USA > Massachusetts > Suffolk County > Winthrop > Town of Winthrop : Record of Deaths 1949 > Part 22
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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 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 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 selectmen 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 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 registra- tion. The person to whom the permit is so given 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 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 supposedto have died by violence. If a medical examiner has notice that there is within his county the body of such a person, he shall forthwith go to the place where the body lies and take charge of the same; General Laws, Chap. 38, Sec.6.
No undertaker or other persons shall bury a human body or the ashes thereof which have been brought into the commonwealth until he has 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 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 follow- ing 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 physician is absent from home when the certificate of death is needed.
(3) Medical Examiners will investigate and certify to all deaths supposably 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 .- Physicians: see explanatory instructions on face side of standard certificate of death.
Statement of Occupation .- Precise statement of occupation is very import- ant, 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 occupa- tion had been given up or changed, or if the deceased had retired from business, report the kind of work done during most of working life even if retired. 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, however, 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-305
Worcester
The Commonwealth of Massachusetts OFFICE OF THE SECRETARY COPY OF MEDICAL EXAMINER'S CERTIFICATE OF DEATH
MITCEBURG, MAS8.
(City or town making return) ........
1
St. (If death occurred in a hospital or institution, give its NAME instead of street and number)
2 FULL NAME
Myra T. (Lewis) Pratt
(If deceased is a married, widowed or divorced woman, give also maiden name.)
(a) Residence. No.
15 Maple Rd.
St.
(If nonresident, give city or town and State)
Length of stay: In hospital or Institution
(Before death)
(Specify whether)
years
montba
days.
In this community
yra.
mos.
days.
PERSONAL AND STATISTICAL PARTICULARS
3 SEX
female
4 COLOR OR RACE
wh
5 SINGLE
MARRIED
WIDOWED
or DIVORCED
(write the word)
wid
5a If married, widowed, or divorced HUSBAND of
(or) WIFE of
Har(Gire malden name of wife ity 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
Months.
Days
If less than 1 day
.Hours ..
......
.Minutes
Usual
9 Occupation :
hw ...
11 Social Security No.
12 BIRTHPLACE (City)
(State or country)
S. Dakota
13 NAME OF
FATHER unable to learn Lewis
14 BIRTHPLACE OF
FATHER (City)
(State or country)
unable to learn
15 MAIDEN NAMESarah unable to leam OF MOTHER
16 BIRTHPLACE OF
MOTHER (City)
(State or country)
unableto learn
17 Mrs. C. Pratt
Informant.
(Address)
Fitchburg
Relation, if any
A TRUE COPY.
ATTEST:
Panel IN.
(Registrar of city or town where death occurred)
DATE FILED June 1 1949 19
MEDICAL CERTIFICATE OF DEATH
18 DATE OF
DEATH
May 23, 1 949
(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 presumably Coronary Sclerosis
Sudden Death
20 Aooldent, sulolde, or homlolde (specify)
Date of occurrence.
19
Where did Injury ooour ?
(City or town and State)
Did Injury ocour în 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
21 Was disease or Injury In any way related to occupation of deceased? no
If so, speolfy
(Signed)
R.F .Bachmann
(Address)
Fitchburg
Date.
5-25 19
22
Forest Hill Cem, Fitchburg,
ass
Place of Burial, Cremation mayemovs, 194 gty or Town) .19
DATE OF BURIAL
23 NAME OF
R. ... Liversage
FUNERAL DIRECTOR
Fitchburg, Mass.
ADDRESS
Received and filed. JUN 3 1949
19
(Registrar of City or Town where deceased resided)
25m-(d)-6-43-12056
PLACE OF DEATH
(County)
1
1
WATVABURG, MASS.
(City or Town)
No. 18 Wood
Registered No.
20
(If U. 8.
War Veteran,
speolfy WAR)
Winthrop I
ass
(Usual place of abode)
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-805 to the clerk Copies of returns of deaths recorded during the previous month which occurred in your city or town in case the deceased Industry 10 or Business :
64
3
16
1 R-301A 1
PLACE OF DEATH
Suffolk (County)
Winthrop (City or Town)
The Commonwealth of Massachusetts OFFICE OF THE SECRETARY DIVISION OF VITAL STATISTICS
STANDARD CERTIFICATE OF DEATH
Registered No.
21
No. Winthrop Community Hospital St. [ give its NAME instead of street and number)
2 FULL NAME .. Edward F. Sullivan
(If deceased is a married, widowed or divorced woman, give also maiden name.)
(a) Residence. No. . 50 Bates Ave
St.
(Usual place of abode)
(If nonresident, give city or town and State)
Length of stay: In place of death ......... .years ...
months 19 days. In place of residence 4.5. .years months .days.
MEDICAL CERTIFICATE OF DEATH
PERSONAL AND STATISTICAL PARTICULARS
3 DATE OF
DEATH
may
24
1949
(Month)
(Day)
(Year)
4 Į HEREBY CERTIFY,
That I attended deceased from
May 5
1949
to.
May 24
19
49
I last saw him alive on May 23, 1949, death is said to
have occurred on the date stated above, at 9:15 A.m.
INTERVAL BE-
DISEASE OR CONDITION
DIRECTLY LEADING
Myocarditis acute)
TO DEATH (a)
ANTE CEDENT (b) CAUSES
Due To Generalized Arteriosclerosis
years
Due To (c)
OTHER
Scrotal hemia (left) years
SIGNIFICANT
CONDITIONS
(strangulated) )
Major findings:
Of operations
Intestinal obstruction in hermia
Date of operation.
May 6,1949 Was autopsy performed?
no
What test confirmed diagnosis? clinical
5 Was disease or injury in any way related to occupation of deceased? no
ecity Arthur C. Murray, M. D.
(Signed)
(Address) Winthrop
Date: May241949.
Winthrop
Winthrop.
(City or Town)
DATE OF BURIAL
May27 6TAY
7 NAME OF
FUNERAL DIRECTOR
ADDRESS
ol AC maley Winthrop
Received and filed ... /.
MAY 2-6 1949
19
(Registrar)
8 SEX
9 COLOR OR RACE
White
10 SINGLE
(write the word)
MARRIED WIDOWED or DIVORCED Married
10a If married, widowed, or divorced HUSBAND of Mary
C . Hurley
(Give maiden name of wife in full)
(or) WIFE of
(Husband's name in full)
11 IF STILLBORN, enter that fact here.
12
AGE
78
Years
Months
.Days
If under 24 hours
Hours .
.Minutes
13 Usual
Salesman
(Kind of work done during most of working life)
14 Industry
or Business:
Building
Materials
15 Social Security No. 013 -- 12 -- 1945
16 BIRTHPLACE (City) (State or country) Mass
17 NAME OF
FATHER
Willian T. Sullivan
18 BIRTHPLACE OF
Boston
FATHER (City) (State or country) Mass
19 MAIDEN NAME OF MOTHER Cecilia McDonough
20 BIRTHPLACE OF
MOTHER (City) Boston
(State or country) Mass
21 Mary C Sullivan
Informant
(Address) 50 Bates Ave
I HEREBY CERTIFY that a satisfactory standard certificate of death was filed with me BEFORE the burial or transit permit was issued: Walter f. Baker (Signature of Agent of Board of Health or other)
Health Officer 5/25/49
(Official Designation) (Date of Issue of Permit)
1
To be filed for burial permit with Board of Health or its Agent.
J(If death occurred in a hospital or institution,
PHYSICIAN - IMPORTANT
(Was deceased a U. S. War Veteran, [ if so specify WAR)
RUCTIONS FOR CERTIFICATE
giving OF DEATH ot enter than one for each (b) and (c)
does not mean of dying, such lure, asthenia, ns the disease, cations which th
d conditions, ing rise to the e (a) stating lying cause
ions contrib- death but not he disease or ausing death.
100M-(D)-10-46-24858
6 Place of Burial or Cremation
PARENTS
Boston
TWEEN ONSET AND DEATH 12 hrs
Male
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 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, specifying the war, and shall also certify in such certificate both the primary and the secondary or imme- diate 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 section 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 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 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 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 selectmen 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 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 registra- tion. The person to whom the permit is so given 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 cause of the death, which the clerk or registrar may require .- Chap. 114, Sec. 45. G. L., (Tercentenary Edition).
Medical examiners shall make examination upon the view of the dead bodies of only such persons as are supposed to have died by violence. If a medical examiner has notice that there is within his county the body of such a person, he shall forthwith go to the place where the body lies and take charge of the same; . . . General Laws, Chap. 38, Sec.6.
No undertaker or other persons shall bury a human body or the ashes thereof which have been brought into the commonwealth until he has 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 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 follow- ing 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 physician is absent from home when the certificate of death is needed.
(3) Medical Examiners will investigate and certify to all deaths supposably 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 .- Physicians; see explanatory instructions on face side of standard certificate of death.
Statement of Occupation .- Precise statement of occupation is very import- ant, 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 occupa- tion had been given up or changed, or if the deceased had retired from business, report the kind of work done during most of working life even if retired. 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, however, 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
M R-302 1
CEDENT (b)
OTHER
SIGNIFICANT
CONDITIONS
Major findings:
Of operations
Date of operation.
6
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
Due To
(c)
after the close of the month in which the death occurred. (See Chap. 46, Sec. 12, G. L.)
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
50m-(e)-10-48-24658
PLACE OF DEATH
Essex (County)
Danvers (City or Town)
The Commonwealth of Massarhusetts OFFICE OF THE SECRETARY DIVISION OF VITAL STATISTICS COPY OF CERTIFICATE OF DEATH
Danvers (City or town making return)
Registered No.
Danvers State Hospital , Hathorne lasgive its NAME instead of street and number) No.
2 FULL NAME. Emma ...... (Thompson) Safford
(If deceased is a married, widowed or divorced woman, give also maiden name.)
(a) Residence. No. 26 Elmwood Ave. , Winthrop, Mass.
(Usual place of abode)
(If nonresident, give city or town and State)
Length of stay: In place of death .......... years. 6months ... 1 .days. In place of residence. .......... years. months days.
MEDICAL CERTIFICATE OF DEATH
PERSONAL AND STATISTICAL PARTICULARS
3 DATE OF
DEATH
May
13
1949
(Month)
(Day)
(Year)
8 SEX
Female
9 COLOR OR RACE
White
10 SINGLE
(write the word)
MARRIED
WIDOWED
or DIVORCED
Married
4 I HEREBY CERTIFY.
Nov. 12
49
19
to
May 13
19
49
I last saw h ..... e.r ... alive on
Ma.y ..... 1.3.
19 ....
4+Heath is said to
have occurred on the date stated above, at.
5:00 p.m.
INTERVAL BE-
TWEEN ONSET AND DEATH
11 IF STILLBORN, enter that fact here.
12
74
1
8
AGE
Years
Months
Days
If under 24 hours
Hours ....
.Minutes
13 Usual
Occupation :
Unable to work
(Kind of work done during most of working life)
T4 Industry
or Business:
15 Social Security No. None
16 BIRTHPLACE (City)
(State or country)
Bermuda
17 NAME OF
FATHER
George Thompson
18 BIRTHPLACE OF
FATHER (City)
(State or country)
Bermuda
19 MAIDEN NAME
OF MOTHER
Ellen Fiel Bishop
5 Was disease or injury in any way related to occupation of deceased? If so, specify
(Signed).
Pasquale Buoniconto
M. D.
(Address) Hathorne Mass Date 5/20
19.49
Winthrop Cemetery, Winthrop,
Mass
Place of Burial or Cremation
(City or Town)
May 16
1949
DATE OF BURIAL
21
Mary E. Sheehan
(Address) Hathorne, Mass.
7 NAME OF
FUNERAL
Reynolds Funeral
ADDRESS
Winthrop, Mass.
19
Received and filed. JUN .1 3 1949
(Registrar of City of Town where deceased resided)
PARENTS
20 BIRTHPLACE OF
MOTHER (City)
(State or country)
Bermuda
A TRUE COPY.
...
ATTEST:
(Registrar of City or Town where death occurred)
DATE FILED
.
Ma.y ..... 21
............. 19 ..
49
....
DISEASE OR CONDITION
DIRECTLY LEADING
TO DEATH (a)
heart disease
Arteriosclerotic
ANTE
Due To
Arteriosclerotic ....
CAUSES
heart disease
Was autopsy performed?
Yes
What test confirmed diagnosis ?.
Autopsy
5 yrs
10a If married, widowed, or divorced
HUSBAND of.
(Give maiden name of wife in full)
(or) WIFE of
George E. Safford
(Husband's name in full)
WRITE PLAINLY, WITH UNFADING BLACK INK - THIS IS A PERMANENT RECORD
¿(If death occurred in a hospital or institution,
(Was deceased a
U. S. War Veteran,
if so specify WAR).
That I
attended deceased
from
M R-302 1
PLACE OF DEATH
SUFFOLK BOSTON
(City or Town)
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.
4476 73
J(If death occurred in a hospital or institution,
St. [ .give its NAME instead of street and number)
2 FULL NAME. Michael J Brennan
(If deceased is a married, widowed or divorced woman, give also maiden name.)
33 Loring Rd
Winthrop
St.
(If nonresident, give city or town and State)
Length of stay: In place of death
.years
months
2.8 days. In place of residence.
64 years
months.
.. days.
MEDICAL CERTIFICATE OF DEATH
PERSONAL AND STATISTICAL PARTICULARS
3 DATE OF
DEATH
May 20 1949
(Day)
(Year)
8 SEX
Male
9 COLOR OR RACE
White
10 SINGLE
MARRIED
WIDOWEDMarried
or DIVORCED
4 I HEREBY CERTIFY.
Apr 22
49
That I attended deceased
from
49
to
May 20
19.
h is said to
have occurred on the date stated above. at
INTERVAL BE-
(Husband's name in full)
11 IF STILLBORN. enter that fact here.
12
AGE
64
Years
Months.
.Days
If under 24 hours
Hours ..... .. Minutes
13 Usual
Occupation :
Captain
14 Industry
or Business:
Boston Tow Boat Co
15 Social Security No ..
019714 3578
16 BIRTHPLACE (City)
(State or country)
Mass
Boston
17 NAME OF
FATHER
Michael J Brennan
PARENTS
18 BIRTHPLACE OF
FATHER (City)
(State or country)
Ireland
19 MAIDEN NAME
OF MOTHER
Ellen 0'Neil
20 BIRTHPLACE OF
MOTHER (City)
(State or country)
Mass
Boston
6 Winthrop Place of Burial or Cremation (City or Town)
DATE OF BURIAL
May 23 1949
19
7 NAME OF
FUNERAL DIRECTOR
F J Magrath
ADDRESS E.Boston
Received and filed.
JUN-15-1949
19
(Registrar of City or Town where deceased resided)
A TRUE COP
ATTEST:
(Registrar of City of Town where death occurred)
DATE FILED
May 24 1949
..
10a If married, widowed, or divorced
HUSBAND of
Nora L Grady
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