USA > Massachusetts > Suffolk County > Winthrop > Town of Winthrop : Record of Deaths 1951 > Part 24
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No undertaker or other person shall bury or otherwise dispose of a human body lu s town, or remove therefrom a human body which has not been burled, until he has received a perinit froin 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 aforessid 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 interment, by a satisfactory certificate of the attending physiclan, if any, as required by law, or in lieu thereof a certificate ss hereinafter provided. If there is no attending physician, or if, for sufficlent reasons, hls certificate cannot be obtained early enough for the purpose, or Is Insufficient, a physi- cian who is a queinber of the board of health, or employed by it or by the selectmen for the purpose, shall upon application make the certificate re- quired of the sttelling 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, froin one town to an. other within the commonwealth caunot be obtained early enough for the purpose, the certificate of death msde 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 shall be returned to the town from which It was removed within thirty-six hours after such re- moval, unless s permit in the ususl form for the removal of such body has becn sooner obtained hereunder. If the death certificate contalua a recital, as required by section ten of chapter forty-xlx, that the deceased served in the army, navy or marine corps of the United States in any war in which
it haa been engaged, such recitsì shall sppesr upon the permit. The board of health, or. its agent, upon receipt of such statement and certificate, shat! forthwith countersign it and transmit It to the clerk of the town for regis- tration. The person to whom the permit Is so given and the physician cer tifying the cause of death shall thereafter furnish for registration any other necessary information which can be obtained as to the deccased, or as to the manner or cause of the death, which the clerk or registrar may re- quire .- Chap. 114, Sec. 45, G. L., (Tercentensry Edition).
No undertaker or other person shall bury s human body or the ashes thereof which have been brought luto the commonwealth until he has re- ceived s permit so to do from the board of health or its sgeut 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 per- son appointed to have the care of the cemetery or burial ground in which the interment is made. .. . Chap. 114, Sec. 46, G. L., (Tercentenary Edi- tion ).
Medical examiners shall make exsminstion 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 withiu his county the body of such a person, he shall forthwith go to the place where the body lles and take charge of the same; ... - General Laws, Chap. 3S, Sec. 6.
... lle shall in all cases certify to the town clerk or registrar in the place where the deceased died his name and residence, if known; otherwise a description as full as may be, with the cause and manner of death .--- General Laws, Chap. 38, Sec. 7.
... The medical examiner certifies the cause and manner of death to the best of his knowledge and belief.
RULES OF PRACTICE
The fulfillment of the purpose of these laws calls for the observance of the following 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 forin of injury.
(2) Board of Health physlolans will certify to auch deaths only aa those of persons wbo, though disabled by recognized disesse unrelated to any form of Injury, have died without recent medicsl attendance or wbose phyal- cisn is absent from home when the certificate of death is needed.
(3) Medical Examiners will investigate and certify to all deaths sup- posably due to Injury. These include not only desthe caused directly or in- directly by trauinatism (including resulting septicemia), and by the action of chemical (drugs or poisons), thermal, or electricsl 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 persous found dead.
STATEMENT OF CAUSE OF DEATH
Medical Examinera in certifying to a death will state the cause and manner thereof, and will specify: (1) Under cause, the nature of an injury and of its consequences; and (2) under manner, the mode of its production together with the circumstances when these are known. For example: "Com- pound fracture of tbe femur with ensuing septicenla (gas bacillus) caused by a steam railway accident." "Pistol shot wound of the chest with asso- cisted hemorrhage, homicidal." "Asphyxiation by suspension, sulcldal." "Syncope while under the influence of ether adininlstered as a surgical anaesthetic." "Fracture of the skull with associated Internal injury sus- tained under circumstances unknown."
If disease or injury was related to occupation, specify. If investigation ahowa the death to have been due to disease, specify : (1) Under cause its known or presumable nature; and (2) under manner, indicate the circum- atauces leading to inedico-legai inquiry. For example : "Hemorrhage apon- taneous of the brain (basal ganglls) (found dead in bed)." "Heart disease, presumably coronary sclerosis. (Sudden death.)"
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
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.
To be filed for burial permit with Board of Health or its Agent.
"(If death occurred in a hospital or institution, St. [ give its NAME instead of street and number)
Louis Benson Gilbert 2 FULL NAME
(If deceased is a married, widowed or divorced woman, give also maiden name.)
385 Revere St.
St. .
(If nonresident, give city or town and State)
Length of stay: In place of death years 1 months days. In place of residence 3 .years 1
months
days.
MEDICAL CERTIFICATE OF DEATH
PERSONAL AND STATISTICAL PARTICULARS
8 SEX
Male
9 COLOR OR RACE
White
10 SINGLE
MARRIED
WIDOWED
or DIVORCED
(write the word) Married
4 I HEREBY CERTIFY,
march 16. 19
I last saw halive on
have occurred on the date stated above, at
6.317.m.
. m.
INTERVAL BE- TWEEN ONSET AND DEATH 11 IF STILLBORN, enter that fact here.
12
AGE 80
3 days
Years
5
Months
22
Days
If under 24 hours Hours Minutes
13 Usual
Occupation :
clerk
(Kind of work done during most of working life)
14 Industry
or Business:
shipping, Book Publishing
C
15 Social Security No. .
031-03-0012
Charlestown
16 BIRTHPLACE (City) ..
(State or country)
Mass
17 NAME OF FATHER Charles Gilbert
PARENTS
18 BIRTHPLACE OF
FATHER (City)
West Brookfield
(State or country)
Mass.
19 MAIDEN NAME
OF MOTHER
Mary A. Soule
20 BIRTHPLACE OF MOTHER (City) (State or country) Maine
21 Informant Mrs. Louis B. Gilbert
(Address)
385 Revere St.
7 NAME OF
FUNERAL DIRECTOR
alfred B. March
ADDRESS
174 Winthrop St.
Received and filed 19
MAR 21 1951
(Registrar)
1951 (Year)
That I attended deceased from mar 18. 1951
10a If married, widowed, or divorced
HUSBAND of .
Helen Mac Dougall
(Give maiden name of wife in full)
(or) WIFE of
(Husband's name in full)
DISEASE OR CONDITION
DIRECTLY LEADING
TO DEATH
(a)
Cerebral Hemorrhage
ANTE
Due To
CEDENT (b) CAUSES
Due To (c) ..
OTHER SIGNIFICANT CONDITIONS
Major findings:
Of operations.
Date of operation
What test confirmed diagnosis?
Was autopsy performed? Clinical
5 Was disease or injury in any way related to occupation of deccased?
If so, specify
ify By a. R.Stano
M. D.
.,
(Signed)
32, Beach , New Date
3-19
19 3 /
(Address)
Winthrop Cemetery
6 Place of Burial or Cremation DATE OF BURIAL March 21, 1951
19
I HEREBY CERTIFY that a satisfactory standard certificate of death was filed with me BEFORE the burial on transit permit was issued: Walter & Bakes Cyknature of Agent of Board of Health of grey
Health Office (Official Designation) (Date of Issue of Permit).
20/5-1
1
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.
d conditions. ng rise to the : (a) stating lying cause
ions contrib -- death but not he disease or ausing death.
DisTRUsio
·50M (8)-12.49.900722
No.
385 Revere Street
PHYSICIAN - IMPORTANT (Was deceased a U. S. War Veteran, NO if so specify WAR)
(a) Residence. No. (Usual place of abode)
3
3 DATE OF
DEATH
March (Month)
18 (Day)
to . .
mar 17, 195, death is said to
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 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, 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 whoin 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, See. 6., as amended by Chap. 632, Sec. 4. Acts of 1945.
No undertaker or other persons shall bury a human body or the ashes thereof which have been brought into the commonwealth until he has received a permit so to do from the board of health or its agent appointed to issue such permits, or if there is no such board, from the clerk of the town where the body is to be buried or the funeral is to be held, or from a person appointed to have the care of the cemetery or burial ground in which the interment is made.
Chap. 114, Sec. 46, G. L., (Tercentenary Edition).
RULES OF PRACTICE
The fulfillment of the purpose of these laws calls for the observance of the follow- ing rules of practice:
(1) Attending physicians will certify to such deaths only as those of persons to whom they have given bedside care during a last illness from disease unrelated to any form of injury.
(2) Board of Health physicians will certify to such deaths only as those of persons who, though disabled by recognized disease unrelated to any form of injury, have died without recent medical attendance or whose physician is absent from home when the certificate of death is needed.
(3) Medical Examiners will investigate and certify to all deaths supposably due to injury. These include not only deaths caused directly or indirectly by traumatism (including resulting septicemia), and by the action of chemical (drugs or poisons) thermal, or electrical agents, and deaths following abortion, but also deaths from disease resulting from injury or infection related to occupation. the sudden deaths of persons not disabled by recognized disease, and those of persons found dead.
Statement of Cause of Death .- Physicians: see explanatory instructions on face side of standard certificate of death.
Statement of Occupation .- Precise statement of occupation is very import- ant, so that the relative healthfulness of various pursuits can be known. Make some entry in this section for every person aged 10 years or over. If the occupa- tion had been given up or changed, or if the deceased had retired from business, report the kind of work 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-303-A
PLACE OF DEATH
Sullock (County)
(City or Town) Ocean oft Waittrip Beach
The Commontoralth of Massachusetts OFFICE OF THE SECRETARY DIVISION OF VITAL STATISTICS MEDICAL EXAMINER'S CERTIFICATE OF DEATH
To be filed for burlal permit with Board of Health or Its Agent.
Registered No.
61
St. { { If death occurred in a hospital or institution, ( give its NAME instead of street and number)
2 FULL NAME.
Charles W. Markley
(If deceased is a married, widowed or divorced woman, gre also imaiden name.)
90 Sagamore an Nuthristo
Length of stay: In hospital or Institution.
(Before death)
( Specify whether)
years
months
days.
In this community
yrs.
mos.
days.
PERSONAL AND STATISTICAL PARTICULARS
5 SINGLE
(write the word)
MARRIED
WIDOWED
or DIVORCEDSingle
(Give maiden name of wife in full)
(Husband's name in full)
years
If less than 1 day
Hours.
.Minutes
50m. (i) - 1-45-15510
I HEREBY CERTIFY that a satisfactory standard certificate of death was flied with me BEFORE the burial or transit permit was Issued : Watter A labelled ....
Health Officer Signature of Agents of Board of Health or other) 5/
(Official Designation) (Date of Issue of Permit)
MEDICAL CERTIFICATE OF DEATH
18 DATE OF
march-18-1951
DEATH
( 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
20 Aooldent, sulolóe, or homiolde (specify)
accidental
Date of ooourrenoe
mar-18-
1951
Where did
Kutteron
mass
(City of town and State)
Did injury opour In or about home, on farm, In Industrial place, or In public
place ?!
(Specify type of place)
Injury
Order boat upset on Ocean off
Nature of Winthrop March-18-1951
Injury
While at work?
Was there an autopsy ?.
200
21 Was diseaso or Injury In any way related to oooupation of deceased ?
if so, speolfy
(Signed)
M. D.
(Address)
Broken
Koch-19-1951
22
Winthrop
Winthrop
Place of Burial, Cremation or Removal.
(City or Town)
March22
.19.5.7
23 NAME OF
FUNERAL DIRECTOR
ADDRESS
Winchip mun
Received and flied
MAR 22 1951
19
(Registrar)
1
No.
(a) Residenoo. No.
(Usual place of abode)
3 SEX
Male
4 COLOR OR RACE
White
5a if married, widowed, or divoroed
HUSBAND of
(or) WIFE of
6 Age of husband or wife if allve
7 IF STILLBORN, enter that fact here.
8
15
10
16
AGE
Years
Months
Days
Usual
9 Occupation :
Student
School
Industry
10 or Business :
11 Social Security No ....
12 BIRTHPLACE (City)
ALIton
(State or country)
Mass
13 NAME OF
FATHER
John G Markley
14 BIRTHPLACE OF
FATHER (City)
Frankfort
15 MAIDEN NAME
OF MOTHER
Mary W Whelan
16 BIRTHPLACE OF
PARENTS
MOTHER (City)
Milton
(State or country )
Mass
17
John G Markley
Informant
if deceased was a U. S. War Veteran. G. L. Chap. 46, Seotion 10. requires physicians to Insert a reoltal to that effeot
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
(State or country)
New York
,
( Address)
00 Saramore Ave, Winthrop
Relation, if any DATE OF BURIAL.
Injury ooour ?
(If nonresident, give city or town and State)
12
PHYSICIAN-IMPORTANT
(Was deceased a
U. S. War Veteran,
if so speolfy WAR)
EXTRACTS FROM THE LAWS OF THE COMMONWEALTH OF MASSACHUSETTS GOVERNING THE RETURN OF CERTIFICATES OF DEATH
A physician or registered hospital medloal officer shali forthwith, after the death of a person whom he has attended during his last iliness, at tite 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 deatlı, stating to the best of his knowledge and bellef the name of the deceased, his supposed age, the disease of which he died, defined aa required by section one, where same was contracted, the duration of his last illness, when last seen allve by the physician or officer and the date of his death ... Gen. Laws, Chap. 16, Sec. 9.
A physician or officer furnishing a certificate of death as required by the preceding section or by section forty-tive of chapter one humulred 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 wbich it has been engaged, insert In the certificate a recitai to that effect, speci- fying the war, und shall aiso certify in such certificate both the primary and the secondary or inimmediate canse of death as nearly as he can state the sante. For neglect to comply witir any provision of this section, such physician or officer shali forfeit ten dollars. For the purposes of this sec- tion and of aections forty-ave, forty-six and forty seven of said chapter one hundred and fourteen, the word "war" shall include the China relief ex- pedition and the l'hilippine insurrection, which shali, for said purposes, be deemed to have taken place between February fourteentit, eighteen hundred and ninety-eight and Juiy fourth, nineteen hundred and two, and the Mexi- can border service of nineteen hundred and sixteen and nlueteen hundred and seventeen. G. L. Chap. 46, Sec. 10.
No undertaker or other person shiail bury or otherwise dispose of a human hody fu a town, or remove therefrom a human body which has not been burled, untli he has received a permit from the board of heaith, or its agent appointed to issue such permits, or if there is no such board, from the clerk of tire town where the person dled; and no undertaker or other person shali exizume a isuman body and remove It from a town, from one cemetery to anotirer, 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 aforesald or from the clerk of the town where the body Is burled. No such permit shali be Issued until there shail have been delivered to such board, agent or cierk, 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 herelnafter provided. If there is no attending physician, or if, for sufficlent reasons, his certificate cannot be obtained early enough for the purpose, or is Insufficient, a physl- clan who is a member of the board of health, or employed by it or by the selectmen for the purpose, shali upon application make the certificate re- quired of the attending physician. If death is caused by violence, the medical examiner shall make such certificate. If such a permit for tbe removai of a human body, not previously interred, from one town to an- other within the commonwealth 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 renioval ahali constitute a permit for such removai; provided, that sucha body sirali be returned to the town from which It was removed within thirty-elx hours after sucb re- movai, uniess a permit in the usual form for the removal of such body has been sooner obtained hereunder. If the death certificate contains a recitai, as required by section ten of chapter forty-xix, that the deceased served in the srmy, 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 cierk of the town for regis- tration. The person to whom ilte permit is ao given and the physician cet- tifying 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 ro- quire .- Chap. 114, Sec. 15, G. L., (Tercentenary Edition).
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