Town of Winthrop : Record of Deaths 1948, Part 89

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


USA > Massachusetts > Suffolk County > Winthrop > Town of Winthrop : Record of Deaths 1948 > Part 89


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(Before death)


(Specify whether)


... years


months


1 4 days.


In this community


35


yr8.


mos.


days.


PERSONAL AND STATISTICAL PARTICULARS


MEDICAL CERTIFICATE OF DEATH


3 SEX


4 COLOR OR RACE|


5 SINGLE


MARRIED


WIDOWED


or DIVORCED


MARRIED


18 DATE OF


DEATH


DEC 29, 1948


(Month)


(Day)


(Year)


19 | HEREBY CERTIFY,


DEC 16


1948


to


DEC


29


1948


(or) WIFE of


(Husband's name in full)


have occurred on the date stated above, at


11: 10A


m.


Duration


6 Age of husband or wife if alive 65


years


7 IF STILLBORN, enter that faot here.


70


6


0


If less than 1 day .Hours. Minutes


EDITOR RETIRED


Usual


9 Occupation :


industry


10 or Business :


TRADE .... PAPER


11 Social Security No.


028-10-0877A


12 BIRTHPLACE (City)


(State or country)


WALTHAM MASS


Major findings :


Of operations.


Date of.


should be charged sta- tietically.


Of autopsy


What test confirmed diagnosis?


20 Was disease or injury in any way related to occupation of deceased ?


If so, specify


(Signed)


CH POWELL


MASS MEM HOSP


M. D.


(Address)


21 PLACE OF BURIAL,


CREMATION OR REMOVAL


WOODLAWN CREM EVERETT


(Cemetery)


(City or Town) 19.4.8


DATE OF BURIAL


D.E.C .... 3.4


22 NAME OF


FUNERAL DIRECTOR


H S REYNOLDS


WINTHROP


ADDRESS


Received and filed


19


49


JAN 2.2.1949


(Registrar of City or Town where deceased resided)


25M-(f)-11-42 10746


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.)


PARENTS


14 BIRTHPLACE OF


FATHER (City)


(State or country)


SEARSPORT MAINE


15 MAIDEN NAME


OF MOTHER


ALMEDA OAKES


16 BIRTHPLACE OF


MOTHER (City)


(State or country)


VERMONT


17 MARY H DUTCH


Relatiwn Agany


informant.


(Address)


WINTHROP


A TRUE COPY.


ATTEST :


(Registrar of city or town where death occurred)


DATE FILED


19


Immediate cause of death


CEREBRAL ... HEMORRHAGE


HYPERTENSIVE AND ARTERIO


17 DAYS


Due to.


SCLEROTIC HEART DISEASE YRS


Due to


Other conditions.


(Include pregnancy within 3 months of death)


Physician


Underline the cause to which death


13 NAME OF


FATHER


FRANCIS M OUTCH


(write the word)


M


5a if married, widowed, or divorced


MARY H HILL


HUSBAND of


(Give maiden name of wife in full)


(If nonresident, give city or town and State)


-


(if U. S.


War Veteran,


specify WAR)


(City or Town)


No.


WASS MEM HOSP


LEON P DUTCH


8


AGE


Years


Months.


.. Days


I last saw h ....... I.M .... alive on


DEC ... 29


194.8 .. , death is sald to


That I attended deceased from


Date ..


DEC 29 19 48


RECEIVED


11.12 1


6


JAN221949 PM


HI R-302


1


PLACE OF DEATH


S.U.F.F.O.L.K (County)


BOSTON (City or Town) 1 .H.E .... I.N.F.A.N.T.S .... H.O.S.P.


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


BOSTON


(City or town making return)


Registered No.


1.1.3.1.6


251


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


JOHN F HARVEY


2 FULL NAME


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


(a) Residenoe. No.


58 SOMERSET AVE


St. WINTHROP MASS


(If nonresident, give city or town and State)


(Usual place of abode)


Length of stay : In hospital or Institution ......... O.S.P


(Before death)


(Specify whether)


years


months


I daya.


In this community


yrs.


mos.


1


days


PERSONAL AND STATISTICAL PARTICULARS


MEDICAL CERTIFICATE OF DEATH


3 SEX


4 COLOR OR RACE


5 SINGLE


(write the word)


MARRIED


WIDOWED


or DIVORCEDSINGLE


5a if married, widowed, or divorced


HUSBAND of


(Give maiden name of wife in full)


(or) WIFE of


(Husband'a name in full)


6 Age of husband or wife if alive


years


7 IF STILLBORN, enter that faot here.


8 AGE .. Years. Months 22 Days


If less than 1 day


Hours ............ Minutes


Usual


9 Oooupation :


Industry


10 or Business :


11 Social Security No.


12 BIRTHPLACE (City)


(State or country)


B.O.S.T.ON ... MAS.S.


13 NAME OF


FATHER


JOSEPH M HARVEY


14 BIRTHPLACE OF


WINTHROP MASS


FATHER (City)


(State or country)


15 MAIDEN NAME


OF MOTHER


If so, specify


(Signed)


C.C .WILLIAMS


M. D.


(Address)


3.0.0 .... LONG.W.O.O.D .... A.V.E ... Date ... D.EC .... 309 ...... 48


21 PLACE OF BURIAL,


CREMATION OR REMOVAL


HOLY CROSS CEM MALDEN


(City or Town)


194.8


( Cemetery)


22 NAME OF


FUNERAL DIRECTOR


ADDRESS


Ki.L.N.T.H.R.O.P.


J F OLHALEY


A TRUE COPY;


ATTEST :


(Registrar of city/or town where .death occurred)


19


18 DATE OF


DEATH


DEC 30 . 1948


(Month)


(Day)


(Year)


19 i


HEREBY CERTIFY,


48


DEC 29


IM


19


DEC 30


to


1948


., death is said to


i last saw h


alive on


have occurred on the date stated above, at


4:45P


m.


Duration


Immediate cause of death


BRONCHO PNEUMONIA


6 DAYS


S.T.A.P.H.Y.L.O.C.O.C.O.US .... AUREUS


Due to


Due to


Other conditions


(Include pregnancy within 3 months of death)


Physician


Major findings :


Of operations.


Date of


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


PARENTS


16 BIRTHPLACE OF


MOTHER (City)


(State or country)


E BOSTON


17


J. M HARVEY


Informant.


(Address)


WINTHROP. (


(.


Relation H


any


DATE OF BURIAL


·DE·C ···· 31.


25M-(f)-11-42 10746


resided in another city or town at the time of death should be made forthwith and transmitted on Form R-802 to the cierk


of the city or town in which the deceased resided. (See Chap. 46, Sec. 12, G. L.)


DATE FILED


Received and filed "JAN 22 1949


JAN3. 19.49.


(Registrar of City or Town where deceased resided)


+


Of autopsy


What test confirmed diagnosis ?


20 Was disease or injury in any way related to oocupation of deceased ?


MARY M KELLEHER


AS ABOVE


That, I attended deceased from


EC 30


19.


48


M


(If U. S.


War Veteran,


specify WAR)


No.


RECEIVED


4 14


23


OveOP.


JAN221949 7K


1


DEPARTMENT OF COMMERCE


BUREAU OF THE CENSUS


STANDARD CERTIFICATE OF DEATH


State File No.


Registrar's No.


255


State of


MAINE


1. PLACE OF DEATH:


(a) County


YORK


2. USUAL RESIDENCE OF DECEASED:


(a) State


hace (b) County


Luf


(b) City or town


BIDDEFORD


(c) City or town


Winthrofel


(If outside eity or town limita. write RURAL)


(c) Name of hospital or institution:


Vrull Hock


(d) Street No.


65 Parking Idi.


(If not in hospital or institution, write street number or location)


(d) Length of stay: In hospital or institution/Lday


In this community.


1day


years, months or days)


(Specify whether


ke Hf foreign born, how long in U. S. A .? years.


MEDICAL CERTIFICATION


3. (b) If veteran,


name war


3. (c) Social Security No.


ear


1948


hour


minute


21. I hereby certify that I attended the deceased from


19_


__ ,to


19


4. Sex


5. Color or


face 20


6. (a)Single, widowed, married


divorced 2


6. (c) Age of husband or wife if


6. (b) Name of husband or wife


Henry W. Hendersonative 49 year


and that death occurred on the date and hour stated above. Immediate cause of death


Fractured skull


eternal injuries


24 Tus.


8. AGE: Years 49


Months


If less than one day


_hr. min.


9. Birthplace Severe mare.


10. Usual occupation


Monteure


11. Industry or business ____


12. Name Charlest. Dates


13. Birthplace West Bath, Maine (Cf. town of duty) . 14. Maiden name Hallie (State or foreign country)


Major findings: Of operations


Of autopsy


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


16. (a) Informant's own signature Henry W. Henderson


22. If death was due to external causes, fill in the following:


(b) Date thereal det. 519484 (a) Accident, suicide, or homicide (specify) 17. (a) Durial


(c) Place; burial or cremation Venthraf mare (b) Date of occurrence


18. (a) Signature of funeral director


(b) Address Vac - naine


19. (a) lat. 5 19%(6) armand Duquette 3. Signature Laura D.Stickney M. D. or other While at work Means of injury


(Date received local registrar)


(Registrar's signature)


Address Saco maine Date signed


8-6917


U. S. GOVERNMENT PRINTING OFFICE 16-13493


MAR 2 1949


Duration


7. Birth date of deceased


May 5 1899


(Month)


I (Day)


(Year)


De Automobile accident


Due to


Other conditions.


(Include pregnancy within 3 months of death)


PHYSICIAN


MOTHER FATHER


15. Birthplace West Bath Maine (City. town. or county) (State or foreign country)


(b) Address_


(Burial, cremation, or removeh


recto Dennett A


(c) Where did injury occur?


(City or town) (County) (State)


(A) Did injury occur in or about home, on farm, in industrial place, in public place?


(Specify type of place)


(If outside city or town limits, write RURAL)


(If rural, give location)


3. (a) FULL NAME Celyn SHendescom)


20. Date of death: Month


act day


2


that Ilast saw h _.


__ alive on


19


Days


27


(City town, or county) (Stato foreign country)


DEPARTMENT OF COMMERCE BUREAU OF THE CENSUS


STANDARD CERTIFICATE OF DEATH


FORM APPROVED Budget Bureau No. 41-R132-42


State File No.


Registrar's No.


256


State of NEW HAMPSHIRE


1. PLACE OF DEATH:


(a) County


Merrimack


(6) City or town


New London


(c) City or town


Winthrop


(If outside city or town limits, write RURAL).


(c) Name of hospital or institution:


New London Hospital


(d) Street No.


69 Undine Avenue


(d) Length of stay: In hospital or institution


(If not in hospital or institution, write street number oflocationhours


(Specify whether


In this community


5 days


years, months or days)


3. (a) FULL NAME


Paul_Benson


20. Date of death: Month


Dec. .___ day


29th


year


1948


hour


4


minute


40 .. am


2h. I hereby certify that I attended the deceased from


6. (a)Single, widowed, married,


Dec ... 26,


19.48, to


Dec ... 29


1948:


4. Scx male.


5. Color or


racc white


divorced married


6. (c) Age of husband or wife if


and that death occurred on the date and hour stated above.


Immediate cause of death


Coronary Thrombosis


sudden


8. AGE:


Years


Months


Days


If less than one day


36


3


25


hr.


min


9. Birthplace


Medford


Mass


(Stato or foreign country)


Bookkeeper-


11. Industry or business


Other conditions.


(Include pregnancy within 3 months of death)


12. Name Peter Benson


13. Birthplace


-Sweden


(City, town, or county)


(State or foreign country)


14. Maiden name


Sophie Pearson


Sweden


(State or foreign country)


16. (a) Informant's own signature.


NewLondon Hosp.


(6) Address. New London, NH


| 22. If death was due to external causes, fill in the following:


ta) Accident, suicide, or homicide (specify)


(b) Date of occurrence


(c) Where did injury occur?


(City or town)


(County) ( State )


(d) Did injury occur in or about home, on farm, in industrial place, in public


place?


(Specify type of place)


While at work? (e) Means of injury


23. Signature __ Wm.P.Clough MD (M. D. or other) Date signed 12/29/


Address


New London, NH


8 6917 a


U. S. GOVERNMENT PRINTING OFFICE 16-13493-1


MAR 2 1949


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


17. (a)


burial


(b) Date thereof 12/30/48


(Burial, cremation, or removal) (Month) (Day) (Year) (c) Place; burial or cremation Oak Grove Cemetery Medford, Mass.


18. (a) Signature of funeral director ___ Pressey & Hale


(b) Address New London-,-NH


19. (a) 12/29/48_ (b) William F Kidder


(Date received local registrar) (Registrar's signature)


Due to


Lobar Pneumonia


Virus


2.days


Due To


Virus Cold


4.Weeks Ago


PHYSICIAN


MOTHER FATHER -


15. Birthplace


(City. town, or county)


Major findings:


Of operations


Code.No .-- 108,-944


autopsy


Duration


7. Birth date of deceased


Sept


4


1912


(Month)


(Day)


(Year)


MEDICAL_CERTIFICATION


3. (6) If veteran,


name war


3. (c) Social Security No.


2. USUAL RESIDENCE OF DECEASED:


(a) State


Mass


(b) County


(If outside city or town limita, write RURAL)


(If rural, give location)


(e) If foreign born, how long in U. S. A .? years.


48


X


10. Usual occupation


(City, town, or county)


6. (6) Name of husband or wife


Thelma West


alive


29 ___ years


that Nast saw him alive onDec. 29 1948


R-302 1


Copies of returns of deaths which occurred in your city or town in case the deceased resided in another city or town at the time of death should be transmitted on Form R-302 to the clerk of the city or town in which the deceased resided as soon as possible


after the close of the month in which the death occurred. (See Chap. 46, Sec. 12, G. L.)


PLACE OF DEATH


(County)


(City or town making return)


257


J(If death occurred in a hospital or institution, St. [ give its NAME instead of street and number)


2 FULL NAME.


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


......


St.


(If nonresident, give city or town and State)


Length of stay: In place of death ........ .years .......... months. ........ .days. In place of residence. ... years. months. .. days.


MED


25042


, PARTICULARS


NGLE (write the word)


ARRIED


IDOWED DIVORCED


4 I HEREBY C


tại County


Pinellas


District N


(a) State_ ... assachusetts_(b) County Suffolk


(6) Pracinct


Precinct No


(e) City' or Town Clearwater


City or Town No


62-12


I last saw h


a


(If not in hospital or institution, write straat number or location)


(a) Cilizen of Foreign country ?... NO


le) Length of stay: In hospital or institution


At place of death


(Specify whether years, months or days)


ES


George XcSwan


3. FULL NAME OF DECEASED


3 (a) If veteran,


3 (b) Social Security


MEDICAL CERTIFICATION


name war


"ale


6. Color or FME.


21. I baresy certify that I attended the deceased from ...


6. Single, marriad, widowed or divorced


6 (a) If marrled, widowed or divorced, husband of (or) wife of Other wartling "chwan 58


that death occurred od the date and hour stated above.


Duration


6 (b) Age of husband or wifa, if alive.


years


Uumedlate cause of death.


ma


Due To (c)


7. Birth date of daceased . April


2 .


(month)


(day)


(yaar)


8. Age: Years


Months


Days


If lem than one day


64


8


14


Due to.


OTHER SIGNIFICANT CONDITIONS


9. Birthplaca


(City, town or county) (State or foreign country)


Othar condition (Include pregnancy within 3 months of death)


Major findings: Of operations


for findings: of operati-rs


UnderLine the cause to which death should


Date of operation


Scotland


(Give date of operation)


charged sta-


What test confirmed di


14. Maiden name Jass


of autopsy.


stically.


15. Birthplace.


16. Informant's Signature. 6 4. Me Ewan


22. If death was due to external causes, all in the following: (a) (Probably) Accident, suicide, homicide (specify). (b) Date of occurrence (c) Where did injury occur?


(City or town) (County) (State)


17 (a) Dal


inthron, 3gs (d) Did Injury occur in or about home, on farm, in industrial place, in public place2 ..


6


Place of Burial or


LB (a) Address


M. D.


DATE OF BURIAL


Loewy Registrar


23. Signature SEDA (a) Addres-


Quan la Date Signed


7 NAME OF FUNERAL DIRECTOR


ADDRESS


Received and filed.


19


APR 12 1949


(Registrar of City or Town where deceased resided)


A TRUE COPY


ATTEST:


(Registrar of City or Town where death occurred)


.....


......


19


3 DATE OF DEATH


State Board of Health Bureau of Vital Statistics


NON RESIDENT DEATH


FLORIDA


State File No Registrar's No _~ 99.


1 PLACE OF DEATH:


2. USUAL RESIDENCE OF DECEASED


(c) City of Town ... Winthrop (If outside city or town malts, write RURAL)


(d) Street No. 99 Johnson Avenue


id) Name of hospital or institution Tellood


(I rural give location)


have occurred on the


ame in full)


If under 24 hours Hours. Minutes


Due To CEDENT (b) CAUSES


4. Sex


ANTE


aring most of working life)


that I duurt gaw h . alive on


10 .; and


Due to my cavities


hrs. min


En land


Presilent


Central Photo Engraving


11. Industry or business.


12. Narok George Mcewan


13. Birthblac


Scot


5 Was disease or injury If so, specify (Signed) (Address)


16 (a) Address 89 Johnson dve,, Winthropwass. Removal


17. Burial, cremalion or removal


12/1/148


18. Funeral Director's Signature


(Specify type of place)


Zlearwater , Florida


While at wwk2 (e) Means of injury.


19. Filed


NO


No 025-18-788


20. Date of Death: Month DeC. Day 16


Year 1948 Hour 4 Minute 15 Px


Thite


DISEASE OR COND DIRECTLY LEADIN TO DEATH (a).


yes or no


If yes, nama country


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


(a) Residence. No. (Usual place of abode)


COPY OF CERTIFICATE OF DEATH


Registered No.


(City or Town)


No.


The Commonwealth of Massachusetts OFFICE OF THE SECRETARY DIVISION OF VITAL STATISTICS


50m-(e)-10-48-24658


" Mother Father


(Write name, not number)


me of wife in full)


DATE FILED


........


(


-


(எ ங்கிற எழுத்து




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