Town of Winthrop : Record of Deaths 1951, Part 23

Author: Winthrop (Mass.)
Publication date: 1951
Publisher:
Number of Pages: 614

USA > Massachusetts > Suffolk County > Winthrop > Town of Winthrop : Record of Deaths 1951 > Part 23

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

Hass

17 NAME OF

FATHER

John Elliott

18 BIRTHPLACE OF

FATHER (City)

Welløfleet

(State or country)

Mass

19 MAIDEN NAME

OF MOTHER

Jerusha Ryder

20 BIRTHPLACE OF

M. D. 51 MOTHER (City) Unable to obtain

(State or country)

21 Earl Elliott

Informant.

(Address)

891 Shirley St.

I HEREBY CERTIFY that a satisfactory standard certificate of death was filed with me BEFORE the burial or transit permit was issued:

Walter. -

(Signature of Agent of Board of ipaitko; hor other)

Health fire 3/19/5/

t (Official Designations

(Date of Issue of Permn)

A IRUL COPY ATTEST

2 years

Due To (c)

OTHER

SIGNIFICANT

CONDITIONS

Major findings:

Of operations ...

none

Date of operation.

Was autopsy performed?

What test confirmed diagnosis? Clinical Laboratory

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

If so, specify .. .

(Signed) Maurice Traveling to ...

(Address) 562 Shelly SP Wane troy Date dedrehKG

woodlawn Everett

6 Place of Burial or Cremation DATE OF BURIAL .

(City or Town)

March 19

1951

7 NAME OF

FUNERAL DIRECTOR

Forward 5:Limado

ADDRESS

Clinthop Inclos

Received and filed MAR 19 1951 19

(Registrar)

3 DATE OF

DEATH

March

1951

(Year)

(Month)

(Day) /

That I attended deceased from

10a If married, widowed, or divorced

HUSBAND of.

(Give maiden name of wife in full)

(or) WIFE

Charles Sargent

(Husband's name in full)

DISEASE OR CONDITION

DIRECTLY LEADING

TO DEATH (a)

acute Coronary

thromboies

ANTE

arteincelentic

CEDENT (b) CAUSES least disease

SOM (A). 12 49.900722

ICTIONS OR ERTIFICATE

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 ying cause

ons contrib- death but not e disease or using death.

PARENTS

or Business:

Own Home

PAGE

Years

(Was deceased a

U. S. War Veteran,

if so specify WAR>

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 hy 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 imine- 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, b 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 tomh to another in the same cemetery, until he has received a perniit 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; . Gencral 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 hy 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 somne 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 inost 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

PLACE OF DEATH

(County) Winthrop

The Commonwealth of Massachusetts EDWARD J. CRONIN SECRETARY OF THE COMMONWEALTH DIVISION OF VITAL STATISTICS STANDARD CERTIFICATE OF DEATH Winthrop Community Hospital No.

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

Registered No.

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

45 Coral Ave.

St. .

(If nonresident, give city or town and State)

Length of stay: In place of death .. . .

years

mont 2 days. In place of residence .years months .days.

MEDICAL CERTIFICATE OF DEATH

PERSONAL AND STATISTICAL PARTICULARS

3 DATE OF

DEATH

F word

(Month)

(Day)

1951 (Year)

8 SEX

9 COLOR OR RACE

White

10 SINGLE

MARRIED

WIDOWED

I DIV

(write the word) Single

10a If married, widowed, or divorced HUSBAND of .. (Give maiden name of wife in full) (or) WIFE of (Husband's name in full)

11 IF STILLBORN, enter that fact here.

12 81 Years

.Months

Days

If under 24 hours

.Hours ... .. Minutes

13 Usual Occupation :. Laborer

(Kind of work done during most of working life)

14 Industry

or Business:

Contractor

15 Social Security No. Could not be learned

16 BIRTHPLACE (City) . (State or country) Ireland

17 NAME OF FATHER John Foley

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

heland

19 MAIDEN NAME

OF MOTHER

Catherine Clancy

20 BIRTHPLACE OF

MOTHER (City)

(State or country)

geland

William

21 Informant (Address) 164 Franklet St, Brookline

I HEREBY CERNAY that a satisfactory standard certificate of death was fileyy with me BEFORE the burial or transit permit was issued: Walter & Ballett

Valtle turer of Board of Health or other) (Official Designation)

3/19/5

(Date of Issue of Permit)

50M (B). 12.49.900722

6 It groeph!

Pratt of Mal or hation

DATE OF BURIAL

(City of Town) mar 24

1001

7 NAME OF FUNERAL DIRECTOR

Frank H. Lally 446 Harvard St. Brookline 19

ADDRESS

Received and filed

MAR 21 1351

(Registrar)

1/2 yrs

Due To (c)

OTHER Contusion of head CONDITIONSContusion of back

* 7 days 17 days .

Major findings:

Of operations.

Date of operation.

Was autopsy performed? 200 Clinical

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

(Signed) Bliailes Liberan. M. D. (Address) 26 Wane Way Ceel. Date

West Raiburg

PARENTS

What test confirmed diagnosis?

INTERVAL BE- TWEEN ONSET AND DEATH

DISEASE OR CONDITION

DIRECTLY LEADING

TO DEATH (a)

ANTE

CEDENT (b)

CAUSES

4I HEREBY CERTIFY.

That I attended deceased from

1 march. 1951.

17 March 1951

I last saw him alive on

17 March, 1951, death is said to

have occurred on the date stated above, at 8:35 Pm.

UCTIONS FOR CERTIFICATE

iving OF DEATH t enter han one for each b) and (c)

does not mean f dying. such ure, asthenia, ns the disease. ations which h.

I conditions. ng rise to the : (a) stating lying cause

ions contrib- death but not he disease or using death.

2 FULL NAME ..

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

(a) Residence. No. (Usual place of abode)

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 scen 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, cighteen 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

(leath 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.

(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 somc 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

R-303-A

Sallalla ~ (County)

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

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

Registered No.

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

2 FULL NAME

Charles Henry Cook

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

(a) Residence. No.

89 xxxxxxxxst ave Winthrop

(Usual place of abode)

Summit Ave

Length of stay: In hospital or Institution.

( Before death)

( Specify whether)

years

months

days.

In this community 16 yra.

mos.

days.

PERSONAL AND STATISTICAL PARTICULARS

3 SEX

4 COLOR OR RACE|

5 SINGLE

( write the word)

MARRIED

WIDOWED

or DIVORCED

single

5a If married, widowed, or divorced

HUSBAND of

(Give maiden name of wife in full)

(or) WIFE of

(Husband's name in full)

6 Age of husband or wife If allve years

7 IF STILLBORN, enter that faot here.

AGE

16 Years

Months ..

1.0 ... Days

If less than 1 day

Hours.

........

.. Minutes

Usual

9 Occupation :

Student

Industry

Winthrop High School

11 Soolal Seourity No ..

none

12 BIRTHPLACE (City)

(State or country)

Winthrop

Mass

13 NAME OF

FATHER

Erland Bickford Cook

14 BIRTHPLACE OF

FATHER (City)

Concord

(State or country)

N.H.

15 MAIDEN NAME

OF MOTHER

Florence Louise Skelding

16 BIRTHPLACE OF

MOTHER (City)

Saugus

(State or country)

Mass.

17 Informant ..... 'r.land .... B ........ Cook ..... rather ....

( Address)89 Summit Ave Winthrop

1 HEREBY CERTIFY that a satisfactory standard certificate of death was filled with my BEFORE the burial, or transit permit was Issued : Walter t Kaker

Bisnature of kgft of Board of Health or other) Healthe Office 3/20/51

(oficial Designation)

(Date of Issue of Permit)

MEDICAL CERTIFICATE OF DEATH

18 DATE OF

DEATH

March-18 -1951

(Month)

(Day)

(Year)

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.)

Drowning'

G ...

Date of ooourrenoe.

march-18- 1951

Where did

Written Juan

Injury ooour ?

(City or town and State)

Did Injury ooour In or about home, on farm, In Industrial place, or in pubilo

place ?

Ocean

(Specify type of place)

Injury

Nature of

of Mutterki march - 18-1951

While at work ?.

Was there an autopsy ?.

200

21 Was disease or Injury In any way related to cooupation of deceased ?

If so, speolfy.

( Signed)

M. D.

Mid-19-1951

Winthrop Cemetery Winthrop

Place of Burfal, Cfemation or Removal.

(City or Town)

23 NAME OF

FUNERAL DIRECTOR

alfred B. March

ADDRESS

174 Winthrop .... S.t.,Winthrop

Received and filled

MAR. 21:51

(Registrar)

extracts from the laws relative to the return of certificates of death. so that it may be properly classified under the International Classification of Causes of Death. See reverse side for If deceased was a U. S. War Veteran, G. L. Chap. 46, Section 10, requires physicians to insert a recital to that effeot PARENTS

50m. (i)-1-45-15510

PLACE OF DEATH

No.

(City or Town) Ocean 16 Wunderil Beach

PHYSICIAN-IMPORTANT

(Was deceased &

U. S. War Veteran,

If so speolfy WAR)

No.

(If nonresident, give city or town and State)

male white

10 or Business:

20 Accident, sulolde, or homicide (specify) a cuidenta

Manne

Powhat upset ou Ocean

Injury

(Address)

Relation, if any

DATE OF BURIAL

March .... 21,1951

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

A physician or registered hospital medloal offloer shall forthwith, after the death of a person whom he has sttended during his last illness, at the request of au undertaker or other suthorized person or of any member of the fsutily of the deceased, furnish for registration a standard certificate of desth, stating to the best of his knowledge and bellef the name of the deceased, his supposed age, the disease of which he died, defined as required by section one, where same wss contracted, the duration of his last illness, when last seen slive 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 humilred and four- teeu, 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 which It has been engaged, Invert in the certificate s recital to that effect, speci- fying the war, and shall also certify In such certificate both the primary and the secondary or immediate cause of death as nearly as he can state the ssme. For neglect to comply with any provision of this section, such physician or oficer shall forfeit ten dollars. For the purposes of this sec- tion and of sections forty-five, forty-six and forty-seven of said chapter one hundred and fourteen, the word "war" shall lucluide the China relief ex- pedition and the t'hilippine insurrection, which shall, for ssid purposes, be deemed to have taken place between February fourteenth, eighteen bundred and ninety-eight and July fourth, nlueteen hundred and two, and the Mexi- can border service of nineteen bundred and sixteen and nineteen hundred and seventeen. G. L. Chap. 46, Sec. 10.

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Town of Winthrop : Record of Deaths 1951, Part 23

Author: Winthrop (Mass.) Publication date: 1951 Publisher: Number of Pages: 614

Author: Winthrop (Mass.)
Publication date: 1951
Publisher:
Number of Pages: 614