Town of Winthrop : Record of Deaths 1950, Part 64

Author: Winthrop (Mass.)
Publication date: 1950
Publisher:
Number of Pages: 532


USA > Massachusetts > Suffolk County > Winthrop > Town of Winthrop : Record of Deaths 1950 > Part 64


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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 oceupa- 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, ete. For a person who had no occupation whatever write none.


SPACE FOR ADDITIONAL INFORMATION


DATE OF ENTERING MILITARY SERVICE


DATE OF DISCHARGE RANK, RATING ORGANIZATION AND OUTFIT SERVICE NUMBER


X


PLACE OF DEATH


Suffolk (County)


Boston


(City of Town) Veteran's Adm. Hospital


The Commonwealth of Massachusetts EDWARD J. CRONIN SECRETARY OF THE COMMONWEALTH DIVISION OF VITAL STATISTICS COPY OF CERTIFICATE OF DEATH


Boston


(City or town making return)


Registered No.


9196198


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


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


(Was deceased a


U. S. War Veteran,


if so specify WAR)


W W #1


St


Winthrop Mass.


(If nonresident, give city or town and State)


Length of stay: In place of death. ........... years. months. 20


ב


days. In place of residence


.. years.


months.


.days.


MEDICAL CERTIFICATE OF DEATH


PERSONAL AND STATISTICAL PARTICULARS


8 SEX


M


9 COLOR OR RACE


W


10 SINGLE


MARRIED


WIDOWED


of DIVORCED


(write the word)


Married


4 I HEREBY CERTIFY,


Oct. 9


19


50


Oct. 28


50


19


That


[ attended deceased from


I last saw h


.... alive on


19


death is said to


have occurred on the date stated above, at


8:10P


.m.


INTERVAL BE-


DISEASE OR CONDITION


DIRECTLY LEADENEritonitis diffuse upyer


TO DEATH (a).


abdomen


TWEEN ONSET


AND DEATH


Days


11 IF STILLBORN. enter that fact here.


12


AGE.


Years


10


1]


52


Months.


.. Days


If under 24 hours


Hours ....... Minutes


13 Usual


Occupation :


Truck Driver


(Kind of work done during most of working life)


14 Industry


Truck Business


or Business:


15 Social Security No.


011-18-4080


16 BIRTHPLACE (City) Lowell Mass. (State or country)


17 NAME OF


FATHER


John Somers


18 BIRTHPLACE OF


FATHER (City)


(State or country)


Barre Vermont


19 MAIDEN NAME


Nettie Williams


OF MOTHER


20 BIRTHPLACE OF


Hopkinton Mass.


19 50 MOTHER (City) (State or country)


Hospt Records V.A.


West Roxbury 32 Mass.


7 NAME OF


FUNERAL DIRECTOR


J F O' Maley


ADDRESS Winthrop Mass.


Received and filed. 19


NOV 6 1950


(Registrar of City of Town where deceased resided)


PARENTS


5 Was disease or injury in any way related to occupation of deceased? If so, specify. G.M ... Walker M. D.


(Signed)


(Address) West Roxbury Mass. Date 10-28


Winthrop Cem Winthrop Mass


Place of Burial or Cremation (City of Town)


DATE OF BURIAL


Nov. 1/50


19


21


Informant.


(Address)


A TRUE COPY


arles 4 Mache


ATTEST:


(Registrar of City or Town where death occurred)


DATE FILED


Nov. 1/50


19


Y


RM R-302 1


WRITE PLAINLY, WITH UNFADING BLACK INK - THIS IS A PERMANENT RECORD


No.


2 FULL NAME


Roy F Somers


(a) Residence.


No.


56 Beal


(Usual place of abode)


3 DATE OF


Oct. 28/50


DEATH


(Month)


(Day)


to


Due To Transverse colectomy


(c)


subtotal gastrectomy


OTHER


SIGNIFICANT


Major findings:


Of operations.


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


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


CONDITIONS


carcinoma of stomach


ANTE


Due To


Perforation of transverse


CEDENT (b)


CAUSES


colon


Days


Days


Pulmonary congestive edema.


Yrs


Date of operation.


.. Was autopsy performed ?.


es


Clinical, laboratory


What test confirmed diagnosis ?.


and autopsy findings


25m-(b)-11-49-900,475


(Year)


Amy Fullerton


10a If married, widowed, or divorced


HUSBAND of.


(Give maiden name of wife in full)


(or) WIFE of


(Husband's name in full)


Entered Service 3-29-17 Discharged 3-21-19 Seaman U S Navy Service No. Unknown


RM R-301A 1


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 permit with Board of Health or its Agent.


Registered No. ..


No. 5. Bellevue Terrace Thomas Gilbert Hetherington 2 FULL NAME


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


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


PHYSICIAN - IMPORTANT


( Was deceased a


U. S. War Veteran,


if so specify WAR)


(a) Residence. No.


5 Bellevue Terrace (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 years .. months days.


MEDICAL CERTIFICATE OF DEATH


PERSONAL AND STATISTICAL PARTICULARS


8 SEX


Male


9 COLOR OR RACE


White


10 SINGLE


(write the word)


MARRIED


WIDOWED


or DIVORCED


Married


4 I HEREBY CERTIFY.


That I attended


deceased from


Sept 7 1950. to Oct. 29 19 50


I last saw h AM alive on Oct. 26, 1950 death is said to


have occurred on the date stated above, at 9:55 A. m.


DISEASE OR CONDITION


DIRECTLY LEADING


TO DEATH


(a) Cinhosis of Liver.


INTERVAL BE- TWEEN ONSET AND DEATH year


11 IF STILLBORN, enter that fact here.


12


AGE


.7 Years 9.


Months


Days


If under 24 hours


Hours ...


.Minutes


13 Usual


Occupation :


Representative (School)


(Kind of work done during most of working life)


14 Industry


or Business:


Typwriter Co.


15 Social Security No. .


028-05-3579


St. John


16 BIRTHPLACE (City)


(State or country)


New Brunswick


17 NAME OF


FATHER


Gilbert E Hetherington


PARENTS


18 BIRTHPLACE OF


FATHER (City)


(State or country)


New Brunswick


19 MAIDEN NAME OF MOTHER Carrie M Brooks


20 BIRTHPLACE OF MOTHER (City) Norridgewock


(State or country)


Maine


21 Dorothy Hethington


Informant (Address) 5 Bellevue Terrace Winthrop


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 of other)


Received and filed. 19


OCT 3.1 1950


(Registrar)


10 mrs


Major findings:


Of operations.


Date of operation.


-


Was autopsy performed ?... 720.


What test confirmed diagnosis? .


clinical


5 Was disease or injury in any way related to occupation of deceased? no


If so, specify.


Senthur G.a. Murray


M. D.


(Signed)


(Address)


Winthrop Pass Date 10 0of 1950


Mt Auburn Crematory Cambridge


6


Place of Burial or Cremation


(City or Town)


DATE OF BURIAL


Oct 31


1950


7 NAME OF FUNERAL DIRECTOR Forward SUPeynolds ADDRESS Winthrop muss


Health Officer (Official Designation)


10/30/50


(Date of Issue of Permit)


STRUCTIONS FOR AL CERTIFICATE


In giving E OF DEATH not enter re than one se for each ), (b) and (c)


is does not mean de of dying, such failure, asthenia. means the disease. plications which death.


orbid conditions. giving rise to the ause (a) stating derlying cause


nditions contrib- the death but not to the disease or n causing death.


·50M (B)-12-49-900722


3 DATE OF


DEATH


October


29


(Day)


(Month)


1950 (Year)


ANTE Due To CEDENT (b) .. CAUSES


Due To (c)


angina Pectoris


OTHER SIGNIFICANT CONDITIONS


20


25


10a If married, widowed, or divorced


HUSBAND of ..


Dorothy Bell


(Give maiden name of wife in full)


(or) WIFE of


(Husband's name in full)


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 hoth 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 heen 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 hy it or by the selectmen for the purpose, shall upon application make the certificate required of the attending physician. If death is caused hy violence, the medical examiner shall make such certificate. If such a permit for the removal of a human hody, 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 hody 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 hoard 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 hy 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 occupa- tion had been given up or changed, or if the deceased had retired from husiness. 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


+50M (B)-12-49-900722


7 NAME OF


FUNERAL DIRECTOR


Murray Goldman


ADDRESS 174 Ferry St. Malden


Received and filed 19


NOV 6


1950


(Registrar)


PERSONAL AND STATISTICAL PARTICULARS


3 DATE OF


DEATH


October 31


(Month)


(Day)


1950 (Year)


8 SEX


M


9 COLOR OR RACE


W


MARRIED


WIDOWED


or DIVORCED


Single


4 I HEREBY CERTIFY,


august ! 1950 to


That


October 31


50


19


I last saw hun alive on October 3/105 death is said to


2:50 a.K.


have occurred on the date stated above. at INTERVAL BE- TWEEN ONSET AND DEATH


DISEASE OR CONDITION DIRECTLY LEADIXO TO DEATH (a)


Carcinoma of


left lung


ANTE


Due To


General


CEDENT (b) ... CAUSES Carcinomatosis


Due To (c) ..


OTHER SIGNIFICANT CONDITIONS


Major findings:


Of operations.


none


Date of operation.


none


Was autopsy performed?


no


What test confirmed diagnosis? Clinical, X-ray, x


laborator


5 Was disease or injury In any way related to occupation of deceased? If so, specify. .. ... 1. (Signed) Jacob 0562 Sunday St, Withup 10/31/57 D.


CHEVRE THILIM CEM. EVERETTLUOGO! Place of Burial or Cremation (City or Town)


DATE OF BURIAL ..


Oct. 31


1950


12


1 year AGE 54 Years


Months 15 Days


If under 24 hours


Hours . Minutes


13 Usual


Auditor


Occupation :.


(Kind of work done during most of working life)


14 Industry


or Business:


Auditing


15 Social Security No.


Zosta


16 BIRTHPLACE (City)


(State or country)


Lithumia


17 NAME OF FATHER David Alpert


18 BIRTHPLACE OF


Zosta


FATHER (City) (State or country) Lithuania


19 MAIDEN NAME OF MOTHER


Mary Raine


Zosta 20 BIRTHPLACE OF MOTHER (City) (State or country) Lithuania


21 Informant (Address) 32


Samuel Alpert


Laurence Et


Everett


I HEREBY CERTIFY that a satisfactory standard certificate of death was filed with me BEFORE the burial or transit permit was issued: Watter & Baker (Signature of Agent of Board of Health or other) Health Officer 10/31/50


(Official Designation)


(Date of Issue of Permit)


200


Community


Hosp.


J(If death occurred in a hospital or institution,


St. [ give its NAME instead of street and number)


2 FULL NAME


ALPERT


EDWARD


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


PHYSICIAN - IMPORTANT (Was deceased a U. S. War Veteran, J Il So specify WARE WAR I


(a) Residence. No. 30 (Usual place of abode)


Woodland


·R.d.


St.


Maldon


Mass.


(If nonresident, give city or town and State)


Length of stay: In place of death years .. 2 months


days. In place of residence


5. years


.months


days.


STRUCTIONS FOR AL CERTIFICATE


In giving E OF DEATH not enter re than one se for each ), (b) and (c)


is does not mean de of dying, such failure, asthenia, - means the disease. plications which death.


orbid conditions. giving rise to the ause (a) stating derlying cause


nditions contrib- the death but not to the disease or n causing death.


No. . PLACE OF DEATH Suffolk (County)


mathe 11/9/50


RM R-301A 1 Winthrop (City or Town) Winthrop


The Commonwealth of Massachusetts EDWARD J. CRONIN SECRETARY OF THE COMMONWEALTH DIVISION OF VITAL STATISTICS STANDARD


To be filed for burial permit with Board of Health or its Agent.


CERTIFICATE OF DEATH


Registered No


10 SINGLE


(write the word)


ended_deceased from


10a If married, widowed, or divorced HUSBAND of .. (Give maiden name of wife in full)


(or) WIFE of


(Husband's name in full)


11 IF STILLBORN, enter that fact here.


2 mos.


PARENTS


6


MEDICAL CERTIFICATE OF DEATH


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 imine- 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 ceinetery 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 hoard of health or its agent aforesaid or from the clerk of the town where the hody is buried. No such permit shall be issued until there shall have heen 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 hy 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 heen 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 of 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 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 hody 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 fromn 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.




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