USA > Massachusetts > Suffolk County > Winthrop > Town of Winthrop : Record of Deaths 1945 > Part 75
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R-301 A
+ 1
PLACE OF DEATH
Suffolk (County) Winthrop (City or Town) 37 Belcher st
The Commonwealth of Massachusetts OFFICE OF THE SECRETARY DIVISION OF VITAL STATISTICS STANDARD CERTIFICATE OF DEATH
To be fited for buriat permit with Board of Health or its Agent.
Registered No.
222
-
No. .
2 FULL NAME
Ellen A. Murphy
Gillespie
(If deceased is a married, widowed or divorced woman, give also maiden name.)
(a) Residence.
No.
37 Belcher St
St.
(Usual place of abode)
Length of stay: In hospital or institution.
(Before death)
(Specify whether)
years
months
days.
In this community
yrs.
mos.
days.
PERSONAL AND STATISTICAL PARTICULARS
13 SEX Female
4
COLOR OR RACE
5 SINGLE
(write the word)
MARRIED
WIDOWED
or DIVORCED
Widowed
5a If married, widowed or divorced HUSBAND of .
(or) WIFE of
(Give maiden name of wife
David C. Gillespie
(Husband's name in full)
6 Age of husband or wife if alive
years
7 IF STILLBORN, enter that fact here.
00
AGE
80 Years - Months Days
If less than 1 day
Hours
Minutes
Usual
9 Occupation:
Housewife
Industry
10 or Business:
Own Home
11 Social Security No.
12 BIRTHPLACE (City)
(State or Country)
St. Johns
N.B.
13 NAME OF
FATHER
Michael Murphy
14 BIRTHPLACE OF
FATHER (City)
(State or Country)
Ireland
15 MAIDEN NAME
OF MOTHER
Hanora
Sullivan
16 BIRTHPLACE OF
MOTHER (City)
(State or Country).
Ireland
17 Rachel
Donahue
(Daughter)
Informant
(Address)
37 Belcher S.
I HEREBY CERTIFY that a salesfactory standard certificate of death was filed with me BEFORE the burselor transit permit was issued:
Health
Officer
11/28/45
(Date of Issue of Permit
18 DATE OF
DEATH
(Month)
26
(Day)
,1945 ( Ycar)
19
I HEREBY CERTIFY,
. 19
45
That I attended deceased from
www. 26
, 19
45
I last saw h
alive on
. 19 S death is said to
have occurred on the date stated above. at 20 m.
Duration
Immediate cause of death
IMPORTANT
Due to Cuterio pelcions 20 mp
Due to
Other conditions (Include pregnancy within 3 months of death)
Major findings: Of operations
Date of
Of autopsy
What test confirmed diagnosis?
20 Was disease or injury in any way related to occupation of deceased? If so, specity
(Signed)
(Address)
traslamelan Date 11-27
, M. D. 19 45
21
Winthrop Winthrop
, Place of Buriat, Cremation or Removal. (City of Town)
DATE OF BURIAL
19
22 NAME OF
FUNERAL DIRECTOR
tolna
Winthrop
ADDRESS
Received and Filed
NOV 28 1945
(Registrar)
100m-9-44-14955
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
IMPORTANT
Physician Underline the cause to which death should be charged sta- tistically.
Nov 29(1/1945
makeu
(Signature of Agey) of Board of INth or othery
(Official Designation)
St.
(If death occurred in a hospital or institution, }
give its NAME instead of street and number)
-
PHYSICIAN- IMPORTANT
( Was deceased a
U. S. War Veteran,
if so specify WAR) .
(If nonresident, give city or town and State)
51
MEDICAL CERTIFICATE OF DEATH
Male
White
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 persou 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 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 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 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 forin 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
R-301 A +
If deceased was a U. S. War Veteran, Q. L. Chap. 46. Section 10, requires physiolans to Insert a reoltal to that effect. extracts from the laws on back of certificate. terms, so that it may be properly classified. Exact statement of OCCUPATION is very important. See instructions and
2 FULL NAME
( If deceased is 466 Pleasant
married, widowed or divorced woman, give also maiden name.)
(a) Residence. No.
(Usual place of abode)
Length of stay : In hosoltal or Institution
( Before death)
( Specify whether)
years
months
days.
( If nonresident (give city or town and State)
In this community 21 yrs.
. mos.
dayı.
PERSONAL AND STATISTICAL PARTICULARS
3 SEX
male
4 COLOR OR RACE| 5 SINGLE
MARRIED
WIDOWED
or DIVORCED
( write the word)
Married
Sa If married, widowed, or divorced HUSBAND of
Josephine m. Neveiros
(Gife maiden name of wife In full)
(or) WIFE of
( Husband's name in full)
6 Age of husband or wife if aliva 60
yaars
7 IF STILLBORN, enter That fact here.
8 AGE 21 Years 6 Months 21 Days
If less than 1 day Hours
Minutes
Usual
9 Occupation :
Scale mechanic
Industry
10 or Business :
BostonScale Co.
11 Social Security No. 022-10-0807
12 BIRTHPLACE
( Siste or country)
) Liverpate England
PARENTS
14 BIRTHPLACE OF
FATHER (Chy)
England
(State or country)
15 MAIDEN NAME
OF MOTHER
Unableto obtain
16 BIRTHPLACE OF
MOTHER (City)
England
( State or country)
17 F66 Pleasant St( Informant ( Address} goede Eunis
I HEREBY CERTIFY that a satisfactory standard certificate of death was Aled with me BEFORE the bartar or temasit pormit was lirued :
(Sinature of Akout of Board of Health or other) wie atthe office 1/30/45
(Omcial Dealgnation) ( Date of Ingue of Permit)
MEDICAL CERTIFICATE OF DEATH
18 DATE OF
DEATH
( }fonth )
(Day)
(Year)
19 V HEREBY CERTIFY, That I altendad daoaased from 1 pan
I last saw h 22 alive on.
Www.28, 1945 death is said to
have occurred on the date stated above, at ........
50
m.
Immadiate oause of daath.
IMPORTANT
2dias
Due to
Due to. arturo stesso
Other conditions.
( Include pregnancy within 3 months of death)
Major findings :
Of operations
Data of
Df autopsy
What test confirmed diagnosis?
IMPORTANT
Physician Underline the cause to which death should be charged «[.I. uIstically.
20 Was disease or injury in any way related to occupation of deoaased ?
If so, spoolfy,
( Signad X
. M. D.
(Address) Chapter in De0 11-29-1945
DATE OF BURIAL
12/1
19 45
22 NAME OF
FUNERAL DIRECTOR/
Howard S. Reynalex)
ADDRESS
180 umahro p
5$
Received and Aled
19
( Reglerar)
10m. (X). 1 15.15910
PLACE OF DEATH Suffolk (County) Ulrichrap Mass (City or/Town) 1466 Pleasant
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. 223
Registered No.
No. Robert Erius
{ (If death occurred in a hospital or institution, St. { give its NAME instead of street and number)
PHYSICIAN - IMPORTANT
(Was deceased a
U. S. War Veteran,
if so specify WAR)
1
St. anthrop
28
1945
White
19.
4/2, 10.
Krv.28
1945
Duration
13 NAME OF
FATHER
Charles Ering
Relstion, Ifany Place of Burial, CremeMon or Removal. (City or Town)
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 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 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 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, namte 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 somne 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
R-303-A
1 1
PLACE OF DEATH
Sullolk (County)
The Commonfocalth of Massachusetts OFFICE OF THE SECRETARY DIVISION OF VITAL STATISTICS MEDICAL EXAMINER'S CERTIFICATE OF DEATH
l'a To be filed for burial permit with Board of Health or its Agent.
Registered No.
224
d in a hospita il or i
( give its NAME instead of street and number)
2 FULL NAME Walter E, Walsh
(If deceased is a married, widowed or divorced woman, give also maiden name.)
(a) Residence. No.
19 Elmwood are Winthrop3
(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 40 yrs.
mos.
days.
PERSONAL AND STATISTICAL PARTICULARS
MEDICAL CERTIFICATE OF DEATH
3 SEX
male
4 COLOR OR RACEĮ
White
5 SINGLE
MARRIED
WIDOWED
or DIVORCED
(write the word)
Single
5a 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 allve years|
7 IF STILLBORN, enter that faot here.
8
AGE 58 Years
4
Months
9
Days
If less than 1 day
.Hours ..........
Minutes
Usual
9 Occupation :
Instructor
10 or Business :
Industry
Boston teachers college
11 Soolal Security No .....
025-09-9633
12 BIRTHPLACE (City)
Philadelphia
(State or country)
13 NAME OF
FATHER
Walter Harper Walsh
14 BIRTHPLACE OF
FATHER (City)
Philadelphia
(State or country)
15 MAIDEN NAME
OF MOTHER
Filles Hohenfels
16 BIRTHPLACE OF
MOTHER (City)
(State or country)
Philadelphia
17 Info Patent acted Walch Address) 254 Conhet id. Winther
I HEREBY CERTIFY that asausfactory standard certificate of death was filed with me BEFORE the burial or transit permit was issued:
Signature or Agent of Board & Health or other)
Maltaoffice 12/1/45
(Official Designations (Date of Issue of Permits
18 DATE OF
DEATH
Tevember 2.8-1945
(Month)
(Day)
(Year)
19 | HEREBY CERTIFY that [ have Investigated the death of the person above-named and that the CAUSE AND MANNER thereof are as follows: (If an injury was involved, state fully.) .
Rt. Comman
Occlusion
Old Cardiac Infarct.
Bilateral Hydrothoras
20 Acoldent, sulolde, or homloide (specify)
Date of ooourrenoé.
19
Where did
Injury ooour ?
(City or town and State)
Did Injury ooour In or about home, on farm, In Industrial place, or In publio
place?
(Specify type of place)
Injury
Collarand rdied in a Tave
Injury
Nature of
en route to Wateron
While at work ?.
Was there an autopsy ?.
21 Was disease or Injury In any way related to ocoupation of deceased ?......
if so, specify
(Signed)
M. D.
(Address)
22
Woodlawn Everett Mais
Place of Biwinl, Cremation or Romoval.
(City or Town)
DATE OF BURIAL
Dec 1, 1945
19
23 NAME OF
FUNERAL DIRECTOR
alfred B March
ADDRESS
Received and filed
DEC 3 1945
19
(Registrar)
if deceased was a U. S. War Veteran, G. L. Chap. 46, Section 10, requires physicians to Insert a reoltal to that effeot
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