USA > Massachusetts > Suffolk County > Winthrop > Town of Winthrop : Record of Deaths 1948 > Part 35
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or DIVORCEO
5a If married, widowed, or divoroed HUSBANO of
(or) WIFE of
( Husband's name in full)
6 Age of husband or wife if alive years
7 IF STILLBORN, enter that fact here.
8 AGE Yeara
Months
1
Oays
If less than 1 day
Hours
Minutas
une
Usual
9 Ocoupetion :
Industry
10 or Business:
11 Social Security No.
12 BIRTHPLACE (City)
( State or country)
Winthrop Mass.
13 NAME OF
FATHER
glornfeld
Joseph Downfield
14 BIRTHPLACE OF
FATHER (City)
(State or country)
15 MAIDEN NAME
OF MOTHER
Sylvia Proévine
16 BIRTHPLACE OF
MOTHER (City)
(State or country)
Kuri
17 Informant? (Address) brb ash 99 2
21
Relating IL any
I HEREBY CERTIFY that a satisfactory standard cartificate of death was filed with me BEFORE the burial or transit parmit was Issued : Naller It. Khaled
(Signature of Agent of Board of Health of other)
5/18/48
(Official Designation) (Date of Issue of Permit)
18 DATE OF
DEATH
18
1948
(S'ear)
19 | HEREBY CERTIFY,
May 17
..
I last saw her
allve on ...
9may/80, 1942 death Is said to
hava occurred on the date statad ebova, at ...
14/A
.m.
Immediata oauseof daath ...
Hard Julie
with intracramattress.
Que to Breech Presentation
Due to
Other conditions
( Include pregnancy within 3 months of death)
Major findinga:
Of oparations
Data of
Of autopsy
What test confirmed diagnosis?
Heart Erzum
IMPORTANT
Physician Underline the cause to which death should be charged vt.I- tistically
20 Was disease or injury in any way related to ocoupallon of deceased ?
If so, specify.
William Fleurdeun
( Signad).
3) 59 AlvaleryDat 5.18 - 1948
Place of Burial, Cremation or Remoyel.
DATE OF BURIAL
May 18
1945
22 NAME OF
FUNERAL DIRECTOR
Philip Hymanom
ADORESS
Received and Aled
.€
.....
MAY 2 0 1948
.19
( Registrar)
100m-(g)-1-45-15510
extracts from the laws on back of certificate. If deceased was a U. S. War Veteran, Q. L. Chap. 46. Section 10, requires physicians to insert a reoltal to that effeot. PARENTS
Registared No.
PHYSICIAN - IMPORTANT
(Was deceased a
U. S. War Veteran,
if so specify WAR)
St.
Chelse
(If nonresident, give city or town and State)
( Months
(Day)
That I attendad deceased from
to
Muy 18
1947
(Give maiden name of wife in full)
Duration
IMPORTANT iday
(City or Town)
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 in the certificate a recital to that effect, speci- fying the war, and shall also certify in such certificate both the primary and the secondary or immediate cause of death as nearly as he can state the same. For neglect to comply with any provision of this section, such physician or officer shall forfeit ten dollars. For the purposes of this sec- tion and of sections forty-five, forty-six and forty-seven of said chapter one hundred and fourteen, the word "war" shall include the China relicf expedition and the Philippine insurrection, which shall, for said purposes, be deemed to have takeu 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 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 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 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 .- 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
-301 A
1
(City or Town
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.
95
Registered No. { {If death occurred in a hospital or institution. st. I give its NAME instead of street and numher)
2 FULL NAME
Gastmuch J. galpin
( If/deceased Is a married, widowed or divorced woman, give also maiden name.)
(a) Residence. No.
(Usual place of abode)
Length of stay: In hospital or Institution
( Before death)
( Specify whether)
years
months
6
days.
In this community
yrs.
mos.
days.
PERSONAL AND STATISTICAL PARTICULARS
3 SEX
-
4 COLOR OR RACEJ
5 SINGLE
MARRIED
WIDOWED
or DIVORCED
( write the word)
Woolar
5a If married, widowed, or divoroed HUSBAND of
T.
(Give maiden name of wife Iry hill)
(or) WIFE of
6 Age of husband or wife if ativa
years
7 IF STILLBORN, enter that fact hers.
8 AGE 73 Years Months Days
If less than 1 day
Hours
Minutes
Usual 9 Occupation :
at idone
Industry
10 or Business :
11 Social Seourity
12 BIRTHPLACE (City)
( State or country)
Cambridge mars
13 NAME OF
FATHER
George Burdick
14 BIRTHPLACE OF
FATHER (City)
(State or country)
15 MAIDEN NAME
OF MOTHER
16 BIRTHPLACE OF
MOTHER (City)
(State or country)
17
(Address) 24 Leery que Morellies
I HEREBY CERTIFY that a satisfactory standard oartifloata of death was filed with me BEFORE the burlat or transit permit was Issued : Walter F. Jaket
Health Office
[Signature of Agent of Board of Health or other) 5/2/148
(Official Designation) (Date of Issue of Permit)
MEDICAL CERTIFICATE OF DEATH
18 DATE OF
DEATH
( Month)
(Day)
1948 ( V'ear )
19 | HEREBY CERTIFY,
That I attended deosased from
1947. to
19 Decay
19
48
Just saw h QA alive on
19 hear, 1948 death Is said to
have occurred on the date stated above, at.
4:35 P.m.
Immediate oause of death
acute Cardiac Decompensation
Due centenasclimatic Heart Disease
Due to
Uremia
(terminal).
Other conditions ...
Diabetes Mellitus
( Include pregnancy within 3 months of death)
Major findings: Of operations
Date of
Of autopsy
What test confirmed diagnosis?
Clinical
Duration
IMPORTANT 1 mk. 2 yrs.
1 wh
20 yrs. IMPORTANT
Physician
Underline the cause to which death should he charged y .. tistically.
20 Was disease or injury in any way related to oooupation of deceased ? 400
If so, spaoify
1. Liberan
M. D.
( Signed)
15 26 Wave Way Due Date 5/19/1948.
Place of Burial, Cremation or Removal.
DATE OF BURIAL MINHA 29
22
(City or Town)
22 NAME OF
FUNERAL
Pearley
ADDRESS
Recaived and Alad
MAY 2 1 1948
19
(Registrar)
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.
PARENTS
100m-(g)-1-45-15510
PLACE OF DEATH Suffir (County)
PHYSICIAN - IMPORTANT
(Was deceased a
U. S. War Veteran.
if so specify W'AR)
St.
(If nonresident, give city or town and State)
19
EXTRACTS FROM THE LAWS OF THE COMMONWEALTH OF MASSACHUSETTS GOVERNING THE RETURN OF CERTIFICATES OF DEATH
A physician or registered bospital medical officer shall fortbwitb, after tbe death of a person whom be has attended during bis last illness, at the request of an undertaker or other authorized person or of any member of the family of the deceased, furnisb for registration a standard certificate of death, stating to the best of bis knowledge and belief the name of the deceased, his supposed age, tbe disease of wbicb he died, defined as re- quired by section one, wbere same was contracted, tbe duration of his last illness, when last seen alive by tbe physician or officer and the date of bis death . . . Gen. Laws, Cbap. 46, Sec. 9.
A physician or officer furnisbing 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 wbich it bas been engaged, insert in the certificate a recital to that effect, speci- fying tbe war, and sball also certify in such certificate both the primary and the secondary or immediate cause of deatb as nearly as he can state the same. For neglect to comply with any provision of this section, sucb physician or officer shall forfeit ten dollars. For the purposes of this sec- tion and of sections forty-five, forty-six and forty-seven of said chapter one bundred and fourteen, the word "war" shall include the Cbina relicf expedition and the Philippine insurrection, wbich sball, for said purposes, be deemed to bave taken place between February fourteenth, eigbteen bundred and ninety-eigbt and July fourth, nineteen hundred and two, and the Mexican border service of nineteen bundred and sixteen and nine- teen bundred and seventeen. G. L. Cbap. 46, Sec. 10.
No undertaker or other person sball hury or otherwise dispose of a human body in a town, or remove tberefrom a buman hody wbich bas not been buried, until he has received a permit from the board of bealtb, or its agent appointed to issue sucb permits, or if there is no such board, from the clerk of the town wbere the person died; and no undertaker or otber person sball exbume a buman 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 bas received a permit from the board of health or its agent aforesaid or from the clerk of the town wbere the body is buried. No such permit shall be issued until there sball bave been delivered to sucb hoard, 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 tbe 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, bis certificate cannot he obtained early enough for the purpose, or is insufficient, a pbysi- cian who is a member of the board of health, or employed hy it or by tbe selectmen for the purpose, shall upon application make the certificate re- quired of tbe attending physician. If deatb is caused by violence, the medi- cal examiner shall make sucb certificate. If such a permit for the removal of a human body, not previously interred, from one town to another witbin tbe commonwealth cannot be obtained early enough for the purpose, tbe certificate of deatb made as above provided and in the possession of tbe undertaker desiring to make sucb removal shall constitute a permit for aucb removal; provided, tbat 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 bas been sooner obtained 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, sucb recital shall appear upon the permit. The board of bealtb, or its agent, upon receipt of such statement and certificate, shall fortbwith 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 tbe cause of deatb shall thereafter furnisb 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, wbich tbe 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 hy violence. If a medical examiner has notice that there is within bis county the body of such a person, he sball fortbwith go to the place where the hody lies and take charge of the same; .. . - General Laws, Cbap. 38, Sec. 6.
No undertaker or other person sball hury a human hody or the ashes thereof which bave been brought into the commonwealth until be has re- ceived a permit so to do from the board of bealtb 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 bave the care of the cemetery or burial ground in wbich tbe interment is made. . .. Cbap. 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 sucb deaths only as those of persons to whom they have given bedside care during a last illness from disease unrelated to any form of injury.
(2) Board of Health physicians will certify to sucb deatbs only as those of persons wbo, though disabled by recognized disease unrelated to any forin of injury, bave died witbout recent medical attendance or wbose pby- sician is absent from home wben 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 tbe action of chemical (drugs or poisons), thermal, or electrical agents, and deatbs following abortion, but also deaths from disease resulting from injury or infection related to occupation, the sudden deatbs of persons not disabled by recognized disease, and those of persons found dead.
Statement of Cause of Deatb .- Cause of death means the disease, or complication wbich causes death, not tbe mode of dying, e. g., heart failure, aspbyxia, asthenia, ete. As principal cause name tbe disease causing deatb. As related causes, name earlier morbid conditions, if any, related to tbe 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 healtbfulness of various pursuits can be known. Make some entry in this section for every person aged 10 years or over. If the occupation bad been given up or changed on account of the disease causing deatb, 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 scbool or at home. For a woman whose only occupation was that of home housework, write bousework. For a person engaged in domestic service for wages, bow- ever, designate the occupation hy the appropriate terms, as housekeeper -- private family, cook-botel, etc. For a person wbo 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
Farley
-301 A
1
PLACE OF DEATH
Suffolk (County) Winthrop (City or Town) 60 Quincy Ave.
The Commonwealth of Massachusetts OFFICE OF THE SECRETARY DIVISION OF VITAL STATISTICS STANDARD CERTIFICATE OF DEATH
To be filed for burial permit with Board of Health or its Agent.
Registered No.
96
St. 3 § (If death occurred in a hospital or institution. s give its NAME instead of street and nun.ber)
2 FULL NAME
Genieva Gertrude Grady
(If deceased is a married, widowed or divorced woman, give also maiden name.)
PHYSICIAN - IMPORTANT
(Was deceased a
U. S. War Veteran,
if so specify WAR) .
(a) Residence. No.
60 Quincy Ave.
St.
(If nonresident, give city or town and State)
(Usual place of abode)
Length of stay: In hospital or institution
(Before death)
(Specify whether)
years
months
days.
In this community 36
yrs.
mos.
days.
PERSONAL AND STATISTICAL PARTICULARS
3 SEX
4
COLOR OR RACE
5 SINGLE
(write the word)
MARRIED
WIDOWED
or DIVORCED
Single
Femake
White
5a If married, widowed or divorced
HUSBAND of ..
(Give maiden name of wife in full)
(or) WIFE of
(Husband's name in full)
years
7 IF STILLBORN, enter that fact here.
36
8
AGE
Years
Months
Days
If less than 1 day
.Hours .
Minutes
Usual
9 Occupation:
Stenographer
Industry
10 or Business:
Law
11 Social Security No ....
025-09-5782
12 BIRTHPLACE (City)
Tinthrop
(State or Country)
Mass
13 NAME OF
FATHER
James J Grady
14 BIRTHPLACE OF
FATHER (City)
East Boston
(State or Country)
Mass
15 MAIDEN NAME
OF MOTHER
Catherine E. Boylan
16 BIRTHPLACE OF
MOTHER (City).
West Roxbury
(State or Country)
Mass
17 Informant (Address) Daniel Grady ( BootHer ) 60 Quincy 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 & alebo (Signature of Agent of Board of Health or other)
Healthe Officer (Official Designation) (Date of Issue of Permit)
5/21/48
19 I HEREBY CERTIFY,
That I attended deceased from
april 19
, 1948
, to
May 19
. 19
, 48
I last saw her alive on
May 16. 1948.
eath is
id to
have occurred on the date stated above, at 5:10 P
m.
Duration IMPORTANT
12 hrs 10 years
IMPORTANT
Physician Underline the cause to which death should be charged sta- tistically.
20 Was disease or injury in any way related to occupation of deceased? no
If so, specify
arthur C. Murray. D.
(Signed)
Winthrop Mass
21
Winthrop
Place of Burial, Crematiomar gene
DATE OF BURIAL
19
22 NAME OF
FUNERAL DIRECTOR
John G. O Malley
ADDRESS
Winthrop Mass
Received and Filed
MAY 2 1 1948
19
(Registrar)
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. PARENTS
100M-7-46-19068
Immediate cause of death Cerebral Hemorrhage
Due to
Essential Hypertension
Due to
Other conditions
-
(Include pregnancy within 3 months of death)
Major findings:
Of operations
Date of -
Of autopsy
clinical
What test confirmed diagnosis?
MEDICAL CERTIFICATE OF DEATH
8Hbl
18 DATE OF
DEATH
may
19
(Dấy)
(Month)
(Ycar)
6 Age of husband or wife if alive
No. .
Date May 201948
Winthrop
Remy 1948 ity or Town)
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.
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