USA > Massachusetts > Suffolk County > Winthrop > Town of Winthrop : Record of Deaths 1946 > Part 62
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18 DATE OF
DEATH
September 14
(Month)
(Day)
1946
(Ycar)
19
I HEREBY CERTIFY,
That I attended deceased from
, 19
, to
., 19
I last saw h
alive on
. 19
, death is said to
have occurred on the date stated above, at
8.50 A
m.
Duration
Immediate cause of death Coronary Enliliana
Due to
ME.
Due to
Other conditions (Include pregnancy within 3 months of death)
Major findings:
Of operations
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
P.7. Mahoney
, M. D.
(Signed)
21 GWINTHROP Place of Burtal. remation of Removal.
DATE OF BURIAL
September 17
22 NAME OF
FUNERAL DIRECTOR
John J. Maley
ADDRESS
Winthrop Mass.
Received and Filed SEP 1 9 1946
19
(Registrar)
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
4.O
Date 9-14-
1946
Boston Mas WINTHROP 19 46
IMPORTANT
Registered No.
PHYSICIAN - IMPORTANT
(Was deceased a
U. S. War Veteran,
if so specify WAR)
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 persou 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 hy section one, where same was contracted, the duration of his last illness, when last seen alive hy the physician or officer and the date of his death ... Gen. Laws, 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 heeu 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 bury or otherwise dispose of a human body 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 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 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 be obtained early enough for the purpose, or is insufficient, a physi- cian who is a member of the board of health, or employed by it or by the selectmen for the purpose, shall upon application make the certificate re- quired of the attending physician. If death is caused by violence, the medi- cal examiner shall make such certificate. If such a permit for the removal of a human body, not previously interred, from one town to another within the commonwealth cannot be obtained early enough for the purpose, the certificate of death made as above provided and in the possession of the undertaker desiring to make such removal shall constitute a permit for such removal; provided, that such body shall be returned to the town from which it was removed within thirty-six hours after such removal, unless a permit in the usual form for the removal of such body has been sooner obtained hereunder. If the death certificate contains a recital, as required
by sechion teu vi chapter ionly-six, lual 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 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 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 hoard 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 be buried or the funeral is to be held, or from a person appointed to have the care of the cemetery or burial ground in which the interment is made. . .. Chap. 114, Sec. 46, G. L., (Tercentenary Edition).
RULES OF PRACTICE
The fulfillment of the purpose of these laws calls for the observance of the following rules of practice:
(1) Attending physicians will certify to such deaths only as those of persons to whom they have given bedside care during a last illness from disease unrelated to any form of injury.
(2) Board of Health physicians will certify to such deaths only as those of persons who, though disabled by recognized disease unrelated to any 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 hy 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
PLACE OF DEATH -
Suffolk (County) Winthrop (City or Togn) 72 Crystal Gore Are. No.
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. 1.69 ....
[ (If death occurred in a hospital or institution, St. { give its NAME instead of street and number)
Faseple 7, Curran
( If deceased is a married, widowed or divorced, woman, give also maiden name.)
(a) Residence. No.
72 Crystal Gore Are.
St
Winthrop
(Usual place of abode)
no
Length of stay: In Ancoital or Institution
( Before death)
( Specify whether)
years
months
days.
(If nonresident, give city or town and State)
In this community 20 yrs.
mos.
days.
PERSONAL AND STATISTICAL PARTICULARS
MEDICAL CERTIFICATE OF DEATH
18 DATE OF
DEATH
Sept.
10
(Month )
(Day)
(Year)
19 HEREBY CERTIFY,
That 1, attended deceased from
..
194.
Ło.
Sept 16
46
19
....
I Tast saw h .......... alive on
Sept. 12
19 2. 4 desth Is said to
have occurred on the date stated above, at.
7:30 P.
m.
Immediato cause of death
Carcin
...........
Due to.
Due to.
Other conditions
( Include pregnancy within 3 months of death)
Major findinga : Of operations
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 ony way related to occupation of deceased ? If so, speolfy .....
(Signed) 20 uply thegame
Adress) 336 fremmer AV Date 9/18
Zetalden
(City or Town)
M. D.
19.26
21
Italy Gross,
Place of Burian Cremation or Remoral.
DATE OF BURIAL
September
19,
1946
22 NAME OF
FUNERAL DIRECTOR ...
John G. Kelly
ADDRESS
11 Meridian St, E. 10. 0
Received and fled
SEP-1919+9
.... 19
( Registrar)
100m-(g)-1-45-15510
If deceased was a U. S. War Veteran, G. L. Chap. 46, Ssotion 10, requires phyololans to insert a reoltai to that effeot. EN0.0314
PARENTS
14 BIRTHPLACE OF
FATHER (Clty)
(State or country)
Ireland
15 MAIDEN NAME
OF MOTHER
Elizabeth Wilshire
16 BIRTHPLACE OF
MOTHER (City)
(State or country)
England
North Shields
17 William Curran Relation, If any
Informant
( Address)
40 Belcher St.
win.
I HEREBY CERTIFY that a satisfactory standard certificate of death was Alled with me BEFORE the ourist, or, transit permit was Jasued ;
Walter Blake
(Signature of Agent of Board pufferith or other) 1945
11/19/46
(Date of Toque of (Permit)
( write the word)
Married
a If n HUSBAND of
atherine O'Donnell
(Give maiden name of wife In full)
(or) WIFE of
( Husband's name In full)
6-Age of husband or wife if alive 6.0
years
7 IF STILLBORN, enter that fact here.
AGE 65 Years Months Days
If less than 1 day Hours Minutes
Usual
9 Oooupetlon :
Meat Gutter
10 or Business :
Industry
Wheat Market
11 Social Security No. 012-01-1311-
Boston
12 BIRTHPLACE (City)
( Siate or country)
recasa.
13 NAME OF
FATHER
Nicholas Curran
Galway
with his Kelly
1
10/4/46
2 FULL NAME
PHYSICIAN - IMPORTANT
(Was deceased a
U. S. War Veteran,
720
if so/specify WAR)
1946
3 SEX
Male
4 COLOR OR RACE
white
5 SINGLE
MARRIED
WIDOWED
or DIVORCED
..... (Omcial Designation)
Duration
IMPORTANT
monette
D. A
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 bis last illness, when last seen alive by tbe physician or officer and the date of his death .. . Gen. Laws, Cbap. 46, Sec. 9.
A physician or officer furnisbing a certificate of death as required by tbe preceding section or by section forty-five of chapter one hundred and four- teen, shall, if the deceased, to the best of bis 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 sball 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 hundred and fourteen, the word "war" shall include the China relicf expedition and the Philippine insurrection, which sball, 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 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 buman 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 sball 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, wbich 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, tbe 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 witbin the commonwealth cannot be obtained early enough for the purpose, the certificate of death made as above provided and in the possession of the undertaker desiring to make such removal shall constitute a permit for such removal; provided, that such body shall be returned to the town from which it was removed witbin 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 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 furnisb 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, Cbap. 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 he 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 have tbe 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 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 pby- 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 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 bad 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 bome 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
1 A 1
PLACE OF DEATH
Suffolk (County)
Winthrop. (City or Town)
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.
170
§ (If death occurred in a hospital or institution,
give its NAME instead of street and numher)
2 FULL NAME
Lonis Herbert
( If deceased is a married, widowed or divorced woman, give also maiden name.)
(a) Residenca. No.
18 Irwin Street
st
(Usual place of abode)
Length of stay: In hospital or Institution
hospital
yesrs
montha 10
days.
( Before death)
( Specify whether)
MEDICAL CERTIFICATE OF DEATH
18 DATE OF
DEATH
September
18. 1946.
( Mfonth)
(Day)
(Year)
5a If married, widowed, or divorced HUSBAND of
(or) WIFE of
( Husband's name in full)
6 Age of husband or wife if allva
65
years
7 IF STILLBORN, enter that fact here.
AGE 73 Years 8 Months 17 Days
If less than 1 day Hours Minutes
Usual
9 Ocoupation :
retired cigar maker
Industry
10 or Business :
Odenze ..... Cigar .... Mfg ..... Co.,Boston
11 Social Security No.
023-05-0575
Boston
12 BIRTHPLACE (City)
( State or country)
Mass.
PARENTS
14 BIRTHPLACE OF
FATHER (Clty)
(State or country)
Germany.
15 MAIDEN NAME
OF MOTHER
Celia Albin.
16 BIRTHPLACE OF
MOTHER (City)
(State or country)
Germany.
17 Mrs Nellie Herbert ( Papon, if any Informant (Address) 18 Irwin St Winthrop Mass.
I HEREBY CERTIFY that a satisfactory standard certificats of death was filled with me BEFORE the burial or transit permit was Issued :
Halter GBake
(Signature of Agent of bbard of Health or other)
ap Sepr 19/46
40
(Official Designation) (Date of Issue of Permit)
19 1 } ERERY CERTIFY. That l attendo deceased from 19, to ... Jul 18. 1948
I last saw h Lalive on
Jun17 199 death is said to
have occurred on the date stated above, at ... m.
Immediate oause of death.
Duration LA IMPORTANT
Due to Imprendito
Due to
Other conditions.
( Include pregnancy within 8 months of death)
Major findinga:
Of operations
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 oooupation of deceased ?
If so, specify
( Signed)
(Address) I Washinton
M. M. D.
21
winthrop cemetery, Wintan
Place of Burial, Cremation or Removal.
(City or Town)
DATE OF BURIAL ...
Sept.20.,1946 ..
19
22 NAME OF
FUNERAL DIRECTOR
alfred 3 March
ADDRESS
174 Winthrop St, Winthrop
Recalved and fled SEP 191945 19
( Registrar)
1
-
No. Winthrop Community Hospital
PHYSICIAN - IMPORTANT
(Was deceased a N
U. S. War Veteran,
if so specify WAR).
mos.
days.
PERSONAL AND STATISTICAL PARTICULARS
3 SEX
male
4 COLOR OR RACE
white
5 SINGLE
( write the word)
married
MARRIED
WIDOWED
or DIVORCED
Nellie Vean Arnsby
(Give maiden name of wife In full)
(If nonresident, give city or town and State)
In this community2 7
yra.
9/1/4
13 NAME OF
FATHER
Norman Herbert.
100m-(g) -1-45-15510
16/ 25 1946
EXTRACTS FROM THE LAWS OF THE COMMONWEALTH OF MASSACHUSETTS GOVERNING THE RETURN OF CERTIFICATES OF DEATH
A physician or registered hospital medical officer shall forthwith, after the death of a person whom he has attended during his last illness, at the request of an undertaker or other authorized person or of any member of the family of the deceased, furnish for registration a standard certificate of death, stating to the best of his knowledge and belief the name of the deceased, his supposed age, the disease of which he died, defined as re- quired by section one, where same was contracted, the duration of his last illness, when last seen alive by the physician or officer and the date of his death ... Gen. Laws, Chap. 46, Sec. 9.
A physician or officer furnishing a certificate of death as required by the preceding section or by section forty-five of chapter one hundred and four- teen, shall, if the deceased, to the best of his knowledge and belief, served in the army, navy or marine corps of the United States in any war in which it has been engaged, insert iu the certificate a recital to that effect, speci- fying the war, and sball 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.
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