USA > Massachusetts > Suffolk County > Winthrop > Town of Winthrop : Record of Deaths 1951 > Part 26
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If disease or injury was related to occupation, specify. If Investigation showa the death to have been due to disease, specify : (1) Under cause its known or presumable nature; and (2) undder manner, indicate the circum- atancea leading to medico-legal inquiry. For example : "Hemorrhage spon- taneous of the brain (basal ganglia) (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
PLACE OF DEATH
Suffolk (County)
I R-301 1 Winthrop (City or Town) 39 Cottage Park Rd.
The Commonwealth of Massachusetts EDWARD J. CRONIN SECRETARY OF THE COMMONWEALTH DIVISION OF VITAL STATISTICS STANDARD CERTIFICATE OF DEATH
(City or town making return)
Registered No.
J(If death occurred in a hospital or institution, St. [ give its NAME instead of street and number)
2 FULL NAME Dorothy E (Raythel) Clark (If deceased is a married, widowed or divorced woman, give also maiden name.)
-
(Was deceased a
U. S. War Veteran,
if so specify WAR)
(a) Residence. No. 39 Cottage Park Rd. St.
(Usual place of abode)
6
Length of stay: In place of death years.
months. days. In place of residence
25.
years
.. months
.days.
MEDICAL CERTIFICATE OF DEATH
3 DATE OF
DEATH
March
21
1951
(Month)
(Day)
(Year)
4 I HEREBY CERTIFY,
That I attended deceased from
May 25
-
1050
to ..
marie 21
1951
manel 21
1951
death is said to
have occurred on the date stated above, at
INTERVAL BE- TWEEN ONSET AND DEATH
10 min.
62
12
AGE
Years
5
Months.
13
.Days
If under 24 hours
Hours .....
.. Minutes
13 Usual
Housewife
Occupation:
(Kind of work done during most of working life)
14 Industry
or Business:
At Home
15 Social Security No ..
None
Boston
16 BIRTHPLACE (City)
(State or country)
Mass
17 NAME OF
FATHER
John Rathel
PARENTS
18 BIRTHPLACE OF
FATHER (City).
(State or country)
Germany
19 MAIDEN NAME
OF MOTHER
Louise Brown
20 BIRTHPLACE OF
MOTHER (City)
(State or country)
Germany
21
Informant
(Address)
39 Cottage Park Rd.
I HEREBY CERTIFY that a satisfactory standard certificate of death was filed with me BEFORE the buffal or transit pormit was issued: Malter . Baker Axnature of Agent of Board of Breath or other) 3/23/5/
The altre oficer
(Official Designations
(Date of Issue of Permit)
A IRUL COPY ATTEST
(Registrar)
PERSONAL AND STATISTICAL PARTICULARS
8 SEX
Female
9 COLOR OR RACE
White
10 SINGLE
MARRIED
WIDOWED
or DIVORCED
Married
10a If married, widowed, or divorced
HUSBAND of
(Give maiden name of wife in full)
(or) WIFE of
Charles L Clark
(Husband's name in full)
11 IF STILLBORN, enter that fact here.
DISEASE OR CONDITION
DIRECTLY LEADING acute myocardial
TO DEATH (a).
Infarction
ANTE CEDENT CAUSES
Due To Hypertensive Heart (b) discaste
Due To
Hypertension
and cutetio sclerosis
(c
OTHER
SIGNIFICANT
CONDITIONS
Diabetes mellitus
2 yrs
Major findings:
Of operations
Date of operation
Was autopsy performed ?.
What test confirmed diagnosis?
clinical
no
5 Was disease or injury in any way related to occupation of deceased?
If so, spe
Paul Pleinsalty
(Address) 38 Shore Drive Wyut Date
(Signe
M. D.
Hun 3/22 1951
6 Tinthrop.
Winthrop
Place of Burial or Cremation (City of Town)
DATE OF BURIAL muren 24
Charles Clark
7 NAME OF
FUNERAL DIRECTOR Curand S Donalds
ADDRESS
Received and filed MAR 26 195 19
50M (A)- 12-49-900722
JCTIONS OR ERTIFICATE
iving F DEATH
t enter han one or each ) and (c)
xes not mean dying, such Te, 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.
No.
(If nonresident, give city or town and State)
(write the word)
I last saw h.
alive on
4 % p .m.
tym
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 lcath 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. br 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 hy 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 hrought 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 of 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),
1,2 RULES OF PRACTICE
The fulfillment of the purpose of these laws calls for the observance of the follow- fing rules of practice: (Attending physicians will certify to such deaths only as those of persons bis hots they have guen bedside care during a last illness from disease unrelated to any form of injury
Board of Health physicians will certify to such deaths only as those of personwhothough disabled by recognized disease unrelated to any form of
Inty have died without recent medical attendance or whose physician is absent front homme when the certificate of death is needed.
(3)7 Medical Examiners will investigate and certify to all deaths supposably due to injury. . These include not only deaths caused directly or indirectly by traumatismi (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, MAR 2dolof ipersons not disabled by recognized disease, and those of Bund 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
PLACE OF DEATH
Suffolk (County)
Winthrop
(City or Town)
The Commonwealth of Massachusetts EDWARD J. CRONIN SECRETARY OF THE COMMONWEALTH DIVISION OF VITAL STATISTICS STANDARD CERTIFICATE OF DEATH
To be filed for burial permit with Board of Health or its Agent.
65
No. Winthrop Community Hospital Helen Espy
Lawrie)
2 FULL NAME (If deceased is a married, widowed or divorced woman, give also maiden name.)
PHYSICIAN - IMPORTANT
¿ ¿ Was deceased a
U. S. War Veteran,
if so specify WAR)
(a) Residence. No. (Usual place of abode)
69 Grovers Avenue
St.
(If nonresident, give city or town and State)
Length of stay: In place of death years 1 months ... days. In place of residence
years
months
days.
MEDICAL CERTIFICATE OF DEATH
3 DATE OF
DEATH
March (Month)
23
(Day)
1951 (Year)
4 I HEREBY CERTIFY,
Feb. 28 19
51
to .. March 23 1901
March 23 1951 death is said to
.alive on 1000p m.
have occurred on the date stated above, at INTERVAL BE- TWEEN ONSET DISEASE OR CONDITION DIRECTLY LEADING Carcinoma 1 Grum TO DEATH (a) AND DEATH 6 mos
ANTE Due To CEDENT (b) CAUSES
Due To (c)
OTHER Intestinal obstruction SIGNIFICANT CONDITIONS
and peritonitis
Major findings:
Of operations ..
Carcinoma of Cecum
Date of operation
3-7-51
Was autopsy performed? no
What test confirmed diagnosis?
Pathological
5 Was disease or injury in any way related to occupation of deceased? no
PARENTS
17 NAME OF
FATHER
David McCord Lawrie
18 BIRTHPLACE OF
FATHER (City)
Lawrence
(State or country)
llass.
19 MAIDEN NAME OF MOTHER Mary Anderson
(State or country)
Scotland
6
Belleview Cemetery Lawrence, Mass Place of Burial or Cremation
DATE OF BURIAL March 26.1951 19
7 NAME OF
FUNERAL DIRECTOR
alfuel B. Marele
ADDRESS
174 Winthrop St, Winthrop, Mass. MAR' 28º 19
(Registrar)
PERSONAL AND STATISTICAL PARTICULARS
8 SEX
9 COLOR OR RACE
10 SINGLE
(write the word)
female white
MARRIED
WIDOWED
or DIVORCEDmarried
10a If married, widowed, or divorced
HUSBAND of .
(Give maiden name of wife in full)
(or) WIFE of
Clarke Espy
(Husband's name in full)
11 IF STILLBORN, enter that fact here.
12
AGE . 42 Years
6 Months
4 Days
If under 24 hours
Hours .
Minutes
13 Usual
Occupati
housewife
(Kind of work done during most of working life)
14 Industry
or Business :.
Own home
15 Social Security No .. . none
Lawrence
16 BIRTHPLACE (City).
(State or country)
Mass.
7 days
·50M (8). 12.49.900722
21
Informant
(Address)
69 Grovers Ave, Winthrop
Mr. Clarke xspy
I HEREBY CERTIFY that a satisfactory standard certificate of death was filed with me BEFORE the burial or transit permit was issued:
Walter to Bakken Signature of Agent of Board of Health or other Health Office (Official Designation) (Date of Issue of Permit)
3/26/5/
JCTIONS OR ERTIFICATE iving F DEATH t enter han one or each ) and (c)
Does not mean dying, such ure, asthenia. s the disease, tions which 1.
conditions. tg rise to the (a) stating ying cause
ons contrib- death but not e disease or using death.
If so, specify
20 BIRTHPLACE OF
(Signed)
(Address) 238 Shore Drive 1
Date
13,23
19 JT
MOTHER (City)
M. D.
Arbrath
Received and filed
That I attended deceased from
I last saw h er
Registered No.
J(If death occurred in a hospital or institution,
St. [ give its NAME instead of street and number)
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 of cause of the death, which the clerk or registrar may require .- Chap. 114, Sec. 45, G. L., (Tercentenary Edition).
Medical examiners shall make examination upon the view of the dead bodies of persons as are supposed to have died by violence, or by the action of chemical, thermal or electrical agents or following abortion, or from diseases resulting from injury or infection relating to occupation, or suddenly when not disabled by recognizable disease, or when any person is found dead. - General Laws, Chap. 38, Sec. 6., as amended by Chap. 632, Sec. 4, Acts of 1945.
No undertaker or other persons shall bury a human body or the ashes thereof which have been Brought into the commonwealth until he has received a permit so to do from the board of health or its agent appointed to issue such permits, or if there is no such board, from the clerk of the town where 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. Fft Sec) 46 G. L. (Tercentenary Edition).
RULES OF PRACTICE
The fulfillment f. 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 beisilesare during a last illness from disease unrelated to any forhoffnjuffi
(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 traumatismo fid Dling | resulting septicemia), and by the action of chemical (drugs or pdf bf electrical agents, and deaths following abortion, but also deaths from disease resulting from injury or infection related to occupation, the sudden deaths of persons not disabled by recognized disease, and those of persons found dead.
Statement of Cause of Death .- Physicians: see explanatory instructions on face side of standard certificate of death.
Statement of Occupation .- Precise statement of occupation is very import- ant, so that the relative healthfulness of various pursuits can be known. Make some entry in this section for every person aged 10 years or over. If the occupa- tion had been given up or changed, or if the deceased had retired from business, report the kind of work dore during most of working life even if retired. Children not gainfully employed may be returned as at school or at home. For a woman whose only occupation was that of home housework, write housework. For a person engaged in domestic service for wages, however, designate the occupation by the appropriate terms, as housekeeper-private family, cook-hotel, etc. For a person who had no occupation whatever write none.
SPACE FOR ADDITIONAL INFORMATION
DATE OF ENTERING MILITARY SERVICE
DATE OF DISCHARGE
RANK, RATING ORGANIZATION AND OUTFIT
SERVICE NUMBER
>
PLACE OF DEATH
Suffolk (County)
Winthroje (City or Town)(
No.
45 Enfield Rd Concetta Lanza
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)
(a) Residence. No. (Usual place of abode)
Length of stay: In place of death years
.months. days. In place of residence years .months .. days.
PERSONAL AND STATISTICAL PARTICULARS
8 SEX
9 COLOR OR RACE
(write the word)
Fernale Ahito
10 SINGLE
MARRIED
.
WIDOWED
or DIVORCED LOW
4 I HEREBY CERTIFY,
50
to ..
Mar 27
1951
I last saw her
.alive on
3:30 PM
m.
10a If married, widowed, or divorced
HUSBAND of .. ..
( Give maiden name of wife in full )
Frank Sanza
(Husband's name in full)
(or) WIFE of
11 IF STILLBORN, enter that fact here.
12
AGEC
Years
Months
Days
If under 24 hours
Hours
Minutes
13 Usual
Occupation :
(Kind of Work done during most of working life)
14 Industry
or Business:
سعد مس .Social Security No 15
16 BIRTHPLACE (City)
(State or country)
Italy
17 NAME OF
FATHER
DE antonio Perella
18 BIRTHPLACE OF
FATHER (City)
(State or country)
Italy.
19 MAIDEN NAME
OF MOTHER
20 BIRTHPLACE OF
MOTHER (City)
(State or country)
Italy
Place of Burial or Cremation
DATE OF BURIAL march 31 1957
7 NAME OF
FUNERAL DIRECTOR alle
ADDRESS
ravenhill SiBoth
Received and filed
19
APR 2 1951
(Registrar)
INTERVAL BE- TWEEN ONSET AND DEATH yo.
ANTE Due To CEDENT (b) CAUSES
Due To (c) ..
OTHER
SIGNIFICANT
CONDITIONS
Senility Sen. Jeblity DEbility
Major findings:
Of operations ..
non
Date of operation
What test confirmed diagnosis?
Was autopsy performed? malting
5 Was disease or injury in any way related to occupation of deceased? If so, specify (Signed)
M. D.
6 Winthrope Cem
Winthrope (City or Town)
21 Informant le (Address) SO Dequelle TO WinChinesa I HEREBY CERTIFY that a satisfactory standard certificate of death was filed with me BEFORE the burial or transit perinit was issued:
Walter . Bakles Bunature of Aseat of Board of Health or othuf) Health Offield 3/30/5/
(Official Designation)
(Date of Issue of/Permit)/
CTIONS OR ERTIFICATE
iving F DEATH enter an one or each ) and (c)
es not mean dying, such re, asthenia. s the disease, lions which
conditions. g rise to the (a) stating ing cause
ons contrib- eath but not disease or using death.
·50M (B)- 12-49.900722
MEDICAL CERTIFICATE OF DEATH
3 DATE OF
DEATH
March
(Month)
27 (Day)
1951 (Year)
The Commonwealth of Massachusetts EDWARD J. CRONIN SECRETARY OF THE COMMONWEALTH DIVISION OF VITAL STATISTICS STANDARD CERTIFICATE OF DEATH
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