USA > Massachusetts > Suffolk County > Winthrop > Town of Winthrop : Record of Deaths 1946 > Part 51
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years
7 IF STILLBORN, enter that fact here.
Stillborn
8
AGE
Years
Months.
Days
If less than 1 day Hours Minutes
Usual
9 Occupation :
Industry
10 or Business :
11 Social Security No ..
Everett
12 BIRTHPLACE (City)
(State or country)
13 NAME OF
FATHER
Bernard
PARENTS
14 BIRTHPLACE OF
FATHER (City)
(State or country)
Mass ..
15 MAIDEN NAME
OF MOTHER
Marcia Alperin
16 BIRTHPLACE OF
MOTHER (City)
(State or country)
Mass.
17
Informant
(Address)
Pauline Shuman grand other Relation, if any Winthrop (
1
Registered No.
137
(If U. S.
War Veteran,
speolfy WAR)
(a) Residence. No.
(Usual place of abode)
Winthin
(Registrar of City or Town where deceased resided)
Of autopsy
1
₹-303-A
COPY
Essex
(County)
Saugus
(City or Town)
The Commontoralth 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.
109 138
No. Breakheart Reservation-Lower Pond St. [ { If death occurred in a hospital or institution, give ita NAME instead of street and number)
2 FULL NAME.
Donald Sobey
(If deceased is a married, widowed or divorced woman, give also maiden name.)
(a) Residenoa. No.
9 Atlantic St
St.
Winthrop
(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
mos.
1
days.
PERSONAL AND STATISTICAL PARTICULARS
MEDICAL CERTIFICATE OF DEATH
3 SEX
male
4 COLOR OR RACE
white
5 SINGLE
(write the word)
MARRIED
WIDOWED
or DIVORCED
single
5a If married, widowed, or divorced
HUSBAND of
(Give maiden name of wife in full)
(or) WIFE of
(Husband's name in full)
6 Age of husband or wife If allve
years
7 IF STILLBORN, enter that faot here.
8 AGE .. 1.5 ... Years. Months. Days
If less than 1 day
.Hours
Minutes
Usual
9 Occupation :
student
Industry
10 or Business:
school
11 Soolal Security No ..
12 BIRTHPLACE (City)
(State or country)
Boston
mass
PARENTS
14 BIRTHPLACE OF
FATHER (City)
(State or country)
P. E. Island
15 MAIDEN NAME
OF MOTHER
May MacDonald
16 BIRTHPLACE OF
MOTHER (City)
(State or country)
Nova Scotia
17 Na.v .... S.obey ... Informant. ( Address) 9 Atlantic St. Winthrop
I HEREBY CERTIF' that a satisfactory standard certificate of death was filled with me BEFORE the burlal or transit permit was Issued: A true copy. Attest :
7 (Signature of Agent of Board of Health or other) Town Clerk (Official Desig Lia) Y. (De Bras of Permit)
20 Acoldent, sulolde, or homloide (specify)
accident
Date of ooourrenoo.
7/14 19 46
Where did
waters of lower pond
(City or town and State)
Injury ooour ?
Did Injury ooour in or about home, on farm, In Industrial place, or In publio
place ?
dove in pond & did not come up
....
Manner of
Injury
asphyxiation by drowning
Nature of
Injury
While at work ?O
Was there an autopsy ?.
no
21 Was disease or Injury In any way related to oooupation of deceased? no
If so, speolfy.
(Signed).
Laurence .... F .... Cusick
(Address)
Nahant, Mass.
Date
7/1M Li€
22
Winthrop,
Withrop
Place of Burial, Cremation or Removal.
(City or Town)
4€
Relation, & Apy
DATE OF BURIAL
July 17
23 NAME OF
FUNERAL DIRECTOR
J. F. O Maley
ADDRESS
Winthrop
Received and flied AUG-3-0-19.46
19
(Registrar)
1
PLACE OF DEATH
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 reoltal to that effeot
50m-(i)-1-45-15510
18 DATE OF
DEATH
July 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 involved, state fully.) asphyxiation by drowning
abrasions 6 contusions of chest
(Specify type of place)
13 NAME OF
FATHER
William E Sobey
PHYSICIAN-IMPORTANT
(Was deceased a
U. S. War Veteran,
If so speolfy WAR)
(Usual place of abode)
EXTRACTS FROM THE LAWS OF THE 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 whoin he hus 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 saine was contracted. the duration of his last illuens, when last seen alive by the physician or other and the date of his death ... Gen. Laws, Chap. 16, 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 printary and the secondary or immediate catise of death as nearly as he can state the sanie. 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 snd 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 purposea, be deemed to have taken place between February fourteenth, eighteen hundred and ninety-eight and July fourth, nineteen hundred and two, and the Mexi- csn bonler service of nlueteen hundred and aixteen and nineteen bundred and seventeen. G. L. Chap. 46, Sec. 10.
No undertaker or other person shall bury or otherwise dispose of a human body in a town, or remove therefrum a human body wlrich haa not been buried, until he has received a perinit froin the board of bealth, 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 exitume 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 be bas received a permit from tlie board of health or its agent aforessid or from the clerk of the town where the body is buried. No auch permit shall be issued uutll there shall bave 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 tbereof a certificate as hereinafter provided. If there is no attending physician, or If, for suficient reasons, hia certificate cannot be obtained early enough for the purpose, or Is Insufficient, a phyai- 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 attendling physician. If death la caused by violence, the medical examiner shall raske such certificate. If auch a permit for the removal of a human body, not previously interred, froin one towa 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 renovsl shall constitute & perniit 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 s permit in the usual form for the reinoval of such body has been sooner obtained hereunder. If the death certifleste contains a recital, as required by section ten of chapter forty-xix, 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 sucht statement and certificate, shall forthwith countersign It will 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 olitained as to the deceased, or as to the manner or cause of the death, which the clerk or registrar may re- quire .- Clap. 114, Sec. 45, G. L., ('Tercentenary Edition).
No undertaker or other person shall bury a human body or the ashes thereof which have bren brought Into the commonwealth until lie has re- ceived a permit so to do from the board of health or its agent appointed to issue sucht perurits, or if there Is no such boaril. from the clerk of the tuwn where the borly is to be huried or the funeral is to be held, or front a per- son appointed to have the care of the cemetery or burial ground in which the interment is niade .... Cbap. 114, Sec. 46, G. L., (Tercentenary Edi- tion ).
Meilical examiners shall make exsmluation upon the view of the dead bodies of ouly such persons as are supposed to have died by violence. If a medical examiner has notice that there Is within hia county the body of such a person, he shell forthwith go to the place where the body iies and take charge of the same; ... - General Laws, Chap. 3S, Sec. 6.
... He shall in all cases certify to the town clerk or registrar in the place where the deceased died hia naure and residence, if known; otherwise a description as full as may be, with tbe cause and manuer of death .- General Laws, Chap. 38, Sec. 7.
... The medical examiner certifles the cause and manner of death to the › best of his kuowiedge 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 aa those of persons to whom they have given bedside care during a iast illness from discase unrelated to any form of injury.
(2) Board of Health physicians will certify to such deaths only as those of persons wbo, though disabled by recognized disease unrelated to any form of injury, have died without recent inedical attendance or wboae pbysi- cian is absent frnin horne when the certificate of death Is needed.
(3) Medical Examiners will Investigate and certify to all deatha sup- posably due to Injury. These include not only deatha caused directly or In- directly by traumatism (including resulting septicemia), and by the actlon of chemical (drugs or poisons), thermal, or electricai agents, and deatba 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 daad.
STATEMENT OF CAUSE OF DEATH
Medical Examiners in certifying to a death will state tbe cauae 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 ita production together with the circumstances when these are known. For example : "Com- pound fracture of the fentur witli ensuing septicemia (gas bacillus) caused by s steam railway accident." "Pistol shot wound of the chest with asso- ciated hemorrhage, homicidal." "Asphyxiation by suspension, suicidal." "Syncope wbile under the influence of ether adinlnlstered as a surgical anaesthetic." "Fracture of the skull with associated internal Injury sus tained under circumstances unkunwn."
If disease or injury was related to occupation, specify. If Investigation shows the desth to have been due to disease, specify : (1) Under cause ita known or presumahle nature; surl (2) umler manner, Indicate the circum- stances leading to medico-legal inquiry. For example : "Hemorrhage apon- taneous of the brain (hasal ganglia) (found dead in bed)." "ileart disease, presumably coronary sclerosis. (Sudden death. )"
SPACE FOR ADDITIONAL INFORMATION
DATE OF ENTERING MILITARY SERVICE
DATE OF DISCHARGE RANK, RATING
ORGANIZATION AND OUTFIT SERVICE NUMBER
R-301
See instructions and 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
100m-9-44-14955
Healthe Officer (Official Designation) (Date of Issue of Permit)
8/3/46
MEDICAL CERTIFICATE OF DEATH
18 DATE OF
DEATH
1940
(Month)
(Day)
(Year)
19 I HEREBY CERTIFY,
That I attended deceased from
August 1,,
. 19
, to
August 2,. 1946
I last saw h ~I' alive on -
Unut i, , 19+, death is said to
have occurred on the date stated above. at ~ . ~ . I. m.
Immediate cause of death Concenit: 1 maiforracion -
. anchephalia renter.
Due to
Due to
Other conditions
(Include pregnancy within 3 months of death)
Major findings: Of operations
Date of
Of autopsy
What test confirmed diagnosis?
Clinic: 1 f
Duration IMPORTANT
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 deceased? If so, specify
(Signed)
311 Communicates 41 Date 8/1
19 46
(Address).
21
Holy Cross
Place of Burial Cremation or Removal.
(City or Town)
DATE OF BURIAL
Aug. z.
1946
22 NAME OF
muwayT luma
1
ADDRESS
262 Brad
Received and Filed 19
AUG 7
1946
(Registrar)
PHYSICIAN - IMPORTANT ( Was deceased a U. S. War Veteran, if so specify WAR) South Boston St .
(If nonresident, give city of town and State)
In this community
yrs.
mos.
days.
PERSONAL AND STATISTICAL PARTICULARS
3 SEX temale
4 COLOR OR RACE
white
5 SINGLE (write the word)
MARRIED
WIDOWED
or DIVORCED
Single
5a If married, widowed or divorced 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
years
7 IF STILLBORN, enter that fact here.
8 AGE Years Months 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)
IN .
13 NAME OF
FATHER
John F. Toomey
14 BIRTHPLACE OF
FATHER (City)
(State or Country)
Boston
man.
15 MAIDEN NAME
OF MOTHER
Aquas Hamunten
16 BIRTHPLACE OF
MOTHER (City).
Boston
(State or Country)
Man
17 Informant John F. Toomey Relatich, if any
911 Broadway Boston
I HEREBY CERTIFY that a satisfactory" standard, certificate of death was filed with me BEFORE the burial or transit permit was issued: Walter A. Baker (Signature of Agent Board of Health or other)
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. 139
No.
Winthrop (City or Town) Winthrop
Communes Hospiter.
St. {
(If death occurred in a hospital or institution, { give its NAME instead of street and number) }
2 FULL NAME
Aques Toomic
(If deceased is a married, widowed or divorced woman, giv
also maiden name.)
(a) Residence. No. 911 Broadway (Usual place of abode)
Length of stay: In hospital or institution (Before death)
Hoop.
(Specify whether)
years
months
days.
9/12/46
1
PLACE OF DEATH
+ Suffolk (County)
Winthrop
, M. D.
malden
FUNERAL DIRECTOR
EXTRACTO 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 bas 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, bis supposed age, the disease of which he died, defined as re- quired by section one, where same was contracted, the duration of bis last illness, wben last seen alive by the physician or officer and the date of bis 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 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 Cbina relief expedition and the Philippine insurrection, which shall, for said purposes, be deemed to bave taken place between February fourteenth, eighteen hundred and ninety-eight and July fourth, nineteen hundred and two, and the Mexican border service of nineteen bundred 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 tbe clerk of the town wbere 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 sball bave been delivered to such board, agent or clerk, as the case may be, a satisfactory written statement containing the facts required by law to be returned and recorded, which shall be accompanied, in case of an original interment, by a satisfactory certificate of the attending physician, if any, as required by law, or in lieu thereof a certificate as hereinafter provided. If there is no attending physician, or if, for sufficient reasons, bis certificate cannot be obtained early enough for the purpose, or is insufficient, a physi- cian who is a member of the board of bealth, 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, tbe certificate of death made as above provided and in the possession of the undertaker desiring to make such removal shall constitute a permit for auch 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 bereunder. If the death certificate contains a recital, as required
by section ten vi chapier ivity-six, tual 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, Sec. 6.
No undertaker or other person sball bury a human body or the asbes thereof which bave 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. ... Cbap. 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 deatbs only as those of persons wbo, though disabled by recognized disease unrelated to any forum of injury, have died without recent medical attendance or whose pby- 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 deathis 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, astbenia, 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 bome. For a woman whose only occupation was that of home bousework, 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.
SPACE FOR ADDITIONAL INFORMATION
1
-301 A
-
No.
Suffolk (County) Winthrop (City of Town) Winthrop Hoop. Mary E Fine
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.
140
§ (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.
(Usual place of abode)
Length of stay: In hospital or institution
(Before death)
Hosp.
(Specify whether)
-
years
months 2 days.
In this community
86
yrs.
mos.
days.
PERSONAL AND STATISTICAL PARTICULARS
3 SEX
Female
4
COLOR OR RACE
white
5 SINGLE (write the word)
MARRIED
WIDOWED
or DIVORCED
Widowed
5a If married, widowed or divorced
HUSBAND of ...
(or) WIFE of
John o Finn
(Husband's name in full)
6 Age of husband or wife if alive
years
7 IF STILLBORN, enter that fact here.
ÅGE
86
Years
Months
Days
If less than 1 day
Hours
Minutes
Usual
9 Occupation:
at home
Industry
10 or Business:
11 Social Security No.
13 coton
13 NAME OF
FATHER
James Jandy.
14 BIRTHPLACE OR
FATHER (City)
Liverpool
(State or Country)
England.
15 MAIDEN NAME
OF MOTHER
Mary Davis
Liverpool
16 BIRTHPLACE OF
MOTHER (City).
(State or Country)
England.
17 J. Paul Finn
Informant (Address 27 Waldemar are. winch1
I HEREBY CERTIFY that a satisfactory standard certificate of death was filed with me BEFORE the burial or transit permit was issued: Watter & Kaker. (Signature of Agents of Board of Health or other) Health officer 8/3/46 (Official Designation§ (Date of Issue of Permit
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