USA > Massachusetts > Suffolk County > Winthrop > Town of Winthrop : Record of Deaths 1949 > Part 50
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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 shallexhume 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 makc examination upon the view of the dead bodies of persons as arc supposed to have died by violence, or by the action of chemical, thermal or electrical agents or following abortion, or from discascs resulting from injury or infection relating to occupation, or suddenly when not disabled by recognizable discasc, or when any person is found dead. . - General Laws, Chap. 38, Sec. 6., as amended by Chap. 632, Sec. 4. Acts of 1945.
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
WRITE PLAINLY, WITH UNFADING BLACK INK - THIS IS A PERMANENT RECORD
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 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
PLACE OF DEATH
Suffolk (County)
Bostan
(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.
8598
162
Veteran's Adm.Hospt West Roxbury.
[(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.) 1
46 Sunnyside Ave.
St.
Winthrop Mass.
(If nonresident, give city or town and State)
Length of stay: In place of death
.years
1
.months1 9
days. In place of residence
3.9.
.years.
.months.
.days.
MEDICAL CERTIFICATE OF DEATH
PERSONAL AND STATISTICAL PARTICULARS
3 DATE OF
DEATH
Oct. 11/49
(Month)
(Day)
(Year)
8 SEX
M
9 COLOR OR RACE
W
10 SINGLE
(write the word)
MARRIED
WIDOWED
or DIVORCED
Married
4 I HEREBY CERTIFY,
That I attended deceased from
Aug.22
19.49.
to
Oct ..... 11
I last saw h .............. alive on.
-
19.
death is said to
have occurred on the date stated above, at.
12:25P.
m.
INTERVAL BE-
DISEASE OR CONDITION
DIRECTLY LEADING
TO DEATH (a).
Uremia
Multiple myeloma
TWEEN ONSET
AND DEATH
Days
Mos.
11 IF STILLBORN, enter that fact here.
12
AGE
71 Years 4
22
Months
.Days
If under 24 hours
Hours.
.Minutes
ANTE
CEDENT (b)
CAUSES
Due To
Diabetes mellitus
Years
13 Usual
Occupation:
Retired Army Man
(Kind of work done during most of working life)
14 Industry or Business:
15 Social Security No.
None
16 BIRTHPLACE (City)
(State or country)
Quebec Canada
17 NAME OF
FATHER
George S Vien
18 BIRTHPLACE OF
FATHER (City).
(State or country)
Quebec Canada
Date of operation
Was autopsy performed?
Yes
What test confirmed diagnosis ?.
Clinical, laboratory and
5 Was disease or injury in any way related to ocelOP Vecchiendings
If so, specify.
GP Denny
(Signed)
West Roxbury MasBate 10-12 19 49
6
Place of Burial or Cremation (City or Town)
21
Hospt Records VAH
Informant
(Address)
1
West Roxbury Mass.
7 NAME OF
FUNERAL DIRECTOR
J Vincent Murray
Revere Mass.
ADDRESS
Received and filed
NOV 1 1949
19
A TRUE COPY.
ATTEST:
(Registrar of City or Town where death occurred)
1
Oct.17/49
19
(Registrar of City or Town where deceased resided)
PARENTS
19 MAIDEN NAME
OF MOTHER
Maryanne Martin
20 BIRTHPLACE OF
MOTHER (City)
(State or country)
Quebec Canada
(Address)
Arlington National Cem-Washington
10a If married, widowed, or divorced Annie Joyce
19
45
HUSBAND of
(Give maiden name of wife in full)
(or) WIFE of
(Husband's name in full)
Due To (c)
OTHER
SIGNIFICANT
CONDITIONS
Major findings:
Of operations
50m-(e)-10-48-24658
No.
William H Vien
(Was deceased a
U. S. War Veteran,
( if so specify WAR)
1 & 2
(a) Residence.
No.
(Usual place of abode)
DATE OF BURIAL
Oct. 18/49
19
DATE FILED
RECEIVED
11 1,2
CFFI.
iving
NOV-11949 AM Entered Service 10-8-09 Discharged 7-31-40 Warrant Officer U.S.A.Service No.W900853
M R-301A 1
PLACE OF DEATH
Suffolk (County)
Winthrop
(City or Town)
The Commonmralth of Massachusetts EDWARD J. CRONIN, SECRETARY DIVISION OF VITAL STATISTICS STANDARD CERTIFICATE OF DEATH
To be filed for burial permit with Board of Health or its Agent.
Registered No.
163.
No.
274 Bowdoin Street
ยท
J(If death occurred in a hospital or institution,
St. [ give its NAME instead of street and number)
2 FULL NAME Flora (Rae) Law (If deceased is a married, widowed or divorced woman, give also maiden name.)
1
(a) Residence. No. 274 Bowdoin Street (Usual place of abode)
St.
(If nonresident, give city or town and State)
Length of stay: In place of death. ...... years ... ..... ... months .days. In place of residence 38 .years .months .days.
MEDICAL CERTIFICATE OF DEATH
PERSONAL AND STATISTICAL PARTICULARS
8 SEX
9 COLOR OR RACE
10 SINGLE
(write the word)
Female
White
MARRIED
WIDOWED
or DIVORCEDWidowed
10a If married, widowed, or divorced
Sept. 26,
19
49
to ..
October 18
19.49
HUSBAND of
(Give maiden name of wife in full)
I last saw h 27 alive on
October 18, 1949, death is said to
have occurred on the date stated above, at
6:00 A.m.
INTERVAL BE- TWEEN ONSET AND DEATH / vous
11 IF STILLBORN, enter that fact here.
12
AGE
.8.6.Years 6 ..
.Months
1.
.Days
If under 24 hours
Hours .. . Minutes
13 Usual
Occupation :
Housewife
(Kind of work done during most of working life)
14 Industry
or Business:
At ... home
15 Social Security No.
None
16 BIRTHPLACE (City)
(State or country)
Scotland
17 NAME OF
FATHER
Francis Rae
PARENTS
18 BIRTHPLACE OF
FATHER (City)
(State or country)
Scotland
19 MAIDEN NAME
OF MOTHER
Elizabeth Henderson
20 BIRTHPLACE OF MOTHER (City) (State or country) Scotland
21 Alexander Law st.
Informant (Address) 94 Fairmount St Brookline
I HEREBY CERTIFY that a satisfactory standard certificate of death was filed with me BEFORE the burial or transit permit was issued: Walter 2. Walker (Signature of Agent of Board of Health or other)
10/19/40
/(Official Designation)
(Date of Issue of Permit)"
50M-2-19-25666
7 NAME OF FUNERAL DIRECTOR .. winthrop man.
ADDRESS
OCT 2 8 1949
19
Received and filed
M. D.
(Address) tomar Shoals Date I.t. 18 1947
6 Winthrop
Place of Burial or Cremation
Winthrop
(City or Town)
DATE OF BURIAL
Oct. 20
4949
Sawards Py voleb
(Registrar)
18
1949
(Year)
4 I HEREBY CERTIFY.
That I, attended deceased from
(or) WIFE of
Alexander Law
(Husband's name in full)
DISEASE OR CONDITION DIRECTLY LEADING/ TO DEATH (a) Coronans clusion
ANTE
CEDENT (b) .
CAUSES
Due To elternscienti heart
(c)
OTHER
SIGNIFICANT
CONDITIONS
Major findings:
Of operations ..
Date of operation
Was autopsy performed?
What test confirmed diagnosis?
5 Was disease or injury in any way related to occupation of deceased? 220
If so, specify .....
(Signed) ? Tu
TRUCTIONS FOR L CERTIFICATE
giving OF DEATH not enter than one e for each (b) and (c)
does not mean of dying, such bilure, asthenia. cans the disease, ications which ath.
bid conditions. ving rise to the se (a) stating erlying cause
itions contrib- he death but not the disease or causing death.
PHYSICIAN - IMPORTANT
(Was deceased a
U. S. War Veteran,
( if so specify WAR)
3 DATE OF
DEATH
October
(Month)
(Day)
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 shallexhume 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 persons as are supposed to have died by violence, or by the action of chemical, thermal or electrical agents or following abortion, or from diseases resulting from injury or infection relating to occupation, or suddenly when not disabled by recognizable discase, or when any person is found dead. . - General Laws, Chap. 38, Scc. 6., as amended by Chap. 632, Sec. 4. Acts of 1945.
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 deathsonly 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 occup :- 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
PLACE OF DEATH
Suffolk (County) Winthrop
The Commonwealth of Massachusetts OFFICE OF THE SECRETARY DIVISION OF VITAL STATISTICS MEDICAL EXAMINER'S CERTIFICATE OF DEATH
To be filed for burial permit with Board of Health or ite Agent.
Registered No.
(City or Town)
97 Bay View ave No.
J(If death occurred in a hospital or institution,
St. [ give its NAME instead of street and number)
PHYSICIAN - IMPORTANT 1
J (Was deceased a U. S. War Veteran. { if so specify WAR) ... NO.
MASS
(If nonresident, give city or town and State)
Length of stay: In place of death 1 .. years
months.
days. In place of residence.
1
years
.months.
.days.
MEDICAL CERTIFICATE OF DEATH
3 DATE OF DEATH
October 18 (Month) (Day)
1949 (Year)
4 I 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.) Chophypen due to carbon oxide inhalation
quicule dur
state of insanity
temporary
5 Accident, suicide, or homicide (specify)
Suicide
Date and hour of injury ...
7:30PM 10/18 10 49
Where did
Winthro
2
- mass
Injury occur?
(City or townand State)
Did injury occur in or about home, on farm, in industrial place, or in public place?
Manner of
(Specify type of place)
Injury
le inhalation
Nature of
(How did injury occur?)
Injury
C.O. apagina
While at work?
.Was autopsy performed?
no
6 Was disease or injury in any way related to occupation of deceased ?.
If so, specify
(Signed)
(A dress) 25 Shotand St Date 10/18/1949
M. D.
7 .ST .... JOSEPH'S
........... ROX
MASS
Place of Burial, or Cremation.
(City of Town)
DATE OF BURIAL ..
OCTOBER .... 21 .... 19.4.9
19
8 NAME OF
FUNERAL DIRECTOR FRANK .... H .... CARR
ADDRESS.
.. 79ELM .... ST .CHARLESTOWN MASS.
OCT 28 1949
Received and filed 19
(Registrar)
PERSONAL AND STATISTICAL PARTICULARS
9 SEX
FEMALE
WHITE
10 COLOR OR RACE
11 SINGLE
(write the word)
MARRIED
WIDOWED
or DIVORCED MARRIED
11a If married, widowed, or divorced
HUSBAND of
(Give maiden name of wife in full)
(or) WIFE of
WILLIAM HENRY .... QUINN
(Husband's name in full)
12 IF STILLBORN. enter that fact here.
13
AGE
42.Years
Months
Days
If under 24 hours
.Hours ..
.. Minutes
14 Usual
Occupation:
HOUSE WIFE
(Kind of work done during most of working life)
15 Industry
or Business:
OWN .... HOME.
16 Social Security No.
NONE
17 BIRTHPLACE (City) ..
(State or country)
MASS
18 NAME OF
FATHER
DANIEL D DONOVAN
19 BIRTHPLACE OF
FATHER (City)
CORK
(State or country)
IRELAND
20 MAIDEN NAME
OF MOTHER
MARGARET MARY
O'neil
21 BIRTHPLACE OF
MOTHER (City)
CORE
(State or country)
IRELAND
22
Informant.
MR QUINN
(Ado
7 BAY VIEL AVE WINTHROP
I HEREBY CERTIFY that a satisfactory standard certificate of death was filed with me BEFORE the burial or transit permit was issued: 05
F. GOD 1
9756
(Signature of Agent of Board of Health or other) SFT
(Official Designation) TON HERL" (Date of Issue of Permit)
Every item of
N. B. - WRITE PLAINLY, WITH UNFADING BLACK INK THIS IS A PERMANENT RECORD.
If deceased was a U. S. War Veteran, G.L. Chap 46, Section 10, requires physicians to insert a recital to that effect.
50m-(x)-10-48-24658
M R-303 A 1
of Death. See ravarse side for axtracts from the laws relativa to tha raturn of cartificates of daath. DEATH in plain tarms, so that it may be properly classifiad undar tha international Classification of Causes Information should be carafully supplied. MEDICAL EXAMINERS should stata CAUSE AND MANNER OF
PARENTS
CHARLESTOWN.
nh 90- Barn
MARGARET MARY ( DONOVAN ) QUINI. garet M. Quinn 2 FULL NAME ..
(If deceased is a maffied, widowed or divorced /woman, give also maiden name.) 97 Bay View ave, Winthrop
(a) Residence. No. (Usual place of abode)
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.
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