USA > Massachusetts > Suffolk County > Winthrop > Town of Winthrop : Record of Deaths 1946 > Part 40
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Medical examiners sball make examination upon the view of the dead bodies of only such persons as are supposed to bave died by violence. If a medical examiner has notice that there is within bis county the body of such a person, be sball 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 sball bury a buman body or the ashes thereof which have been brought into the commonwealth until be has re- ceived a permit so to do from the board of bealtb 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 beld, or from a person appointed to bave 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 sucb deatbs 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 deatbs only as those of persons wbo, tbougb disabled by recognized disease unrelated to any form of injury, have died witbout 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 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, aspbyxia, asthenia, etc. As principal cause name tbe disease causing deatb. 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 healtbfulness 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 deatb, 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 wbose only occupation was that of home bousework, 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-botel, etc. For a person who had no occupation whatever write none.
SPACE FOR ADDITIONAL INFORMATION
-01 A
Suffolk
(County)
Winthrop
No.
(City or Tomp) 364 Winthrop Street
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.
[ (If death occurred in a hospital or institution,
.... '{ give its NAME instead of street and number)
Thomas Warren Johnson
2 FULL NAME
( If deceased Is a married, widowed or divorced woman, give also maiden name.)
(a) Residence. No.
364 Winthrop St
(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
56yrs.
mos.
days
PERSONAL AND STATISTICAL PARTICULARS
MEDICAL CERTIFICATE OF DEATH
3 SEX
Male
White
4 COLOR OR RACE
5 SINGLE
( write the word)
MARRIED
WIDOWED
or DIVORCED
Married
5a If married
HUSBAND of
Willette Richardso
(Give maiden name of wife in full)
(or) WIFE of
( Husband's name In full)
17
6 Age of husband or wife if alive years
7 IF STILLBORN, enter Ihal fect here.
8
AGE
78
Years
11
Months
7
Days
If less than 1 dey
Hours
Minutes
Usual
9 Occupetion :
Mailer
Industry
10 or Business :
Newspaper
11 Social Security No.
031-07-1048
East Boston
12 BIRTHPLACE fCity)
( Siste or country)
Mass.
13 NAME OF
FATHER
John Johnson
14 BIRTHPLACE OF
FATHER (City)
Denable to Obtain
(State or country)
15 MAIDEN NAME
OF MOTHER
Elizabeth Chace
16 BIRTHPLACE OF
MOTHER (City)
Salem
(State or country )
Mass.
17
Willette Johnson
Relation, If any
Informent
( Address)
.364 Winthrop St Winthrop
I HEREBY CERTIFY that a satisfactory standard certificate of death was filled with one BEFORE the burial or trapelt permit was issued : Walter M. Bauer
(gnature At Agent .( Board -Hpth or other)
Health affiche 6/11/46
(Oficial Designation) (Date of Irque of Permit)
18 DATE OF
DEATH
June
9
( Month)
(Day) /
( Tear)
19 | HEREBY CERTIFY,
January 10, 1946,.
9
I ast saw hastalive on
8
, 19 4 death Is said to
heve occurred on the date stated above, at ...
12:25 A.
m.
Duration Immediate cause of death
Chronic Glauqueto-nephritis
Benign prostatic
hypertrophy
Arteriosclerati heart
disease
Other conditions.
( Include pregnancy within 3 months of death)
Mejor findIngs : * Beviste Prostatic hypertrophy Of operations .
Legation of views of beach Date 01 / 2/15/46
Of eutopsy
none
3/15/46
Whet test confirmed diegnosis ?
Clinical4 Fabo
For
......
no
20 Was diseese or injury in any way related to occupation of deceesed ?
If so, specify ..........
..... . M. D.
(Signed) Maurice Traunstein
(Address) 562 Shirley St.
Date
LOVE 9 1946
21
Winthrop
7winthrop
Place of Burial, Cremation or Removal.
(City or Town)
June 11
1946
DATE OF BURIAL.
22 NAME OF
FUNERAL DIRECTOR
award Dunotes
.......
ADDRESS
Reosived and Aled.
19
JUN 1 2 1946 (Registrar)
IMPORTANT 6 months
8 months 18 months .........
IMPORTANT
Physician
Underline the cause to which death should be charged st .. tistically.
100m(i).1.44.13634
If deceased was a U. S. War Veteran, G. L. Chap. 46, Section 10, requires physicians to insert a recital to that effect. PARENTS
PLACE OF DEATH
1
St.
PHYSICIAN - IMPORTANT
(Was deceased a
U. S. War Veteran,
if so specify W'AR)
1946
That I attended deosased from
19
46
widowed, or
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 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 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.
No undertaker or other person shall hury or otherwise dispose of a human hody in a town, or remove therefrom a human body 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 board, from the clerk of the town where the person died; and no undertaker or other person shall exhume a human hody 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 board of health or its agent aforesaid or from the clerk of the town where the hody is huried. No such permit shall he issued until there shall have heen delivered to such hoard, agent or clerk, as the case may he, 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, 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 he obtained early enough for the purpose, or is insufficient, a physi- eian who is a member of the hoard 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 hody 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 aud 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 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 hury 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 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 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 eaused directly or indirectly by traumatism (including resulting septicemia), and hy 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 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 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 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
31 A Suffolk
PLACE OF DEATH
00, (Granty) Winthrop
No.
(City or Town) . 35 Birch Road Donald DI M' Neil ( If deceased maren widowed and 35 Birch Road
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 Ägent
Registered No. 110
§ (If death occurred in a hospital or institution, ( give its NAME instead of street and numbers
PHYSICIAN - IMPORTANT (Was deceased a U. S. War Veteran. if so specify WAR) None
(a) Residence. No.
(Usual place of abode)
Length of stay: In nnspital nr Institution
( Before death)
( Specify whether)
years
months
days.
In this community 25 yrs.
mos.
days.
PERSONAL AND STATISTICAL PARTICULARS
3 SEX
Male White
4 COLOR OR RACE
5 SINGLE
MARRIED
WIDOWED
or DIVORCE
( write the word) Widower
5a If married,
HUSBAND of
alice Sertrule Denning
(Give maiden name of wife in full)
(or) WIFE of
( Husband's name In full)
6 Age of husband or wife if alive yaars
7 IF STILLBORN, enter that fact hera.
AGE
8 72 Years Months Days
If less than 1 day Hours Minutes
Usual
9 Occupation :
Buyer
Industry
10 or Business :
United Markets
11 Social Security No. .
12 BIRTHPLACE (City)
( Siate or country)
Prince Edward stan
13 NAME OF
FATHER
Jable Dowild
PARENTS
14 BIRTHPLACE OF enable
FATHER (City)
(State or country)
Unknown
15 MAIDEN NAME
OF MOTHER
Julia I Donald
16 BIRTHPLACE OF
MOTHER (City ) .
(Siste or country)
Prince Eduardo bland
17 Informant ( Address) 17 Outhave Winteringmass
I HEREBY CERTIFY that a satisfactory standard cartifoste of death was Valter Au Ballet berm'y was Lhued : -
bayat of Board of iken of other)
6/10/46
MEDICAL CERTIFICATE OF DEATH
18 DATE OF
DEATH
June
()fonth )
9
1946
(Day)
( fear)
19 | HEREBY CERTIFY,
That I attended daoassed from
19
... ₺o
19
I last saw h
alive on.
19
death Is sald to
heva occurred on tha date stated above, at
1
P
m.
Immediate oguse of death
natural carrera
Due to
Probable coronam seclusion
Due to
Other conditiona.
Diabetes Mellitus
( Include pregnancy within 3 months of death)
3yrs IMPORTANT
Physician
Underline the cause to which death should be charged sta- tistically.
20 Was disease or injury in ony way related to oooupation of dacaased ? (.).L.C If so, apeoify. arthur . ITarray, M. D. ( Signed )
(Addrass)
Minthaof Brand Date 9 /201 1976
21
Holy Cross Cemetery
Place of Burial, Cremation or Remoral. (City of Town)
DATE OF BURIAL June 12
1946
22 NAME OF
FUNERAL DIRECTOR rank a Welsh
ADDRESS
721 Broadway Chelsea Maso
Received and fled JUN 10 1946 19
( Registrar)
100m(i).1.44 13634
2 FULL NAME Y
woman, give also maiden name.)
St.
( If nonresident, give city or town and State)
Duration IMPORTANT --....
....
fewhours
Major findings:
Of operations
Date of
Of autopsy
What test confirmed diagnosis?
guermass
Robert C. Mc Neil
Health Effects (Official Designation) (Date of Issue of Permit)
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 otber 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 bundred 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 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.
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 pbysi- 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 deatb 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 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 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 it has been engaged, such recital shall appear upon the permit. The board of health, or its agent, upon receipt of such statement and certificate, shall forthwith countersign it aud transmit it to the clerk of the town for registration. The person to whom the permit is so given and the physician certifying the cause of death shall thereafter furnish for registration any other neces- sary information which can be obtained as to the deceased, or as to the manner or cause of the death, which the clerk or registrar may require .- Chap. 114, Sec. 45, G. L., (Tercentenary Edition).
Medical examiners shall make examination upon the view of the dead bodies of only such persons as are supposed to have died by violence. If a medical examiner has notice that there is within bis 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, Cbap. 38, Sec. 6.
No undertaker or other person sball bury a human body or tbe asbes 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 deatbs 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 sucb 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 persous not disabled by recognized disease, and those of persons found dead.
Statement of Cause of Death .- Cause of death means the disease, or complication wbich 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-botel, etc. For a person who bad no occupation whatever write none.
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