USA > Massachusetts > Suffolk County > Winthrop > Town of Winthrop : Record of Deaths 1948 > Part 50
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Boston
(City or Town)
St. Elizabeth's Hospital
(If death occurred in a hospital or inetitution,
St.
give its NAME instead of etreet and number)
2 FULL NAME
Mrs. Josephine Honan
(If deceased ie a married, widowed or divorced woman, give also maiden name.)
55 Wave Way Ave.
St.
Winthrop,
Mass.
(a) Residence. No.
(Usual place of abode)
13
(If nonresident, give city or town and State),
Length of stay : In hospital or Institution ...
(Before death)
(Specify whether)
years
monthe
daye.
In this community
yrs.
mos.
days.
PERSONAL AND STATISTICAL PARTICULARS
MEDICAL CERTIFICATE OF DEATH
3 SEX
F
4 COLOR OR RACE
W
MARRIED
WIDOWED
or DIVORCED
Widowed
5a If married, widowed, or divorce@Daniel J Honan
HUSBAND of
(Give maiden name of wife in full)
(or) WIFE of
(Husband'e name in full)
6 Age of husband or wife if alive years
7 IF STILLBORN, enter that faot here.
8 AGE 65 Years Months. Days
If less than 1 day
Hours.
.Minutes
Usual
9 Oooupation :
Housewife
Industry
10 or Business :
At home
11 Social Security No ..
none
12 BIRTHPLACE (City)
(State or country)
Ireland
13 NAME OF
FATHER
Patrick Grimes
PARENTS
14 BIRTHPLACE OF
FATHER (City)
(State or country)
Ireland
15 MAIDEN NAME
OF MOTHER
Unknown Leahy
If so, specify.
(Signed)
George B McManama
M. D.
(Address) .St ..... Elizabeth .!. s ... Ho.spDate ..
.7.21.19118
21 "PLACE OF BURIAL,
Winthrop Cemetery
DATE OF BURIAL
22 NAME OF
FUNERAL DIRECTOR
Kirby Bros
M Kirby
ADDRESS
210 Winthrop St. Winthrop
ATTEST :
(Regietrar of city or town where death occurred)
July 23
48
19
18 DATE OF
5 SINGLE
(write the word)
DEATH
July 21, 1948
(Month)
(Day)
(Year)
19 | HEREBY CERTIFY,
July 8
1918
That I attended deceased from
to .....
July 21
19 .. 118
I last saw h ...
er ...... alive on
July 21
19 48
death Is sald to
have occurred on the date stated above, at.
11:30A
m.
Inmedlate cause of death phlebothrombosis
with massive pulmonary embolus
Operation performed for cysto-
1
cele and lacerated perineum on
Due to.
July 10 Operation performed for
bilateral femoral vein legation on 14 July
July 21
Other conditions
(Include pregnancy within 3 months of death)
Physician
--
Major findings:
Of operations
as above
Date of
charged sta-
Of autopsy .....
Phlebothrombosis of rt
tistically.
femoral vein with massive pulmonary What test confirmed diagnosis ?
sease or injury in any way related to oocupatlon of deceased ?
16 BIRTHPLACE OF
MOTHER (City)
(State or country)
Ireland
17 Daniel J Honan Jr ( Relation, if any
Informant.
(Address)
A TRU
Bogichal Frfanning
DATE FILED
0
Received and filed JUL 3.0. 1948 19
(Registrar of City or Town where deceased resided)
25M-(f)-11-42 10746
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
Copies of returns of deaths recorded during the previous month which occurred in your city or town in case the deceased
Registered No.
6471141
No.
(If U. S.
War Veteran,
speolfy WAR)
Duration July 8
Underline the cause to which death should be
CREMATION OREREMOVAL
(Cemetery)
(City or Towg)
1948
R-301 A - Suffolk (County)
PLACE OF DEATH
Winthrop (City or Town) Winthrop Comm
The Commonwealth of Massachusetts OFFICE OF THE SECRETARY DIVISION OF VITAL STATISTICS STANDARD
To be filed for burial permit with Board of Health or its Agent.
142
CERTIFICATE OF DEATH Hospital St. ¿ give its NAME instead of street and number) S (If death occurred in a hospital or institution,
2 FULL NAME
MATILDA
ECTMAN
(If deceased is a married, widowed or divorced woman, give also maiden name.)
34 Trident ave
St.
Winthrop
(If nonresident, give city or town and state)
Hoop.
years
months /3 days.
In this community 33 yrs.
mos.
days.
(Specify whether)
PERSONAL AND STATISTICAL PARTICULARS
5 SINGLE
(write the word)
MARRIED
Widow
DIVORCED
5a If married, widowed, or divorced
HUSBAND of
(Give maiden name of wife in full)
Hyman Ectman
(Husband's name in full)
years
If less than 1 day
Hours
.Minutss
Usual
Housework
Russia
Isaac Bass
14 BIRTHPLACE OF
FATHER (City) .....
IJustia
cannot be
learned
17 Robert & Ectman-Son)
Relation, if any
Informant
(Address)
34 Trident ave Winthrof
I HEREBY CERTIFY that a satisfactory etandard certificate of death was filed with me BEFORE the burial or transit permit was issued: Walter -Vialeitor (Signature of Agent of Board of Health er other) 1 health Milliers 7/24/48 (Official Designation) (Date of Issue of Permit)
MEDICAL CERTIFICATE OF DEATH
18 DATE OF
DEATH ..
July
(Month)
(Day)
19 5BY
926/48 July 2
. That I attended deceased from 1946
I last saw her alive In Calle 2/3 19 4of death is said to have occurred on the date stated above, at 3: 45097 Duration Immediate cause of death. IMPORTANT Cerebral Nemontage
Due to. Bundeo-pneumonia
Due to Diabetes Mellitus
arteriosclerosis
Other conditions
(Include pregnancy within 3 months of death)
Uremia
deathy 4 hour
Major findings:
Of operations.
none
Date of.
Of autopsy neue
What test confirmed diagnosis? Chemicalx
20 Was disease or injury in any way related le occupation of deceased ?.
... Me D. If so, specify. (Signed) JackJahrannoM.D. fare 562 Puede Ut Date 7/25 /88
1948 21 .. Place of Burial, Cremation or Removal Go Ster Two oburn DATE OF BURIAL y 25
22 NAME OF FUNERAL DIRECTOR Benjamin Birnbach ADDRESS 10Washington S. DOU
Received and filed JUL 2 8 1948 ............ .. 19
(Registrar)
.....
5 years 4 years IMPORTANT
PHYSICIAN
Underline the cause to which death should be charged sta- tistically.
--
100m-2-'40-D-729-a
1
No.
(a) Residence. No
....
(Usual place of abode)
Length of stay: In hospital or institution ...
3 SEX
4 COLOR OR RACE
Female White
(or) WIFE of
6 Age of husband or wife if alive
7 IF STILLBORN, enter that fact here.
AGE.
61
Years
Months.
Dayel
9 Occupation :.
10 or Business:
Il Social Security No 220ne
12 BIRTHPLACE (City) ...
(State or country)
13 NAME OF
FATHER
(State or country)
15 MAIDEN NAME
1
OF MOTHER
16 BIRTHPLACE OF
Russia
PARENTS
MOTHER (City).
(State or country)
is very important. See instructions and extracts from the laws on back of certificate.
information should be carefully supplied. AGE should be stated EAncill. FifisielAND should state
Industry
at home
CAUSE OF DEATH in plain terms, so that it may be properly classified. Exact statement of OCCUPATION
Registered No
....
(If U. S.
War Veteran,
epecify WAR)
No
23 1948 (Year)
....
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 lias attended during his fast iliness, 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 tlic best of his knowledge and belief the name of the deceased, his supposed age, the disease of which he died, defined as required by section one, where same was contracted, the duration of his last illness, when last seen alive by the physician or officer and the date of his death . . . Gen. Laws, Chap. 46, Sec. 9.
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 receiv- ing 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 in- sufficient, a physician who is a member of the board of health, or em- ployed by it or by the selectmen for the purpose, shall upon application make the certificate required of the attending physician. If death is caused by violence, the medical examiner shall make such certificate. If such a 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 euch 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 re- moval 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 necessary 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 received 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 buricd or the funcral 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 observancc 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 discase unrelated to any form of injury.
(2) Board of Health physicians will certify to such deaths only as those of persons who, though disabled by recognized disease unrelated to any form of injury, have died without recent medical attendance or whose physician is absent from home when the certificate of death is needcd.
(3) Medical Examiners will investigate and certify to all deaths supposably due to injury. These include not only deaths caused directly or indirectly by traumatism (including resulting septicemia). and by the action of chemical (drugs or poisons), thermal, or electrical agents, and deaths following abortion, but also deaths 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 Important, 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 iliness. 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, 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
COPY OF CERTIFICATE OF DEATH
STANDARD CERTIFICATE OF DEATH
DEPARTMENT OF COMMERCE Bureau of the Census
STATE OF NEW HAMPSHIRE
Town or City
Clerk's No.
143
Edward J Grainger
FULL NAME
1. PLACE OF DEATH:
(a) County
Merrimack
(b) City or town
Concord
(c) Name of hospital or institution: Concord Hos ital M.P. Unit
(If not in hospital or institution write street number or location)
(d) Length of stay:
In hospital or institution
18-3/4 hrs
(Specify whether years, months or days)
In this community
(Specify whether years, months or days)
3. (a) If veteran, name war
World ... War ... ]
(b) Social Security No.
4. Sex
Male
5. Color or race
white
6. (a) Single, widowed,
married, divorced
married
6. (b) Name of husband or wife: Amy .. Lee
(Full name-Maiden name, if wife)
6. (c) Age of husband or wife, if alive
69
years
C
- not ataton
2. USUAL RESIDENCE OF DECEASED:
(a) State Massachusetts
Suffolk
(b) County
(c) City or town .Winthrop
(d) Street No. .. 30 .. Orlando Ave (If rural, give location)
-
(e) If foreign born, how long in U.S.A .? years
MEDICAL CERTIFICATE
20. DATE OF DEATH: Month .. J .. ].y ....... day .... 25 ..... .. year 19.48 ... hour 9 min. 11 A m.
21. I HEREBY CERTIFY that I attended the deceased from 19 19. to ..
that I last saw h .... alive on
19.
and that death occurred on the date and hour stated above.
DURATION
1
6-46-1015 Amartant. Every item of information should be carefully supplied. Form V. S. 19A
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 lias attended during his last iliness, 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 belief the name of the deceased, his supposed age, the disease of which he died. defined as required hy section one, where same was contracted, the duration of his fast illness, when last seen alive hy the physician or officer and the date of his death . . . Gen. Laws, Chap. 46, Sec. 9.
No undertaker or other person shall hury or otherwise dispose of a human body in a town, or remove therefrom a human body which has not heen 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 suefi board. from the clerk of the town where the person died; and no undertaker or other person shall exhuine a human hody and reinove it from a town, from one cemetery to another, or from one grave or tomb other than the receiv- Ing 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 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 hy faw, or in fieu thereof a certificate as herelnafter provided. If there Is no attending physician, or if, for sufficient reasons. his certificate cannot be obtained early enough for the purpose, or Is in- sufficient, a physician who is a member of the board of health, or em- ployed hy It or by the selectmen for the purpose, shall upon application make the certificate required of the attending physician. If death is caused by violence, the medical examiner shall make such certificate. If such a 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 euch removal shall constitute a permit for such removal; provided, that such body shall be returned to the town from which it was removed witliln thirty-six hours after such removai, unless a permit in the usual form for the re- moval of such body has been sooner obtained hereunder. If the death certificate contalns a recital, as required hy seetion 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, sueh reeital shall appear upon the permit. The hoard of health, or its agent, upon receipt of such statement and certificate, shali 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 necessary 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 .- Chop. 114, Sec. 45. G. L., (Tercentenary Edition).
No undertaker or other person shall bury a fiuman body or the ashes thereof which have been brought into the commonwealth until he has received a permit so to do from the board of health or its agent appointed to Issue sueli permits, or if there is no such board, from the eierk of the town where the body is to be 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 bedside care during a last iliness 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 disahfed by recognized disease unrelated to any form of injury, have died without recent medical attendance or whose physician is absent from home when the certificate of death is needed.
(3) Medical Examiners will investigate and certify to all deaths supposably due to Injury. These include not only deaths caused directly or indirectly by traumatism (including resulting septicemia). and by the action of chemical (drugs or poisons), thermal, or electrical agents, and deaths following abortion, but also deaths from disease resulting from injury or Infectlon 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 dylng, 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 important, so that the relative heaithfuiness 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 oceupatlon 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, 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
-
COPY OF CERTIFICATE OF DEATH
STANDARD CERTIFICATE OF DEATH
DEPARTMENT OF COMMERCE Bureau of the Census
FULL NAME
1. PLACE OF DEATH:
(a) County
Merrimack
(b) City or town
Concord
(c) Name of hospital or institution: Concord Hos ital M.P. Unit
(If not in hospital or institution write street number or location)
(d) Length of stay:
In hospital or institution
18-3/4 hrs
(Specify whether years, months or days)
In this community
(Specify whether years, months or days)
3. (a) If veteran, name war
World ... War ... ]
(b) Social Security No.
4. Sex
6. (a) Single, widowed,
married, divorced
Male
5. Color or race
white
married
6. (b) Name of husband or wife: Amy .. Lee
(Full name-Maiden name, if wife)
6. (c) Age of husband or wife, if alive
69
years
7. Birth date of deceased ..
not stated
(Month)
(Day)
(Year)
8. AGE: Years|Months
69
Days
If less than one day
-
.hrs.
....... min.
9. Birthplace
Boston. Mas.s.
(City, Town, or County)
(State or Foreign Country)
10. Usual occupation
Medical Doctor
11. Industry or business
12. Name
William H Grainger
13. Birthplace
Ireland
(City, Town, or County)
(State or Foreign Country)
14. Maiden name
Cannot be learned
MOTHER
15. Birthplace .....
.not .. stated
(City, Town, or County) (State or Foreign Country)
16. (a) Informant's own
signature
Amy Lee
(b) Address
Boston Mass
17. (a)
Burial
(Burial, Cremation, Entombment, Removal)
(b) Place:
Winthrop Cemetery
(If entombed dr byried, write name of cemetery)
Winthrop Massachusetts
(City, Town, County)
(State or Country)
(c) Date thereof
July.
28
1948
(Month)
(Day)
(Year)
If Entombed
(d) Place of burial
(Name of Cemetery)
(City, Town, County) (State)
(e) Date
(Month)
(Day)
(Year)
18. (a) Signature of funeral.
director
John F D' Maley
(b) Address 7.9 .. Atlantic .. St .......
Winthrop Mas
Countersigned
Walter C Rowe, M D
(Agent City Board of Health)
19. (a)
7-26-48
(b)
7-26-48
(Date rec. by City Bd. of Health)
(Date rec. by Town or city clerk)
Signature of Town or City
Clerk
Arthur ... E. Raby.
Clerk of Concord, .. N.H.
A true copy, Attest :
Clerk of
.Concord .... N ...........
2. USUAL RESIDENCE OF DECEASED : Massachusetts
(a) State Suffolk
(b) County
(c) City or town Winthrop
(d) Street No. .. 30 .. Orlando Ave (If rural, give location)
(e) If foreign born, how long in U.S.A .?
......
years
MEDICAL CERTIFICATE
20. DATE OF DEATH: Month .. July ....... day .. 25
year 1948 .... hour 9 min. 11 A .. m.
21. I HEREBY CERTIFY that I attended the deceased from 19 19 to
that I last saw h .... alive on
19
..;
and that death occurred on the date and hour stated above.
Immediate cause of death
Gastric hemorrhage
(probable peptic ulcer)
Due to
Due to
Other conditions
(Include pregnancy within 3 months of death)
Major findings:
Of operations
Of autopsy
22. If death was due to external causes, fill in the follow-
ing:
(a) Accident, suicide, or homicide (specify)
(b) Date of occurrence
(c) Where did injury
occur ?
(Clty or Town) (County) (State)
(d) Did injury occur in or about home, on farm, in
industrial place, in public place ?
(Specify type of place)
While at work?
(e) Means of injury
23. SIGNATURE
C R Mullins
M.D. or other
M. D
Date signed
7-25-48
Address
Concord, N.H.
2 8 4948
7-26-48
Dated
....
..........
JUL.
....
19.
DURATION
...
36 hrs
PHYSICIAN
Underline the cause to which death should be charged statistically Please write the causes of death clearly and legibly
Form V. S. 19A
PLEASE WRITE PLAINLY WITH UNFADING INK. Every item of information should be carefully supplied. The correct age is especially important.
6-46-10M
8458
STATE OF NEW HAMPSHIRE Edward J Grainger
Town or City
Clerk's No.
143
....
FATHER
CYANO HLIM KLINIY 'TA JUINM-
MCHEN
-301 A |IT
Suffolk (Bunty)
(City or Town) PLACE OF DEATH No Nuitturay Community Hospital
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
144
§ (If death occurred in a hospital or institution, { give its NAME instead of street and number)
2 FULL NAME
DiGregorio Su Bre
(If deceased is a married, widowed or divorced woman giye also maiden name.)
37 Frist Que
St
(If nonresident, give city or town and state)
months
days.
In this community
yrs.
mos.
days.
(Specify whether)
years
chr 10 min
PERSONAL AND STATISTICAL PARTICULARS
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