USA > Massachusetts > Suffolk County > Winthrop > Town of Winthrop : Record of Deaths 1950 > Part 67
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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 cen.etery, until he has received a permit from the board of health or its agent aforesaid or ffhm 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 o? 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 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 dore during most of working life even if retired. Children not gainfully employed may be returned as at school or at home. For a woman whose only occupation was that of home housework, write housework. For a person engaged in domestic service for wages, however, designate the occupation by the appropriate terms, as housekeeper-private family, cook-hotel, etc. For a person who had no occupation whatever write none.
SPACE FOR ADDITIONAL INFORMATION
DATE OF ENTERING MILITARY SERVICE DATE OF DISCHARGE RANK, RATING ORGANIZATION AND OUTFIT SERVICE NUMBER
RM R-302 1
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)
93 64
Registered No. ..
207
f(If death occurred in a hospital or institution, St. \ give its NAME instead of street and number)
2 FULL NAME.
Jacob Sprince
(If deceased is a married, widowed or divorced woman, give also maiden name.)
47 Nevada
Winthrop
St.
(If nonresident, give city or town and State)
Length of stay: In place of death
years ..
months.
1
days. In place of residence
26years
months
.days.
MEDICAL CERTIFICATE OF DEATH
PERSONAL AND STATISTICAL PARTICULARS
3 DATE OF
DEATH
NOV.
4, 1950
(Day)
(Year)
8 SEX
MALE
9 COLOR OR RACE
WHITE
MARRIED
WIDOWED
or DIVORCED
MARRIED
4 I HEREBY CERTIFY,
That I attended deceased from
Nov.
4
150
NOV. 4
50
I last saw
h
im
alive on NOV
4
19 ...
5 Death is said to
have occurred on the date stated above, at
9:25Pm.
INTERVAL BE- TWEEN ONSET ANO DEATH
11 IF STILLBORN, enter that fact here.
12
64
.Months.
Days
If under 24 hours
Hours
Minutes
ANTE
Due To
CEDENT (b) ..... Coronary arteriosclerosis
Due To (c)
Diabetes mellitus
25
yr
BIRTHPLACE (City)
(State or country)
RUSSIA
OTHER
SIGNIFICANT
CONDITIONS
Major findings:
Of operations
Date of operation
Was autopsy performed ?... no.
What test confirmed diagnosis ?.
5 Was disease or injury in any way related to occupation of deceased ?.... no. If so, specify
(Signed).
Edwin C ....... WOOD
M. D.
(Address) MASS. GEN. HOSP Date 11 -5-509
Mt. Lebannon
Town)
DATE OF BURIAL
NOV. 5,1950
19
21
Informant
(Address)
WIFE
7 NAME OF
FUNERAL DIRECTOR
10 Washington St. Dor.
ADDRESS.
Received and filed.
Nov. : 50.
19
(Registrar of City or Town where deceased resided)
PARENTS
17 NAME OF
FATHER
Bernard Sprinse
18 BIRTHPLACE OF
FATHER (City)
(State or country)
Russia
19 MAIDEN NAME
OF MOTHER
Hannah
20 BIRTHPLACE OF
MOTHER (City) Russia
(State or country)
Place of Burial or Cremation
Benjamin Birnbach
A TRUE COPY
ATTEST:
(Registrar of City or Town where death occurred)
NOV. 7, 1950
DATE FILED
...... .. 19
25m-(b)-11-49-900,475
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 CAUSES
WRITE PLAINLY, WITH UNFADING BLACK INK - THIS IS A PERMANENT RECORD
No.
Mass. General Hosp.
.
(Was deceased a
U. S. War Veteran,
if so specify WAR)
(a) Residence. No. (Usual place of abode)
10a If married, widowed, or divorced
HUSBAND of.
Rebecca Taplin
(Give maiden name of wife in full)
(or) WIFE of
(Husband's name in full)
DISEASE OR CONDITION
DIRECTLY LEADING
TO DEATH (a)
Infarction of the
myocardium due to
thrombosis
13 Usual
Occupation:
ret. tailor
(Kind of work done during most of working life)
82 yrs
14 Industry
or Business:
15 Social Security No ..
010-03-4909
10 SINGLE
(write the word)
(Month)
RECEIVE.
12
1
3
L
6
HROP.
Mois.
0GT 131950 AM
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 ita Agent. 208
Registered No.
J(If death occurred in a hospital or institution. St. Į give its NAME instead of street and number)
2 FULL NAME
Edward B Currier (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. 57 Loring Road (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
4 3years
months
.. days.
MEDICAL CERTIFICATE OF DEATH
PERSONAL AND STATISTICAL PARTICULARS
3 DATE OF
DEATH
November 5, 1950
(Month)
(Day)
(Year)
8 SEX
Male
9 COLOR OR RACE
White
10 SINGLE
(write the word)
MARRIED
WIDOWED
or DIVORCEDWidowed
4 I HEREBY CERTIFY,
That I attended deceased from
Left 2.6. 1950.
to.
nov 5
19 50
I last saw him alive on
nov. 4.
19 50, death is said to
have occurred on the date stated above, at 6:45 A.
m.
INTERVAL BE- TWEEN ONSET AND DEATH
11 IF STILLBORN, enter that fact here.
12
AGE
8.4.Years
.. 9 Months
21 Days
If under 24 hours
Hours . Minutes
13 Usual
Occupation:
Fruit Merchant
(Kind of work done during most of working life)
14 Industry
or Business:
Export
15 Social Security No.
019-12-8219
16 BIRTHPLACE (City)
(State or country)
Mass.
17 NAME OF FATHER Horace P Currier
18 BIRTHPLACE OF
Lyman
FATHER (City)
(State or country)
Maine
19 MAIDEN NAME
OF MOTHER
Ellen Boardman
20 BIRTHPLACE OF
MOTHER (City)
Wakefield
(State or country)
Mass.
-
DATE OF BURIAL
Nov. 7.
1950
7 NAME OF
Zwarg S Junoles
ADDRESS Winthis makes
Received and filed
MNOOW 1:01 19.000
19
(Registrar)
NOV 10 1950
PARENTS
5 Was disease or injury in any way related to occupation of deceased? No If so, $ Specify Arthur . Annars D.
(Signed)
Winthrop Mass Date Nov 6/ 1950
(Address)
6
Woodlawn
Place of Burial or Cremation
Everett (City or Town)
21 Informant (Address) Oswego New York
Gardner Currier
I HEREBY CERTIFY that a satisfactory standard certificate of death was filed with me BEFORE the burial or transit permit was issued: Walter S. Bakles (Signature of Agent of Board of Health or other) Thealex Office 11/7/50
(Official Designation)
(Date of Issue of Permit)
ISTRUCTIONS FOR CAL CERTIFICATE
In giving SE OF DEATH o not enter re than one une 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 ause (a) stating nderlying cause
nditions contrib. the death but not to the disease or on causing death.
+50M (B)-12-49-900722
DISEASE OR CONDITION DIRECTLY LEADING TO DEATH (a) a) Generalized
ANTE CEDENT (b) CAUSES
Due To arterio-selenia
Due To (c)
OTHER SIGNIFICANT CONDITIONS
Prostation
Wakefield
Major findings:
Of operations
none
Date of operation
Was autopsy performed? 20
What test confirmed diagnosis?
clinical
10a If married, widowed, or divorced
HUSBAND of
Sarah Gardner
(Give maiden name of wife in full)
(or) WIFE of
(Husband's name in full)
4.3
57 Loring Road
No.
RM R-301A 1
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 clisense 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
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 perinit. 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 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 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 occupa- tion had been given up or changed, or if the deceased had retired from business, report the kind of work done during most of working life even if retired. Children not gainfully employed may be returned as at school or at home. For a woman whose only occupation was that of home housework, write housework. For a person engaged in domestic service for wages, however, designate the occupation by the appropriate terms, as housekeeper-private family, cook-hotel, etc. For a person who had no occupation whatever write none.
SPACE FOR ADDITIONAL INFORMATION
DATE OF ENTERING MILITARY SERVICE DATE OF DISCHARGE RANK, RATING ORGANIZATION AND OUTFIT SERVICE NUMBER
RM R-301A 1
PLACE OF DEATH
Suffolk. (County) Nathrop (City or TownY
The Commonwealth of Massachusetts OFFICE OF THE SECRETARY DIVISION OF VITAL STATISTICS STANDARD CERTIFICATE OF DEATH
To be filed for burla! permit with Board of Health or its Agent. 209
Registered No.
J(If death occurred in a hospital or institution, give its NAME instead of street and number)
Elizabeth (MC Lean) Mccormack (If deceased is married, widowed or divorced weman, give also maiden game.} 67 Bates are. St.
(a) Residence. No. (Usual place of abode Length of stay: In place of death . . years . months ..
days. In place of residence
33 years months .days.
MEDICAL CERTIFICATE OF DEATH
PERSONAL AND STATISTICAL PARTICUL
9 COLOR OR RACE Here White
10 SINGLE
MARRIED
WIDOWED
or DIVORCED
10a If married, widowed, or divorced HUSBAND of
(or) WIFE of
(Husband's name in full)
11 IF STILLBORN. enter that fact here.
12 84 Year
Months Days
If under 24 hours
.Hours . Minutes
13 Usual Occupation :.
Home
(Kind of work done during most of working life)
14 Industry or Business:
15 Social Security No. .
16 BIRTHPLACE (City) (State or country)
17 NAME OF FATHER
Donald McLean
18 BIRTHPLACE OF FATHER (City) (State or country)
Per.
19 MAIDEN NAME OF MOTHER 1. May & MCPhee
20 BIRTHPLACE OF MOTHER (City) (State or country)
Scotland.
21 Informant (Address)
Many @ MED wald 67 bath One Wwaty
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 Agent of Board of Health' or other) Healthe Office 11/8/50
(Official Designation) (Date of Issue of Permit)
Widowed
3 DATE OF
DEATH
November 5
(Month) (Day)
1950 (Year)
4 I HEREBY CERTIFY.
That I attended deceased from
Nov 3 19 5.6 .... to Nov 5
1050
I last saw her alive on Nov
4
1950, death is said to
have occurred on the date stated above, at 1º P. .. m.
INTERVAL BE- TWEEN ONSET AND DEATH
DISEASE OR CONDITION
DIRECTLY LEADING
TO DEATH (a)
UREMIA
ANTE Due To CEDENT (b) CAUSES
Due To (c)
OTHER
SIGNIFICANT ..
CONDITIONS
Senility
Major findings:
Of operations.
Date of operation. Was autopsy performed? What test confirmed diagnosis? URINAYSES
5 Was disease or injury in any way related to occupation of deceased ?. No
If so, specify ...
(Signed)
(Add: 2 4:47 Shirley St. Whichno Do Jan Y
.1950
.. M. D.
6 /Plate of Burial or Creation
DATE OF BURIAL .. 19
7 NAME OF FUNERAL DIRECTOR
Manque Nathaly
ADDRESS
Received and filed.
.19
NOV 10. 1950
(Registrar)
PARENTS
Nuluss City of Towny
100M-(D)-10-48-24688
67 Bater Que No.
2 FULL NAME ..
PHYSICIAN - IMPORTANT (Was deceased a U. S. War Veteran, if so specify WAR)
(If nonresident, give city or town and State)
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) staling derlying cause
nditions contrib- the death but not to the disease or n causing death.
Prime Elyak cloud Canada.
48 hours
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.
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