USA > Massachusetts > Suffolk County > Winthrop > Town of Winthrop : Record of Deaths 1948 > Part 19
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SPACE FOR ADDITIONAL INFORMATION
DATE OF ENTERING MILITARY SERVICE
DATE OF DISCHARGE RANK, RATING
ORGANIZATION AND OUTFIT
SERVICE NUMBER
R-301 A
Suffolk
(County)
inthron
(City or Town)
No.
WinthropCommunity
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.
48
Hospital
(If death occurred in a hospital or institution,
St.
'{ give its NAME instead of street and numher)
2 FULL NAME
Timothy
J. Mahaney
( If deceased Is a married, widowed or divorced woman, give also maiden name.)
(a) Rasidence. No.
24
Edgehill Rd
(Usual place of abode)
St.
(If nonresident, give city or town and State)
Length of stay: In hospital or Institution
( Before death)
( Specify whether)
years
months
5
days.
In this community 72 yrs.
mos.
days.
PERSONAL AND STATISTICAL PARTICULARS
3 SEX
4 COLOR OR RACEI
5 SINGLE
( write the word)
MARRIED
WIDOWED
or DIVORCED
Married
Male Thite
5a If married,
HUSBAND of
Agreg divingbin
(Give malden name of wife in full)
(or) WIFE of
( Husband's name in rull)
78
years
7 IF STILLBORN, enter that fact here.
8 AGE 80 Years Months Days
If less than 1 day
Hours
Minutas
Usual
9 Occupations tired Supt Streets
Industry
Town of Winthrop
11 Social Security No.
12 BIRTHPLACE ( City)
(Siate or country)
Ireland
13 NAME OF
FATHER
Bartholomew
14 BIRTHPLACE OF
FATHER (City)
(State or country)
Ireland
15 MAIDEN NAME
OF MOTHER
Mary Mccarthy
16 BIRTHPLACE OF
MOTHER. (City)
(State or country)
Treland
Relation, If any
17 Francis Mahany
Informant
f Address )
53 Ingleside Ave
I HEREBY CERTIFY that a,satisfactory standard oartifiote of daath was Aleg with of BEFORE the buflat or transit permit was jasued : Walter & Waker .
Signature of Mont of Board of Health or other)
3/20/48
(Date of Issue of Permit)/
18 DATE OF
DEATH
march 14
( Month)
(Day)
(Year)
19 ! HEREBY CERTIFY.
That ! attandad daosasad from
to
march 19.
19 4
I last saw h2
... alive on.
Nach1948, death is said to
hava occurred on the date statad above, at.
2.15 PM
Immediate oruse of daath
Duration 2 IMPORT LOT
Other conditions
(Include pregnancy within 3 months of death)
IMPORTANT
Major findings :
Of operations
fractured loft one . 3/18/48
Underline which death should be charged st .. tistically.
20 Was disease or injury in any way related to occupation of daoaased ?
If so, spooify ...
(Signed).
(Address) BMI
Date 3-19
19.
48
21
winthrop
winthrop
(City or Town)
Place of Burial, Cremation or Removal.
DATE OF BURIAL.
Mar ...
22
1948
19
Form HO Maly Winthrop
Received and filed
MAR 23 1948
....
19
(Official Designation)
(Registrar)
100m-(g)-1-45-15510
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, Seotlon 10, requires physicians to Insert a recital to that effect. PARENTS
PLACE OF DEATH
1
Registared No.
PHYSICIAN - IMPORTANT
(Was deceased a
U. S. War Veteran,
if so specify WAR).
2.
MEDICAL CERTIFICATE OF DEATH
1948
Due to
Due to
Croteiro Pleins
Of autopsy.
What test confirmed diagnosis?
M. D.
22 NAME OF
FUNERAL DIRECTOR
ADDRESS
6 Age of husband or wife if alive
10 or Business :
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 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 human body in a town, or remove therefrom a human body which has not been buried, until he has received a permit from the board of health, or its agent appointed to issue such permits, or if there is no such board, from the clerk of the town where the person died; and no undertaker or other person shall exhume a human body and remove it from a town, from one cemetery to another, or from one grave or tomb other than the receiving tomb to another in the same cemetery, until he has received a permit from the board of health or its agent aforesaid or from the clerk of the town where the body is buried. No such permit shall be issued until there shall have been delivered to such board, agent or clerk, as the case may be, a satisfactory written statement containing the facts required by law to be returned and recorded, which shall be accompanied, in case of an original interment, by a satisfactory certificate of the attending physician, if any, as required by law, or in lieu thereof a certificate as hereinafter provided. If there is no attending physician, or if, for sufficient reasons, his certificate cannot be obtained early enough for the purpose, or is insufficient, a physi- cian who is a member of the board of health, or employed by it or by the selectmen for the purpose, shall upon application make the certificate re- quired of the attending physician. If death is caused by violence, the medi- cal examiner shall make such certificate. If such a permit for the removal of a human body, not previously interred, from one town to another within the commonwealth cannot be obtained early enough for the purpose, the certificate of death made as above provided and in the possession of the undertaker desiring to make such removal shall constitute a permit for such removal; provided, that such body shall be returned to the town from which it was removed within thirty-six hours after such removal, unless a permit in the usual form for the removal of such body has been sooner obtained hereunder. If the death certificate contains a recital, as required
by section ten of chapter ioriy-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 clerl: 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 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 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
DATE OF ENTERING MILITARY SERVICE
DATE OF DISCHARGE RANK, RATING
ORGANIZATION AND OUTFIT
SERVICE NUMBER
R-301 A 7
1
8/48 41 PLACE OF DEATH Sittelle (County) Winthrop ,(City OF Town) With 1 Comment
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.
49
§ (If death occurred in a hospital or institution, St & give its NAME instead of street and number) r
2 FULL NAME
Mary T. Oliver yes
King
( If deceased is a married, widowed or divorced woman, give also maiden name.)
(a) Residenca. No. (Usual place of abode)
Length of stay: In hospital or Institution /
( Before death )
(Specify whether)
years
months
17
days.
in this community
yrs.
mos.
dayı.
PERSONAL AND STATISTICAL PARTICULARS
MEDICAL CERTIFICATE OF DEATH
3 SEX temadel
4 COLOR OR RACEJ
what
5 SINGLE
( write the word)
MARRIED
WIOOWEO
or DIVORCED Werdenund
5a If married, widowed, or divorced HUSBANO of
(or) WIFE of
W. 11(Give maiden name of wife in full)
( Husband's name in full)
: 0 871VIV
6 Age of husband or wife if aliva years
7 IF STILLBORN, enter that fact here.
AGE 78 Years
Months
Oays
if less than 1 dey
Hours
Minutes
Usual
9 Occupetion :
Industry
10 or Business :
at home
11 Social Security No.
12 BIRTHPLACE (City)
Somcirella
(Siale or country)
mars.
13 NAME OF
FATHER
John King
PARENTS
14 BIRTHPLACE OF
FATHER (Cily)
(State or country)
Ireland
15 MAIOEN NAME
OF MOTHER
Way Wallace
16 BIRTHPLACE OF
MOTHER (City)
(State or country)
Fueland
17 Josephine King
Relation, if any
(Address) 40 Witherhas Ave Raving
I HEREBY CERTIFY that a satisfactory standard certificata of death was filled with the BEFORE the Durjai or transit permit waa issued ? Walter 7. gallen
22 NAME OF
FUNERAL DIRECTOR
J. Vincent Murray
ADDRESS
Revere May
.19
(Official Designation)
(Date of Tomue of Permit)
18 DATE OF
DEATH
march
20
1948
( Month)
(Day)
(Year)
IQ I HEREBY CERTIFY,
march 1
1948
march 20
to
That I attended deosased from
i last saw her
.allva on
march 19, 1948
death Is sald to
heve occurred on tha date stated above, a
4.15
4 m.
Duration
Immedlate ceuse of death Carcinoma of Reta Seguono
IMPORTANT
6 hrs
Que to.
Que to
Other conditions.
( Include pregnancy within 3 months of death)
Mejor findings:
Of operations
Segundoscopie Com
Date of.
o of march 17-4
Of autopsy
What test confirmed dlegnosis ?
Procturkey
Underline the cause to which death should be charged sta- tistically.
20 Was discese or injury in any way related to coqupation of deceased ? W
if ao, speolfy ..............
0
('Signed)
Cretino MA
. M. D.
(Address)
Parere Mars Ordner 2 2 1948
21
Calvary
Cancard N.H.
Place of Burial, Cremation or Removal.
(City or Town)
OATE OF BURIAL.
March 23
1948
Recalved and fled
MAR 23 1948
( Registrar)
extracts from the laws on back of certificate. If deceased was a U. S. War Veteran, Q. L. Chap. 46, Seotion 10, requires physicians to insert a recital to that effect.
100m-(g)-1-45-15510
(Signature of Agent of Board of Health or other) Hallo Officer
3/22 /48
Registered No.
Hospital
PHYSICIAN - IMPORTANT
(Was deceased a
U. S. War Veteran,
if so specify WAR)
wer
40 WithErber Goc
St.
REVEL
5
(If nonresident, give city or town and State)
19
48
IMPORTANT Physicien
informant
EXTRACTS FROM THE LAWS OF THE COMMONWEALTH OF MASSACHUSETTS GOVERNING THE RETURN OF CERTIFICATES OF DEATH
A pbysician or registered hospital medical officer shall fortbwith, 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 bis last illness, when last seen alive by the physician or officer and the date of his death ... Gen. Laws, Cbap. 46, Sec. 9.
A physician or officer furnishing a certificate of death as required by the preceding section or by section forty-five of chapter one hundred and four- teen, shall, if the deceased, to the best of his knowledge and belief, served in the ariny, navy or marine corps of the United States in any war in wbich 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 be 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 hundred and ninety-eight and July fourth, nineteen bundred 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 sball hury or otherwise dispose of a buman body in a town, or remove tberefrom a human body which has not been buried, until be bas received a permit from the board of bealth, 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 otber person shall exbume 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 be 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 he 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 he obtained early enough for the purpose, or is insufficient, a physi- cian who is a member of the hoard of bealth, 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, tbe certificate of death made as ahove 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 hody bas heen sooner ohtained 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 .- Cbap. 114, Sec. 45, G. L., (Tercentenary Edition).
Medical examiners shall make examination upon the view of the dead hodies of only such persons as are supposed to have died hy 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 sball hury a human body or the ashes thereof which have been brought into the commonwealth until be 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 beld, or from a person appointed to have tbe 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 wbose 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 hy 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., beart failure, asphyxia, astbenia, 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 he 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 bome housework, write housework. For a person engaged in domestic service for wages, bow- ever, designate the occupation hy 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
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. Seotlon 10, requires physioians to insert a recital to that effeot.
1
PLACE OF DEATH
Suffolk (County)
Winthrop
(City or Town) 18 Marshall Street
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.
50
......
Registered No. { (If death occurred in a hospital or institution, St. [ give its NAME instead of street and numher)
2 FULL NAME
( If deceased la a married, widowed or divorced woman, give also maiden name.) 18 Marshal St
(e) Residence. No.
(Usual place of abode)
(if nonresident, give city or town and State)
Length of stay: In hosoltal or Institution
( Before death)
( Specify whether)
years
months
days.
In this community40 yrs.
mos.
days.
PERSONAL AND STATISTICAL PARTICULARS
3 SEX Female
4 COLOR OR RACE1
White
5 SINGLE
( write the word)
MARRIED
WIDOWED
or DIVORCED Married
5a If married, widowed, or divoroed HUSBAND of
(or) WIFE of
Edmuffise mide
iden game & Fife In full)
( Husband's name in ruli)
6 Age of husband or wife if alive 75
years
7 IF STILLBORN, enter that fect here.
8
AGE
73 Years
11
Months
12 Days
If less than 1 day
Hours
Minutes
Usual
9 Occupation :
Housewife
Industry
10 or Business :
Own home
11 Social Security No.
None
Boston
12 BIRTHPLACE (City)
( Siate or country)
Mass.
13 NAME OF
FATHER
William B Corbett
14 BIRTHPLACE OF
Unable to obtain
FATHER (City)
(State or country)
15 MAIDEN NAME
OF MOTHER
Unable to obtain
16 BIRTHPLACE OF
MOTHER (City)
Unable to obtain
(State or country)
Remito
17 informent ( Address) Edmund B Corbett 18 Marshall St. Winthrop
I HEREBY CERTIFY that a satisfactory standard certificate of death was Aled with one BEFORE the but or tranot permit was istfed : Walter Grsaker
40 .......
(Date of Issue of Permit)
18 DATE OF
DEATH
( Month)
(Day)
(Year)
19 | HEREBY 7-8-1
CERTLEY,
48
.,
19 ..
to
. ,
19
48
I last sew h ....... alive on
mach 14, 199 death Is said to
heve occurred on the date stated above, at.
2 A
m.
Duration
Immediate oouse of death
IMPORTANT
.........
CARCINOMATesis
Canon
Due to
CARCINOM
Due to
Other conditions.
( Include pregnancy within 3 months of death)
IMPORTANT Physician
Mejor findings : Of operations
Date of
Of autopsy.
What test confirmed diegnosis?
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