USA > Massachusetts > Suffolk County > Winthrop > Town of Winthrop : Record of Deaths 1945 > Part 72
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
RETURN OF CERTIFICATES OF DEATH
A physlolan or ragistared hospital madloal offiosr shall forthwith, after the death of a person whoin he has attemled during his last Illness, at the request of an undertaker or other authorizeil person or of any member of the family of the deceased, furniab for registration a standard certificate of death, stating to the best ol his knowledge and behef the name of the deceased, his supposed age, the disease of which he died. defined as re- quired by section one, where ssme was contracteil. the duration of his last illnesa, when last seen alive by the physician or officer and the date of bia death ... Gen. Laws, Chap. 46, Sec. 9.
N physician or officer furnishing a certificate of desth as required by the preceding section or by sectiou forty-five of chapter one hundred and lour- teen, shall, if the deceased, to the best of his knowledge and belief, aerved in the army, navy or marine corps of the I'nited States in any war in which It has been engaged, insert in the certificate a recital to that effect, speci- fying the war, sud shall also certify in such certificate both the primary and the secondary or immediate csuse of death ss nearly as he can state the saine. For neglect to comply with any provision ol this section, sucb physician or officer shall forfeit ten dollars. For the purposes of thia aec- tlou and of sections forty-five, forty-six and forty-seven of said chapter one bundred and fourteen, the word "war" shall inchule the China relief ex- pedition and the Philippine insurrection, which shall, for said purposea, he deemed to have taken place hetwcen February fourteenth, eighteen hundred and ninety- eight and July fourth, nineteen hundred and two, and the Mexi- can border service of nineteen hundred and sixteen and nineteen bundred and seventeen, G. L. Chap. 46, Sec. 10.
No undertaker or other person shall bury or otherwise dispose of a buman body in a town, or remove therefrom a human body which haa not been buried, until he has received a permit from the board of health, or ita 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 otber person ahall exhume a human body and remove it from a town, from one cemetery to another, or from oue grave or tomb other than the receiving tomb to another In the same cemetery, until he has received a permit from the bosrd of health or its agent aforesaid or from the clerk of the town where the boily is buried. No such permit shall be Issued until there shall have been delivered to sucb board, agent or clerk, as the case inay be, a satisfactory written atatement containing the facts required by iaw 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, 01 in fieu 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 aelectmen lor the purpose, shall upon application make the certificate re- quired of the attending physician. If death is caused by violence, tbe med !- cal examiner shall make sucb certificate. If such a permit for the removal of a human body, not previously interred, froin one town to another within the commonwealth cannot be obtained early enough for the purpose, the certificate of desth made as above provided and in the possession of the undertaker desiring to make such removal shall constitute a permit for such removs !; 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 obtalued hereunder. If the death certificate contains a recital, as required
by section ten of chapter forty-six, that the deceased aerved in the army, navy or marine corps of the United States In any war In which It has heen engaged. sucb 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 clark of the town lor 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 veces 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 .- Cbap. 114. Sec. 45, G. L., (Tercentenary Edition),
No undertaker or other person shall bury a human body or the ashes thereof which have been brought Into the commonwealth until he has re- ceived a permit so to do frum the hoard of health or its sgent appointed to Issue such permits, or if there is no such board, Irom the clerk of the town where the body is to be 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. .. . Cbap. 114. Sec. 46. G. L., (Tercentenary Editiou).
Bledics! exsminers shall mske examination upon the view of the dead bodies of ouly such persons ss are supposed to have died by violence, If a medical examiner has notice that there is within hls county the body of such a person, he shall forthwith go to the place where the liudy lles aud take charge of the same; ... - General Laws, Chap, 38, Sec. 6.
RULES OF PRACTICE
The fulfillment of the purpose of these lawe calie 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 fast illness from disease unrelated to any form of injury.
(2) Board of Health physlolans will certify to such deaths only as those of persons who, though disshled by recognized disease unrelated to any form of Injury, have died without recent medical attendance or whose pbyaf- cian is ahsent from home when the certificate of death is needed.
(3) Medlosl Examiners will investigate and certify to all deatbe sup- posably due to Injury. These include not only deaths caused directly or in- directly by traumatiam (including resulting septicemia), and by the action of chemical (drugs or poisons), thermal, or electrical agents, and deaths following ahortion, but also deaths from dissasa resulting from Injury or infeotlon related to occupation, the sudden deaths of persons not disablad by recognized disease, and those of persons found dead.
Statement of Cause of Death .- Cause of deathi meana the disease, or complication which causes death. not the modie of dying, e. g., heart fallure, asphyxia, asthenia, etc. Aa principal cause name the disease caualng death. As related causes, name earlier morbid conditions, if any, related to the principal cause and any important complication of the principal cause.
Statement of Oooupatlon .- Precise statement of occupation la 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 discase causing death, report the usual occupation prior to illness. If the deceased had retired from businesa, report the usual occupation prior to retirement. Children not gainfully employed may be returned aa at school or at boine. For a woman wbose only occupatiou waa that of bone bousework, write bousework. For a person engaged in domestic service for wages, however, designate the occupation by the appropriate terms, aa bousekerper-private family, cook-hotei, etc. For a person who had no occupation whatever write none.
SPACE FOR ADDITIONAL INFORMATION
20
R-301 A X
1
PLACE OF DEATH
.... . (County) Winthrop (City or Town) 36 Bellevue
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. 216
avenue st. { give its NAME instead of street and number)
Mary Ann (sauford) Pour
( If deceased Is a married, widowed or divorced" woman, give also maiden name.)
(a) Residence.
No.
36 Bellevue Grunne St.
(Usual place of abode)
(If nonresident, give city or town and State)
Length of stay: In hospital or Institution
( Before death)
( Specify whether)
PERSONAL AND STATISTICAL PARTICULARS
MEDICAL CERTIFICATE OF DEATH
18 DATE OF
DEATH
november
212
19 45
( Month)
(Day)
(Year)
19 | HEREBY CERTIFY,
January
37
to
/1/20
19
45
I last saw her alive on
nov 20
19 45, death Is said to
have occurred on tha dato stated above, at.
9. 300 Pm.
Duration
Immediate oouse of death 0 1.
IMPORTANT
Denilinas
Due to
Due to
Marlatic Drenmoura
/16 "/18/45-20 45
Other conditions
( Include pregnancy within 8 months of death)
Mejor findings:
Of operations
Date of.
Of eutopsy
What test confirmed dlegnosla?
IMPORTANT
Physician
Underline the cause to which death should be charged st. . tistically .
20 Was disease or injury in any way related to occupation of deoessed ?. 40
if so, spoolfy
. M. D.
('Signed)
(Address) 62 / 2016eee17 Feron Date : 19222 1945
21 Willrap temaling
Place of Burial, Cremation or Remoral.
(City or Town)
DATE OF BURIAL
November 24
19:45
22 NAME OF
FUNERAL DIRECTOR
Joseph H Rackelly
147 Mars ave achttien
ADDRESS
Received and Aled.
NOV-20 1945
( Registrar)
terms, so that it may be properly classified. Exact statement of OCCUPATION is very important. See instructions and
extracts from the laws on back of certificate.
100m. (g)-1-45-15510
I HEREBY CERTIFY that a satisfactory standard oartifloats of death was Aled with me BEFORE the burial or transit garmit was larued :
William Childress
(Signature of Agent of Board of Health or other)
agent 11/24/45
...... (Oficial Destination) ( Date/ of Irque /of/Pertnft)
5 SINGLE
( write the word)
Widowed
MARRIED
WIDOWED
or DIVORCED
5. If married, widowed, or divorced HUSBAND of
(or) WIFE of
(Give maidey name of gife in fill)
( Husband's name in full)
6 Age of husband or wife if elive
years
7 IF STILLBORN, enter that fact here.
8 AGE 88 Years
Months - .. Days
If less than 1 dey Hours ... Minutes
Usual 9 Occupetion :
at home
Industry
10 or Business :
Released
11 Social Security No.
none
12 BIRTHPLACE (City)
( State or country)
Hurfoundland
13 NAME OF
FATHER
George Grauford
PARENTS
14 BIRTHPLACE OF
FATHER (Clty)
( State or country)
15 MAIDEN NAME
OF MOTHER
Masy Thorn
16 BIRTHPLACE OF
MOTHER (City)
newfoundland
(State or country )
17 Waller,
Four Relation If any
Informent ( Address) IL Wilshire Il wir
If deceased was a U. S. War Veteran, G. L. Chap. 46, Section 10, requires physicians to insert a recital to that effect.
Registered No.
{ (If death occurred in a hospital or institution,
PHYSICIAN - IMPORTANT
(Was deceased a
U. S. War Veteran,
if so specify WAR)
-
months
days.
In this community 55yra.
mos.
days.
3 SEX thewall
4 COLOR OR RACEJ
White
2 FULL NAME
No.
........
Thet f attended deosased 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 inarine 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 taken place hetwecn 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. Chao. 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 been huried, 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 board of health or its agent aforesaid or from the clerk of the town where the hody is buried. No such permit shall he 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 recordea, 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 hoard 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 body, 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 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 heen 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 he 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 body of such a person, he shall forthwith go to the place where the hody 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 hody is to he 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 disabled hy recognized disease unrelated to any form of injury, have died without recent medical attendance or whose phy- sician is absent from home wben 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 by 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 disahlcd 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 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 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 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
DATE OF ENTERING MILITARY SERVICE
DATE OF DISCHARGE RANK, RATING ORGANIZATION AND OUTFIT SERVICE NUMBER
R-303-A =
1 Sullolic ((County) Www Throb (City or Towp), 31 Villa ave Louise PLACE OF DEATH Helen X. Frasier
The Commonwealth of Massachusetts OFFICE OF THE SECRETARY DIVISION OF VITAL STATISTICS MEDICAL EXAMINER'S CERTIFICATE OF DEATH
To be filed for burial permit with Board of Health or its Agent.
217
Registered No. § (If death occurred in a hospital or institution, ¿ give its NAME instead of street and number)
PHYSICIAN - IMPORTANT
2 FULL NAME
(If deceased is a married, widowed or divorced wofnan, give also maiden name.)
(a) Residence. No.
31 Ville are Winthrop
St.
(Usual place of abode)
(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 5.5 yrs.
mos.
days.
PERSONAL AND STATISTICAL PARTICULARS
4 COLOR OR RACE 5 SINGLE (write the word)
white
MARRIED
WIDOWED
or DIVORCED
Single
5a If married, widowed, or divorced HUSBAND of
(Give maiden name of wife in full)
(Husband's name in full)
6 Age of husband or wife if alive
years
7 IF STILLBORN, enter thet faot here.
8 AGE 80 Years. Months. 21 Days
if less than 1 day
Hours.
.Minutes
retired
11 Social Security No.
12 BIRTHPLACE (City)
(State or country)
Cambridge
13 NAME OF
FATHER
Daniel & Frasier
14 BIRTHPLACE OF
FATHER (City)
(State or country)
maine
15 MAIDEN NAME
OF MOTHER
Isabell Burgers
16 BIRTHPLACE OF
MOTHER (City)
Dorchester
(State or country)
maso
17 Carrie 7. Moyes
Relation, Rany
I HEREBY CERTIFY that a setufactory standerd certificate of death was filed with me BEFORE the burial or trensit permit wes Issued :
(Signature of Agent of Board of Health or other) Health Spaich 11/23/40
... (Official Designation) "(Date of lesue of Vermit)
MEDICAL CERTIFICATE OF DEATH
18 DATE OF
DEATH
Jerember - 21-1945
(Month)
(Day)
(Year)
19 | HEREBY CERTIFY that I have Investigated the deeth
of the person above-named and that the CAUSE AND .MANNER thereof
are as follows: (If an injury was involved, state fully)
acute Cardiac
Dilatation
Carterio Silerotic Heart Disease
20 Accident, suicide, or homiolde (specify)
Date of oocurrenoe.
19
Where did
injury occur ?
(City or town and State)
...
Did Injury ooour In or about home, on farm, in industrial place, or in publio place?
Manner of
Injury
Died qualche without recent
-
(Specify type of place)
Nature of
medical attendance
injury
While at work?
.Was there an autopsy?
21 Was disease or Injury In any wey related to oooupetion of deceased ?.
if so, speolfy
Han Brackley
(Signed)
., M. D.
(Address)
-date-21 1945
22 Cambridge
Cambridge .... Place of Burial, Cremation or Removal,
(City or Towu)
DATE OF BURIAL
Know- 24
1945
23 NAME OF
FUNERAL DIRECTOR
alfred B March
ADDRESS
174 Winthrop -19
Received and filed
Windows
NOV 26-1945
( Registrar)
......
Informant ... ( Androux) 17 faranth &
50m (g)-1-41-4667
1 No. 3 SEX (or) WIFE of Usual 9 Occupation : PARENTS should be carefully supplied. MEDICAL EXAMINERS should stare CAUSE ANE MANNENY VIVENTIT ! pleins fettin Industry 10 or Business : If deceased was a U. S. War Veteran, G. L. Chap. 46, Section 10, requires physiolans to insert a recital to that effeot. so that it may be properly classified under the International Classification of Causes of Death. See reverse side for extracts from the laws relative to the return of certificates of death.
St.
(Was deceased a
U. S. War Veteren,
If so specify WAR)
EXTRACTS FROM THE LAWS OF THE COMMONWEALTH OF MASSACHUSETTS GOVERNING THE RETURN OF CERTIFICATES OF DEATH
A physician or registered hospital medloal offioer shall forthwith, after the death of a person whom he has attended during hia 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 aa required by section one, where same was contracted, the duration of his last illness, when last aeen 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 ex- pedition 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 Mexi- can border service of nineteen hundred and sixteen and nineteen 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 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 playsi- 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 medical examiner shall make such certificate. If such a permit for tlie removal of a human body, not previously interred, from one town to an- other within the commonwealth cannot be obtained early enough for the purpose, the certificate of death made as above provided and in the pos- session 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 re- moval, unless a permit in the usual form for the removal of such body has been sooner obtained hereunder. If the death certificate contains & 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
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.