USA > Massachusetts > Suffolk County > Winthrop > Town of Winthrop : Record of Deaths 1948 > Part 25
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(Give maiden name of wife in full)
(or) WIFE of
(Husband's name in full)
Immedlate cause of death
General Arteriosclerosis
Due to.
Other conditions
none
(Include pregnancy within 3 months of death)
Of autopsy.
none
19.48
X
Hospital 47
RM R-305
Suffolk
(County)
Boston (City or Town)
-
No.
Naval Fargo Barracks
The Commonwealth of Massachusetts OFFICE OF THE SECRETARY COPY OF MEDICAL EXAMINER'S CERTIFICATE OF DEATH
Boston
(City or town making return)
Registered No.
282868
(If death occurred in a hospital or institution, give ita NAME instead of street and number)
2 FULL NAME
Francis P Gilfoyle
(If deceased ie a married, widowed or divorced woman, give also maiden name.)
(a) Residence. No.
872 Shirley
St.
Winthrop Mass.
(Usual place of abode)
(If nonresident, give city or town and State)
Length of stay : In hospital or Institution.
(Before death)
(Specify whether)
years
months
daye.
In thie community
yrs.
5
mos.
days.
PERSONAL AND STATISTICAL PARTICULARS
MEDICAL CERTIFICATE OF DEATH
March 22/48
4 COLOR OR RACE
W
5 SINGLE
MARRIED
WIDOWED
or DIVORCED
(write the word)
Married
5a If married, widowed, or divorced HUSBAND of
(Give maiden name of wife in full)
(Husband's name in full)
6 Age of husband or wife If allve 40
years
7 IF STILLBORN, enter that fact here.
AGE Years Months. Days
If less than 1 day
Hours.
.. Minutes
Clerk
Post Office Dept.
11 Social Security No ..
Unknown
12 BIRTHPLACE (City)
(State or country)
Boston ... Mas.s.
13 NAME OF
FATHER
Michael J Gilfoyle
14 BIRTHPLACE OF
Ireland
FATHER (City)
(State or country)
15 MAIDEN NAME
OF MOTHER
Mary Leary
16 BIRTHPLACE OF
MOTHER (City)
(State or country)
Boston Mass
17 Informant. (Address)
Wife ( .... Relation, if any
A TRUE COPY
Lal Planning
......
(Registrar of city or town where death occurred)
19 48
DATE FILED ........ March ... 26
20 Accident, sulolde, or homlolde (specify)
Sudden death
Date of oocurrenoe.
19
Where did
Injury ooour?
(City or town and State)
Did Injury ooour In or about the home, on farm, In Industrial place, or In publlo place?
(Specify type of place)
Manner of
Injury
Nature of Injury
While at work?
Was there an autopsy?
No
21 Was disease or Injury In any way related to occupation of deceased?
If so, speolty
(Signed)
AR Moritz
(Address)
25 Shattuck St
Date
3-23
....
M. O
19
....
22
Holy Cross- alden Mass.
Place of Burial, Cremation or Removal.
(City or Town)
DATE OF BURIAL
March 25/48
19
23 NAME OF
FUNERAL DIRECTOR
F X MoArdle
ADDRESS
Charlestown Masa
19
Reoelved and filed
MAY 5 1948
(Registrar of City or Town where deceased resided)
..
18 DATE OF
DEATH
(Month)
(Day)
(Year)
Winifred J Boyle
19 | HEREBY CERTIFY that I have Investigated the death of the person above-named and that the CAUSE AND MANNER thereof are as follows: (If an injury was involved, state fully.) Coronary thrombosis
3 SEX M (or) WIFE of 8 45 Usual 9 Occupation : PARENTS of the city or town in which the deceased resided as soon as possible after the close of the month in which the death resided in another city or town at the time of death should be made forthwith and transmitted on Form R-805 to the clerk Copies of returns of deaths recorded during the previous month which occurred in your city or town in case the deceased Industry 10 or Business : occurred. (See Chap. 46, Sec. 12, G. L.)
25m-(d)-6-43-12056
1.
PLACE OF DEATH
St.
(If U. S.
War Veteran,
speolfy WAR)
ATTEST:
-
01 A
PLACE OF DEATH
Suffolk
(County)
Winthrop
(City or Town)
No. Comunity Hospital
St.
2 FULL NAME
Nora Buckley
(If deceased is a married, widowed or divorced woman, give also maiden namc.)
(a)
Residence. No.
19 Green St Revere
St.
(If nonresident, give city or town and State)
Length of stay: In hospital or Institution
(Before death)
(Specify whether)
years
months
7
days.
In this community
yrs.
mes.
days.
PERSONAL AND STATISTICAL PARTICULARS
MEDICAL CERTIFICATE OF DEATH
3 SEX
Female
white
4 COLOR OR RACE
5 SINGLE
(write the word)
MARRIED
WIDOWED
or DIVORCED
widow
5a If married, widowed, or divorced
HUSBAND of
(Give maiden name of wife in full)
Daniel Buckley
(Husband's name in full)
years
6 Age of husband or wife if alive. 7 IF STILLBORN, enter that fact here.
AGE
Months.
Days
If less than 1 day
Hours.
Minutes
Usual
9 Occupation:
At Home
Industry
10 or Business:
Household
11 Social Security No.
12 BIRTHPLACE (City)
(State or country)
Ireland
Other conditions
(Include pregnancy within 3 months of death)
Major findings:
Of operations
Date of
Of autopsy
What test confirmed diagnosis ?
X. Ray
IMPORTANT Physician Underline the cause to which death should be charged sta- tistically.
20 Was discase pr)injury in any way related to occupation of deceased ?.
If so, specify
(Signed)
Kever Mars Date april 2 1948
M. D.
(Address)
21
St Joseph est Roxbury
Place of Burial, Cremation or Removal.
DATE OF BURIAL April 5
(City or Town) 19
42
22 NAME OF
FUNERAL DIRECTO
ADDRESS
levent
R.J. De Müll
(Signature of Agent of Board of Health or other)
Healthe Officer 4/2/48
Received and filed
APR6 1948
19
(Official Designation) (Date of Issue of Permit)
18 DATE OF
DEATH
April 1
2018
(Month)
(Day)
(Year)
19 I HEREBY CERTIFY, That I attended deccased from
March 18
19
48
Wpont 1
19
to
48
I last saw her
alive on
agent / 1
have occurred on the date stated ahove, at.
8.00P
M.
Immediate cause of death
Cancer of the Right Lung
Duration
IMPORTANT
8 weeks
Due to.
Due to.
13 NAME OF
FATHER
Daniel O Leary
14 BIRTHPLACE OF
FATHER (City)
(State or country)
Ireland
15 MAIDEN NAME
OF MOTHER
Nary Scanlon
16 BIRTHPLACE OF
MOTHER (City)
(State or country)
Ireland
17 Ann T.Kelley
Relation, if any I'VE
Informant
(Address)
( Pratt St. Revere
was filed with me BEFORE the burial or transit permit was issued: I HEREBY CERTIFY that a satisfactory standard certificate of death Walter
50m-(e)-3-43-11574
from the laws on back of certificate. If deceased was a U. S. War Veteran, G. L., Chap. 46, Sec. 10, requires physicians to insert a recital to that effect. PARENTS
Rever ut
48
The Commonwealth of Massachusetts OFFICE OF THE SECRETARY DIVISION OF VITAL STATISTICS STANDARD CERTIFICATE OF DEATH
To be filed for bartal permit with Board of Health or its Agent
Registrar's No. G9
§ (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).
(Registrar)
1
(Usual place of abode)
(or) WIFE of
, 1948
death is said to
8
78Years.
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 scen 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 belicf, served in the army, navy or marine corps of the United States in any war in wbich it has been engaged, insert in the certificate a recital to that effect, speci- fying the war, and sball 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 fourtcen, the word "war" sball include the China relief expedition and the Philippine insurrection, which shall, for said purposes, be deemed to have taken place between February fourteenth, eightecn hundred and ninety-eight and July fourth, nineteen hundred and two, and tbe Mexican border service of nineteen bundred and sixteen and nine- teen bundred 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 wbich 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 exhunic a human body and remove it front 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 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 perinit. The board of health, or its agent, upon receipt of such statement and certificate, shall forthwitli countersign it and transmit it to the clerk of the town for registration. The person to whom the perinit 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).
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 bave the carc of the cemetery or burial ground in which the interment is inade. ... Chap. 114, Sec. 46, 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.
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 front disease unrelated to any form of injury.
(2) Board of Health physicians will certify to such deathis 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 incans the disease, or complication which causes death, not the mode of dying, e. g., heart failure, asphyxia, asthenia, etc. As principal causc name the disease causing death. As related causes, name carlier 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 liealthfulness 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 retireinent. Children not gainfully employed may be returned as at school or at home. For a woman whose only occupation was that of hoinc 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
R-301 A 1
PLACE OF DEATH
Suffolk (County)
Tinthrop (City or Town)
No. 63 Crest Ave
The Commonwealth of Massachusetts OFFICE OF THE SECRETARY DIVISION OF VITAL STATISTICS STANDARD CERTIFICATE OF DEATH
To be filed for buriat permit with Board of Heatth or its Agent.
Registered No.
20
St. § (If death occurred in a hospital or institution, { give its NAME instead of street and nun.ber) )
2 FULL NAME
Mary Agnes Epps
(If deceased is a married, widowed or divorced woman, give also maiden name.)
(
Ready )
PHYSICIAN- IMPORTANT (Was deceased a U. S. War Veteran, if so specify WAR) .
(a) Residence. No.
(usual place of abody Crest Ave
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
18
yrs.
mos.
days.
PERSONAL AND STATISTICAL PARTICULARS
MEDICAL CERTIFICATE OF DEATH
3 SEX
4
COLOR OR RACE
5 SINGLE (write the word)
MARRIED
WIDOWED
or DIVORCED
Married
Female Thite
5a If married, widowed or divorced HUSBAND of
(or) WIFE of
(Give maiden name of wife in full)
Tilliam Joseph Epps
(Husband's name in full;
74
years
7 IF STILLBORN, enter that fact here.
8 AGE. 80 Years Months
Days
If less than 1 day Hours
Minutes
Usual 9 Occupation:
Housewife
Industry 10 or Business:
Own. Home
11 Social Security No.
12 BIRTHPLACE (City)
(State or Country)
Roxbury Magg
PARENTS
14 BIRTHPLACE OF
FATHER (City)
(State of Country)
Ireland
15 MAIDEN NAME
OF MOTHER
Ellen Fleming
16 BIRTHPLACE OF MOTHER ( City) (State or Country) Ireland
20 Was disease or jury in any way related to occupation of deceased? If so, specify
(Signed)
(Address 19 Palmela 82 213
Date
4/20
, M. D 19
21
Calvary
Boston
Place of Burial, Cremation of Removal.
(City or Town)
DATE OF BURIAL
April 5
48
19
I HEREBY CERTIFY that a satisfactory standard certificate of death was filed with me BEFORE the burial ør transit permit was issued: Valter et bakery - ADDRESS Winthrop Mass
(Signature of Agent of Board of Health or other)/ Health Office (Official Designation) (Date of Issue of Permi)
4 /3/48
18 DATE OF
DEATH
April 2 1948
(Month)
(Day)
(Ycar)
I HEREBY CERTIFY, .
That I attended deceased from
47
to
April . 19
2
48
19568 , death is said to
have occurred on the date stated above, at
m.
Duration
Immediate cause of death
IMPROZANT
Due to
funchal Hemorrhage
Due to
Hypertwain
2 yr.
Other conditions (Include pregnancy within 3 months of death)
IMPORTANT
Major findings: Of operations
Date of
Of autopsy
What test confirmed diagnosis?
Physician Underline the cause to which death should be charged sta- tisically.
17 Agnes Epps
Informant (Address) 63 Crest Ave Winthrop
22 NAME OF
FUNERAL DIRECTOR
Received and Filed 19
APR 6
1948
(Registrar)
100M-7-46-19068
Denizli plan teras, so that it may be properly classifica. LAact statchicait of Decorridoit is very important. See instructions and extracts from the laws on back of certificate.
If deceased was a U. S. War Veteran, G. L. Chap. 46. Section 10, requires physicians to insert a recital to that effect.
1
19
alive on april
6 Age of husband or wife if alive
13 NAME OF
FATHER
Michael J Ready
( BBaughter
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 hest of his knowledge and helief the name of the deceased, his supposed age, the disease of which he died, defined as re. quired hy 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 been engaged, insert in 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 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 hody 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 no undertaker or other . person shall exhume a human hody and remove it from a town, from one cemetery to another, or from one grave or tomh 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 be issued until there shall have been delivered to such board, agent or clerk, as the case may he, 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 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 hy the selectmen for the purpose, shall upon application make the certificate re- quired of the attending physician. If death is caused hy 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 he 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 ten or 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 hodies 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 hody 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 hury 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 suchi hoard, from the clerk of the town where the body is to he huried 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 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 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 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 he 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.
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