Town of Winthrop : Record of Deaths 1947, Part 13

Author: Winthrop (Mass.)
Publication date: 1947
Publisher:
Number of Pages: 544


USA > Massachusetts > Suffolk County > Winthrop > Town of Winthrop : Record of Deaths 1947 > Part 13


Note: The text from this book was generated using artificial intelligence so there may be some errors. The full pages can be found on Archive.org (link on the Part 1 page).


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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 110 undertaker or other person shall exhume a human body and remove it from a town, from one cemetery to another, or from one grave or tomb other than the receiving 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 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 certifylng 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 hody 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


DATE OF ENTERING MILITARY SERVICE


DATE OF DISCHARGE RANK, RATING


ORGANIZATION AND OUTFIT


SERVICE NUMBER


EC


R-301 A


1


Suffolk (County) Winthrop. (City or Town) 131 Bartlett Road. { (If death occurred in a hospital or institution, No. st. give its NAME instead of street and number) C PLACE OF DEATH


To be filed for burial permit with Board of Health or its Agent. Registered No. 38.


2 FULL NAME Emily Lena (Douglas) King ( if deceased is a married, widowed or divorced woman, give


also maiden name.)


(a) Residence. No.


131 Bartlett Road.


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 5


yrs.


mos.


days.


PERSONAL AND STATISTICAL PARTICULARS


3 SEX


4 COLOR OR RACE


5 SINGLE


( write the word)


Female White


MARRIED


WIDOWED


or DIVORCED Widowed


5a If marrled, widowed, or divorced HUSBAND of


(Give maiden name of wife in full)


(or) WIFE of


Frederick Winthrop King


( Husband's name in fult)


6 Age of husband or wife if eliva yaars


7 IF STILLBORN, enter that fact here.


8 AGE 8.7 Years 0 Months .8 ..... Days


If less than 1 dey


Hours


Minutes


Usual


9 Occupetion :


At ..... Home


Industry 10 or Business :


11 Social Security No. none


12 BIRTHPLACE (City)


Prince Edward Island


( State or country) Canada


13 NAME OF


FATHER


Edward W. Douglas


PARENTS


14 BIRTHPLACE OF


FATHER (Clly)


Prince Edward Island


(State or country)


Canada


15 MAIDEN NAME


OF MOTHER


Hettie Cooke


16 BIRTHPLACE OF


MOTHER (City)


Irince .... Edward ..... Island


(State or country)


Canada


17 Mrs. Lorenze Goriost


Informent !


Garnies toutes Mener (Address) 13]Bartlett Road Winthrop


I HEREBY CERTIFY that a satisfactory standard oartifloate of death waa filled with me BEFORE the burfal or transit permit was Issued:


(Signature of Agent of Board of Health of other)


7(6melai Designation) 2/15/47


( Date of Issue of Permit)


18 DATE OF


DEATH


February


13


1947


(šfonth)


(Day)


(Year)


19 I HEREBY CERTIFY, Feb. 2


Thet I attended deosased from


19.40, 10.


Feb 13


1947


I last saw h ... LA.


.alive on


7 mb


23.


194.2. death Is sald to


have occurred on the date stated above, at. SP m.


Immedlate oause of death.


IMPORTANT .........


Chronic muncadity


Due to


Hypertension


Due to.


Other conditiona


(Include pregnancy within 3 montbe of death)


Mejor AndInga:


Of operations


Data of


Of eutopsy


What test confirmed diagnosis?


IMPORTANT


Physician


Underline the cause to which death should he charged sta- tistically.


20 Was disease or injury in any way related to occupation of deocesed ? 200


If so, spaoify


Louis 7Salerno


( Signed)


(Address) 125 Plans aux St


M. D.


Date 7 eb 14 1957


21 Winthrop Cemetery, Winthrop Place of Burial, Cremation or Removal. (City or Town)


DATE OF BURIAL


Feb. 15,1947.


19


22 NAME DF FUNERAL alfred B. March


. .......


ADDRESS


174.Winthrop St, Winthrop


Received and Alad ..


MART


1947


19


( Registrar)


extracts from the laws on back of certificate.


terms, so that it may be properly classified. Exact statement of OCCUPATION is very important. See instructions and


If deceased was a U. S. War Veteran, Q. L. Chap. 46. Section 10, requires physicians to insert a recital to that offoot.


100m(i).1.44.13634


The Commonwealth of Massachusetts OFFICE OF THE SECRETARY DIVISION OF VITAL STATISTICS STANDARD CERTIFICATE OF DEATH


PHYSICIAN . IMPORTANT


(Was deceased a


U. S. War Veteran, NO /


if so specify WAR).


(Usual place of abode)


MEDICAL CERTIFICATE OF DEATH


Duration


2 gr.


4 yra


...


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 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


RM R-302 t


WRITE PLAINLY, WITH UNFADING BLACK INK - THIS IS A PERMANENT RECORD of the city or town in which the deceased resided. (See Chap. 46, Sec. 12, G. L.) resided in another city or town at the time of death should be made forthwith and transmitted on Form R-808 to the clerk Copies of returns of deaths recorded during the previous month which occurred in your city or town in case the deceased


PLACE OF DEATH


Suffolk (County)


The Commonwealth of Massachusetts OFFICE OF THE SECRETARY DIVISION OF VITAL STATISTICS COPY OF CERTIFICATE OF DEATH


Boston


(City or town making return)


1470


Registered No.


(If death occurred in a hospital or institution,


St.


give its NAME instead of street and number)


2 FULL NAME


Sarah Schwartz


(If deceased is a married, widowed or divorced woman, give also maiden name.)


(a) Residenoo. No.


111 Locust


St.


Winthrop Mass.


(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


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


or DIVORCED


Married


5a If married, widowed, or divoroed


HUSBAND of


(or) WIFE of


(Give maiden name of wife in full)


Joseph ... Schwartz


(Husband's name in full)


6 Age of husband or wife if allve


55


years


7 IF STILLBORN, enter that faot here.


8 AGE ... 5.6 .... Years. .Months. Days


If less than 1 day


Hours


.. Minutes


Usual


9 Ocoupation :


Housewife


Industry


10 or Business :


At Home


11 Soolsl Seourlty No ...


12 BIRTHPLACE (City)


(State or country)


Lithuania


13 NAME OF


FATHER


Gerson Cohen


14 BIRTHPLACE OF


FATHER (City)


Lithuania


(State or country)


15 MAIDEN NAME


OF MOTHER


Annie E


16 BIRTHPLACE OF


MOTHER (City)


(State or country)


Russia


17 Informant (Address)


Husband (


A TRUE COPY. ..


ATTEST :


(Registrar of city or town where death occurred)


Feb. 17/47


19


22 NAME OF


FUNERAL DIRECTOR


L Schlossberg


ADDRESS


Mattapan .. Mass ...


Reoelved and filed MAR 10 1947 19


(Registrar of City or Town where deceased resided)


50m. (b)-6-44-14607


1


Boston


(City or Town)


No.


Mass.General Hospital


DATE FILED


18 DATE OF


DEATH


(Month)


Feb. 14/47


(Day)


(Year)


19 | HEREBY CERTIFY,


Jan ...... 2.9.


19 ... 4.7 ... ,


to


That I attended, deceased from


eb/14/43


! last saw h


alive on


er


Feb


.14


. 19 .... 4.7 death is said to


have occurred on the date stated above, at.


5,58AM


m.


Duration


Immediate oause of death


Peritonitis generalized


15 Das.


Due to


Pancreatitis, acute hemorrhagic


15Days


Due to.


Other conditions


Arterio sclerotic heart dis.


(Include pregnancy within 3 months of death)


Physician


Major findings:


Ligation of veins of


Of operations.


leg


2-10-47


Date of


Underline the cause to which death should be charged sta- tlstically.


What test confirmed diagnosis ?.... Clinica.1 20 Was disease or Injury in any way related to oooupation of deosased?


If so, speolfy.


J S Lichty


M. D.


(Address)


Mass General HosptDate 2-1419


47


21 PLACE OF BURIAL,


Ind.Workers Order Everett Mass


CREMATION OR REMOVAL


(Cemetery)


Feb 14 47


19


(City or Town)


DATE OF BURIAL


(Signed)


Relstion, If any


Of autopsy


PARENTS


(If U. S.


War Veteran,


specify WAR)


محى


M R-301 A


Suffolk


/(County) Hintlook (City or Town)


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.


40


St. 3 § (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)


(If nonresident, give city or town and State)


In this community 50 yrs.


- mos.


MEDICAL CERTIFICATE OF DEATH


18 DATE OF DEATH February (Month)


15 (Day)


1947 (Ycar)/


19 1 HEREBY CERTIFY, That I attended deceased from august 15, 1946, to Feb 15 , 1947


I last saw h I'm alive on


Feb 14


, 19 4 / death is said to


have occurred on the date stated above, at


8.9 m.


Duration


Immediate cause of death Chronic Myocarditis


Due to


Due to


Other conditions


(Include pregnancy within 3 months of death)


Major findings:


Of operations


Date of


Of autopsy


What test confirmed diagnosis?


Clinical Signs


20 Was disease or injury in any way related to occupation of deceased? If so, specity U


(Signed)


M. D.


Calvary Qua


Place of Burial, Cremation o Removal.


DATE OF BURIAL Atab. 18


22 NAME OF FUNERAL DIRECTOR ADDRESS 760 Quai ST.


John M. Jagg


Villaster masaã


Received and Filed MAR 1 1947


(Registrar)


IMPORTANT 3 years


IMPORTANT


Physician Underline the cause to which death should be charged sta- tistically.


21


)


I HEREBY CERTIFY that a satisfactory standard certificate of death was filed with me BEFORE the burial ør transn permit was issued: Water & Bakery (Stynatury of Agent of Board of Health of other), Health Office 2/17/47 Vorfinal Designation) ( Date of Issue of Permit)


Married


years


If less than 1 day Hours Minutes


Mary Bi Laughlin


100m-0-44-14955


1


PLACE OF DEATH


adams


Edward J . Moram


(If deceased is a married, widowed or divorced woman, give also maiden name.)


(a) Residence. No. 16 adams St.


months days.


Registered No.


1.6 No. 2 FULL NAME (Usual place of abode) Length of stay: In hospital or institution years (Before death) (Specify whether) PERSONAL AND STATISTICAL PARTICULARS 3 SEX 5 SINGLE (write the word) MARRIED WIDOWED or DIVORCED Prale 4 COLOR OR RACE White wirdDor diverses C. Griffin HUSBAND of .. (Give maiden name of wife in full (or) WIFE of (Husband's name in full) 6 Age of husband or wife if alive 7 IF STILLBORN, enter that fact here. 8 1 AGE Months Days 72 Years Usual State Inspector 9 Occupation: 10 or Business: 11 Social Security No .. . 12 BIRTHPLACE (City) Scotland (State or Country) 13 NAME OF FATHER Edward Moran 14 BIRTHPLACE OF FATHER (City) Ireland (State or Count 15 MAIDEN NAME OF MOTHER 16 BIRTHPLACE OF MOTHER (City), (State or Country) 17 Informant (Address) 16 adams ST. Relation, if any Wife If deceased was a U. S. War Veteran, G. L. Chap. 46, Section 10, requires physicians to insert a recital to that effect. PARENTS See instructions and extracts from the laws on back of certificate. DEATH in plain terms, so that it may be properly classified. Exact statement of OCCUPATION is very important. information should be carefully supplied. AGE should be stated EXACTLY. PHYSICIANS should state CAUSE OF Industry Public Saftey Lafet


N. D. WRITE LAIUM


(Address)) Winthrop Date Feb/61947 Boston, mas. (City or Town 19 47


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 kuowledge 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 ariny, navy or inarine corps of the United States in any war in which it has been engaged, insert iu the certificate a recital to that effect, speci- fying the war, and shall also certify in such certificate both the primary and the secondary or immediate cause of death as nearly as he can state the same. For neglect to comply with any provision of this section, such physician or officer shall forfeit ten dollars. For the purposes of this sec- tion and of sections forty-five, forty-six and forty-seven of said chapter one hundred and fourteen, the word "war" shall include the China relicf expedition and the Philippine insurrection, which shall, for said purposes, be deemed to have taken place between February fourteenth, eighteen hundred and ninety-eight and July fourth, nineteen hundred and two, and the Mexican border service of nineteen hundred and sixteen and nine. teen hundred and seventeen. G. L. Chap. 46, Sec. 10.




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