USA > Massachusetts > Suffolk County > Winthrop > Town of Winthrop : Record of Deaths 1948 > Part 73
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(City or Town)
20.
48
19
23 NAME OF
FUNERAL DIRECTOR
Benjamin Birnbach
ADDRESS
10 Washington St. ,Dorchester
Received and filed 19
OCT20.1948
(Registrar)
PHYSICIAN-IMPORTANT (Was deceased a U. S. War Veteran, If so speolfy WAR) NO
(If nonresident, give city or town and State)
1 No. 2 FULL NAME 3 SEX 4 COLOR OR RACE Male White (or) WIFE of 7 IF STILLBORN, enter that fact here. 8 36 AGE. Years Months Days Usual 9 Occupation : Copywriter Industry 11 Soolal Security No. 14 BIRTHPLACE OF PARENTS 17 Irene Cole Informant .. if deceased was a U. S. War Veteran, G. L. Chap. 46, Seotion 10, requires physicians to insert a recital to that effeot extracts from the laws relative to the return of certificates of death. so that it may be properly classified under the International Classification of Causes of Death. See reverse side for 10 or Business : Boston Globe
50m-(f)-6-43-12056
Relation,if any
DATE OF BURIAL
October
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 umlertaker or other authorized person or of any member of the family of the deceased, furnish for registration a standard certificate of deatlı, 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 illneus, when last seen alive by the physician or officer aud tbe date of his death . .. Gen. Laws, Cbap. 16, 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 humired and four- teen, shall, if the deceased, to the best of his knowledge and belief, served in the army, navy or marine corps of the United States in any war in which it has been engaged, insert in the certificate a recital to that effect, speci- fying the war, and shall also certify in such certificate both the primary and the secondary or immediate cause of death as nearly as he can atate 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 Bec- tion sud of sections forty-five, forty-six and forty-seven of said chapter one hundred and fourteen, the word "war" shall include the ('hina relief ex- pedition and the l'hilippine insurrection, which shall, for said purposes, be deemed to have taken place between February fourteenth, eighteen hundred and ninety-eight und July fourth, nineteen hundred and two, and the Mexi- can border service of nineteen hundred and aixteen and nineteen hundred and seventeen. G. L. Chap. 46, Sec. 10.
No undertaker or other parson shall bury or otherwise dispose of a human body in a town, or remove therefrom a human body which baa not been buried, until he hua received a perinit froin the board of health, or ita 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 receiving tomb to another in the same cemetery, until he haa received a permit from the board of health or ita agent aforesaid or from the clerk of the town where the body is buried. No auch permit shall be issued until there shall have been delivered to such board, agent or clerk, as the case may be, a aatisfactory 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 pbyal- cian who is a member of the board of health, or employed by it or by the aelectmen for the purpose, shall upon application make the certificate re- quired 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 an. other within the commonwealth cannot be obtained early enough for the purpose, the certificate of death made as above provided and in the pos- session of the undertaker desiring to make such removsi shall conatitute 2 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 re- moval, unless a permit in the usual forni 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 regis- tration. The person to whom the permit is so given and the physician cet- tifying 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 regiatrur may re- quire .- Chap. 114, Sec. 15, 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 re- ceived a permit so to do from the board of health or its ageut 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 per- son appointed to have the care of the cemetery or burial ground in which the intermeut is made. .. . Chap. 114, Sec. 46, G. L., (Tercentenary Edi- tion).
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. 3S, Sec. 6.
... He shall in all cases certify to the town clerk or registrar in the place where the deceased died his name and residence, if known; otherwise a description as full as may be, with the cause and manner of death .- General Laws, Chap. 38, Sec. 7.
... The medical examiner certifies the cause and manner of death to the best of his knowledge and belief.
RULES OF PRACTICE
The fulfillment of the purpose of these laws calla for the obaervance of the following rulea of practice :
(1) Attending physicians will certify to such deaths only as those of persona to whom they have given bedside care during a last illnesa from disease unrelated to any forin of injury.
(2) Board of Health physlolans 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 whoae physi- cian is absent from home when the certificate of death is needed.
(3) Medical Examiners will investigate aud certify to all deaths sup- posably due to Injury. These include not only deaths caused directly or In- directly 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 diseasa, and those of persons found dead.
STATEMENT OF CAUSE OF DEATH
Medical Examilners in certifying to a death will state the cause and manner thereof, and will specify: (1) Under cause, the nature of an injury aud of ita consequences; and (2) under manner, the mode of its production together with the circumstances when these are known. For example: "Com- pound fracture of the femur with ensuing septicemia (gaa bacillus) caused by a steam railway accident." "Pistol shot wound of the chest with asso- ciated hemorrhage, homicidal." "Asphyxiation by suspension, suicidal." "Syncope while under the influence of ether adininistered as a surgical anaesthetic." "Fracture of the skull with associated internal injury sus- tained under circumstances unknown."
If disease or injury was related to occupation, specify. If investigation shows the death to have been due to disease, specify : (1) Under cause its known or presumahle nature; and (2) uindler manner, indicate the circum- stances leading to medico-legal inquiry. For example : "Hemorrhage apon- taneous of the brain (hasal ganglia ) (found dead in bed)." "Heart disease, presumably coronary sclerosis. (Sudden death.)"
DESCRIPTION (for unknown person)
NOTICE TO UNDERTAKERS: No embalming fluid, or any substitute therefor, shall be injected into the body of any person supposed to have met his death by violence, until a permit, signed by the Medical Examiner, has first been obtained .- General Laws, Chap. 38, Sec. 14.
THIS CERTIFICATE CONSTITUTES SUCH PERMIT
R-301 A
1 Suffolk (County) Wentmok (City or Town) 100 PLACE OF DEATH
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.
208
St.
(If death occurred in a hospital or institution 1
give its NAME instead of street and number)
PHYSICIAN - IMPORTANT (Was deceased a U. S. War Veteran, if so specify WAR)
(a) Residence.
No.
100 Jumnet avenue
. St. .
(Usual place of abode)
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 30
yrs.
mos.
days.
PERSONAL AND STATISTICAL PARTICULARS
3 SEX Quale
4 COLOR OR RACE
Estate
5 SINGLE (write the word)
MARRIED
WIDOWED
Widowed
5a It married, widowed or divorced HUSBAND ot .. .
Mayoue Y. mc Gonagle (Give maiden name of wife in full)
Jok
(or) WIFE of
(Husband's name in full)
6 Age of husband or wite if alive years
7 IF STILLBORN, enter that tact here.
ÅGE 81 Years
Months Days
If less than 1 day Hours Minutes
Usual 9 Occupation: - President
Industry 10 or Business:
mysle motor Vana Co
11 Social Security No ..
12 BIRTHPLACE (City)
(State or Country)
Donegal Ueland
13 NAME OF
FATHER
Daniel We Gonagle
PARENTS
14 BIRTHPLACE OF
FATHER (City)
(State or Country)
Veland
15 MAIDEN NAME
OF MOTHER
Budget Never
16 BIRTHPLACE OF
MOTHER (City)
(State or Country)
Donegal
Viland
17 Informant (Address)
100 tunnel un vincul Mais
I HEREBY CERTIFY that a satisfactory standard certificate of death was tiled with me BEFORE the burial or transit permit was issued: Walter Woher. (Signature of Agent of Board of Health or other) Health Officer 10/20148 (Official Designation) (Date of Issue of Permit)
22 NAME OF
FUNERAL DIRECTOR
tan vald
ADDRESS
772 Neraduay Aux mass
Received and Filed
19
OCT 2 5 1948 (Registrar)
Duration
IMPORTANT 1 day 3 yrs.
Due to Martirio saluti Heart Dis 1 Hypernephrowan st . kahney Due to with metocasis left fare 3 no.
Other conditions (Include pregnancy within 3 months of death)
Major tindings: Of operations
Date ot
Of autopsy
What test contirmed diagnosis?
no
20 Was disease or injury in any way related to occupation of deceased?
It so, specify
myron n. f
(Signed)
(Address) 560 Shipley ST
Date Oct 19 1948 M. D
Gracy Mc Gonag G( Relation, if any ) 21 Holy Curso in walden base Place of Burial, Cremation or Removal. (City or Town)
DATE OF BURIAL
Lichtu 21
48 19
100M-7-46-19068
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.
No.
2 FULL NAME
Daniel Du Gongs le
(If deceased is a married, widowed or divorced woman, give also maiden name.)
18 DATE OF
DEATH
act
(Month)
18 (Day)
19.48 (Ycar)
19 I HEREBY CERTIFY,
march1
That I attended deceased from
Oct
, to
.
I last saw hem alive on
Oct 18
19
, death is said to
555 . m. have occurred on the date stated above, at Immediate cause of death Coronary Occlusion
MEDICAL CERTIFICATE OF DEATH
48 19
IMPORTANT
Physician Underline the cause to which death should be charged sta- tistically.
Donegal
5
Jummet Enanuel
EXTRACTS FROM THE LAWS OF THE COMMONWEALTH OF MASSACHUSETTS GOVERNING THE RETURN OF CERTIFICATES OF DEATH
A physician or registered hospital medical officer shall fortbwitb, 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 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 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 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 bundred 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. Cbap. 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 hody which has not been buried, until he bas received a permit from the board of health, or its agent appointed to issue sucb 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 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 pbysi- 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 witbin 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 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 bas been sooner obtained hereunder. If the death certificate contains a recital, as required
by section ten ot chapter forty-six, that the deceased served in the army, navy or marine corps of the United States in any war in which it has been engaged, such recital shall appear upon the permit. The board of health, or its agent, upon receipt of such statement and certificate, shall forthwith countersign it and transmit it to the clerk of the town for registration. The person to whom the permit is so given aud the physician certifying the cause of death shall thereafter furnish for registration any other neces- sary information which can 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 hrought 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 huried or the funeral is to be held, or from a person appointed to have the care of the cemetery or burial ground in which the interment is made. . .. Chap. 114, Sec. 46, G. L., (Tercentenary Edition).
RULES OF PRACTICE
The fulfillment of the purpose of these laws calls for the observance of the following rules of practice :
(1) Attending physicians will certify to such deaths only as those of persons to whom they have given bedside care during a last illness from disease unrelated to any form of injury.
(2) Board of Health physicians will certify to such deaths only as those of persons who, though disabled by recognized disease unrelated to any 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 deathis caused directly or indirectly hy traumatism (including resulting septicemia), and by the action of chemical (drugs or poisons), thermal, or electrical agents, and deatbs following abortion, but also deaths from disease resulting from injury or infection related to occupation, the sudden 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 tbe 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 be returned as at school or at home. For a woman whose only occupation was that of home housework, write housework. For a person engaged in domestic service for wages, how- ever, designate the occupation by the appropriate terms, as housekeeper- private family, cook-hotel, etc. For a person who had no occupation whatever write none.
SPACE FOR ADDITIONAL INFORMATION
DATE OF ENTERING MILITARY SERVICE
DATE OF DISCHARGE RANK, RATING
ORGANIZATION AND OUTFIT
SERVICE NUMBER
MR-301 A
3 SEX
témale
AGE
Usual
9 Occupation:
Industry
10 or Business :
11 Social Security No ..
......
More
12 BIRTHPLACE (City).
(State or Country)
14 BIRTHPLACE OF
St. John
FATHER (City).
(State or Country)
neur 13 zunswick
15 MAIDEN NAME
Cork
16 BIRTHPLACE OF
PARENTS
"MOTHER (City)
(State or Country)
Ireland
Informant.
If deceased was . 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.
DEATH in plain terms, so that it may be properly classified. Exact statement of OCCUPATION is very important.
.
OF MOTHER
Margaret 7. Ryan
1
PLACE OF DEATH
Sulfolie County) Winthrop (City or Town) 26 Enfield Pd.
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.
209
St. § (If death occurred in a hospital or institution, } ¿ give its NAME instead of street and number)
PHYSICIAN.IMPORTANT
2 FULL NAME
(if deccased is a married. widowed or divorced woman, give also maiden name.)
(a) Residence.
No.
26 Enfield Pd.
(Usual place of abode)
no
Length of stay: In hospital or institution.
( Before death)
(Specify whether)
years
months
days.
In this community
35 gas.
mos.
days.
PERSONAL AND STATISTICAL PARTICULARS
4 COLOR OR RACE
White
5 SINGLE (write the word)
MARRIED
WIDOWED
or DIVORCED
Single
angle
5a If married, widowed or divorced
HUSBAND of
(Give maiden name of wife in full)
(or) WIFE of
(Husband's name in full)
6 Age of husband or wife if alive years
7 IF STILLBORN, enter that fact here.
8
78%
. Years
Months
.. Days
If less than 1 day
Hours
Minutes
Retired Clerk
School Comm. City of Boston
Brooklyn i.
13 NAME OF
FATHER
William F. Burke
17
Alice E. Burke
(Relation. if any)
(Address) 26 Enfield Rd, Wine
I HEREBY CERTIFY that a satisfactory standard certificate of death was filled with me BEFORE the burial of transit permit was issued : Walter A. Bakleg (Signature of Agent of Board of Health or other)
Healthy Officer 10/27/48
(Official Designation)
(Date of Issue of Permit)
MEDICAL CERTIFICATE OF DEATH
18 DATE OF
DEATH
Detalles 26,
(Month)
(Day)
1948
(Year)
Get 15, I HEREBY CERTIFY,
..
19.
to.
That Lattended deceased from Celebry 25, 194/6
I last saw h e r alive on
Get 25,, 19 44 death is said to
53Am. have occurred on the date stated above, at
5.03
Immediate cause of death
IMPORTANT ...
Due to.
Due to.
Other conditions
(include pregnancy within 3 months ot death)
Major findings :
Of operations.
nome
Date of -
Of autopsy.
20000
What test confirmed diagnosis ?.... Clinical Signs
MPORTANT 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.
...
(Signed)
(Address)
.. M. D.
CeipThrop DateCoef Sa 19418
21.
St. Pauls
Arlington
...
Place of Burial. Cremation or Removai.
DATE
F BURIAL Capter 28
(City or Town) 1948
22 NAME OF
FUNERAL DIRECTOR.
the G. Kelly
ADDRESS
286 Meridian St. JE,B
Received and Filed OCT 2 8 1948
19
(Registrar)
100M-10-47-22153
No .. Anne M. Burke.
(Was decea eda
U. S. War Veteran.
210.
if so specify WAR)
-St.
Winthey
(if nonresident. give city or town and State)
Duration
...
EXTRACTS FROM THE LAWS OF THE COMMONWEALTH OF MASSACHUSETTS GOVERNING THE RETURN OF CERTIFICATES OF DEATH
A physician or registered hospital medical officer shall forthwith, after the death of a person whom he has attended during his last illness, at the request of an undertaker or other authorized person or of any member of the family of the deceased, furnish for registration a standard certificate of death, stating to the best of his knowledge and belief the name of the deceased, his supposed age, the disease of which he died, defined as re- quired by section one, where same was contracted, the duration of his last illness, when last seen alive by the physician er 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 deccased, to the best of his knowledge and belief, served in the army, navy or marine corps of the United States in any war in which it has been engaged, insert in the certificate a recital to that effect, speci- fying the war, and shail also certify in such certificate both the primary and the secondary or immediate cause of death as ncarly as he can state the samc. 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 dec.ned to have taken place between February fourteenth, eighteen hundred and ninety-eight and July fourth, nincieen hundred and two, and the Mexican border service of nineteen hundred and sixtcen and nine- teen hundred and seventeen. G. L. Chap. 46, Sec. 10.
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