Town of Winthrop : Record of Deaths 1948, Part 10

Author: Winthrop (Mass.)
Publication date: 1948
Publisher:
Number of Pages: 524

USA > Massachusetts > Suffolk County > Winthrop > Town of Winthrop : Record of Deaths 1948 > Part 10

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FEB 24 1948

(Registrar)

2 FULL NAME

Mary A.(Davis) Sweeney (If deceased is a married, widowed or devoted woman, give also maiden naine.)

0 52 Ashley

(a) Residence. No. (Usual place of abode)

Length of stay: In hospital or institution (Before death)

(Specify whether)

years

months

days.

18 DATE OF DEATH Jehnny (Month)

19,

(Day)

1948 (Year)

William Sweeney

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. PARENTS

100M-7-46-19068

IMPORTANT

Physician

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

2/19 1948

have occurred on the date stated above, at

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 deatb ... 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, sucb 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 bundred 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 otber person sball 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 sucb permits, or if there is no such board, from the clerk of the town where the person died; and no undertaker or other person sball 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 sucb removal; provided, that such body shall be returned to the town from which it was removed within thirty-six bours 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 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 sucb 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- Bician 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 soine 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

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, G. L. Chap. 46, Section 10, requires physicians to Insert a recital to that offoot. PARENTS

PLACE OF DEATH

Suffolk (County)

Winthrop

....

(City or Town) 104 Bay View Ave.

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, 25

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

2 FULL NAME

Rose Ella (McFarland ) Jenner

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

(a) Residencs. No.

104 Bay View Ave .

St.

(Usual place of abode)

(If nonresident, give clty or town and State)

Length of stay: In hospital or Institution

( Before death)

( Specify whether)

years

months

days.

in this community

35 yra.

mos.

days.

PERSONAL AND STATISTICAL PARTICULARS

3 SEX

4 COLOR OR RACEI

5 SINGLE

(write the word)

Female

Whote

MARRIED

WIDOWED

or DIVORCED Widow

Sa If married, widowed, or divoroed

HUSBAND of

(or) WIFE of

Robertadrermerite in full)

( Husband's name In tull)

6 Age of husband or wife if aliva yaers

7 IF STILLBORN, enter that fact here.

AGE

Years

Months

Days

If less than 1 day

Hours

Minutes

Usual

Housewife

9 Occupation :

Industry

At home

10 or Business :

11 Social Security No.

None

Augusta

12 BIRTHPLACE (City)

( State or country)

Maine

13 NAME OF

FATHER

Robert McFarland

14 BIRTHPLACE OF

FATHER (City)

(State or country)

Maine

15 MAIDEN NAME

OF MOTHER

Miller

16 BIRTHPLACE OF

MOTHER (City)

(State or country)

Maine

17 Robert Jenner

Relation, If any

son

Informant

( Address)

104 Bay View Ave. Winthrop

I HEREBY CERTIFY that a satisfactory standard oertifloats of deeth was fled with me BEFORE the burlat or Transit permit was issued : Walter Bakery

(Signature of Agent of Board of Health or other) Health, Oficer 3/20/48

(Date of Issue of Permit) /

MEDICAL CERTIFICATE OF DEATH

18 DATE OF

DEATH

February 20 1445

( Month)

(Day)

(Year)

19 | HEREBY CERTIFY, That i attended deosased from

annie 4

...

19.

to ..

Febrearing 20

i last saw h .......... alive on.

february 19%, death is said to

have occurred on the date stated above, at

iAm.

immediate ceuse of death

Carcinoma fotonach

Pernicious Quemia

12 years

Due to

antónioe

Other conditions

Uremia

( Include pregnancy within 3 months of death)

IMPORTANT

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

20 Was disease or injury in any way related to booupation of degeassd ....... If so, spsoify .... ..... (Signed der . Chamo Mich (Address) 562 Sluzby A Date 2/20/88

Bradley 0.

Brad.le.y ..... Maine ...

Piace of Burial, Cremation or Removal.

(City or Town)

DATE OF BURIAL ..

Feb ...

2.1

1948

22 NAME OF

FUNERAL DIRECTOR.

ADDRESS

Winchof milan

Recsived and flad

FEB 21 1943

V(Official Designation)

( Registrar)

....

Major findings:

Of operations

none

Date of.

Of eutopsy

une

What test confirmed diagnosis ?!

clinical &

100m.(g)-1-45-15510

Registered No.

No.

PHYSICIAN - IMPORTANT

(Was deceased a

U. S. War Veteran,

if so specify WAR).

......

Duration

IMPORTANT

EXTRACTS FROM THE LAWS OF THE COMMONWEALTH OF MASSACHUSETTS GOVERNING THE RETURN OF CERTIFICATES OF DEATH

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 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 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 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 sball 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

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 asbes thereof which have been brought into the commonwealth until be has re- ceived a permit so to do from the board of bealth 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 deatbs only as those of persons to whom they have given bedside care during a last illness from disease unrelated to any form of injury.

(2) Board of Health physicians will certify to such deaths only as those of persons who, though disabled by recognized disease unrelated to any form of injury, have died without recent medical attendance or whose phy- sician is absent from home when the certificate of death is needed.

(3) Medical Examiners will investigate and certify to all deaths sup- posably due to injury. These include not only deaths caused directly or indirectly hy traumatism (including resulting septicemia), and by the action of chemical (drugs or poisons), thermal, or electrical agents, and deaths following 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 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-botel, 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

Suffolk (County)

Winthrop

...

(City or Town) 55 Beach Road

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. { (If death occurred in a hospital or institution, .[.give its NAME instead of street and numher)

2 FULL NAME Alice Lucinda (Earl) Root mmD

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

55 Beach Road

(a) Rasidence. No.

(Usual place of abode)

Length of stay: In nesoltal or Institution

(Before death)

(Specify whether)

MEDICAL CERTIFICATE OF DEATH

3 SEX

Female

4 COLOR OR RACE

White

5 SINGLE

( write the word)

MARRIED

WIDOWED

or DIVORCEO Widow

Sa If married, widowed, or divoroed HUSBAND of

(or) WIFE of

(Gi'S BHYT 'RE VIKTn'y") Root

( Husband's name in rull)

6 Age of husband or wife if allve years

7 IF STILLBORN, enter that fact hera.

AGE

Years

Months

Osys

If less than 1 day

Hours

Minutas

Usual

9 Occupation :

Medical Doctor (Retired)

Industry

10 or Business :

11 Social Security No.

None

12 BIRTHPLACE (City)

( Siate or country)

McCone Ivilles

New York

13 NAME OF

FATHER

Stephen · Earle

14 BIRTHPLACE OF

FATHER (Clty)

(State or country)

Unable to obtain

15 MAIDEN NAME

OF MOTHER

Lucinda Nettleton

16 BIRTHPLACE OF

MOTHER (City)

. (State or country)

New York

17 Carl Root

Informant

(Address) 52 Beach Rd Winthrop

I HEREBY CERTIFY that a satisfactory standard oartifioate of death was filled with me BEFORE the burial or transit permit was Issued : Walter . 19 aker

(Signature of Agent of Board of Health or other)

2/24/48

(Official Designation) (Date of Issue of Permit)

18 DATE OF

February

DEATH

(Month)

(Day)

(Year)

19 | HEREBY CERTIFY,

That I attendad daoaasad from

June 20

1946

to ..

February 22

I last saw h.

.alive on

February 22 1978, death Is said to

have occurred on the date stated abova, at

6 40 Pm

m .

Duration

Immediate cause of death

Coronary thrombosis

2 days

Due to

arteriosclerosis generalized

and certerio scievotre heart

Due to

disease

· years

Other conditions.

glaucoma, left eye

( Include pregnancy within 3 months of death)

IMPORTANT

Major findIngs :

Of operations

Oate of

Of autopsy.

Clinical

What test confirmed diagnosis?

Physician Underline the cause to which death should he charged sta. tistically. no

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

If so, speolfy ...

(Signad)

(Address) 238 Shore Drive

Data

2/23

. M. D.

19.9

Woodlawn Crematory

Everett

Place of Burial, Cremation or Removal.

(City or Town)

DATE OF BURIAL .......

Feb ....

2.5.

194.8

22 NAME OF

FUNERAL DIRECTOR.

ADDRESS

Saward SOJuzweb

Received and fled.

FEB 201943

( Registrar)

100m- (g) -1-45-15510

186) per ms. Reynolds 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, G. L. Chap. 46, Section 10, requires physicians to insert a recital to that effeot. PARENTS

PLACE OF DEATH

No.

St.

PHYSICIAN - IMPORTANT

(Was deceased a

U. S. War Veteran,

if so specify WAR).

St.

(If nonresident, give city or town and State)

In this community

30yrs.

mos.

days.

PERSONAL AND STATISTICAL PARTICULARS

years

months

days.

1948

1 year ......

Relation, If any

... o.o.n

IMPORTANT

EXTRACTS FROM THE LAWS OF THE COMMONWEALTH OF MASSACHUSETTS GOVERNING THE RETURN OF CERTIFICATES OF DEATH

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 border service of nineteen hundred and sixteen and nine- teen hundred and seventeen. G. L. Chap. 46, Sec. 10.

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Town of Winthrop : Record of Deaths 1948, Part 10

Author: Winthrop (Mass.) Publication date: 1948 Publisher: Number of Pages: 524

Author: Winthrop (Mass.)
Publication date: 1948
Publisher:
Number of Pages: 524