USA > Massachusetts > Suffolk County > Winthrop > Town of Winthrop : Record of Deaths 1948 > Part 38
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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 cansing 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 wlrose 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.
IR-302
1
(City or Town)
No.
Beth Israel Hospital
(If death occurred in a hospital or institution,
St.
give its NAME instead of street and number)
2 FULL NAME
Shepard I Aronson
(If deceased is a married, widowed or divorced woman, give also maiden name.)
17 Irwin
St.
Winthrop Mass.
(If nonresident, give city or town and State)
Length of stay : In hospital or Institution.
(Before desth)
(Specify whether)
years
months
day 8.
In this community
yrs.
mos.
days.
PERSONAL AND STATISTICAL PARTICULARS
MEDICAL CERTIFICATE OF DEATH
3 SEX
M
4 COLOR OR RACE
W
5 SINGLE
MARRIED
WIDOWED
or DIVORCED
(write the word)
Widowed
May 29/48
(Dsy)
(Year)
19 | HEREBY CERTIFY,
May 25
1910
That i attended deceased
from
May. ... 29
19
48
(or) WIFE of
(Husband's name in full)
6 Age of husband or wife If allve years
7 IF STILLBORN. enter that faot here.
AGE.
75 Years.
6 Months.
.Day
If less than 1 day
Hours
Minutes
Usual 9 Ocoupation :
Mfr.Leather Goods
Industry 10 or Business :
Retired
11 Social Security No.
12 BIRTHPLACE (City)
(State or country)
Russia
13 NAME OF
FATHER
Motel L Aronson
14 BIRTHPLACE OF
Russia
15 MAIDEN NAME
OF MOTHER
Gertrude Shapiro
16 BIRTHPLACE OF
MOTHER (City)
(State or country)
Russia
17 Informant. (Address)
M ... Aronson
A TRUE COPY
ATTEST:
(Registrar of city or town where death occurred)
DATE FILED June 2 4/48
22 NAME OF
FUNERAL DIRECTOR
L Levine
ADDRESS
Brookline Mass
Received and filed.
JUN 7 1948
19
(Registrar of City or Town where deceased resided)
50m-(b)-6-44-14607
PLACE OF DEATH
SU2FOLA
The Commonwealth of Massachusetts OFFICE OF THE SECRETARY DIVISION OF VITAL STATISTICS COPY OF CERTIFICATE OF DEATH
BOSTON
(City or town making return)
Registered No.
49271
resided in another city or town at the time of death should be made forthwith and transmitted on Form R-302 to the clerk of the city or town in which the deceased resided. (See Chap. 46, Sec. 12, G. L.)
PARENTS
FATHER (City)
(State or country)
What test confirmed diagnosis ?.
autopsy
20 Was disease or injury in any way related to occupation of deceased ?. N.Q ...
If so, speolfy.
J Presbery
(Signed)
(Address)
330 Brookline Are. 5-28-48
21 PLACE OF BURIAL,
Tifereth Israel
CREMATION OR REMOVAL
(Cemetery)
DATE OF BURIAL
May'
30/48
(City or Town)
19
Physician Underline the cause to which death should be charged sta- tistically.
Major findings :
Of operations.
Of autopsy
As above
Date of
3 Yrs
Due to.
Due to.
Other conditions.
Congestive failure
(Include pregnancy within 3 months of death)
to
I last saw h.
im
... alive on
May 25
1948
death is said to
have ooourred on the date stated above, at.
9:45AM
m.
Duration
Immediate oause of death
Carcinoma of the prostate
5a if married, widowed, or divoroed HUSBAND of
Rose Pinkofsky
(Give maiden name of wife in full)
18 DATE OF
DEATH
(Month)
(If U. S.
War Veteran,
spoolfy WAR)
(a) Residence. No.
(Usual place of abode)
Dilammer
Relation if any
-----
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301 A
PLACE OF DEATH
Stuffalle &Country
...
(City or Toys 24 Beacon LX
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. 102
Registered No. { (If death occurred in a hospital or institution, Stigive its NAME instead of street and number)
PHYSICIAN - IMPORTANT
2 FULL NAME. ( If deceased Is a married, Aldowed or divorced woman gige allo maiden name.)
24 Beacon SI
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
mos.
days.
PERSONAL AND STATISTICAL PARTICULARS
MEDICAL CERTIFICATE OF DEATH
48
( Month )
( Day)
(Year)
19 | HEREBY CERTIFY,
Thet I attended daoaased from
april
19
47
to
May 30
19
48
I last saw h.@ ............ alive on
May 30
1948.
death Is sald to
heve occurred on the dato stated above, at.
3:00 P
.m.
Duration
Care
Leslove
IMPORTANT ...
Due to.
Other
tions mapcordial bent dosene
( Include pregnancy within 8 months of death)
Mejor findings: Df operations
Date of
Of eutopsy.
What test confirmed dlegnosis?
IMPORTANT
Physician
Underline the cause to which death should be charged sta. tistically.
20 Was disease or injury in eny way related to occupation of deocesed ?.
If so, specify
(Signed) La
un Jeune
(Address) 326 Juniin 0/96
0
28/ Date 6/7/
. M. D. 19.Ya.
C
21
Relation At any Place of Burial, Cremation or Removal. DATE OF BURIAL.
(City or Towps
1.45
22 NAME DF
ADDRESS
40 Niveles De Nucleo
....... 19
( Registrar)
100m. (g)-1-45-15510
I HEREBY CERTIFY that a satisfactory standard certificate of death was filled with me BEFORE the burliyor tymasit permit was Issued : Waller .
-
( Signature of Agent of Board of Health , or other)
Health officer 6/2/48
(Official Designation) (Date of Issue of Permit)
18 DATE DE may
30
3 SEX Flat White
5 SINGLE
MARRIED
WIDOWED
or DIVORCED
( write the word) DEATH
5a If married, widomed, or divorced HUSBAND of (or) WIFE of
( Hisband's name in full)
6 Age of husband or wife if alive
27. years Immediate osuse of death ..
7 IF STILLBORN, enter that fact here.
8 78 Years AGE Months Days
Usual
9 Occupetion :
Thome Thousandle
Industry 10 or Business :
11 Social Security No .. More tte Ichet
12 BIRTHPLACE (City)
( State or country)
13 NAME OF
FATHER
William Milleen
14 BIRTHPLAC
Germany
FATHER (Clty)
( State or country)
15 MAIDEN NAME
OF MOTHER
Catherine (Inclusorn)
16 BIRTHPLACE DF
MOTHER (City)
allesette
(State or country)
Del
17 Informant ( Address)
If deceased was a U. S. War Veteran, G. L. Chap. 46. Section 10, requires physloians to insert a recital to that effect. PARENTS
1
No.
Theresa C Millen Kelley
(Was deceased a U. S. War Veteran, if so specify WAR)
(a) Residence. No.
(Usual [dlace of abode)
4 COLOR OR RACE
If less than 1 dey Hours Į Minutes Due to
Received and fled JUN 3 1948
EXTRACTS FROM THE LAWS OF THE COMMONWEALTH OF MASSACHUSETTS GOVERNING THE RETURN OF CERTIFICATES OF DEATH
A physician or registered bospital 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 helief the name of the deceased, bis supposed age, the disease of which he died, defined as re- quired hy section one, where same was contracted, the duration of bis last illness, wben last seen alive hy the physician or officer and the date of his death ... Gen. Laws, Cbap. 46, Sec. 9.
A physician or officer furnishing a certificate of death as required hy tbe 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 belief, 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 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, sucb physician or officer shall forfeit ten dollars. For the purposes of this sec- tion and of sections forty-five, forty-six and forty-seven of said chapter one hundred and fourteen, the word "war" shall include the China relicf expedition and the Philippine insurrection, which shall, for said purposes, be deemed to have taken place hetwecn 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 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 which has not been buried, until he has received a permit from the hoard 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 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 hoard of health or its agent aforesaid or from the clerk of the town where the hody is buried. No such permit sball he issued until there shall have been delivered to sucb board, agent or clerk, as the case may he, 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, hy a satisfactory certificate of the attending physician, if any, as required by law, or in lieu thereof a certificate as hereinafter provided. If there is no attending physician, or if, for sufficient reasons, his certificate cannot he obtained early enough for the purpose, or is insufficient, a physi- cian who is a member of the hoard of bealth, or employed hy it or by the selectmen for the purpose, shall upon application make the certificate re- quired of the attending physician. If death is caused by violence, tbe medi- cal examiner shall make such certificate. If such a permit for the removal of a human hody, not previously interred, from one town to another within the commonwealth cannot 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 body shall he returned to the town from which it was removed witbin thirty-six hours after sucb removal, unless a permit in the usual form for the removal of such body has heen sooner obtained bereunder. If the death certificate contains a recital, as required
hy section ten oi 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 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 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 bury a human hody or the asbes thereof which have been brought into the commonwealth until be has re- ceived a permit so to do from the board of health or its agent appointed to issue such permits, or if there is no such hoard, from the clerk of the town where the hody is to he 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 sucb 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 sucb 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 pby- sician is ahsent 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 ahortion, 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 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-botel, 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
ORM R-302
1
Lynn
(City or Town)
Lynn Hospital
The Commonwealth of Massachusetts OFFICE OF THE SECRETARY DIVISION OF VITAL STATISTICS COPY OF CERTIFICATE OF DEATH
Lynn
(City or town making return)
Registered No.
490 103
M (If death occurred in a hospital or institution, St. ( give its NAME instead of street and number)
2 FULL NAME
Margaret F McKenna
(If deceased is a married, widowed or divorced woman, give also maiden name.)
64 Somerset Ave.
St.
Winthrop
Length of stay: In hospital or institution ..
(Before death)
(Specify whether)
years
months
days.
(If nonresident, give city or town and State)
In this community+
yrs.
mos.
days.
PERSONAL AND STATISTICAL PARTICULARS
MEDICAL CERTIFICATE OF DEATH
18 DATE OF
April 11, 1948
(Month)
(Day)
(Year)
19 | HEREBY CERTIFY.
Apri1 9
19
That I attended deceased, from
48
to
April 11
1948
19.
I last saw h .. e.T ....... alive on
4/11
... +Sdeath Is sald to
have oocurred on the date stated above, at.
9:50 p.
.m.
Duration
Immediate cause of death
Acute coronary occlusion
Due to.
Arterio sclerosis
Due to.
Other conditions
(Include pregnancy within 3 months of death)
Physician
3
Major findings:
Of operations
Date of.
Underline the cause to which death should be charged sta- tistically.
What test confirmed diagnosis?
Usual
20 Was disease or injury in any way related to oocupation of deceased ?.
If so, speolfy
Albert Covner
(Signed)
Lynn, Mass.
(Address)
DATE OF BURIAL
Aprofereterry
nete
(City or Totag
19
22 NAME OF
Frank M .Donahue
ADDRESS
Received and filed
Charlestown, May 14 19 48
JUN 22 1948
(Registrar of City or Town where deceased resided)
50m (e)-1-41-4667
3 SEX
F
HUSBAND of
(or) WIFE of
AGE.
PARENTS
Informant.
(Address)
WRITE PLAINLY, WITH UNFADING BLACK INK - THIS IS A PERMANENT RECORD
Industry
10 or Business :
---
5 SINGLE
(write the word)
DEATH
MARRIED
WIDOWED
or DIVORCED
Single
(Give maiden name of wife in full)
(Husband's name in full)
years
8
54,
Months ..
Days
If less than 1 day Hours. .Minutes
12 BIRTHPLACE (City)
Everett
13 NAME OF
FATHER
William McKenna
14 BIRTHPLACE OF
FATHER (City)
(State or country)
Ireland
15 MAIDEN NAME
OF MOTHER
Alice Mullen
16 BIRTHPLACE OF
MOTHER (City)
(State or country)
Mass.
Everett
Brother
64 Somerset Ave. Winthrop
A TRUE COPY.
ATTEST :
(Registrar of city or town where death occurred)
DATE FILED
May 14
19
48
Copies of returns of deaths recorded during the previous month which occurred in your city or town in case the deceased
PLACE OF DEATH
Essex (County)
No.
(a) Residence. No.
(Usual place of abode)
4 COLOR OR RACE|
W
5a If married, widowed, or divorced
6 Age of husband or wife if alive
7 IF STILLBORN, enter that fact here.
Usual
9 Occupation :
At home
Il Social Security No ...... none
17
M. E. McKenna
of the city or town in which the deceased resided. (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
(State or country)
Mass.
(If U. S.
War Veteran,
specify WAR)
hosp.
Date
4/12
19
Of autopsy
21 PLACE OF BURIAL,
CREMATION OR REMOVAL ..
Holy Cross
Malden
FUNERAL DIRECTOR 10 Monument Ave.
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7
RM R-302
1
Revere
(City or Town)
No. 289 Endicott Ave.
SŁ. (If death occurred in a hospital or institution, give its NAME instead of street and number)
2 FULL NAME
Joseph L. Eldridge
(If deceased is a married, widowed or divorced woman, give also maiden name.)
434 Revere
SŁ
(If nonresident, give city or town and State)
Length of stay: In hospital or Institution
(Before death)
none
....
years
months
days.
In this community
yrs. -
mos. - days.
PERSONAL AND STATISTICAL PARTICULARS
3 SEX
Male
4 COLOR OR RACE
White
5 SINGLE
(write the word)
MARRIED
WIDOWED
or DIVORCED
Married
5a if married, widowed, or divorced
HUSBAND of
Mary Keenan
(Give maiden name of wife in full)
(or) WIFE of
(Husband's name in full)
59
6 Age of husband or wife If alive years
7 IF STILLBORN, enter that fact here.
8
AGE 60
Years
Months.
Days
If less than 1 day
Hours ..
Minutes
Usuai
9 Ocoupatlon :
Cable Splicer (Retired)
Industry
10 or Business:
N. E. Tel. & Tel. Co.
11 Social Security No ..
12 BIRTHPLACE (City)
(State or country)
England
13 NAME OF
FATHER
Richard Eldridge
PARENTS
14 BIRTHPLACE OF
FATHER (City)
(State or country)
England
15 MAIDEN NAME
OF MOTHER
Emila Sheredian
16 BIRTHPLACE OF
MOTHER (City)
(State or country)
Wales
17 Mary Eldridge
Relation, if any
Informant
(Address)
4304 Rexcre Stro Winthrop
thro
A TRUE COPY peripher La Merced
ATTEST :
(Registrar of city or town where death occurred)
DATE FILED
May 10,
1948
MEDICAL CERTIFICATE OF DEATH
18 DATE OF
DEATH
May
2
(Month)
(Year)
19. | HEREBY CERTIFY.
March
19
47
to
May ..... 2
19.
4.8
I last saw him ....... allve on.
May ... 2
., 19.18, death Is sald to
have ooourred on the date stated above, at ... 2 .:. 1.0.
........ A .... m.
Duration
Immedlate cause of death
Carcinomatosis
1.Year
Due to.
Carcinoma of stomach
? Years
Due to
Other conditions .. Generalized arterioscl
(Include pregnancy within 3 months of death)
and A. S. Heart disease
Major findings: Carcinoma of stomach
Of operations
Mass.
Gen. Hospital of July 1947
the cause to which death should be charged sta- tistically.
Of autopsy
What test confirmed diagnosis ?
Clinical
20 Was disease or Injury in any way related to occupation of deceased ?.
If so, spoolfy.
(Signed)
Paul P. Weinsaft
M. D.
(Address)
238 Shore Drive Date 5/3 1948
21 PLACE OF BURIAL,
CREMATION OR REMOVAL
Winthrop
l'inthrop
DATE OF BURIAL
May 5
1948
22 NAME OF
FUNERAL DIRECTOR
Kirby Bros.
ADDRESS
210 Winthrop St., Winthrop
19
Received and filed JUN 14 1948
(Registrar of City or Town where deceased resided)
Copies of returna of deaths recorded during the previous month which occurred in your city or town in case the deceased
of the city or town in which the deceased resided. (See Chap. 46, Sec. 12, G. L.)
50m-(b)·6-44-14607
resided in another city or town at the time of death should be made forthwith and transmitted on Form R-808 to the clerk
C
PLACE OF DEATH
Suffolk (County)
The Commonwealth of Massachusetts OFFICE OF THE SECRETARY DIVISION OF VITAL STATISTICS COPY OF CERTIFICATE OF DEATH
REVERE
(City or town making return)
Registered No.
104
(If U. S.
War Veteran,
specify WAR)
Winthrop
(a) Residence. No.
(Usual place of abode)
(Specify whether)
29yrs.
1948
(Day)
That I attended deceased from
...... No
(Cemetery)
(City or Town)
Y
RM R-302
3 SEX
Demale
(or) WIFE of
Usual
9 Occupation :
PARENTS
WRITE PLAINLY, WITH ONFADING BLACK INK - THIS IS A PERMANENT RECORD
Industry
10 or Business :
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)
(Husband's name in full)
6 Age of husband or wife if alive
years
7 IF STILLBORN, enter that fact here.
8
AGE
Years
Months.
2 Days
If less than 1 day
Hours
Minutes
Il Social Security No ..
12 BIRTHPLACE (City)
(State or country )
Massachusetts
13 NAME OF
FATHER
Abraham Rodonsky
14 BIRTHPLACE OF
FATHER (City)
Boston
Massachusetts
15 MAIDEN NAME
OF MOTHER
Mona Abrams
16 BIRTHPLACE OF
MOTHER (City)
South Boston
(State or country) Massachusetts
17 Informant Mrs .... Mona ... Rodonsky.
Relation, if any
mother
264 River Road, Winthrop, Mass.
A TRUE COPY.
ATTEST :
(Registrar of city of town where death occurred)
19
48
MEDICAL CERTIFICATE OF DEATH
18 DATE OF
DEATH
May
12
1948
(Month)
(Day)
(Year)
19 | HEREBY CERTIFY,
That I attended deoeased from
May ... 10
19.44.8 .... ,
to
May ... 12
19.48 ...
1 last saw her ..
alive on
May ... 12
19.118, death is said to
have occurred on the date stated above,
5.25 ... p.
m.
Duration
Immediate cause of death
Due to
Cerebral Anoxemia
2 ... days
Due to.
Separation of normally
implanted placenta
Other conditions.
Prolapse of cord
(Include pregnancy within 3 months of death)
Major findings :
Of operations ... cerebral ... hemorrhages.
Date of May .... 13 19) Bwhich death should be charged sta- tistically.
Of autopsy. What test confirmed diagnosis ?
20 Was disease or injury in any way related to occupation of deceased ?
If so, specify
(Signed)
Louis Albert
(Address) 475 CommonwealthAve Date 5-12
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