death occurred. (See Chap. 46, Sec. 12, G. L.) of death should be transmitted on Form R-302 to the clerk of the city or town in which the deceased resided as soon as possible Wwwwwevw t4 yout city of town in case the deceased resided in another city or town at the time Usual 9 Occupation:
PLACE OF DEATH
Lowe 11 (City or Town)
No .. St. John's Hospital
The Commonwealth of Massachusetts OFFICE OF THE SECRETARY DIVISION OF VITAL STATISTICS COPY OF CERTIFICATE OF DEATH
Lowell
(City or town making return)
Registered No.
43.90.
5 (If death occurred in a hospital or institution, St. 1
give its NAME instead of street and number)
2 FULL NAME
Margaret Ann Whalen
(If deceased is a married, widowed or divorced woman, give also maiden name.)
(a) Residence. No ...
370Tảin.
..............
.St.
Winthrop .... Mass.
(Usual place of abode)
Length of stay : In hospital or institution ...
(Specify whether)
...
years
months
days.
In this community
yrs.
mos.
days.
PERSONAL AND STATISTICAL PARTICULARS
4 COLOR OR RACE 5 SINGLE
White
MARRIED
WIDOWED
or DIVORCED
(write the word)
18 DATE OF
DEATH
October 2, 1945
(Month)
(Day)
(Year)
19 | HEREBY CERTIFY.
Oct.
That I attended deceased from
19.4.5, to.
Oct. 2.
19.45
I last saw h ............ alive on
19
death is said
to have occurred on the date stated above, at.
.. m.
Immediate cause of death.
Still birth
10/2/45
8 AGE Years Months. Days
If less than 1 day Hours Minutes
Industry 10 or Business:
11 Social Security No.
12 BIRTHPLACE (City)
(State or country)
Lowell, Lass.
13 NAME OF
FATHER
Elmer F. Whalen
14 BIRTHPLACE OF
FATHER (City)
(State or country)
Cambridge, Mass.
15 MAIDEN NAME
OF MOTHER
Margaret M. Riley
16 BIRTHPLACE OF
MOTHER (City)
(State or country)
Lowell, "ass.
Relation, if any
17 Informant. Elmer F. Whalen ( father ...
A TRUE COPY.
ATTEST:
5
(Registrar of city or town where death occurred)
10/5/
1945
DATE FILED 1
Other conditions
(Include pregnancy within 3 months of death)
PHYSICIAN
Major findings :
Of operations
Date of
Underline the cause to which death should be charged sta- tistically.
What test confirmed diagnosis ?
28 Was disease or Injury In any way related to occupation of deccased ?
If so. specify
(Signed)
.......... R. ... Namay.
(Address) .......... Central .... St.
M. D.
Data 0/3/
.19.45
21 PLACE OF BURIAL.
CREMATION OR REMOVAL.
St.Patrick's Cem.
DATE OF BURIAL
Oct ..... 3,1945
19
22 NAME OF
FUNERAL DIRECTOR
Katherine C. Ichenna
ADDRESS 757 Pridre St.
... Lowell
Received and filed NOV , 1940 19
(Registrar of City or Town where decensed resided)
..
Due to
.Premature .... Senaration ... of
placenta
10/1/45
Due to
Daration
6 Age of husband or wife if alive.
.Years
7 IF STILLBORN, enter that fact here.
Stillborn
5a If married, widowed, or divorced
(Give maiden name of wife in full)
(Husband's name in full)
MEDICAL CERTIFICATE OF DEATH
(If U. S.
War Veteran.
specify WAR)
(If nonresident, give city or town and state)
(Cemetery)
(City or Town)
Of autopsy
+
Middlesex
(County)
R-301 A
1
PLACE OF DEATH
Suffolk
(County) Winthrop (City or Town) 29 Sunny side Ave
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.
191
St. § (If death occurred in a hospital or institution. ( give its NAME instead of street and number) )
2 FULL NAME
Helen M. Grainger
Mckinley
(If deceased is a married, widowed or divorced woman, give also maiden name.)
PHYSICIAN - IMPORTANT
(Was deceased a
3 0 %. War Veteran,
if so specify WAR) .
(If nonresident, give city or town and State)
25
In this communit
yrs.
mos.
days.
MEDICAL CERTIFICATE OF DEATH
18 DATE OF
DEATH
October
(Month)
7
(Day)
1945 (Ycar)
19
I HEREBY CERTIFY,
That I attended deceased from
Nov. 28-
, 1944. to Oct. 7.
I last saw h Er alive on
October 6 -. 1945, death is said to
have occurred on the date stated above, at
0
m.
Duration
Immediate cause of death
Carcinomatosis
IMPORTANT
Due to
carcinoma of uterus
1 year
Due to
Other conditions
(Include pregnancy within 3 months of death)
Major findings:
Of operations
Carcinoma
Date of January 11- 945
Of autopsy
What test confirmed diagnosis?
Laboratory
Underline the cause to which death should be charged sta- tistically.
20 Was disease or injury in any way related to occupation of deceased?
If so, specify
Edward.
(Signed
NO
(Address)
200 Washington Adate 10-9-1945
21
Winthrop
£
Winthrop
Place of Burial, Cremation of Removal.
Oct. 16
1945(City or Town)
DATE OF BURIAL
19
I HEREBY CERTIFY that a satisfactory standard certificate of death was filed with my BEFORE the burial 9 Transit permit was issued:
Childrens . (Signature of Avent Af Board of Herth or other)
(Official Designation)
5 SINGLE
(write the word)
MARRIED
WIDOWED
or DIVORCEMarried
6 Age of husband or wife if afive years
If less than 1 day
Hours
Minutes
16 BIRTHPLACE OF
MOTHER (City)
(State or Country)
Mass
17 Chester Mckinley Informant (Address) 29 Sunnyside Avec ..
(Husbandy )
10/9/45 (Date of Issue of Perfuit)
Received and Filed OCT 1 0 1945 19
(Registrar)
See instructions and extracts from the laws on back of certificate. 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-9-44-14955
No.
-
(Usual place of abode)
Length of stay: In hospital or institution
(Before death)
(Specify whether)
PERSONAL AND STATISTICAL PARTICULARS
3 SEX
4
COLOR OR RACE
White
Female
5a If married, widowed or divorced
HUSBAND of.
(Give maiden name of
(or) WIFE of
Chester F. Mckinley
(Husband's name in full)
50
7 IF STILLBORN, enter that fact here.
AGE45
Years
Months
Housewife
-
Days
Usual
9 Occupation:
Industry
10 or Business:
Own Home
12 BIRTHPLACE (City)
East Boston
(State or Country)
Mass
13 NAME OF
FATHER
Harry Grainger
14 BIRTHPLACE OF
FATHER (City)
East Boston
(State or Country)
Mass
15 MAIDEN NAME
OF MOTHER
Caroline Hayes
East
Boston
...... so that it may be properly classined. Exact statement of OCCUPATION is very important.
11 Social Security No.
011-05- 1232
(a) Residence.
No ..
29 Sunnyside Ave
St.
months
days.
years
22 NAME OF
FUNERAL DIRECTOR
om HQ maley
ADDRESS
Winthrop,
IMPORTANT Physician
. M. D.
19 4 S
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 hy 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 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 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-scven 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, he 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 hury or otherwise dispose of a human body in a town, or remove therefrom a human body which has not heen huried, 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 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 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 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 be 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 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
Need help finding more records? Try our genealogical records directory which has more than 1 million sources to help you more easily locate the available records.