USA > Massachusetts > Suffolk County > Winthrop > Town of Winthrop : Record of Deaths 1946 > Part 44
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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 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 hoard, from the clerk of the town where the body is to he huried 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 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 disabled hy 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 hy the action of chemical (drugs or poisons), thermal, or electrical agents, and deaths following ahortion, hut also deaths from disease resulting from injury or infection related to occupation, the sudden deaths of persons not disabled by recognized disease, and those of persons found dead.
Statement of Cause of Death .- Cause of death means the disease, or complication which causes death, not the mode of dying, e. g., heart failure, asphyxia, asthenia, etc. As principal cause name the disease causing death. As related causes, name earlier morbid conditions, if any, related to the principal cause and any important complication of the principal cause.
Statement of Occupation .- Precise statement of occupation is very im- portant, so that the relative healthfulness of various pursuits can 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 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
en that it may he nonnerlu classified If deceased was a U. S. War Veteran, G. L. Chap. 46, Section 10, requires physicians to insert a reoltal to that effect.
:,50m (g)-1-41-4667
I HEREBY CERTIFY that a satisfactory standard certificate of death was filed with me BEFORE He burial or transit permit was Issued : Walter . Salling
(Signature of Agent of Board of Health or otber) Health Office 6/26/46
(Official Designation) (Date of Issue of Permit)
MEDICAL CERTIFICATE OF DEATH
3 SEX
4 COLOR OR RACE
5 SINGLE
(write the word)
Male White
MARRIED
WIDOWED
or DIVORCED
Married
5a If married, widowed didorgdennings
HUSBAND of
(Give maiden name of wife in full)
(or) WIFE of
(Husband's name in full)
6 Age of husband or wife if alive 51
years
7 IF STILLBORN, enter that fact here.
8
AGE.
5 Bears.
Months
Days
If less than 1 day
Hours
Minutes
Usual
9 Occupation :
Prison Officer
Industry
10 or Business :
Deer Igland
11 Social Security No.
Ireland
PARENTS
.
PLACE OF DEATH
Suffolk (Oyunty )
The Commonincalth of Massachusetts OFFICE OF THE SECRETARY DIVISION OF VITAL STATISTICS MEDICAL EXAMINER'S CERTIFICATE OF DEATH
To be filed for burial permit with Board of Health or its Agent.
Registered No.
118
§ (If death occurred in a hospital or institution, St. { give its NAME instead of street and number)
+
(If deceased is a married, slowed or divorced/ woman, give, also maiden name.) 85 Halloide are Worthizop
(a) Residence. No.
(Usual place of abode)
45
Length of stay: In hospital or Institution.
(Before death )
(Specify whether)
years
months
days.
In this community
yrs.
mos.
days.
PERSONAL AND STATISTICAL PARTICULARS
18 DATE OF
DEATH
Jane - 24 -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 ifjury was involved, state fully.) astring latain due To cord arund
Suicide
20 Accident, suicide, or homicide (specify)
Swoude
Date of oocurrenoe
June- 2x-
1946
Where did
Winthrop >na
Injury oocur ?
(Gity or town and State)
Did injury ooour in or about home, on farm, In Industrial place, or In publio
piace ?
(Specify (type of place)
Manne
Found dead & hanging in his
Injury
Nature of
cellar
Injury
While at work?
Was there an autopsy ?.
21 Was disease or injury in any way related to occupation of deceased?
If so, specify
(Signed)
(Address)
1 tinman Vere +25 1916
22 New Calvary
Boston
Place of Burial, Cremation pr Removal.
June)
28
(City or Town)
1946
19
DATE OF BURIAL
23 NAME OF
FUNERAL DIRECTOR
ADDRESS
Winthrop
Received and filed .... JUN 281946
19
(Registrar)
1.303-A 4
Can saunsna aid. ...
8.6 5025
1
No.
r
2 FULL NAME
(City or Tourty ... 85 Hillside ave Wintern 45 William ). Noe lette
Fatpo if any
17 Bridie Moylette
13 NAME OF.
FATHER
William Moylette
14 BIRTHPLACE OF
FATHER (City)
(State or country)
Ireland
15 MAIDEN NAME
OF MOTHER
Catherine Higgins
16 BIRTHPLACE-OF
MOTHER (City)
(State or country)
Ireland
Informant
( Address)
45 65 Hillside Ave, Winther
Film HO Galey
M. D.
Classification of Course of Mouth
PHYSICIAN - IMPORTANT (Was deceased a U. S. War Veteran, if so specify WAR)
(If nonresident, give city or town and State)
20
12 BIRTHPLACE (City)'
(State or country)
COMMONWEALTH OF MASSACHUSETTS GOVERNING THE RETURN OF CERTIFICATES OF DEATH
A physician or registered hospital medloal 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 hundred and four- teen, shall, if the deceased, to the best of his knowledge and belief, served in the army, navy or marine corps of the United States in any war in which it has been engaged, insert in the certificate a recital to that effect, speci- fying the war, and shall also certify in such certificate both the primary and the secondary or immediate cause of death as nearly as he can state the same. For neglect to comply with any provision of this section, such physician or officer shall forfeit ten dollars. For the purposes of this sec- tion and of sections forty-five, forty-six and forty-seven of said chapter one hundred and fourteen, the word "war" shall include the China 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 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 cne 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 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
of health, or its agent, upon receipt of such statement and certificate, sh forthwith countersign it and transmit it to the clerk of the town for reg tration. The person to whom the permit Is so given and the physician c tifying the cause of death shall thereafter furnish for registration any oth necessary Information which can be obtained as to the deceased, or as the manner or cause of the death, which the clerk or registrar may quire .- Chap. 114, Sec. 45, G. L., (Tercentenary Edition).
No undertaker or other person shall bury a human body or the ash thereof which have been brought Into the commonwealth until he has ceived a permit so to do from the board of health or Its agent appointed issue such permits, or if there is no such board, from the clerk of the to where the body is to be buried or the funeral is to be held, or from & p son appointed to have the care of the cemetery or burial ground in whl the interment is made. . .. Chap. 114, Sec. 46, G. L., (Tercentenary E tion).
Medical examiners shall make examination upon the view of the de bodies of only such persons as are supposed to have died by violence. If medical examiner has notice that there is within his county the body such a person, he shall forthwith go to the place where the body lies a take charge of the same; ... - General Laws, Chap. 38, Sec. 6.
.. . He shall in all cases certify to the town clerk or registrar in t place where the deceased died liis name and residence, if known; otherwl 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 t best of his knowledge and belief.
RULES OF PRACTICE
The fulfillment of the purpose of these laws calls for the observance the following rules of practice :
(1) Attending physlolans will certify to such deaths only as those persons to whom they have given bedside care during a last illness fro disease unrelated to any form of injury.
(2) Board of Health physlolans will certify to such deaths only as tho of persons who, though disabled by recognized disease unrelated to a form of injury, have died without recent medical attendance or whose phy cian is absent from home when the certificate of death is needed.
(3) Medical Examiners will investigate and certify to all deaths su posably due to Injury. These include not only deaths caused directly or directly by traumatism (including resulting septicemia), and by the acti of chemical (drugs or poisons), thermal, or electrical agents, and deat following abortion, hut also deaths from disease resulting from Injury Infection related to occupation, the sudden deaths of persons not disabl by recognized dlsease, and those of persons found dead.
STATEMENT OF CAUSE OF DEATH
Medical Examiners in certifying to a death will state the cause a manner thereof, and will specify: (1) Under cause, the nature of an inf and of its consequences; and (2) under manner, the mode of its producti together with the circumstances when these are known. For example: "Co pound fracture of the femur with ensuing septicemia (gas bacillus) caus by a steam railway accident." "Pistol shot wound of the chest with as ciated hemorrhage, homicidal." "Asphyxiation by suspension, suicida "Syncope while under the influence of ether administered as a surgl anaesthetic." "Fracture of the skull with associated internal injury tained under circumstances unknown.'
If disease or injury was related to occupation, specify. If investigati shows the death to have been due to disease. specify : (1) Under 'cause known or presumable nature; and (2) under manner, indicate the circu stances leading to medico-legal inquiry. For example : "Hemorrhage sp taneous of the brain (basal ganglia) (found dead in bed)." "Heart dises 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
-
F303-A
1 PLACE OF DEATH
Sullock (County)
The Commonwealth of Massachusetts OFFICE OF THE SECRETARY DIVISION OF VITAL STATISTICS MEDICAL EXAMINER'S CERTIFICATE OF DEATH
To be filed for burial permit with Board of Health or its Agent.
Registered No.
119
$ (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. 69 husentre Winthrop
(Usual place of abode)
Length of stay: In hospital or Institution leat Home
years
-
months
10
đays.
In this community
yrs.
mos.
days.
(Before death)
(Specify whether)
PERSONAL AND STATISTICAL PARTICULARS
3 SEX
Female
4 COLOR OR RACE|
White
5 SINGLE
MARRIED
WIDOWED
or DIVORCED
Married
5a If married, widowed, or divoroed HUSBAND of
(or) WIFE of
Wentaider Brinkman
(Husband's name in full)
6 Age of husband or wife if alive 79 years
7 IF STILLBORN, enter that fact here.
8
AGE.S
82
Years
Months.
Days
If less than 1 day
.Hours.
Minutes
Usual
9 Occupation :
Home
Industry
10 or Business :
at Home
11 Social Security No ..
none
ambert
12 BIRTHPLACE (City)
(State or country)
mass.
13 NAME OF
FATHER
Mathieu Coleman
14 BIRTHPLACE OF
FATHER (City)
(State or country)
Areland
15 MAIDEN NAME
OF MOTHER
ann Gleason
16 BIRTHPLACE OF
MOTHER (City)
(State or gountry )
freland
Informant
(Address) 69 Jahren Que EL
I HEREBY CERTIFY that a satisfactory standard certificate of death was filed with me BEFORE the burial or transit permit, was Issued : Hatte A Dakle
(Signature of Agent of Board of Health or other)
7/1/46
(Official Designation) (Date of Issue of Permity
MEDICAL CERTIFICATE OF DEATH
18 DATE OF
DEATH
June - 29-1946
(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.) Fractured Le Areapc ups)
Senility asterio Sclerosis
accidental
Date of occurrence.
aux-10-
1946
Where did
Writtenin
Injury occur ?
(City or town and State)
Did injury ocour In or about home, on farm, In Industrial place, or In publlo
place?
(Specify type of place)
Manner of
dell accidentthe ather
Injury
Nature of
howeJune-10-1946
Injury
While at work? Was there an autopsy?
21 Was disease or injury in any way related to occupation of deceased ?
If so, specify
M. D.
(Signed)
Batman Jeque 29-1946
(Address)
22
Winthrop Cometil
Winthrop
Place of Burial, Cremacion or Removal.
(City or Town) 1946
23 NAME OF
FUNERAL DIRECTOR
Kirby Bro, M Kitz
ADDRESS
210 Winthrop ST.
Received and filed JUL 2-1946
.19
(Registrar)
sper husband
PARENTS
50m (g)-1-41-4667
der the International Classification of Causes of Death. See reverse side for
so that it may be properly classified .under. If deceased was a U. S. War Veteran, G. L. Chap. 46, Seotlon 10, requires physicians to Insert a recital to that effeot.
1
No.
(City or Town) 125 Clif St. avenue
Julia C. Brandrien
PHYSICIAN - IMPORTANT
(Was deceased a
U. S. War Veteran,
If so specify WAR)
St.
(If nonresident, give city or town and State)
(write the word)
Iflabbto
17
Herefly Boardwow:
Relation if ant/
DATE OF BURIAL
July 3.
20 Accident, suicide, or homicide (specify)
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 aa required by the preceding section or by seetion forty-five of chapter one hundred and four- teen, shall, if the deceased, to the best of his knowledge and belief, served in the army, navy or marine corps of the United States in any war in which it has been engaged, insert in the certificate a recital to that effect, speci- fying the war, and shall also certify in such certificate both the primary and the secondary or immediate cause of death as nearly as he can state the same. For neglect to comply with any provision of this section, such physician or officer shall forfeit ten dollars. For the purposes of this aec- 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 Mexi- 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 tbe 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 wbere the body is buried. No such permit shall be issued until there shall have been delivered to sucb 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 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 Statea in any war in which
of health, or its agent, upon receipt of such statement and certificate, ahall 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 other 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- quirc .- 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 ita agent appointed to issuc such perinits, 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 liea 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 lawa calls for the observance of the following rules of practice :
(1) Attending physicians will certify to auch deaths only as those of persons to whom they have given bedside care during a last illnesa from disease unrelated to any form of injury.
(2) Board of Health physicians will certify to such deatha only aa those of persons who, though disabled by recognized disease unrelated to any form of injury, have died without recent medical attendance or whose phyal- cian 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 in- directly by traumatism (including resulting septicemia), and by the action of chemical (drugs or poisons), thermal, or electrical agents, and deaths following abortion, hut also deaths from disease resulting from injury or Infection related to occupation, the sudden deaths of persons not disabled by recognized disease, and those of persons found dead.
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