USA > Massachusetts > Suffolk County > Winthrop > Town of Winthrop : Record of Deaths 1946 > Part 18
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by section ten of chapter forty-six, tuat 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 aud 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 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, 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
DATE OF ENTERING MILITARY SERVICE
DATE OF DISCHARGE RANK, RATING
ORGANIZATION AND OUTFIT
SERVICE NUMBER
R-302
SUFFOLK BOSTON (County)
The Commonwealth of Massachusetts OFFICE OF THE SECRETARY DIVISION OF VITAL STATISTICS COPY OF CERTIFICATE OF DEATH
(City or town making return) 2332
Registered No.
49
(If death occurred in a hospital or institution,
St.
give its NAME instead of street and number)
Patrick J Markey
2 FULL NAME
(If deceased is a married, widowed or divorced woman, give also maiden name.)
138 Main St
(a) Residence. No.
(Usual place of abode)
St.
(If nonresident, give city or town and State)
Length of stay: In hospital or Institution.
(Before death)
(Specify whether)
years
months
11
da y s.
In this community
30 yrs.
mos.
dayB.
PERSONAL AND STATISTICAL PARTICULARS
3 SEX
M
4 COLOR OR RACE|
W
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 fact here.
8
AGE
76 Years
Months. Days
If less than 1 day
.. Hours ....
Minutes
Usual
9 Ocoupatlon :
Nickle Plater
Industry
10 or Business :
Plating
11 Social Security No. .
011-20-6751
12 BIRTHPLACE (City)
(State or country)
East Boston Mass.
13 NAME OF
FATHER
Patrick Markey
14 BIRTHPLACE OF
Ireland
FATHER (City)
(State or country)
15 MAIDEN NAME
OF MOTHER
Cecelia Terrell
16 BIRTHPLACE OF
MOTHER (City)
(State or country)
Ireland
17 Informant. (Address)
Mary Markey
Relation "sister)
A TRUE COPY.
ATTEST:
(Registrar of city or town where death occurred)
March 11
19
46
MEDICAL CERTIFICATE OF DEATH
18 DATE OF
DEATH
March 7/46
(Month)
(Day)
(Year)
19 I HEREBY, CERTIFY,
Feb. 25 /46 19
March 7/46
19.
to ..
March 7
19.46
death Is sald to
I last saw h
im
allve on
have ooourred on the date stated above, at.
1,3.5P.
m.
Duration
Immediate oause of death
Coronary occlusion
¿ Hour
Due to
Cirrhosis of the liver
XDUX Xo
Carcinoma of prostate
Other conditions.
Femoral phlebothrombosis
(Include pregnancy within 3 months of death)
Physician
Major findings :
Circumcision
Of operations.
Femoral vein
2-25 &
ligation
Date of ...
"3-7-45
should be charged sta- tistically.
What test confirmed diagnosis? Clinical
20 Was disease or injury in any way related to oooupation of deceased ?
If so, speolfy
CL Clay
(Signed)
M. D.
(Address)
Mass/Gener al Hospt Date.
3-7 19 46
Holy Cross-Malden Mass.
DATE OF BURIAL
19
22 NAME OF
J F O'Maley
FUNERAL DIRECTOR
ADDRESS
Winthrop Mass.
Reoelved and filed. APR 2 1946.
19
DATE FILED
............ ......... NU VỤ & VIL A*UV W LỤC VICIA
Copies of returna of deatha.recordedsduringthe.tre of the city or town in which the deceased resided. (See Chap. 46, Sec. 12, G. L.)
50m-(b) -6-44-14607
1
PLACE OF DEATH
(City or Town)
No.
Mass.General Hospital
(If U. S.
War Veteran,
speolfy WAR)
Winthrop Mass.
That 1 attended, deceased from
(3 Days)
Underline the cause to which death
Of autopsy
PARENTS
21 PLACE OF BURIAL,
CREMATION OR REMOVAL
(Cemarch 11/46 (City or Town)
(Registrar of City or Town where deceased resided)
1
1
MM R-301
N.B .- WRITE PLAINLY. WITH UNFADING BLACK INK THIS IS A PERMANENT DECOPD If deceased was a U. S. War Veteran, G. L., Chap. 46, Sec. 10, requires physician to insert a recital to that effect. See instructions and extracts from the laws on back of certificate. DEATH in plain terms, so that it may be properly classified. Exact statement of OCCUPATION is very important.
PLACE OF DEATH
Suffolk (County)
The Commonwealth of Massachusetts OFFICE OF THE SECRETARY DIVISION OF VITAL STATISTICS
STANDARD CERTIFICATE OF DEATH
Registered No. 50 .........
Winthrop Community Hosp.
Brainard
2 FULL NAME .... Annie, Withém
(.Annie .. Williams.)
(If deceased 18 a married, widowed or divorced woman, give also maiden name.)
104 Thighland Live.
St.
(If nonresident, give city or town and State)
Length of stay: In hospital or institution
(Before death)
(Specify whether)
- years
months
8
days.
In this community
25 yrs.
mos.
days.
PERSONAL AND STATISTICAL PARTICULARS
MEDICAL CERTIFICATE OF DEATH
3 8EX
4 COLOR OR RACE
NChute
8 SINGLE
MARRIED
WIDOWED
or DIVORCED
(write the word)
C
18 DATE OF
DEATH
March
ninth
1946
(Month)
(Day)
(Year)
Ba If married. widowed, or divorced HUSBAND of ................
(or) WIFE of
(Gfve maiden name of wife In full)
James VVWithan
(Husband's name in full)
6 Age of husband ør wife if alive.
years
7 IF STILLBORN. enter that fact here.
8
AGE ...
78 %
5 Months 6 Days
If less than 1 day
.Hours.
Minutes
Due to.
Usuel
9 Ocoupation :...
Cit Home
Industry
10 or Business:
11 Sooiel Security No.
12 BIRTHPLACE (City).
(State or country)
Baston May
13 NAME OF
FATHER
James Williams
14 BIRTHPLACE OF
FATHER /(City) ....
(State or country)
England
18 MAIDEN NAME
OF MOTHER
Margelia Plane
18 BIRTHPLACE OF
MOTHER (City)
(State or country)
May
Gaston
17 Walter Sequer (Coupure)
Informentk
(Address)
Hotel Lennar, Boston
I HEREBY CERTIFY that a satisfactory standard certificate of death was filed with me BEFORE the burial or transit permit was issued:
(Signature of, Agent of Board of Health of other)
3/9/46
(Date of Issue of Permits
(Registrar)
19
...
(Oficial Designation)
20 Was disease er injary in any way related to occupation of deceased ?. .No
If so. specify.
(Signed) Byrdie W. Dickinson
M. D.
(Address)
.Winthrop ,Masg ......... Date ..... Mar. 9 19.46
21 Handlungs Com.
Everett Man
(City or Town)
Place of Burial, Cremation or Removal.
DATE OF BURIAL
march
22 NAME OF
FUNERAL DIRECTORY .....
ADDRE
19.
entil aus.B
Underline the cause to which death should be charged sta- tlstically.
What test confirmed diagnosis ?... Clinical
Important
Other conditions ....... Hypochromic .... anemia.
(Include pregnancy within 3 months of death)
PHYSICIAN
Major findings:
Of operations.
No operation
Date of.
Of autopsy
None
19
I HEREBY CERTIFY.
That I attended deceased from
Mar ........
1946 .. , to ........... Mar ....... 9th .......
19 ... 46 ...
I last saw her ....... alive on ...... Mar ...... 8.th ..... 194.6 .. , death is said to
have occurred on the date stated above, at ........ 8: 35
.A ... m.
Immediate cause of death ....
Lobar Pneumonia
Duration Important 9 ... days
PARENTS
100m(h)-1-41-4695
1
Winthrop
(City or Town)
No.
§ (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)
(a) Residence. No ..
(Usual place of abode)'
70
TUIE
Winthrop
(City or town making return)
Received and filed
TAR-1-1-1946-
A TRUE COPY ATTEST:
Relation, If any
Due to.
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, furnlsh 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 dled, defined as required by sectlon one, where same was contracted, the duration of his last illness, when last seen allve by the physlclan 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 sectlon forty-five of chapter one hundred and fourteen, 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, specifying 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 pro- vision of this section, such physician or officer shall forfeit ten dollars. For the purposes of this section 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 nineteen hundred and seventeen .- General Laws, 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 hody which has not been huried, until he has received a permit from the board of health, or its agent appointed to issue such permits, or if there is no such hoard, from the clerk of the town where the person died; and no undertaker or other person shall exhume a human hody and remove it from a town, from one cemetery to another, or from one grave or tomb other than the receiv- Ing 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 hoard, agent or clerk, as the case may he, a satisfactory written statement containing the facts required by law to be 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 by law, or in lieu thereof a certificate as hereinafter provided. If there is no attending physician, or if, for sufficient reasons, his certificate cannot he obtained early enough for the purpose, or is 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 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 ahove 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 re- moval of such hody has been sooner ohtained 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 sball appear upon the permit. The board of health, or Its agent, upon receipt of auch 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 shali 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 .- Chop. 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 hody or the ashes thereof which have been brought into the commonwealth until he has recelved a permit so to do from the board of health or Its agent appointed to issue such permita, or if there is no such board, from the clerk of the town where the body la to be buried or the funeral is to he held, or from a person appointed to have the care of the cemetery or burlal ground in which the interment la 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 lilness 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 dlsease unrelated 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 supposahiy 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 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 been given up or changed on account of the disease causing death, report the usual occupation prior to lilness. 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, however, 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
-1.
1301 A Suffolk
1
PLACE OF DEATH
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.
Registered No. 51.
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 woman, give also maiden name.)
(a) Residence. No.
149 Tiver Road
St.
(If nonresident, give city or town and State)
Length of stay : in hospital nr Institution
( Before death)
( Specify whether)
years
months days.
In this community
17 yrs.
mos.
dayı.
PERSONAL AND STATISTICAL PARTICULARS
MEDICAL CERTIFICATE OF DEATH
3 SEX Thale White
4 COLOR OR RACE|
5 SINGLE / ( write the word) planned
MARRIED
WIDOWED
or DIVORCED
Sa If married, widowed gy divnode Markowitz HUSBAND of
(or) WIFE of
( Husband's name in full)
6 Age of husband or wife if alive 37 years
7 IF STILLBORN, enter that fact here.
8 AGE 50 Years Months Days
If less than 1 day Hours Minutos
Usual 9 Ocoupation :
MG of Table Tops
Industry
10 or Business :
11 Social Security No.
12 BIRTHPLACE (City)
( Sinte or country)
Russia
PARENTS
14 BIRTHPLACE OF
FATHER (Clty)
(State or country)
Russia
...
15 MAIDEN NAME
OF MOTHER
NE Jaume ( Learned)
16 BIRTHPLACE OF
MOTHER (City)
( State or country)
17 Sophie Freedman
21 Relacion. it nye
Informant. ( Address) 149 River Road Mindig
I HEREBY CERTIFY that a satisfactory standard certificate of death was flied with me BEFORE the burial or ,transit permit was issued? William D, Childress
(Signature of Agent of Board of Health or other)
agent man. 10/46
(Omcial Designation) (Date of Tovue of Permit)
18 DATE OF
DEATH
( Month)
(Day)
19 | HEREBY CERTIFY,
19
That i attended deceased from
to
19
I last saw h ....
alive on
., death is said to
have occurred on the date stated above, at.
m.
3.22
Duration
Immediate cause of death .......
IMPORTANT
..... ........
Due to.
Due to
Other conditions
( Include pregnancy within 8 mouthe of death)
Major findings: Of operations
Date of
Of autopsy.
What test confirmed diagnosis?
IMPORTANT
Physician Underline the cause to which death should be charged sta. ristically.
20 Was disease or injury in any way related to occupation of deocased ?.
f so, speolly
(Signed)
(Address)
Place of Burial, Cremation or Removak
(City or Town)
DATE OF BURIAL
1944
22 NAME OF FUNERAL DIRECTOR .. Benjamin Denback
ADDRESS
10 Procenten It Dorchester
1
Received and fled 11:145
.19 ....
( Registrar)
100m-(g)-1-45-15510
Terms, so that it may be properly classified. Exact statement of OCCUPATION is very important. San instructions and If deceased was a U. S. War Veteran, G. L. Chap. 46, Section 10, requires physicians to insert a reoltal to that effect.
No.
149 River Road Author
Solomon Freedman
(Was deceased a
U. S. War Veteran,
if so specify WAR)
no.
(Usual place of abode)
10
1916
(Year)
(Give maiden name of wife in full)
3.22D
13 NAME OF FATHER Raphael Freedman
cannot
. M. D,
.. 19.5%
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 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 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 horder service of nineteen hundred and sixteen and nine- teen hundred and seventeen. G. L. Chap. 46, Sec. 10.
No undertaker or other person shall hury or otherwise dispose of a human hody in a town, or remove therefrom a human hody 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 hoard, from the clerk of the town where the person died; and 110 undertaker or other person shall exhume a human body and remove it from a town, from one cemetery to another, or from one grave or tomh other than the receiving 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 be issued until there shall have been delivered to such hoard, agent or clerk, as the case may he, a satisfactory written statement containing the facts required by law to he returned and recorded, which shall he accompanied, in case of an original interment, hy a satisfactory certificate of the attending physician, if any, as required by law, or in lieu thereof a certificate as hereinafter provided. If there is no attending physician, or if, for sufficient reasons, his certificate cannot he obtained early enough for the purpose, or is insufficient, a physi- cian who is a member of the board of health, or employed hy it or hy the selectmen for the purpose, shall upon application make the certificate re- quired of the attending physician. If death is caused hy violence, the medi- cal examiner shall make such certificate. If such a permit for the removal of a human hody, not previously interred, from one town to another within the commonwealth cannot he obtained early enough for the purpose, the certificate of death made as ahove provided and in the possession of the undertaker desiring to make such removal shall constitute a permit for such removal; provided, that such hody shall he returned to the town from which it was removed within thirty-six hours after such removal, unless a permit in the usual form for the removal of such hody has heen sooner obtained herennder. If the death certificate contains a recital, as required
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