USA > Massachusetts > Suffolk County > Winthrop > Town of Winthrop : Record of Deaths 1950 > Part 72
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SPACE FOR ADDITIONAL INFORMATION
DATE OF ENTERING MILITARY SERVICE DATE OF DISCHARGE RANK, RATING ORGANIZATION AND OUTFIT SERVICE NUMBER.
T
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 dagny-
Registered No.
J(If death occurred in a hospital or institution.
St. [ give its NAME instead of street and number)
( Burns )
(If deceased is a married, widowed or divorced woman, give also maiden name.)
17 Circuit Road
St.
(If nonresident, give city or town and State)
Length of stay: In place of death years
months 2 days. In place of residence 9 years months .days.
PERSONAL AND STATISTICAL PARTICULARS
8 SEX
9 COLOR OR RACE
10 SINGLE
MARRIED
WIDOWED
or DIVORCED Married
(write the word)
10a If married, widowed, or divorced
HUSBAND of ..
(Give maiden name of wife in full)
(or) WIFE of
ERNEST BAXTER
(Husband's name in full)
11 IF STILLBORN. enter that fact here.
54
12
AGE
Years
Months
Days
If under 24 hours
Hours .. Minutes
13 Usual
Occupation :
Housewife
(Kind of work done during most of working life)
14 Industry
or Business:
Own Home
15 Social Security No. .
16 BIRTHPLACE (City)
(State or country)
Gourock
Scotland
17 NAME OF
FATHER
Michael Burns
18 BIRTHPLACE OF
FATHER (City) (State or country)
Scotland
19 MAIDEN NAME OF MOTHER Ellen MCMEEKIN
20 BIRTHPLACE OF MOTHER (City) (State or country) Scotland
Ernest Baxter
21 Informant (Address) 17 Circuit Road Winthrop
I HEREBY CERTIFY that a satisfactory standard certificate of death was filed with me BEFORE the burial or transit permit was issued: Waller A. Bakker
(Signature of, Agehtof Board of Health of other) Health office (Oficial Designation)
11/20/50
Received and filed
NOV. 2.1 1950
(Registrar)
150 (Year)
4 I HEREBY CERTIFY,
That I attended deceased from
Septio
...
19 So.
to
now
18
I last saw her alive on
nov 18
19 $0, death is said to
have occurred on the date stated above, at
m.
INTERVAL BE- TWEEN ONSET AND DEATH
DISEASE OR CONDITION DIRECTLY LEADING
TO DEATH
(a) Caroronomy occlusion 2 cenebral hemorrhage
Sweets
ANTE CEDENT (b) CAUSES
essential hypertension
Due To (c) ..
OTHER SIGNIFICANT CONDITIONS
Major findings:
Of operations.
Date of operation.
What test confirmed diagnosis? Ekg.A
Was autopsy performed?
5 Was disease or injury in any way related to occupation of deceased? No f so, s Askrenfielil MD
(Signed)
(Address) 447 Shirley H Tumichrop
M. D.
Date. now 18 1950
6 Winthrop Winthrop Place of Burial or Cremation (City or Town)
DATE OF BURIAL ..
NOV
21
,5g
19
7 NAME OF
FUNERAL DIRECTOR.
John F. O'malley
ADDRESS Winthrop Masg
19
No.
Winthrop Community Hospital
Mary Baxter
2 FULL NAME
PHYSICIAN - IMPORTANT
(Was deceased a
U. S. War Veteran.
if so specify WAR)
(a) Residence. No. (Usual place of abode)
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 nderlying cause
nditions contrib- the death but not to the disease or on causing death.
RM R-301A 1
/50M (B)-12-49.900722
MEDICAL CERTIFICATE OF DEATH
3 DATE OF
DEATH
Nov (Month)
18 (Day)
19 50
Female White
PARENTS
(Date of Issue of Permit),
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 discase 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 hest 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 horder service of nineteen hundred and sixteen and nineteen hundred and seventeen. G. L. Chap. 46. Sec. 10.
No undertaker or other person shall hury or otherwise dispose of a human hody 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 carly 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 reinoved 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 ariny. 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 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 * he body is to he 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 interinent 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 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
+
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
Registered No. ..
Mount Convalescent Home , Winthrop. Mas g(If death occurred in a hospital or institution. give its NAME instead of street and number)
PHYSICIAN - IMPORTANT -
(Was deceased a
U. S. War Veteran,
if so specify WAR)
None
(a) Residence. No. 515 Belmont Street,
St. Belmont, Mass (If nonresident, give city or town and State)
(Usual place of abode)
Length of stay: In place of death - years
months
1 WK. 20 days. In place of residence years
.months - . days.
MEDICAL CERTIFICATE OF DEATH
3 DATE OF
DEATH
(Month)
(Day)
1950 (Year)
8 SEX
9 COLOR OR RACE
10 SINGLE
MARRIED
WIDOWED
or DIVORCEWidowed
4 I HEREBY CERTIFY.
4.5.
to
Nov. 20
19
5
10a If married, widowed, or divorced
HUSBAND of
(Give maiden name of wife in full)
(or) WIFE of
Henry M.Nutting
(Husband's name in full)
have occurred on the date stated above, at
DISEASE OR CONDITION DIRECTLY L Rightfemoral embolism
TO DEATH (a)
with pipene
4 days
12 AGE 76 Years ~
Months
-
Days
Hours
Minutes
13 Usual
Occupation :
Housewife (Kind of work )ne during most of working life)
14 Industry
or Business:
At Home
15 Social Security No.
None
16 BIRTHPLACE (City) (State or country) Mass
Fitchburg,
17 NAME OF FATHER John Costello
18 BIRTHPLACE OF Fitchburg, FATHER (City) (State or country) Mass
19 MAIDEN NAME
OF MOTHER
Unknown
20 BIRTHPLACE OF MOTHER (City) (State or country)
Unknown
6 St .. Bernards Cemetery, Fitchburg, Place of Burial or Cremation (City or ToMa S S .
DATE OF BURIAL November 22, .19
50
7 NAME OF
Tom. J. mahoney & Co
ADDRESS598 Dudley St. , Rox. , Mass
Received and filed. W 29 1950 -19
(Registrar)
PARENTS
21 Mrs.Edmund Low (Daughter)
(Address)515 Belmont St. , Belmont, Mass
I HEREBY CERTIFY that a satisfactory standard certificate of death was filed with me BEFORE the burial or transf permit was issued:
Walter & Baker (Signature of Agent of Board of Health or other) Halili Officer /(Official Designation) (Date of Issue of Permit)
11/2//50
TRUCTIONS FOR L CERTIFICATE
giving : OF DEATH not enter e than one e for each , (b) and (c)
s does not mean e of dying, such Failure, asthenia, eans the disease, lications which eath.
bid conditions. iving rise to the use (a) stating derlying cause
ditions contrib- the death but not O the disease or causing death.
Major findings: Of operations.
Date of operation
What test confirmed diagnosis?
Vas autopsy performed? clinical
5 Was disease or injury in any way related to occupation of deceased? If so, Paul D'Weinsaft. 11/20 M. D. (Signed) (Address) 235 Shore Drais theo Date 1912
: ys
CAUSES
CEDENT
(b)
Cardio-vil disease
Due To generalized arteria virosis is Hypertension
? yrs
OTHER SIGNIFICANT CONDITIONS
'50M (8)-12-49-900722
PLACE OF DEATH
M R-301A 1
No.
Julia Kutting 2 FULL NAME
(Lf deceased is a married, widowed or divorced woman, give also maiden name.)
PERSONAL AND STATISTICAL PARTICULARS
(write the word)
Female White
That I attended deceased from
19
I last saw h en .alive on 943 Pm.
19 J . death is said to
INTERVAL BE- TWEEN ONSET AND DEATH 11 IF STILLBORN. enter that fact here.
If under 24 hours
ANTE
arterio Acestia
November
20
Belmont 12/8/50
To be filed for burial permit with Board of Health or its Agent. 221
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 hy section forty-five of chapter one hundred and four- teen, shall. if the deceased, to the hest 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 hoard, 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 tomh 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 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 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 permit. The board of health, or its agent, upon receipt of such statement and certificate. shall forthwith countersign it and transmit it to the clerk of the town for registra- tion. The person to whom the permit is so given and the physician certifying the cause of death shall thereafter furnish for registration any other necessary information which can be obtained as to the deceased, or as to the manner or cause of the death, which the clerk or registrar may require .- Chap. 114, Sec. 45. G. L., (Tercentenary Edition).
Medical examiners shall make examination upon the view of the dead bodies of persons as are supposed to have died by violence, or by the action of chemical, thermal or electrical agents or following ahortion, 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,Sur. 6.1 as amended by Chap. 6.32. 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 elerk 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.
Chapl 114, Sec. 46, G. L .. (Tercentenary Edition).
RULES OF PRACTICE
The fulfillment of the purpose of these laws calls for the ohservance of the follow- ing rules of practicelui
(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 disahled 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 braminers willinvestigate and certify to all deaths supposably due to injury. These include not only deaths caused directly or indirectly by traumatism (including resulting septicemia), and by the action of chemical (drugs or poisons) thermal, or electrical agents, and deaths following abortion, but also deaths from disease resulting from injury or infection related to occupation. the sudden deaths of persons not disabled by recognized disease, and those of persons found dead.
Statement of Cause of Death .- Physicians: see explanatory instructions on face side of standard certificate of death.
Statement of Occupation .- Precise statement of occupation is very import- ant, so that the relative healthfulness of various pursuits can be known. Make some entry in this section for every person aged 10 years or over. If the occupa- tion had been given up or changed, or if the deceased had retired from business, report the kind of work done during most of working life even if retired. Children not gainfully employed may be returned as at school or at home. For a woman whose only occupation was that of home housework, write housework. For a person engaged in domestic service for wages, however, designate the occupation by the appropriate terms, as housekeeper-private family, cook-hotel, etc. For a person who had no occupation whatever write none.
SPACE FOR ADDITIONAL INFORMATION
DATE OF ENTERING MILITARY SERVICE DATE OF DISCHARGE RANK, RATING ORGANIZATION AND OUTFIT SERVICE NUMBER
M R-301A 1
PLACE OF DEATH No.
(County) + Suffolk Winthrop (City or Town 40 Pico are
The Commonwealth of Massachusetts EDWARD J. CRONIN, SECRETARY DIVISION OF VITAL STATISTICS STANDARD CERTIFICATE OF DEATH
To be filed for burial permit with Board of Health or its Agent.
£22
Registered No.
J(If death occurred in a hospital or institution, St. [ give its NAME instead of street and number)
Annem (Parey) Wakefield
2 FULL NAME
(If deceased is a married, widowed or divorced woman, give also maiden name.) 40 Pico are
St
(If nonresident, give city or town and State)
Length of stay: In place of death 47 years + months. days. In place of residence
4 years + .. months days.
MEDICAL CERTIFICATE OF DEATH
PERSONAL AND STATISTICAL PARTICULARS
8 SEX
F
9 COLOR OR RACE
W
10 SINGLE
MARRIED
WIDOWED
OF DIVORCED
i
(Give praiven name of wife in full),
(write the word)
Widower
4 I HEREBY CERTIFY,
That I attended deceased from
Jan.
1/1947 to
200. 20
1950
I last saw
he alive on
2000. 20, 1950 death is said to
have occurred on the date stated above, at 4:30 P.m.
DISEASE OR CONDITION
DIRECTLY LEADING
TO DEATH (a)
Coronary Thrombosis
INTERVAL BE- TWEEN ONSET AND DEATH / wk.
ANTE
CEDENT
CAUSES
Due Toplanetencine - Comoman
arcity Heart Discord
3 yrs
Due To (c)
OTHER
SIGNIFICANT
CONDITIONS
Major findings:
Of operations.
Date of operation 200
Was autopsy performed ?. 200
What test confirmed diagnosis?
Clinical
·
5 Was disease or injury in any way related to occupation of decease? 20
(Signed).
M. D. (Address) 26 Wane Way Giur Date 11/20/ 1950
6 Windup Place of Burial or Cremation (City or Town)
DATE OF BURIAL
7 NAME OF FUNERAL a. P. Graham
ADDRESS
Received and filed NOV 22 1950 19
(Registrar)
10a If married, widowed, or divorced HUSBAND of .. John & Wakefield (or) WIFE of
(Husband's name in full)
11 IF STILLBORN, enter that fact here.
12
67 Years
AGE .
8
Months
6
Days
If under 24 hours
Hours ..
. Minutes
13 Usual
Occupation :
+ Home ind of work done during most of working life)
14 Industry or Business:
15 Social Security No .... ...
16 BIRTHPLACE (C
(State or country)
) Kent England
17 NAME OF
Henry Vaney
18 BIRTHPLACE OF FATHER (City) (State or country)
England
19 MAIDEN NAME OF MOTHER Alice Ford Dunn
20 BIRTHPLACE OF MOTHER (City) (State or country) Aihn Wakefield
England
21 Informant (Address) Forrest ST Winchester
I HEREBY CERTIFY that a satisfactory standard certificate of death was filed with me BEFORE the burial or transi permit was issued: Walter S.Bakan
(Signature of Agent of Board of Health or other)
HO nov 22,50
(Official Designation)
(Date of Issue of Permit)
+
TRUCTIONS FOR AL CERTIFICATE
n giving E OF DEATH not enter e than one se for each , (b) and (c)
is does not mean e of dying, such failure, asthenia, eans the disease, plications which eath.
bid conditions. iving rise to the use (a) stating derlying cause
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