USA > Massachusetts > Suffolk County > Winthrop > Town of Winthrop : Record of Deaths 1946 > Part 35
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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 heen given up or changed on account of the disease causing death, report the usual occupation prior to illness. If the deceased had retired from business, report the usual occupation prior to retirement. Children not gainfully employed may be returned as at school or at bome. For a woman whose only occupation was that of home bousework, 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 bad no occupation whatever write none.
SPACE FOR ADDITIONAL INFORMATION
DATE OF ENTERING MILITARY SERVICE
DATE OF DISCHARGE RANK, RATING
ORGANIZATION AND OUTFIT
SERVICE NUMBER
301 A
If deceased was a U. S. War Veteran, G. L. Chap. 46, Section 10, requires physicians to Insert a reoltal to that effeot. PARENTS
100m - (g) - 1-45-15510
PLACE OF DEATH
Suffolk (County)
Winthrop
(City or Town)
No,
39 Coral Ave
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.
Registared No.
93
8₺ § (If death occurred in a hospital or institution, give its NAME instead of street and number)
2 FULL NAME
Margaret E. Driscoll Connelly
( If deceased fe a married, widowed or divorced woman, give also maiden name.)
(a) Residenca. No.
39.Coral .... Ave
St.
(If nonresident, give city or town and State)
30
mos.
days.
PERSONAL AND STATISTICAL PARTICULARS
3 SEX female
4 COLOR OR RACE
white
5 SINGLE
( write the word)
Married
5a If married, widowed, or divorced HUSBAND of
(or) WIFE of
( Husband's name in full)
79
years
7 IF STILLBORN, enter that fact here.
AGE 84
Years Months - Days
If less than 1 day
Hours
Minutos
Usual
9 Ocouoation :
Housewife
Industry
10 or Business :
Own Home
11 Social Security No.
Hugson
12 BIRTHPLACE (City)
( Siate or country)
Massachusetts
13 NAME OF
FATHER
John Driscoll
14 BIRTHPLACE DF
FATHER (City)
(State or country)
Treland
15 MAIDEN NAME
OF MOTHER
Hannah Regan
16 BIRTHPLACE OF
MDTHER (City)
(State or country)
Ireland
17 Francis Connelly
Relation, if any
Informant ( Address) 39 Coral Ave, Finthrob
I HEREBY CERTIFY that a satisfactory standard certificata of death was MO BEFORE the burial/or/trapsip permit was issued : Water & Bauer -
Signature of Agout of Board of Health on offer)
Health Officer 5/15/46
(Oficial Designation) ( Date of Treue of Permit) /
18 DATE OF Rece
DEATH
14
1946
( Month)
(Day)
(Year)
19 | HEREBY CERTIFY,
augusti5
1945
to
May 13
19
That I attended deosased from
46
I last saw her aliva on
May 13, 194 6 death Is said to
have occurred on the date stated above, at .... 12.309 m.
Immediate pause of death Carcinoma
Blodder
Due to
Due to
Other conditions
( Include pregnancy within 8 moutbe of death)
Major findings :
Df operations
20000
Date of
Of autopsy
What test confirmed diagnosis ?.
Clinical Signs
IMPORTANT
Physician Underline the cause to which death should be charged sta - tistically.
20 Was disease or injury in any way related to cooupation of deceased ? if so, spaolfy
(Signed)
. M. D.
(Address)
·Winthrop, Moss Date May 14/1946
alden
21
Holy Cross
Place of Burial, Cremation or Removal.
DATE DF BURIAL
May
17 1846
19
22 NAME OF
FUNERAL DIRECTOR. .
John F. O Malley
ADDRESS
Winthrop Mass.
Recaived and Alad
19 .....
( Registrar)
-
PHYSICIAN - IMPORTANT
(Was deceased 2
U. S. War Veteran,
if so specify WAR)
(Usual place of abode)
years
months
days.
in this community
yra.
Length of stay : In hosoltal or Institution
( Before death)
( Specify whether )
MEDICAL CERTIFICATE OF DEATH
MARRIED
WIDOWED
or DIVORCED
6 Age of husband or wife if aliva
Duration
IMPORTANT
........... 100 years
1
1
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 hest 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 hy the preceding section or hy section forty-five of chapter one hundred and four- teen, shall, if the deceased, to the hest of his knowledge and helief, served in the army, navy or marine corps of the United States in any war in which it has heeu engaged, insert iu 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 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 body and remove it from a town, from one cemetery to another, or from one grave or tomb 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 he 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 hy law to he returned and recorded, which shall he accompanied, in case of an original interment, hy a satisfactory certificate of the attending physician, if any, as required 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 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 hody has been sooner obtained hereunder. If the death certificate contains a recital, as required
hy section ten of chapter forty-six, that the deceased served in the army, navy or marine corps of the United States in any war in which it has heen engaged, such recital shall appear upon the permit. The hoard 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 hy 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 hury a human hody or the ashes thereof which have been hrought 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 huried 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 disahled hy recognized disease unrelated to any forin of injury, have died without recent medical attendance or whose phy- sician is ahsent 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 hy the action of chemical (drugs or poisons), thermal, or electrical agents, and deaths following ahortion, but also deaths from disease resulting from injury or infection related to occupation, the sudden deaths of persons not disahlcd hy recognized disease, and those of persons found dead.
Statement of Cause of Death .- Cause of death means the disease, or complication which causes death, not the mode of dying, e. g., heart failure, asphyxia, asthenia, etc. As principal cause name the disease causing death. As related causes, name earlier morhid 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 heen given up or changed on account of the disease causing death, report the usual occupation prior to illness. If the deceased had retired from business, report the usual occupation prior to retirement. Children not gainfully employed may he returned as at school or at home. For a woman whose only occupation was that of home housework, write housework. For a person engaged in domestic service for wages, 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
DATE OF ENTERING MILITARY SERVICE
DATE OF DISCHARGE RANK, RATING ORGANIZATION AND OUTFIT
SERVICE NUMBER
-
:- 303-A Sallak .. (County)
1
(City or Town) 99 Main St. Northrop.
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.
94.
§ (If death occurred in a hospital or institution, St. [ give its NAME instead of street and number)
2 FULL NAME
(If deceased is a married, widowed or divorced woman, give also maiden name.)
(a) Residence.
No.
99 Main St. Nuthirds
St.
(Usual place of abode)
760
Length of stay: In hospital or institution.
(Before death)
(Specify whether)
years
months
days.
in this community
yrs. 3
mos. 4 days.
PERSONAL AND STATISTICAL PARTICULARS
3 SEX
Male
4 COLOR OR RACE|
white
5 SINGLE
MARRIED
WIDOWED
or DIVORCED
(write the word)
Single
5a If married, widowed, or divorced HUSBAND of
(or) WIFE of
(Husband's name in full)
6 Age of husband or wife if alive
7 IF STILLBORN, enter that fact here.
8 AGE Years
3
Months
14
.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)
cuass.
13 NAME OF
FATHER
Thomas 7. Flynn
PARENTS
14 BIRTHPLACE OF
East Boston
FATHER (City)
(State or country)
casa
15 MAIDEN NAME
OF MOTHER
Mary T. Green
16 BIRTHPLACE OF
East Boston
MOTHER (City)
(State or country)
17 Thomas 7.7 byron
Informant.
( Address)
99 mains St. I win.
I HEREBY CERTIFY that a satisfactory standard certificate of death was filed with me BEFORE the burial or transit permit was Issued : Walter A 15 alle
(Signature of Agent of Board of Health or other) Health Much 5/15/46
( Official Designation) (Date of Issue of/ Permity
MEDICAL CERTIFICATE OF DEATH
18 DATE OF
DEATH
May - 14 -1946
(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 Huvolved,/state fully.y asphyxiation -selling Hypertrophied Tomels
years 3.
20 Accident, suicide, or homicide (specify)
accidental
Date of occurrence
Jay -14-
1946
Where did
Winthrop.
injury occur ?
(City of town and State)
Did injury ocour In or about home, on farm, In Industrial piace, or in publio
place ?
(Specify type of place)
1
Manner of
Found dead in his carriage
Injury
Nature of
at his home
Injury
While at work? Was there an autopsy ?..
21 Was disease or injury in any way related to ocoupation of deceased ?.
If so, specify
Hun Gricklen MED
/ M. D.
(Signed)
(Address)
Botu
19 46
22
Winthrop
Winthrop
Place of Burial, Cremation or Remoyal.
(City or Town)
Way
15,
1946
23 NAME OF
FUNERAL DIRECTOR
John G. Kelly
ADDRESS
11 Mendian St. E. 13.0
Received and filed
MAY-20-19-46
19
1
(Registrar)
extracts from the laws relative to the return of certificates of death. If deceased was a U. S. War Veteran, G. L. Chap. 46, Section 10, requires physicians to insert a recital to that effect.
50m (g)-1-41-4667
Relazion, jf any DATE OF BURIAL
PHYSICIAN - IMPORTANT (Was deceased a U. S. War Veteran, no If so specify WAR)
(If nonresident, give city or town and State)
(Give maiden name of wife in full)
PLACE OF DEATH No. andrew Fly mn
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 bis last illness, at tbe 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, Cbap. 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 deccased, 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 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 Mcxi- can border service of nineteen hundred and sixteen and nineteen 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 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 the 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 has becn sooner obtaincd 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 and transmit it to the clerk of the town for regis- tration. The person to whom the permit is so given and the physician cer- tifying the cause of death shall thereafter furnish for registration any otber 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 re- quire .- Chap. 114, Sec. 45, G. L., (Tercentenary Edition).
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 per- son appointed to have the care of the cemetery or burial ground in which the interment is made. ... Chap. 114, Sec. 46, G. L., (Tercentenary Edi- tion).
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.
. . He shall in all cases certify to the town clerk or registrar in the place where the deceased died his name and residence, if known; otherwise a description as full as may be, with the cause and manner of death .- General Laws, Chap. 38, Sec. 7.
... The medical examiner certifies the cause and manner of death to the best of his knowledge and belief.
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 physi- cian 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 in- directly 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 infeotion related to occupation, the sudden deaths of persons not disabled by recognized disease, and those of persons found dead.
STATEMENT OF CAUSE OF DEATH
Medical Examiners in certifying to a death will state the cause and manner thereof, and will specify: (1) Under cause, the nature of an injury and of its consequences; and (2) under manner, the mode of its production together with the circumstances when these are known. For example : "Com- pound fracture of the femur with ensuing septicemia (gas bacillus) caused by a steam railway accident." "Pistol shot wound of the chest with asso- ciated hemorrhage, homicidal." "Asphyxiation by suspension, suicidal." "Syncope while under the influence of ether administered as a surgical anaesthetic." "Fracture of the skull with associated internal injury sus- tained under circumstances unknown."
If disease or injury was related to occupation, specify. If investigation shows the death to have been duc 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- taneous 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
-
-
1301 A
1
No. PLACE OF DEATH Sullock (County) Winthrop (City or Toyn)) 1/2 Hermon Mary & Kelly
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.
95
[ {If death occurred in a hospital or institution, St. { give its NAME instead of street and number)
PHYSICIAN - IMPORTANT
2 FULL NAME
( If deceased Is a married, widowed or divorced womax, give also maiden name.)
(a) Residenca. No.
0112 Hermon
St.
Winthroh
(Usual place of abode)
7/0 -
years
months days.
In this community 20 yra.
mos.
dayı.
PERSONAL AND STATISTICAL PARTICULARS MEDICAL CERTIFICATE OF DEATH
3 SEX
5 SINGLE
( write the word)
MARRIED
WIDOWED
Widowed
5a If married, widowed, or divorced
HUSBAND of
...
(or) WIFE of
Termity name of file in fullelly
{ Husband's pame/In full)
6 Age of husband or wife if allva
years
7 IF STILLBORN, enter that fact here.
8 AGE
63 Years - Months
Days
If less than 1 dey
Hours
Minutes
Usual
9 Occuoetlon :
House wife
Industry
10 or Business :
own home
11 Social Security No.
none
Boston
12 BIRTHPLACE (City)
( State or country)
casa.
PARENTS
100m- (g)- 1-45-15510
I HEREBY CERTIFY that a satisfactory standard certificate of death was Ales yith - BEFORE the Dertal or transit permit was Issued : Walter & Thaler,
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