USA > Massachusetts > Suffolk County > Winthrop > Town of Winthrop : Record of Deaths 1951 > Part 52
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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 hoard, 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 no.e.
SPACE FOR ADDITIONAL INFORMATION
DATE OF ENTERING MILITARY SERVICE
DATE OF DISCHARGE RANK, RATING ORGANIZATION AND OUTFIT
August 14 1896 June 14 1900 Corporal U. S. Marine Corp a
SERVICE NUMBER
M R-301 1
PLACE OF DEATH
Suffolk (County)
Winthrop (City or Town) 142 Pleasant St. No.
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.
140
J(If death occurred in a hospital or institution, St. [ give its NAME instead of street and number)
Alexander S Knox 2 FULL NAME
(If deceased is a married, widowed or divorced woman, give also maiden name.)
63 Harbor View Ave.
St.
(If nonresident, give city or town and State)
Length of stay: In place of death. ... .. . years. ... months.6
days. In place of residence 50 .. years .. months. .. days.
MEDICAL CERTIFICATE OF DEATH
3 DATE OF
DEATH
30
1951 (Year)
(Month)
(Day)
That I attended deceased from
4 I HEREBY CERTIFY,
1947
19
June 30
195/
I last saw h. L.t alive on.
Maque 30, 1997, death is said to
have occurred on the date stated above, at 22.
.. m.
INTERVAL BE-
TWEEN ONSET AND DEATH
11 IF STILLBORN, enter that fact here.
12
AGE.
75 Year
Months
.. Days
If under 24 hours
.Hours .....
. Minutes
13 Usual
Occupation:
Salesman
(Kind of work done during most of working life)
14 Industry
or Business:
Hats
15 Social Security No.
028-10-1042
16 BIRTHPLACE (City) (State or country) Scotland
17 NAME OF FATHER Alexander Knox
PARENTS
18 BIRTHPLACE OF FATHER (City) (State or country) Scotland
19 MAIDEN NAME
OF MOTHER
Agnes Neilson
20 BIRTHPLACE OF MOTHER (City) (State or country)
Scotland
21
Evalina Murray
Informant (Address) 90 Terrace Ave. Winthrop
I HEREBY CERTIFY that a satisfactory standard certificate of death was filed with me BEFORE the burial or transit permit was issued:
Walter t kaker
(Signature of Agentff Board of Health or other) H.O.
(Official Designation)
July 2/5/ (Date of Issue of Permit)
RUCTIONS FOR CERTIFICATE
giving OF DEATH ot enter than one for each (b) and (c)
does not mean of dying, such ilure, asthenia, ans the disease, cations which th.
id conditions. ing rise to the e (a) stating lying cause
tions contrib -- e death but not the disease or causing death.
OTHER
SIGNIFICANT Contenuselentes ge
artenoscuenta bient years
Quiene
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?
(Signed)
Hugone M. D. 1997
winthrop
6 Place of Burial or Cremation
DATE OF BURIAL
July
2
1957
7 NAME OF
FUNERAL DIRECTOR
Howard S Burnoles
ADDRESS Winthrop muves
Received and filed 19
JUL 2 . 1951
(Registrar)
PERSONAL AND STATISTICAL PARTICULARS
8 SEX
Male
White
9 COLOR OR RACE
10 SINGLE
MARRIED
WIDOWED
or DIVORCEDidowed
10a If married, widowed, or divorced
Emma L Tewksbury
HUSBAND of
(Give maiden name of wife in full)
(or) WIFE of
(Husband's name in full)
DISEASE OR CONDITION
DIRECTLY LEADING
Broncho .
TO DEATH (a)
precumpria (terminal)
ANTE CEDENT (b) CAUSES
ancona
6 KR
Due To (c)
ĽOV (A). 12.49.900722
A IRLE COPY ATTEST
1 day
Due To
(write the word)
(Was deceased a U. S. War Veteran, if so specify WAR)
No
(a) Residence. No. (Usual place of abode)
Winthrop
(City or Town)
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 hy 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 sand 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 perinit 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 hody 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 sueh 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 eertify 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 inelude 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 oceupation, 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 deatlı.
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 oecupa- 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 he 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
M R-302 1
PLACE OF DEATH
Suffolk
(County)
Chelsea
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.
394141
2 FULL NAME
George J.Halliday
(Was deceased a
SW
(If deceased is a married, widowed or divorced woman, give also maiden name.)
423 Winthrop
St.
Winthrop, Mass.
(If nonresident, give city or town and State)
Length of stay:
In place of death ..
.. years.
9
months ...
.1.7days. 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
(write the word)
MARRIED
WIDOWED
or DIVORCED
divorced
4 I HEREBY CERTIFY,
That I attended deceased from
Feb.13
51
June 15
.57
19
to ..
death is said to
have occurred on the date stated above, at 7:05A
INTERVAL BE-
TWEEN ONSET
DISEASE OR CONDITION
DIRECTLY LEADING
Carcinoma of bladder
AND DEATH
TO DEATH (a)
with metastasis
?
11 IF STILLBORN, enter that fact here.
12
AGE
Years.
Months
Days
If under 24 hours
Hours.
Minutes
13 Usual
Occupation:
Glazier
(Kind of work done during most of working life)
14 Industry
or Business :.
15 Social Security No.
16 BIRTHPLACE (City) .. Woburn, Mass.
OTHER
Generalized arteriosclerosis (State or country)
SIGNIFICANT
CONDITIONS with arteriosclerotic heart
disease.
Major findings:
Of operations
Carcinoma of bladder
Date of operation
4/6/51
Was autopsy performed ?.
no
What test confirmed diagnosis ?.
operation.
19 MAIDEN NAME.
0
OF MOTHER
Julia Buckley
20 BIRTHPLACE OF
MOTHER (City)
Woburn, Muss.
(State or country)
Hospital Records
21
Informant
(Address)
A TRUE COPY
ATTEST:
Received and filed
JUL 13 1951
19
(Registrar of City or Town where deceased resided)
PARENTS
17 NAME OF
FATHER
Charles F.
18 BIRTHPLACE OF
FATHER (City)
(State or country)
India
5 Was disease or injury in any way related to occupation of deceased? If so. specify ... T.cwis Giazor
(Signed)
Soldiers' Home
Date
6/15/5%
(Address)
winthrop Cem. Winthrop, Pass.
6
Place of Burial or Cremation (City or Town)
DATE OF BURIAL
Juno 18,1951
19
7 NAME OF
FUNERAL DIRECTOR
Frederick J. Magrath
ADDRESS
98 Havre St.Last . Boston
25m-(b)-11-49-900,475
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 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
3 DATE OF
June 15,1951
DEATH
(Month)
(Day)
(Year)
I last saw h
alive on
June 15
19 51
10a If married, widowed, or divorgohnson
HUSBAND of
(Give maiden name of wife in full)
(or) WIFE of
(Husband's name in full)
ANTE
Due To
CEDENT (b)
CAUSES
Due To (c)
71
4
17
U. S. War Veteran,
if so specify WAR)
(a) Residence.
No.
(Usuahplaces of pbeden
J(If death occurred in a hospital or institution.
St. [ give its NAME instead of street and number)
(City or Town) Soldiers' Home Hospital No.
DATE FILED
June 15,1951
19
0
Enlisted 6/25/98 Discharged 3/31/99 Priv. Co.G, 5th Mass.Inf.
+
PLACE OF DEATH
Suffolk (County)
M R-301 1 Winthrop (City or Town) 104 Highland Ave. No.
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.
142
J(If death occurred in a hospital or institution, St. [ give its NAME instead of street and number)
John Brown
(If deceased is a married, widowed or divorced woman, give also maiden name.)
60 Sea View Ave.
St.
(If nonresident, give city or town and State)
35
Length of stay: In place of death. .......
years.
2
months
14.
days.
In place of residence
.years
.months.
.. days.
MEDICAL CERTIFICATE OF DEATH
PERSONAL AND STATISTICAL PARTICULARS
3 DATE OF
DEATH
July
1
1951
(Month)
(Day)
(Year)
4 I HEREBY CERTIFY,
That I attended deceased from
June 21
51
to bulas
1
19
51
10a If married, widowed, or divorced,
Isabel Ritchie
HUSBAND of.
(Give maiden name of wife in full)
have occurred on the date stated above, at
6.45 p.m.
INTERVAL BE-
11 IF STILLBORN, enter that fact here.
12
AGE.
Years
.79
1
Months.
17
Days
If under 24 hours
.Hours ...
Minutes
13 Usual
Occupation:
Clerk
(Kind of work done during most of working life)
14 Industry
or Business:
Dry Goods
15 Social Security N
012-10-3618
16 BIRTHPLACE (City)
(State or country)
Scotland
17 NAME OF
FATHER
James Brown
PARENTS
18 BIRTHPLACE OF
FATHER (City)
(State or country)
Scotland
19 MAIDEN NAME
OF MOTHER
Elizabeth Noble
20 BIRTHPLACE OF
MOTHER (City)
(State or country)
Scotland
21 Isabel Brown
Informant
(Address)
60 Sea View Ave. Winthrop
I HEREBY CERTIFY that a satisfactory standard certificate of death was filed with me BEFORE the burial or transit permit was issued: Walter I. Bakery (Signature of Agent of Board of Health or other) Health Afreak 07/3/07 (Official Designation)
(Date of Issue of Permit)
A TRUE COPY ATTEST
(Registrar)
8 SEX
Male
9 COLOR OR RACE
White
1
10 SINGLE
(write the word)
MARRIED
WIDOWED
or DIVORCEDMarried
I last saw him alive on.
June 30
1951
death is said to
DISEASE OR CONDITION
DIRECTLY LEADIN
TO DEATH (a).
Onset. Sept. 10, 1948.
G Cerebral hemorrhage
about
ANTE
CEDENT (b)
CAUSES
To Generalized arteriosclerosis
10 years
Due To (c)
OTHER
SIGNIFICANT
CONDITIONS
none.
Major findings:
Of operations
none
Date of operation
What test confirmed diagnosis ?.
.Was autopsy performed?
Clinical
5 Was disease or injury in any way related to occupation of deceased?
no
(Signed)
Bypolis z. Dickinson
M. D.
(Address) Wendrop mass
Date July 2
5.1
6
Winthrop
Place of Burial or Cremation
Winthrop
(City or Town)
July 5.
19.51
DATE OF BURIAL
7 NAME OF
FUNERAL DIRECTOR
Lamara Pernodo
ADDRESS
Received and filed 19
JUL 5 1951
......
2 FULL NAME.
RUCTIONS FOR CERTIFICATE
giving OF DEATH ot enter than one for each (b) and (c)
does not mean of dying, such ilure, asthenia, ans the disease, ications which th.
id conditions. ing rise to the se (a) stating rlying cause
itions contrib- e death but not the disease or causing death.
SOM (A). 12.49-900722
TWEEN ONSET AND DEATH
(or) WIFE of
(Husband's name in full)
(Was deceased a
U. S. War Veteran,
if so specify WAR)
(a) Residence. No. (Usual place of abode)
EXTRACTS FROM THE LAWS OF THE COMMONWEALTH OF MASSACHUSETTS GOVERNING THE
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