USA > Massachusetts > Suffolk County > Winthrop > Town of Winthrop : Record of Deaths 1946 > Part 86
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(State or Country)
Massachusetts
13 NAME OF
FATHER
Robert Black
14 BIRTHPLACE OF
FATHER (City).
Boston
(State or Country)
Massachusetts
15 MAIDEN NAME
OF MOTHER
Bessie Hellyer
16 BIRTHPLACE OF
Boston
MOTHER (City).
(State or Country)
Massachusetts
17 Informant Gladys G Atkinson ( Bhtist bay) (Address! 4 Atkinson Circle Winthrop I HEREBY CERTIFY that a satisfactory standard certificate of death was filed with me BEFORE the burial of transit permit was issued:
Walter A Haber (Signature of Agent of Board of Health of other)
Healthe Oficer (Official Designation)
12/18/46 (Date of Issue of Permite
MEDICAL CERTIFICATE OF DEATH
18 DATE OF
DEATH
December
(Month)
(Day)
17
1946
(Year)
19
I HEREBY CERTIFY,
26
, 1946.
That I attended deceased from
to
december 1 7. 19 46
I last saw h CM alive on
December 16 1946, death is said to
have occurred on the date stated above, at
4:054
m.
Duration
Immediate cause of death
Cerebral Simbolico
IMPORTANT 5 minutes
Due to
Peripheral Endastentes 6 mois.
Peripheral Inta Tti,
Due to
Other conditions
amputated righet leg 4 mas
(Include pregnancy within 3 months of death)
IMPORTANT
Major findings:
Of operations
Gangrene right foot
Date of
aug. 1946
Of autopsy
none
What test confirmed di
chureal + lab
Physician Underline the cause to which death should be charged std- tistically.
20 Was disease or injury in any way related to occupation of deceased?
If so, specify
(Signed) Jacob, ahavo W.W.
. M. D.
deres5 1562 Alley St
Date 12/77/ 1946
Holyhdour trop tardrookline
Place of Burial, Cremation or Removal.
(City or Town)
DATE OF BURIAL
December
-19
19 46
22 NAME OF
FUNERAL DIRECTOR
John J. O'malley
ADDRESS
Winthrop Mass
Received and Filed
DEC 30 1946
19
(Registrar)
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-9-44-14955
21
July
(Give maiden name of wife in full)
PHYSICIAN - IMPORTANT (Was deceased a U. S. War Veteran, if so specify WARD World I+II
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 he death of a person whom he has attended during his last illness, at the quest of an undertaker or other authorized person or of any member of e family of the deceased, furnish for registration a standard certificate f death, stating to the best of his knowledge and helief the name of the eceased, his supposed age, the disease of which he died, defined as re- uired hy section one, where same was contracted, the duration of his last Iness, when last seen alive by the physician or othcer and the date of is death ... Gen. Laws, Chap. 46, Sec. 9.
A physician or officer furnishing a certificate of death as required by the receding section or by section forty-five of chapter one hundred and four- en, shall, if the deceased, to the best of his knowledge and helief, served the army, navy or marine corps of the United States in any war in which has heeu engaged, insert in the certificate a recital to that effect, speci- ying the war, and shall also certify in such certificate both the primary nd the secondary or immediate cause of death as nearly as he can state e same. For neglect to comply with any provision of this section, such hysician or officer shall forfeit ten dollars. For the purposes of this sec- on and of sections forty-five, forty-six and forty seven of said chapter ne hundred and fourteen, the word "war" shall include the China relief xpedition and the Philippine insurrection, which shall, for said purposes, e deemed to have taken place between February fourteenth, eighteen undred and ninety-eight and July fourth, nineteen hundred and two, and he Mexican horder service of nineteen hundred and sixteen and nine- een hundred and seventeen. G. L. Chap. 46, Sec. 10.
No undertaker or other person shall bury or otherwise dispose of a buman ody in a town, or remove therefrom a human hody which has not been uried, until he has received a permit from the board of health, or its gent appointed to issue such permits, or if there is no such hoard, from he clerk of the town where the person died; and no undertaker or other erson shall exhume a human body and remove it from a town, from one emetery to another, or from one grave or tomb other than the receiving omh to another in the same cemetery, until he has received a permit from be board of health or its agent aforesaid or from the clerk of the town here the body is buried. No such permit shall be issued until there shall ave been delivered to such hoard, agent or clerk, as the case may he, satisfactory written statement containing the facts required by law to be eturned and recorded, which shall be accompanied, in case of an original aterment, by a satisfactory certificate of the attending physician, if any, s required by law, or in lieu thereof a certificate as hereinafter provided. f there is no attending physician, or if, for sufficient reasons, his certificate annot he obtained early enough for the purpose, or is insufficient, a physi- ian who is a member of the board of health, or employed hy it or hy the electmen for the purpose, shall upon application make the certificate re- uired of the attending physician. If death is caused by violence, the medi- al examiner shall make such certificate. If such a permit for the removal f a human body, not previously interred, from one town to another within he commonwealth cannot he obtained early enough for the purpose, the ertificate of death made as above provided and in the possession of the ndertaker desiring to make such removal shall constitute a permit for uch removal; provided, that such hody shall he returned to the town from which it was removed within thirty-six hours after such removal, unless permit in the usual form for the removal of such body has been sooner btained hereunder. If the death certificate contains a recital, as required
by section teu ut chapter 1011y-six, tuat the deceased served in the army. navy or marine corps of the United States in any war in which it has been engaged, such recital shall appear upon the permit. The board of health, or its agent, upon receipt of such statement and certificate, shall forthwith countersign it and transmit it to the clerk of the town for registration. The person to whom the permit is so given and the physician certifying the cause of death shall thereafter furnish for registration any other neces- sary information which can he obtained as to the deceased, or as to the manner or cause of the death, which the clerk or registrar may require .- Chap. 114, Sec. 45, G. L., (Tercentenary Edition).
Medical examiners shall make examination upon the view of the dead bodies of only such persons as are supposed to have died 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 hody lies and take charge of the same; .. . - General Laws, Chap. 38, Sec. 6.
No undertaker or other person shall bury a human hody or the ashes thereof which have been brought into the commonwealth until he has re- ceived a permit so to do from the board of health or its agent appointed to issue such permits, or if there is no such 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 hy traumatism (including resulting septicemia), and by the action of chemical (drugs or poisons), thermal, or electrical agents, and deaths following ahortion, 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 morhid conditions, if any, related to the principal cause and any important complication of the principal cause.
Statement of Occupation .- Precise statement of occupation is very im- portant, so that the relative healthfulness of various pursuits can he known. Make some entry in this section for every person aged 10 years or over. If the occupation had been given up or changed on account of the disease causing death, report the usual occupation prior to illness. If the deceased had retired from business, report the usual occupation prior to retirement. Children not gainfully employed may be returned as at school or at home. For a woman whose only occupation was that of home housework, write housework. For a person engaged in domestic service for wages, how- ever, designate the occupation hy the appropriate terms, as housekeeper- private family, cook-hotel, etc. For a person who had no occupation whatever write none.
SPACE FOR ADDITIONAL INFORMATION
R-302
1
PLACE OF DEATH
SUFFOLK / BOS(County)
(City or Town) Mass .Memorial Hospt
The Commonwealth of Massachusetts OFFICE OF THE SECRETARY DIVISION OF VITAL STATISTICS COPY OF CERTIFICATE OF DEATH
BOSTON
(City or town making return) 10699
Registered No.
(If death occurred in a hospital or institution, St. give its NAME instead of street and number)
2 FULL NAME
Baby Girl Cohen
(If deceased io a married, widowed or divorced woman, give also maiden name.)
93 Shore Drive
(a) Residenoo. No.
(Usual place of abode)
(If nonresident, give city or town and State)
Length of stay: In hospital or Institution.
(Before death)
(Specify whether)
years
months
32
days.
In this community
yrs.
mos.
days.
PERSONAL AND STATISTICAL PARTICULARS
MEDICAL CERTIFICATE OF DEATH
3 SEX
F
4 COLOR OR RACE|
W
5 SINGLE
(write the word)
MARRIED
WIDOWED Single
or DIVORCED
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 faot here.
8 AGE Years
4
Months Days
If less than 1 day .. Hours. Minutes
Usual 9 Ocoupatlon :
Industry 10 or Business:
11 Social Security No.
12 BIRTHPLACE (City)
(State or country)
Boston Mass.
13 NAME OF
FATHER
Hyman M Cohen
PARENTS
14 BIRTHPLACE OF
FATHER (City)
(State or country)
Boston Mass.
15 MAIDEN NAME
OF MOTHER
Gladys E Morgan
16 BIRTHPLACE OF
MOTHER (City)
(State or country)
Newburyport Mass.
17
Informant.
(Address)
Father ......
(
Relation, if any
A TRUE COPY.C
ATTEST :
michael Sy.
DATE FILED
(Registrar of city or town where death occurred)
Dec.23/46
19
Reoelved and filed DEL J. 1945
19
(Registrar of City or Town where deceased resided)
<
18 DATE OF
DEATH
Dec.' 18/46
(Month)
(Day)
(Year)
19 | HEREBY CERTIFY,
Dec ...... 14.
...
19.
46
to
That I attended
deceased
19
I last saw h
allve on
Dec .18/46
er
., 19.
.. , death Is sald to
have ooourred on the date stated above, at.
12:25P
.m.
Duration
Immedlate oause of death Prematurity 8 mos.
Due to
Congenital atresia of duodenum
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 dlagnosis ?.......
autopsy
20 Was disease or Injury in any way related to oooupation of deceased ?.
If so, speolfy
C A Powell
(Signed)
(Address)
Mass Mem Hospt
Dato
12-1819
M. D
46
21 PLACE OF BURIAL,
CREMATION OR REMOPramson Lebanon West Roxbury
DATE OF BURIAL
Dec .19/46
(City or Town)
19
22 NAME OF
FUNERAL DIRECTOR
B F Solomon
ADDRESS
Brookline Mass.
Underline the cause to which death
Of autopsy
above
50m-(b)-6-44-14607
No.
(If U. S.
War Veteran,
spoolfy WAR)
St.
Winthrop Mass.
R-305
PLACE OF DEATH
SUFFOLK BOSTON
(City or Town)
The Commonturalth of Massachusetts OFFICE OF THE SECRETARY COPY OF MEDICAL EXAMINER'S CERTIFICATE OF DEATH
BOSTON
(City or town making return)
Registered No.
107931.1
(If death occurred in a hospital or institution,
give its NAME instead of street and number)
2 FULL NAME
JOHN LONDRIGAN
(If deceased is a married, widowed or divorced woman, give also maiden name.)
50 PLEASANT
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 60
yrs.
mos.
days.
PERSONAL AND STATISTICAL PARTICULARS
3 SEX
4 COLOR OR RACE[
WHITE
5 SINGLE
(write the word)
MARRIED
WIDOWED
or DIVORCED
MARRIED
Sa If married, widowed, or divorced
HUSBAND of
ANNA.BELLE ... M ... Sc.o.T.T ..
(or) WIFE of
(Husband's name in full)
6 Age of husband or wife If allve 72
years
7 IF STILLBORN, enter that fact here.
8 AGE80. .. Years4 Months ......... .Days
If less than 1 day
Hours ........
Minutes
Usual
9 Occupation :
PILOT CITY OF BOSTON
Industry
10 or Business :
RE.T.J.RED.
11 Social Security No.
12 BIRTHPLACE (City)
(State or country)
.NEWFOUNDLAND.
13 NAME OF
FATHER
WILLIAM LONDRIGAN
PARENTS
14 BIRTHPLACE OF
FATHER (City)
NEWFOUNDLAND
(State or country)
15 MAIDEN NAME
OF MOTHER
MARY ST CROIX
16 BIRTHPLACE OF
MOTHER (City)
(State or country)
NEWFOUNDLAND
17 Informant (Address)
A TRUE COPY.
ATTEST :
(Registrar of city or town where death occurred)
DATE FILED
DEG.23/46.
............... 19
MEDICAL CERTIFICATE OF DEATH
18 DATE OF
DEATH
DEC 18/46
(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, etate fully.) BRONCHOPNEUMONIA
CONTUSION OF SPINAL CORD
FELL AT HOME
12/14/46
20 Aooldent, sulolde, or homlolde (specify)
Date of ooourrenoe
19
Where did Injury oocur ?
(City or town and State)
Did Injury ooour In or about the home, on farm, In Industrial place, or In publlo place? (Specify type of place)
Manner of
Injury
Nature of
Injury
While at work?
Was there an autopsy?
21 Was disease or Injury In any way related to ocoupatlon of deceased?
If so, speolfy
(Signed)
RFORD
(Address)
Date 2/19/46
22
HOLY CROSS
MAL.D.E.N
Place of Burial, Cremation or Removal.
(City or Town)
DATE OF BURIAL
DEC 21/46
19
23 NAME OF
FUNERAL DIRECTOR
F.J. MAG.RA.I.N
ADDRESS
BOSTON"
.19
Received and filed
D.E.C 30 1940
(Registrar of City or Town where deceased resided)
of the city or town in which the deceased resided as soon as possible after the close of the month in which the death occurred. (See Chap. 46, Sec. 12, G. L.)
1
No. US VETERANS HOSPITAL
St.
(If U. S.
War Veteran,
specify WAR)
S.A.W
WINTHROP
(a) Residenoe. No.
(Usual place of abode)
MALE
(Give maiden name of wife in full)
25m (h)-1-41-4667
WIFE
Relation, if any
M. D.
R-301 A
PLACE OF DEATH
Suffolk (County)
1 Winthrop (City or Town) No. Winthrop Community
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. 245
Registered No.
St. J (If death occurred in a hospital or institution, ! give its NAME instead of street and number) )
PHYSICIAN - IMPORTANT (Was deceased a U. S. War Veteran. if so specify WAR)
(a) Residence. No.
483 Shirley St.
St.
(If nonresident, give city or town and State)
Length of stay: In hospital or institution
Hospital
(Before death)
(Specify whether)
years
months
days.
In this community
yrs.
mos.
days.
PERSONAL AND STATISTICAL PARTICULARS
3 SEX
4 COLOR OR RACE
White
5 SINGLE
(write the word)
MARRIED
WIDOWED
or DIVORCED
Widowed
5a If married, widowed or divorced
HUSBAND of
Phoese Atkinson
(Give maiden name of wife in full)
(or) WIFE of
(Husband's name in full)
6 Age of husband or wife if alive years
7 IF STILLBORN, enter that fact here.
8
AGE
78 Years
Months
Days
If less than 1 day
.Hours
Minutes
Usual
9 Occupation:
Painter
Industry
10 or Business:
Self
11 Social Security No .. None ..
12 BIRTHPLACE (City).
(State or Country)
Novia Scotia
13 NAME OF
FATHER
Countaway
14 BIRTHPLACE OF
FATHER (City)
Unable to ostain
(State or Country)
15 MAIDEN NAME
OF MOTHER
Unable to o tain
16 BIRTHPLACE OF
MOTHER (City)
Unable to obtain
(State or Country)
17 Informant (Address)
Frances Maloney De Beleriot of my) 483 Shirley St Winthrop
I HEREBY CERTIFY that a satisfactory standard certificate of death was filed with me BEFORE the burial or transit permit was issued:
Walter & Baker
(Signature of Agem of Board of Health or other)
ate 12/23/46
(Official Designation) (Date of Issue of Permit)
1946
I HEREBY CERTIFY,
That I attended deceased from
December 18, 19 46, to December 21, 1946
I last saw halive on
December 20, 1946, death is said to
have occurred on the date stated above. at
4:30 A.m.
Immediate cause of death
Rulo.
Chronic Glomerulo- nephritis with
UVEmia
Due to arteriosclerosis and
arterioscleratic Heart Disease
Due to
IMPORTANT 6 days 2 years
3 days IMPORTANT
Physician Underline the cause to which death should be charged sta- tistically.
20 Was disease or injury in any way related to occupation of deceased?
If so, specify
(Signed) Maurice Traunstein
tr.
, M. D.
562 Shirley Str Winthrop Date DEc. 21 1946
21
Winthrop
Place of Burial, Cremation or Removal
(City or Town)
DATE OF BURIAL
Dec 23
45
22 NAME OF
FUNERAL DIRECTOR
Howard Sprynolds
ADDRESS
malas.
Received and Filed
DEC 3 0 1946
19
(Registrar)
oce mistructions and extracts from the laws on back of certincate. If deceased was a U. S. War Veteran, G. L. Chap. 46, Section 10, requires physicians to insert a recitai to that effect.
00m-9-44-14955
MEDICAL CERTIFICATE OF DEATH
18 DATE OF
DEATH
December
(Month)
21 (Da))
1946 (-Ycar)
Duration
Other conditions
Pneumonia-it. lung
(Include pregnancy within 3 months of death)
Major findings:
Of operations
none
Date of
Of autopsy
What test confirmed diagnosis?
Clinical + Laboratory
PARENTS
Male
(Usual place of abode)
4
50
"inthrop
2 FULL NAME
Samuel Edward Countaway
(If deceased is a married, widowed or divorced woman, give also maiden name.)
Hospital
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 he death of a person whom he has attended during his last illness, at the equest of an undertaker or other authorized person or of any member of he family of the deceased, furnish for registration a standard certificate f death, stating to the best of his knowledge and belief the name of the eceased, his supposed age, the disease of which he died, defined as re- uired by section one, where same was contracted, the duration of his last Ilness, when last seen alive by the physician or othcer and the date of is death ... Gen. Laws, Chap. 46, Sec. 9.
A physician or officer furnishing a certificate of death as required by the receding section or by section forty-five of chapter one hundred and four- een, shall, if the deceased, to the best of his knowledge and belief, served n the army, navy or marine corps of the United States in any war in which t has been engaged, insert in the certificate a recital to that effect, speci- ying the war, and shall also certify in such certificate both the primary nd the secondary or immediate cause of death as nearly as he can state he same. For neglect to comply with any provision of this section, such hysician or officer shall forfeit ten dollars. For the purposes of this sec- ion and of sections forty-five, forty-six and forty seven of said chapter ne hundred and fourteen, the word "war" shall include the China relief xpedition and the Philippine insurrection, which shall, for said purposes, e deemed to have taken place between February fourteenth, eighteen undred and ninety-eight and July fourth, nineteen hundred and two, and he Mexican border service of nineteen hundred and sixteen and nine- een hundred and seventeen. G. L. Chap. 46, Sec. 10.
No undertaker or other person shall bury or otherwise dispose of a human ody 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 gent appointed to issue such permits, or if there is no such board, from he clerk of the town where the person died; and no undertaker or other erson shall exhume a human body and remove it from a town, from one emetery to another, or from one grave or tomb other than the receiving omb to another in the same cemetery, until he has received a permit from he 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 ave been delivered to such board, agent or clerk, as the case may be, satisfactory written statement containing the facts required by law to be eturned and recorded, which shall be accompanied, in case of an original nterment, by a satisfactory certificate of the attending physician, if any, is required by law, or in lieu thereof a certificate as hereinafter provided. f there is no attending physician, or if, for sufficient reasons, his certificate annot be obtained early enough for the purpose, or is insufficient, a physi- ian who is a member of the board of health, or employed by it or by the electmen for the purpose, shall upon application make the certificate re- quired of the attending physician. If death is caused by violence, the medi- al 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 uch removal; provided, that such body shall be returned to the town from which it was removed within thirty-six hours after such removal, unless 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 teu of chapter ionty -six, tuat the deceased served in the army, navy or marine corps of the United States in apy 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 physiclans 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 deathis 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.
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