USA > Massachusetts > Suffolk County > Winthrop > Town of Winthrop : Record of Deaths 1945 > Part 8
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Hours.
Minutes
Usual
9 Occupation:
Painter
10 or Business:
II Social Security No. none
12 BIRTHPLACE (City)
(State or country)
Y) Boston Mass.
13 NAME OF
FATHER
John J. manning
14 BIRTHPLACE OF
FATHER (Cite)
Bostonos mana
(State or country)
15 MAIDEN NAME
OF MOTHER
Mary anne Ferran
16 BIRTHPLACE OF
MOTHER (City)
(State or country)
Barton maro
17 Inu. A. A. Wyman Relation, if any
Informant .. (Address) Ity foutent que
I HEREBY CERTIFY that a satisfactory standard certificate of death was filed with me BEFORE the burial or transit permit was issued: Www.D. Childressx
(Signature of Agent]of Board of Health or other)
Health appale 2/2/45
(Official Designation) (Date of Issue of Permite
18 DATE OF
DEATH
30
14450 (Year)
(Month)
(Day)
19 | HEREBY CERTIFY. That I attended deceased from
1945 To
1945
Vlast saw h Lan .. alive on ............. Duration tin/30 ., 19. Y S death is said to have occurred on the date stated above, at 4,15Pm. Immediate cause of death.
Due to
michiel cathrine
Due to ....
Other conditions
(Include pregnancy within 3 months of death)
PHYSICIAN
Major findings : Of operations
Date of.
Of autopsy ..........
What test confirmed diagnosis?
20 Was disease or lojury in any way related to occupation of deceased ?
If so, specify
(Signed)
(Address) Y Wanhamptons La Date1/20 19 75
Roslindale
21 Calvary
Place of Burial, Cremation or Removaly
(City or Town)
19 35
DATE OF BURIAL ..
feb.
22 NAME OF
Bernard S. Mc hamaca
ADDRESS
12 Tremont At. Bugleton
Received and filed.
19
A TRUE COPY ATTEST:
(Registrar)
200m-10-'39. No. 8427-₫
CAUSE OF DEATH in plain terms, so that it may be properly classified. Exact statement of OCCUPATION information should be carefully supplied. AGE should be stated EXACTLY. PHYSICIANS should state N. B .-- WRITE PLAINLY, WITH UNFADING BLACK INK-THIS IS A PERMANENT RECORD. Every item of is very important. See instructions and extracts from the laws on back of certificate.
S
CHI U. S.
war Veteran.
specify WAR)
(If nonresident, give city or town and state)
MEDICAL CERTIFICATE OF DEATH
(write the word)
8 63 Years.
Industry Relived
PARENTS
Underline the cause to which death should be charged sta- tistically.
M. D.
EXTRACTS FROM THE LAWS OF THE COMMONWEALTH OF MASSACHUSETTS GOVERNING THE
RETURN OF CERTIFICATES OF DEATH
A physician oc cegistered hospital medical officec 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 regis- tration a standard certificate of death, stating to the best of his knowledge and belief the name of the deceased, his supposed agc, the disease of which he died, defined as required by section one, where same was contracted, the duration of his last illness, when last secn alive by the physician or officer and the date of bis death ... Gen. Laws, Chap. 46, Sec. 9.
No undectakec oc 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 aforcsaid or from the clerk of the town where the body is buried. No such permit shall be issued until there shall have been de- livered to such board, agent or clerk, as the case may be, a satisfac- tory 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 cnough for the purpose, or is insufficient, a physician who is a member of the board of health, or employed by it or by the selectmen for the pur- pose, shall upon application make the certificate required of the at- tending physician. If death is caused by violence, the medical exam- iner shall make such certificate. If such a permit for the removal of a human body, not previously interred, from oue 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 a 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 seetion ten of chapter forty-slx, 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 bealth, 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 fur- nish for registration any other necessary 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.)
No undertaker or other person shall bury a human body or the ashes thereof which have been brought into the commonwealth until he has received 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 observ- ance of the following rules of practicc:
(1) Attending physicians will certify to such deaths only as those of persons to whom they have given bedside carc during a last ill- ness from disease unrelated to any form of injury.
(2) Board of Health physicians will certify to sucb deaths only as those of persons who, though disabled by recognized disease un- related to any form of injury, have dicd without recent medical attendance or whose physician is absent from home when the certificate of death is needed.
(3) Medical Examinees will investigate and certify to all deaths supposably due to injucy. These inelude not only deaths caused directly or indirectly by traumatism (including resulting septice- mia), and by the action of chemical (drugs or poisons), thermal, or electrical agents, and deaths following abortion, but also deaths from disease cesulting fcom injury or infection celated to occupa- tion, the sudden deaths of pecsons not disabled by cecognized 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 con- ditions, if any, related to the principal cause and any important complication of the principal cause.
Statement of Occupation .- Precise statement of occupation is very important, 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 bad 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 busi- ness, 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, however, designate the occupation by the appropriate terms, as housekeeper-private family, cook-hotel, etc. For a person wbo bad no occupation whatever write none.
SPACE FOR ADDITIONAL INFORMATION
M R-301 A :
PLACE OF DEATH
(County) Winthrop
(City or Town)
No 25 Summit Avenue
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
25
(If death occurred in a hospital or institution, give its NAME instead of street and number)
2 FULL NAME
Mabel Gertrude Leonard .Murphy
(If deceased is a married, widowed or divorced woman, give also maiden name.)
(a) Residence. No ..
(Usual place of abode)
25 Summit Avenue
.
St.
.Winthrop
(If nonresident, give city or town and state)
Length of stay: In hospital or institution ....
years
months
days.
In this community 40 yrs.
mos.
days.
(Specify whether)
MEDICAL CERTIFICATE OF DEATH
18 DATE OF
DEATH.
January
30
1945
(Month)
(Day)
(Year)
19 | HEREBY CERTIFY. That I attended deceased from 9, 19 44, to a 9varu 30 19 45
I last saw h ............ alive on .... Januariyo, 10.45, death is said to have occurred on the date stated above, at .............. 8 .. m.
Duration IMPORTANT
2 days
Due to
Due to
11 Social Security
No.
None
12 BIRTHPLACE (City)
Charlestown
(State or country) Mass
13 NAME OF FATHER William A Leonard
14 BIRTHPLACE OF
FATHER (City)
Boston
(State or country) Mass
15 MAIDEN NAME
OF MOTHER
Mary L Maloney
Boston
16 BIRTHPLACE OF MOTHER (City) (State or country) Mass
Informant. Mr Murphy
Relation, if any ( Husband)
(Address) 25 Summit Ave Winthrop Mass.
I HEREBY CERTIFY that a satisfactory standard certificate of death was filed with me BEFORE the bufal or transit permit was issued:
(Signature of Ment of Board of Health or other)
Heabek Officer
2/1/45
( Official Designation)
(Date of Issue of Permit)
20 Was disease or Injury In any way related to occupation of deceased?
If so, spe
> tropunge
. M. D.
(Signed)
(Address) 200 Noticiain THE Date Can 3/ 1945
21 Holy Cross Malden Mass .
Place of Burial, Cremation or_ Removal. DATE OF BURIAL February.
(City or Town) 11945 19 45
22 NAME OF
FUNERAL DIRECTOR
Frank ....... H.
Carr
ADDRESS 32 Bunker Hill St Charlestown
Received and Gled 19
(Registrar)
information should be carefully supplied. AGE should be stated EXACTLY. PHYSICIANS should state
1 3 SEX 8 Usual PARENTS 17 CAUSE OF DEATH in plain terms, so that it may be properly classified. Exact statement of OCCUPATION Industry is very important. See instructions and extracts from the laws on back of certificate.
PERSONAL AND STATISTICAL PARTICULARS
4 COLOR OR RACE
White
5 SINGLE
MARRIED
WIDOWED
or DIVORCED Married
(write the word)
Female
5a If married, widowed, or divorced
(Give maiden name of wife in full)
(or) WIFE of
HUSBAND of
Frederic John Murphy
(Husband's name in full)
years
6 Age of husband or wife if alive.
7 IF STILLBORN, enter that fact here.
If less than 1 day
AGE 7.2 Years. Months Days
Hours
Minutes
9 Occupation:
House Wife
10 or Business:
Ovm Home
Other conditions
(Include pregnancy within 3 months of death)
Major findings : Of operations
Date of ..
Of autopsy
What test confirmed diagnosis ?
PHYSICIAN Underline the cause to which death should be charged sta- tistically.
.........
100m-10-'39. No. 8427-e
St
(If U. S.
War Veteran,
specify WAR) NO
Immediate cause of death
............
Carebral Hemorrhage
EXTRACTS FROM THE LAWS OF THE COMMONWEALTH OF MASSACHUSETTS GOVERNING THE
RETURN OF CERTIFICATES OF DEATH
A physielan 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 deccased, furnish for regis- tration 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 required 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.
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 de- livered to such board, agent or clerk, as the case may be, a satisfac- tory 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 physician who is a member of the hoard of health, or employed by it or by the selectmen for the pur- pose, shall upon application make the certificate required of the at- tending physician. If death is caused by violence. the medical exam- iner shall make such certificate. If such a permit for the removal of s 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 ton 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 fur- nish for registration any other necessary 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, See. 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 received a permit so to do 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 body is to be burled 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., (Torcentenary Edition)
RULES OF PRACTICE
The fulfillment of the purpose of these laws calls for the observ- ance 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 ill- ness 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 un- related to any form of injury, have died without recent medical attendance or whose physician is absent from home when the certificate of death is needed.
(3) Medical Examiners will Investigate and certify to all deaths supposably due to injury. These include not only deaths caused directly or Indirectly by traumatism (including resulting septice- mia), 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 occupa- tion, the sudden deaths of persons not disabled by recognizod 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 earller morbid con- ditlons, If any, related to the principal cause and any important complication of the principal cause.
Statoment of Occupatlen .- Precise statement of occupation Is very Important, so that the relative healthfulness of various pursuits can be known. Make some entry in this scetlon 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 busi- ness, 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, however. designate the occupation by the appropriate terms, as housekeeper-private family, cook-hotel, ete. For a person who had no occupation whatever write nons.
SPACE FOR ADDITIONAL INFORMATION
R-301 A
1
PLACE OF DEATH
Suffolk (County) 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.
26
{ ( If death occurred in a hospital or institution, St.
· give its NAME instead of street aud nuniber)
2 FULL NAME.
( If dedeased is a married, widowed or divorced woman, give also maiden name.)
(a) Residence. No. 11 Wave Way
(Usual place of abode)
Length of stay: In hospital or Institution
(Before death)
(Specify whether)
yeara
months
days.
In this community 25 yrs.
mos.
dayı.
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 Married
18 DATE OF
DEATH
January
31
1945
( Month
(Day)
(Year)
19 | HEREBY CERTIFY,
That I attended deosased from
august 30
45
tfamary 31
19
45
19 ..
he alive on towary 30, 1945, death Is said to
have oocurred on the date stated above, at.
9 15 A. m.
6 Age of husband or wife if alive 64
9 IF STILLBORN. enter that fact here.
8
AGE
60 Years
Months
Days
If less than 1 day Hours Minutes
Usual
9 Occupation :
Housewife
10 or Business :
Industry
at have
11 Social Security No. none
'2 BIRTHPLACE (City)
(Siate or country)
Russia
PARENTS
13 NAME OF FATHER mo decai azoff
14 BIRTHPLACE OF
FATHER (City)
Russia
(State or country)
15 MAIDEN NAME
OF MOTHER
cannot the learned
16 BIRTHPLACE OF
MOTHER (City)
(State or country)
17 nathan P. Boyarsky Again
Informant ( Address) 11 Wave Way Back L, Winthe
I HEREBY- CERTIFY that a satisfactory standard certificate of death was filed with ma BEFORE the burial or transit permit was Issued :
22 NAME OF
Manuel Stanetsky
ADDRESS
10 Washington It, DO2.
Received and Aled
19
(Official Designation) ( Date of Trque of Permft) /
( Registrar)
Duration IMPORTANT
5 days.
2 years.
Due to.
Other conditions.
none
( Include pregnancy within 3 months of death)
IMPORTANT Physician
Major findings :
Of operations
none
What to
Date of Of autopsy Underline the cause to which death should ba What test confirmed diagnosis? Clinical+ Laboral charged sta. Micalty.
20 Was disease or injury in any way related to occupation of deceased ? NO
If so, speolfy.
(Signed) Maurice Traumstuk
M.D. M. D.
(Address) 562 Shyla I
Date fax
Fax: 31, 1945
21 ml Lebanon- Warmen Marche -w. Rou.
l'lace of Burial, Cremation or Removal.
45
(City of Town)
DATE OF BURIAL
La
siteb. 1
19.
100M-G · 2·42-8855
extracts from the laws on back of certificate. Terms, so that it may be property classified. Exact statement of OCCUPATION is very important. See instructions and If deceased was a U. S. War Veteran. G. L. Chap. 46. Section 10, requires physiolans to Insert a recital to that effect.
No.
(City gr Town) 11 Wave Way Rebecca Rouarsky
....
PHYSICIAN - IMPORTANT
(Was deceased a
no
U. S. War Veteran,
if so specify WAR)
Winthrop
St.
(If nonresident, give city/or town and State)
-
Sa If married, widowed, or divorced
HUSBAND of
nath give maiden onai the mirrorden
(or) WIFE of
( Husband's name In full)
years Immedlate cause of death
Preumonia Bronchial
Due to
Cerebral hemayhave with
right
Hemiplegia
(Signature of Agent of Board of Health or other) Health Offices 2/1/45
Registered No.
EXTRACTS FROM THE LAWS OF THE COMMONWEALTH OF MASSACHUSETTS GOVERNING THE
RETURN OF CERTIFICATES OF DEATH
A physioian or registered hospital medioal offioer shall forthwith, after the death of a person whoin he has attended during his last illness, at the request of an undertsker or other authurized 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 decessed, his supposed age, the disease of which he died. defined as re- quired by section Que. where same was contracted. the duration of his last illness, when last seen alive by the physician or officer and the date of hia death ... Ceu. Laws, Chap. 46, Sec. 9.
A physician or officer furnishing a certificate of death aa 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 helief, served in the army, navy or marine corps of the I'nited States in auy war in which it has been engaged, insert in the certificate a recital to that effect, speci- fying the wsr, 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 saine. For neglect to comply with any pruvision of this section, such physician or officer shall forfeit ten dollars. For the purposes of thia sec- tion aud of sections forty-five, forty-six and forty-seven of said chapter one hundred and fourteen, the word "war" shall inchide the China relief ex- pedition and the Philippine insurrection, which shall, for said purposes, 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 sixtcen and nineteen 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 haa received a permit from the board of health, or ita agent appointed to isaue such permita, 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 cenietery to another, or from one grave or tomb other than the receiving tomb to another In the same cemetery, until he haa received a permit frum the board of health or ita agent aforexaid or from the clerk of the town where the body is buried. No such permit shall be Issued until there ahall have been delivered to such board, agent or clerk, as the case may be, a satisfactory written statement containing the facta 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, o1 in lieu thereof a certificate aa 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 ia a member of the board of health, or employed by it or by the aelectmen for the purpose, shall upon application make the certificate re- quired of the attending physician. If death is csused by violence, te medl- cal examiner ahall make such 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 death made as above provided and in the possession of the undertaker desiring to make such removal shall constitute a permit for wuch 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 obtalued hereunder. If the death certificate contains a recital, aa required
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