USA > Massachusetts > Suffolk County > Winthrop > Town of Winthrop : Record of Deaths 1946 > Part 53
Note: The text from this book was generated using artificial intelligence so there may be some errors. The full pages can be found on Archive.org (link on the Part 1 page).
Part 1 | Part 2 | Part 3 | Part 4 | Part 5 | Part 6 | Part 7 | Part 8 | Part 9 | Part 10 | Part 11 | Part 12 | Part 13 | Part 14 | Part 15 | Part 16 | Part 17 | Part 18 | Part 19 | Part 20 | Part 21 | Part 22 | Part 23 | Part 24 | Part 25 | Part 26 | Part 27 | Part 28 | Part 29 | Part 30 | Part 31 | Part 32 | Part 33 | Part 34 | Part 35 | Part 36 | Part 37 | Part 38 | Part 39 | Part 40 | Part 41 | Part 42 | Part 43 | Part 44 | Part 45 | Part 46 | Part 47 | Part 48 | Part 49 | Part 50 | Part 51 | Part 52 | Part 53 | Part 54 | Part 55 | Part 56 | Part 57 | Part 58 | Part 59 | Part 60 | Part 61 | Part 62 | Part 63 | Part 64 | Part 65 | Part 66 | Part 67 | Part 68 | Part 69 | Part 70 | Part 71 | Part 72 | Part 73 | Part 74 | Part 75 | Part 76 | Part 77 | Part 78 | Part 79 | Part 80 | Part 81 | Part 82 | Part 83 | Part 84 | Part 85 | Part 86 | Part 87 | Part 88 | Part 89 | Part 90
14 BIRTHPLACE OF
FATHER (City)
viborg
(State or country)
Denmark.
15 MAIDEN NAME
OF MOTHER
Johanna Malmgren.
16 BIRTHPLACE OF
MOTHER (City)
(State or country)
Sweden.
17 Informanturs Nelson Clark. (Address) 44 Prospect Ave Winthrop Mass
I HEREBY CERTIFY that a satisfactory standard certificata of death was filled with me BEFORE the burial or transit parmit was Issued : Walter th, Jakler
-
(Signature of Agent of Board of Health or other) Health Officer 8/9/46
(Ometal Designation) ( Date of Issue of Fermit)
MEDICAL CERTIFICATE OF DEATH
18 DATE OF
DEATH
August ...
.8 ...
1946
( Month)
(Day)
(Year)
19 THEREBY CERTIFY,
May 15
1940, 40
That i attended deosased from
I last saw h ................ alive on
Guy
7
19.46
death Is said to
have occurred on the date stated above, at 10.9.
m.
Immediate cause of death
Coronary Thrombosis
IMPORTANT
..... Emos.
Que to Chronic hypertension
Que to.
Other conditions.
-
( Include pregnancy within 8 mouths' of death)
Major findings:
Of operations
22000
Data of
Of autopsy.
22000
What test confirmed diagnosis? Clinical Signs
200
20 Was disease or injury in any way related to occupation of deceased ?.
if so, spsoify.
Daniel J. Olsun TO
('Signed)
. M. D. (Address) Winthrop Iam Oats angle 0, 19 KG
21 Winthrop Cemetery Winthrop Mass Place of Burial, Cremation or Removal. (City or Town)
DATE OF BURIAL.August ......
10,1946
19
22 NAME OF
FUNERAL DIRECTOR alfred B. March
ADORESS
174 Winthrop St , Winthrop Mass
Reosived and fled AUG S" -1945
19
( Registrar)
-
4 years
IMPORTANT
Physician
Underline the cause to which death should be charged sta - tistically.
13 NAME OF
FATHER
Wilhelm Lauritzen.
100m-(g)-1-45-15510
1
NO
(Was deceased a
U. S. War Veteran,
if so specify WAR)
19
Duration
6 Age of husbend or wife if aliva
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 persou whom he has attended during bis last illness, at the request of an undertaker or other authorized person or of any member of the family of the deceased, furnisb 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 be died, defined as re- quired by section one, where same was contracted, the duration of his last illness, wben 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 tbe - 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 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, sucb 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. Cbap. 46, Sec. 10.
No undertaker or other person shall bury or otherwise dispose of a buman 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 sucb permits, or if there is no such board, from the 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 he, 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 bealtb, or employed by it or by the selectmen for the purpose, shall upon application make the certificate re- quired of tbe 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, tbe certificate of death made as above provided and in the possession of the undertaker desiring to make such removal sball 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 bereunder. If the death certificate contains a recital, as required
by section teu ot 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 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 have been brought into the commonwealth until be bas 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 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 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 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 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 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
DATE OF ENTERING MILITARY SERVICE
DATE OF DISCHARGE RANK, RATING
ORGANIZATION AND OUTFIT
SERVICE NUMBER
3-A
PLACE OF DEATH -
Suffolk (County Winthrop (City or Town) Winthrop Community Hospital
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.
141
St. § (If death occurred in a hospital or institution, "} give its NAME instead of street and number)
2 FULL NAME
(If deceased is /a married, widowed or divorced woman, giye also maiden find
18 Chester Sai Wucher op
(a) Residence. No.
(Usual place of abode)
Length of stay: In hospital or Institution.
(Before death)
(Specify whether)
years
months
/ days.
(If nonresident, give city or town and State)
In this community
/
yrs.
mos.
days.
PERSONAL AND STATISTICAL PARTICULARS
MEDICAL CERTIFICATE OF DEATH
3 SEX
Female white
4 COLOR OR RACEJ
5 SINGLE
(write the word)
Single
MARRIED
WIDOWED
or DIVORCED
Sa if married, widowed, or divorced HUSBAND of
(or) WIFE of
(Husband's name in full)
6 Age of husband or wife if ailve years
7 IF STILLBORN, enter that fact here.
8
AGE 34 Years.
3
Months.
21 Days
If less than 1 day Hours Minutes
Usual
9 Occupation :
School Teacher
Industry
10 or Business :
Goun of Winthrop
11 Social Security No ..
12 BIRTHPLACE (City)
(State or country)
Ireland
6
13 NAME OF
FATHER
martin Byrne
14 BIRTHPLACE OF
FATHER (City)
(State or country)
Freland
15 MAIDEN NAME
OF MOTHER
margaret Draine
16 BIRTHPLACE OF
MOTHER (City)
(State or country)
Ireland
17 mrs James Haley Relation, if any
Informant ..
( Address)
8 Deann
I HEREBY CERTIFY that a satisfactory standard certificate of death was filed with me BEFORE the burial or transit permit was issued:
(Signature of Agept of Board of Health op others
8/12/46
(Official Designation) (Date of Issue of Permit)
18 DATE OF
DEATH
August
10
1946
(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.) Septic abortion
P
Under investigation
20 Accident, suicide, or homicide (specify) Date of occurrence 19
Where did
Injury occur ?
(City or town and State)
Did Injury ooour in or about home, on farm, In Industrial place, or In publio
place ?
(Specify type of place)
Manner of Injury
Nature of
Injury
While at work?
.Was there an autopsy ?..
Yes
21 Was disease or injury in any way related to occupation of deceased ?
If so, specify ..
Ichard ( tax
M. D.
(Signed)
(Address) 25 Shattuck St.
.Date.
8-10 1946
22
Forest Blade Wabeleid Place of Burial, Cremation or Removal. (City or Town) mars
DATE OF BURIAL
13
1946
23 NAME OF
FUNERAL DIRECTOR
1. Wilson You
Pourrs
ADDRESS
65 Harmdans 14.
19
Received and filed
AUG 1 2 1946
(Registrar)
If deceased was a U. S. War Veteran, G. L. Chap. 46, Section 10, requires physicians to insert a rocital to that effect. PARENTS
50m (g)-1-41-4667
1
No.
Mary Byrne
20
PHYSICIAN - IMPORTANT (Was deceased a U. S. War Veteran, if so specify WAR)
(Month)
(Day)
(Give maiden name of wife in full)
código quiin
Sluga
GATRAVIS FROM THE LAWS OF THE COMMONWEALTH OF MASSACHUSETTS GOVERNING THE
RETURN OF CERTIFICATES OF DEATH
A physloian 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 aeen 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 atate 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 one cemetery to another, or from one grave or tomb other than the receiving tomb to another in the same cemetery, until he has received a permit from the board of health or its agent aforesaid or from the clerk of the town where the body is buried. No such permit shall be issued until there shall have been delivered to such board, agent or clerk, as the case may be, a satisfactory written statement containing the facts required by law to be returned and recorded, which shall be accompanied, in case of an original interment, by a satisfactory certificate of the attending physician, if any, as required by law, or in lieu thereof a certificate as hereinafter provided. If there is no attending physician, or if, for sufficient reasons, his certificate cannot be obtained early enough for the purpose, or is insufficient, a physi- cian who is a member of the board of health, or employed by it or by the selectmen for the purpose, shall upon application make the certificate re- quired of the attending physician. If death is caused by violence, the medical examiner shall make such certificate. If such a permit for the removal of a human body, not previously interred, from one town to an- other within the commonwealth cannot be obtained early enough for the purpose, the certificate of death made as above provided and in the pos- session of the undertaker desiring to make such removal shall constitute a permit for such removal; provided, that such body shall be returned to the town from which it was removed within thirty-six hours after such re- moval, unless a permit in the usual form for the removal of such body has 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 recitar Bhanl appear upon the permit. The board of health, or Its agent, upon receipt of such statement and certlAcate, shall forthwith countersign it and transmit It to the clerk of the town for regis- tration. The person to whom the permit Is so given and the physiclan cer- tifying the cause of death shali 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- quire .- Chap. 114, Sec. 45, G. L., (Tercentenary Edition).
No undertaker or other person shall bury a human body or the ashes thereof which have been brought into tile commonwealth until he haa re- ceived a permit so to do from the board of healthi or its agent appointed to issue such permits, or If there is no such board, from the clerk of the town where the body is to be buried or the funeral is to be held, or from a per- son appointed to have the care of the cemetery or burial ground In which the interment is made. . .. Chap. 114, Sec. 46, G. L., (Tercentenary Edl- tion).
Medical examiners ahall 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 inis 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 regiatrar 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 certifles 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 physloians 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 physlolans 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 physl- cian is absent from home when the certificate of death is needed.
(3) Medical Examiners will investigate and certify to all deaths sup- posably due to injury. These include not only deaths caused directly or in- directly by traumatism (including resulting septicemia), and by the action of chemical (drugs or poisons), thermal, or electrical agents, and deaths following abortion, hut also deaths from disease resulting from injury or Infeotlon related to occupation, the sudden deaths of persons not disabled by recognized disease, and those of persona found dead.
STATEMENT OF CAUSE OF DEATH
Medical Examiners in certifying to a death will state the cause and manner thereof, and will specify: (1) Under cause, the nature of an Injury and of its consequences; and (2) under manner, the mode of its productlon together with the circumstances when these are known. For example: "Com- pound fracture of the femur with ensuing septicemia (gas bacillus) caused by a steam railway accident." "Pistol shot wound of the chest with asso- ciated hemorrhage, homicidal." "Asphyxiation by suspension, auicidal." "Syncope while under the influence of ether administered as a surgical anaesthetic." "Fracture of the skull with associated internal injury sus- tained under circumstances unknown."
If disease or injury was related to occupatlon, specify. If investigation shows the death to have been due to disease. specify: (1) Under cause Its known or presumablc nature; and (2) under manner. indicate the circum- stances leading to medico-legal Inquiry. For example : "Hicmorrhage spon- taneous of the braln (basal ganglia) (found dead in bed)." "Heart disease, presumably coronary sclerosis. (Sudden death. )"
DESCRIPTION (for unknown person)
NOTICE TO UNDERTAKERS: No embalming fluid, or any substitute therefor, shall be injected into the body of any person supposed to have met his death by violence, until a permit, signed by the Medical Examiner, has first been obtained .- General Laws, Chap. 38, Sec. 14.
THIS CERTIFICATE CONSTITUTES SUCH PERMIT
+
301 A
1
PLACE OF DEATH
Suffolk (County) Winthrop (City or Town) No. Winthrop Community Hospital
The Commonwealth of Massachusetts OFFICE OF THE SECRETARY DIVISION OF VITAL STATISTICS STANDARD CERTIFICATE OF DEATH
To be filed for buriat permit with Board of Health or its Agent.
Registered No.
145
St. (If death occurred in a hospital or institution, { give its NAME instead of street and number) )
No PHYSICIAN - IMPORTANT (Was deceased a U. S. War Veteran, if so specify WAR)
(a) Residence.
No.
200 Pleasant
(Usual place of abode)
St.
Winthrop
(If nonresident, give city or town and State)
Length of stay: In hospital or institution
Hosp.
(Before death)
(Specify whether)
years
months
7
days.
In this community
40 yrs.
mos.
days.
PERSONAL AND STATISTICAL PARTICULARS
3 SEX female
4
COLOR OR RACE
white
5 SINGLE
(write the word)
MARRIED
widowed
WIDOWED
or DIVORCED
5a If married, widowed or divorced HUSBAND of.
(or) WIFE of
(Give maiden name of wife in full)
Frank Sweeney
(Husband's name in full)
6 Age of husband or wife if alive years
7 IF STILLBORN, enter that fact here.
AGE 84
Years
7
Months
9. Days
If less than 1 day
Hours
Minutes
Usual
9 Occupation:
at home
Industry
10 or Business:
Housewife
11 Social Security No. none.
12 BIRTHPLACE (City).
Winthrop
(State or Country)
Massachusetts
13 NAME OF
FATHER
Daniel Sullivan
14 BIRTHPLACE OF
Ireland
FATHER (City)
(State or Country)
15 MAIDEN NAME
OF MOTHER
Ellen McCarthy"
16 BIRTHPLACE OF
MOTHER (City).
East Boston
(State or Country) Massachusetts
17
Informant Mrs. Harvey .A. .. Kelly! daigh.
(Address! 200 Pleasant St. Winthrop I HEREBY CERTIFY that a satisfactory standard certificate of death was filed with me BEFORE the burial of Mansic permit was issued:
(Signature of Agent of Board of Health of other)
Office 8/12/16 (Date of Issue of Permits
MEDICAL CERTIFICATE OF DEATH
1946
(Month)
(Day)
(Ycar)
19
I HEREBY CERTIFY,
That I attended deceased from
lune
10
. 1946
, to
aug 10
. 19 46
I last saw h'
,en
alive on
10 mg
. 194 6, death is said to
have occurred on the date stated above. at
9.30
Am.
Duration
Immediate cause of death
Chimie Myocarditis
Due to
Due to
Other conditions
Lemilits
(Include pregnancy within/3 months of death)
Major findings:
Of operations
June
Date of
Of autopsy
What test confirmed diagnosis?
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
hi 7.
Collins
(Signed)
, M. D
(Address) / 23 Be
tin It
Date 10 weg 1946
21
Mt. Auburn, Cambridge
Place of Burial, Cremation or Removal.
(City or Town)
DATE OF BURIALAug. 1.3
194.6
22 NAME OF
FUNERAL DIRECTOR
Richard C. Kirby
ADDRESS
17 Bennington St: Mass'.
Received and Filed
AUG 1 2 1946
19
(Registrar)
IMPORTANT 4 mos
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
health (Official Designation)
18 DATE OF
DEATH
ungreat
10
2 FULL NAME
Julia A. Sweeney
(Sullivan)
(If deceased is a married, widowed or divorced woman, give also maiden name.)
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, atating 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 hy section one, where same was contracted, the duration of his last illness, when last seen alive hy the physician or othcer and the date of his death ... Gen. Laws, Chap. 46, Sec. 9.
Need help finding more records? Try our genealogical records directory which has more than 1 million sources to help you more easily locate the available records.