USA > Massachusetts > Suffolk County > Winthrop > Town of Winthrop : Record of Deaths 1945 > Part 86
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No undertaker or other person shall hury or otherwise dispose of a human body 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 hoard, from the clerk of the town where the person died; and no undertaker or other person shall exhume a human hody and remove it from a town, from one cemetery to another, or from one grave or tomb other than the receiv- Ing tomh to another in the same cemetery, until he has received a permit from the hoard 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 heen delivered to such hoard, agent or clerk, as the case may be, a satisfactory written statement containing the facts required hy law to he returned and recorded, which shall he accompanied, in case of an original interment, hy a satisfactory certificate of the attending physician, If any, as required hy 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 in- sufficient, a physician who is a member of the board of health, or em- ployed by It or hy the selectmen for the purpose, shall upon application make the certificate required of the attending physician. If death is caused by violence, the medical 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 cominonwealth 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 re- moval of such hody has been sooner ohtained hereunder. if the death certificate contains a recital, as required hy 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 ls so given and the physician certifylng the cause of death shall thereafter furnish 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).
Medical examiners shall make examination upon the view of the dead bodies of only such persons as are supposed to have died hy 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 hury 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 hurial 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 disahled by recognized disease unrelated to any form of injury, have died without recent medical attendance or whose physician is ahsent 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 septicemia), and by the action of chemical (drugs or poisons), thermal, or electrical agents, and deaths following abortion, hut also deaths from disease resulting from injury or infection related to occupation, the sudden deaths of persons not disabled 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 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 important, 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 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 he 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 who had no occupation whatever write none.
SPACE FOR ADDITIONAL INFORMATION.
M R-302
2 FULL NAME
3 SEX
Female
colored
5a If married, widowed, or divorced
HUSBAND of
(Husband's name in full)
7 IF STILLBORN, enter that fact here.
8
AGE.
51
Years
4
Months
3
.Days
Usual
Housework
9 Occupation :
Industry
10 or Business :
11 Social Security No.
12 BIRTHPLACE (City)
Lexington
13 NAME OF
John Demus
FATHER
14 BIRTHPLACE OF
FATHER (City)
(State or country)
Kentucky
15 MAIDEN NAME
unknown
OF MOTHER
PARENTS
16 BIRTHPLACE OF
MOTHER (City)
(State or country) Kentucky
of the city or town in which the deceased resided. (See Chap. 46, Sec. 12, G. L.)
resided in another city or town at the time of death should be made forthwith and transmitted on Form R-802 to the clerk
Copies of returns of deaths recorded during the previous month which occurred in your city or town in case the deceased
(State or country)
Kentucky
4 COLOR OR RACE| 5 SINGLE
MARRIED
WIDOWED
or DIVORCED
(write the word)
married
(or) WIFE of
HenryGive maidm Primerife in full)
6 Age of husband or wife if alive years
If less than 1 day
Hours.
Minutes
25M-({)-11-12 10746
17 Metropolitan State dfdspittar
Informant
(Address)
Waltham, Mass.
Records
A TRUE COPY.
James & Canal
ATTEST :
(Registrar of city or down where death occurred)
DATE FILED
December 21
1946
MEDICAL CERTIFICATE OF DEATH
18 DATE OF
DEATH
December
15
1945
(Month)
(Day)
(Year)
19 | HEREBY CERTIFY,
That I attended deceased
from
Sept.
3
1942
DEC. 15
19
45
I last saw her
.alive on
December 12, 45 death Is sald to
have occurred on ths dats stated above, at.
5:50 P.
m.
Immedlate cause of death
Cerebral hemorrhage
12 hours
Due to.
Hypertensive Cardio-vascular
Due to.
disease
?
years
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.
as above
What test confirmed diagnosis?
autopsy
20 Was disease or Injury in any way related to occupation of deceased? If so, specify Elizabeth T. ... till
(Signed)
(Address)
Waltham, Mass. Dat
12/15/45
M. D.
21 PLACE OF BURIAL,
CREMATION OR REMOVAL .....
Winthrop Cemetery
Minthrob Mass.
DATE OF BURIAL
December 19
(Cemetery )
(City or Town)
19
45
FUNERAL DIRECTOR
22 NAME OF
Howard S. Reynolds
ADDRESS180 Winthrop St. , Winthrop, Mass.
Received and filed
FEM 8-5-1945
19
(Registrar of City or Town where deceased resided)
1
PLACE OF DEATH
iddlesex
(County)
Lexington
(City or Town)
No. Metropolitan State Hospital
The Commonwealth of Massachusetts OFFICE OF THE SECRETARY DIVISION OF VITAL STATISTICS COPY OF
12
Lexington
(City or town making return)
Registered No.
260
(If death occurred in a hospital or institution, 3 give its NAME instead of street and number)
Clifford Demus Huffman
(If deceased is a married, widowed or divorced woman, give also maiden name.)
(a) Residenoo. No.
171 Bowdoin St.
(Usual place of abode)
St.
Winthrop
(If nonresident, give city or town and State)
Metropolitan
9
Length of stay : in hospital or Institution ...
(Before death)
(Specify whether)
years
4
months
17
days.
In this community
yrs.
mos.
days.
1
PERSONAL AND STATISTICAL PARTICULARS
CERTIFICATE OF DEATH
St.
(if U. S.
War Vstsran,
specify WAR)
to ...
Duration
=
FEB2. 15:60
MARGIN RESERVED FOR BINDING
WRITE PLAINLY, WITH
NFADING BLACK INK - THIS IS A PE"
during the previous month which occurred in your city
"ANENT RECORD wn in case the deceased
Copies of returns of deaths reco. resided in another city or town at the time of death should be made forthwith and transmitted on Form R-802 to the clerk
FORM F
2
Essex
(County) Danvers
(City or Town) Danvers State hospital No.
The Commontoralth of Massachusetts OFFICE OF THE SECRETARY DIVISION OF VITAL STATISTICS COPY OF CERTIFICATE OF DEATH
21
Danvers
(City or town making return)
Registered No.
261293
( If death occurred in a hospital or institution,
give its NAME instead of street and number)
2 FULL NAME
Goldie Golditch
(If deceased is a married, widowed or divorced woman, give also maiden name.)
(If U. S.
war Veteran,
speolfy WAR)
(a) Residenoo. No.
(Usual place of abode)
44.Locust
St.
Winthrop
Length of stay : In hospital or Institution.
(Before death)
4
years
5
months -
,16
day 8.
In this community
yrs.
mos.
days.
PERSONAL AND STATISTICAL PARTICULARS
3 SEX
female
4 COLOR OR RACE
white
5 SINGLE
(write the word)
MARRIED
WIDOWED
or DIVORCED
married
5a If married, widowed, or divorced HUSBAND of
(or) WIFE of
Philip Golditch
(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 that faot here.
8
AGE
69Years.
......
.Months.
Days
If less than 1 day .Hours. Minutos Due to.
Usual
9 Occupation :
Housewife
Industry
10 or Business :
11 Social Security No. none
12 BIRTHPLACE (City)
(State or country)
"Russia
13 NAME OF
FATHER
Herman Kolbansky
PARENTS
14 BIRTHPLACE OF
FATHER (City)
(State or country)
Russia
15 MAIDEN NAME
OF MOTHER
Cannot be learned
16 BIRTHPLACE OF
MOTHER (City)
(State or country)
Russia
17
Informant
( Address)
M. K, McPhillips
(
Relation, if any
A TRUE COPY.
ATTEST :
(Registrar of city or town where death occurred)
DATE FILED
11/5/45
19
18 DATE OF
DEATH
Oct. 21. 1945
(Month)
(Day)
(Year)
19 J HEREBY CERTIFY,
That I attended deceased from
5,
...
19.
.4.5 to
Oct
.2.1 19 ..
.. 45
[ last saw h ............ alive on.
Oct. 27
194.5, death Is sald to
have occurred on the date stated above, at 6.58A. m.
Immediate cause of death
Generalized and ... Cerebral Arteriosclerosis
2.
yrs
Due to
Other conditions
(Include pregnancy within 3 months of death)
Physician
Major findings :
Of operations
Of autopsy
What test confirmed diagnosis?Clinical
20 Was disease or injury in any way related to occupation of deceased?
If so, specify
(Signed
Doris.M ......_ idwell
M. D.
(Address)
DSH
Date 10/20045
21 PLACE OF BURIAL, CREMATION OR REMOVALminket Cem. Assn. W. Rox. (Cemetery) Boston (City or Town)
DATE OF BURIAL
10/21/45
.19
22 NAME OF
FUNERAL DIRECTORTris Schwartz
ADDRESS
Malden
10/20 1045
Received and filed JAN 2.4 1947 (Registrar of City
.19
1
PLACE OF DEATH
St.
(If nonresident, give city or town and State)
(Specify whether)
MEDICAL CERTIFICATE OF DEATH
Duration
Underline the cause to which death should be charged sta- tistically.
Date of
RECEIVED
A
MASS .
NIV
H
01
WI
OFFICE O
JAN2 &1947 AM
FILED IN THE OFF! ! OF THE CITY CLERK NOV 141945 H. M REVERE, MASS.
January 23, 1947
Just discovered this death certificate in our files. ording to information on same it belongs to Winthrop. erefore am enclosing the certificate to you.
City Clerk of Revere
Per GMF
RECEIVED
OF
TOWI
OFFICE
11
NI
JAN2 41947 AM
-
-
V
-
٦
11
1
7
1
.
١
١
ـوسهر
中書中
بحد سه-كبة
நிரைதாழ் சென்றுன கணி
-கதிர்வான்
L
தருணம்-வழி
ஸ்ரீ மாத்கார்.
من
يوجب .
பற்றின்றி டுரீஸ்டு
க்கா
அதிகரியாழ் முன்னிட்டு
سم
அம் மழிசேர்வதற்கு
மஞ்சூர் வரவேற்கற்றினர் வழி சி
موسى
ما جبه
جب حبوببانيه
ـيسدد
நி ---
-டிகார் எஸ். நாடி
أموسى
وفى ميط
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