USA > Massachusetts > Suffolk County > Winthrop > Town of Winthrop : Record of Deaths 1946 > Part 78
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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 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 Edi- tion).
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.
... He shall in all cases certify to the town clerk or registrar 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 Lawa, Chap. 38, Sec. 7.
... The medical examiner certifies the cause and manner of death to the best of his knowledge and belief.
RULES OF PRACTICE
The fulfillment of the purpose of these laws calls for the observance of the following rules of practice :
(1) Attending physicians will certify to such deaths only 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 physiclans 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 whoae phyai- 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 aepticemia), 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 oocupation, the sudden deaths of persons not disabled by recognized disease, and those of persons found dead.
STATEMENT OF CAUSE OF DEATH
Medical Examiners in certifying to a death will atate the cause and manner thereof, and will specify: (1) Under cause, the nature of an injury and of ita consequences; and (2) under manner, the mode of its production 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, suicidal." "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 occupation, apecify. If investigation shows the death to have been due to disease, specify : (1) Under cause Ita known or presumable nature; and (2) under manner, indicate the circum- stances leading to medico-legal inquiry. For example : "Hemorrhage spon- taneous of the brain (basal ganglia) (found dead in bed)." "Heart disease, presumably coronary sclerosis. (Sudden death.)"
DESCRIPTION forxmknown person ) ... SERVICE .. RECORD ..
Date ... of ... entering .. military ... service ..... July .. 16. 18.98. Date ... of ... discharge ..... April .. 20 .... 189.9.
Rank .... Rating Private.
Organization ... and ... outfit ...... Battery .. M .. 2nd ... Reg ... of ... Arlington .. U ... S ... Army
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
R-302
Suffolk
The Commonwealth of Massachusetts OFFICE OF THE SECRETARY DIVISION OF VITAL STATISTICS COPY OF
Boston
(City or town making return)
(County)
Boston
CERTIFICATE OF DEATH
Registered No.
9840 g .....
U.S.Veteran's Adm.Hospt. V.F.W.Parkway WesttremblerMed in a hospital or institution,
give ita NAME instead of street and number)
2 FULL NAME
Thomas J Borges
(If deceased is a married, widowed or divorced woman, give also maiden name.)
(a) Residence. No.
600 Shirley
St.
(If nonresident, give city or town and State)
Length of stay: In hospital or Institution.
(Before death)
(Specify whether)
years
1
months 28
da y 8.
In this community
yrs.
mos.
days.
PERSONAL AND STATISTICAL PARTICULARS
MEDICAL CERTIFICATE OF DEATH
3 SEX
M
4 COLOR OR RACE|
W
5 SINGLE
(write the word)
Single
MARRIED
WIDOWED
or DIVORCED
5a If married, widowed, or divoroed
HUSBAND of
(Give maiden name of wife in full)
(or) WIFE of
(Husband's name in full)
6 Age of husband or wifs If allve
years
7 IF STILLBORN, enter that faot here.
8 AGE 58 Years
Months.
1
Days
If less than 1 day Hours. Minutes
Usual
9 Ocoupatlon :
Army ... of .... U.S.
Industry
10 or Business :
11 Soolal Seourity No ..
None
12 BIRTHPLACE (City)
(State or country)
Boston Mass.
13 NAME OF
FATHER
John Borges
14 BIRTHPLACE OF
FATHER (City)
(State or country)
Portugal
15 MAIDEN NAME
OF MOTHER
Phoebe Garcia
16 BIRTHPLACE OF
MOTHER (City)
(State or country)
Portugal
17
Informant
(Address)
Mrs D ClEvig, if Friend
DATE OF BURIAL
22 NAME OF
FUNERAL DIRECTOR
L Langelier
ADDRESS
Whitman Mas.s.
Received and filed NOV 19 1946
19
DATE FILED
( Registrar of city or town where death occurred) Nov/14/46 19
18 DATE OF
DEATH
(Month)
Nov. 11/46
(Day)
(Year)
19 | HEREBY CERTIFY,
Sept/14
19.
46
That I attended deppased from
Nov/11/469
[ last saw h
.. allve on
have ooourred on the date stated above, at
12:05PM
m.
Duration
Immedlate cause of death
Uremia
Due Nephrosis
Due to
Other conditions.
Multiple Myeloma
Physician
(Include pregnancy within 3 months of death)
Broncho Pneumonia
Major findings :
Of operations
None
Date of.
should be
charged sta- tistically.
What test confirmed diagnosis?
20 Was disease or injury in any way related to oooupation of dscpased?
If so, speolfy
(Signed)
J. J Poutas
M. D
(Address)
Vet .Adm West Rox.
...
Date
11-11 -- 46
21 PLACE OF BURIAL,
CREMATION OR REMOVE James Cem-Whitman Mass.
(Cemetery
Nov/14/46
(City or Town)
19
A TRUE COPY.
ATTEST: LOKalt,
of the city of town in which the deceased resided. (See Chap. so, Sec. 12, G. L.) PARENTS
50m-(b) -6.44-14607
PLACE OF DEATH
1
(City or Town)
No.
(If U. S.
War Veteran,
1st
spoolfy WAR)
Winthrop Mass.
(Usual place of abode)
im
to
Nov/11/46
19
death Is sald to
Underline the cause to which death
Of autopsy.
Nephrosis broncho pneumonia
multiple myeloma
(Registrar of City or Town where deceased resided)
Entered Service Dec. 15,1917 Discharged April 24,1919 Private First Class Quartermaster Corp
Service No. 1735962
-301 A
1
PLACE OF DEATH
Suffolk (County) Winthrop
(City or Town) .47 Crystal Cove Ave.
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. 218
Registared No.
{ {If death occurred in a hospital or institution,
St.
\ give its NAME instead of street and numher)
2 FULL NAME
( If deceased is a married, widowed or divorced woman, give siso maiden name.)
(a) Residence. No.
47 Crystal Cove Ave.
St.
(Usual place of abode)
(If nonresident, give city or town and State)
Length of stay: In hospital or institution
( Before death)
( Specify whether)
MEDICAL CERTIFICATE OF DEATH
3 SEX
Male
4 COLOR OR RACE
White
5 SINGLE
( write the word)
MARRIED
WIDOWED
Or DIVORCED Widow a
5a If marrlad, widowed, or divoroed Margaret Lehnert
HUSBAND of
(Give maiden name of wife In full)
(or) WIFE of
( Husband's name in full)
have occurred on the date stated above, a
8:45Am.
6 Age of husband or wife if alive years
7 IF STILLBORN, enter that fact here.
76
8
AGE
Years
Months
Days
If less than 1 day
Hours
Minutes
Usual
9 Occupation :
Balesman
Industry
Piano
11 Social Security No.
None
12 BIRTHPLACE ( City)
( Siste or country)
Cambridge Mass.
13 NAME OF
FATHER
Patrick G Leonard
14 BIRTHPLACE OF
Boston
FATHER (City)
(State or country)
Mass.
15 MAIDEN NAME
OF MOTHER
Elizabeth Farrar
16 BIRTHPLACE OF
MOTHER (City)
Boston
(State or country)
Mass.
17 George S Murray
informant
Couse Relation, if any
(Address) 25 Sharon St Boston Mass.
I HEREBY CERTIFY that a satisfactory standard oartifloate of death was flied With me BEFORE theburial or/transit permit was issued : Walter . fratele
(Birnature of Agent of Board of Health or other) The alta Officer 11/13/46
(Official Designation) Date of Issue of Permit)
18 DATE OF
DEATH
(Month)
11
1946
(Day)
(Year)
19 | HEREBY CERTIFY, That I attended deosased from
January 27
1946.
to
November 11 1946
I last sawh un
alive on
November 19946 death is said to
Duration
Immediate cause of death ...
Cerebral Itemontage
Dua to
arterios clerosis
2 years
Due to
Uremia
4 days
Other conditiona
none
( Include pregnancy within 3 months of death)
IMPORTANT
Major Andings:
Df operations
none
Date of
Df autopsy
20
e
What test confirmed diagnosis?
clinical + lab
20 Was disease or injury in any way related to occupation of decay?
If so, spoolfy ...
(Sign
d) Jacoby alamo M.00
M. D.
(Add(Des) 562 Alely St
Dato.
11/11/40
21 Winthrop Weet whoop, Nous Winthrop
Place of Burial, Cremation or Removal.
(City or Town)
DATE OF BURIAL
Nov 14
2016
22 NAME DF
FUNERAL DIRECTOR
ADDRESS Mint
......
Howard S. Prymulds
Received and fled
NOV 141946
19
(Registrar)
100m-(g)-1-45-15510
extracts from the laws on back of certificate. If deceased was a U. S. War Veteran, Q. L. Chap. 46. Section 10. requires physicians to insert a recital to that effeot. PARENTS
No.
Charles F Leonard
PHYSICIAN - IMPORTANT
(Was deceased a
U. S. War Veteran,
if so specify WAR)
mon.
days.
PERSONAL AND STATISTICAL PARTICULARS
years
months
days.
In this community
16rs.
Physician Underline the cause to which death should be charged st ... tistically.
10 or Business :
EXTRACTS FROM THE LAWS OF THE COMMONWEALTH OF MASSACHUSETTS GOVERNING THE RETURN OF CERTIFICATES OF DEATH
A physician or registered bospital medical officer sball forthwitb, after tbe death of a person whom he has attended during his last illness, at the request of an undertaker or otber 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 helief the name of the deceased, bis supposed age, the disease of which he died, defined as re- quired by section one, wbere same was contracted, the duration of bis last illness, wben last seen alive hy 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 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 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, 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 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 hody in a town, or remove therefrom a human hody which has not heen 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 hoard, from the clerk of the town where the person died; and 110 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 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 sball have been delivered to such hoard, 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 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 he 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 buman body, not previously interred, from one town to another within tbe 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 sucb removal; provided, that such hody shall be returned to the town from which it was removed within thirty-six bours after sucb 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 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 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 sucb 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 sball bury a human hody 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 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 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., beart failure, asphyxia, asthenia, etc. As principal cause name tbe 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 bealthfulness 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 hy the appropriate terms, as housekeeper- private family, cook-hotel, etc. For a person who bad no occupation whatever write none.
SPACE FOR ADDITIONAL INFORMATION
DATE OF ENTERING MILITARY SERVICE
DATE OF DISCHARGE
RANK, RATING
ORGANIZATION AND OUTFIT
SERVICE NUMBER
7
1 A
PLACE OF DEATH
Suffolk (County)
Winthrop
fit of Town) Somerset Ave.
The Commonwealth of Massachusetts OFFICE OF THE SECRETARY DIVISION OF VITAL STATISTICS
STANDARD CERTIFICATE OF DEATH
Registared No.
st & (If death occurred in a hospital or institution, give its NAME instead of street and numher)
Louis Kramer
2 FULL NAME
(If deceased is a married, widowed or divorced woman, give also maiden name.)
(a) Residence. No.
164 Somerset Ave.
(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
16 yrs.
mos.
days.
PERSONAL AND STATISTICAL PARTICULARS
3 SEX
Male
4 COLOR OR RACE
White
5 SINGLE
( write the word)
MARRIED
WIDOWED
DIVORCED Married
5a If married, widowed, or divorofdrieda Teigchmeier HUSBAND of
(or) WIFE of
( Husband's name In full)
6 Age of husbend or wife if alive years
7 IF STILLBORN, enter that fact here.
AG83 Years 4 Months 3 .Days
If lass than 1 day
Hours
Minutas
Usual
9 Occupation :
Backer
(Retired)
Industry
Backery
11 Social Security No. None
12 BIRTHPLACE (City)
(Siate or country)
Germany
13 NAME OF
FATHER
Michael Kramer
14 BIRTHPLACE OF
FATHER (City)
(State or country)
Germany
15 MAIDEN NAME
OF MOTHER
Elizabeth Lepp
16 BIRTHPLACE OF
MOTHER (City)
(State or country)
Germany
17 Frieda Kramer Wife Informant (Address) 104 Somerset Ave, Winthrop
Relation, If any
I HEREBY CERTIFY that a satisfactory standard certifiosta of death was filed with me BEFORE the burial or transit permit was Issued: Nalite f. Chapelle
(Signature of Agent of Board of Health or other)
......... 11/13/46
( Date of Tome of Permit)
MEDICAL CERTIFICATE OF DEATH
18 DATE OF
DEATH
(Month)
(Day)
(Year)
19 1 HEREBY CERTIFY,
That I attended deosased from
19.
46.
to
nr.12
19
blast saw h
Kailve on
19 ..... death Is said to
have occurred on the date stated above, at
5 A
m.
Immediate cause of death ..
Due to
artero veleiros
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.
O Was disaase or injury in any way related to occupation of deceased ?
so, specify.
( Signed)
(Address)
selveve
Lawerence.
Place of Burial, Cremation or Removal.
(City or Town)
DATE OF BURIAL ..
Nov. 15
194.6.
22 NAME OF
FUNERAL DIRECTOR Coward S Quimolte
ADDRESS
Health Effects
(Official Designation)
Received and flad. NOV 14 1946
.19
( Registrar)
1946
1 ...
Duration
IMPORTANT
10 or Business :
(Give maiden name of wife In full)
66
Ir deseasdo was s y. 9. war veteran, d. L. chep. v. Svetion 40, requires physicians to insert a recitai to that affect. PARENTS
100m(i).1.44-13634
1
No.
To be filed for burial permit with Board of Health or its Agent 21.9.
PHYSICIAN - IMPORTANT
(Was deceased a
U. S. War Veteran,
if so specify WAR)
12
Date.
11-05-1946
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 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 relicf 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 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 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
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