Town of Winthrop : Record of Deaths 1947, Part 8

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


USA > Massachusetts > Suffolk County > Winthrop > Town of Winthrop : Record of Deaths 1947 > Part 8


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 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 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 forth with 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 forum 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


NYWITS


1


×


PLACE OF DEATH


Suffolk (County) Winthrop (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.


Registered No.


-


No.


Winthrop Community Hospital


1 (If death occurred in a hospital or institution, { St. { give its NAME instead of street and number) f


PHYSICIAN - IMPORTANT (Was deceased a U. S. War Veteran, if so specify WAR)


(a) Residence. No. 14 Belcher Street St.


(Usual place of abode)


"(If nonresident, give city or town and State)


17


mos.


days.


PERSONAL AND STATISTICAL PARTICULARS


3 SEX Male


4


COLOR OR RACE


White


5 SINGLE (write the word)


MARRIED


WIDOWED


or DIVORCED


Married


5a If married, widowed or divorced


Hilda Reynholds


HUSBAND o1 .. .


(Give maiden name of wife in full)


(or) WIFE of


(Husband's name in full)


6 Age of husband or wife if alive


58


years


7 IF STILLBORN, enter that fact here.


8


12


ÅGE


7.2


Years


2


Months


Days


If less than 1 day


Hours


Minutes


Usual


Captain (Retired)


9 Occupation:


Industry


Ferry Boat


10 or Business:


11 Social Security No ..


021-14-1411


12 BIRTHPLACE (City)


(State or Country)


Sweden


Other conditions


(Include pregnancy within 3 months of death)


Major findings:


Of operations


home


Date of .. .


Of autopsy


What test confirmed diagnosis?


Clinical + Laboratory


15 MAIDEN NAME


OF MOTHER


Amalia Johanson


16 BIRTHPLACE OF


MOTHER (City)


(State or Country)


Sweden


17 Hilda Broberg


( Rokyop of any


Informant (Address' 14 Belcher St Winthrop I HEREBY CERTIFY that a satisfactory standard certificate of death was filed with me BEFORE the burial oftransit permit was issued: Walter .


(Signature of Agengof Board of Health of other)


officer


Health Official Designation) (Date of Issue of Permit) 1/27/47


MEDICAL CERTIFICATE OF DEATH


25


1947


(Year)


19 47


1 HEREBY CERTIFY,


That Inattended deceased from


December 9,


,19


I last saw him alive on


Jamany 25, 1947, death is said to


have occurred on the date stated above, at


11 th A. m.


Immediate cause of death


Hypertensive and


arterioscleratic heart disease


with cardiac decompensation


Due to Bronchial asthma


Due to


Chronic cholecystitis


Duration IMPORTANT 1 1/2 years 5 years 6 months


IMPORTANT


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


20


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


If so, specity


(Signed) Maurice Traunstein


, M. D.


(Address) 562 Shirley St. Winthrop Date Jan 251947


21


Winthrop.


Winthrop


DATE OF BURIAL


Jan 28


1947


22 NAME OF


FUNERAL DIRECTOR


Howard S Runollo


ADDRESS


W minas Timais.


Received and Filed


JAN 29 1947


19


(Registrar)


100m-9-44-14955


If deceased was a U. S. War Veteran, G. L. Chap. 46, Section 10, requires physicians to insert a recital to that effect. 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 3


13 NAME OF


FATHER


Johan Kristenson (ok.)


14 BIRTHPLACE OF


FATHER (City).


(State or Country)


Sweden


PARENTS


M R-301 A


1


Length of stay: In hospital or institution


Hosp.


years


In this community


yrs.


(Before death)


(Specify whether)


2 FULL NAME


John Otto Broberg


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


months


1


days.


18 DATE OF


DEATH


Ja


mary


(Month)


(Day) )


45


. to


January 25. 1947


hove


Place of Burial, Cremation or Removal.


(City or Town)


-


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 othcer 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 teu of chapter torty . six, luat 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 permita, 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 forin 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


1


PLACE OF DEATH


Essex


(County) Danvers (City or Town) No anvers State Hospital


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


CERTIFICATE OF DEATH


Registered No.


25


(If death occurred in a hospital or inetitution, St.


give its NAME instead of etreet and number)


2 FULL NAME.


Charles Markell


(If deceased ie a married, widowed or divorced


woman, give aleo maiden name.)


(a) Residence. No.


173 Shirley


(Usual place of abode)


Length of stay : In hospital or Institution.


(Before death)


(Specify whether)


...


5 years /


monthe 20


days.


In this community


yrs.


mos.


days.


PERSONAL AND STATISTICAL PARTICULARS


MEDICAL CERTIFICATE OF DEATH


4 COLOR OR RACE|


male White


5 SINGLE


(write the word)


married


MARRIED


WIDOWED


or DIVORCED


( Month)


(Day)


(Year)


5ª If married, widowed or divorced HUSBAND of


JeShine Looney


(Give maiden name of wife in full)


(Husband'e name in full)


6 Age of husband or wife If alle cannot be learned


7 IF STILLBORN, enter that faot here.


8


AGE.


73 Years


Months. Days


If less than 1 day


.. Hours


.. Minutes Due to.


ash Collector (retired)


11 Soolal Security No.


12 BIRTHPLACE (City)


(State or country)


Turkey


13 NAME OF


FATHER


martin markell


14 BIRTHPLACE OF


FATHER (City)


(State or country)


Turkey


15 MAIDEN NAME


OF MOTHER


Mary Donohue


16 BIRTHPLACE OF


MOTHER (City)


(State or country)


Jurken


Mary


mc Philly Relation, if any


17 Informant ... (Address) Hathorne Mass


A TRUE COPY. ATTEST :


(Registrar of city or town where death occurred)


1947


DATE FILED


18 DATE OF


DEATH


Jan


26


19 1 HEREBY CERTIFY,


Lec. 6


1941


to ...


That I attended


deocased from


Jan. 26 1947


I last saw h.


Un alive on Jan/26, 1941, death is said to


have occurred on the date stated above, at


6.150


.. m.


Duration


Immediate oause of death, arterio sclerotic heart


7 ypro.


Due to.


Other conditions


(Include pregnancy within 3 months of death)


Physician


Major findings :


Of operations


Date of.


should be


Of autopsy Clinical


What test confirmed diagnosis ?


20 Was disease or Injury In any way related to oooupation of deceased ?.


If so, specify, (Signed) Laquale Buoniconto M. D. (Address) Hathorne Mas Date 1/3/1947


21 PLACE OF BURIAL,


CREMATION OR REMOVAL


DATE OF BURIAL


Winthrop Cem Wirth


(Cemetery)


Jan. 29


(City or Town)


1947


22 NAME OF


FUNERAL DIRECTOR


ADDRESS


Winthrop mars.


Howard D. Reynolds


Reoelved and filed FEB 7 1947 19


(Registrar of City or Town where deceased resided)


1


50m . (b).6.44-14607


3 SEX


(or) WIFE of


Usual


9 Occupation :


PARENTS


WRITE PLAINLY, WTTTT ONPAVING BLACK INK THIS IS A PERMANENTE KEUVRE


Industry


10 or Business :


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-302 to the clerk


Copies of returns of deaths recorded during the previous month which occurred in your city or town in case the deceased


Danvers


(City or town making return)


(If U. S.


War Veteran,


spoolfy WAR)


Winthrop


St.


(If nonresident, give city or town and State)


1947


disease


Underline the cause to


which death


charged sta- tietically.


-


I R-301 A


-


PLACE OF DEATH


1 Suffolk. (County)


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


To be filed for burial permit with Board of Health or its Agent.


26 ....


gide its NAME instead of street and number)


2 FULL NAME


Nell Mae ( Batchelder ) Spooner.


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


PHYSICIAN - IMPORTANT


(Was deceased a


U. S. War Veteran.


if so specify WAR) ... NO.


(a) Residence. No.


40 Temple Ave


St.


(It nonresident, give city or town and State)


Length of stay: In hospital or institutionnursing home.r. 8


months


days.


in this community


14 yrs.


mos.


daya.


MEDICAL CERTIFICATE OF DEATH


18 DATE OF


DEATH


January ..


26


1.9.4.7


( Month)


( Day)


( )'ear)


19 1 HEREBY CERTIFY,


That i attended deosased from


19.


45.


to Bancarie 26


19


47


....


I last saw hrdin alive on


January 26. 1977


have occurred on the date stated above, at7:0/2


m.


death Is said to


Immediate oouse of death


IMPORTANT


4 core les


Due to


2 years


Due to


lex -


Life hemiplejia


10.


Other conditions


( Include pregnancy within 3 months of death)


IMPORTANT


Major findinga:


Of operations


Date of


Of autopsy


nial


0


What test confirmed diegnosis?


20 Was disease or Injury in any way ralated to Jooupation of deoeesed ? If so, spaoify


( Signed)


5) 238 these Gray With Date 11/17/1997


(Addr


21


Cedar Grove Cemetery Dorchester


Piace of Burial, Cremation or Removal.


(City or Town)


DATE OF BURIAL


January 28, 1947


19


22 NAME OF


FUNERAL DIRECTOR


DR alfred B. March


ADDRESS


174 ..... Winthrop, St ..... Winthrop.


Received and fled


JAN 29 1047


19 .....


(Oficial Designation)


5 SINGLE


( write the word)


MARRIED


WIDOWED


or DIVORCED


widowed


years


If less than 1 dey


Houra


Minutes


13 NAME OF


FATHER


John Nelson Batcheller


100m- 1g) - 1 - 15.15510


Informent ( Address ) 40 Washington St Newton Mass


I HEREBY CERTIFY that a satisfactory standard certificate of death was filed with me BEFORE the butter or transit perrait was issued: Walter A Pavlice


(Signature of Agent of Board of Health of other) Thatthe appear


( Date of Theuse of Dermit)


( Registrar)


Duration


1 year


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


....


1


(Usual place of abode)


( Before death)


(Specify whether)


PERSONAL AND STATISTICAL PARTICULARS


3 SEX


4 COLOR OR RACE


female


white


Sa If married. widowed, or divorced


HUSBAND of


(or) WIFE of


william H. Spooner


( Husband's name in full)


6 Age of husband or wife if alive


7 IF STILLBORN, enter that fact here.


8


AGE 73 Years


3


Months 27 Days


Usual


9 Occupation :


retired


Industry


10 or Business :


11 Social Seourity No.


none


12 BIRTHPLACE (City)


Hampden


( State or conulry)


Maine


14 BIRTHPLACE OF


FATHER (City)


Hampden


15 MAIDEN NAME


OF MOTHER


Eliza Sawyer


16 BIRTHPLACE OF


MOTHER (City)


Hampden


( State of country)


Maine


17


Dorothy M. Haas


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


PARENTS


(kww har. march)


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


(State or country)


Maine


Winthrop. CERTIFICATE OF DEATH Registered No. (City or Town) 46 Washington Ave Kirkpatricks N. I. (If Aeath occurred in a hospital or institution. 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 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, he 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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