USA > Massachusetts > Suffolk County > Winthrop > Town of Winthrop : Record of Deaths 1948 > Part 74
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No undertaker or other person shall bury or otherwise dispose of a human body in a town, or remove thercfrom 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 to.nb 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 carly cough 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 sele:tmen for the purpose, shall upon application make the certificate re- quired of the attending physician. If death is caused by violence, the meli- 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 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. I ... (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 stich 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 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 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 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 occupatior., 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 rc'e'ed causes, name earlier morbid conditions, if any, related to the principal cause and any important complication of the principal cause.
Statement of Occupation .- Precise stateirent of cccuration is very im- portant, so that the relative healthfulness of various pursuits can be known. Make some entry in this section for cvery 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
RM R-302
1
Somerville
(City or Town)
The Commonwealth of Massachusetts OFFICE OF THE SECRETARY DIVISION OF VITAL STATISTICS COPY OF CERTIFICATE OF DEATH
Somerville
(City or town making return)
Registered No.
768220
Somerville Hospital
Crocker St., John J. Ferrins
(If death occurred in a hospital or inatitution,
St.
give ita NAME instead of atreet and number)
(If U. S.
War Veteran,
speolfy WAR)
.....
(a) Residence. No.
(Usual place of abode)
11 Neptune Ave. , Winthrop, Mass.
(If nonresident, give city or town and State)
Length of stay: In hospital or Institution.
(Before death)
Hospital
years 1 montha 1 1 days.
In this community
1 yre.
mos.
days.
PERSONAL AND STATISTICAL PARTICULARS
MEDICAL CERTIFICATE OF DEATH
18 DATE OF
DEATH
Oct. 26, 1948.
(Month)
(Day)
(Year)
19 | HEREBY CERTIFY.
Sept. 17,
48
Oct.
.26
19.
to ...
19.
48
I last saw h
allve on
im
Oct. 26,
1948
death Is said to
have ooourred on the date stated above, at
3.50
P
m.
Duration
6 Age of husband or wife if allve years
7 IF STILLBORN, enter that faot here.
AGE 71 Years. - Months ..... Dayı
If less than 1 day Hours. Minutes
Usual
9 Ocoupation :
Laborer
Industry
10 or Business:
Retired
11 Soolal Security No.
12 BIRTHPLACE (City)
(State or country)
Ireland.
13 NAME OF
FATHER
James Ferrins
PARENTS
14 BIRTHPLACE OF
FATHER (City)
(State or country)
Ireland.
15 MAIDEN NAME
OF MOTHER
Catherine Grady
16 BIRTHPLACE OF
MOTHER (City)
(State or country)
Ireland.
17 James Ferrins
Informant.
Relation, if any
(Address) 20 Seymour St. , Winthrop, Mass
A TRUE COPY. ATTEST :
(Registrar of city or town where death occurred)
DATE FILED 10/27/ 148.
21 PLACE OF BURIAL,
St. Patrick's Cem.,
CREMATION OR REMOVAL
Watertown, Mass.(Cemetery)
DATE OF BURIAL
Oct. (gy or Towp)
22 NAME OF
FUNERAL DIRECTOR
John F. O! Maley
ADDRESS
Winthrop ,Mass.
Received and filed
NOV 5 1948
19
(Registrar of City or Town where deceased resided)
Copies of returns of deaths recorded during the previous month which occurred in your city or town in case the deceased
resided in another city or town at the time of death should be made forthwith and transmitted on Form R-802 to the clerk
of the city or town in which the deceased resided. (See Chap. 46, Sec. 12, G. L.)
PLACE OF DEATH
Middlesex (County)
No.
2 FULL NAME
(If deceased ie a married, widowed or divorced woman, give also maiden name.)
(Specify whether)
3 SEX
M
4 COLOR OR RACE
W
5 SINGLE
(write the word)
Widowed
MARRIED
WIDOWED
or DIVORCED
5a If married, widowed, or divorcedBridget Mulleague HUSBAND of
(Give maiden name of wife in full)
(or) WIFE of
(Hueband's name in full)
Immediate oause of death Cerebral Accident
Due to.
Arteriosclerosis
?
Arteriosclerotic Heart Dis-
Due to.
Diabetes e
ease
Gangrene left great toe
10-15 48
Other conditions
(Include pregnancy within 3 monthe of death)
Major findings :
Of operations.
Gangrene right foot
Date of.
10/15/48
Of autopsy
What test confirmed diagnosis ?.
20 Was disease or injury in any way related to oooupation of deopased ?
If so, speolfy
Richard A. Maguire
(Signed)
M. D.
(Address) 432 Medford St
Date ....
Som. 10/26.48.
Physician
Underline the cause to which death should be charged sta- tistically.
50m- (b) -6-44-14607
That I attended deceased from
D
M R-305
Norfolk
(County)
Braintree
(City or Town)
44 Marshall
The Commonturalth of Massachusetts OFFICE OF THE SECRETARY COPY OF MEDICAL EXAMINER'S CERTIFICATE OF DEATH
Braintree
(City or town making return)
Registered No.
211
St.
(If death occurred in a hospital or institution, give its NAME instead of street and number)
2 FULL NAME (Male Infant) Rosenthal
(If deceased is a married, widowed or divorced woman, give also maiden name.)
49 Pearl Avenue
(a) Residenoe. No.
(Usual place of abode)
St.
(If nonresident, give city or town and State)
Length of stay: In hospital or Institution (Before death)
years
months
days.
In this community
yrs.
7
mos.
days.
(Specify whether)
MEDICAL CERTIFICATE OF DEATH
18 DATE OF
DEATH
October
26,
1948
(Month)
(Day)
(Year)
19 | HEREBY CERTIFY that I have Investigated the death of the person above-named and that the CAUSE AND MANNER thereof are as follows: (If an injury was involved, state fully.)
Heart Disease - Congenital type Sudden death
-
20 Accident, sulolde, or homlolde (specify)
Date of ocourrenoe. 19
Where did Injury occur? (City or town and State)
Did Injury ocour In or about the home, on farm, In Industrial place, or In publlo place?
(Specify type of place)
Manner of
Injury
Nature of
Injury
While at work?
Was there an autopsy?
No
No
21 Was disease or Injury In any way related to occupation of deceased?
If so, speolfy.
(Signed)
Robert R. Ryan
M. D.
(Address)
Weymouth
DateL.0. 26.19 48
22
Beth Israel Cem.
Everett
Place of Burial, Cremation or Removal.
October
(city or Town)
19
48
23 NAME OF
FUNERAL DIRECTOR
H. J. Torf
ADDRESS
151 Washington Ave Chelsea
Received and filed. OCT 2 0 1948
19
(Registrar of City or Town where deceased resided)
1
1
25m (h)-1-41-4667
No. 3 SEX Male HUSBAND of (or) WIFE of Usual 9 Occupation : Industry 10 or Business : PARENTS occurred. (See Chap. 46, Sec. 12, G. L.) of the city or town in which the deceased resided as soon as possible after the close of the month in which the death resided in another city or town at the time of death should be made forthwith and transmitted on Form R-305 to the clerk Copies of returns of deaths recorded during the previous mouth which occurred in your city or town in case the deceased 11 Social Security No ..
PERSONAL AND STATISTICAL PARTICULARS
4 COLOR OR RACE
White
5 SINGLE
(write the word)
MARRIED
WIDOWED
or DIVORCED
Single
5a If marrled, widowed, or divoroed
(Give maiden name of wife in full)
(Husband's name in full)
6 Age of husband or wife If allve years
7 IF STILLBORN, enter that faot here.
8
AGE.
Years
8
Months
....... Days
If less than 1 day Hours ... Minutes
None
None
None
12 BIRTHPLACE (City)
(State or country)
Mass.
13 NAME OF
FATHER
Edward Rosenthal
14 BIRTHPLACE OF
Lawrence
FATHER (City)
(State or country)
Mass.
15 MAIDEN NAME
OF MOTHER
Rose Pransky
16 BIRTHPLACE OF
MOTHER (City)
(State or country)
Boston
Mass.
17 Edward Rosenthal
Mathew DATE OF BURIAL
Informant
(Address)
49 Pearl Ave. Winthrop, Mass
A TRUE COPY.
ATTEStacar C. Wood
(Registrar of city or town where death occurred)
DATE FILED
October 27
19.48
Boston
PLACE OF DEATH
1
(If U. S.
War Veteran,
specify WAR)
Winthrop
R-301 A
See instructions and extracts from the laws on back of certificate. If deceased was a U. S. War Veteran, G. L. Chap. 46, Section 10, requires physicians to insert a recital to that effect. PARENTS
100M-7-46-19068
I HEREBY CERTIFY that a satistactory standard certificate of death was filed with/mo BEFORE the burial or transit permit was, issued: Walter & falls.
(Signature of Agent of Board of Health of other)
Health Officer
11/1/48
(Official Designation) (Date of Issue of Permit)
18 DATE OF
DEATH
(Month)
2829, (Day)
1945 (Ycar)
3 SEX male
4
COLOR OR RACE
white
5 SINGLE
(write the word)
MARRIED
WIDOWED
or DIVORCED
widowed
5a It married, widowed or divorced HUSBAND of .
Mary Jane Sutherland
(Give maiden name of wife in full)
(or) WIFE of
(Husband's name in full)
6 Age ot husband or wife if alive years
7 IF STILLBORN, enter that tact here.
8
AGE. 78 Years
7
Months
9
Days
It less than 1 day
. Hours
Minutes
Usual
9 Occupation:
retired
Industry
10 or Business:
custodian N.E. Tel & Tel Co Due to
11 Social Security No.
London
12 BIRTHPLACE (City)
(State or Country)
England
13 NAME OF
FATHER
Frederick Maskell
14 BIRTHPLACE OF
FATHER (City)
(State or Country)
England
15 MAIDEN NAME
OF MOTHER
Unable to obtain
16 BIRTHPLACE OF
MOTHER (City)
(State or Country)
=
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.
212
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,
it& specifs /WAR)
St.
(If nonresident, give city or town and State)
50
In this community
yrs.
mos.
days.
PERSONAL AND STATISTICAL PARTICULARS
MEDICAL CERTIFICATE OF DEATH
19 cant Y
HEREBY CERTIFY,
That I attended deceased from
, 19
, to Chat 28, 19.
48
I last saw h
alive on
, death is said to
Duration
IMPORTANT 20 Days
Due to
Trietatitis
Other conditions
(Include pregnancy within 3 months of death)
Major findings: Of operations
Date of
Of autopsy
What test contirmed diagnosis?
20 Was disease or injury in any way related to occupation of deceased? It so, specify
(Signed)
Months AndDate 10/28
(Address)
, M. D.
19 6
21
Winthrop Cemetery
Winthrop
Place of Burial, Cremation or Removal.
(City or Town)
DATE OF BURIAL
November L, 19 48
22 NAME OF
FUNERAL DIRECTOR
Quefred 73. March
ADDRESS
174 Winthrop St, Winthrop
Received and Filed
NOV 1
1948
19
(Registrar)
1
PLACE OF DEATH
Suffolk (County) Winthrop
(City or Town) Sim. Comm. Asp. No.c
Frederick
Henry Maskell
2 FULL NAME
(If deceased is a married, widowed or divorced woman, give also maiden name.)
57 mstill (a) Residence. No. (Usual place of abode)'
Length of stay: In hospital or institution (Before death)
(Specify whether),
25 days with Com Italia
years
months
days.
44
Cant 25 8.15 8. death have occurred on the date stated above, at m. Immediate cause of death
24km
IMPORTANT
Physician Underline the cause to which death should be charged sta- tistically.
17
Mr. Arthur Maskell ( Relasjonif any )
Intormant
(Address)
29 Cora St Winthrop
1
...
none
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 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 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, See. 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 bave 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 bealth, 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, 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 of chapter ionty-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 registi ation 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, See. 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 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 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 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 rause 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 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
..
X
A R-302
Suffolk
(County)
1
Chelsea
(City or Town)
No. Chelsea Memorial Hospital
St.
S (If death occurred in a hospital or institution, give ite NAME instead of street and number)
2 FULL NAME
Natala Arena
(If deceased ie a married, widowed or divorced woman, give also maiden name.)
(a) Residence. No.
538 Shirley St.
St.
winthrop
(Usual place of abode)
(If nonresident, give city or town and State)
Length of stay : In hospital or Institution ...
(Before death)
(Specify whether)
PERSONAL AND STATISTICAL PARTICULARS
MEDICAL CERTIFICATE OF DEATH
3 SEX
4 COLOR OR RACE|
5 SINGLE
(write the word)
MARRIED
WIDOWED
or DIVORCED
(Month)
(Day)
(Year)
-19 I HEREBY CERTIFY.
That I attended deceased from
Sect. 3
...
19.48 ... to ... S.e.p.t ...
7
19.
.48
t last saw Ka ??
.allve on ..
Sept.
7
19
4 death Is said to
(or) WIFE of
(Give maiden name of wife in full)
Frank Arena
(Husband'a name in full)
6 Age of husband or wife If allve
year
7 IF STILLBORN, enter that fact here.
AGE 46 Years.
Months Days
If less than 1 day .. Hours ... Minutes
Uwal
9 Oogupation :
Tailor shop
Industry
10 or Business:
Plymouth wife. CO.
11 Social Security No. 015-14-2179
12 BIRTHPLACE (City)
(State or country)
Italy
13 NAME OF
FATHER
Canteloro Ingernieri
PARENTS
50m- (b).6.44-14607
17
Informant.
Jackie Arena
Relation, if any .. S.o.n
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