USA > Massachusetts > Suffolk County > Winthrop > Town of Winthrop : Record of Deaths 1946 > Part 84
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No undertaker or other person shall hury or otherwise dispose of a human hody in a town, or remove therefrom a human hody which has not 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 hoard, from the clerk of the town where the person died; and no undertaker or other person shall exhume a human body and remove it from a town, from one cemetery to another, or from one grave or 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 hody is buried. No such permit shall be issued until there shall 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 he returned and recorded, which shall he accompanied, in case of an original interment, hy a satisfactory certificate of the attending physician, if any, as required 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 hy it or hy the selectmen for the purpose, shall upon application make the certificate re- quired of the attending physician. If death is caused 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 he obtained early enough for the purpose, the certificate of death made as ahove provided and in the possession of the undertaker desiring to make such removal shall constitute a permit for auch removal; provided, that such hody shall he returned to the town from which it was removed within thirty-six hours after such removal, unless a permit in the usual form for the removal of such hody has heen sooner 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 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 hoard, 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., 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 hy the appropriate terms, as housekeeper- private family, cook-hotel, etc. For a person who had no occupation whatever write none.
SPACE FOR ADDITIONAL INFORMATION
DATE OF ENTERING MILITARY SERVICE
DATE OF DISCHARGE RANK, RATING
ORGANIZATION AND OUTFIT
SERVICE NUMBER
-302 1
SUFFOLK
ROS Pert
(City or Town)
No.
Peter Bent Brigham Hospital
St.
2 FULL NAME
Louis Radell
(If deceased is a married, widowed or divorced woman, give also maiden name.)
(a) Residence. No.
12 Emerson Rd
St.
Winthrop
(Usual place of abode)
(If nonresident, give city or town and State)
Length of stay: In hospital or Institution.
Hosp
years
months
2
days.
In this community
yrs.
mos.
days.
(Before death)
(Specify whether)
PERSONAL AND STATISTICAL PARTICULARS
MEDICAL CERTIFICATE OF DEATH
3 SEX
Male
4 COLOR OR RACE!
White
5 SINGLE
(write the word)
DEATH
MARRIED
WIDOWED Widowed
or DIVORCED
5a If married, widowed, or divorceda bel Hud son Rich
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 faot here.
00 78
AGE ..
Years
Months.
.. Days
If less than 1 day .Hours .... ..... .Minutes
Usual
9 Ocoupation :
Retired
Industry
10 or Business :
None
11 Social Security No.
None
12 BIRTHPLACE (City)
(State or country)
Mass
13 NAME OF
FATHER
Ellery Radell
PARENTS
14 BIRTHPLACE OF
FATHER (City)
(State or country)
Alsace Lorraine
15 MAIDEN NAME
OF MOTHER
Emma L Ebberlie
16 BIRTHPLACE OF
MOTHER (City)
(State or country)
Mass
17 Informant Louis Marshall (Address) 51 Thatcher Straydo Park
Relation jonif any
A TRUE COPY.
Tanning
ATTEST :
(Registrar of city of town where death occurred) Deg 13 1946 19
Reoelved and filed DEC 3 1945
19
DATE FILED
18 DATE OF
December 11 1946
(Month)
(Day)
(Year)
19 I HEREBY CERTIFY,
Dec 9
19.46
Dec Attended deceased
to.
19
4'6
I laet saw him
alive on
...
Dec 11
1946,
death Is said to
have occurred on the date stated above,
9:30
A
.m.
Duration
Immediate cause of death.
stomach
Due to.
Metastases to lymph nodes &
kidneys
Due to.
Obstructive jaundice
Other conditione.
(Include pregnancy within 3 months of death)
Physician
Major findings :
Of operations
Date of.
should be charged sta- tistically.
Of autopsy
Above
What teet confirmed diagnosie ?.
Autopsy
20 Was disease or injury in any way related to occupation of deceased ? 1.0
If eo, epeolfy
(Signed)
N A Wilhelm
M. D.
(Addrese)
721.Huntington Av . Date ... 12/1119 46
21 PLACE OF BURIAL,
Orrington - Orrington Me
CREMATION OR REMOVAL
(Cemeter
DE2 12 1946 (City or Town)
DATE OF BURIAL 19
22 NAME OF
FUNERAL DIRECTOR
Bennison Funeral Service
ADDRESS
Winthrop Mass
BOSTON
(City or town making return)
1
PLACE OF DEATH
The Commonwealth of Massachusetts OFFICE OF THE SECRETARY DIVISION OF VITAL STATISTICS COPY OF CERTIFICATE OF DEATH
Registered No.
10436
(If death occurred in a hospital or institution,
give its NAME instead of street and number)
L
(If U. S.
War Veteran,
specify WAR)
No
from
Carcinome of
1 yr
....
Boston
50m- (b) -6-44-14607
Somerville
Underline the cause to which death
( Registrar of City or Town where deceased resided)
R-302 Eiiddlesex ...
(County)
Cambridge
(City or Town)
No.
Holy Ghost Hospital
(If death occurred in a hospital or institution,
St.
give its NAME instead of street and number)
L
(If U. S.
War Veteran,
no
2 FULL NAME
(If deceased is a married, widowed or divorced woman, give also maiden name.)
183 Lincoln
St.
inthron
(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.
mos.
days.
PERSONAL AND STATISTICAL PARTICULARS
3 SEX
Miale
4 COLOR OR RACE
white
5 SINGLE
MARRIED
WIDOWED
or DIVORCED
(write the word)
married
5ª If married, widowed, orjdivorcedhine L. O'Donnell HUSBAND of
(Give maiden name of wife in full)
(or) WIFE of
(Husband's name in full)
59
years
7 IF STILLBORN, enter that faot here.
8
64
AGE Years Months. .. Days
If less than 1 day
Hours.
Minutes
Usual
9 Ocoupation :
Retired yourt Officer
industry
10 or Business :
mast Boston Dist. St.
11 Social Security No.
nche
East Boston,
12 BIRTHPLACE (City)
(State or country)
Lass.
13 NAME OF
FATHER
Edmund T. Gre dy
PARENTS
14 BIRTHPLACE OF
Burlington,
FATHER (City)
(State or country)
Vermont
15 MAIDEN NAME
OF MOTHER
Margaret E. Kerr
16 BIRTHPLACE OF
MOTHER (City)
(State or country)
Doston,
17 Josephine L. Grady
Relatiom if any
Informant ...
(Address) 47 Lincoln St.
inthron
A TRUE COPY.
ATTEST:
Frederick H. Burke
(Registrar of city or wn where death occurred)
19
MEDICAL CERTIFICATE OF DEATH
18 DATE OF December
DEATH
13,
1946
(Month)
(Day)
(Year)
HEREBY CERTIFY,
194.6 ..... , to ... De.c.
....
13
19 ... 4.6.
I last saw h
... alive on
Dec.
1.3. 1946 death is said to
ir
have ooourred on the date stated above, at ................. .. m.
Immedlate oause of death
Peritonitis
Due to ..
Ruptured liverticulitis
left hemiplegia
Due to
Other conditions
(Include pregnancy within 3 months of death)
Physician
Major findings :
Of operations
Date of
should be charged sta- tistically.
What test confirmed diagnosis?
20 Was disease or injury in any way related to oooupation of deceased ? IO
If so, speolfy ...
F.J. Landrigan
(Signed)
M. D.
(Address) Oly
Ihost Hosp toate 12/119 46
21 PLACE OF BURIAL,
Winthrop - winthrop
CREMATION OR REMOVAL
De Cemetery6,
19 46City or Town)
19
DATE OF BURIAL
22 NAME OF
John C. Kelly
FUNERAL DIRECTOR
ADDRESS
Il Meridian St East Boston
Received and filed
JAN 9 1047
.19
50m- (b) -6-44-14607
PLACE OF DEATH
1
...
The Commonwealth of Massachusetts OFFICE OF THE SECRETARY DIVISION OF VITAL STATISTICS COPY OF CERTIFICATE OF DEATH
Cambridge
(City or town making return)
Registered No.
1731237
..... ..
Edmund C. Grady
spoolfy WAR)
(a) Residence. No.
(Usual place of abode)
hospital 2
3
26
That I attended deceased from
Underline the cause to
which death
Of autopsy
Duration
6 Age of husband or wife if alive
DATE FILED
01 A
PLACE OF DEATH
Suffolk (County) Winthrop (City or Town) 46 Washington
The Commonforalth of Massaelpisetts OFFICE OF THE SECRETARY DIVISION OF VITAL STATISTICS STANDARD
CERTIFICATE OF DEATH Ave.
To be filed for burial permit with Board of Health or its Agent. 238 ....
give its NAME instead of street aud nuniber)
2 FULL NAME
( If deceased
married, widowed or divorced woman, give also maiden name.)
22 Adams
St.
(If nonresident, give city or town and State)
Length of stay: In hospital or Institution
( Before death)
( Specify whether)
PERSONAL AND STATISTICAL PARTICULARS
3 SEX Female
4 COLOR OR RACE|
white
5 SINGLE
( write the word)
MARRIED
WIDOWED
or DIVORCED
Widowed
5a If married, widowed, or divorced HUSBAND of
(Giye maiden name of wife in full)
(or) WIFE of
Charles F. Siefert
( Husband's name in full)
6 Age of husband or wife if alive years
IF STILLBORN. enter that fact here.
AGE 80 Years Months Days
If less than 1 day
Hours
Minutes
Usual 9 Occupation :
Housewife
Industry
10 or Business :
At Home
11 Social Security No.
none
12 BIRTHPLACE (City)
( State or country)
Chelsea
mass.
13 NAME OF
FATHER
Cannot be learned
14 BIRTHPLACE OF
FATHER (City)
(State or country )
........ 11
15 MAIDEN NAME
OF MOTHER
Cannot be learned
16 BIRTHPLACE OF MOTHER (City) (State or country)
17 Informant ( Address )
Mrs. Fred Siefert 22 Adams St. Winthrop
Relation, If any
Mass.
I HEREBY CERTIFY that a satisfactory standard certificate of death was filed with me BEFORE the burial or transit permit was, Issued ? Walter A. Bakery
(Signature of Agent of Board of Health or Other)
1 featthe Juice 12/16/46 (Official Designation) (Date of Issue of Permft)
MEDICAL CERTIFICATE OF DEATH
18 DATE OF
DEATH
December
13
( 3fonth)
(Day)
(Year)
19 | HEREBY CERTIFY,
That I attended deosesed from
July
19
46
to
December 13
46
19
I fast saw her
alive on
Dicernver 13 19 46,
death is said to
have occurred on the date stated above, at
7 25
P
m.
Immediate cause of death.
Coronary thrombosis
IMPORTANT 1 day
Due to
generalizdel arterio pelevin
3. years
Due to
Other conditions.
left hemiplejia
( Include preguancy within 3 months of death)
IMPORTANT
Physician
Underline the cause to which death should be charged sta. tistically.
20 Was diseese or injury in any way related to oooupation of deceased ?..
If so, specify Tank of warwi FT 1 6x M. D. (Signed) 238 Shore Drive Lastbar
( Address)
Date 2/4 1976
21
Cambridge Cemetery
Cambridge Mass Place of Burial, Creniation or Removal. DATE OF BURIAL December 16
(City or Town) 19 46
22 NAME OF
FUNERAL DIRECTOR
Said M. Merwin
ADDRESS
305 Beach St., Revere Mass
Received and Aled DEC 19 1943 19
( Registrar)
1
If deceased was a U. S. War Veteran, G. L. Chap. 46, Section 10, requires physicians to insert a recital to that effect. PARENTS
100M-6 -2-42-8855
-
Elisabeth V. (Hopkins) Siefert
§ ( If death occurred in a hospital or institution,
St.
PHYSICIAN - IMPORTANT (Was deocased a U. S. War Veteran, if so specify WAR)
(a) Residence. No.
(Usual place of abode)
years
months days.
In this community
yrs. 3 mos. days.
1946
..
Date of
Of autopsy
What test confirmed diagnosis?
clinical
Duration
4 mos
Major findings : Of operetions
11
Registered No.
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 whoin he has attended during his last illness, at the request of an undertaker or other authorized person or of ans meniber of tbe family of the deceased, furnish for registration a atandard certifcate 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 ae 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 helief, served in the army, navy or marine corps of the I'nited States in any war in which it has been engaged, insert in the certificate s recitai to that effect, speci- fying the war, and shall also certify in such certiteste both the primary and the secondary or immediate cause of death as nearly as he can state the saine. For neglect to comply with any provision of this section, such physician or officer shall forfeit ten dollars. For the purposes of thia aec- tion and of sections forty-five, forty-six and forty-zeven of said chapter one hunilred and fourteen, the word "war" shall inchile the China relief ex- pedition and the Philippine insurrection, which shall, for said purposea, he deemed to have taken place between February fourteenth, eigliteen hundred and ninety-eight and July fourth, nineteen hundred and two, and the Mexi- can border service of nineteen hundred and sixtcen and nineteen hundred and seventeen. G. L. Chap. 46, Sec. 10.
No undortaker 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 lasue such permits, or if there is no such board. from the clerk of the town where the person died; and no undertsker or otber person shall exhume a buman body and remove it froin a town. from one cenietery 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 ite agent aforesaid or from the cierk of the town where the body is buried. No such permit shall be issued until there aball have been delivered to sucb board, agent or clerk, as the case may be, & satisfactory written statement containing the facts required by law to be returned sil recorded, which shall be accompanied. in case of an original interment, by a satisfactory certificate of the attending physician, if any, ae required by law, or in lieu thereof a certificate aa liereinafter provided. If there is no attending physician, or if, for sufficient reasons, his certificate cannot be obtained early enough for the purpose, or ie insufficient, a pbysi- cian who is a member of the board of hesith, or employed by it or by the selectinen for the purpose, shail upon application niske the certificate re- quired of the attending physician. If death is caused by violence, the medi- cal examiner chall make such certificate. If such a permit for the removal of a human body, not previously interred, froin 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 tbe undertaker desiring to make such renovsl aliall 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 sfter 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, ae 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 been engaged. sucb recital shall appear upon the permit. The board of health, or its agent. upon receipt of such statenient and certificate, shall forthwith countersign it and transmit It to the clerk of the town for registration. The person to whom the permit le so given and the physician certifying the cause of death shall thereafter furnish for registration any other neces cary information which can be obtained as to the deceased, or sa to the manner ot cause of the death, which the clerk or registrar may require .- Cbap. 114. Sec. 45. G. L., (Tercentensry Editlou).
No undertaker or other person shall bury a human body or the ashes thereof which have been brought Into the coninionwealth until he has re- ceived a jermit so to do from the board of health or its agem appointed to issue such permits, or if there is no such board, front the clerk of the town where the body is to be buried or the funeral is to he held, or fruin a person appointed to have tbe care of the cemetery or burial ground in which tba interment is made ... . Cbap. 114. Sec. 46. G. L., (Tercentenary Edition).
Medical examinera shall mske exsminstion upon the view of the dead bodies of only such persons as sre supposed to have died by violence. If a medical examiner hss notice that there is within lils county the body of such a person, he shall forthwith go to the place where the loudly lies aud take charge of the same; ... - General Laws, Chap. 38, Sec. 6.
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 deatha only aa those of persone 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 deathe only aa those of persons who, though disahled by recognized disease unrelated to any form of injury. have died without recent medical attendance or whose pbyel- cian is absent from home when the certificate of death is needed.
(3) Medioai 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 septicemia), and by the actlon of cheniical (drugs or poisons), thermal. or electricai sgents, and deaths following abortion, but also deaths from diaeaaa reauiting from injury or Infection raisted to occupation, the sudden deaths of persons not disabiad by recognized disease, and those of persons found dead.
Statement of Cause of Death .- Csuse of death meana the disease, or complication which causee desth, not the more of dying. e. g., heart fallure, asphyxia, asthenia, etc. As principal cause name the disease causing death. Aa 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 ia very im- portant, so that the relative beslthfulness 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 ou account of the disease causing death, report the usual occupation prior to iliness. If the deceased bad retired from business, report the usual occupation prior to retirement, Children not gainfully employed may be returned as at school or st hoine. For a woman wbose only occupatiou was that of home bousework, write housework. For a person engaged in domestic service for wages, however, 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
303-A ..
Sullui (County)
The Commontoralth of Massachusetts OFFICE OF THE SECRETARY DIVISION OF VITAL STATISTICS MEDICAL EXAMINER'S CERTIFICATE OF DEATH
To be filed for burlal permit with Board of Health or Its Agent.
Registered No.
St. { { If death occurred in a hospital or Institution, { give its NAME instead of street and number)
PHYSICIAN-IMPORTANT
2 FULL NAME
(If deceased is a married, widowed or divoregd woman, giye also maiden name.)
16 Wurdede Park Witherste kan
(a) Residence. No.
(Usual place of abode)
Length of stay: In hospital or Institution.
( Before death)
( Specify whether)
Hospital years 3
months
days.
(If nonresident, give city or town and State)
In this communit?O
yrs.
mos.
days.
PERSONAL AND STATISTICAL PARTICULARS
3 SEX
4 COLOR OR RACE| 5 SINGLE
(write the word)
Female
White
5a If married, widowed, or divorced HUSBAND of
(or) WIFE of
E Gire paldem name griddevin full)
(Husband's name in full)
6 Age of husband or wife If allve years
7 IF STILLBORN, enter that fact here.
AGE .. 80 ... Years
.Months ..
Days
If less than 1 day
Hours.
.Minutes
Usual
9 Occupation :
Housewife
Industry
Own Home
11 Soolal Security No.
12 BIRTHPLACE (City)
Boston
(State or country)
Mass
13 NAME OF
FATHER
Thomas Corbett
14 BIRTHPLACE OF
FATHER (City)
(State or country)
Ireland
15 MAIDEN NAME
OF MOTHER
Mary Maher
16 BIRTHPLACE OF
MOTHER (City)
(State or country)
Treland
17 InformantFrank C Gorman
Relation, if any ALLY
( Address)
73 Tremont St .. Boston Mass
I HEREBY CERTIFY that a satisfactory standard certificate of death was filed with me BEFORE the Burial or transit permit was Issued : Walter A. (gable
(Signature of Agent of Board of Health or other)
Health officer 12/16/46
(Official Designation) 1
(Date of Issue of Permit) ?
MEDICAL CERTIFICATE OF DEATH
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 wok involvedf state fully, asterio clerotic Heart Disease Senility Recent Fracture Lt. temur
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