Town of Winthrop : Record of Deaths 1946, Part 37

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

USA > Massachusetts > Suffolk County > Winthrop > Town of Winthrop : Record of Deaths 1946 > Part 37

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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 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 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, Scc. 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 forin 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 husiness, 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 tbe 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

.01 A

PLACE OF DEATH

Suffolk (County)

Winthron.

(City or Town)

No.

185Woodside Avenue

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.

98.

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

2 FULL NAME

Annie .... Belle .... Marden.

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

(a) Reeldenca. No.

185 Woodside Avenue.

(Usual place of abode)

(If nonresident, give city or town and State)

Length of stay : In hospitel or Institution

( Before death)

( Specify whether)

years

months

days.

In this community

2 yrs.10 mon,

days.

PERSONAL AND STATISTICAL PARTICULARS

3 SEX

4 COLOR OR RACEI

5 SINGLE

( write the word)

MARRIED

WIDOWED

or DIVORCED Widowed

Female White

5ª If married, widowd &5divorcecharles Marden

... HUSBAND of

(Give maiden name of wife in full)

(or) WIFE of

( Husband's name in full)

6 Age of husband or wife if aliva years

7 IF STILLBORN, enter that fact here.

8 AGE 7.9 ... Years 3. Months 24 Days

If less then 1 dey

Hours

Minutes

Usual

9 Occupetion :

At ..... Home

.......

Industry

10 or Business :

11 Social Security No.

None

MAIdo

12 BIRTHPLACE (City)

( Simte or country)

Maine

13 NAME OF

FATHER

Joshua C. Littlefield

14 BIRTHPLACE OF

FATHER (City)

Emden.

(State or country)

Maine.

15 MAIDEN NAME

OF MOTHER

Sarah J, Eames.

16 BIRTHPLACE OF

MOTHER (City)

Swenville.

(State or country)

Meine.

17 Informenirs. Vernon C. Kerr.( (Address] 85 Woodside Ave Winthrop Mass

I HEREBY CERTIFY that a satisfactory standard ,certificata of death was filed with me BEFORE the burial or transit permit was issued : Walter F. Javier

Health Offices

(Signature ent, of Board of Effet as other) 3/25/46

(Official Designation) ( Date of love of Permit)

MEDICAL CERTIFICATE OF DEATH

18 DATE OF

DEATH

May

1946.

(Month)

(Day)

(Year)

19 | HEREBY CERTIFY,

Thet I attended deosased from

april 13. 1946.

May 22

1946

I last saw her

allve on.

May

22/19/6 death Is said to

have occurred on tha date stated above, at.

10: 15 pm

Duration

Immediate oause of death

Buncho- mamma

Due to

Pulmonary Tuberculosis

3-4 year

Due to

Other conditions

artensclerosis

( Include pregnancy within months of death)

Senility

1-2 years IMPORTANT

Major findings:

Of operations

none

Date of

Of eutopsy

une

What test confirmed dlegnosis ?..

clinicalx la

Physician Underline the cause to which death should be A charged sra. IListicati 7

20 Was disease or injury in any way related to occupation of deceased ? (1) If so, spsoify.

M. D.

( Signed )

05) 562 Bleuegy T Dat May23446

Brooks Town Cemetery Brooks ...

Place of Burial, Cremation or Removal.

(City or Town)

DATE OF BURIAL MO. V. 24,1946.

...

22 NAME OF

alfred 3. March.

FUNERAL DIRECTOR

ADDRESS 74 Wintheon St Winthrop Mase.

Received and Alad.

MAY 2 5 1946

.19

(Registrar)

IMPORTANT 2 weeks

......

5 years

100m (:).1-44-13634

If deosesed wes a U. S. War Veteran, Q. L. Chap. 46, Section 10, requiree physicians to insert a recital to that effect. PARENTS

PHYSICIAN - IMPORTANT

(Was deceased a

U. S. War Veteran,

if so specify WAR) .N.O ..

St.

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 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 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.

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.

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

R-302

resided in another city or town at the time of death should be mude rorinwith and transmitted on Form K-suz to the clerk of the city or town in which the deceased resided. (See Chap. 46, Sec. 12, G. L.)

PLACE OF DEATH

Suffolk (County)

Boston

(City or Town)

Children's Hospital

No.

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

Boston

(City or town making return)

4768

Registered No.

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

2 FULL NAME

Stuart Cash

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

(a) Residence. No.

65 Revere

(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 2

da y8.

In this community

yrs.

mos.

days.

PERSONAL AND STATISTICAL PARTICULARS

3 SEX M

4 COLOR OR RACE|

5 SINGLE

(write the word)

MARRIED

WIDOWED

or DIVORCED

Single

5a If married, widowsd, or divorced HUSBAND of

(Give maiden name of wife in full)

(or) WIFE of

(Husband's name in full)

6 Age of husband or wifs If allve

years

7 IF STILLBORN, enter that fact here.

8 AGE Years. Months. 2 Days

If less than 1 day Hours ......... Minutes

Usual

9 Occupation:

Industry 10 or Business :

11 Soolal Ssourity No ....

12 BIRTHPLACE (City)

(State or country)

Winthrop Mass.

13 NAME OF

FATHER

Daniel Cash

14 BIRTHPLACE OF

FATHER (City)

(State or country)

Boston Mass.

15 MAIDEN NAME

OF MOTHER

Kathleen Hurley

Bas.ton .. Ma.ss ..

17 Informant. (Address)

Father

Relation, if any

DATE OF BURIAL

May 25/46

22 NAME OF

FUNERAL DIRECTOR

J F O'Maley

A TRUE COPY.

ATTEST :

(Registrar of city or town where death occurred)

May 27/46

MEDICAL CERTIFICATE OF DEATH

18 DATE OF DEATH (Month)

May23/46 (Day)

(Year)

19 | HEREBY CERTIFY,

That J attended deceased from

May ..... 21

, 19 .. 46 ...

May 23 /46

I last saw h

im alive or

May 23

19.46

death Is said to

have occurred on the dats stated above, at

1;30P

Duration

Immediate cause of death

Erythroblastosis fetalis

2 Days

Due to

Due to.

Other conditions

(Include pregnancy within 3 months of death)

Physician Underline the cause to

Major findings :

Of operations

which death

Date of.

should be

charged sta- tistically.

What test confirmed dlagnosis?

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

If so, specify

(Signed)

F.C ... Robbins

M. D.

(Address)

300 .... Longwood .. Ave .. Date

5-239

21 PLACE OF BURIAL,

CREMATION OR REMOWinthrop Cem-Winthrop Mass.

(Cemetery

(City or Town)

ADDRESS

Winthrop Mass.

Received and filed. JUN 4 1946 19

(Registrar of City or Town where deceased resided)

DATE FILED

PARENTS

16 BIRTHPLACE OF

MOTHER (City)

(State or country)

Of autopsy

None

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

(If U. S.

War Veteran,

speolfy WAR)

Winthrop Mass.

301 A

PLACE OF DEATH

Luftoch (County). Winthrop

(City or Town) 35ª Nevada

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. 100

Registared No. St (If death occurred in a hospital or institution, { give its NAME instead of street and number)

PHYSICIAN - IMPORTANT

2 FULL NAME

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

(a) Rasidenca. No.

35 nevada

(Usual place of abode)

(If nonresident, give city or town and State)

Length of stay: In nowoltal or Institution

( Before death)

( Specify whether)

yeara

months days.

In this community

4 yrs.

mos.

days.

PERSONAL AND STATISTICAL PARTICULARS

3 SEX

4 COLOR OR RACE|

Female White

5 SINGLE

( write the word)

Widow

MARRIED

WIDOWED

DIVORCEO

5a If married, widowed, or divoroed

HUSBAND of

...

regional

(or) WIFE ofJamie

(Give maiden name of alle joy) ~

{ Husband's name in rully

6 Age of husband or wife if aliva yaars

7 IF STILLBORN, enter that fact hera.

8 AGE 70 Years

Months

Days

If less than 1 day

Hours

Minutas

Usual

9 Occupation :

Housework

Industry

10 or Business :

at home

12 BIRTHPLACE (City)

( Siate or country)

11 Social Security No.

Juxta

13 NAME OF

FATHER

Harry Wildman

14 BIRTHPLACE OF

FATHER (City)

Russia

(State or country)

15 MAIDEN NAME

OF MOTHER

Etta (com

cannot be

Learner

16 BIRTHPLACE OF

MOTHER (City)

(State or country)

Ruaxia

17 Informant ( Address )

35 nevada

I HEREBY CERTIFY that a satisfactory standard oartifioate of daath was /Ned with ou BEFORE the burial or transit permit was Issued :

22 NAME OF

FUNERAL DIRECTOR.

Benjamin Birnbach

ADDRESS

10 Washibution . 000

Health Officer

(Signature of' Agent of Board of Health or other) 5/31/46

(Oficial Designation) ( Date of Inque of Permity

18 DATE OF

DEATH

mas

(Month)

(Day)

(Year)

19 | HEREBY CERTIFY,

December

1945, to.

may 30

1966

I last saw h

allva on.

May 30

1976,

daath Is sald to

have occurred on the data stated above at 115

Duration

Immediata oausa of daath. Cardiac decompensation

IMPORTANT

2 days

Due to

· generalized arteria relevosis

2 years

Cirrhosis of Liver

Other conditions

( Include pregnancy within 3 months of death)

IMPORTANT

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

20 Was disease or injury in any way related to occupation of/daoaased ? If so, specify. Jaut Mileinsalt

( Signed)

238 Shore Drive Wilthing

. M. D.

(Address)

Place of Burial, Cremation or Removal.

(City or Town)

DATE OF BURIAL ...

May

1946

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

1 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

10 years

Major findings : Of operations

Data of

Of autopsy

What test confirmed diagnosis ?

Clinical

1976

...

Recaived and flad

JUN 4 1946

(Registrar) X

MEDICAL CERTIFICATE OF DEATH

1946

(Was deceased a

U. S. War Veteran,

if so specify WAR)

Winthrop

No. Lena Cooper

Rebecca maleantes arigato

That I attendad deosasad from

EXTRACTS FROM THE LAWS OF THE COMMONWEALTH OF MASSACHUSETTS GOVERNING THE RETURN OF CERTIFICATES OF DEATH

A physician or registered bospital 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 by 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, 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 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 heeu engaged, insert in the certificate a recital to that effect, speci- fying the war, and shall also certify in such certificate hoth the primary and the secondary or immediate cause of death as nearly as he can state the same. For neglect to comply with any provision of this section, such physician or officer shall forfeit ten dollars. For the purposes of this sec- tion and of sections forty-five, forty-six and forty-seven of said chapter one hundred and fourteen, the word "war" shall include the China relief expedition and the Philippine insurrection, which shall, for said purposes, be deemed to have taken place hetwecn February fourteenth, eighteen bundred 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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Town of Winthrop : Record of Deaths 1946, Part 37

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

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