USA > Massachusetts > Suffolk County > Winthrop > Town of Winthrop : Record of Deaths 1948 > Part 2
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(Cemetery)
(City or Town)
DATE OF BURIAL
January ........ 10.
19 .. 48
22 NAME OF
Maurice Kirby
FUNERAL DIRECTOR
ADDRESS
210 Winthrop St., Winthrop, Mass.
Received and filed
JAN 3 11949
19
(Registrar of City or Town where deceased resided)
1
Cambridge
(City or Town)
Holy Ghost Hospital
The Commonwealth of Massachusetts OFFICE OF THE SECRETARY DIVISION OF VITAL STATISTICS COPY OF CERTIFICATE OF DEATH
Cambridge
(City or town making return)
Registered No.
65
3
(If death occurred in a hospital or institution,
st.
give ita NAME instead of street and number)
2 FULL NAME
Miss Mary A. Winston
(If deceased is a married, widowed or divorced woman, give also maiden name.)
(a) Residence. No.
105 Sagamore Avenue
St.
Winthrop ... Mass.
(Usual place of abode)
Hospital
1
Length of stay: In hospital or Institution.
(Before death)
(Specify whether)
years
1
montha 11
days.
In this community
73yr8. -
mos. -
days.
PERSONAL AND STATISTICAL PARTICULARS
50m· (b) .6.44-14607
PLACE OF DEATH
Middlesex
(County)
No.
(If U. S.
War Veteran,
speolfy WAR)
(If nonresident, give city or town and State)
1948
to
14 mos.
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
... WER thon Raking return)
Registrar's Number
§ (If death occurred in a hospital or institution ( give its NAME instead of street and number)
2 FULL NAME
Lulu Emma Newhall
(If deceased is a married, widowed or divorced woman, give also maiden name.)
(a) Residence. No. 94 Somerset Avenue (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 days.
In this community 54
years
months
days·
PERSONAL AND STATISTICAL PARTICULARS
4 COLOR OR RACE white
5 SINGLE (write the word)
MARRIED
WIDOWED
or DIVORCED wid owed
5a If married, widowed, or divorced
HUSBAND OF .
(Give maiden name of wife in full)
(or) WIFE OF
Rufus Newhall
(Husband's name in full)
6 Age of husband or wife if alive years
7 IF STILLBORN. enter that fact here.
8
AGE 85 Years5
Months
22 Days
If less than 1 day
Hours .
Minutes
Usual
·9 Occupation:
housewife
11 Social Security No ..
none
12 BIRTHPLACE (City)
(State or country)
Milford Maine
13 NAME OF
FATHER
James Lee
14 BIRTHPLACE OF
FATHER (City)
(State or country)
Pittston Maine
15 MAIDEN NAME
OF MOTHER
Nancy Stewart
16 BIRTHPLACE OF
MOTHER (City)
(State or country)
Charleston
Maine
17 Sarah Lee Whorf
Informant
(Address)
94 Somerset Ave Winthrop
I HEREBY CERTIFY that a satisfactory standard certificate of death was filed with me BEFORE the burial of transit permit, was issued: Walter & IS alles xx (Signature of Agent of Board of Health or other) Realthe Officer 01/19/48 (Official Designation)
(Date of Issue of Hermit)
MEDICAL CERTIFICATE OF DEATH
18 DATE OF
DEATH ..
January
(Month)
15
1948
(Year)
19 I HEREBY CERTIFY, That I attended deceased from June 17, 1947, to Ja. 15
I last saw h ........
alive on 9 cm.
15 , 19 48, death is said to
have occurred on the date stated above, at
11 PM.
Immediate cause of death
Chronic myocarditis
Due to
Due to
Other conditions
Cliomio arthuti
(Include pregnancy within 3 months of death)
Major findings:
Of operations
Date of
Of autopsy
What test confirmed diagnosis?
Duration Important
1 year 2 yrs
10 grs. Important
Physician Underline the cause to which death should be charged sta- tistically.
20 Was disease or ipjury in any way related to occupation of deceased?
If so, specify
fy Louis 7 Salerno
(Signed)
(Address) 175 Pleascuns It
M.D.
Date Jam 17 1948
21
Winthrop Cemetery, Winthrop
22 NAME OF
FUNERAL DIRECTOR
alfred B. March
ADDRESS
174 Winthrop St. Winthrop
- Received and filed.
JAN 19 1948
19
(Registrar)
A TRUE COPY ATTEST:
100m-(r)-3-46-18278
I 3 SEX female Industry If deceased was a U. S. War Veteran, G. L., Chap. 48, Sec. 10, requires physicians to insert a recital to that effect. PARENTS it may be properly classified. Exact statement of OCCUPATION is very important. See instructions and extracts from the laws - carefully supplied. AGE should be stated EXACTLY. PHYSICIANS should state CAUSE OF DEATH in plain terms, so that 10 or Business: on back of certificate.
-301
No.
94 Somerset Avenue
St.
PHYSICIAN-IMPORTANT (Was deceased a U. S. War Veteran, (if so specify WAR)
(Day)
I9
48
at home
Rester - Place of Burial, Cremation or Removal. (City or Town) DATE OF BURIAL January 19 1948 19
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 meniber 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 required 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, 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 fourteen, 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, specifying the war, and shall also certify in such certificate both the priniary 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 section 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 nineteen 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 perniit 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 froni one grave or tomb other than the receiving tomb to another in the same cemetery, until he has received a permit fron the board of health or its agent aforesaid or from the clerk of the town where the body is buried. No such perinit shall be issued until there shall have been delivered to such board, agent or clerk, as the case niay 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 inter- ment, 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 physician who is a member of the board of health, or employed by it or by the selectnien for the purpose, xhall upon application make the certificate required of the attending physician. If death is caused by violence, the medical examiner shall make such certificate. If such a perinit 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 mnade as above provided and in the possession of the undertaker desiring to niake 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 perniit in the usual form for the removal of such body has been sooner obtained bereunder. 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 l'nited States in any war in which it has been engaged, such recital shall appear upon the permit. The boxrd of health, or its ugent. 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 shull thereafter furnish for registration any other necessary information which ran be obtained as to the cleceased, or as to the manner or cause of the death, which the clerk or registrar may require .- Chap. 114, Sec. 45. G. I ... (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 saine; . .. - 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 received a permit so to do froni 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 inade. . . . 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 tosuch 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 physician is absent from home when the certificate of death is needed.
(3) Medical Examiners will investigate and certify to all deaths supposably 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 fron 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 coniplication which causes death, not the mode of dying, e.g., heart failure, asphyxia, asthenia, etc. As principal ennse name the disease causing death. As related causes, naine earlier morbid conditions, if any, related to the principal cause and any important coniplication of the principal cause.
Statement of Occupation .- Precise statement of occupation is very int- 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 enusing 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 eniployed 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, however, 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
M R-301 A
1
PLACE OF DEATH
Suffolk (County) Winthrop. (City or Town)
LUTZL
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.
5
2 FULL NAME
Grace C. Nickerson
£
(Sheehan)
(If deceased is a married, widowed or divorced woman, give also maiden name.)
(a) Residence.
No. .
88 Brookfield Rd
St.
(Usual place of abode)
Length of stay: In hospital or institution
(Before death)
(Specify whether)
years
months
days.
In this community30
yrs.
mos.
days.
PERSONAL AND STATISTICAL PARTICULARS
4 COLOR OR RACE
White
5 SINGLE (write the word)
MARRIED
WIDOWED
or DIVORCED Widowed
5a If married, widowed or divorced
HUSBAND of .
CharTagN Nickerson
(Husband's name in full)
6 Age of husband or wife if alive years
7 IF STILLBORN, enter that fact here.
00
52
ears
Months
Days
If less than 1 day
Hours
Minutes
Clerk
Industry
10 or BusinesCourtHouse
12 BIRTHPLACE (City)
East Boston
Mass
13 NAME OF
FATHER
Daniel J.
Sheehan
Boston
(State or Country)
Mass
15 MAIDEN NAME
OF MOTHER
Elizabeth Cody
16 BIRTHPLACE OF
MOTHER (City)
(State or Country)
ST. Johns
N.B.
17 Mary Sheehan SRatopany )
(Address)
88 Brookfield Rd.
I HEREBY CERTIFY that a satisfactory standard certificate of death was filed with me BEFORE the burial on transit permit was issued: Haller of Baker & (Signature of Agent of Board of Health or other)
Health Officer (Official Designation) (Date of Issue of Permit)
1/19/48
MEDICAL CERTIFICATE OF DEATH
18 DATE OF
DEATH
(Month)
17 (Day)
1948 (Ycar)
19 I HEREBY CERTIFY,
That I attended deceased from
, 19
, to
., 19
I last saw h
alive on
, 19
, death is said to
have occurred on the date stated above, at
8.200 m.
Duration
Immediate cause of death
IMPORTANT
Due to
Due to
induction
Other conditions
(Include pregnancy within 3 months of death)
Major findings:
Of operations
Date of
Of autopsy
What test confirmed diagnosis? .
20 Was disease or injury in any way related to occupation of deceased? If so, specify
. M. D.
(Signed)
Brand Health
Date
1-18-1940
(Address)
21
Winthrop
Place of Burial, Cremation or Removal.
(City of Town)
DATE OF BURIAL
Jan. 20 19/18
22 NAME OF
FUNERAL DIRECTOR
inthrop
ADDRESS
Received and Filed
19
JAN 1 9.1948
(Registrar)
IMPORTANT
Physician Underline the cause to which death should be charged sta- tistically.
100M-7-46-19068
3 SEX Female (or) WIFE of Usual 9 Occupation: 11 Social Security No. (State or Country) FATHER (City) PARENTS Informant If deceased was a U. S. War Veteran, G. L. Chap. 46, Section 10, requires physicians to insert a recital to that effect. information Should be carcruny supplied. AGE should be stated Lanelli. FIIIGIAN, should state CAUSE OF 14 BIRTHPLACE OF DEATH in plain terms, so that it may be properly classified. Exact statement of OCCUPATION is very important. See instructions and extracts from the laws on back of certificate.
No. 88. Brookfield. Rd
St.
{ (If death occurred in a hospital or institution, !
give its NAME instead of street and number) )
PHYSICIAN - IMPORTANT ( Was deceased a U. S. War Veteran, if so specify WAR)
(If nonresident, give city or town and State)
Winthrop
che HOMalay
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 persou 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 helief the name of the deceased, his supposed age, the disease of which he died, defined as re- quired by section one, where same was contracted, the duration of his last illness, when last seen alive hy the physician or officer and the date of his death ... Gen. Laws, Chap. 46, Sec. 9.
A physician or officer furnishing a certificate of death as required by the preceding section or hy 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 heeu 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 horder service of nineteen hundred and sixteen and nine- teen hundred and seventeen. G. L. Chap. 46, Sec. 10.
No undertaker or other person shall hury or otherwise dispose of a human hody in a town, or remove therefrom a human body which has not been huried, until he has received a permit from the board of health, or its agent appointed to issue such permits, or if there is no such hoard, from the clerk of the town where the person died; and 110 undertaker or other person shall exhume a human body and remove it from a town, from one cemetery to another, or from one grave or tomb other than the receiving tomb to another in the same cemetery, until he has received a permit from the board of health or its agent aforesaid or from the clerk of the town where the hody is 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, 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 board of health, or employed hy it or by the selectmen for the purpose, shall upon application make the certificate re- quired of the attending physician. If death is caused by violence, the medi- cal examiner shall make such certificate. If such a permit for the removal of a human body, not previously interred, from one town to another within the commonwealth cannot he 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 hody 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 heen sooner obtained hereunder. If the death certificate contains a recital, as required
by section seu 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 and the physician certifying the cause of death shall thereafter furnish for registration any other neces- sary information which can he 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 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 shall bury a human hody or the ashes thereof which have been brought into the commonwealth until he has re- ceived a permit so to do from the board of health or its agent appointed to issue such permits, or if there is no such hoard, from the clerk of the town where the hody is to be buried or the funeral is to he held, or from a person appointed to have the care of the cemetery or burial ground in which the interment is made. . .. Chap. 114, Sec. 46, G. L., (Tercentenary Edition).
RULES OF PRACTICE
The fulfillment of the purpose of these laws calls for the observance of the following rules of practice:
(1) Attending physicians will certify to such deaths only as those of persons to whom they have given hedside care during a last illness from disease unrelated to any form of injury.
(2) Board of Health physicians will certify to such deaths only as those of persons who, though disabled hy recognized disease unrelated to any 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 hy traumatism (including resulting septicemia), and hy the action of chemical (drugs or poisons), thermal, or electrical agents, and deaths following abortion, hut 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., 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 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 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 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
M R-301 A
If deceased was a U. S. War Veteran, G. L. Chap. 46, Section 10, requires physicians to Insert a recital 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 should be carefully supplied. AGE should be stated EXACTLY. PHYSICIANS should state CAUSE OF DEATH in plain
1
No. PLACE OF DEATH Suffolk
(County)
Winthrop (City of Town) 491 Locust
The Commontoralth 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.
6
S ( If death occurred in a hospital or Institution, I give its NAME instead of street aud nuniber) St.
2 FULL NAME.
Kostof ChudiGiAN
( If deceased is a married, widowed or divorced woman, give also maiden name.)
(a) Residence. No. .
49 Locust
(Usual place of abode)
Length of stay: In hospital or Institution
(Before death)
(Specify whether)
years
months
days.
in this community
yrs.
12
mos.
days.
PERSONAL AND STATISTICAL PARTICULARS
MEDICAL CERTIFICATE OF DEATH
3 SEX
male
4 COLOR OR RACE]
white
5 SINGLE
MARRIED
WIDOWED
or DIVORCED
( write the word)
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