USA > Massachusetts > Suffolk County > Winthrop > Town of Winthrop : Record of Deaths 1946 > Part 3
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If so, specify
(Signed) Jacot abramo.m.@
Less 62 Stanley ist
Date
1/7/
$6
. M. D
21
Winthrop
Place of Burial, Cremation or Removal.
(City or Town)
DATE OF BURIAL
January 9
. ....
19
22 NAME OF
FUNERAL DIRECTOR
John F. Omalley
ADDRESS
Winthrop, Massachusetts.
Received and Filed
JAN 9
1946
19
(Registrar)
100m-9-44-14955
No.
2 FULL NAME
(a) Residence.
No.
72 Centre St
(Usual place of abode)
Length of stay: In hospital or institution
(Specify whether)
(Before death)
PERSONAL AND STATISTICAL PARTICULARS
3 SEX
4
COLOR OR RACE
Female
White
5a If married, widowed or divorced
HUSBAND of .. .
(Give maiden name of wife in full)
(or) WIFE of Joseph G. McGilvary
(Husband's name in full)
6 Age of husband or wife if alive
7 IF STILLBORN, enter that fact here.
8
ÅGE
41
Curti Doraley 1/11/16
Years
Months
Days
Usual
9 Occupation:
Housewife
Industry
10 or Business:
Own Home
11 Social Security No.
12 BIRTHPLACE (City).
(State or Country)
,
15 MAIDEN NAME
OF MOTHER
Nellie Clear
PARENTS
16 BIRTHPLACE OF
MOTHER (City).
(State or Country)
Ireland
If deceased was a U. S. War Veteran, G. L. Chap. 46, Section 10, requires physicians 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.
Information should be carefully supplied. . AGE should be stated EXACTLY. PHYSICIANS should state CAUSE OF
14 BIRTHPLACE OF
FATHER (City)
(State or Country)
Nova Scotia
5 SINGLE (write the word)
MARRIED
WIDOWED
or DIVORCEParried
44
years
If less than 1 day
Hours
Minutes
13 NAME OF
FATHER
James J. MacDonald
Winthrop
Massachusetts
17 Informant Joseph G. McGilvary ( Husband) (Address) 72 Centre St Winthrop
I HEREBY CERTIFY that a satisfactory, standard certificate of death was filed with me BEFORE the burial or transit permit was issued: S- Children (Signature of Agent of Board of Health orother) Health Officie (Official Designation) (Date of Issue of Dermin 1/7/46
ray
( MacDonald
)
PHYSICIAN - IMPORTANT
( Was deceased a
U. S. War Veteran,
if so specify WAR)
St.
(If nonresident, give city or town and State)
(Day)
19456 (Yearf
Duration 6 mas IMPORTANT
Winthrop
1
PLACE OF DEATH
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 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 form of injury, have died without recent medical attendance or whose phy- sician is absent from home wben 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
M R-301 A
1
PLACE OF DEATH No.
Suffolk (County) Winthrop (City or Town) 33 Hutchinson St.
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.
M
St.
§ (If death occurred in a hospital or institution,
give its NAME instead of street and number)
(
Wright
1
PHYSICIAN - IMPORTANT ( Was deceased a U. S. War Veteran, if so specify WAR)
(a) Residence. No. 33 Hutchinson St (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
4
yrs.
mns.
days.
PERSONAL AND STATISTICAL PARTICULARS
4
COLOR OR RACE
5 SINGLE
(write the word)
MARRIED
WIDOWED
or DIVORCED
Married
Female White
Sa If married, widowed or divorced HUSBAND of
(Give maiden name of wife
Tull)
Regan
(Husband's name in full;
6 Age of husband or wife if alive 30
years
7 IF STILLBORN, enter that fact here.
8 AGE 29 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).
Lynn
(State or Country)
Massachusetts
13 NAME OF
Herbert Wright
14 BIRTHPLACE OF
FATHER (City)
(State or Country)
Nova Scotia
15 MAIDEN NAME
OF MOTHER
Florence Schlahuber
16 BIRTHPLACE OF
MOTHER (City)
(State or Country)
Nova Scotia
James Regan (Hus bandy ) 33 Hutchinson St Winthrop
I HEREBY CERTIFY that a satisfactory standard certificate of death was filed with me BEFORE the burial of transit permit was issued: Mau. S. Children (Signature of Agent of BoardOf Herath or nthey
Health Officer (Official Designation)
(Date of Issue of Permit)
1/7 /46.
MEDICAL CERTIFICATE OF DEATH
18 DATE OF DEATH January 6 (Month)
I HEREBY CERTIFY, & That I attended deceased from
october
19 Y8.
, to
January 6
, 19
I last saw h
en
ative on
6. 19 YG, death is said to
have occurred on the date stated above, at 7 pm.
Immediate cause of death Carcinoma of recto- signfroid
Due to
Due to
Other conditions
Colostomy
(Include pregnancy within 3 months of death)
Major findings:
Of operations
Hospital
Operation at Mass. general
Date of
June 1945
Of autopsy
Clinical + surgical
What test confirmed diagnosis?
20 Was disease or injury in any way related to occupation of deceased?
If so, specify
Paint Wenisan
(Signed)
(Address)
89 Crest ave
Date
1976
21
Holy Cross
With Malden Mass
Place of Burial, Cremation or Removal.
(City or Town)
46
19
DATE OF BURIAL
January 9
22 NAME OF
FUNERAL DIRECTOR
John F. O'malley
ADDRESS
Winthrop, Mass.
Received and Filed
19
194.6
(Registrar)
Duration
IMPORTANT ? 2 year ,
5 anos
IMPORTANT
Physician Underline the cause to which death should be charged sta- tistically.
100m-9-44-14955
L 3 SEX (or) WIFE of PARENTS 17 Informant (Address) Information should be carefully supplied. AGE should be stated ERACILY. PHYSICIANS should state CAUSE OF FATHER 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. If deceased was a U. S. War Veteran, G. L. Chap. 46, Section 10, requires physicians to insert a recital to that effect. Cultura JOmaley 1/11/46
2 FULL NAME
Ruth B. Regan
(If deceased is a married, widowed or divorced woman, give also maiden name.)
1146
(Ycar)
(Day)
46
January
1
17
, M. D.
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 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 hy 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 iu 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-scven 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 between 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 bury or otherwise dispose of a human hody in a town, or remove therefrom a human body 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 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 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 be, a satisfactory written statement containing the facts required by law to he returned and recorded, which shall be 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 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 hy 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 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 body has been sooner ohtained hereunder. If the death certificate contains a recital, as required
by section teu ur chapter torty-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 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 hodies 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 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 hoard, from the clerk of the town where the body is to he buried or the funeral is to he 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 hy recognized disease unrelated to any forum 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 sused directly or indirectly hy traumatism (including resulting septicemia), and hy 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 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 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, how- ever, 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
ORM R-301
PLACE OF DEATH
X Suffolk
The Commonwealth of Massarquartis OFFICE OF THE SECRETARY DIVISION OF VITAL STATISTICS STANDARD
CERTIFICATE OF DEATH
....
§ (If death occurred in a hospital or institution, St. { give ita NAME instead of street and number) PHYSICIAN-IMPORTANT (Was deceased a U. S. War Veteran? If so. (specify WAR)
St
(If nonresident, give city or town and State)
months
3
days.
In this community
yra.
mos.
days.
MEDICAL CERTIFICATE OF DEATH
18 DATE OF
DEATH
7
1946
(Month)
(Day)
(Year)
19
I HEREBY CERTIFY
4
19 484
..... 195 to.
Vlast saw h. umalive on.
V
19. death is said to
have occurred on the date stated above, at.
920 pm.
Immediate cause of death
Duration Important
2 day
Due to.
Due to
Deanteaf
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 relaled Is occupation ef deceased?
If so, specify
InCaplan
M. D.
(Signed)
(Address) 186 Princen ST (BMGDate 1-88
.
12.40
a Maniturp
Place of Burial, Cremation or Reinoval.
Panchito 46 (Clty or Town)
DATE OF BURIAL. 19. 46
Stan 8
22 NAME OF
FUNERAL DIRECTOR Frederick + Maniacto
ADDRESS
Cost BotondThe Au
Received and filed JAN 1946 19.
A TRUE COPY ATTEST:
(Registrar)
Importar
PHYSICIAN
Underline the cause to which death should be charged sta- tlatically.
15 MAIDEN NAME
OF MOTHER
Evelyn I. De beste
I HEREBY CERTIFY that a satisfactory standard certificate of death way fHed with me BEFORE ik burial or transit permit was issued: Nie. D. Children Signature of Agents of Board of Health or other)
1/8/41
(City or town making return)
Registered No
8
(City or Towy! Minitrap Community Hospital No ........ Fechaid of Laly
If deceased 18 a married, widowed or divorced woman, give also maiden name.)
years
5 SINGLE
(write the word)
years
If less than 1 day Hours .Minutes
mass
(County) 1 ....... 2 FULL NAME .... 3 almont (a) Residence. No .. (Usual place of abode) Hospital Length of stay: In hospital or institution ..... (Before death) (Specify whether) PERSONAL AND STATISTICAL PARTICULARS 3 SEX male - 4 COLOR OR RACE White MARRIED WIDOWED or DIVORCED 5a If married, widowed, or divorced HUSBAND of ..... (Give maiden name of wife In full) (or) WIFE of (Husband's name in fuil) 6 Age of husband or wife if alive. 7 IF STILLBORN, enter that fact here. 8 AGE Years Months .... 11 Days Usuel 9 Occupation :. Industry 10 or Business :...... 11 Social Security No .. 12 BIRTHPLACE (City) (State or country) 13 NAME OF FATHER Richard Daly 14 BIRTHPLACE OF FATHER (Chy) .. (State or country) Pinchett masz 16 BIRTHPLACE OF MOTHER (City) Centripush PARENTS (State or country) antespeste 0 1 h.s. 17 Buchard & Daly Relation, If any 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. mation should be carefully supplied. AGE should be stated EXACTLY. PHYSICIANS should state CAUSE OF Ide alte Office (Official Designatlon) (Date of Issue of Permit) 100m(h)-1-41-4695 N. B .- WRITE PLAINLY, WITH UNFADING BLACK INK-THIS IS A PERMANENT RECORD. Every item of infor- InforThan (Address)" salmber SH Winches
That I attended deceased from
EXTRACTS FROM THE LAWS OF THE COMMONWEALTH OF MASSACHUSETTS
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