USA > Massachusetts > Suffolk County > Winthrop > Town of Winthrop : Record of Deaths 1947 > Part 53
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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 Vetsran, Q. L. Chap. 46. Seotion 10, requires physicians to Insert a recital to that effect. PARENTS extracts from the laws on back of certificate.
.
1
PLACE OF DEATH
Suffolk (County) Winthrop
(City or Towy 2) Hutchinson
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.
160
Registered No. St{ {If death occurred in a hospital or institution. give its NAME instead of street and number)
2 FULL NAME
Jacob Silverma
( If deceased Is a married, widowed pr divorced woman, give also maiden name.)
(a) Residence. No.
21 Hutchinson
(Usual place of abode)
Length of stay: In hospital or Institution
( Before death)
f Specify whether)
years
months days.
In this communi
38 yrs.
mos.
days.
PERSONAL AND STATISTICAL PARTICULARS
MEDICAL CERTIFICATE OF DEATH
3 SEX
malekwhite
4 COLOR OR RACE
5 SINGLE
MARRIED
WIDOWED
or DIVORCEO
( write the word)
Widower
18 DATE OF
DEATH
aug,
14
( 3font))
( Day)
year)
29 | HEREBY CERTIFY,
That I attended deosased from
19
46
.
to
ang
1947
(or) WIFE of
( Husband's name in full)
6 Age of husband or wife if elive years
7 IF STILLBORN, enter that fact here.
&
AGE
61 Years
Months
Oays
If less than 1 day
Hours
Minutes
Usual
9 Occupation :
.........
Industry
10 or Business :
Retired
11 Social Security No.
austria
12 BIRTHPLACE (City)
( Siale or country}
13 NAME OF
FATHER
Joseph Silverman
14 BIRTHPLACE OF
FATHER (City)
(State or country)
austria
15 MAIDEN NAME
OF MOTHER
cannot be learned
16 BIRTHPLACE OF
MOTHER (City)
(State or country)
austria
17 Meyer Javney Islation, Je Vous
Informant 2017 Lovers
I HEREBY CERTIFY that a satisfactory standard certificate of death /was Aled with me BEFORE the ItiaLos treosit pejmit was Issued : Walter Baker
(Signature of ALL ( Bospd-of Health or other)
10 att De Chung. 14/194
...... (Omfelel Dealgnation) ( Date of Inause of Permit)
20 Was disease or injury in any way related to ocoupetion of deoersed? . If so, apeolfy.
( Signed )
562 Charlie St
Deta 08/14
.
M. D.
19 %7
21
Winthrop
Place of Burial, Cremation of Removal. OATE OF BURIAL
(City of Town)
47
Benjamin Dirnbach
22 NAME OF
FUNERAL DIRECTOR
ADORESS
18Washington St. Doc.
Received and Aled AUG 1 5 1947
19
( Registrar)
Duration
Immedlate cause of death
IMPORTANT
general carcinomabizio
Que to Carcinoma of prostate
Due to
Other conditions
( Include pregnancy within 3 months of death)
IMPORTANT
Major findings:
Of operations
Date of
Of autopsy
What test confirmed diagnosis?
Physician Underline the cause to which de.ith should be charged st .. tostically.
100m-(g)-1-45.15510
7
PHYSICIAN - IMPORTANT
(Was deceased a
U. S. War Veteran.
No
Winthrop
if so specify WAR)
St.
( If nonresident, give city er town and State)
1947
Ed. Rebecca Tannenbaum
HUSBAND of
¿ Give tnaiden name of wife in full)
I lest saw h ... k.k.a . alive on
14 One, 1947, death is said to
have occurred on the date stated above, at.
05:30 A
m
Tablor
( Address)
Corretto
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 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 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 bis last illness, when last scen alive by the physician or officer and the date of his deatb ... Gen. Laws, Chap. 46, Sec. 9.
A physician or officer furnishing a certificate of death as required by tbe 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 be 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.
No undertaker or other person shall bury or otherwise dispose of a buman 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 bealth or its agent aforesaid or from the clerk of the town where the body is buried. No such permit shall be issued until there sball have been delivered to sucb 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, bis 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 deatb is caused by violence, tbe 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, tbe 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 bas been sooner obtained hereunder. If tbe deatb 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 bas 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 aud the physician certifying the cause of death shall thereafter furnish for registration any otber neces- sary information which can be obtained as to the deceased, or as to the manner or cause of the deatb, 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 bas 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 sucb 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 wben 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 bad 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-botel, etc. For a person wbo bad no occupation whatever write none.
SPACE FOR ADDITIONAL INFORMATION
DATE OF ENTERING MILITARY SERVICE
DATE OF DISCHARGE RANK, RATING
ORGANIZATION AND OUTFIT SERVICE NUMBER
1
R-301 A .
Suffolk
(County)
Winthrop
(City or Town)
No. Winthrop Community Hosp.
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.
161
Registered No.
(If death occurred in a hospital or institution,
St.
¿give its NAME instead of street and number)
2 FULL NAME
Lydia E (Hilchey) Myers
( If deceased is a married, widowed or divorced woman, give also maiden name.)
265 Pleasant Street
(a) Residence. No.
(Usual place of abode)
Hosp
Length of stay: In hospital or Institution
( Before death)
( Specify whether)
yeara
months
4
days.
In this community
yrs.
mos.
days.
PERSONAL AND STATISTICAL PARTICULARS
MEDICAL CERTIFICATE OF DEATH
18 DATE OF
DEATH
august 15
1947
(Month)
(Day) )
(Year)
19 | HEREBY CERTIFY.
That i attended deosased from
august 12
1947, 10
august 15
19
47
I last saw her
... allve on.
august 15, 1947, death Is said to
have occurred on the date stated above, at.
220 p.m
Immedlata oause of death
Coronary thrombosis
Due to anteriorelastic Heart
Due to
Disease
2 years
Other conditions
nous
( Include pregnancy within 3 months of death)
IMPORTANT
Physician
Underline the cause to which death should be charged st.I. tistically
20 Was disease or injury in any way related to occupation of deceased ? 70
If so, spsolfx ..
(Signed) Maurice Traunster
.... .
M. D.
(Address) 562 Shelly St. Winthis Date august 151947
.
21
winthrop
Winthrop
Place of Burial, Cremation or Removal.
(City or Town)
DATE OF BURIAL
August
18
1947
22 NAME OF
FUNER
Howard S. Chrynolds
ADDRESS
Minthuys mans.
Received and flad ATG-20-1947
19
(Oficial Designation)
5 SINGLE
( write the word)
MARRIED
WIDOWED
DIVORC
Widow
Sa If married, widowed, or divoroad
HUSBAND of
(or) WIFE of
William made Myergwife in fill)
( Husband's name in řull)
6 Age of husband or wife if allvs years
7 IF STILLBORN, enter that fact here.
77 5
Months
15
Dayı
If less than 1 day
Hours
Minutas
At Home
11 Social Security No.
None
12 BIRTHPLACE (City)
Halifax
(State or country)
Novia Scotia
13 NAME OF
FATHER
Stephen Hilchey
14 BIRTHPLACE OF
FATHER (City)
(State or country)
Nova Scotia
15 MAIDEN NAME
OF MOTHER
Annie Harris
16 BIRTHPLACE OF
MOTHER. (City)
Cape Britton Du
(State or country)
17 Lila Baker
Daughterlation, if any 265 Pleasant St Winthrop
I HEREBY CERTIFY that a satisfactory standard certificata of death was Aled with me BEFORE the buffist or transit permit was Issued :
(Sifature of kroaf af Board nf Heakk nr other)
/Health 2. Alicer 8/18
( Date of Issue of Permit) 147
100m-(g).1.45-15510
-
PLACE OF DEATH
1 3 SEX Female Usual 9 Occupation : Industry 10 or Business : PARENTS Informant ( Address) If decessed was a U. S. War Veteran, G. L. Chap. 46, Seotion 10, requires physiolans to Insert a reoltal to that effect. 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 AGE Yeers
IMPORTANT ......... 5 days.
Major findinga:
Of operations
none
Data of
Of eutopsy
none
Whet test confirmed diagnosis ?
Clinical+ Laboratory
PHYSICIAN - IMPORTANT
(Was deceased a
U. S. War Veteran,
if so specify WAR)
St.
(If nonresident, give eity or town and State)
6
( Registrar)
Duration
4 COLOR OR RACE
White
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 hest 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 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 tomh 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 he 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, 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 aud 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 be bas 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 pby- 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 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, astbenia, etc. As principal cause name the disease causing deatb. 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
-301
PLACE OF DEATH
Suffolk (County)
No. 40 Chester Ave.
The Commonwealth of Massachusetts OFFICE OF THE SECRETARY DIVISION OF VITAL STATISTICS STANDARD CERTIFICATE OF DEATH
(City or town making return)
Registrar's No.
162
St. S (If death occurred in a hospital or institution, { give its NAME instead of street and number)
7 FULL NAME
Georgie A (Douglas) Buck
(If deceased is a married, widowed or divorced woman, give also maiden name.)
40 Cheester
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 community52 yrs. 6 mos. 10days.
PERSONAL AND STATISTICAL PARTICULARS
100m-(1)-2-44-15510
I HEREBY CERTIFY that a satisfactory standard certificate of death fled with me BEFORE the burial or transit permit was Issued: Valter & Parels
(Signature of Agent of Board of Health or other) Health Offices 8/19/47 (Offielal Designstlon) (Date of Issue of Permit)
MEDICAL CERTIFICATE OF DEATH
18 DATE OF
DEATH
august
16
(Month)
(Day)
(Year)
46
to
19 I HEREBY CERTIFY,
7/36
19
I last saw h. alive on
8/16
have occurred on the date stated above, at
M.
Immediate cause of death
Duration IMPORTANT 1 day
Due to.
Caruma & semmel
with matador
·
Due to.
Other conditions.
(Include pregnancy within 3 montha of death)
IMPORTANT Physician
Underline the cause to which death should be charged sta- fistically.
20 Was disease or injury In any way related to occupation of deceased? ho
If so, specify
(Signed)
M. D.
(Address)
Str Stanley
1947
21 Winthrop
Place of Burial, Cremation or Removal. DATE OF BURIAL
August
19
19
22 NAME OF
FUNERAL
ADDRESS
Recelved and filed AUG 20 1947
_19
A TRUZ COPY ATTEST:
(Registrar)
Winthrop
1
(City or Town)
(a) Residence. No.
(Usual place of abode)
3 SEX
4 COLOR OR RACE
White
Female
5a If married, widowed, or divorced
HUSBAND of
(or) WIFE of
6 Age of husband or wife if alive.
7 IF STILLBORN, enter that fact here.
8
52
6
10
AGE
Year
Months.
Days
Usual
9 Occupation :
Housewife
Industry
10 or Business:
Own Home
11 Social Security No.
None
12 BIRTHPLACE (City)
Winthrop
PARENTS
that it may be properly classified. Exact statement of OCCUPATION L very Important See Instructions and oxtracts
(State or country)
Magg
from the laws on back of certlacate.
Lf deceased was a U. S. War Veteran, G. L., Chap. 48, Sec. 10, requires physicians to Insert a recital to that effect.
5 SINGLE (write the word)
MARRIED
WIDOWED
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