USA > Massachusetts > Suffolk County > Winthrop > Town of Winthrop : Record of Deaths 1951 > Part 14
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(3) Medical Examiners will investigate and certify to all deaths supposably due to injury. These inelude 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 oceupation is very import- ant, so that the relative healthfulness of various pursuits can be known. Make some entry in this seetion 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 serviee for wages, however, designate the oceupation 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
R-301A 1
PLACE OF DEATH
Auffack ( County ) Hanikrop (City or Town) 111 Banho St No. ...
The Commonwealth of Massachusetts OFFICE OF THE SECRETARY DIVISION OF VITAL STATISTICS STANDARD CERTIFICATE OF DEATH
To be filed for burial permit with Board of Health or its Agent.
37
J(If death occurred in a hospital or institution, St. [ give its NAME instead of street and number)
Ellen & Gallagher 2 FULL NAME ..
(If deceased is a married, widowed or divorced woman, give also maiden name.)
111 Banho
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
Kwfite the word)
& SEX
Female
9 COLOR OR RACE
Mute
i
10 SINGLE
MARRIED
WIDOWED
Widowed
4 I HEREBY CERTIFY,
Sept
1938
to .....
5 ela 10, 105/
I last Saw h .....
alive on
1
19.5 ( death is said to
11:3.4m
have occurred on the date stated above, at INTERVAL BE- TWEEN ONSET AND DEATH
DISEASE OR CONDITION
DIRECTLY LEADING
TO DEATH
(a)
puppertensions
Hypertensive deut liserse
12
AGELS Years.
Months
Days
If under 24 hours
Hours ... . Minutes
13 Usual
Occupation:
Cleaning woman (Kind of work done during most of working life)
14 Industry
or Business:
atlantic Works
15 Social Security No. 030-09-6005
16 BIRTHPLACE (City).
(State or country)
Boston Mass
17 NAME OF
FATHER
Dennis J. Grabe
Major findings:
Of operations
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)
mason @ Salva
M. D.
(Address) 241 M wenche NC Bor Date D 6 10 1951
Boston
ยท Mt. Benedech
Place of Burial or Cremation
(City or Town)
DATE OF BURIAL
February
13
195
ADDRESS Cash Bestand
Received and filed
FEB 13 1951
19
(Registrar)
PARENTS
18 BIRTHPLACE OF FATHER (City) (State or country)
Newfoundland
19 MAIDEN NAME OF MOTHER
nauy Gr. Mooney
20 BIRTHPLACE OF
MOTHER (City)
(State or country)
E
21 Informant
alice munplus : (Address) 11/ Banlos St. Mithras
I HEREBY CERTIFY that a satisfactory standard certificate of death was filed with me BEFORE the burial or transit permit was issued: Wattle
Theolia
Signature of Agent of Board of Health of other)
2/12/5/
(Official Designation)
(Date of Issue of Permity
CTIONS R ERTIFICATE
ving DEATH enter an one r each and (c)
es not mean dying, such re. asthenia. the disease, ions which
conditions, grise to the (a) stating ing cause
ns contrib- eath but not disease or sing death.
100M-(D)-10-48-24658
3 DATE OF
DEATH
Heb-
(Month)
18
1951
(Year)
(Day)
That I attended deceased frown
10a If married, widowed, or divorced HUSBAND of
(or) WIFE of
(Give maiden name of wife in fully Sugli 3 gallagher
(Husband's name in full)
11 IF STILLBORN, enter that fact here.
ANTE
CEDENT (b)
CAUSES
future.
Due To
Toute cardiac
Due To (c)
OTHER
SIGNIFICANT
CONDITIONS
PHYSICIAN - IMPORTANT
(Was deceased a U. S. War Veteran, if go specify WAR)
none
Winthrop
(a) Residence. No. (Usual place of abode)
7 NAME OF
FUNERAL
CIOR tredende . Magnolias
Registered No.
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 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
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 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 only such persons as are supposed to have died by violence. If a medical examiner has notice that there is within his county the body of such a person, he shall forthwith go to the place where the body lies and take charge of the same; General Laws, Chap. 38, Sec.6.
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 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
R-301A 1 Winthrop (City of 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.
38
Harry minsky 2 FULL NAME .
.-.
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)
he
St. .
(If nonresident, give city or town and State)
.years months .days.
MEDICAL CERTIFICATE OF DEATH
3 DATE OF
DEATH
Feb.
(Month)
11 1951 (Day) (Year)
4 I HEREBY CERTIFY,
Sept
19 4.9. to .. Feb . 11 1951
I last saw h unalive on Feb. 11, 1951 death is said to
have occurred on the date stated above, at 7:25Am.
INTERVAL BE-
DISEASE OR CONDITION
DIRECTLY LEADING
TO DEATH
(a)
Coronary Thrombosis
Due ToCoronary.
ANTE CEDENT (b) CAUSES Dialease
Due To (c)
OTHER
SIGNIFICANT
CONDITIONS
-
Major findings:
Of operations.
none
Date of operation
.Was autopsy performed?
200
What test confirmed diagnosis?
clinical
5 Was disease or injury in any way related to occupation of deceased 200
(Signed) Clisitio Like mai M. D. (Address) 26 Wave way Que. Whitestar 2/11/1951
Place of Burim or Cremation
(City or Town)
DATE OF BURIAL
Feb 12
5/
0
7 NAME OF
FUNERAL DIRECTOR.
N. J. Josh
ADDR 15/ Washington are. Chelsea
Received and filed.
FEB -12 1951
19
(Registrar)
PERSONAL AND STATISTICAL PARTICULARS
8 SEX male
9 COLOR OR RACE White
10-SINGLE
MARRIED
WIDOWED
DIVORCED
(write the word)
10a If married, widowed, or divorcecom HUSBAND of .. dena
(Give maiden name of wife in full)
(or) WIFE of
(Husband's name in full)
11 IF STILLBORN, enter that fact here.
AGE Years
Months Days
If under 24 hours
Hours . . Minutes
13 Usual
Occupation :
Poultry dealer
(Kind - work done during most of working life)
14 Industry or Business :.. Poultry
15 Social Security No 025-05-4417
16 BIRTHPLACE (City) (State or country) Russia
17 NAME OF FATHER (C.B.L.) minsky
18 BIRTHPLACE OF FATHER (City) (State or country)
Russia
19 MAIDEN NAME
OF MOTHER
Rose (CB.L.)
20 BIRTHPLACE OF MOTHER (City) (State or country)
Russia
21 abraham minsky
Informant
(Address) 57 France Ct Locked
I HEREBY CERTIFY that a satisfactory standard certificate of death was filed with me BEFORE the burial or transit permit was issued: hatte & Bake
HC
(Signature of Agept Board of Health or other) 2/12/51
(Official Designation) 1
(Date of Issue of Permit)
Gluaham &. Mping 13/5/51
-
PARENTS
50m-(b)-11-49-900.560
JCTIONS OR
CERTIFICATE iving F DEATH t enter han one or each ) and (c)
es not mean dying, such re, asthenia. s the disease, tions which .
conditions. g rise to the (a) stating ing cause
ns contrib- eath but not disease or sing death.
PLACE OF DEATH Suffolk (County)
25 Myrtle Que No.
Registered No.
(If deceased is , married, widowed or divorced woman, give also maiden name.) 25 myrtle Que (a) Residence. No. (Usual place of abode)
Length of stay: In place of death. 14. years aths days. In place of residence .
That I attended deceased from
TWEEN ONSET AND DEATH 24hrs. 12 63
2 yrs
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 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
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 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 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 death's 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
PLACE OF DEATH
Suffolk (County)
The Commonwealth of Massachusetts EDWARD J. CRONIN SECRETARY OF THE COMMONWEALTH DIVISION OF VITAL STATISTICS
STANDARD CERTIFICATE OF DEATH
To be filed for burlal permit with Board of Health or Its Agent.
39
No. Winthrop Community Hospital
J(If death occurred in a hospital or institution,
St. [ give its NAME instead of street and number)
2 FULL NAME
Baby Girl Jeveli.
(If deceased it a married, widowed or divorced woman, give also maiden name.)
230 Main Street
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 ..
Feb.
(Month)
5
1951 (Year)
8 SEX
9 COLOR OR RACE
White
10 SINGLE
(write the word)
MARRIED WIDOWED or DIVORCEDSingle
4 I HEREBY CERTIFY,
That I
attended deceased from
19
to
19
10a If married, widowed, or divorced HUSBAND of (Give maiden name of wife in full)
(or) WIFE of
(Husband's name in full)
DISEASE OR CONDITION
DIRECTLY LEADING
TO DEATH (a)
ANTE CEDENT CAUSES
Due To (b)
Due To (c) ..
OTHER SIGNIFICANT CONDITIONS
Major findings:
Of operations
Date of operation.
autopsy performed?
200
What test confirmed diagnosis?
5 Was disease or inmary in any way related to occupation of deceased?
If so, specify (
(Signed) (Address) 311 Camer. Toate
2/15-
M. D. 1951
winthrop
6 Place of Burial or Cremation
(City of Town)
DATE OF BURIAL
7 NAME OF FUNERAL DIRECTOR Winthug mand
ADDRESS
Received and filed 19
FEB 19 1951
(Registrar)
PARENTS
18 BIRTHPLACE OF
FATHER (City)
(State or country)
East Boston, Mass.
19 MAIDEN NAME OF MOTHER Muriel Bradshaw
20 BIRTHPLACE OF Winthrop MOTHER (City) (State or country) Mass
21 Hospital records
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