USA > Massachusetts > Suffolk County > Winthrop > Town of Winthrop : Record of Deaths 1948 > Part 6
Note: The text from this book was generated using artificial intelligence so there may be some errors. The full pages can be found on Archive.org (link on the Part 1 page).
Part 1 | Part 2 | Part 3 | Part 4 | Part 5 | Part 6 | Part 7 | Part 8 | Part 9 | Part 10 | Part 11 | Part 12 | Part 13 | Part 14 | Part 15 | Part 16 | Part 17 | Part 18 | Part 19 | Part 20 | Part 21 | Part 22 | Part 23 | Part 24 | Part 25 | Part 26 | Part 27 | Part 28 | Part 29 | Part 30 | Part 31 | Part 32 | Part 33 | Part 34 | Part 35 | Part 36 | Part 37 | Part 38 | Part 39 | Part 40 | Part 41 | Part 42 | Part 43 | Part 44 | Part 45 | Part 46 | Part 47 | Part 48 | Part 49 | Part 50 | Part 51 | Part 52 | Part 53 | Part 54 | Part 55 | Part 56 | Part 57 | Part 58 | Part 59 | Part 60 | Part 61 | Part 62 | Part 63 | Part 64 | Part 65 | Part 66 | Part 67 | Part 68 | Part 69 | Part 70 | Part 71 | Part 72 | Part 73 | Part 74 | Part 75 | Part 76 | Part 77 | Part 78 | Part 79 | Part 80 | Part 81 | Part 82 | Part 83 | Part 84 | Part 85 | Part 86 | Part 87 | Part 88 | Part 89
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 he 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 hy 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
R-301 A
Suffolk (County)
Winthrop (City or Town) 82 Brookfield
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.
13
-
No ..
St.
§ (If death occurred in a hospital or institution, !
give its NAME instead of street and number) }
PHYSICIAN - IMPORTANT
(Was deceased a
U. S. War Veteran,
if so specify WAR) .
(a) Residence. No ...
(Usual place of abode)
82
Brookfield
Rd
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
40yrs.
mos.
days.
PERSONAL AND STATISTICAL PARTICULARS
3 SEX
4
COLOR OR RACE
5 SINGLE (write the word)
MARRIED
WIDOWED
or DIVORCED Widowed
Female
White
5a If married, widowed or divorced
HUSBAND of ..
J&MHnaigen naLeef Coufr"
(or) WIFE of
(Husband's name in full)
years
8
85
AGE.
Years
Months
Days
If less than I day
.. Hours
Minutes
Usual
9 Occupation:
Housewife
Industry
10 or Business:
Own ...
Home
11 Social Security No.
12 BIRTHPLACE (City).
(State or Country)
Nova Scotia
13 NAME OF
FATHER
James Malone
14 BIRTHPLACE OF
FATHER (City)
(State or Country)
Ireland
15 MAIDEN NAME
OF MOTHER
?
Rogers
16 BIRTHPLACE OF
MOTHER (City) ..
(State or Country)
Ireland
17 Frank LeCour
(
Rgoimp, if any )
Informant
(Address)
82 Brookfield Rd
I HEREBY CERTIFY that a satisfactory standard certificate of death was filed with me BEFORE the burial of Mansit permit was issued: Walter & Bakery (Signature of Agendof Board of Health or other) Health Officer (Official Designation)
1/30/48
(Date of Issue of Permit)
18 DATE OF
1 .Jaway
MEDICAL CERTIFICATE OF DEATH
29 1948
(Month)
(Day)
(Ycar)
I HEREBY CERTIFY,
april ? 19 10
to
That I Atended deceased from
January 2919 4
I last saw
her
alive on
wally 29, 19, death is said TO
have occurred on the date stated above, at
12:30 AM
Duration
Immediate cause of death lechal Hemorrhage
Due to
artenaleconis
Due to
Devlety
n Hypistatic
Include pregyerty within 3 months of death) Preumia
Major findings: Of operations none Date of
Of autopsy
What test confirmed di
clinical & lab.
IMPORTANT 2 weeks 5 years 2 years 2 days
IMPORTANT
Physician Underline the cause to which death should be charged sta- tistically. to
20 Was disease or injury in any way related to occupation of deceased? " Jacob . Chamo U. D. (Signed
, M. D. (Address 562 Hanley Date Jan 2944.8
21
inthrop
Place of Burial, Cremation or Removal DATE OF BURIAL
Jän).
Winthrop 31 1948 or Town) Form HO Maley
19
ADDRESS
Received and Filed
FEBS 1943
19
(Registrar)
1
100M-7-46-19068
PLACE OF DEATH
If deceased was a U. S. War Veteran, G. L. Chap. 46, Section 10, requires physicians to insert a recital to that effect. See instructions and extracts from the laws on back of certificate. DEHIHI HI piai terms, so that it may be properly classined. Exact statement of OCCUPATION is very important. PARENTS
6 Age of husband or wife if alive
7 IF STILLBORN, enter that fact here.
2 FULL NAME
Margaret J.Malone
Le Cour
(If deceased is a married, widowed or divorced woman, give also maiden name.)
Rd
22 NAME OF
FUNERAL DIRECTOR
Winthrop
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 helief the name of the deceased, his supposed age, the disease of which he died, defined as re- quired hy section one, where same was contracted, the duration of his last illness, when last seen alive 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 beeu 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 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 110 undertaker or other person shall exhume a human hody and remove it from a town, from one cemetery to another, or from one grave or tomh other than the receiving tomh to another in the same cemetery, until he has received a permit from the board of health or its agent aforesaid or from the clerk of the town where the body is buried. No such permit shall be issued until there shall have been delivered to such board, agent or clerk, as the case may he, a satisfactory written statement containing the facts required by law to 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 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 body 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 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 suchi 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 hy recognized disease unrelated to any form of injury, have died without recent medical attendance or whose phy- sician is absent from home when the certificate of death is needed.
(3) Medical Examiners will investigate and certify to all deaths sup- posably due to injury. These include not only deaths caused directly or indirectly hy traumatism (including resulting septicemia), and 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 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
7
1
Winthrop
(City or Town)
No.
175 Bartlett Road
Length of stay: In hospital or institution
(Before death)
(Specify whether)
PERSONAL AND STATISTICAL PARTICULARS
3 SEX
4 COLOR OR RACE
male
white
5a If married. widowed, or divorced
HUSBAND OF
Winifred Ladd
(Give maiden name of wife in full)
(or) WIFE OF
(Husband's name in full)
6 Age of husband or wife if alive
65
7 IF STILLBORN, enter that fact here.
8
AGE
66
Years
9
Months
O
Days
Usual
·9 Occupation:
salesman
Industry
11 Social Security No ..
018-01-2968
12 BIRTHPLACE (City)
13 NAME OF
FATHER
Albert M. Godfrey
14 BIRTHPLACE OF
FATHER (City)
(State or country)
Candia
New Hampshire
15 MAIDEN NAME
OF MOTHER.
Julia Smith
16 BIRTHPLACE OF
MOTHER (City)
(State or country)
Mrg. G: J.Godfr
carefully supplied. AGE should be stated EXACTLY. PHYSICIANS should state CAUSE OF DEAin in plain terms, so that
(State or country)
New Hampshire
it may be properly classified. Exact statement of OCCUPATION is very important. See instructions and extracts from the laws
-
on back of certificate.
If deceased was a U. S. War Veteran, G. L., Chap. 48, Sec. 10, requires physicians to insert a recital to that effect.
PARENTS
5 SINGLE (write the word)
MARRIED
WIDOWED
or DIVORCED married
years
If less than 1 day
Hours ..
Minutes
10 or Business:
Lawrence&klein Lumber Co
Northwood ctr.
100m-(r)-3-46-18278
I HEREBY CERTIFY that a satisfactory standard certificate of death was filed with me BEFORE the burial or transit pormit was issued: Walter A: 12 aleet & (Signature of Agent of Board of Health or other) Health officer 2/2/48 (Official Designation)
(Date of Issue of Permit)
MEDICAL CERTIFICATE OF DEATH
18 DATE OF
DEATH.
January
30, 1948
(Month)
(Day)
(Year)
19 I HEREBY CERTIFY, That I attended deceased from april 7, 1940, to Sem. 30
, 19 48
I last saw h Www ...... alive on
Jom 29, 1948, death is said to
have occurred on the date stated above, at
IPM.
Immediate cause of death
Coronary Thrombosis
Due to
Hypertension
Due to
Other conditions
Chronic Endocudito
(Include pregnancy within 3 months of death)
Major findings:
Of operations
Date of
Of autopsy
What test confirmed diagnosis?
Duration Important 2 days
4 yrs
10 yrs 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 ?....
If so, specify
Louis 7 Salerno
M.D.
(Address) 175 Pleasantft
Date 1/3/1948
Relation, if any
21
Entombed WinthropTomb Winthrop
Place of Burial, Cremation or Removal.
(City or Town)
DATE IL
February 2.1948 19
22 NAME OF
alfred B. March
FUNERAL DIRECTOR
ADDRESS
174 Winthrop St. Winthrop
Received and filed
FEBO 1948
19
A TRUE COPY ATTEST;
(Registrar)
14
§ (If death occurred in a hospital or institution ( give its NAME instead of street and number)
PHYSICIAN-IMPORTANT (Was deceased a U. S. War Veteran, if so specify WAR) NO
2 FULL NAME
George Jason Godfrey
(If deceased is a married, widowed or divorced woman, give also maiden name.)
(a) Residence. No.
175 Bartlett Road
(Usual place of abode)
St.
(If nonresident, give city or town and State)
months
days.
In this community 38 years
months
days·
years
The Commonwealth of Massachusetts OFFICE OF THE SECRETARY DIVISION OF VITAL STATISTICS STANDARD CERTIFICATE OF DEATH
Winthrop (City or town making return)
St.
Registrar's Number
PLACE OF DEATH
Suffolk (County)
Northwood ctr.
(Signed)
New Hampshire
17 Informant (Address) Bartlett Road Winthrop
wife )
V
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 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.
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 fourteen, 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, specifying the war, and shall also certify in such certificate both the primary and the secondary or ininiediate cause of death as nearly as he can state the sanie. For neglect to comply with any provision of this section, such physician or officer shall forfeit ten dollars. For the purposes of this section and of sections forty-five, forty-six and forty-seven of said chapter one hundred and fourteen, the word '[ war" shallinclude 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 nineteen 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 liuman body and remove it from a town, from one cemetery to another, or from one grave or touh 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 front 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 inter- ment, 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 physician who is a member of the board of health, or employed by it or by the selectruien 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 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 I'nited States in any war in which it has been engaged, such recital shall appear upon the perunit. The board of health, or its agent, upon receipt of such statement and certificate, sball forthwith countersign it and transmit it to the clerk of the town for registration. The person to whom the permit is solgiven 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 couse of the death, which the clerk or registrar may require .- Chap. 114, Sec. 45. G. I ... (Tercentenary Edition).
Medical examiners sball make examination upon the view of the dead bodies of only such persons as are supposed to have died by violence. If n medical exantiner has notice that there is within bis 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 bas 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 hody is to be buried or the funeral is to be held, or from a person appointed to have the cure 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 tosuch 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 physiclans will certify to such deaths only as those of persons who, though disabled by recognized disease unrelated to any forvi 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 alldeaths supposably due to injury. These include not only deaths caused directly or indirectly by traumatismi (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 canse name the disease causing deatla. 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 in- 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 : person engaged in domestic service for wages, however, designate the occupation by the appropriate terms. as housekeeper-private family, cook-botel, 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
ORM R-302
1
Medford
(City or Town)
No. 13 Harvard Ave.
The Commonwealth of Massachusetts OFFICE OF THE SECRETARY DIVISION OF VITAL STATISTICS COPY OF CERTIFICATE OF DEATH
Medford
(City or town making return)
15
(If death occurred in a hospital or institution, St. give its NAME instead of street and number)
2 FULL NAME
Carrie A. Rand
(If deceased is a married, widowed or divorced woman, give also maiden name.)
(a) Residenoo. No.
151 Pleasant
St.
Winthrop
(Usual place of abode)
Nursing home
years 6 months days.
In this community45 yrs.
mos.
days.
PERSONAL AND STATISTICAL PARTICULARS
MEDICAL CERTIFICATE OF DEATH
3 SEX
female
4 COLOR OR RACE|
white
5 SINGLE
(write the word)
MARRIED
WIDOWED
or DIVORCED
single
(Month)
(Day)
(Year)
19
THEREBY CERTIFY,
Jan.
10
45
to
19
Jan.
9
19
48
I last saw her
allve of
Jan. 8
19.48
death Is sald to
(or) WIFE of
(Husband's name in full)
6 Age of husband or wife If allve years
7 IF STILLBORN, enter that fact here.
Need help finding more records? Try our genealogical records directory which has more than 1 million sources to help you more easily locate the available records.