USA > Massachusetts > Suffolk County > Winthrop > Town of Winthrop : Record of Deaths 1946 > Part 8
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by section ten or 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 forum 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 causcd 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
RM R-302
PLACE OF DEATH
Hampden (County)
The Commonwealth of Massachusetts OFFICE OF THE SECRETARY DIVISION OF VITAL STATISTICS COPY OF CERTIFICATE OF DEATH
Westfield
(City or town making return)
18.
(If death occurred in a hospital or institution,
st.
give its NAME instead of street and number)
2 FULL NAME
Leroy Coffin
(If deceased is a married, widowed or divorced woman, give also maiden name.)
(a) Residence. No.
30 James Ave.
St.
Winthrop
(Usual place of ahode)
Hospital
Length of stay: In hospital or Institution.
(Before death)
(Specify whether)
years
3
months
day 8.
In this community
yrs.
moe.
days.
PERSONAL AND STATISTICAL PARTICULARS
MEDICAL CERTIFICATE OF DEATH
3 SEX
Male
4 COLOR OR RACE|
White
5 SINGLE
MARRIED
WIDOWED
Set
rite the worded
Married
5& If married, widowed, or divoreed
HUSBAND of
Margaret Forhan
(or) WIFE of
(Husband's name in full)
6 Age of husband or wife If alive 38 years
7 IF STILLBORN, enter that fact here.
8
44
7
Months.
15 Days
If less than 1 day
Hours.
.Minutes
Usuai
9 Ocoupatlon :
Defense .... Worken
10 or Business:
Industry
Cannot be learned
11 Social Security No.
12 BIRTHPLACE (City)
(State or country)
Mass.
13 NAME OF
FATHER
George Coffin
PARENTS
14 BIRTHPLACE OF
FATHER (City)
(State or country)
Canada
15 MAIDEN NAME
OF MOTHER
Minnie Boyd
16 BIRTHPLACE OF
MOTHER (City)
(State or country)
Canada
21 PLACE OF BURIAL,
CREMATION OR REMOVAL ... Winthrop-Winthrop
(Cemetery)
(City or Town)
DATE OF BURIAL
Jan.
28
19
45
22 NAME OF
Howard S.R ynolds
FUNERAL DIRECTOR
ADDRESSL SO
WinthropSt., Winthrop
Received and filed.
FEB 8 1946
19
(Registrar of City or Town where deceased resided)
-
Copies of returns of deaths recorded during the previous month which occurred in your city or town in case the deceased
of the city or town in which the deceased resided. (See Chap. 46, Sec. 12, G. L.)
50m-(b)-6-44.14607
Informant.
RelatoBriteany (Address) Westfield State San.
A TRUE COPY.
ATTEST :
Harold Whitemore
DATE FILED
(Registrar of city or town where death occurred)
Jan.
29
46
19
18 DATE OF
DEATH
Jan.
24,
1946
(Month)
(Day)
(Year)
19 I HEREBY CERTIFY,
Oct. 24
19.
45
That I attended deceased from
to
Jan. 24
19
45
im
I last saw h
alive on.
Jan. 24 , 1946,
death Is sald to
have occurred on the date stated above, at
5:55A
.m.
Duration
Immediate cause of death.
Bilateral advance pulmonary
tbc. ......
6 yrs.
Due to.
Due to
Other conditions
none
(Include pregnancy within 3 months of death)
Major findings :
Of operations.
no
Date of
Underline the cause to which death should be charged sta- tistically.
Of autopsy
no
What test confirmed diagnosis
X-Ray & Sputum
20 Was disease or injury in any way related to oooupation of deceased ?
no
If so, specify.
F.W. Goodhue
(Signed)
Westfield San.
M. D.
(Address)
Date 1-24 19 45
17 Hospital Records
.
resided in another city or town at the time of death should be made forthwith and transmitted on Form R.808 to the clerk
1
Westfield
(City or Town) Westfield State Sanatorium No.
Registered No.
(If U. S.
specify WAR)
(If nonresident, give city of town and State)
'Life
(Give maiden name of wife in full)
Years
Winthrop
Physician
IR-301 A
PLACE OF DEATH
Suffolk (County)
1
Winthrop
No.
(City or Town) 120 Winthrop Street
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. 19
§ (If death occurred in a hospital or institution, St. ( give its NAME instead of street and number)
2 FULL NAME
Simeon Eugene Hatley
( If deceased Is a married, widowed or divorced woman, give also maiden name.)
(a) Residence. No.
120 Winthrop Street
(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
deys.
In this community
1&rs.
mos.
dayı.
PERSONAL AND STATISTICAL PARTICULARS
3 SEX Male
4 COLOR OR RACEI
White
5 SINGLE
( write the word)
MARRIED
WIDOWED
or DIVORCED Married
5a If married, widowed, or divoroed HUSBAND of
Euphemia Hodgson
(Give maiden name of wife In full)
(or) WIFE of
( Husband's name in full)
59
6 Age of husband or wife if elive years
7 IF STILLBORN, enter that fect here.
8 83 AGE Years 5 Montha 14 Days Days
f less than 1 day Hours Minutes
Usual
9 Occupation:
Soldier
(Retired)
Industry
U S Army
11 Social Security No.
None
Concord
12 BIRTHPLACE (City)
( Siate or country)
North Carolina
13 NAME OF
FATHER
Simeon Hatley
14 BIRTHPLACE OF
FATHER (Clty)
(State or country)
N Carolinar
15 MAIDEN NAME
OF MOTHER
Susan Noah
16 BIRTHPLACE OF
MOTHER (City)
(State or country)
N Carolina^
Relation, If any
17
Informent
( Address)
120
Euphemia, Hatley winthrop
I HEREBY CERTIFY that a satisfactory standard certificate of deeth was filed with me BEFORE the burial or transit permit was Issued : William D. Childress
(Signature of Agent of Board of Health or other) agent Jan, 28/46
.... (Official Designation) ( Date of Issue of Permit)
MEDICAL CERTIFICATE OF DEATH
18 DATE OF
DEATH
24
1946
(Month)
(Day)
(Year)
19 WHEREBY CERTIFY, Am 23 19 ... 46
Thet I attended deosased from Am 24 46
I fast saw h
alive on ..
fm/23
, 1946 deat
19 Is said to have occurred on the date stated above, at 10.301
Immediate /oause of death
Due to.
Due to
Other conditions
( Include pregoancy within 3 months of death)
IMPORTANT
Mejor findings:
Of operations
Date of
Of eutopsy
Whet test confirmed diegnosis?
20 Was diseese or injury in any way related to occupation of deceesed ?
If so, spoolfy
( Signed)
Commonly
. M. D.
(Address) Y UnMagten Date 1-25-19/6
21
winthrop
winthrop
Place of Burial, Cremation or Removal.
(City or Town)
DATE OF BURIAL
January
28
19
46
22 NAME OF
FUNERAL DIRECTOR
Howard Stund
ADDRESS
Received and fled
JAN 29 1345
19
( Registrar)
IMPORTANT $
Physician
Underline the cause to which death should be charged sta . tistically.
100m(i).1-44-13634
VI VUCUTATIUN Is very important. See instructions and
Should be carefuly suppuede ser snouid If deceased was a U. S. War Veteran, G. L. Chap. 45, Section 10, requires physicians to insert a recital to that effect. PARENTS extracts from the laws on back of certificate.
PHYSICIAN - IMPORTANT
(Was deceased a
U. S. War Veteran,
if so specify WAR)
Spanish
.m
Duration
10 or Business :
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 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
by section ien 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 nianner 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
ORM R-301
f
PLACE OF DEATH
suffolk
(County)
1
Winthrop
2
The Commonwealth of Massachusetts OFFICE OF THE SECRETARY DIVISION OF VITAL STATISTICS STANDARD CERTIFICATE OF DEATH
(City or town making return)
20 5 ...
Winthrop Community Hospital, Winthrop, Mass. § (If death occurred in a hospital or institution, St. { give ita NAME instead of street and number) No .... ...
2 FULL NAME.
Lucy Muratore
(If deceased is a married, widowed or divorced woman, give also maiden name.)
(Was deceased a U. S. War Veteran? If so, specify WAR)
no
(Usual place of abode)
Hospital
years
months
8
days.
(If nonresident, give city or town and State)
In this community 48 yrs.
mos.
days.
(Specify whether)
PERSONAL AND STATISTICAL PARTICULARS
3 SEX
Female
4 COLOR OR RACE
White
8 SINGLE
MARRIED
WIDOWED
or DIVORCED
(write the word)
Married
(Month)
(Day)
(Year)
Se If married, widowed, or divorced
HUSBAND of ..
(Give maiden name of wife in fuli)
Michiel P. Muratore
(cr) WIFE of
(Husband's name in full).
6 Age of husband or wife if alive Sixty five
years
7 IF STILLBORN, enter that fact here.
8
AGE ... 54
1
Months.
5
If less than 1 day
.Days
Hours
Minutes
Due to.
Usual
Finisher
8 Occupation :
Industry
Clothing Go.
11 Social Security No 028-05-8093.
12 BIRTHPLACE (City)
(State or country)
Italy
13 NAME OF
FATHER
Michael Orsini
PARENTS
17
Catherine Rogers
Relation, If any (daughter)
Informant
(Address)
249 Lexington-St Euch Boston
I HEREBY CERTIFY that a satisfactory standard certificate of death was filed with me BEFORE the burial or transit permit was issued:
Valores
(Signature of Agent of Board of Health of Ther )
Health Alicer 1/09/46
(Official Designation) (Date of Issue of Permin)
18 | HEREBY CERTIFY. That I attended deceased from
Jan 18 1996, to peer 26
1946
I last saw ble alive on pak-26 1946 death is said to
have occurred on the date stated above, at.
6:50 p.
mG.
Duration Important
1 week
Important
r
Major findings: Of operations
Underline the canse to
Of autopsy
Run
What test confirmed diagnosis ? Jember Rundline
„.Date of. Rune Tiene which death should be charged sta- tiatically.
wanted
20 Was disease or injury in any way relaled lo occupation of deceased?
If so, specify.
(Signed)
M. D.
(Address) 1561 Nincele 895M. Date 1-26-1946
21
Place of Bury, Cremation or Removal.
(City or Town)
DATE OF BURIAL
Can 30
1946
22 NAME OF
NERAL DIRECTOR
Charles H. Treanor
ADDRESS
East Boston man
Received and filed. JAN 31 1946 19
A TRUE COPY ATTEST:
(Registrar)
If deceased was a U. S. War Veteran, G. L., Chap. 46, Sec. 10, requires physician to insert a recital to that effect.
100m(h)-1-41-4695
DEATH in plain terms, so that it may be properly classified. Exact statement of OCCUPATION is very important.
N. B .- WRITE PLAINLY, WITH UNFADING BLACK INK-THIS IS A PERMANENT RECORD. Every item of infor-
mation should be carefully supplied. AGE should be stated EXACTLY. PHYSICIANS should state CAUSE OF
See instructions and extracts from the laws on back of certificate.
MEDICAL CERTIFICATE OF DEATH
18 DATE OF
DEATH
January
26 1946
Immediate cause of death. meningiti (Type no)
Due to
Cerela
Other conditions
(Include pregnancy within 3 months of death)
PHYSICIAN
14 BIRTHPLACE OF
FATHER (City)
(State or country)
Italy
15 MAIDEN NAME
OF MOTHER
Nicolette Cifildore
16 BIRTHPLACE OF MOTHER (City) ... (State or country) Italy
PHYSICIAN-IMPORTANT
Residence. No
154 Broadway
........
Somerville St
Massachusetts
Length of stay: In hospital or institution .. (Before death)
romerall notfeel
(City or Town)
Registered No.
malder
10 or Business:
GIN
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 famlly of the deceased, furnlsh for registration a standard certificate of death, stating to the best of his knowledge and belief the name of the deceased, hls supposed age. the disease of which he dled, defined as required by section one, where same was contracted, the duration of hle last illness, when last seen allve by the physlclan 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 fourteen, 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, specifying 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 pro- vision of this section, such physician or officer shall forfeit ten dollars. For the purposes of this section 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 nineteen hundred and seventeen .- General Laws, 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 receiv- Ing 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 la 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 in- sufficient, a physician who is a member of the board of health, or em- ployed by It or by the selectmen for the purpose, shall upon application make the certificate required 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 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 re- moval of such body has been sooner obtained hereunder. If the death certificate contains a recital, as required by section ten of chapter forty-
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