Town of Winthrop : Record of Deaths 1951, Part 5

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


USA > Massachusetts > Suffolk County > Winthrop > Town of Winthrop : Record of Deaths 1951 > Part 5


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).


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12


AGE


Years


Months


Days


If under 24 hours


Hours.


Minutes


13 Usual


Occupation :


Housewife


(Kind of work done during most of working life)


14 Industry


or Business:


Own home


15 Social Security No.


None


16 BIRTHPLACE (City)


(State or country)


Vermont


17 NAME OF FATHER Addison Pond


PARENTS


18 BIRTHPLACE OF


FATHER (City)


(State or country)


Vermont


19 MAIDEN NAME


OF MOTHER


Fanny Janes


20 BIRTHPLACE OF MOTHER (City) (State or country) Vermont


Charles H Rogers


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


Walter & Baker Signature of Axohy of Board of Health of other)


Health Office /(Official Designation)


(Date of Issue of Permit)


·50M (B ). 12.49.900722


6


Place of Burial or Cremation


DATE OF BURIAL Jan, 13


7 NAME OF


FUNERAL DIRECTOR.


Toward S Reynolds


ADDRESS Winthrop Mais


Received and filed 19


JAN 1.5.1951


(Registrar)


10 years.


Due To (c)


OTHER SIGNIFICANT CONDITIONS


none


Major findings:


Of operations.


none


Date of operation none


Was autopsy performed?


What test confirmed diagnosis?


Clinical.


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


If so, specie


Surdie w. senckmasary.


M. D.


(Signed)


(Address) Whichof mass.


, Date /19, 1951


Erst Bulletin


Dumont


(City or Town) 21 Informant 105% (Address) 63 Rear Freemont St. Winthrop


1/11/st


3 DATE OF


DEATH


clan (Month)


10 (Day}


1951 (Year)


4 I HEREBY CERTIFY,


That I attended deceased from


Jan: 2


1951


to


10


...


195/


I last saw her


.. alive on


9


195 7, death is said to


have occurred on the date stated above, at


8 a. m.


INTERVAL BE-


DISEASE OR CONDITION


DIRECTLY LEADING


TO DEATH (a)


Chronic Myocarditis


TWEEN ONSET AND DEATH three 12 years


Due ToQ generalized


ANTE CEDENT (b) CAUSES arteriosclerosis


TRUCTIONS FOR AL CERTIFICATE


n giving E OF DEATH not enter 'e than one se for each , (b) and (c)


is does not mean le of dying, such failure, asthenia, means the disease. plications which eath.


rbid conditions, iring rise to the use (a) stating derlying cause


ditions contrib- the death but not o the disease or causing death.


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


PHYSICIAN - IMPORTANT -


(Was deceased a U. S. War Veteran, ( if so specify WAR)


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


MARRIED


WIDOWED


or DIVORCED


Married


81


East Berkshire


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 hest 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 hody is buried. No such permit shall be issued until there shall have been delivered to such board, agent or clerk, as the case may he, 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


cleath 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, See. 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 hody 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 he 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 eertify to such deathsonly 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 dore during most of working life even if retired. Children not gainfully employed may be returned as at school or at home. For a woman whose only occupation was that of home housework, write housework. For a person engaged in domestie 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


Dr Dickinson


1


M R-302 1


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


25m-(b)-11-49-900,475


PLACE OF DEATH


SUFFOLK BASTON


(City or Town)


The Commonwealth of Massachusetts EDWARD J. CRONIN SECRETARY OF THE COMMONWEALTH DIVISION OF VITAL STATISTICS COPY OF CERTIFICATE OF DEATH


(City or town making return)


Registered No.


36313


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


2 FULL NAME


WILLIAM J KENNEY


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


75 CREST AVE


St.


WINTHROP MAS3


(If nonresident, give city or town and State)


Length of stay: In place of death.


......


... years.


months. 8


days. In place of residence.


10


.years ..


months


.days.


MEDICAL CERTIFICATE OF DEATH


PERSONAL AND STATISTICAL PARTICULARS


3 DATE OF


DEATH


JAN 12/51


(Month)


(Day)


(Year)


8 SEX


MALE


9 COLOR OR RACE


WHITE


10 SINGLE


MARRIED


WIDOWED


or DIVORCED


WIDOWED


4 4 HEREBY CERTIFY,


That WE attended deceased from


JAN 4


51


JAN 12


19


51


WE


I last saw h .... I.M .... alive on.


JAN 1.2 19.5 / death is said to


(or) WIFE of


(Husband's name in full)


DISEASE OR CONDITION


DIRECTLY LEAD CARCINOMA OF


TO DEATH (a)


TWEEN ONSET


AND DEATH


I YR


11 IF STILLBORN, enter that fact here.


88


12


AGE


Years


7


Months.


16


Days


If under 24 hours


.. Hours ..


.Minutes


13 Usual


Occupation:


ACTOR


(Kind of work done during most of working life)


14 Industry


or Business:


PROFESSIONAL STAGE


15 Social Security No.


-


16 BIRTHPLACE (City).


(State or country)


NEW YORK"NY


17 NAME OF


FATHER


PATRICK KENNEY


18 BIRTHPLACE OF


FATHER (City)


(State or country)


IRELAND


19 MAIDEN NAME


OF MOTHER


SARAH MCGURK


20 BIRTHPLACE OF


MOTHER (City)


(State or country)


IRELAND


F W KENNEY,


SON


DATE OF BURIAL


7 NAME OF


FUNERAL DIRECTOR


A B MARSH


ADDRESS WINTHROP MASS


Received and filed JAN 25 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


(Signed)


N A WILHELM


M. D.


(Address)


BOSTON MASS


Date JAN 12


19.51


6


WINTHROP .... CEM


Place of Burial or Cremation


WINTHROP ..


(City or Town)


JAN 15


15 1


21


Informant


(Address)


A TRUE COPY


Charles H. Macke


ATTEST:


(Registrar of City or Town where death occurred)


DATE FILED


JAN 16


10 51


CEDENT (b)


CAUSES


Due To (c)


OTHER


SIGNIFICANT


CONDITIONS


Major findings:


Of operations.


Date of operation


Was autopsy performed ?..


NO


What test confirmed diagnosis?


CLI.N.I.C.AL


10a If married, widowed, or divorced


HUSBAND of.


LOUISE NOLAN


(Give maiden name of wife in full)


have occurred on the date stated above, at


7:35


Am.


INTERVAL BE-


ANTE


Due To CORONARY OCCLUSION


TERM


No.


PETER BENT BRIGHAM HOSPITAL


(Was deceased a


U. S. War Veteran,


if so specify WAR)


(a) Residence.


No.


(Usual place of abode)


19


to


(write the word)


1


M R-303-A


1


PLACE OF DEATH Sullek (County) Winthrop. (City or Town)


Boston 2/10/5/


The Commonturalth 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 Ita Agent.


14


Registered No.


104 Highland are Mounts Nursing Home St.{ ( If death occurred in a hospital or institution, { give its NAME instead of street and number)


2 FULL NAME


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


10g Woon Of East Boston


St.


(If nonresident, give city or town and State)


Length of stay: In hospital or Institution ..


(Before death)


( Specify whether)


years


months


(3 days.


In this community 60 yrs.


mos.


days.


13


PERSONAL AND STATISTICAL PARTICULARS


3 SEX


Female


4 COLOR OR RACE| 5 SINGLE


white


MARRIED


WIDOWED


or DIVORCED


(write the word)


Widowed


5a If married, widowed, or divorced HUSBAND of


(or) WIFE of


Patrivelen na Lecit in Dauley


(Husband's name in full)


6 Age of husband or wife If allve deceased years


7 IF STILLBORN, enter that faot here.


8 AGE Years Months. Deys


If less then 1 day Hours Minutes


Usual


9 Occupation :


House wife


Industry


our home


11 Soolal Security No ... une


12 BIRTHPLACE (City)


60. Terry


(State or country)


Helana!


13 NAME OF


FATHER


Cornelius Dimmeen


PARENTS


14 BIRTHPLACE OF


To. Kerry


FATHER (City)


(State or country)


Ireland


15 MAIDEN NAME


OF MOTHER


Johannah Donahue


16 BIRTHPLACE OF


MOTHER (City)


(State or country)


Dieland


17 Mary 24: Gauley (Stationliter)


Informant.


( \delrenx)


109 thoore St. E.B.Q


I HEREBY CERTIFY that a satisfactory standard certificate of death was filled with me BEFORE the Burial or transly permit was Issued: Watter ex Malalgo


(Signature of Agent of Board of Health or other)


1/15/07


(Official Designation) (Date of Issue of Permit)


18 DATE OF


DEATH


Jan


13-1951


(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.) Bruncho Queci morcea: Fractured Left temur : Senility


20 Aooldent, sulolde, or homlolde (specify) ...


Date of occurrence You-17-


1950


Where did


Bartin


(City or town and State)


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


place ?


(Specify type of place)


Mann


Bell accidentally at her home


Injury


Nature of


Jur-17-1950


Injury


While et work ?


Was there an autopsy ?.


40


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


If so, speolfy


(Signed)


M. D.


(Address)


Jan -13- 15/


22 Holy Cross Malden


Place of Burlan Cremation or Removal.


(City or Town)


DATE OF BURIAL ..


January 16


19.57


23 NAME OF


FUNERAL DIRECTOR


John & Kelly


ADDRESS


286 Meridian St. E. Boa


Reoelved and filed. 19


15 4851


(Registrar)


+


If deceased was a U. S. War Veteran. G. L. Chap. 46, Section 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 should be carefully supplied. MEDICAL EXAMINERS should state CAUSE AND MANNER OF DEATH in plain terms,


× 50m. (i) -1-45-15510


/ Healthare %


No.


Mary


Mccauley


PHYSICIAN.IMPORTANT


U. S. War Veteran,


If so specify WAR)


40


(a) Residence. No.


(Usual plece of abode)


MEDICAL CERTIFICATE OF DEATH


accidental


Injury ooour ?


10 or Business :


Co. Ferry


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


A physician or registarad hospital medloal offoar shall forthwitlı, after the death of a person whom he has attended during his last illneas, at the request of an undertaker or other authorized person or of any meniber 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 auction one, where sate 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. 16, 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, aerved In the arnty, 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, specl- fying the war, und shall also certify In such certificate both the primary and the secondary or iunnodiate cause of death as nearly as he can atate the same. For neglect to comply with any provision of this section, such physician or officer shall forfeit ten dollars. For the purposea of thia aec- tion and of aections forty-five, forty-six and forty seven of said chapter one hundred and fourteen, the word "war" shall include the China relief ex- pedition and the Philippine insurrection, which shall, for aaid purposes, be deemeil to have taken place between February fourteenth, eighteen hundred and ninety-eight and July fourth, nineteen hundred and two, and the Mexi- can border service of nlueteen hundred aud alxteen and nineteen hundred and seventeen. G. L. Chap. 46, Sec, 10.


No undertakar or other parsen shall bury or otherwise dispose of a human body in a town, or remove therefrom a human body which has not been buried, nutil he haa received & perinit from the board of health, or Its agent appointed to Issue such permits, or if there is no such hoard, from the clerk of the town where the person died; and no undertaker or other person shall exaume 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 aforesald or from the clerk of the town where the body is buried. No auch perinit shall be lasued until there ahall have been delivered to such hoard, agent or clerk, as the case may be, a aatisfactory written statement containing the facts required by law to be returned aud 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 hereinafter provided. If there is no attending physician, or If, for sufficlent reasons, his certificate cannot be obtained early enough for the purpose, or Is insufficleut, a physl- cian who is a mueinher of the board of health, or employed by it or by the selectmen for the purpose, shall upon application make the certlicate re- quired of the attending physician. If death ia caused by vlolence, the medical examiner shall make such certificate. If auch a permit for the removal 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 auch 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-slx houra after such re- moval, unless a perinit in the usual form for the removal of such body has been sooucr obtained hereunder. If the death certificate contalus a recital, as required by section ten of chapter forty-xix, 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 appesr upon the permit. The board of health, or- its agent, ufrom receipt of such statement and certificate, shall forthwith countersign it and transmit It to the clerk of the town for regis- tration. The person to whom the permit fa 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 deceased, or as to the manner or cause of the death, which the clerk or regiatrar may re- quire .- Chap. 114, Sec. 15, G. L., (Tercentenary Edition).


No undertaker or other person shall bury a human body or the ashes thereof which have bren brought Into the commonwealth until he has re- ceived 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 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 examincra sliall 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 hia 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. 38, Sec. 6.


. ile shall in all casea certify to the town clerk or registrar in the place where the deceased died his name and residence, if known; otherwise a description aa full as may he, with the cause and manner of death .- General Lawa, 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 obaervance of the following rulea of practice :


(1) Attending physloians will certify to such deaths only as those of persons to whom they have given bedside care during a last lilnesa from disease unrelated to any forin of injury.


(2) Board of Health physicians will certify to such deaths only as those of persona who, though disabled by recognized disease uurelated to any form of injury, have died without recent incdical attendance or whose phyal- cian is absent from home when the certificate of death ia needed.


(3) Medical Examiners will investigate and certify to all deaths sup- posahly due to Injury. These include not only deatha caused directly or in- directly by traumatism (inchiding resulting septicemia), and by the actlon of chemical (druga or poisons), thermal, or electrical agents, and deaths following abortion, but also deaths from disease resulting from Injury or Infection related to occupation, tha sudden deaths of persons not disabled by recognized disease, and those of persous found dead.


STATEMENT OF CAUSE OF DEATH


Medical Examiners 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 ita consequences; and (2) under manner, the mode of its production together with the circumstances when these are known. For example : "Com. pound fracture of the femur with ensuing septicemia (gas hacillua) caused by a steam railway accident." "Pistol shot wound of the chest with asso- ciated hemorrhage, homicidal." "Asphyxiation by suspension, sulcidal." "Syncope while under the influence of ether administered as a surgical anaesthetic." "fracture of the skull with associated internal injury sur tained under circumstances unkuown."


If disease or injury was related to occupation, specify. If investigation shows the death to have been due to disease, specify: (1) Under cause its known or preaumable nature; aml (2) under manner, Indicate the circum- stances leading to medico-legal Inquiry. For example : "Hemorrhage spon- taneous of the brain (basal ganglla) (found dead in bed)." "Heart dlaease, presumably coronary sclerosis. (Sudden death. )"




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