Town of Winthrop : Record of Deaths 1946, Part 32

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


USA > Massachusetts > Suffolk County > Winthrop > Town of Winthrop : Record of Deaths 1946 > Part 32


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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If disease or injury was related to occupation, specify. If investigation shows the death to have been due to disease, specify : (1) Under cause its known or presumable nature; and (2) under manner, indicate the circum- stances leading to medico-legal inquiry. For example : "Hemorrhage spon- tancous of the brain (basal ganglia) (found dead in bed)." "Heart disease, presumably coronary sclerosis. (Sudden death.)"


DESCRIPTION (for unknown person)


NOTICE TO UNDERTAKERS: No embalming fluid, or any substitute therefor, shall be injected into the body of any person supposed to have met his death by violence, until a permit, signed by the Medical Examiner, has first been obtained .- General Laws, Chap. 38, Sec. 14.


THIS CERTIFICATE CONSTITUTES SUCH PERMIT


301 A +


1.


2 FULL NAME.


( If deceased is a married, widowed nr divorced worlaz, give also maiden name. )


220 Leallage Pulk Road


St.


( If nonresident, give city or town and State)


Length of stay: In hospital or Institution


( Before death)


( Specify whether)


years


mntiths days.


In this community 40 yra.


mon.


days.


PERSONAL AND STATISTICAL PARTICULARS


3 SEX


male White


5 SINGLE


«write the word)


kramid


MARRIED


WIDOWED


or DIVORCED


5a 1


HUSBAND of


dewetce divorced mc Laughlin


(or) WIFE of


( Husband's name In full)


6 Age nf husband or wife if alive


6.5


years


7 IF STILLBORN, enter that fact here.


AGE


8 61 Years Months Oays


If less than 1 dey


Hours


Minutos


Usual


9 Occupation :


Roofer


Industry


10 or Business :


Prop.


11 Social Security No. Cannot te Learned


12 BIRTHPLACE (City)


Fartar grace


(State or county newfoundland 77 95


13 NAME OF


FATHER


ER


John Hrough


14 BIRTHPLACE OF


FATHER (City)


(State or country )newfoundland 71 Fr


15 MAIDEN NAME


OF MOTHER


Julia Purcell


16 BIRTHPLACE OF


MOTHER (City)


Harlan brace


(State of country) Newfoundlandny .Fr.


17 Ellen Herush


Relayou Yang


Informant ( Address ) 220 Central Park Road


I HEREBY CERTIFY, that a satisfactory standard certificate of death was filed with me BEFORE the punta de transit permit was issued:


( Signature of Agent of Board of Health he other)


Jache 0 5/2/46


( Date of Issue of Permit)


18 DATE OF


DEATH


30


1946


(Month )


( Day)


(Year)


19 | HEREBY CERTIFY. That 1 attended deceased from


april 6


19 46, to


april 36


19


i last saw ham alive on


app 90, 19 th death is said to


have occurred on the date stated above, at


m.


Duration


Immediate oouse of death. Branche pneumo


IMPORTANT


4/26/46


RV Hemiplejia -


Due to


1940


Other conditions ..


( Include pregnancy within 3 months of death)


IMPORTANT


Major findings : Of operations


Date of


Of autopsy


What test confirmed diagnosis ?


Clesmal Epa


20 Was disease or injury in any way related to occupation of deceased ?


If so, spotify


(Signed )once


. M. D.


(Address) 19602


si


Date F/2


19.60


21


Italy teros


Moce of Burial, Crematinn or Removal.


matain


DATE OF BURIAL ....


may


(City or Town )


3


19 .. 46


22 NAME OF


FUNERAL DIRECTOR Tuddank magnatto


AODRESS


East Botond


Received and fied 6 1940 .19.


( Registrar)


-


Registered No.


81


{ {If death occurred in a hospital or institution. St. [ give its NAME instead of street and numher)


PHYSICIAN - IMPORTANT


(Was deceased a U. S. War Veteran, if so specify W'AR)


(a) Residence. No.


(Usual place of abode)


No. PLACE OF DEATH Suffolk (County) instruk (City or Town)) 220 Centlage Park Road michael Reaugh


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.


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 effeot. PARENTS


100m· 1g) - 1- 15-15510


Kofacial Designation)


MEDICAL, CERTIFICATE OF DEATH


4 COLOR OR RACE


(Cive maiden name of wife in hill)


Hacker brace


Physician Underline the cause to which death should be charged s ... listically .


THER


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 furnisbing 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 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-seven of said chapter one hundred and fourteen, the word "war" shall include the China relief expedition and the Philippine insurrection, which sball, for said purposes, be deemed to have taken place between February fourteenth, eighteen hundred and ninety-eight and July fourth, nineteen bundred 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 tomh 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, bis 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 cansed by violence, the medi- cal examiner shall make such certificate. If sncb a permit for the removal of a buman 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 sncb removal, unless a permit in the usual form for the removal of such body bas been sooner obtained herennder. If the death certificate contains a recital, as required


by section ten ut chapter sorty-aux, that the deceased served in the army, navy or marine corps of the United States in any war in which it has beca 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 canse 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, S.c. 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 issne snch 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 deatbs 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 canses, name earlier morbid conditions, if any, related to the principal canse 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, bow- 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


1


DEPARTMENT OF COMMERCE


BUREAU OF THE CENSUS


STANDARD CERTIFICATE OF DEATH


State File No. Registrar's No.


85


State of 90


1. PLACE OF DEATH:


(a) County


Lolland


2. USUAL RESIDENCE OF DECEASED:


(a) State


mass


Sufalto


(b) City or town


Vernon


(c) City or town


Finthrojs


10


(c) Name of hospital or institution;


Hartford Joke


(d) Street No.


15


Charles


(If rural, give location)


(d) Length of stay; In hospital or institution


In this community


years, months or days)


hra


(c) If foreign born, how long in U. S. A .?


years.


3. (a) FULL NAME Daniel r. B. Calmante


MEDICAL CERTIFICATION


day


25


year


1946


___ minute


pm


21. I hereby certify that I attended the deceased from ...


25


19 46, to


Jan 25


1946.


that I last saw heam alive on


Inever


19


and that death occurred on the date and hour stated above.


Duration


Immediate cause of death Fracture of Skult


Brain Jakeration


8. AGE:


Years 35


Months


Days


If less than one day


hr.


min.


9. Birthplace


(City. town. or county)


10. Usual occupation falls may. + admilead 11. Industry or business Fat. Watt Stores


MOTHER FATHER


12. Name non Gdmanfesten


13. Birthplace


14. Maiden name


15. Birthplace


(City, town. or county)


(State or foreign country)


16. (a) Informant's own signature Surs. W. Edmondaton


(b) Address ... Winthrop mass


17. (a) Evergreen (b) Date thereof 1/09/46


(c) Place; burial or cremation


18. (a) Signature of funeral director


L.G. IF hite


(b) Address Pockerilly CT.


19. (a)


(b)


U. C. Tentocha aux


1/26/46


rocha


(Date received local registrar) (Registrar's signature)


(c)) Where did injury occur?


Vernon


Lolland CF.


(City or town) (County) (State)


(d) Did injury occur in or about home, on farm, in industrial place, in public


place?


Nguy


auto accident


While at work?


(e) Means of injury wed EX-


(Specify type of place)


23. Signature . W. Levine


(M. Dror other).


Il Address


Ellington (+


Date signed 1/25/46


8-6917


U. S. GOVERNMENT PRINTING OFFICE 16-13493


MAY 1 4 1946


PHYSICIAN


Major findings:


Of operations


Of autopsy


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


22. If death was due to external causes, fill in the following: (a) Accident, suicide, or homicide (specify) accident


(b) Date of occurrence


1-25-46


(Burial, orentation, or removal) Boston Magass


Due to


-


6. (a)Single, widowed, married,


4. Sex


5. Color or


race


divorced


6. (c) Age of husband or wife if


6. (b) Name of husband or wife


Cath


johnson


alive 1 years


1911


7. Birth date of deceased


(Month)


(Day)


(Year)


O.C


Due to


Other conditions.


multiple Fractures


(Include pregnancy within 3 months of death)


county ) Bals (State or foreign country) WC.


4/20. Date of death: Month


3. (b) If veteran, name war


3. (c) Social Security No.


(b) County


(If outside city or town limite, write RURAL)


(If outside city or town limits, write RURAL)


(If not in hospital or institution, write street number or location)


(Specify whether


M R-302


Suffolk


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


Boston


(City or town making return)


Registered No.


401086


(If death occurred in a hospital or institution,



give its NAME instead of street and number)


2 FULL NAME


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


64 Main


St.


Winthrop Mass.


(a) Residence. No.


(Usual place of abode)


(If nonresident, give city or town and State)


Length of stay: In hospital or Institution ..


(Before death)


(Specify whether)


years


months day 8.


In this community


mos.


days.


PERSONAL AND STATISTICAL PARTICULARS


3 SEX


F


4 COLOR OR RACE|


W


5 SINGLE


(write the word)


MARRIED


WIDOWED


or DIVORCED


Married


5a If married, widowed, or divoroed


HUSBAND of


(or) WIFE of


( Give maiden name of wife in full)


Frederick.Whitten


(Husband's name in full)


6 Age of husband or wife If allve 4.1.


years


7 IF STILLBORN, enter that faot here.


Years 8 AGE 38 10 Months. 28 .Days


If less than 1 day


Hours .......... Minutes


Usual


9 Occupation :


Housewife


Industry


10 or Business:


At Hame


11 Social Security No. None


12 BIRTHPLACE (City)


(State or country)


.Roxbury ...... a.s.s.


13 NAME OF


FATHER


George M Hoyt


PARENTS


15 MAIDEN NAME


OF MOTHER


Eva Smith


New Brunswick Can


17 Informant. (Address)


Husband


A TRUE COPY.


ATTEST:


(Registrar of city or town where death occurred)


DATE FILED


May 1


19.46


MEDICAL CERTIFICATE OF DEATH


18 DATE OF


DEATH


April 25/46


(Month)


(Day)


(Year)


19 1


HERERY CERTIFY,


46


to


April 25


19


April 26,


19 26


death Is said to


have ooourred on the date stated above, at


11;40P


m.


Duration


Immedlate cause of death


Subarachnoid hemorrhage


3 D


Due to.


Due to.


Other conditions.


(Include pregnancy within 3 months of death)


Physician


Major findings :


Of operations


None


Date of.


should be


charged sta- tistically.


What test confirmed diagnosis ?.


20 Was disease or injury in any way related to oooupation of deceased ?.


If so, speolfy


(Signed)


C L Clay


M. D.


(Address)


Mass General Hospt


Date.


4-27 19


46


21 PLACE OF BURIAL,


Woodlawn Cem-Everett Mass.


CREMATION OR REMOVAL.


DATE OF BURIAL


AppCemetery / 46


19


(City or Town)


22 NAME OF


FUNERAL DIRECTOR


L E Parker


ADDRESS


East Boston Mass


Reoelved and filed


MAY 18 1946


19


(Registrar of City or Town where deceased resided)


50m-(b)-6-44.14607


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 SITITU TINGARING DI ARE INV


PLACE OF DEATH


(County)


1


Boston


(City or Town)


No.


Mass.General Hospital


Viola Whitten


(If U. S.


War Veteran,


speolfy WAR)


Lifers.


That I attended deceased


April 26


19


from 46


I last saw her


allve on


Underline the cause to which death


Of autopsy


Clinical


14 BIRTHPLACE OF


FATHER (City)


(State or country)


New Brunswick Can


16 BIRTHPLACE OF


MOTHER (City)


(State or country)


Relation, if any


- THIS IS A DEIMANENT DEPOEN


R-303-A


1


(County) No PLACE OF DEATH Suffolk Fintech (City or Town) Cottage Park yacht Club - Worthing


The Commonwealth of Massachusetts OFFICE OF THE SECRETARY DIVISION OF VITAL STATISTICS MEDICAL EXAMINER'S CERTIFICATE OF DEATH


To be filed for burlal permit with Board of Health or Its Agent.


Registered No.


87


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


William I Canthome


2 FULL NAME


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


48 Waldemar An Worthing


(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)


years


months


days.


In this community


11/yrs.


mos.


days.


PERSONAL AND STATISTICAL PARTICULARS


3 SEX


4 COLOR, OR RACE|


(write the word)


5a If married, widowed, or divorceog al Zavet/ tatt HUSBAND of


(or) WIFE of


(Give maiden name of wife in full)' Hart


(Husband's name in full)


6 Age of husband or wife if alive 49 years


7 IF STILLBORN, enter that fact here.


8 49


AGE ... .Years Months. Days


If less than 1 day Hours. Minutes


Usual 9 Occupation :


Industry


10 or Business :


R. me adames


11 Social Security No. 010-05-7496


12 BIRTHPLACE (City)


(State or country )


East Boston, m.


13 NAME OF


FATHER


georgeh Cawthorne


PARENTS


14 BIRTHPLACE OF


FATHER (City)


Eat Boston


(State or country)


15 MAIDEN NAME


OF MOTHER


may@Hello


16 BIRTHPLACE OF


MOTHER (City)


(State or country)


Euti Basta


17 Informant


I HEREBY CERTIFY that a satisfactory standard certificate of death was filed with me BEFORE the burial or transit permit was issued : 10354


(Signature ADAFent Board of Health or other)


(Official Designafin)Y 6 194 @Date of Issue of Permit)


MEDICAL CERTIFICATE OF DEATH


194%


(Month)


(Day)


(Year)


19 | HEREBY CERTIFY that I have Investigated the death of the person above-named and that the CAUSE AND MANNER thereof are as follows: (If an injury was involved, state fully.) Orman Thintori


20 Accident, suicide, or homicide (specify) Date of occurrence. 19


Where did Injury occur ?


(City or town and State)


Did injury ooour in or about home, on farm, in Industrial place, or In publlo


place ?


(Specify type of place)


Manner of


Injury


Nature of Injury


While at work! Was there an autopsy ?


21 Was disease or Injury in any way related to occupation of deceased ?


If so, speolfy


anmm


M. D.


(Signed)


(Address)


Date 5/4 1946


22 Foly Cross Ven


Malden


Place of Dorial, Cremation or Removal.


(City or Town)


23 NAME OF FUNERAL DIRECTOR ;. Markle Carrell


ADDRESS


Received and filed MAY 25 1946 .19


( Registrar)


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


extracts from the laws relative to the return of certificates of death.


50m (g)-1-41-4667


Relation it any DATE OF BURIAL


18 DATE OF


DEATH


May


3


5 SINGLE


MARRIED


WIDOWED


or DIVORCED


PHYSICIAN - IMPORTANT (Was deceased a U. S. War Veteran, 2121 If so specify WAR)


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 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.


A physician or officer furnishing a certificate of death as required by the preceding section or by section forty-five of chapter one bundred 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 bundred and fourteen, the word "war" shall include the China relief ex- pedition 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 Mexi- can border service of nineteen hundred and sixteen and nineteen bundred 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 bave 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 medical examiner shall make such certificate. If such a permit for the removal of a human body, not previously interred, from one town to an- other within the commonwealth cannot be obtained early enough for the purpose, the certificate of death made as above provided and in the pos- session of the undertaker desiring to make such removal shall constitute a permit for such removal; provided, that such body shall be returned to tbe town from which it was removed within thirty-six hours after such re- moval, unless a permit in the usual form for the removal of such body bas 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




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