USA > Massachusetts > Suffolk County > Winthrop > Town of Winthrop : Record of Deaths 1946 > Part 64
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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 its agent appointed to issue such permits, or if there is no such board, from the clerk of the town where the body is to be buried or the funeral is to be held, or from a person appointed to have the care of the cemetery or burial ground in which the interment is made. ... Chap. 114, Sec. 46, G. L., (Tercentenary Edition).
RULES OF PRACTICE
The fulfillment of the purpose of these laws calls for the observance of the following rules of practice :
(1) Attending physicians will certify to such 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 forin 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
301 A
4
SUFFOLK (County)
WINTHROP ..... (City or Town) WINTHROP Community HOSPITAL
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.
173
Registared No.
f (If death occurred in a hospital or institution,
St.
give its NAME instead of street and number)
PHYSICIAN - IMPORTANT
2 FULL NAME
(If deceased is a married, widowed or divorced woman, give also maiden name.)
628 BOULEVARD
St.
(If nonresident, give clty or town and State)
Length of stay: In hospital or Institution
( Before death)
( Specify whether)
...
years
1 hr 17 mins
months days.
In this community
yrs.
mos.
dayı.
PERSONAL AND STATISTICAL PARTICULARS
3 SEX
FEMALE
4 COLOR OR RACE
WHITE
5 SINGLE
( write the word)
MARRIED
WIDOWED
or DIVORCED
SINGLE
5a If married, widowad, 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 ative years
IF STILLBORN, enter that fact hera. Still born
8
AGE
Years
Months
Days
If Less than
.1 .. Hours
Minutes
Usual
9 Occupation :
None
Industry
10 or Business :
11 Social Security No.
WINTHROP
12 BIRTHPLACE (City)
( State or country)
MASS
13 NAME OF
FATHER
DANIEL R
MASELLA
14 BIRTHPLACE OF
BOSTON
FATHER (City)
(State or country)
MASS
15 MAIDEN NAME
OF MOTHER
ANNA
A. IWARJAN
16 BIRTHPLACE OF
MANCHESTER
MOTHER (City)
( State or country)
N. H.
17 DANIEL R. MASSELLA(
Informant
( Address)
628 Boulevard
Für.
I HEREBY CERTIFY that a satisfactory standard certificata of death wes filed with me BEFORE the trial or tramit parmait was issued : Walter A. Maker
(Bigniture of Agent of Board of Health or othery
Health Spicer 9/23/46
( Official Designation) (Date of Issue of Peymit)
18 DATE OF DEATH Sept. 19 1946
( Month)
(Day)
(Year)
19 | HEREBY CERTIFY,
That i attended daocesed from
Neat. 19, 19 46
to
Sent. 19
19
46
...
I last saw her
alive on
15. 1946, death is said to
heve occurred on tha date stated above, at.
XXXXX
Immediate cause of death
10:00 P.
m.
7
5 monate Premalimentos
Due to
Due to
Other conditions
( Include pregnancy within ' 3 months of death)
Major findings: Of operetions
Data of.
Of autopsy
What test confirmed diagnosis ?
IMPORTANT
Physician Underline the cause 10 which death should be charged $1 .. 1istically.
20 Was disease or injury in any way ratatad to occupation of dedeased ?.
if so, spacify.
(Signad)
72 Selve, A Date 19/20 1946
( Address)
.
M. D.
21
st Michaels
Place of Burial, Cremation or Removal.
(City or Town)
DATE OF BURIAL
23 Sept.
1946
22 NAME OF
FUNERAL DIRECTOR ..
Gennacchio y Son
ADDRESS
59 . So. Margin St. Bostory
Received and Alad Ott 2 1940
(Registrar)
100m-(g)-1-45-15510
If deceased was a U. S. War Veteran, Q. L. Chap. 46. Section 10, requires physicians to Insert a reoltal to that effeot. PARENTS
per hospital conversation 10/10/46
1
PLACE OF DEATH
-
No.
BABY GIRL MASELLA
(Was deceased a
U. S. War Veteran,
if so specify WAR)
REVERE
mass.
(a) Residence. No.
(Usual place of abode)
MEDICAL CERTIFICATE OF DEATH
Duration
IMPORTANT
BRY04
Relation, di uny
....
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 helief 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 hy section forty five of chapter one hundred and four- teen, shall, if the deceased, to the best of his knowledge and helief, served in the army, navy or marine corps of the United States in any war in which it has been engaged, insert iu the certificate a recital to that effect, speci- fying the war, and shall also certify in such certificate hoth 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 relicf expedition and the Philippine insurrection, which shall, for said purposes, he deemed to have taken place hetwecn February fourteenth, eighteen hundred and ninety-eight and July fourth, nineteen hundred and two, and the Mexican horder service of nineteen hundred and sixteen and nine- teen hundred and seventeen. G. L. Chap. 46, Sec. 10.
No undertaker or other person shall hury or otherwise dispose of a human hody in a town, or remove therefrom a human hody which has not heen huried, until he has received a permit 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 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 tomh other than the receiving tomh to another in the same cemetery, until he has received a permit from the hoard of health or its agent aforesaid or from the clerk of the town where the body is huried. No such permit shall he issued until there shall have heen delivered to such hoard, agent or clerk, as the case may he, a satisfactory written statement containing the facts required by law to he returned and recorded, which shall he accompanied, in case of an original interment, hy a satisfactory certificate of the attending physician, if any, as required hy law, or in lieu thereof a certificate as hereinafter provided. If there is no attending physician, or if, for sufficient reasons, his certificate cannot he obtained early enough for the purpose, or is insufficient, a physi- cian who is a member of the hoard of health, or employed hy it or hy the selectmen for the purpose, shall upon application make the certificate re- quired of the attending physician. If death is caused hy violence, the medi- cal examiner shall make such certificate. If such a permit for the removal of a human hody, not previously interred, from one town to another within the commonwealth cannot he obtained early enough for the purpose, the certificate of death made as ahove provided and in the possession of the undertaker desiring to make such removal shall constitute a permit for such removal; provided, that such hody shall he returned to the town from which it was removed within thirty-six hours after such removal, unless a permit in the usual form for the removal of such hody has heen sooner ohtained hereunder. If the death certificate contains a recital, as required
by section ten oi 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 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 hodies of only such persons as are supposed to have died hy violence. If a medical examiner has notice that there is within bis county the hody of such a person, he shall forthwith go to the place where the hody lies and take charge of the same; .. . - General Laws, Chap. 38, Sec. 6.
No undertaker or other person shall hury a human hody 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 hody 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 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 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 hy recognized disease, and those of persons found dead.
Statement of Cause of Death .- Cause of death means the disease, or complication which causes death, not the mode of dying, e. g., heart failure, asphyxia, asthenia, etc. As principal cause name the disease causing death. As related causes, name earlier morhid conditions, if any, related to the principal cause and any important complication of the principal cause.
Statement of Occupation .- Precise statement of occupation is very im- portant, so that the relative healthfulness of various pursuits can he known. Make some entry in this section for every person aged 10 years or over. If the occupation had heen 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
02 2
PLACE OF DEATH
Essex
(County)
Rockport (City or Town) Tarr Lane
The Commonwealth of Massachusetts OFFICE OF THE SECRETARY DIVISION OF VITAL STATISTICS COPY OF CERTIFICATE OF DEATH
(City or town making return)
Registered No
174
(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.)
77 Bartlett Road
.....
.St.
Winthrop
(If nonresident, give city or town and state)
mos.
days.
PERSONAL AND STATISTICAL PARTICULARS
3 SEX
Male
4 COLOR OR RACE| 5 SINGLE
White
MARRIED
WIDOWED
or DIVORCED
(write the word)
Married
5a If married, widowed, or divorced
Emily J.Henry
HUSBAND of
(Give maiden name of wife in full)
(or) WIFE of
(Husband's name in full)
Years
6 Age of husband or wife if alive.
7 IF STILLBORN, onter that fact hero.
AGE
69
1
Years
Months
Days
If less than 1 day
Hours.
Minutes
Usual
9 Occupation:
Chauffeur
Industry 18 or Business:
11 Social Security No.
033-18-5135
South Ronald shay
12 BIRTHPLACE (CHY)
(State or country Orkney Islands Scotland
13 NAME OF
FATHER
Thomas Cusiter
14 BIRTHPLACE OF
FATHER (City)
unable to learn
(State or country)
Scot land
15 MAIDEN NAME
OF MOTHER
Margaret Brown
16 BIRTHPLACE OF
MOTHER (City)
unable to learn
(State or country)
Scotland
Mrs. Emily Cusiter
Relation if any Wife
17 Informant. (Address) Tarr lare, Rockport ,Mass .
A TRUE COPY.
ATTESTI
Sether E. Johnem
(Registrar of city of town where death occurred)
DATE FILED
September 19
1946
18 DATE OF
DEATH.
September
23,
1946
(Month)
(Day)
(Year)
19 I HEREBY CERTIFY. Sept. I
19.
46
to
Sept. 19
19. 46
I last saw h.
imalive on.
Sept.
19 19 ...... 4. death is said
to have occurred on the date stated above, at.
5 .... P ........ m.
Duration
Immediate cause of death.
Myocarditis
2 months plus
Due to
Bronchial Asthma
5 Years
Arterio-Sclerosis
5
Due to
Other conditions
(Include pregnancy within 3 months of death)
Major findings :
Of operations
Of autopsy
What test confirmed diagnosis ?.
20 Was disease or Injury in any way related to occupation of deceased ?
NO
If so, specify
E.E. Cleaves
M. D.
(Address)
21 PLACE OF BURIAL.
Beech Grove
Rockport
CREMATION OR REMOVAL
Sept Cemetery /26,
(City or Town) 46 .19.
DATE OF BURIAL
22 NAME OP
FUNERAL DIRECTOR
Elmer F. Burgess Inc.
ADDRESS
Rockport. .... Ma.ss.
Received and filed. 19
OCT 1 0 1946
(Registrar of City or Town where deceased resided)
50m-10-'39. No. 8427-f
PARENTS
No
Thomas Cusiter
(If U. S.
War Veteran,
specify WAR)
(a) Residence. No ..
(Usual place of abode)
Length of stay: In hospital or institution
(Specify whether)
years
months
days.
In this community
yrs.
PHYSICIAN Underline the cause to which death should be charged sta- tistically.
(Signed)
Rockport , Mass.
Dato
9/24.19 46
Date of.
That I attended deceased from
65
MEDICAL CERTIFICATE OF DEATH
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 burial permit with Board of Health or its Agent. Registared No. 175
St. § (If death occurred in a hospital or institution, { give its NAME instead of street and number) )
PHYSICIAN - IMPORTANT ( Was deceased a U. S. War Veteran, if so specify WAR) .
(If nonresident, give city or town and State)
20
mos.
days.
PERSONAL AND STATISTICAL PARTICULARS
3 SEX
Female
4 COLOR OR RACE
White
5 SINGLE (write the word)
MARRIED
WIDOWED-
W1GOWORGED
5a If married, widowed or divorced HUSBAND of ..
home of wife in full)
(or) WIFE ofAndrew B. Williams
Iluwand s name in full;
6 Age of husband or wife if alive years
7 IF STILLBORN, enter that fact here.
8 ÅGEBO Years Months Days
If less than 1 day
. Hours
Minutes
Usual
9 Occupation: Housewife
Industry
10 or Business :.
Own Home
11 Social Security No.
12 BIRTHPLACE (City)
(State or Country)
East Boston
Mass
13 NAME OF
FATHER
Cornelius Murphy
14 BIRTHPLACE OF
FATHER (City).
(State or Country)
Ireland
15 MAIDEN NAME OF MOTHER Cannot be learned
16 BIRTHPLACE OF
MOTHER (City).
(State or Country)
Ireland
17 Informant Alice Williams Daughtery ) (Address) 356 Pleasant St
I HEREBY CERTIFY that a satisfactory standard certificate of death was filed with me BEFORE the burial of transit permit was issued: Walter tabelle (Signature of Agent of Board of Health of other)
Officer 9/25/46
De alta (Official Designation) (Date of Issue of Permit)
19 I HEREBY CERTIFY,
That I attended deceased from
,1996
Sep1 23. 19 6
I last saw h
alive on
have occurred on the date stated above, at m.
Immediate cause of death static
Duration IMPORTANT
Due to Feux.A
Due to
Other conditions
(Include pregnancy within 3 months of death)
IMPORTANT
Major findings: Of operations
Date of
Of autopsy
What test confirmed diagnosis?
20 Was disease or injury in any way related to occupation of deceased?
If so, specify Comeshoney (Signed)
. M. D.
(Address)
1 Ware
metvite /2/2 /94€
21 Holy
Cross
Malden
Place of Burial. Cremation or Removal.
(City or Town)
DATE OF BURIAL Sept 26 -1946 19
22 NAME OF
FUNERAL DIRECTOR
John ti limaley
ADDRESS
Winthrop
Received and Filed
CCT ៛ 1945
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
1
2 FULL NAME
Margaret A. Murphy
Williams
(If deceased is a married, widowed or divorced woman, give also maiden name.)
(a) Residence. No. 356 Pleasant st St.
(Usual place of abode)
Length of stay: In hospital or institution
(Before death)
(Specify whether)
years
7
months
days.
In this community
ýrs.
MEDICAL CERTIFICATE OF DEATH
18 DATE OF DEATH Scht ( Month)
23
1946 ( Ycary
(Day)
2 . 19 Heath is said to
P
Physician Underline the cause to which death should be charged sta- tistically.
301 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 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 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 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 10 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 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 section ten ui chapier toity-six, tuat 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 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 its agent appointed to issue such permits, or if there is no such board, from the clerk of the town where the body is to be buried or the funeral is to be held, or from a person appointed to have the care of the cemetery or burial ground in which the interment is made. . .. Chap. 114, Sec. 46, G. L., (Tercentenary Edition).
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