Town of Winthrop : Record of Deaths 1946, Part 28

Author: Winthrop (Mass.)
Publication date: 1946
Publisher:
Number of Pages: 526


USA > Massachusetts > Suffolk County > Winthrop > Town of Winthrop : Record of Deaths 1946 > Part 28


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).


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No undertaker or other person shall bury or otherwise dispose of a human body in a town, or remove therefrom a human hody which has not heen 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 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 tomh other than the receiving tomb 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 body is buried. No such permit shall he issued until there shall have been delivered to such board, 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, 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 hy 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 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 above 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 body has been sooner obtained herennder. 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 heen 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 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 hody 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 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 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 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 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 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 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 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


SUFFDLB


803 (County)


(City or Town)


No. Beth Israel Hospital


The Commonwealth of Massachusetts OFFICE OF THE SECRETARY DIVISION OF VITAL STATISTICS COPY OF CERTIFICATE OF DEATH


(City or town making return)


3694


Registered No.


(If death occurred in a hospital or institution, St. give ita NAME instead of street and number)


2 FULL NAME Esther Phillips


(If deceased is a married, widowed or divorced woman, give also maiden name.)


14 Trident Ave


stWinthrop


Mass


(a) Residenoe. No.


(Usual place of abode)


(If nonresident, give city or town and State)


Length of stay: In hospital or Institution ..


(Before death)


(Specify whether)


16 Hrs


PERSONAL AND STATISTICAL PARTICULARS


3 SEX F


4 COLOR OR RACE


5 SINGLE


(write the word)


Single


5a If married, widowed, or divorced


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.


73 Years .Months .. Days


If less than 1 day .Hours


Minutes


Usual 9 Occupation :


None


Industry 10 or Business :


None


11 Social Security No. None


12 BIRTHPLACE (City)


(State or country)


Russia


13 NAME OF


FATHER


Abraham Phillips


14 BIRTHPLACE OF


Russia


FATHER (City)


(State or country)


15 MAIDEN NAME


OF MOTHER


Rachel R.Palais


16 BIRTHPLACE OF


MOTHER (City)


(State or country)


Russia


17 Informant (Address)


C ... Shape.ro


A TRUE COPY.


1


ATTEST:


(Registrar of city or town where death occurred) April 22 19


46


DATE FILED


MEDICAL CERTIFICATE OF DEATH


April 18/46


(Day)


(Year)


19 | HEREBY CERTIFY,


April 17


19.46


to ..


That_ I attended deceased from


April 18


186


1 last saw h ....... e.r .... alive on


April 18/46


death Is said to


have occurred on the date stated above, at


2:35AM


m.


Immediate cause of death.


Myocardial infarction


Due to.


Due to


Other conditions


Pt.deaf and dumb


(Include pregnancy within 3 monthe of death)


Major findings :


Of operations


Date of.


Physician Underline the cause to which death should be charged sta- tistically.


What test oonfirmed diagnosis ?.


20 Was disease or injury in any way related to occupation of deceased ?.. No ...


If so, specify


(Signed)


S .... H .Hoffman


M. D.


(Address)


Beth ... Israel ... Has.p.t .... Date.


4-18- 46


21 PLACE OF BURIAL,


Phel Jacob Cem-Woburn Mass.


CREMATION OR REMOVAL


(Cemetery )


Relation, if any


Siste


DATE OF BURIAL


April 18/46


19


(City or Town)


22 NAME OF


FUNERAL DIRECTOR


H J Torf


ADDRESS


Brookline Mass.


Received and filed


APR 27 1946


19


( Registrar of City or Town where deceased resided) T


50m-(b)-6-44-14607


----- Copies of returns of deaths recorded daring tue previous modta which utturted in your giftsaringwin fast me of the city or town in which the deceased resided. (See Chap. 46, Sec. 12, G. L.)


1


PLACE OF DEATH


(If U. S.


War Veteran,


speolfy WAR)


months


da y 8.


In this community


yrs.


mos.


1


days.


years


MARRIED


WIDOWED


or DIVORCED


18 DATE OF


DEATH


(Month)


Duration 16 Hr's


PARENTS


Of autopsy


001 A T


1


PLACE OF DEATH


Suffolk (County)


Winthrop (City or Town) Winthrop Community Hospital


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.


25


2 FULL NAME


( If deceased is a married, widowed or divorced woman, give also maiden name.)


(a) Residence. No.


24 Winthrop St.


St.


(Usual place of abode)


Length of stay: In hospital or Institution


Hospital


years


months


1


days.


In this community


35 yrs.


mon.


days.


( Before death)


(Specify whether)


MEDICAL CERTIFICATE OF DEATH


3 SEX


Female


4 COLOR OR RACE


"hite


5 SINGLE


( write the word)


MARRIED


WIDOWED


Or DIVORCEMarried


18 DATE OF


DEATH


april


( Month)


(Day)


(Year)


19 I HEREBY CERTIFY,


September


19


That I. attendad deosasad from


46


april 19


19


I last saw h 22


.alive on


april 19


1976


death is aald to


hava occurred on the date stated above, at.


Duration


7 IF STILLBORN, enter that fact hera.


AGE


8


65


Years


Months


Days


lass than 1 day Hours Minutes


Usual


9 Ocoupation :


Housewife


Industry


10 or Businass :


Own .... Home


11 Social Security No.


Boston


12 BIRTHPLACE (City)


( State or country)


Massachusetts


PARENTS


14 BIRTHPLACE OF


FATHER (Clty)


(State or country)


Ireland


15 MAIDEN NAME


OF MOTHER


Anastasia Sullivan


16 BIRTHPLACE OF


MOTHER (City)


(State or country)


Newfoundland


17 Informant Samuel J Devlin (Address) 24 Winthrop St Winthrop


I HEREBY CERTIFY that a satisfactory standard oartifioste of death waa filed with me BEFORE the burial or transit permit was Issued : William D. Childress -


(Signature of Agent of Board of Health or, other)


agent abril 21/46


(Official Designation) ( Date of Trque of Permit)


20 Was diseasa or injury in any way related to occupation of decaased ?


If so, specify.


Tout Aweins att


( Signad)


M. D,


(Address)


238 Phore Drie


Oate ..


4/17


19.16


inthrop


21


Winthrop


Place of Burial, Cremation or Removal. DATE OF BURIAL.


April


(City or Town) 2946/


22 NAME OF


FUNERAL DIRECTOR ..


ADDRESS


Received and flad


APR 27 1946


.19


......


( Registrar)


100m-(g) - 1-45-15510


IMPORTANT


12 tys


Due to ...


arterio sclerotic heart


disease and chronic


Due to


nephritis


8 mos


Other conditiona


Cardiac cirrhosis of liver


( Include pregnancy within 8 moutba of death) /


with


ascites


Major findinga:


Of operations


keit


Date of


Of autopsy.


What test confirmed diagnosis?


chmical


IMPORTANT


Physician Underline the cause to which death should be charged sta- tistically.


13 NAME OF


FATHER


Michael D. Kelley


If deceased was a U. S. War Veteran, G. L. Chap. 46, Section 10, requires physicians to insert a reoltal to that offoot. L.AL


No.


Catherine A. Devlin


(


Kelley )


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)


19


1946


1210


.m.


6 Age of husband or wife if alive


- 73


years


Immadlate cause of death.


Cardiac decompensation


5a tf marriad, widowed, or divoroed


HUSBAND of


(or) WIFE of


Safiye gaden mame de vein fyll)


( Husband's name in full)


PERSONAL AND STATISTICAL PARTICULARS


Registered No.


Holm FIC male Winthrop .. . Ma.ss ...


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 relicf 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 aud 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 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


IR-301 A


1


Winthrop


(City or Town)


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.


76


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)


(a) Residence.


No.198 Leyden St. East Boston


(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


days.


In this community


yrs.


mos.


days.


PERSONAL AND STATISTICAL PARTICULARS


3 SEX


Male


4


COLOR OR RACE


White


5 SINGLE (write the word)


MARRIED


WIDOWED


or DIVORCED


Single


5a If married, widowed or divorced HUSBAND of .


(Give maiden name of wife in full)


(or) WIFE of


(Husband's name in full)


6 Age of husband or wife if alive years


7 IF STILLBORN, enter that fact here. Stillborn


8


AGE


Years


Months


Days


If less than 1 day Hours Minutes


Usual 9 Occupation:


Industry 10 or Business:


11 Social Security No.


12 BIRTHPLACE (City)


(State or Country)


Winthrop


a88.


13 NAME OF


FATHER


William Conway


14 BIRTHPLACE OF


Boston


FATHER (City) (State or Country) Mass .


15 MAIDEN NAME


OF MOTHER


Norma Cristoforo


16 BIRTHPLACE OF


MOTHER (City)


(State or Country)


Boston


Mass.


17 William Conway Informant (Address) 198 Leyden St. Fast Boston, Mass. I HEREBY CERTIFY that a satisfactory standard certificate of death was filed with me BEFORE the burial or transit permit was issued:


Wmf Children (Signature of,


afAset of Board of Health or other)


4/22/ 46


(Official Designation) (Date of Issue of Permit)


19 I HEREBY CERTIFY, april 20 1946


That I attended deceased from


. 19


I last saw h


olive off


, 19


, death is said to


m.


Duration IMPORTANT


Due to


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, specify


0


(Signed)


305 Janes Emregion


(Address).


21


St. Michael


Place of Burial, Cremation or Removal.


(City or Town)


DATE OF BURIAL


April 22


1946 19


22 NAME OF


FUNERAL DIRECTOR


cro Michael Fl nella


ADDRESS 10 No. Bennet St. Boston


Received and Filed APR 2 7 1946


19


1


(Registrar)


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


100m-9-44-14955


PLACE OF DEATH


Suffolk (County)


-


No.


Winthrop Community Hospital


2 FULL NAME


Stillborn Conway -( Male)


(If deceased is a married, widowed or divorced woman, give also maiden name.)


MEDICAL CERTIFICATE OF DEATH


18 DATE OF


DEATH


(Month)


20 1946 (Ycar)


(Day)


have occurred on the date stated above, at Immediate cause of death Stillborn


IMPORTANT


Physician Underline the cause to which death should be charged sta- tistically.


, M. D. Date apaso 196 Boston


Registered No.


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 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 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 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.




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