Town of Winthrop : Record of Deaths 1946, Part 73

Author: Winthrop (Mass.)
Publication date: 1946
Publisher:
Number of Pages: 526


USA > Massachusetts > Suffolk County > Winthrop > Town of Winthrop : Record of Deaths 1946 > Part 73


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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 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, he deemed to have taken place between 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 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 hoard, 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, hy 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 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 body has been sooner obtained hereunder. If the death certificate contains a recital, as required


by section ten ut chapter ionly -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 hodies of only such persons as are supposed to have died hy violence. If a medical examiner has notice that there is within his county the body of such a person, he shall forthwith go to the place where the hody lies and take charge of the same; .. . - General Laws, Chap. 38, Sec. 6.


No undertaker or other person shall hury a human body or the ashes thereof which have been brought into the commonwealth until he has re- ceived a permit so to do from the board of health or its agent appointed to issue such permits, or if there is no such board, from the clerk of the town where the body is to be buried or the funeral is to he held, or from a person appointed to have the care of the cemetery or burial ground in which the interment is made. . .. Chap. 114, Sec. 46, G. L., (Tercentenary Edition).


RULES OF PRACTICE


The fulfillment of the purpose of these laws calls for the observance of the following rules of practice :


(1) Attending physicians will certify to such deaths only as those of persons to whom they have given hedside care during a last illness from disease unrelated to any form of injury.


(2) Board of Health physicians will certify to such deaths only as those of persons who, though disabled hy recognized disease unrelated to any form of injury, have died without recent medical attendance or whose phy- sician is absent from home wben the certificate of death is needed.


(3) Medical Examiners will investigate and certify to all deaths sup- posably due to injury. These include not only deathis 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 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 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 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 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


+ 1 PLACE OF DEATH


Suffolk (County)


Winthrop (City or Town)


No. 105 Putnam St.


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. 202


St. J (If death occurred in a hospital or institution, ! 1 give its NAME instead of street and number) )


2 FULL NAME


Francis J. Downs (If deceased is a married, widowed or divorced woman, give also maiden name.)


(a) Residence. No. 105 Putnam St. (Usual place of abode)


St.


(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


yrs.


2


mos. 18


PERSONAL AND STATISTICAL PARTICULARS


3 SEX Male


4 COLOR OR RACE


White


5 SINGLE


(write the word)


Single


18 DATE OF


DEATH


October (Month) (Day)


19


1946


(Ycar)


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


2


Months


17


Days


If less than 1 day


Hours


Minutes


Usual


9 Occupation:


Industry


10 or Business:


11 Social Security No ..


Boston


12 BIRTHPLACE (City).


(State or Country)


Massachusetts


13 NAME OF


FATHER


Francis J. Downs


14 BIRTHPLACE OF


FATHER (City)


Boston


(State or Country)


Massachusetts


15 MAIDEN NAME


OF MOTHER


Agnes LaFreniere


16 BIRTHPLACE OF


MOTHER (City)


(State or Country)


Cambridge


Massachusetts


17 Francis J. Downs


Informant (Address? 105 Putnam St., Winthrop


I HEREBY CERTIFY that a satisfactory standard certificate of death was filed with me BEFORE the burial or transit permit was issued:


walter Gisake (Signature of gent of Board of Health or other)


HB


an Oct . 21/46 -


(Date of Issue of Permit)


19 I HEREBY CERTIFY,


That I attended deceased from


, 19


, to


, 19


1 last saw h


alive on


, 19 ,


, death is said to


m.


Duration


IMPORTANT


Due to


Due to


Other conditions (Include pregnancy within 3 months of death.) caf Examiner waived Jurisdiction


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


(Signed)


, M. D.


(Address)


Date 10/20


19 Pc


Winthrop


Place of Burial, Cremation


Removal.


(City or Town)


DATE OF BURIAL October 21. 1946.


22 NAME OF


FUNERAL DIRECTOR


K


ADDRESS


f.


Winthrop Mass ..


Received and Filed


OCT 221949


19


(Registrar)


Dee instructions and extracts IToff the laws off 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.


100m-9-44-14955


(Official Designation)


PHYSICIAN - IMPORTANT ( Was deceased a U. S. War Veteran, if so specify WAR)


17 days.


MEDICAL CERTIFICATE OF DEATH


MARRIED


WIDOWED


or DIVORCED


have occurred. on the date stated above, at ,halate. Immediate cause of death


9.45 a A


IMPORTANT


Physician Underline the cause to which death should be charged sta- tistically.


21


Vinthr


( Radiothe'r )


PARENTS


-301 A


Registered No.


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 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 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 in 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 relief expedition and the Philippine insurrection, which shall, for said purposes, he 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 hody which has not been 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 hody and remove it from a town, from one cemetery to another, or from one grave or tomb other than the receiving tomh 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 hoard, 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 he 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 hoard 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 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 been sooner obtained hereunder. If the death certificate contains a recital, as required


by section ten or chapier ioity. 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 he 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 hy 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 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 body is to be huried 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 disahled 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 he known. Make some entry in this section for every person aged 10 years or over. If the occupation had been given up or changed on account of the disease causing death, report the usual occupation prior to illness. If the deceased had retired from business, report the usual occupation prior to retirement. Children not gainfully employed may 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 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


R-302


Essex


(County)


Danvers


(City or Town)


Danvers


State Hospital


The Commonwealth of Massachusetts OFFICE OF THE SECRETARY DIVISION OF VITAL STATISTICS COPY OF CERTIFICATE OF DEATH


Danvers


(City or town making return)


Registered No.


203.


(If death occurred in a hospital or institution,


St.


give ite NAME instead of street and number)


2 FULL NAME


Emma Reese


(If deceased ie a married, widowed or divorced woman, give also maiden name.)


(a) Residence. No.


28 Jefferson


(Usual place of abode)



(If nonresident, give city or town and State)


Length of stay: In hospital or Institution.


(Before death)


(Specify whether)


7


years


months


8


days.


In this community


yTs.


mo8.


days.


PERSONAL AND STATISTICAL PARTICULARS


MEDICAL CERTIFICATE OF DEATH


3 SEX


Female


4 COLOR OR RACE|


white


5 SINGLE


(write the word)


MARRIED


WIDOWED


or DIVORCED


Widowed


5a If married, widowed, or divoroed


HUSBAND of


(Give maiden name of wife intull se


(or) WIFE of


(Husband's name in full)


6 Age of husband or wife If alive years


7 IF STILLBORN, enter that faot here.


8


AGE


Years


Months.


Days


If less than 1 day


Hours


.Minutes


Usuai


9 Ocoupation :


Unable to work


Industry 10 or Business :


11 Social Security No. none


12 BIRTHPLACE (City)


(State or country)


Last Boston


13 NAME OF


FATHER


Edward Roulette


PARENTS


14 BIRTHPLACE OF


FATHER (City)


(State or country)


Unknown


15 MAIDEN NAME


OF MOTHER


Unknown


16 BIRTHPLACE OF


MOTHER (City)


(State or country)


Unknown


17 M.K.McPhillips


Relation, if any


Informant.


(Addrese)


DSH


A TRUE COPY.


ATTEST :


(Registrar of city or town where death occurred) October 30, 46


.19


18 DATE OF


DEATH


October 20, 1946


(Month)


(Day)


(Year)


March 12


CERT


46 FY,


to


19


4fcom


I last saw h.


er


allve on


October 20, 19 40 death Is said to


have ocourred on the date stated above, af


7:45 a


.m.


Duration


Immediate oause of death


Arteriocselerotic heart disease


Due to.


Due to.


Other conditions


(Include pregnancy within 3 months of death)


Physician


Major findings :


Of operations


Date of


Underline the cause to which death should be charged sta. tistically.


Of autopsy


What test confirmed diagnosis? Clinical


20 Was disease or injury in any way related to oooupation of deceased ?


If so, speolfy.


(Signed) Peter B. Hagopian


(Address) .... ).SHI


Date:


10/25% 40


21 PLACE OF BURIAL,


CREMATION OR REMOVAL


Winthrop,


Winthrop


(Cemetery)


(City or Town)


19


22 NAME OF


FUNERAL DIRECTORHoward D. Reynolds


ADDRESS


Minthnop.


Received and filed NOV 9 1946


(Registrar of City or Town where deceased resided)


19


DATE FILED


of the city or town in which the deceased resided. (See Chap. 46, Sec. 12, G. L.)


50m-(b) .6-44-14607


1


PLACE OF DEATH


No.


(If U. S.


War Veteran,


specify WAR)


Winthrop


19


80


2 yrs


M. D.


DATE OF BURIAL


October


23


1 A Suffolk &County) Minituos 11/12/4


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. 201


(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, give also maiden name.)


(a) Residenca. No.


309 Saratoga


(Usual place of abode)


Hospital


years


Length of stay : In hospital or Institution ....


(Before death)


( Spect, whether )


months


6


days.


In this community


HOSTs.


mos.


dayı.


PERSONAL AND STATISTICAL PARTICULARS


MEDICAL CERTIFICATE OF DEATH


3 SEX


4 COLOR OR RACE


Female Mute


5 SINGLE


( write the word)


1


MARRIED


WIDOWED


or DIVORCEO Creed


Sa If married, widowed, or divorced HUSBAND of .....


(or) WIFE of


"Husband's name in full)


6 Age of husband or wife if aliva


68


yaars


7 IF STILLBORN, enter that fact here.


8 AGE 78 Years Months Days


If less than 1 day Hours Minutas


Usuel 9 Occupation :


Housework


Industry


10 or Business :


11 Social Security No.


12 BIRTHPLACE (City)


(Siate or country)


eltuty


13 NAME OF


FATHER


OF Dominio Di Presco


14 BIRTHPLACE OF


FATHER (City)


( State or country)


eltuly


15 MAIDEN NAME


OF MOTHER


Elizabeth not Khoms)


16 BIRTHPLACE OF


MOTHER (City)


(State or country)


17 Buseppi Telefony Renton, Leany & Informant (Address) 304/Kwatch LLE Balen


I HEREBY CERTIFY that a satisfactory standard certificate of death was


yle! or type't permi/ was Issued : Haller & Bakes


Genre of horus Heard of Healthor other)


10/23/46


(Date of Issue of Permit)


18 DATE OF


DEATH


Oct


22


1946 (Year)


19 | HEREBY CERTIFY,


That I attended deosased from


Oct 16, 1946


to ..


Oct 22


19 ..


46


1 last saw h .... V. allva on


Oct 21, 19 × 6 death Is said to


have occurred on tha date statad abova, at ..


12:30 Am.


Immediate causa of death


Cerebral hemorrhage


Due to -.


Diabetes mellitus


acidoin (non diabetic)


Other conditions.


Chimica Culturetis


( Include pregnancy within 3 months of death)


Major findings : Of operations


Data of


Of autopsy.


What test confirmed dlegnosis?


no


20 Was disease or injury in any way related to occupation of deceased ? If so, specify


( Signed)


DD Portato


. M. D. Hoy? Central Se Evento 10/21946


21


Place of Burial, Cremation or Removal,


(City gr Town)


2,4


DATE OF BURIAL


1946


22 NAME OF


FUNERAL DIRECTOR


FOR Texdenick + magrath


ADDRESS


Received and filled.


OCT 21 1946


.19


( Registrae)


10 years 100g 5 dias


IMPORTANT


Physician Underline the cause to which death should be charged sta. tistically.


PARENTS


100m(i).1.44-13634


PLACE OF DEATH


No.


Tip of Town> Winthrop Community Hop Emanuela Telesforo


St.


PHYSICIAN - IMPORTANT


(Was deceased a


U. S. War Veteran, me


if so specify WAR)


8. Brown, mans.


St.


(If nonresident, give city or town and State)


( Month)


(Day)


Duration


IMPORTANT


(Official Designation)


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, 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 wbicb it has been 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 bundred and sixteen and nine- teen hundred and seventeen. G. L. Chap. 46, Sec. 10.




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