Town of Winthrop : Record of Deaths 1950, Part 83

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

USA > Massachusetts > Suffolk County > Winthrop > Town of Winthrop : Record of Deaths 1950 > Part 83

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(or) WIFE of

(Husband's name in full)

4 days

14 days

2yrs

PARENTS

Italy .

RM R-301A 1

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 liscase 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 physici;in 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- een, 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 hall also certify in such certificate both the primary and the secondary or imme- liate cause of death as nearly as he can state the same. For neglect to comply vith 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 elief expedition and the Philippine insurrection, which shall, for said purposes, be leemed to have taken place between February fourteenth, eighteen hundred and ninety-eight and July fourth, nineteen hundred and two, and the Mexican border ervice 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 n a town. or remove therefrom a human body which has not been buried, until he as received a permit from the board of health, or its agent appointed to issue uch permits, or if there is no such board, from the clerk of the town where the erson died; and no undertaker or other person shall exhume a human body and emove it from a town, from one ceinetery to another, or from one grave or tomb ther than the receiving tomb to another in the same cemetery, until he has eceived a permit from the board of health or its agent aforesaid or from the clerk f the town where the body is buried. No such permit shall be issued until there hall have been delivered to such board, agent or clerk, as the case may be, satisfactory written statement containing the facts required by law to be eturned and recorded, which shall be accompanied, in case of an original inter- nent, by a satisfactory certificate of the attending physician, if any, as required by aw, 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 nough for the purpose, or is insufficient, a physician who is a member of the board f health, or employed by it or by the selectmen for the purpose, shall upon pplication make the certificate required of the attending physician. If death is

aused by violence, the medical examiner shall make such certificate. If such a ermit for the removal of a human body, not previously interred, from one town o 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 he undertaker desiring to make such removal shall constitute a permit for such emoval; 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 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 of cause of the death, which the elerk 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 inade.

Chap. 114, Sec. 46, G. L., (Tercentenary Edition).

RULES OF PRACTICE

The fulfillment of the purpose of these laws calls for the observanee 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 froin 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 domestie 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

+ Suffolk (County)

ST. P. Florida 1/8/01

Winthrop (City or Town)

No.

953 Shirley Street

J(If death occurred in a hospital or institution.

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

2 FULL NAME

Helen (Gentle) Garbutt

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

(a) Residence. NO. 2035 27th Street South

(Usual place of abode)

Length of stay: In place of death. years. 2 months. 27 days. In place of residence 6 years months .days.

MEDICAL CERTIFICATE OF DEATH

PERSONAL AND STATISTICAL PARTICULARS

3 DATE OF

DEATH

December (Month)

29 (Day)

1950 (Year)

8 SEX

Female

White

10 SINGLE

MARRIED

WIDOWED

or DIVORCED

Widow

10a If married, widowed, or divorced

HUSBAND of

(Give maiden name of wife in full)

(or) WIFE of

Alfred Garbutt

(Husband's name in full)

11 IF STILLBORN, enter that fact here.

AGE

Years

Months

5 Days

If under 24 hours

Hours . Minutes

13 Usual

Housewife

4 Occupation :..

(Kind of work done during most of working life)

14 Industry

or Business:

Own home

15 Social Security No.

none

16 BIRTHPLACE (City)

(State or country)

Scotland

17 NAME OF

FATHER

Cuthbert Gentle

PARENTS

18 BIRTHPLACE OF

FATHER (City)

(State or country)

Scotland

19 MAIDEN NAME

OF MOTHER

Catherine Millen

20 BIRTHPLACE OF

MOTHER (City)

(State or country)

Scotland

21 Informant (Address) 953 Shirley St. 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. Dalalle

(Signature of Agent of Board of Health or other)

calthe

office

1/2/5/

(Date of Issue of Permiy

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

250

Registered No.

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

(write the word)

AI HEREBY CERTIFY, nov 13 50

...

Der 29

,50

I last saw her alive on All 29

1950

death is said to

have occurred on the date stated above, at

1.55P

DISEASE OR CONDITION

DIRECTLY LEADING/

TO DEATH (a)

Sykestatic

Phaummia

INTERVAL BE- TWEEN ONSET AND DEATH 1 day

ANTE

CEDENT

(b)

Due To

metastatic

CAUSES

Carcinoma

Due To (c) ..

OTHER

SIGNIFICANT

CONDITIONS

none

Major findings:

Of operations.

Cancer of Gray

Date of operation.

aug 1 950 Was autopsy performed?

200

What test confirmed diagnosis Gram. of material at operator

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

(Signed)

(Address)

Winthrop

Place of Burial or Cremation (City or Town)

DATE OF BURIAL.

Jan. . 2

1951

7 NAME OF

FUNERAL DIRECTOR

Lowend & Pugnolds

ADDRESS Winthrop mais

Received and filed

JAN 2 1951

(Registrar)

/50M (B)-12.49-900722

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

this does not mean ode of dying, such t failure. asthenia, means the disease, nplications which death.

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

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

PLACE OF DEATH

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

M. D.

Date 29 Die

1950

Dorothy Belcher

Glasgow

(Official Designation) 11

9 COLOR OR RACE

That I attended deceased from

St.

St Petersburg Fla

(If nonresident, give city or town and State)

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 hest of his knowledge and belief the name of the deceased, his supposed age, the disease of which he died, defined as required hy 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 bury or otherwise dispose of a human body n 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 exhumc 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 cenietery, 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 hoard, 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 aw. 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 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 body shall he 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 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.

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.

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 domestie 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-303-A

should be carefully supplied. MEDICAL EXAMINERS should state CAUSE AND MANNER OF DEATH in plain terms, 50m-(i)-1-45-15510 N. B .- WRITE PLAINLY, WITH UNFADING BLACK INK-THIS IS A PERMANENT RECORD. Every item of information Industry 10 or Business :

PLACE OF DEATH

Suffolk (County)

The Commonforalth of Massachusetts OFFICE OF THE SECRETARY DIVISION OF VITAL STATISTICS MEDICAL EXAMINER'S CERTIFICATE OF DEATH

To bé filed for burlal permit with Board of Health or Its Agent.

Registered No.

251

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

PHYSICIAN-IMPORTANT (Was deceased e U. S. War Veteran, If so specify WAR)

(If nonresident, ive city or town and State)

Length of stay: In hospital or institution ..

( Before death)

( Specify whether)

years

months

days.

In this community

yTE.

2 mos.

days.

PERSONAL AND STATISTICAL PARTICULARS

5 SINGLE

(write the word)

MARRIED

WIDOWED

or DIVORCEDSingle

5a If married, widowed, or divorced

HUSBAND of

(Give maiden name of wife in full)

(Husband's name in full)

6 Age of husband or wife If allve years

If less than 1 day

.Hours ........

.Minutes

20 Accident. sulolde, or homloide (specify).

Date cf ooou

30 1950

Injury ooour ?

(City of town and State)

Did Injury ooour In or about home, on farm, in Industrial piace, or In publle Pond

place ?

(Specify type of place)

Manner of

injury

Fell those ine

Nature of Injury asplaya by drown

While at work ?. Was thera an autopsy ?...... ) .....

21 Was disease or Injury in any way related to occupation of deceased ?.

(Signgd)

M. D.

(Address) 25 Shattuck Stod012

Date 12/3019.56

Winthrop

Place of Burial, Cremation or Removal.

(City or Town)

DATE OF BURIAL

23 NAME OF

FUNERAL DIRECTOR.

ADDRESS

Unimos modo

Received and filed.

(Signature of Agent of Board of Health or other)

1/2/5/

(Official Designation) (Date of Issue of Permit)

MEDICAL CERTIFICATE OF DEATH

18 DATE OF

DEATH

F cember 30 1950

(Day)

(Year)

(Month)

19 | HEREBY CERTIFY that I have Investigated the death of the person above-named and that the CAUSE AND MANNER thereof are as follows : (If an injury was involved, state fully.)

Where did

With

..........

man

13 NAME OF

FATHER

Raymond W Barringer

(State or country)

Mass.

Informant

( Address

40 Chester Ave. Winthrop

In Hospitals

Commun Diana Lee Barringer

(If deceased ie a married, widowed or divorced woman, give also maiden name) 40 Chester Que Wanth

Wirth

(City or Town)

No. Winsten

2 FULL NAME .. S

(a) Residence. No.

(Usual place of abode)

3 SEX

4 COLOR OR RACEJ

Female

White

(or) WIFE of

7 IF STILLBORN, enter that fact here.

AGE

6 Years.

Months ..

8 Days

Usual

9 Occupation :

At School

11 Soolal Security No.

None

12 BIRTHPLACE (City)

(State or country)

14 BIRTHPLACE OF

FATHER (City)

Warren

15 MAIDEN NAME

OF MOTHER

Beverly Buck

PARENTS

16 BIRTHPLACE OF

MOTHER (City)

Winthrop

Beverly Barrenger

so that it may be properly classified under the International Classification of Causes of Death. See reverse side for

(State or country)

Ohio

If deceased was a U. S. War Veteran, G. L. Chap. 46, Section 10, requires physiolans to Insert a reoltal to that effeot

extracts from the laws relative to the return of certificates of death.

I HEREBY CERTIFY that a satisfactory standard certificate of death was filled with me BEFORE the burial of transit permit was issued: Walter A- Malelig

Jan 2

1951

(Registrar)

EXTRACTS FROM THE LAWS OF THE COMMONWEALTH OF MASSACHUSETTS GOVERNING THE RETURN OF CERTIFICATES OF DEATH

A physician or registared hospital medical offloar shall forthwith, after the death of a person whom he has attended during his last illness, at the request of an umlertaker 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 bis knowledge and belief the name of the deceased, his supposed age, the disease of which he died, defined as required by section oue, where satne was contracted. the duration of his last illness, when last seen alive by the physician or officer and the date of hia death . .. Gen. Laws, Chap. 16, Sec. 9.

A ¡diysician 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 bellef, served in the army, navy or marine corps of the United States in any war in wbich it has been engaged, invert in the certificate a recital to that effect, speci- fying the war, wud shall also certify in such certificate butb the primary and the secondary or inunediate canse of death as nearly as be can state tbe same. For neglect to comply with any provision of this section, such physician or officer shall forfeit ten dollars. For the purposea of this aec- tion and of sections forty-five, forty-six and forty-seven of said chapter one hundred and foorteen, the word "war" shall include the China relief ex- pedition and the l'hilippine insurrection, which shall, for said purposes, be deemed to have taken place between February fourteenth, eighteen hundred and ninety-elglit and July fourtb, nineteen hondred and two, and the Mexi- can bonler service of nineteen hundred and sixteen aud nineteen hundred and seventeen. G. L. Chap. 46, Sec. 10.

No undertaker or other parson shall bury or otherwise dispose of a human body lu a tuwn, or remove therefrom a human body which bas not been buried, until he has received a permit froin the board of bealth, 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 exitumne 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 ceuletery, until be bas received a permit from the board of health or Its agent aforesald or from the clerk of the town where the lindy is buried. No such perunit shall be Issued until there sball bave 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 interment, 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 pbysl- cian who is a member of the board of health, or employed by it or by tbe selectmen for the purpose, shall upon application make the certificate re- quired of the attending physician. If death ia caused by violence, tbe medical examiner shall make such certificate. If such a permit for tbe removal of a human body, not previously Interred, from one town to an- other within the conimonwealth cannot be obtained early enough for the purpose, the certificate of death made as above provided and in the pos- session of the undertaker desiring to make such removal shall constitute a permit for such removal; provided, that such body shali be returned to the town from which It was removed within thirty-six hours after sucb re- moval, unless a permit in the usual form for the removal of such body bes been sooner obtained hereunder. If the death certificate contains a recital, as required by section ten of chapter forty-nix, that the deceased served in the ariny. navy or marine corps of the l'nlted States in any war in which

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Town of Winthrop : Record of Deaths 1950, Part 83

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

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