USA > Massachusetts > Suffolk County > Winthrop > Town of Winthrop : Record of Deaths 1951 > Part 37
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).
Part 1 | Part 2 | Part 3 | Part 4 | Part 5 | Part 6 | Part 7 | Part 8 | Part 9 | Part 10 | Part 11 | Part 12 | Part 13 | Part 14 | Part 15 | Part 16 | Part 17 | Part 18 | Part 19 | Part 20 | Part 21 | Part 22 | Part 23 | Part 24 | Part 25 | Part 26 | Part 27 | Part 28 | Part 29 | Part 30 | Part 31 | Part 32 | Part 33 | Part 34 | Part 35 | Part 36 | Part 37 | Part 38 | Part 39 | Part 40 | Part 41 | Part 42 | Part 43 | Part 44 | Part 45 | Part 46 | Part 47 | Part 48 | Part 49 | Part 50 | Part 51 | Part 52 | Part 53 | Part 54 | Part 55 | Part 56 | Part 57 | Part 58 | Part 59 | Part 60 | Part 61 | Part 62 | Part 63 | Part 64 | Part 65 | Part 66 | Part 67 | Part 68 | Part 69 | Part 70 | Part 71 | Part 72 | Part 73 | Part 74 | Part 75 | Part 76 | Part 77 | Part 78 | Part 79 | Part 80 | Part 81 | Part 82 | Part 83 | Part 84 | Part 85 | Part 86 | Part 87 | Part 88 | Part 89 | Part 90 | Part 91 | Part 92 | Part 93 | Part 94 | Part 95 | Part 96 | Part 97 | Part 98 | Part 99 | Part 100 | Part 101 | Part 102 | Part 103 | Part 104
death certificate contains a recital, as required by section ten of chapter forty-six, that the deceased served in the army, navy or marine corps of the United States in any war in which it has been engaged, such recital shall appear upon the perinit. The board of health, or its agent, upon receipt of sueh statement and certificate, shall forthwith countersign it and transmit it to the elerk 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., (Tereentenary 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 frorn the board of health or its agent appointed to issue such permits, or if there is no such board. from the elerk 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., (Tereentenary Edition).
RULES OF PRACTICE
The fulfillment of the purpose of these laws ealls for the observance of the follow- ing rules of practice:
(1) Attending physicians will certify to such deaths only as those of persons to whom they have given bedside care during a last illness from disease unrelated to any form of injury.
(2) Board of Health physicians will certify to such deathsonly as those of persons who, though disabled by recognized disease unrelated to any form of injury, have died without reeent 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 eaused directly or indirectly by traumatism (including resulting septieemia), 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 infeetion related to oeeupation, 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 sehool or at home. For a woman whose only occupation was that of home housework, write housework. For a person engaged in domestie service for wages, however, designate the occupation by the appropriate terms, as housekeeper-private family, cook-hotel, etc. For a person who had no oceupation whatever write none.
SPACE FOR ADDITIONAL INFORMATION
DATE OF ENTERING MILITARY SERVICE
DATE OF DISCHARGE RANK, RATING ORGANIZATION AND OUTFIT SERVICE NUMBER
M R-305 1
PLACE OF DEATH
Middlesex
(County)
Tewksbury
(City or Town)
Tewksbury State Hospital and The Commonwealth of Massachusetts Infirmary, Tewksbury EDWARD J. CRONIN SECRETARY OF THE COMMONWEALTH (City or town making return) DIVISION OF VITAL STATISTICS COPY OF MEDICAL EXAMINER'S CERTIFICATE OF DEATH Registered No. 64 96
Tewksbury State Hospital and No.
Infirmary, Tewksbury
Mathias .Marion
(If deceased is a married, widowed or divorced woman, give also maiden name.)
46 Madison Avenue
XX
Winthrop
(If nonresident, give city or town and State)
Length of stay: In place of death 7. years 0 .months. 25.days. In place of residence. .......... years. .. months. .. days.
PERSONAL AND STATISTICAL PARTICULARS
9 SEX
Male
10 COLOR OR RACE
White
11 SINGLE
(write the word)
MARRIED
WIDOWED
Married
or DIVORCED
11a If married, widowed, or divorced
HUSBAND of.
... Zennare Guimmut
(Give maiden name of wife in full)
(or) WIFE of. (Husband's name in full)
12 IF STILLBORN, enter that fact here.
13
AGE 79
Years
1
Months.
25 Days
If under 24 hours
Hours ......
.. Minutes
14 Usual
Occupation:
Farmer
(Kind of work done during most of working life)
15 Industry or Business:
16 Social Security No.
Not learned
place?
Tewksbury State Hospital , TewksburyIRTHPLACE (City)
(Specify type of place)
Not learned
(State or country)
Canada
18 NAME OF
FATHER
Louis Marion
19 BIRTHPLACE OF
Not learned
FATHER (City).
(State or country)
Canada
20 MAIDEN NAME
OF MOTHER
Louisa (not learned)
21 BIRTHPLACE OF
Not learned
(Address)
Lowell, Mass.
4-4
19. 51
19
...
MOTHER (City)
(State or country)
Canada
Winthrop Cemetery Winthrop Mass Place of Burial, or Cremation. (City of Town) April 6
51
22
Informant
(Address)
Hospital records?
A TRUE COPY.
ATTEST:
(Registrar of City or Towy where death occurred)
DATE FILED
April 4
.19.
51
April
4
1951
(Month)
(Day)
(Year)
5 Accident, suicide, or homicide (specify)
Accident
19
51
6 Was disease or injury in any way related to occupation of deceased ?.
If so, specify
WRITE THAINET, WETTONPAVING DWALKING - THIS IS ATERMANENT REVUND
While at work?
No
.Was autopsy performed?
...
No
25m-(c)-11-49-900.475
DATE OF BURIAL 19
8 NAME OF
FUNERAL DIRECTOR
John F O'Maley
ADDRESS
Winthrop, Massachusetts
Received and filed. JUN 4 1951
19
(Registrar of City or Town where deceased resided)
J(If death occurred in a hospital or institution,
St. [ give its NAME instead of street and number)
(Was deceased a
U. S. War Veteran,
if so specify WAR).
4 I 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.) Bronchopneumonia following fractur neck left femur
2 FULL NAME
(a) Residence. No.
(Usual place of abode)
MEDICAL CERTIFICATE OF DEATH
3 DATE OF
DEATH
Date and hour of injury.
Feb. 17
Where did
(City or town and State)
Manner of
Injury
Fell to floor
(How did injury occur?)
Nature of
Injury
....
Fracture - left hip
(Signed)
M. D. Bryant
Date
7
Copies of returns of deaths which occurred in your city or town in case the deceased resided in another city or town at the time
after the close of the month in which the death occurred. (See Chap. 46, Sec. 12, G. L.)
of death should be transmitted on Form R-305 to the clerk of the city or town in which the deceased resided as soon as possible
Injury occur?
Tewksbury, Mass.
Did injury occur in or about home, on farm, in industrial place, or in public
No
PARENTS
M. D.
WRITE PLAINLY, WITH UNFADING BLACK INK - THIS IS A PERMANENT RECORD
Copies of returns of deaths which occurred in your city or town in case the deceased resided in another city or town at the time after the close of the month in which the death occurred. (See Chap. 46, Sec. 12, G. L.) of death should be transmitted on Form R-302 to the clerk of the city or town in which the deceased resided as soon as possible
T
PLACE OF DEATH
Suffolk (County) Chelsea
(City or Town)
The Commonwealth of Massachusetts EDWARD J. CRONIN SECRETARY OF THE COMMONWEALTH DIVISION OF VITAL STATISTICS COPY OF CERTIFICATE OF DEATH
Chelsea
(City or town making return)
Registered No.
295.97
((If death occurred in a hospital or institution. St. [ give its NAME instead of street and number)
2 FULL NAME
Baby Boy Boucher
(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.
20 Coral Avenue
St.
Winthrop, Mass.
(Usual place of abode)
(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
April 30, 19 51
(Month)
(Day)
(Year)
8 SEX
Male
9 COLOR OR RACE
White
10 SINGLE
MARRIED
(write the word)
WIDOWED
or DIVORCED
Single
4 I HEREBY CERTIFY,
That I attended deceased from
Apr .. 30 .... , 19 .. 51 ... to .... Apr .... 30
19 ..
5.1
I last saw
h .... 1m.alive on.
.A.pr ... 30 ...... 19 .... 5Jdeath is said to
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)
Atelectasis
TWEEN ONSET AND DEATH
11 IF STILLBORN, enter that fact here.
12
AGE
Years.
.Months
.Days
If under 24 hours
1
Hours3 0Minutes
13 Usual
Occupation:
(Kind of work done during most of working life)
14 Industry or Business:
15 Social Security No ..
16 BIRTHPLACE (City).
(State or country)
Chelsea, Mass
17 NAME OF
FATHER
George A . Boucher
18 BIRTHPLACE OF
FATHER (City)
(State or country)
Manchester , N. H.
19 MAIDEN NAME
OF MOTHER
Elizabeth Barker
20 BIRTHPLACE OF
MOTHER (City)
(State or country)
Henniker, N.H.
21 Informant
Geo.A. Boucher
(Address) 20 Coral Ave . Winthrop, Mass.
A TRUE COPY
ATTEST:
(Registrar of City or Town whend
Received and filed
JUN 8 - 1951
19
(Registrar of City or Town where deceased resided)
PARENTS
5 Was disease or injury in any way related to occupation of deceased?
If so, specify ..
Donald R Mundie
M. D.
(Signed)
(Address)
U.SNH ... Chelsea
Date
5/1/51 19.
6
Woodlawn,Everett., Mas.s. Place of Burial or Cremation (City or Town)
DATE OF BURIAL.
May .. 2 ,19.51
19
7 NAME OF FUNERAL DIRECTORFenton H Norris ADDRESS Cambridge, lass.
25m-(b)-11-49-900,475
ANTE
CEDENT (b)
CAUSES
Due To
Prematurity
Due To (c)
OTHER
SIGNIFICANT
CONDITIONS
Major findings:
Of operations
Date of operation
Was autopsy performed ?.
yes
What test confirmed diagnosis ?.
INTERVAL BE-
have occurred on the date stated above, at.
.0.43.0A .m.
......
DATE FILED
May 2 1951
19
RM R-302 1
No. U .S.Naval Hospital
RM R-302 1
PLACE OF DEATH
Suffolk (County) Chelsea
(City or Town) U.S.Naval Hospital
The Commonwealth of Massachusetts EDWARD J. CRONIN SECRETARY OF THE COMMONWEALTH DIVISION OF VITAL STATISTICS COPY OF CERTIFICATE OF DEATH
Chelsea
(City or town making return)
Registered No.
296 98
f(If death occurred in a hospital or institution, St. ¿ give its NAME instead of street and number)
2 FULL NAME. Baby Boy Lynch
(If deceased is a married, widowed or divorced woman, give also maiden name.)
34 Girdlestone Rd.
.....
St.
Winthrop,Mass
(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
8 SEX
Male
9 COLOR OR RACE
White
10 SINGLE
MARRIED
WIDOWED
or DIVORCED in, le
4 I HEREBY CERTIFY,
That I attended deceased from
to
19
10a If married, widowed, or divorced HUSBAND of. (Give maiden name of wife in full)
I last saw h
alive on
19
death is said to
have occurred on the date stated above, at
m.
INTERVAL BE-
DISEASE OR CONDITION
DIRECTLY LEADING
TO DEATH (a)
Stillbirth
TWEEN ONSET
AND DEATH
11 IF STILLBORN, enter that fact here.
stillborn
12
AGE
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:
15 Social Security No.
6 BIRTHPLACE (City)
(State or country)
Chelsea, Dass.
17 NAME OF
FATHER
francis T. Lynch
18 BIRTHPLACE OF
FATHER (City)
Brooklyn, N. Y.
(State or country)
19 MAIDEN NAME
OF MOTHER
Valleda I.Guidi
20 BIRTHPLACE OF
MOTHER (City)
(State or country)
Boston, Mass.
21 U.S.Naval Hospital
Informant
(Address)
Chelsea Mass
7 NAME OF
FUNERAL DIRECTOR
J.Vincent Murray
ADDRESS
262 Pouch St. Revere
Received and filed
JUN 8 - 1951
19
(Registrar of City or Town where deceased resided)
PARENTS
25m-(b)-11-49-900,475
No.
(a) Residence. No.
(Usual place of abode)
3 DATE OF
DEATH
May 1,1951
19
Due To
OTHER
SIGNIFICANT
CONDITIONS
Major findings:
Of operations.
What test confirmed diagnosis?
6
Copies of returns of deaths which occurred in your city or town in case the deceased resided in another city or town at the time
after the close of the month in which the death occurred. (See Chap. 46, Sec. 12, G. L.)
of death should be transmitted on Form R-302 to the clerk of the city or town in which the deceased resided as soon as possible
(c)
Breus mole
Due To
Intrauterine death
ANTE CEDENT (b) CAUSES at 16 weeks to 20 weeks
Date of operation
.Was autopsy performed?
no
5 Was disease or injury in any way related to occupation of deceased ?..
If so, specify
Low g.True
(Signed)
(Address) SNHosp. Chelsea Date 5/1/5119.
M. D.
Holy Cross Malden, Las Chy or Town) Place of Burial or Cremation
DATE OF BURIAL.
May 3,19.51
19
A TRUE COPY
ATTEST:
(Registrar
Joseph & Turrell
(Registrar of City or Town when death occurred)
DATE FILED
May 3, 19 51
... 19.
WRITE PLAINLY, WITH UNFADING BLACK INK - THIS IS A PERMANENT RECORD
(Month)
(Day)
(Year)
(Was deceased a
U. S. War Veteran,
if so specify WAR)
(write the word)
(or) WIFE of
(Husband's name in full)
M 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.
Registered No. 99
J(If death occurred in a hospital or institution, St. [ give its NAME instead of street and number)
2 FULL NAME
Elizabeth F. Gillespie (If deceased is a married, widowed or divorced woman, give also maiden name.)
(a) Residence. No. 37 Belcher St
St.
(If nonresident, give city or town and State)
Length of stay: In place of death years .. months .days. In place of residence 18 years months days.
MEDICAL CERTIFICATE OF DEATH
PERSONAL AND STATISTICAL PARTICULARS
3 DATE OF
DEATH
(Month)
(Day)
1951 (Year)
8 SEX
9 COLOR OR RACE
White
10 SINGLE
MARRIED
WIDOWED
DEVOPEPe
(write the word)
4 I HEREBY CERTIFY, tel 10 19 51
Thịnh attended deceased from
april 14
19 5 /
I last saw her alive on
about 5:30 p.m.
INTERVAL BE- TWEEN ONSET AND DEATH
11 IF STILLBORN, enter that fact here.
12 AGE 84Years
Months
Days
If under 24 hours
Hours . ...
Minutes
13 Usual
OccupatiRetired
(Kind of work done during most of working life)
14 Industry or Business: Candy
15 Social Security No.
16 BIRTHPLACE (City)
(State or country)
Boston Mass
17 NAME OF FATHER
Garret
18 BIRTHPLACE OF
FATHER (City) (State or country)
Scotland
19 MAIDEN NAME OF MOTHER Hanna Fleming
20 BIRTHPLACE OF MOTHER (City) (State or country)
Ireland
Winthrop
Winthrop (City or Town)
DATE OF BURIAL
May11 5 1951y
7 NAME OF FUNERAL DIRECTOR
Fol TO maley Winthrop
ADDRESS
Received and filed
19
MAY 9 1951
(Registrar)
PARENTS
21 Informant (Address)
Mrs. 37
EDward. . Belcher . Senahue
I HEREBY CERTIFY that a satisfactory standard certificate of death was filed with me BEFORE the buried or transit permit was issued: Walter S. Baker Signature of Agent of Board of Health alth or other)
Health Officer &otheist Designation)
5/3/5/
(Date of Issue of Permit)
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)
Coronary occlusion
?. Sylona
ANTE CEDENT (b) . CAUSES
Due To
Coronary sclerosis
Due To (c)
OTHER SIGNIFICANT CONDITIONS
Congestive heart failure
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
dos Lugulielit
(Signed) (Address) 447 thisday At whee Rump Date 5- 3 1951
M. D.
6 Place of Burial or Cremation
50M (B).12-49.900722
STRUCTIONS FOR AL CERTIFICATE
n giving E OF DEATH not enter re than one se for each ), (b) and (c)
is does not mean de of dying, such failure, asthenia, means the disease, plications which death.
orbid conditions. giving rise to the ause (a) stating derlying cause
nditions contrib- the death but not to the disease or n causing death.
No. 37 Belcher .St
........
PHYSICIAN - IMPORTANT (Was deceased a U. S. War Veteran, if so specify WAR)
(Usual place of abode)
2
Female
have occurred on the date stated above, at
way & 14, 195%, death is said to
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 diedi,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 eommonwealth 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 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, eook-hotel, etc. For a person who had no occupation whatever write no.e.
SPACE FOR ADDITIONAL INFORMATION
DATE OF ENTERING MILITARY SERVICE
DATE OF DISCHARGE RANK, RATING ORGANIZATION AND OUTFIT
SERVICE NUMBER
PLACE OF DEATH
Suffolk (County)
M R-301 1 Winthrop
(City or Town) 94 Cottage Ave .
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.
100
No. Charlotte B (Benson) Pavey 2 FULL NAME.
(If deceased is a married, widowed or divorced woman, give also maiden name.)
(a) Residence. No. 94 Cottage Ave. (Usual place of abode) 22
22
(If nonresident, give city or town and State)
Length of stay: In place of death. . years.
Need help finding more records? Try our genealogical records directory which has more than 1 million sources to help you more easily locate the available records.