Town of Winthrop : Record of Deaths 1950, Part 66

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


USA > Massachusetts > Suffolk County > Winthrop > Town of Winthrop : Record of Deaths 1950 > Part 66


Note: The text from this book was generated using artificial intelligence so there may be some errors. The full pages can be found on Archive.org (link on the Part 1 page).


Part 1 | Part 2 | Part 3 | Part 4 | Part 5 | Part 6 | Part 7 | Part 8 | Part 9 | Part 10 | Part 11 | Part 12 | Part 13 | Part 14 | Part 15 | Part 16 | Part 17 | Part 18 | Part 19 | Part 20 | Part 21 | Part 22 | Part 23 | Part 24 | Part 25 | Part 26 | Part 27 | Part 28 | Part 29 | Part 30 | Part 31 | Part 32 | Part 33 | Part 34 | Part 35 | Part 36 | Part 37 | Part 38 | Part 39 | Part 40 | Part 41 | Part 42 | Part 43 | Part 44 | Part 45 | Part 46 | Part 47 | Part 48 | Part 49 | Part 50 | Part 51 | Part 52 | Part 53 | Part 54 | Part 55 | Part 56 | Part 57 | Part 58 | Part 59 | Part 60 | Part 61 | Part 62 | Part 63 | Part 64 | Part 65 | Part 66 | Part 67 | Part 68 | Part 69 | Part 70 | Part 71 | Part 72 | Part 73 | Part 74 | Part 75 | Part 76 | Part 77 | Part 78 | Part 79 | Part 80 | Part 81 | Part 82 | Part 83 | Part 84 | Part 85


(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


1.


PLACE OF DEATH Italy (County)


Rome (City of Town) Rome


Italy


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


PHYSICIAN - IMPORTANT


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


no


(a) Residence. No. (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


3 DATE OF


DEATH


november 2


(Month)


(Day)


1950


(Year)


8 SEX


Male


9 COLOR OR RACE


White


10 SINGLE MARRIED WIDOWED or DIVORCED


widowed


4 I HEREBY CERTIFY,


That I attended deceased from


19


to


19


10a If married, widowed/ or divorced


HUSBAND of .


Mary


A. M: Enaney


(Giye maiden name of wife in full)


I last saw h ..


alive on


19


death is said to


have occurred on the date stated above, at .m.


INTERVAL BE-


DISEASE OR CONDITION


DIRECTLY LEADING


TO DEATH (a)


Stated


TWEEN ONSET AND DEATH


11 IF STILLBORN, enter that fact here. -


12


AGE 67 Years


Months


Days


If under 24 hours .Hours . .. Minutes


13 Usual


Occupation:


Salesman


(Kind of work done during most of working life)


14 Industry


or Business:


Beer


15 Social Security No ..


Boston


16 BIRTHPLACE (City)


(State or country)


маса.


17 NAME OF


FATHER


Thomas Hennessy


18 BIRTHPLACE OF FATHER (City) (State or country)


Freland


19 MAIDEN NAME


OF MOTHER


Mary Cummings


20 BIRTHPLACE OF MOTHER (City) (State or country) tass.


21 Informant


Thomas Hennessy (Address) 23 Gould Sty, Wakefield, Wass.


I HEREBY CERTIFY that a satisfactory standard certificate of death was filed with me BEFORE the burial of transit permit was issued: William J. Jane 23/18


(Signature of frent of Board of Health or other) Nov 1 6 9950


(Official Designation) / (Date of Issue of Permit)


50m-(b)-11-49-900,560


6 Winthrop


Winthrop


Place of Burial or Cremation november 18 19 50


DATE OF BURIAL


7 NAME OF FUNERAL DIRECTOR R John G. Kelly


ADDRESS 286 Meridian St., 2. 13.


Received and filed 19


NOV 29 1950


(Registrar)


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.


204


Registered No.


No. Michael & Hennessy 2 FULL NAME ..


(If deceased is a married widowed or divorced woman, give also maiden name.) 74 Washington Are.


Winthrop


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


is does not mean le of dying, such failure, asthenia, . reans the disease. plications which eath.


bid conditions, giving rise to the use (a) stating derlying cause


ditions contrib- the death but not o the disease or causing death.


Major findings: Of operations.


Permil


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) (Address) Date .


M. D.


19


PARENTS


(write the word)


(or) WIFE of


(Husband's name in full)


ANTE Due To CEDENT (b) CAUSES


Due To


(c)


OTHER SIGNIFICANT CONDITIONS


(City or Town)


Boston


M R-301A


TRUCTIONS FOR AL CERTIFICATE


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 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 à permit for the removal of a human body, not previously interred, from one townd- 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 1 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 transit 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 issuc 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 hell, 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., (Tcrcentenary 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


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


law, or in lieu thereof a certificate as hereinafter provided. If there is no attending › on face side of standard certificate of death.


114 *


Y


10M-70148


TRANSIT LABEL DEPARTMENT OF HEALTH OF THE CITY OF NEW YORK (This certificate must be securely attached to the box)


FUNERAL DIRECTOR'S CERTIFICATE


I hereby certify that I hold Undertaker's License No 5024 issued by the Department of Health of the State of


New York, and New York City Permit No. 2177 I further certify that the dead body of. michael


I. Hennessy who died in the Borough of Rome, Italy


York, on. 2 1950 consigned to Boston, mass ., City of New York, State of New 7


has been


prepared under my direction for transportation, in conformity with Regulation 1, Subdivision. 2 of the rules printed


on the reverse of this certificate. I have been granted permission to remove and ship this body by Burial-Cremation-Transit Transit Queens


Permit No ..


421


issued by the Department of Health of the City of New York.


Embalmer's License No .. ........


Signed


Universal Funeral Chapel


597 Lexdshippidk Lateral Director) VON.Y.


Name of Escort


Railway Express


Place of Business


EXCERPTS FROM REGULATION 1 OF CHAPTER XIII OF THE SANITARY CODE OF THE STATE O NEW YORK, RELATING TO THE TRANSPORTATION OF DEAD BODIES BY COMMON CARRIERS :


(2) The transportation by common carriers of bodies dead of any diseases other than those mentioned in subdivision shall be permitted only under the following conditions :


(a) The coffin or casket shall be encased in a strong outer box made of good sound lumber, not less than 7% of an inc thick. All joints shall be securely put together and the box tightly closed. Either the coffin or casket, or the outer box o case, shall be water-tight. Every outside case holding any dead body offered for transportation by common carrier shall bea at least four handles and when over 5 feet 6 inches in length, shall bear 6 handles.


(b) When the destination cannot be reached within 60 hours after death, all body orifices shall be closed with absorber cotton and the body placed at once in a coffin or casket which shall be immediately closed and the coffin or casket shall b prepared as indicated in subdivision (2-a) of this regulation.


(3) The transportation by common carrier of bodies dead of smallpox, plague, Asiatic cholera, typhus fever, diphtheri (membranous croup, diphtheritic sore throat), scarlet fever (scarlet rash, scarlatina), shall be permitted only under the follow ing conditions :


All body orifices shall be closed with absorbent cotton, the body shall be enveloped in a sheet saturated with an effective disinfecting fluid and shall be placed at once in a coffin which shall be immediately and permanently closed. The coffin o casket shall be prepared as indicated in subdivision (2-a) of this regulation.


1/2 M-070148 . 94


421


is permit must be handed to keeper of the Cemetery or matory by the Funeral Direc- in charge of the funeral.


DEPARTMENT OF HEALTH OF THE CITY OF NEW YORK BUREAU OF RECORDS AND STATISTICS TRANSIT PERMIT DEATHS OCCURRING OUTSIDE CITY LIMITS


New York, .. November 15000


..


A Transit Permit* The Certificate of Death* having been furnished to this Department, as required by the Sanitary Code, permission is


by given to


move the remains of mil


a00


A3 Magea la Irs


Days


died at


19 ..... ) 50 from.


cremation* burial* at 9not


Boston


Mural


on


Borough Registrar


out one.


Cemetery East Boston, mas.


Per


Crematory" Record by Cemetery* Representative


Cremation* Date of Burial*


Location of Grave ..


Signature


*Cross out one.


TRANSIT PERMITS


When the body is accompanied by an acceptable burial or transit permit issued by a board of health, health officer, registrar, or other duly authorized person in any state of the United States, that permit may be accepted by the cemetery for disposal of the body in accordance with the terms of that permit, provided the name of the cemetery or crematory appears on the permit. If the name of the cemetery or crematory does not appear, or if disposition of the body is desired other than as prescribed on that permit, such permit must then be exchanged for one issued by the Department of Health of the City of New York. A permit will be issued by the New York City Depart- ment of Health only in exchange for the papers and evidences of identity which have accompanied the body from the place of death and upon a written application on blanks furnished by this Department. Permits will not, in any case, be issued in advance of the arrival of the body.


EXTRACTS FROM SANITARY CODE


Section 41. The body of every person who has died in the City of New York shall be buried, cremated or otherwise disposed of, within four days after the date of death; how- ever, upon application by the funeral director, the Registrar of Records may extend the time limitation, and specify how long and under what conditions the body may be retained unburied.


Section 42. No interment, cremation, or other disposition, of the dead body of any human being shail be made in the City of New York without a permit therefor issued by the Bureau of Records and Statistics of the Department of Heaith of the City of New York or other authority as here- inafter in this section provided or otherwise than in accord- ance with the terms of such permit and the regulations of the Board of Health .. . A permit issued by the depart- ment of heaith, heaith officer, registrar of vital statistics or other authorized person in any state of the United State's may be accepted in lieu of the permit of the Bureau of Records and Statistics provided the name of the cemetery appears thereon. It shall be the duty of every person having charge of any cemetery, mausoleum, vault, tomb, or crema- tory in the City of New York, to file such permit as a permanent record.


RM 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)


Boston


(City or Town)


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.


9323205


2 FULL NAME.


Mary Pinksohn


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


28 Neptune Ave.


St.


(If nonresident, give city or town and State)


Length of stay: In place of death.


.. years.


months.


3


.days.


In place of residence.


.years


.. months ..


.days.


MEDICAL CERTIFICATE OF DEATH


PERSONAL AND STATISTICAL PARTICULARS


3 DATE OF


DEATH


Nov. 2/50


(Month)


(Day)


(Year)


4 I HEREBY CERTIFY.


That


attended deceased from


Nov.2


50


Oct ..... 31,


19


50


to


19


19


death is said to


have occurred on the date stated above, at


5;30P


m.


INTERVAL BE-


(or) WIFE of.


George Pinksohn


(Husband's name in full)


DISEASE OR CONDITION


DIRECTLY LEADINGAcute myocardial


TO DEATH (a)


infarction


TWEEN ONSET


AND DEATH


11 IF STILLBORN, enter that fact here.


4 ay's


83.


12


AGE


Years


Months.


.Days


If under 24 hours


Hours ...


Minutes


ANTE


Due To


CEDENT (b)


CAUSES


Due To (c)


OTHER


SIGNIFICANT


CONDITIONS


Pneumonia


4 Days


Major findings:


Of operations.


None


No


Date of operation


.Was autopsy performed?


What test confirmed diagnosis?


Electrocardiogram


No


19 MAIDEN NAME


OF MOTHER


Augusta Kyle


20 BIRTHPLACE OF


MOTHER (City)


(State or country)


Germany


6


Place of Burial or Cremation Nov.5/50


(City or Town)


DATE OF BURIAL


B F Solomon


7 NAME OF


FUNERAL DIRECTOR


Brookline Mas's"


ADDRESS.


19


Received and filed NOV 1 5 1950


(Registrar of City or Town where deceased resided)


PARENTS


18 BIRTHPLACE OF


FATHER (City)


(State or country)


Germany


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


If so, specify.


R Wolff


(Signed).


Beth Israel Hospi. 11-2


M.


.19.


(Address)


Chabei Shalom Cem-Last Boston


19


21


Informant


(Address)


Mrs Ruth Luftman


A TRUE COPÝ


TEST: Parles 2 Znackis


(Registrar of City of Town where death occurred) Nov. 6/50


DATE FILED


19


(write the word)


8 SEX


F


9 COLOR OR RACE


W


10 SINGLE


MARRIED


WIDOWED


or DIVORCED


Widowed


10a If married, widowed, or divorced


HUSBAND of


(Give maiden name of wife in full)


Housewife


14 Industry


or Business:


At Home


15 Social Security No.


None


Boston Mass.


16 BIRTHPLACE (City)


(State or country)


17 NAME OF


FATHER


Simon Reinstein


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


No.


Beth Israel Hospital


.


J(If death occurred in a hospital or institution,


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


(Was deceased a


U. S. War Veteran,


if so specify WAR)


Winthrop Mass.


(a) Residence.


No.


(Usual place of abode)


35


I last saw h.


er ... alive on.


Nov. 2


50


13 Usual


Occupation:


(Kind of work done during most of working life)


+


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.


206


2 FULL NAME trumsons Samuel


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


PHYSICIAN - IMPORTANT (Was deceased a U. S. War Veteran. No if so specify WAR)


(a) Residence. No. s Locust St. Winthrop, Mass (Usual place of abode)


Length of stay: In place of death . years. 1 months 18 .days. In place of residenc20


years .. . .. . . months days.


MEDICAL CERTIFICATE OF DEATH


PERSONAL AND STATISTICAL PARTICULARS


3 DATE OF


DEATH


november 3, 1950 (Month) (Day) (Year)


4 I HEREBY CERTIFY,


That I


attended deceased from


1950. 3 nav.


1950


I Vast saw hun alive on 3 hour., 1950, death is said to


have occurred on the date stated above. at 7: 15 P.m.


DISEASE OR CONDITION DIRECTLY LEADING TO DEATH (a) Carcinoma of Colon


5 month


12


AGE(


.70


Years


Months


Days


If under 24 hours


Hours


Minutes


13 Usual


Occupation :


Junk Dealer


(Kind of work done during most of working life)


14 Industry


15 Social Security No ..


None


16 BIRTHPLACE (City) .


(State or country)


Russia


17 NAME OF FATHER Joseph Frumson


18 BIRTHPLACE OF FATHER (City) (State or country) Russia


19 MAIDEN NAME


OF MOTHER


Etta-Cannot be learned


20 BIRTHPLACE OF


MOTHER (City)


(State or country)


Russia


21 Informant


George Frumson (Addres909 Beacon 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 H. Bakker


(Signature of Agent of Board of Health or other)


Health Of (Official Designation) (Date of Issue of Permit)


11/4/50


(Registrar)


8 SEX


Male


9 COLOR OR RACE


White


10 SINGLE


MARRIED


WIDOWED


or DIVORCED


(write the word)


Widow


10a If married, widowed.8


HUSBAND of ..


Fannie Feinzig


(Give maiden name of wife in full)


(or) WIFE of


(Husband's name in full)


INTERVAL BE- TWEEN ONSET AND DEATH 11 IF STILLBORN, enter that fact here.


ANTE


Due To


CEDENT (b) CAUSES


Due To (c)


OTHER SIGNIFICANT CONDITIONS


Major findings:


Carcinomatrois, queralized


Date of operation. June 1950


What test confirmed diagnosis?


Was autopsy performed? Pathological


PARENTS


5 Was disease or injury in any way related to occupation of deceased? 200


If so, specify


Oliveles Liberan


M. D.


(Signed)


(Address) 26 Wave Way Like. With Date 3 hour. 1950


6 Montifiore Place of Burial or Cremation


DATE OF BURIAL


November


5,


19 50


(City or Town)


7 NAME OF Benjamin Birnbach FUNERAL DIRECTOR 10 Washington St. , Dorchester ADDRESS


Received and filed


NOV 6 1950 19


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


INSTRUCTIONS FOR CAL CERTIFICATE In giving SE OF DEATH o not enter ore than one use for each ), (b) and (c)


his does not mean de of dying, such t failure, asthenia, means the disease, aplications which death.


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


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


RM R-301A 1


Registered No.


Winthrop Community Hosp. No.


J(If death occurred in a hospital or institution,


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


St. . (If nonresident, give city or town and State)


Woburn, Mass


.


or Business:


Retired


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.




Need help finding more records? Try our genealogical records directory which has more than 1 million sources to help you more easily locate the available records.