Town of Winthrop : Record of Deaths 1948, Part 52

Author: Winthrop (Mass.)
Publication date: 1948
Publisher:
Number of Pages: 524


USA > Massachusetts > Suffolk County > Winthrop > Town of Winthrop : Record of Deaths 1948 > Part 52


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4 COLOR OR RACE


"write the word)


5 SINGLE MARRIED WIDOWED or DIVORCE Parneed


ed Libanes / Myles (Give maiden name of wife mann)


(Husband's name in full)


6 Age of husband or wife if alive.


59


years


7 IF STILLBORN, enter that fact here.


If less than 1 day


Hours .


Minutes


ficher fit. Se


11 Social Security No. 013-03-1256


Boston


masa


Leyland"


15 MAIDEN NAME OF MOTHER arie Burroughs


16 BIRTHPLACE OF MOTHER (City) (State or Country)


Quetre mon


I HEREBY CERTIFY that a satisfactory standard certificate of death was filed with me BEFORE the burial ør transit permit was issued: Walter & Bakes


(Signature of Agent of Board of Health or other) Health Officer 8/1/48


(Official Designation), (Date of Issue of Permit)


48


last saw alive on


Carcinoma of Signoria


Due to


Due to


Other conditions (Include pregnancy within 3 months of death)


·Physician Underline the cause to which death should be charged sta- tistically.


bon if any ). 21 taly Cole


100M-7-46-19068


Kung James les. (If deceased is a married, widowed - diforged woman, give also maiden pame 39 Pleasant It busser, marc


Length of stay: In hospital or institution_ (Before death)


(Specify whether)


years


21 days.


IMPORTANT


Months Days


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 hy section one, where same was contracted, the duration of bis 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 tbe preceding section or by section forty-five of chapter one hundred and four- teen, shall, if the deceased, to the best of his knowledge and belief, served in the army, navy or marine corps of the United States in any war in which it has been engaged, insert iu the certificate a recital to that effect, speci- fying tbe war, and shall also certify in such certificate both the primary and the secondary or immediate cause of death as nearly as he can state the same. For neglect to comply with any provision of this section, such physician or officer shall forfeit ten dollars. For the purposes of this sec- tion and of sections forty-five, forty-six and forty-seven of said chapter one hundred and fourteen, the word "war" shall include the China relief expedition and the Philippine insurrection, which shall, for said purposes, be deemed to have taken place between February fourteenth, eighteen hundred and ninety-eight and July fourth, nineteen hundred and two, and the Mexican border service of nineteen hundred and sixteen and nine- teen hundred and seventeen. G. L. Chap. 46, Sec. 10.


No undertaker or other person shall bury or otherwise dispose of a human body in a town, or remove therefrom a human body which has not been buried, until he has received a permit from the board of health, or its agent appointed to issue such permits, or if there is no such board, from the clerk of the town where the person died; and no undertaker or other person shall exhume a human body and remove it from a town, from one cemetery to another, or from one grave or tomh 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, tbe 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 witbin the commonwealth cannot be obtained early enough for the purpose, tbe 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 vi chapier forty-six, tuat the deceased served in the army, navy or marine corps of the United States in any war in which it has been engaged, such recital shall appear upon the permit. The board of health, or its agent, upon receipt of such statement and certificate, shall forthwith countersign it and transmit it to the clerk of the town for registration. The person to whom the permit is so given and the physician certifying the cause of death shall thereafter furnish for registration any other neces- sary information which can be obtained as to the deceased, or as to the manner or cause of the death, which the clerk or registrar may require .- Chap. 114, Sec. 45, G. L., (Tercentenary Edition).


Medical examiners shall make examination upon the view of the dead bodies of only 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 asbes 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 tbe 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 forum of injury, have died without recent medical attendance or whose phy- sician is absent from home when the certificate of death is needed.


(3) Medical Examiners will investigate and certify to all deaths sup- posably due to injury. These include not only deaths caused directly or indirectly hy traumatism (including resulting septicemia), and by the action of chemical (drugs or poisons), thermal, or electrical agents, and deaths following abortion, but also deaths from disease resulting from injury or infection related to occupation, the sudden deaths of persons not disabled by recognized disease, and those of persons found dead.


Statement of Cause of Death .- Cause of death means the disease, or complication which causes death, not the mode of dying, e. g., heart failure, asphyxia, asthenia, etc. As principal "ause name the disease causing death. As related causes, name earlier morbid conditions, if any, related to the principal cause and any important complication of the principal cause.


Statement of Occupation .- Precise statement of occupation is very im- portant, so that the relative healthfulness of various pursuits can be known. Make some entry in this section for every person aged 10 years or over. If the occupation had been given up or changed on account of the disease causing death, report the usual occupation prior to illness. If the deceased had retired from business, report the usual occupation prior to retirement. Children not gainfully employed may be returned as at school or at home. For a woman whose only occupation was that of home housework, write housework. For a person engaged in domestic service for wages, how- ever, designate the occupation by the appropriate terms, as housekeeper- private family, cook-hotel, etc. For a person who bad no occupation whatever write none.


SPACE FOR ADDITIONAL INFORMATION


DATE OF ENTERING MILITARY SERVICE


DATE OF DISCHARGE


RANK, RATING


ORGANIZATION AND OUTFIT


SERVICE NUMBER


7


PLACE OF DEATH


Suffolk (County) Winthorpe (City or Town) 211 Pleasant No.


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.


148


St. f (If death occurred in a hospital or institution, ! give its NAME instead of street and nun.ber) )


PHYSICIAN - IMPORTANT


(Was deceased a U. S. War Veteran, if so specify WAR) . na


211


(a) Residence.


No.


Pleasant


St.


(Usual place of abode)


na


years


months days.


In this community


yrs.


mos.


days.


PERSONAL AND STATISTICAL PARTICULARS


3 SEX


Female


4 COLOR OR RACE


White


5 SINGLE


(write the word)


WIDOWED


MARRIED


WIDOWED-


or DIVORCED


5a If married, widowed or divorced HUSBAND of ..


(or) WIFE of


Timothy &


(Human's name in full)


(Give marden none of wife input)


o Sullivan


6 Age of husband or wife if alive


7 IF STILLBORN, enter that fact here.


AGE


69


Years


Months


Days


If less than 1 day


Hours


Minutes


Usual


9 Occupation:


at home


Industry


10 or Business:


own


11 Social Security No.


12 BIRTHPLACE (City)


(State or Country)


Limerick neland


13 NAME OF


FATHER


John Ahearn


14 BIRTHPLACE OF


FATHER (City)


(State or Country)


Ireland


15 MAIDEN NAME


OF MOTHER


margaret Can


16 BIRTHPLACE OF


MOTHER (City)


Incland


BRYAN


Sullivan ( Relation, if any ) 2110 Pleasant ST Winthorpe


I HEREBY CERTIFY that a satisfactory standard certificate of death was filed with me BEFORE the burialof transit permit was issued: Waller f. Baker (Signature of Agent of Board of Healthor other) Health Officer Official Designation


7/30/48 (Date of Issue ( Pernat)


18 DATE OF


DEATH


July


(Month)


(Day)


30


1948


(Year)


19


I HEREBY CERTIFY,


That I attended deceased from


July


1948.to


12


July 30


. 19 ×8


er


I last saw h


alive on


July 36


. 194 9, death is said to


have occurred on the date stated above, at 10:50 A.m.


Duration IMPORTANT


Immediate cause of death


Carcinoma


the Colon with metartare


to the liver


meta In 200/ mar.


Due to


Due to


Other conditions


Generalived arteriosclerosis


(Include pregnancy within 3 months of death)


with arterinelerdir Heart berline


Diabetes mellitus


Major findings:


Of operations


not performed


Date of


Of autopsy is? Clinical.


year . IMPORTANT 10 46. 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? If so, specify Sacchi a. Samighetti , M. D.


(Signed)


de Paration. G. Bro Date July 30 19 48.


(Address


21 Holy 6 ross Cemetery malden (City or Town)


Place of Buffal, Cremation or Removal.


DATE OF BURIAL


aug 2


19 448


22 NAME OF


Paul


. Nelly


FUNERAL DIRECTOR


ADDRESS


11 meridian Ist 6. 3.


Received and Filed


19


AUG 2 1948


(Registrar)


If deceased was a U. S. War Veteran, G. L. Chap. 46, Section 10, requires physicians to insert a recital to that effect.


DEATH in plain terms, so that it may be properly classified. Exact statement of OCCUPATION is very important.


See instructions and extracts from the laws on back of certificate.


PARENTS


17 Informant (Address)


100M-7-46-19068


1


2 FULL NAME


mary & Sullivan (If deceased is a married, widowed or divorced woman, give also maiden name.)


Length of stay: In hospital or institution


(Before death)


(Specify whether)


(If nonresident, give city or town and State)


15


e


A R-301 A


Limerick


Limerick


What test confirmed diagnosis?


MEDICAL CERTIFICATE OF DEATH


years


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 hy 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, See. 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 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 both the primary and the secondary or immediate cause of death as nearly as he can state the same. For neglect to comply with any provision of this section, such physician or officer shall forfeit ten dollars. For the purposes of this sec- tion and of sections forty-five, forty-six and forty-seven of said chapter one hundred and fourteen, the word "war" shall include the China relief expedition and the Philippine insurrection, which shall, for said purposes, be deemed to have taken place between February fourteenth, eighteen hundred and ninety-eight and July fourth, nineteen hundred and two, and the Mexican border service of nineteen hundred and sixteen and nine- teen hundred and seventeen. G. L. Chap. 46, Sec. 10.


No undertaker or other person shall bury or otherwise dispose of a human body in a town, or remove therefrom a human body which has not been buried, until he has received a permit from the board of Health, or its agent appointed to issue such permits, or if there is no such 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 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 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 he 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 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 vi chapter forty-six, tuat the deceased served in the army, navy or marine corps of the United States in any war in which it has been engaged, such recital shall appear upon the permit. The board of health, or its agent, upon receipt of such statement and certificate, shall forthwith countersign it and transmit it to the clerk of the town for registration. The person to whom the permit is so given and the physician certifying the cause of death shall thereafter furnish for registration any other neces- sary information which can be obtained as to the deceased, or as to the manner or cause of the death, which the clerk or registrar may require .- Chap. 114, Sec. 45, G. L., (Tercentenary Edition).


Medical examiners shall make examination upon the view of the dead bodies of only 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 hody 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 hy recognized disease unrelated to any forum of injury, have died without recent medical attendance or whose phy- sician is absent from home when the certificate of death is needed.


(3) Medical Examiners will investigate and certify to all deaths sup- posably due to injury. These include not only deaths caused directly or indirectly hy traumatism (including resulting septicemia), and by the action of chemical (drugs or poisons), thermal, or electrical agents, and deaths following abortion, but also deaths from disease resulting from injury or infection related to occupation, the sudden deaths of persons not disabled by recognized disease, and those of persons found dead.


Statement of Cause of Death .- Cause of death means the disease, or complication which causes death, not the mode of dying, e. g., 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 domestie 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


RM R-302


deceased the clerk


PLACE OF DEATH


(County)


1


(C'ity or Town)


The Commonwealth of Massachusetts OFFICE OF THE SECRETARY DIVISION OF VITAL STATISTICS COPY OF CERTIFICATE OF DEATH


(City or town making return)


5 (It deal give its NAME instead of street and number) (If death occurred in a hospital or institution,


S (If U. S. War Veteran,


Bureau of Vital Statistics


CONNECTICUT STATE DEPARTMENT OF HEALTH


Feste of


Hartford, Ceunesticat, U. S. A.


Death


MEDICAL CERTIFICATION


1. Place of Death


a. County


19. I hereby certify that I attend the deceased from


4-10-48


19


to


19


Note: If ontalde eity or towa Emita, write rural


c. Nama of Hospital or Institution


Grace .... 10sp ..... Note: If not In bolp. er inst., give street No, or Woontlos


d. Length of stay : In hosp. or inat.


in this community


2 Usual residence of deçe sed


curred on .4-19748 at 9: 05. 8 ... . m.


Duration


Immediato cause of death ...


from


Goronery thrombosis. Pulmonary thrombosis


aid to


Lion


....


Due to: Generalized arteriosclerosis


Other morbid conditions (including ...


any pregnancy within 8 months of death)


Major findings of operations


the one cause above, to which death should be charged statistically.


Of autopsy


20. 1f death was due to external causes, fill in the following:


a. Accident, suicide, or homicide (specify) b. Date of occurrence


c. Where did injury occur? . .......


-


City or towa stata


d. Did injury occur in or about homo, on farm, in industrial place, in public place?


15. Maiden name


Mar y G. Walsh


16. Birthplace


England


City or town


Stete or foreign country


17a, Informant


John O'laley


17b. Address ......


Winthrop, Mass ..


18. Burial, Cremation, or Removal, Date Cemetery


Winthrop 4-19-18


Place


Winthrop, Mass.


Address


Received for record this ...


19th ..... ...... day of


19


Company . .... .... Regiment


I. D.


The foregoing is a true copy.


John J. Coleman Ragistver


MAY ... 1.0. 1948


Form V. 8. 18 (11-47) 30M


Copier reside of th


25M-(f)-11-4:


Informant (Address)


DATE OF BURIAL


QISTUL 10Wn) 19


A TRUE COPY. ATTEST :


(Registrar of city or town where death occurred)


DATE FILED 19


Received and filed AUG 26 1948 19


(Registrar of City or Town where deceased resided)


ician erline ise to death I be d sta- Ily.


Specify type ut place


e. While at work?


f. Means of injury


M.J.Carpinella,MD


21. Signature of physician Branford, Ct. Date signed -19-48


....


Was Deceased a Veteran? ....... n.Q ..


... If so, give War


Wes Body Embalmed? License No. .......... 200


If so, Name of Embalmer denna Signature of Licensed Embalmer or Licensed Undertaker


Hugh A .Keenan Son


dow Haven, Com


Received for filing in the State Office


Physicians: Underline


8. Date of birth of deceased


.. Dec ... . 23., ... 1885


nontÌ


day


62


3


26


month days ............ If less than one day


10. Birthplace


Boston Lass.


11. Usual occupation


housewife


12. Industry or business


18. Name 14. Birthplace


Robert A . Neilson


MOTHER FATHER |


Apr. 19, 1948


Jb. Social Security Number fema fe PERSONAL AND STATISTICAL PARTICULARS white 4. Sex . 5. Race ce wa 6. Single, widowed, married, divorced Ga. If married, widowed, or divorced, give name of husband or wifa Robert wilson


d. Street No.


linthrop


Note : If rural, give location


e. If foreign-born, how long in U. S. A .?


8a. Full name Edith N. Wilson


b. County


a. City or town


.. Winthrop Highlands


Notes Lf outride ety or towa Amita, write rural


...


I last saw h T slive on 4-19-48 ., 19. ...; death is said to have oo-


.. State .. Mass. 05/8


.........


NEW HAVEN 613T


b. City or town


4-19-48


...


Registered No.


149


No.


St.


EDITH M. WILSON


2 FULL NAME ...


days.


Duo to: . Chronic mrocorditis


?.


6b. Age of husband or wife, if aliva T. Date of death


9. Age. .. years


City er towy State or foreign country


City or town State or forilga country


..........


22 NAME OF FUNERAL DIRECTOR ADDRESS


RM R-302


Middlesex


The Commonwealth of Massachusetts OFFICE OF THE SECRETARY DIVISION OF VITAL STATISTICS COPY OF CERTIFICATE OF DEATH


Wal tham


(City or town making return)


Registered No.


354.50


S (If death occurred in a hospital or institution, St.


give its NAME instead of street and number)


Thomas Borelli


2 FULL NAME


(If deceased Qtparted, ISWe ,or fece Bomgive also maiden name.)


(a) Residence. No.


(Usual place of abode)


st


(If nonresident, give city or town and State)


Length of stay: In hospital or Institution.




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