USA > Massachusetts > Suffolk County > Winthrop > Town of Winthrop : Record of Deaths 1948 > Part 23
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).
Part 1 | Part 2 | Part 3 | Part 4 | Part 5 | Part 6 | Part 7 | Part 8 | Part 9 | Part 10 | Part 11 | Part 12 | Part 13 | Part 14 | Part 15 | Part 16 | Part 17 | Part 18 | Part 19 | Part 20 | Part 21 | Part 22 | Part 23 | Part 24 | Part 25 | Part 26 | Part 27 | Part 28 | Part 29 | Part 30 | Part 31 | Part 32 | Part 33 | Part 34 | Part 35 | Part 36 | Part 37 | Part 38 | Part 39 | Part 40 | Part 41 | Part 42 | Part 43 | Part 44 | Part 45 | Part 46 | Part 47 | Part 48 | Part 49 | Part 50 | Part 51 | Part 52 | Part 53 | Part 54 | Part 55 | Part 56 | Part 57 | Part 58 | Part 59 | Part 60 | Part 61 | Part 62 | Part 63 | Part 64 | Part 65 | Part 66 | Part 67 | Part 68 | Part 69 | Part 70 | Part 71 | Part 72 | Part 73 | Part 74 | Part 75 | Part 76 | Part 77 | Part 78 | Part 79 | Part 80 | Part 81 | Part 82 | Part 83 | Part 84 | Part 85 | Part 86 | Part 87 | Part 88 | Part 89
SPACE FOR ADDITIONAL INFORMATION
DATE OF ENTERING MILITARY SERVICE
........
DATE OF DISCHARGE
RANK, RATING
ORGANIZATION AND OUTFIT
SERVICE NUMBER
R-301
PLACE OF DEATH
Suffolk 1. County) Winthrop
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.
57
§ (If death occurred in a hospital or institution. Su[ give its NAME instead of street and numher)
PHYSICIAN - IMPORTANT
2 FULL NAME
( If deceesed is /married, widowed or divorced woman, give also maiden name.)
(a) Residence. No.
6 Ware Way are.
(Usual place of abode)
Length of stay: in mneoltal or institution
( Before death)
( Specify whether)
years
months
days.
In this community ( Dyrs.
mos.
days.
PERSONAL AND STATISTICAL PARTICULARS
3 SEX
4 COLOR, OR RACEJ
Female White
5 SINGLE ( write the word) .
MARRIED
WIDOWED
Or DIVORCEPlanned
5a If married, widowed, or divorced HUSBAND of
(or) WIFE of
(Give maiden name of life in full)
( Husband's name i
full)
6 Age of husband or wife if alive 77 years
7 IF STILLBORN, enter that fact here.
8 AGE 77 Years Months Days
if less than 1 dey
Hours
Minutes
Usual
·
9 Occupation :
Sauservice
Industry
10 or Business :
2 ne
11 Social Security No.
one
12 BIRTHPLACE (City)
( Siate or country)
Austria
13 NAME OF
FATHER
Mandecia Edelsteina
PARENTS
14 BIRTHPLACE OF
austria
FATHER /(City)
(State or country)
15 MAIDEN NAMEC
OF MOTHER
Daily Cancam
16 BIRTHPLACE OF
MOTHER (City)
(State or country)
17 Harry
Informant.
1167 Fugler LV.
I HEREBY CERTIFY that a setistaotory standard certificate of death was filed with me BEFORE the burfel or fransit permit wes issued : Walter A- 15 aleer
(Signature of Agent of Board of Health or other) Health Office 3/3/ 148
(Date of Issue of Permit)
18 DATE OF
DEATH
march
29.
( )fonth)
( Da'y )
1948 ( Year)
19 |
HEREBY CERTIFY,
That I attended deosased from
Sept
1947. to
29 home. 1948
[ last saw h. ..... : alive on ...
29 hasen, 1948, death is said to
have occurred on the date stated above, at.
7:30 P.m.
Immediate cause of death
Central Hemorrhage
Due to
gen. e Cerebral ditarios clerosis Due to
5 yrs.
Other conditions.
( include pregnancy within 3 months of death)
Major findings: Of operations
Of eutopsy
What test confirmed diegno Clinical
IMPORTANT
Physician
Underline the cause to which de.ith should be charged vt .. mistically
20 Was disease or injury in any way related to occupation of deceased ? 220
Charles Liberman. M. D.
( Signed )
$526 Wave Way Give, With On to 24 horas 48
21 Winthrop
Place of Burial, Cremation or Removal.
certy of top,
DATE OF BURIAL
March 31
19 4F
22 NAME OF
FUNERAL DIRECTOR
Benjamin Limbach
ADDRESS/ 1 Nuchinatow AV Corduente
Received and flied
APRO 1948
19
( Registrar)
If deceased was a U. S. War Veteran, G. L. Chap. 46, Section 10, requires physicians to Insert a recital to that effeot.
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.
100m- (g) - 1-45-15510
(Oficial Designation)
SPETT
... (City or Towny 6 Wave Way ang No. Annie
Sppunt
St.
(Was deceased a
U. S. War Veteran.
no
if so specify WARL
Winthrop, Muss
(If nonresident, give cify or town and State)
MEDICAL CERTIFICATE OF DEATH
Duration
IMPORTANT ...... 3 days
Date of
Belgian de any
Registered 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, bis 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, wben 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 iu the certificate a recital to that effect, speci- fying the war, and shall also certify in such certificate hoth 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 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 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 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 tomh 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 he 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 bealth, 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 buman 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 sucb removal, unless a permit 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, 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 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 sucb 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 sball 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 sncb deaths only as those of persons who, though disabled by recognized disease unrelated to any foru 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 Cause of Death .- Cause of death means the disease, or complication which causes death, not the mode of dying, e. g., beart 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 bad no occupation whatever write none.
SPACE FOR ADDITIONAL INFORMATION
DATE OF ENTERING MILITARY SERVICE
DATE OF DISCHARGE RANK, RATING
ORGANIZATION AND OUTFIT
SERVICE NUMBER
R-301 A Suffolk 1
1
(County ) Winthrop
(City or Town)
No. 42
" Sunnyside John D Riley
The Commonwealth of Massachusetts OFFICE OF THE SECRETARY DIVISION OF VITAL STATISTICS STANDARD CERTIFICATE OF DEATH ase
To be filed for burial permit with Board of Health or its Agent.
Registered No. 58
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)
none
(a) Residence No.
(Usual plece of abode)
Length of stay: In Ansoltel or Institution
(Before death)
(Specify whether)
18 DATE OF DEATH march 20
( Month )
(Day)
(Year)
19 | HEREBY CERTIFY,
Thet 1 attended deceased from
Marke 13
19 ..
48 to.
marche 19
19
I last saw how alive on
Mande 19, 1948 death Is said to
have occurred on the date stated above, at. 12:30 Am.
Immediate oause of death.
leur
IMPORTANT
Due
biscaia
generalzel
Due to ...
senility
Other conditions.
( Include pregoancy within 3 months of death)
Mejor findings :
Of operations
Date of
Of autopsy
What test confirmed dlegnosis ?.
IMPORTANT
Physician Underline the cause to which death should be charged sta- tistically.
20 Was diseese or injury in any way related to occupation of deceesed ?.
If so, specify ....
( Signed) ...
(Addres) 336 Summe 25
e
.Date.
3/20
.
M. D.
1948
21 Italy teros Mardin Place of Bupial, Cremation or Removal.
DATE OF BURIAL
march
(City or Town)
23
1948
I HEREBY CERTIFY that a satisfactory standard certificate of death wes filled with me BEFORE the budist or Transit pormit was Issued : Walter Af gafler
(Signature of Agent .{ Board of Health or other)
/Malta
Offices
3/22/48
( Date of Issue of /Permit)
MEDICAL CERTIFICATE OF DEATH
3 SEX
male Mate
4 COLOR OR RACE
5 SINGLE
( write the word)
MARRIED
WIDOWED
Sa If married, widowed, or divorced len HUSBAND of
navis
(or) WIFE of
( Husband's name in full)
6 Age of husband or wife if elive years
7 IF STILLBORN, enter that fact here.
AGE
79
Years
Months
Days
less than 1 day
Hours
Minutes
Usual
9 Occupation :
Teamster
Industry
10 or Business :
Retired
11 Social Security No. none
12 BIRTHPLACE (City)
(Site or country)
It John
2.3.
13 NAME OF
FATHER
John Riley
14 BIRTHPLACE OF
FATHER (City)
(State or country)
cheland
15 MAIDEN NAME
OF MOTHER
mary latter
16 BIRTHPLACE OF
MOTHER (City)
( State or country)
cheland
17 Mary Ryan
Informent
( Address)
42,Submiside are Vanthis
22 NAME OF
FUNERAL DIRECTOR
Frederick & magrath
ADDRESS
East Bistro
Received and fled
MAR 2 3 1948
19
( Registrar)
100m(i)-1.44-13634
If deceased was a U. S. War Veteran, Q. L. Chap. 46, Section 10, requires physiolans to insert a reoltal to that offeot. 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 PARENTS
PLACE OF DEATH
2 FULL NAME ..
( If deceased Is a married, widowed or divorced woman, give also maiden name.)
42 Sunnyside Case
St.
(If nonresident, give city or town and State)
In this community \ 0 yrs.
mos.
days.
PERSONAL AND STATISTICAL PARTICULARS
years
months
days.
1948
Duration
ycare
(Official Designation)
(Give maiden name of wife fn full)
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 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 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- eian 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 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 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 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
M R-302
1
PLACE OF DEATH
Middlesex (County) Tewksbury, Mass.
The Commonwealth of Massachusetts OFFICE OF THE SECRETARY DIVISION OF VITAL STATISTICS COPY OF CERTIFICATE OF DEATH
Tewksbury State Hospital and Infirmary (City or town making return)
5.9.
(If death occurred in a hospital or institution,
St.
give its NAME instead of street and number)
2 FULL NAME
William J. Kennedy
(If deceased ie « married, widowed or divorced woman, give also maiden name.)
64 Moore
·
(a) Residence. No.
(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
2
monthe
4
daye.
In this community
yre.
mos.
days.
PERSONAL AND STATISTICAL PARTICULARS
MEDICAL CERTIFICATE OF DEATH
18 DATE OF
DEATH
Jan.
15
1948
(Month)
(Day)
(Year)
Male
4 COLOR OR RACE|
White
5 SINGLE
(write the word)
MARRIED
WIDOWED
or DIVORCED
Single
5a If married, widowed, or divorced
HUSBAND of
(Give maiden name of wife in full)
(or) WIFE of
(Husband'e name in full)
have occurred on the date stated above, at.
1:30 A
m.
Duration
Imimedlate cause of death
Arteriosclerotic Heart Dis.
irs.
7 IF STILLBORN, enter that fact here.
8
AGE 66
Years. - Months .......... .Days
If less than 1 day
Hours.
Minutes
Usual
9 Oooupatlon :
Laborer
Industry 10 or Business :
11 Social Security No ..
Not learned
Other conditions.
(Include pregnancy within 3 months of death)
Major findings :
Of operations
Date of
should be
charged sta-
Of autopsy.
What test confirmed diagnosis?
Clinical
20 Was disease or injury in any way related to occupation of deceased ? .no
If so, speolfy.
(Signed)
H.B .Grainger
M. D.
(Address) .T .. S .. H .. &.I., .. Tewksbury.
Date
1/1519 48
21 "PLACE OF BURIAL,
CREMATION OR REMOVAL
Winthrop, Winthrop
(Cemetryn. 19
(City or Town)
19
48
DATE OF BURIAL
22 NAME OF
FUNERAL DIRECTOR
John F. O'Maley
ADDRESS
70 AtlanticSt., Winthrop
19
Received and filed MAY 5 1948
(Registrar of City or Town where deceased resided)
25M-(f)-11-42 10746
of the city or town in which the deceased remided. (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-802 to the clerk Copies of returns of deaths recorded during the previous month which occurred in your city or town in case the deceased
PARENTS
14 BIRTHPLACE OF
FATHER (City)
Not learned
(State or country)
Ireland
15 MAIDEN NAME
OF MOTHER
Mary (not learned )
16 BIRTHPLACE OF
Need help finding more records? Try our genealogical records directory which has more than 1 million sources to help you more easily locate the available records.