USA > Massachusetts > Suffolk County > Winthrop > Town of Winthrop : Record of Deaths 1946 > Part 79
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by section ten of chapter forty-six, that the deceased served in the army, navy or marine corps of the United States in any war in which it has been engaged, such 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).
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 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
R-302
S SUFFOLK
G
(County ) .
1
(City or Town)
The Commonwealth of Massachusetts OFFICE OF THE SECRETARY DIVISION OF VITAL STATISTICS COPY OF CERTIFICATE OF DEATH
Registered No.
9743220
(If death occurred in a hospital or institution, St. give its NAME instead of street and number)
2 FULL NAME. --- PREECE
(If deceased is a married, widowed or divorced woman, give also maiden name.)
(a) Residence. No.
(Usual place of abode)
60 CLIFF AVE
St.
WINTHROP
(If nonresident, give city or town and State)
Length of stay: In hospital or Institution.
(Before death)
(Specify whether)
years
months
1
da y 8.
In this community
yT8.
mos.
days.
PERSONAL AND STATISTICAL PARTICULARS
MEDICAL CERTIFICATE OF DEATH
3 SEX
MALE
4 COLOR OR RACE
WHITE
5 SINGLE
(write the word)
SINGLE
MARRIED
WIDOWED
or DIVORCED
(Month)
(Day)
(Year)
19 - 17/15/46 CERTIFY . 1/12/45 to ..
19
19
I last saw h .... O.M
.allve on.
Nov 14/46
19
death Is sald to
have ooourred on the date stated above, at.
.. 6,52₽
m.
Duration
Immedlate cause of death
CA.RD.L.O .... RESP .. I.R.A.I.O.R.Y .... F.A.J.L.UR .. E
8 AGE Years
Months I Days
If less than 1 day
... 40. Hours
Minutes
Usual
9 Ocoupation :
Industry 10 or Business :
11 Social Security No.
12 BIRTHPLACE (City)
(State or country)
BOSTON MASS.
13 NAME OF
FATHER
NORMAN G PREECE
14 BIRTHPLACE OF
FATHER (City)
(State or country)
WORCESTER MASS.
15 MAIDEN NAME
OF MOTHER
MILORED PULLAN
16 BIRTHPLACE OF
MOTHER (City)
(State or country)
WORCESTER
17 Informant .. (Address)
F.A.THER
Relation, if any
TRUE COPY. Lecture
ATTEST : - Nov. 19/46
(Registrar of city or town where death occurred)
DATE FILED
19
Other conditions.
(Include pregnancy within 3 months of death)
Physician
Major findings:
Of operations
Date of
should be
charged sta-
Of autopsy
INTRACRANIAL .... HEMORRHAGE
tistically.
What test confirmed diagnosis?
AND PREMATURITY
20 Was disease or injury in any way related to oooupation of deceased ?
If so, speolfy.
MJ FOLEY
(Signed)
M. D.
(Address)
BOSTON
Date. 11/14/46
21 PLACE OF BURIAL,
CREMATION OR REMOVAL
HOPE WORCESTER
(City or Town)
DATE OF BURIAL
19
22 NAME OF
FUNERAL DIRECTOR
WORCESTER
AF JOHNSON
ADDRESS
Received and filed. DEC 7 1945 19
(Registrar of City or Town where deceased resided)
50m. (b) .6.44-14607
of the city of town in which the deceased resided. (See Onsp. so, Sec. 12, G. L.) PARENTS
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 allve
years
7 IF STILLBORN, enter that fact here.
18 DATE OF
DEATH
Nov 4/46
attended deosased from
Due to
I.N.T.R.A.C.RAN.I.A.L .... HEMORRHA.G.E.
Due to.
PREMATURITY
Underline the cause to which death
PLACE OF DEATH
No.
THE BOSTONFLOATING ... HOSP.
Ing return)
(If U. S.
War Veteran,
speolfy WAR)
"330
303-A
1
PLACE OF DEATH
Suffolk CO (County)
Winthrop (City or Town) 42 Birds IT No. -
The Commonmoralth of Massachusetts OFFICE OF THE SECRETARY DIVISION OF VITAL STATISTICS MEDICAL EXAMINER'S CERTIFICATE OF DEATH
To be filed for burial permit with Board of Health or Its Agent.
Registered No.
221
St. [ ( If death occurred in a hospital or institution, ( give its NAME instead of street and number)
felline Bronstein twee Istreicher)
(If deceased is a married, widowed or divorced woman, give also maiden name.)
(a) Residence.
No.
42 Bandi At
(Usual place of abode)
Benen
Length of stay: In hospital or Institution
( Before death)
( Specify whether)
years
months
days.
In this community 9
yra.
mos.
days.
PERSONAL AND STATISTICAL PARTICULARS
3 SEX
Female
4 COLOR OR RACE!
White
5 SINGLE
MARRIED
WIDOWED
or DIVORCED
(write the word)
married
5a If married, widowed, or divorced HUSBAND of
(or) WIFE of
(Husband'a name in full)
6 Age of husband or wife If allve 43 years
7 IF STILLBORN, enter that fact here.
AGE.
8 4/ Years Months Days
If less than 1 day Hours ......... Minutes
Usual
9 Occupation:
10 cr Business :
Industry
own home
11 Social Security No.
none
12 BIRTHPLACE (City)
(State or country)
Mulden, Dass
13 NAME OF
FATHER
F Jacob Istreicher
14 BIRTHPLACE OF
FATHER (City)
jumary
(State or country)
15 MAIDEN NAME
OF MOTHER
dora Voubar
16 BIRTHPLACE OF
MOTHER (City)
(State or country)
Russia
Relation, if any
DATE OF BURIAL
november 17
19/6
17 Informant Dumerel Bronsteen (Address) 42 Beach Rd, Winetros
I HEREBY CERTIFY that a satisfactory standard certificate of death was filed with po BEFORE the burjat or transit permit was issued : Walter & Jaker
Realessignature of Agent of Board of Health, or other) 11/16/46
( Official Designation) (Date of Issue of Permit)
18 DATE OF
DEATH
(Month)
(Day)
(Year)
19 | HEREBY CERTIFY that I have Investigated the death of the person above-named and that the CAUSE AND MANNER thereof are as follows: (If an injury was involved, state fully.)
Contra monpede poisson - via
....
20 Accident, sulcide, or homlolde (specify) ...
Data of ocourrenoe.
11/19
19 46
Where did
Injury occur ?
(City or town and State)
Did Injury ooour In or about, home, on farm, In Industrial place, or In publlo
place ?
(Specify. type of place)
Manner of
Injury
Nature of
Asplitia
Injury
While at work ?.
Was there an autopsy ?
21 Was disease or Injury In any way related to occupation of deceased ?.
If so, speolfy.
ani ..
(Signed)
hnmn
M. D.
(Address)
25 Amator Date 11/15-1946
2 iferech serait of Nenhof Everett Place of Burial, Cremation or Removal. / (City or Town)
23 NAME OF
FUNERAL DIRECTOR
ADDRESS/
Stwachen twine, Chelsea
Received and filed. NOV 20 1945
19
registrar)
50m. (f) -6-43 12056
extracts from the laws relative to the return of certificates of death. if deceased was a U. S. War Veteran, G. L. Chap. 46, Seotion 10, requires physiolans to Insert a reoltal to that effeot
PARENTS
2 FULL NAME
PHYSICIAN-IMPORTANT (Was deceased a U. S. War Veteran, If so specify WAR)
St.
(If nonresident, give city or town and State)
MEDICAL CERTIFICATE OF DEATH
15 1946
Amente
EXTRACTS FROM THE LAWS OF THE COMMONWEALTH OF MASSACHUSETTS GOVERNING THE RETURN OF CERTIFICATES OF DEATH
A physician or registered hospital medloal 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 mieniber of the family of the deceased, furnish for registration a standard certificate of death, stating to the best of his knowledge and belief the naine of the deceased, his supposed age, the disease of which he died, defined as required hy section one, where sume was contracted, the duration of his last illness, when last seen alive by the physician or officer and the date of his death ... Gen. Lawa, Chap. 16, Sec. 9.
A physician or officer furnishing a certificate of deathi as required by the preceding section or by section forty-tive of chapter one hundred and four- teen, shall, if the deceased, to the best of his knowledge and belief, served in the aruty, 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 arcondary or immediate callse of death as nearly as he can atate the sante. For neglect to comply with any provision of this section, such physician or officer shall forfeit ten dollars. For the purposes of thia sec- tion and of sections forty-five, forty-six and forty seven of said chapter one hundred and fourteen, the word "war" shall include the China relief ex- pedition and the l'hilippine insurrection, which shall, for said purposes, be deemed to have taken place between February fourteenth, eighteen hundred and ninety-eiglit and July fourth, nineteen hundred and two, and the Mexi- can border service of nineteen hundred and sixteen and nineteen hundred and seventeen. G. L. Chap. 46, Sec. 10.
No undertaker or other person shall bury or otherwise dispose of a human body in a town, or remove therefrom a human body which has not been buried, until he haa received a perinit froin 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 exhumne a human body and remove it from s 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 ita agent aforesaid or from the clerk of the town where the body is buried. No auch permit shsil 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 intermeut, 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 10 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, shsll upon application make the certificate re- quired of the attending physician. If death is caused by violence, the medical examiner shall make such certificate. If such a permit for the removal of a human body, not previously interred, from one town to an- other within the contmonwealth cannot be obtained early enough for the purpose, the certificate of death made as above provided and in the pos- session of the undertaker desiring to make such removal shall constitute a perniit for such removal; provided, that such body shall be returned to the town from which it was removed within thirty-six hours after such re- moval, unless a permit in the usual form for the removal of such body has been sooner obtaincd hereunder. If the death certificate contains a recital, as required by section ten of chapter forty-six, that the deceased served in the army, navy or marine corps of the United States in any war in which
it has heen 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 aud' transmit It to the clerk of the town for regis- tration. The person to whom iffe permit is so given and the physician cer- tifying the cause of death shall thereafter furnish for registration any other necessary information which can be obtained as to the deceased, or as to the manner or cause of the death, which the clerk or regiatrar may re- quire .- Chap. 114, Sec. 15, G. L., (Tercentenary Edition).
No undertaker or other person shall bury a human body or the ashes thereof which have been brought luto the commonwealth until he has re- ceived a permit so to do front 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 huried or the funeral ia to be held, or from a per- son appointed to have the care of the centetery or burial ground in which the interuneut is made. . . . Chap. 114, Sec. 46, G. L., (Terceutenary 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 hia county the body of auch a person, he shall forthwith go to the place where the body lies and take charge of the sante; ... - Getteral Laws, Chap. 3S, 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 aa 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 aud 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 persona to whom they have given bedside care during a last illnesa 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 inedical attendance or wbose physi- cian ia absent fromn horne when the certificate of death ia needed.
(3) Medical Examiners will investigate and certify to all deaths sup- posably due to Injury. These include not ouly deatha caused directly or In- directly by trauinatism (including resulting septicemia), and by the action of chemical (druga 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
Medical Examiners in certifying to a death will state the cause and manner thereof, and will specify : (1) Under cause, the nature of an injury and of its consequences; and (2) under manner, the mode of its production together with the circumstances when these are known. For example: "Com- pound fracture of the fenur with ensuing septicemia (gaa bacillus) caused by a steam railway accident." "Pistol shot wound of the chest with asso- ciated hemorrhage, homicidal." "Asphyxiation by suspension, auicidal." "Syncope while under the influence of ether adininistered as a aurgical anaesthetic." "Fracture of the skull with associated internal injury aus- tained under circumstances unknown."
If disease or injury was related to occupation, specify. If investigation shows the death to have been due to disease, specify : (1) Under cause its known or preaumahle nature; and (2) under manner, indicate the circum- atauces leading to medico-legal inquiry. For example : "Hemorrhage spon- taneous of the brain (hasal ganglia) (found dead in bed)." "Ileart disease, presumably coronary sclerosis. (Sudden death. )"
DESCRIPTION (for unknown person)
NOTICE TO UNDERTAKERS: No embalming fluid, or any substitute therefor, shall be injected into the body of any person supposed to have met his death by violence, until a permit, signed by the Medical Examiner, has first been obtained .- General Laws, Chap. 38, Sec. 14.
THIS CERTIFICATE CONSTITUTES SUCH PERMIT
If deceased was a U. S. War Veteran, G. L. Chap. 46, Section 10, requires physicians to insert a recital to that effeot.
PARENTS
14 BIRTHPLACE OF
FATHER (City)
(State or country)
Freland
15 MAIDEN NAME
OF MOTHER
16 BIRTHPLACE OF
MOTHER (City)
(State or country )
ihreluna
17 marie Show Relation, At my
( Address)
I HEREBY CERTIFY that a satisfactory standard certificate of death was filed with me BEFORE the burial or/transit permit was Issued: Walter is- Maker (Signature of Agent of Board of Health or other) ( Paltto Pphier 11/19/46
(Official Designation) (Date of Issue of Permit)
18 DATE OF
DEATH
(Month)
(Day)
(Year)
19 1 HEREBY CERTIFY that i have investigated the death of the person above-named and that the CAUSE AND MANNER thereof
are as follows : (If an injury was involved, state fully.) Bradme 1
Pulmonary en in ciar
20 Accident, suicide, o homicide (specify).
Date of occurrence
19
1944
injury occur ?
Where did
Cost Boston
(City or town and State)
Did injury ocour in or about homedon farm, in industrial piace, or in pubilo
piace ?
(Specify type of place)
Manner of
Injury
Nature of
du atras
C
injury
While at work? Was there an autopsy?
21 Was disease or injury in any way related to occupation of deceased ?
if so, specify.
(Signed)
AR Mot
, M. D.
(Address)
25 Apriland
Date 11/17 1946
22
....
Place of Burial, Cremation or Removal.
(City or Town)
DATE OF BURIAL
23 NAME OF
FUNERAL DIRECTOR ...
ADDRESS
Received and filed NOV 20 1946
19
(Registrar)
50m (g)-1-41-4667
PLACE OF DEATH
03-A Suffolk (County) Winther 1 (City or Town) Winthis Community Apital No.
The Commontucalth of Massachusetts OFFICE OF THE SECRETARY DIVISION OF VITAL STATISTICS MEDICAL EXAMINER'S CERTIFICATE OF DEATH
To be filed for burial permit with Board of Health or its Agent.
Registered No.
222
Man & Comminghame
2 FULL NAME (If deceased is a married, widowed or divorced woman, give also maiden name.)
(a) Residence.
No.
81 AT Andrina Rx-12B
(Usual place of abode)
Length of stay: In hospital or institution./
(Before death )
(Specify /whether)
PERSONAL AND STATISTICAL PARTICULARS
3 SEX
4 COLOR OR RACE| 5 SINGLE
(write the word)
temal white
MARRIED
WIDOWED .*
Sa If marrled, widowed, or divorced
HUSBAND of
....
.....
(Give maiden name of wife in full)
(or) WIFE of
Francis 2
(Husband's name in full)
6 Age of husband or wife If alive
years
7 IF STILLBORN, enter that fact here.
AGE
8 75 Years - Months ...... .. Days
If less than 1 day Hours .. Minutes
Usual
9 Occupation :
industry 10 or Business:
11 Social Security No.
12 BIRTHPLACE (City)
(State or country)
Bestin Mass
13 NAME OF
FATHER
Lawrence D Ismoney
1-1
MEDICAL CERTIFICATE OF DEATH
17
1946
(If nonresident, give city or town and State)
In this community yrs.
mos.
days.
Hospital
years
months /2 days.
St.
a { ( If death occurred in a hospital or institution, St. { give its NAME instead of street and number) 1 PHYSICIAN - IMPORTANT (Was deceased a U. S. War Veteran, if so specify WAR).
Boston Notified 12/11/46
EXTRACTS FROM THE LAWS OF THE COMMONWEALTH OF MASSACHUSETTS GOVERNING THE RETURN OF CERTIFICATES OF DEATH
A physician or registered hospitai medioal officer shall forthwith, after the death of a person whom he bas 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 aa required 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 ex- pedition and the Philippine insurrection, which shall, for said purposes, be deemed to have taken place between February fourteenth, eighteen hundred and ninety-eight and July fourth, nineteen hundred and two, and the Mexi- can border service of nineteen hundred and sixteen and nineteen hundred and seventeen. G. L. Chap. 46, Sec. 10.
No undertaker or other person shall bury or otherwise dispose of a human body in a town, or remove therefrom a human body which has not been buried, until he has received a permit from the board of health, or its agent appointed to issue such permits, or if there is no such board, from the clerk of the town where the person died; and no undertaker or other person shall exhume a human body and remove it from a town, from one cemetery to another, or from one grave or tomb other than the receiving tomb to another in the same cemetery, until he has received a permit from the board of health or its agent aforesaid or from the clerk of the town where the body is buried. No such permit shall be issued until there shall have been delivered to such board, agent or clerk, as the case may be, a satisfactory written statement containing the facts required by law to be returned and recorded, which shall be accompanied, in case of an original interment, by a satisfactory certificate of the attending physician, if any, as required by law, or in lieu thereof a certificate as hereinafter provided. If there is no attending physician, or if, for sufficient reasons, his certificate cannot be obtained early enough for the purpose, or is insufficient, a physi- cian who is a member of the board of health, or employed by it or by the selectmen for the purpose, shall upon application make the certificate re- quired of the attending physician. If death is caused by violence, the medical examiner shall make such certificate. If such a permit for the removal of a human body, not previously interred, from one town to an- other within the commonwealth cannot be obtained early enough for the purpose, the certificate of death made as above provided and in the pos- session of the undertaker desiring to make such removal shall constitute a permit for such removal; provided, that such body shall be returned to the town from which it was removed within thirty-six hours after such re- moval, unless a permit in the usual form for the removal of such body has becn sooner obtained hereunder. If the death certificate contains a recital, as required by section ten of chapter forty-six, that the deceased served in the army, navy or marine corps of the United States in any war in which
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