USA > Massachusetts > Suffolk County > Winthrop > Town of Winthrop : Record of Deaths 1950 > Part 33
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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
+
PLACE OF DEATH
((City or Town)
Nunthion Community Hopp Michael Hugh O Miana
2 ยง(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.)
:56 Lexington St
St.
East
PHYSICIAN - IMPORTANT (Was deceased a U. S. War Veteran, if so Specify AVAR) "Boston
(If nonresident, give city or town and State)
.. months .... ....... days. In place of residence 3.2years .months .days.
MEDICAL CERTIFICATE OF DEATH
PERSONAL AND STATISTICAL PARTICULARS
3 DATE OF
DEATH
June (Month)
18, (Day)
1950 (Year)
SEX
9 COLOR OR RACE
Male White
10 SINGLE
MARRIED
WIDOWED
or DIVORCED
(write the word) Mariel
4 I HEREBY CERTIFY,
That I attended deceased from
12, 1934,
to
June 18,
1950
Y
last saw him alive on June 18,
. 1950 death is said to
have occurred on the date stated above, at
7:35 Am.
INTERVAL BE-
(or) WIFE of
(Husband's name in full)
11 IF STILLBORN, enter that fact here.
12 52 Years 5 Months 13 Days
If under 24 hours
Hours . . Minutes
13 Usual Occupation :.
Pipe-fitter
/KKind of work done during most of working life)
14 Industry or Business: Eastman Hat Control
15 Social Security No. . Cust Boston
16 BIRTHPLACE (City). (State or country) Maso
17 NAME OF FATHER Michael O' Meara
18 BIRTHPLACE OF FATHER (City) (State or country)
Ireland
19 MAIDEN NAME OF MOTHER
Alany O' Hanlon
20 BIRTHPLACE OF MOTHER (City) (State or country) Ireland
21 Informant (Address)
Harrit M. O meara
156 Lexington &b. E. Brolin
7 NAME OF FUNERAL DIRECTOR
LE Parku
ADDRESS 726 Saratoga St. E. B.
19
Received and filed JUN 21 1950
(Registrar)
PARENTS
5 Was disease or injury in any way related to occupation of deceased ?.
If so, specify ....
(Signed)
M. D.
200
azcaplen (Address) 186 / marcelin 593 Date 6-18.509.
6 Place of Bthat of Cremat
DATE OF BURIAL.
June 21
1950
50M-2-19-25666
Brotin
7/5/2 Suffolk. (Coumfy)
The Commonwealth of Massachusetts EDWARD J. CRONIN, SECRETARY DIVISION OF VITAL STATISTICS STANDARD
To be filed for burial permit with Board of Health or its Agent.
CERTIFICATE OF DEATH
Registered No. 200
ORM R-301A 1
INSTRUCTIONS FOR ICAL CERTIFICATE
In giving ISE OF DEATH do not enter more than one use for each (a), (b) and (c)
This does not mean made of dying, such rt failure, asthenia. I means the disease, implications which d death.
Marbid canditians, , giving rise to the cause (a) staling underlying cause
anditians cantrib- ta the death but not I to the disease or ion causing death.
CONDITIONS
Major findings:
Of operations.
Date of operation
Was autopsy performed? 200
What test confirmed diagnosis?
TWEEN ONSET AMO DEATH 2 days
ANTE
CEDENT (b)
CAUSES
Due To auteurschemi
Due To (c)
OTHER
SIGNIFICANT Duodenal When
.
Everett (Cuy or Town)
Unknown
I HEREBY CERTIFY that a satisfactory standard certificate of death was filed with me BEFORE the burial or transit permit was issued: Walter A. Bakery (Signature of Agent of Board of Health or other) Health offices 6/20/50
(Official Designation)
(Date of Issue of Permit)
No.
(a) Residence. No. (Usual place of abode)
Length of stay: In place of death. ...... years.
HUSBAND of (Give maiden name of wife in full)
DISEASE OR CONDITION
DIRECTLY LEADING
TO DEATH (a)
Cerebral Hemenles
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 inake 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 disease, 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 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
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)
Chelsea
(City or Town)
The Commonwealth of Massachusetts EDWARD J. CRONIN SECRETARY OF THE COMMONWEALTH DIVISION OF VITAL STATISTICS COPY OF
Chelsea
(City or town making return)
Registered No.
375.01
U.S.Naval Hospital
[(If death occurred in a hospital or institution, St. [ give its NAME instead of street and number)
2 FULL NAME
Max Wolk
(If deceased is a married, widowed or divorced woman, give also maiden name.)
15 Cross
Winthrop, Mass.
St.
(If nonresident, give city or town and State)
Length of stay: In place of death
.......... years.
.. months.
.. days. In place of residence.
20years.
.months ..
.days.
MEDICAL CERTIFICATE OF DEATH
PERSONAL AND STATISTICAL PARTICULARS
3 DATE OF
DEATH
June 18,1950
(Month)
(Day)
(Year)
8 SEX
Male
9 COLOR OR RACE
White
10 SINGLE
(write the word)
MARRIED
WIDOWED
or DIVORCED
Harried
4 I HEREBY CERTIFY,
6/18
19
50
to ..
June 18
19
50
im
June 18
I last saw h
alive on
19.
5death is said to
1:55A
.m.
INTERVAL BE-
(Husband's name in full)
11 IF STILLBORN, enter that fact here.
66
12
AGE
Years.
Months.
.Days
If under 24 hours
Hours ....
.. Minutes
13 Usual
Occupation :
(Kind of work done during most of working life)
14 Industry
or Business:
Army Base, So. Boston
15 Social Security No ...
16 BIRTHPLACE (City)
(State or country)
Russia
17 NAME OF
FATHER
Aaron Wolk
18 BIRTHPLACE OF
FATHER (City).
(State or country)
Russia
Date of operation
Was autopsy performed?
no
What test confirmed diagnosis?
5 Was disease or injury in any way related to occupation of deceased? If so, specify ............. orman (Signed). M. D.
(Address). USHI Chelsea
Date 6/18
.19.50
6
Obel Jacob, Woburn, Mass Place of Burial or Cremation (City or Town)
DATE OF BURIAL
June 18,1950
19
7 NAME OF
Benjamin Birnbach
FUNERAL DIRECTOR 10 washington St. Dorchest. ADDRESS
Received and filed. JUL 7 1950 19
(Registrar of City or Town where deceased resided)
PARENTS
19 MAIDEN NAME
OF MOTHER
Jeannette-cannot be
learned
20 BIRTHPLACE OF
MOTHER (City)
(State or country)
Russia
21 Martin Frank
Informant
(Address)
31 Sewall Ave. winthrop, Mass
A TRUE COPY
HATTEST: Regista
(Registrar of City or Town where death occurred)
DATE FILED
June 18,1950
.19
L
DISEASE OR CONDITION DIRECTLY LEADINGValvular heart
TO DEATH (a)
disease mitral and aortic
10a If married, widowedyor divorced
a U'delman
HUSBAND of.
(Give maiden name of wife in full)
(or) WIFE of
have occurred on the date stated above, at.
TWEEN ONSET AND DEATH
ANTE
Due To
Congestive heart failure
CEDENT (b)
CAUSES
Due To (c)
OTHER
SIGNIFICANT
CONDITIONS
Major findings:
Of operations.
not operated
25m-(b)-11-49-900,47'5
ORM R-302 1
No.
CERTIFICATE OF DEATH
(Was deceased a
Spanish
U. S. War Veteran,
( if so specify WAR).
Amarican
(a) Residence. No. (Usual place of abode)
That I
attended deceased from
Shipper
Entered Service Oct.17,1903 Discharged Oct.16,1906 Private Troop I 5th Regiment Cavalry
PLACE OF DEATH
Suffolk (County)
Winthrop (City or Town)
The Commonwealth of Massachusetts EDWARD J. CRONIN SECRETARY OF THE COMMONWEALTH DIVISION OF VITAL STATISTICS STANDARD CERTIFICATE OF DEATH
To be filed for burial perml! with Board of Health or its Agent.
Registered No 102
f(If death occurred in a hospital or institution, . St. [ give its NAME instead of street and number)
2 FULL NAME ..
Lena A. Gaffny
(If deceased is a married, widowed or divorced woman, give also maiden name.)
428 Revere St.
St. .
(If nonresident, give city or town and State)
Length of stay: In place of death years ..
months.
days.
In place of residence
4
years
.months
days.
MEDICAL CERTIFICATE OF DEATH
PERSONAL AND STATISTICAL PARTICULARS
3 DATE OF
DEATH
June 23 .1950 (Month)
(Day)
(Year)
4 I HEREBY CERTIFY,
That I attended deceased from
frame! ? 1950. to
I Just saw ha alive on
Andet 22. 19 $ Death is said to
have occurred on the date stated above, at 3.28 A m.
INTERVAL BE-
(Husband's name in full)
TWEEN ONSET AND DEATH 11 IF STILLBORN, enter that fact here.
17am
84
.. Years Months Days
If under 24 hours
.Hours
Minutes
ANTE CEDENT (b) . CAUSES
Due To arturo Colours
Due To (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? If so, specify .... (Signed)
M. D.
(Address)
Thisefter Date 6-11
6 Winthrop
Winthrop
Place of Burial or Cremation June 26 1950 Town)
DATE OF BURIAL
7 NAME OF FUNERAL DIRECTORY
Solu F. Finally
ADDRESS Winthrop Massachusetts
Received and filed 19
JUN 2 6 1950
(Registrar)
PARENTS
18 BIRTHPLACE OF FATHER (City) Galway
(State or country) Ireland
19 MAIDEN NAME OF MOTHER Mary Mulvey
20 BIRTHPLACE OF
1953 MOTHER (City) (State or country)
Kesh
Ireland
21 Patrica Gray
Informant (Address) 428 Revere St
I HEREBY CERTIFY that a satisfactory standard certificate of death was filed with me BEFORE the burial or transit permit was issued:
Walter . Baker (Signature of Agepf of Board of Health pr or aber )
Health Officer 6/23/50
"(Official Designation)
(Date of Issue of Permit)
9 COLOR OR RACE white
10 SINGLE
(write the word)
MARRIED Married
WIDOWED
or DIVORCED
10a If married, widowed, or divorced HUSBAND of (Give maiden name of wife in full)
(or) WIFE of
Patrick H. Gaffny
DISEASE OR CONDITION
DIRECTLY LEADING
TO DEATH (a)
Kerchel Lomontage
13 Usual Occupation: Housewife
(Kind of work done during most of working life)
14 Industry or Business: Own Home
15 Social Security No. .
Blackstone
16 BIRTHPLACE (City) (State or country) Massachusetts
17 NAME OF FATHER Michael Miskell
50m-(b)-11-49-900,560
ORM R-301A 1
INSTRUCTIONS FOR ICAL CERTIFICATE
In giving JSE OF DEATH do not enter more than one ause for each (a), (b) and (c)
This does not mean node of dying, such art failure, asthenia, It means the disease, omplications which d death.
Morbid conditions, y, giving rise to the cause (a) stating underlying cause
Conditions contrib- to the death but not d to the disease or tion causing death.
428 Revere St. No.
PHYSICIAN - IMPORTANT (Was deceased a U. S. War Veteran, if so specify WAR)
(a) Residence. No. (Usual place of abode)
female
19 5
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
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