USA > Massachusetts > Suffolk County > Winthrop > Town of Winthrop : Record of Deaths 1947 > Part 21
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).
Part 1 | Part 2 | Part 3 | Part 4 | Part 5 | Part 6 | Part 7 | Part 8 | Part 9 | Part 10 | Part 11 | Part 12 | Part 13 | Part 14 | Part 15 | Part 16 | Part 17 | Part 18 | Part 19 | Part 20 | Part 21 | Part 22 | Part 23 | Part 24 | Part 25 | Part 26 | Part 27 | Part 28 | Part 29 | Part 30 | Part 31 | Part 32 | Part 33 | Part 34 | Part 35 | Part 36 | Part 37 | Part 38 | Part 39 | Part 40 | Part 41 | Part 42 | Part 43 | Part 44 | Part 45 | Part 46 | Part 47 | Part 48 | Part 49 | Part 50 | Part 51 | Part 52 | Part 53 | Part 54 | Part 55 | Part 56 | Part 57 | Part 58 | Part 59 | Part 60 | Part 61 | Part 62 | Part 63 | Part 64 | Part 65 | Part 66 | Part 67 | Part 68 | Part 69 | Part 70 | Part 71 | Part 72 | Part 73 | Part 74 | Part 75 | Part 76 | Part 77 | Part 78 | Part 79 | Part 80 | Part 81 | Part 82 | Part 83 | Part 84 | Part 85 | Part 86 | Part 87
To be filed for burial permit with Board of Health or its Agent.
60
Registered No. { (If death occurred in a hospital or institution, St. f.give its NAME instead of street and number)
James Bucch anderson
2 FULL NAME
( If deceased Is a married, widowed or divorced woman/ give also maiden name. )
(a) Rasidenc
No.
0 6 6 Армии в
. St.
( If nonresident, give city or town and State)
Length of stay : In hospital or Institution
( Before death)
(Specify whether)
PERSONAL AND STATISTICAL PARTICULARS
MEDICAL CERTIFICATE OF DEATH
3 SEX
Male / site
5 SINGLE
MARRIED
WIDOWED
or DIVORCED
So If married, widened Condivisa Teiner HUSBAND of
(or) WIFE of
(Give maiden name of wife in full)
Husband's name in full)
6 Age of husband or wife if allve 43 yaars
7 IF STILLBORN, enter that fact hera.
100m-(g) - 1-45-15510
PLACE OF DEATH
Suffalla
(County)
No.
PHYSICIAN - IMPORTANT
(Was deceased a U. S. War Veteran, if so specify WAR). ALT
(Usual place of abode)
years
months
days.
in this community 25 yra.
mos.
days.
4 COLOR OR RACEI
( write the word)
Due to
Other conditiona
(Include pregnancy within 8 months of death)
..........
14 BIRTHPLACE OF
FATHER (Clty)
tweeden
(State or country)
21
Duration
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 belicf 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 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 fourteeu, 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 hury or otherwise dispose of a human body in a town, or remove therefrom a human body which has not been huried, 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 hody is huried. 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, 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 be obtained early enough for the purpose, or is insufficient, a physi- cian who is a member of the hoard 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 hody 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 hody 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 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 suchi hoard, from the clerk of the town where the body is to he 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 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 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 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 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 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
R-301 A
PLACE OF DEATH
Suffolk (County)
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.
61 ...
§ (If death occurred in a hospital or institution, St.
{ give its NAME instead of street and number)
2 FULL NAME
Katherine E. Edwards Cody
( If deceased is a married, widowed or divorced woman, give also maiden name.)
St.
( If nonresident, give city or town and State)
months
days.
In this community
yrs.
mos.
days.
MEDICAL CERTIFICATE OF DEATH
18 DATE OF
DEATH
March
16
(Month)
(Day)
(Year)
19 | HEREBY CERTIFY,
Thet I attended deocased from
mar 13
1947, 10
May 16
19
47
1 last saw h
allve on ..
Jan 16, 1947 death Is said to
have occurred on the date stated above, at.
8% p.m.
Immediate oause of death
IMPORTANT
Que to
chimie Zuy vediditis
year .....
Due to
Other conditions
chulelithiasis
( Include pregnancy within 3 months of death)
Mejor AndIngs :
Of operetions
Date of
Of eutopsy
What test confirmed diegnosis?
years,
IMPORTANT
Physician
Underline the cause to which death should be charged st .. listically
20 Was disease or injury in ony way related to gpoupation of deceesed ? If so, spoolfy.
( Signed)
Harry a 1/ illy
. M. D.
(Address) . withlove
Date . / 1.7 19 4 .7
21
Winthrop Winthrop
Place of Burial, Cremation dr Removal.
OATE OF BURIAL
March
19
(City or Town)
19
22 NAME OF
FUNERAL DIRECTOR
ADDRESS
Winthrop
Form JO maley
Received :
MAR 2.6 1947
19
........
( Registrar)
100m. (8)-1.45-15510
I HEREBY CERTIFY that a satisfactory standard certificata of death was filled with me BEFORE the bigjal or transit permit, was Issued : hatte & Kavels
Signature of Kgfat of Board of Health or other) Health Jule 3/18/47
( Official Designation) ( Date of Imque of Permit)
5 SINGLE
( write the word)
MARRIED
WIDOWED
or DIVORCED Widowed
6 Age of husband or wife if alive years
If less than 1 dey
Hours
Minutos
1
Winthrop
(City or Town)
58 Somerset
No.
(a) Residence. No.
58 Somerset Ave
(Usual place of abode)
Length of stay: In angoltel nr Institution
( Before death )
( Specify whether)
PERSONAL AND STATISTICAL PARTICULARS
3 SEX
4 COLOR OR RACE
Female
White
5a If married, widowed, or divorced
HUSBAND of
(or) WIFE of
' Jaffgsmaigen nousof wife in fult)
( Husband's name in rull)
7 IF STILLBORN, enter that fect here.
8
ÅGE
87
Yeers
Montha
Day:
Usual
Housewife
9 Occuoetlon :
Industry
10 or Business :
Home
12 BIRTHPLACE (City)
( Siate or country )
13 NAME OF
FATHER
William Edwards
14 BIRTHPLACE OF
FATHER (Clty)
(State or country)
Tales
15 MAIDEN NAME
OF MOTHER
Mary Flannagan
16 BIRTHPLACE OF
MOTHER (City)
(State or country )
Ireland
17
InformenL.Quice ..
Mitton
58
Somerset
( Address)
If deceased was a U. S. War Veteran, G. L. Chap. 46, Section 10, requires physicians to insert a recital to that effect.
PARENTS
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
11 Social Security No.
East Boston
Mass
Relation d' any
Registered No.
PHYSICIAN - IMPORTANT
(Was deceased a
U. S. War Veteran,
if so specify WAR)
yeers
40
47
Duration
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 scen 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 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 horder 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 & 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 board, agent or clerk, as the case may he, 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 hy 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 hody, 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 hody 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 hury 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 he 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 hy 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 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 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
R-301 A
... PLACE OF DEATH No.
sullacle (County)
(City of Town) 74 Read &
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.
62
Registered No.
...
{ {If death occurred in a hospital or institution, St [ give its NAME instead of street and number)
Para Sais Barry (Simpson)
(If aceesed is a married. widowed or diyorced woman, give also maiden name.)
14 IRead 200
St.
(a) Residence. No.
(Usual place of abode)
Length of stay: In hospital or Institution
( Before death)
( Specify whether)
yeers
months days.
(It nonresident, give clty or town and State)
In this community 46 yrs.
mos.
daye.
PERSONAL AND STATISTICAL PARTICULARS
3 SEX
4 COLOR OR RACEI
Il huile
5 SINGLE
MARRIED
WIDOWED
or DIVORCED
( write the word)
Marek
Sa If married, widowed, or divorced HUSBAND of
(or) WIFE of
( Husband's name in full)
6 Age ot husband or wife if alive
70
years
7 IF STILLBORN, enter that fact here.
8
AGE
70 Years
Months
Days
If less than 1 dey
Hours
Minutes
Usual
9 Occupetion :
1 home
Industry 10 or Business :
11 Social Security No.
12 BIRTHPLACE (City)
East Boston
( Siste or country)
13 NAME OF
FATHER
Edward Simpson
14 BIRTHPLACE OF
FATHER (Cl:y)
Buffalo
....
(State or country)
ny
15 MAIDEN NAME
OF MOTHER
Teammate Muller
muffen
16 BIRTHPLACE OF
MOTHER (City)
(State or country)
seland
17 Jumer F. Barry (Relation, any
Informent
( Address )
I HEREBY CERTIFY that a satisfactory standard certificate of death was fled wwith me BEFORE the burial of transit permit was Issued :
-.
( Signature of Agents of Board of Health (or other) vearth officer 3/22/47 .... ... .. .. .
(Omdela! Designation) ( Date of Toque of Permit)
MEDICAL CERTIFICATE OF DEATH
18 DATE OF
DEATH
March
ia
1947
( Month)
(Day)
(Year)
19 | HEREBY CERTIFY,
Thet I attended deceased from
you 10
19 47
to
19 H.2 ..
I last saw h & M allva on
..... , 19 .1 .. ] death Is sald to
have occurred on the dato stated above, at
5:30P.
. m .
Immediato oeuse of death
Heart block
Duration zmos IMPORTANT
Due to
Due to
Other conditions ..
Corazêtre Pent Pocitung
blues
( Include pregnancy within) 3 months of death)
IMPORTANT
Physician
Underline the cause to which death should be charged va- tistically.
20 Was disease or injury in eny way related to occupation of deceesed ?
If so, speolfy
( Signed)
(Address) 447 Abendde 4 Unit gif 37311947
. M. D.
21 Mouthich an .
Place of Burial, Cremacion or, Removal.
(City or Town)
DATE OF BURIAL ..
Mar. 72
19 ... 7
22 NAME OF
FUNERAL DIRECTOR
210 Ninhturpinat Hundered
ADDRESS
Reosived and fled. MAR 26 1947.
( Registrar)
100m. (g)-1-45.15510
terms, so that it may be properly classified. Exact statement of OCCUPATION is very important. See instructions and
extracts from the laws on back of certificate.
If deceased was a U. S. War Veteran, G. L. Chap. 46, Seotlon 10, requires physicians to insert a recital to that effeot.
PARENTS
Mejor findings :
Of operetions
Date of
Of eutopsy
What test confirmed diegnosis?
Ekg.
PHYSICIAN · IMPORTANT
2 FULL NAME
( Was deceased a U. S. War Veteran, if so specify WAR)
(Give maiden name of ite in full)
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 hest of his knowledge and helief 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 hy 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 helief, 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 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 horder service of nineteen hundred and sixteen and nine- teen hundred and seventeen. G. L. Chap. 46, Sec. 10.
Need help finding more records? Try our genealogical records directory which has more than 1 million sources to help you more easily locate the available records.