Town of Winthrop : Record of Deaths 1951, Part 54

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

USA > Massachusetts > Suffolk County > Winthrop > Town of Winthrop : Record of Deaths 1951 > Part 54

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).

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 negleet 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 ease 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 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 ean 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

I R RANK, RATING

ORGANIZATION AND OUTFIT.

SERVICE NUMBER

Or pr te ar en sh di. wi F of re de ni se1 G. in ha Su pe rel ot rec of sh. a re1 me lav ph en of ap ra pe to pu th re: re fo

PLACE OF DEATH

(County)

WINTHROP (City or Town)

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.

146

WINTHROP CUMMUNITY HOSPITAL No. ... Margaret

Howard

(If deceased is a married, widowed or divorced woman, give also maiden name.) Shirley St., Wiethewp 52 Mars.

(a) Residence. No.

(Usual place of abode)

(If nonresident, give city or town and State)

Length of stay: In place of death .. . years. .. months. 4 days. In place of residence 9 years. .. months days.

MEDICAL CERTIFICATE OF DEATH

PERSONAL AND STATISTICAL PARTICULARS

3 DATE OF

DEATH

July 5 1951

8 SEX

9 COLOR OR RACE

(Month

(Day)

(Year)

deceased

I last saw her alive on

have occurred on the date stated above, at. //A. m.

INTERVAL BE-

(Husband's name in full)

DISEASE OR CONDITION DIRECTLY TO DEATH (a).

Carcinoma

6 anos AGE .. 63.Years.

.. Months.

.Days

If under 24 hours

Hours.

Minutes

ANTE

Due To

Several

CEDENT (b) ...

CAUSES

Concinematoris

abdemune ascites

Due To (c)

OTHER SIGNIFICANT CONDITIONS

Paracentesi2

Major findings: Paracenters (July, 3, 135 Quand Cancer cells, Date of operation Was autopsy performed? no why ? clinical " lab.

What test confirmed diagnosis ?.

5 Was disease or injury in any way related to occupation of deceased? If so, sperify. D'acte & alunos 2.0

7/5 M. D. (Addr ) 562 CEMETERY WINTHROP MASS Date

6 WINTHROP

Place of Burial or Cremation (City or Town)

DATE OF BURIAL JULY 7 1951 .19

7 NAME OF

FUNERAL DIRECTOR ..

FRANK. H CARR

ADDRESS

79 ELM ST CHARLESTOWN MASS

Received and filed .. 19

JUL 3

1951

(Registrar)

A IRUL COPY ATTE I

PARENTS

18 BIRTHPLACE OF

CORK

FATHER (City)

(State or country)

IRELAND

19 MAIDEN NAME OF MOTHER BRIDGET FLANNAGAN

CORK 20 BIRTHPLACE OF MOTHER (City) (State or country) IRELAND

21 Informant MR HOWARD ( HUSBAND.).

(Address) 1069 SHIRLEY STBWINTHROP

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

Walter I Baker (Signature of Agent of Board of Health or other)

7.6/5/

(Official Designation) (Date of Issue of Permit)

LUCTIONS 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 tth.

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

Uremia

12 hrs

16 BIRTHPLACE (City)

(State or country)

ROZBURY

MASS

13 Usual Occupation:

HOUSE WIFE

(Kind of work done during most of working life)

3 xees

14 Industry

or Business:

OWN HOME

4 mos.

15 Social Security No.

NON.E.

17 NAME OF FATHER MICHAEL SULLIVAN

(or) WIFE of.

(Give maiden name of wife in full)

PAUL .... JOSEPH HOWARD

4 I HEREBY CERTIFY,

april1.

151

July 4.15 / death is said to

FEMALE!

WHITE

10 SINGLE

MARRIED

(write the word)

WIDOWED

or DIVORCED MARRIED

10a If married, widowed, or divorced HUSBAND of

TWEEN ONSET AND DEATH 11 IF STILLBORN, enter that fact here.

of Colon

That I attended

parent-guide 4/5%

(Was deceased a

U. S. War Veteran,

if so specify WAR)

1069

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

2 FULL NAME

M R-301 1

EXTRACTS FROM THE LAWS OF THE COMMONWEALTH OF MASSACHUSETTS GOVERNING THE

RETURN OF CERTIFICATES OF DEATH

de of

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 er 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 hundre l 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. 1 .. 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 tomnb 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 inember 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 perinit. 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 eertifying 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).

Medieal 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 from the board of health or its agent appointed to issue such perinits, 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.

(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 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 death.

Statement of Occupation .- Precise statement of oceupation 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, ete. 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

th be di cc pi te a1 er sł di W F

of re

de nı se G in ha SU pe

re ot re of sh a re m la P er o1 a c p to P tl

f c I I I

M R-302 1

PLACE OF DEATH

SUFFOLK (County) BOSTON

(City or Town)

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

BOSTON

(City or town making return)

Registered No.

6151147

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

2 FULL NAME.

Lena ... Stout.

(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. 166.Woodside Ave.

(Usual place of abode)

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

3 DATE OF

DEATH

July 7/51

(Month)

(Day)

(Year)

8 SEX

9 COLOR OR RACE

10 SINGLE

MARRIED

WIDOWED Married

or DIVORCED

4 I HEREBY CERTIFY,

April9

July 7

19.

I last saw h ...... ET .. alive on

July 7

death is said to

10a If married, widowed, or divorced

HUSBAND of

(Give maiden name of wife in full)

Walter A Stout

(or) WIFE of

(Husband's name in full)

11 IF STILLBORN, enter that fact here.

AGE61

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:

At Home

15 Social Security No ..

None

16 BIRTHPLACE (City)

(State or country)

Gloucester Mass.

OTHER

SIGNIFICANT

CONDITIONS

Vesico rectovaginal fistula

Major findings:

Of operations

Ca cervix adhesions

6 Operations between

30 and

Date of operation Was autopsy performed? 1951

What test confirmed diagnosis ?.

5 Was disease or injury in any way related to occupation of deceased? If so, specify

(Signed)

T Nielsen

M. D.

Mass General Hos Bite

7-7

.. 19 ... 51

Mass.

Place of Burial or Cremation

(City or Town)

DATE OF BURIAL.

July 11/51

Informant

(Address)

Husband

7 NAME OF

FUNERAL DIRECTOR

M W Kirby

Winthrop Mass.

A TRUE COPY

Charles H Mackie

ATTEST:

(Registrar of City or Town where death occurred)

Received and filed. JUL 2-3-1951 19

(Registrar of City or Town where deceased resided)

PARENTS

17 NAME OF

FATHER

Fred Gardner

18 BIRTHPLACE OF

FATHER (City)

(State or country)

Gloucester Mass.

19 MAIDEN NAME

OF MOTHER

Martha --

20 BIRTHPLACE OF

MOTHER (City)

(State or country)

(Address)

Winthrop Cem-winthrop

25M (E)-6-50.902253

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, Ser 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

DISEASE OR CONDITION DIRECTLY LEADING

TO DEATH

(a)

Carcinoma of cervix

gradual nutritional failure

-3-Yrs

ANTE

Due To

CEDENT (b)

CAUSES

Due To

(c)

Suppurative parotitis

4 Mos

ADDRESS

....

DATE FILED

July 10/51

...........

(write the word)

have occurred on the date stated above, at

5:15P

INTERVAL BE-

TWEEN ONSET

AND DEATH

That ]

attended deceased from

No.

Mass.General Hospital

١٧.٠٠

PLACE OF DEATH

Suffolk (County)

M R-301 1 Winthrop

No.

Winthrop Community Hospital

J(If death occurred in a hospital or institution.

St. [ give its NAME instead of street and number)

Blanche E (Pickup) Ericson .. 2 FULL NAME.

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

25 Bates Ave.

St.

(If nonresident, give city or town and State)

Length of stay: In place of death. . .... years. .months. 1 days. In place of residence .. months .days. 15 years

MEDICAL CERTIFICATE OF DEATH

PERSONAL AND STATISTICAL PARTICULARS

3 DATE OF

DEATH

(Month)

1951

(Day)

(fear)

8 SEX

Female

White

9 COLOR OR RACE

10 SINGLE

(write the word)

MARRIED

WIDOWED

DIVORCED

Married

4 I HEREBY CERTIFY,

February/

,50

That

attended deceased froml

I last saw

bel

alive on

July 8. 105 de

death is said to

have occurred o

n the

ated above, 6 4:45 pm

TERVAL BE.

TWEEN ONSET AND DEATH

11 IF STILLBORN, enter that fact here.

41 9

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

Social Security No. 012-20-1668

Laurence

16 BIRTHPLACE (City)

(State or country)

Mass

17 NAME OF

FATHER

Columbus Pickup

Major findings:

Of operations

Grade II carcinoma it

Date of operation. Feb. 2/50 Was autopsy performed? no What test confirmed diagnosis clinical x pathologie

PARENTS

18 BIRTHPLACE OF

FATHER (City)

Lawrence

(State or country)

Mass

19 MAIDEN NAME

OF MOTHER

BlanchFE Maybury

20 BIRTHPLACE OF

MOTHER (City)

Carlisle

(State or country)

Mass

21 Carl David Ericson

Informant

(Address)

25 Bates Ave. Winthrop

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

Walter & Bakery (Signature of Agent of Board of Health or other) Health Officer 7/10/51

(Official Designation )

(Date of Issue of Permit)

UCTIONS FOR CERTIFICATE

giving OF DEATH ot enter than one for each (b) and (c)

does not mean of dying, such lure, asthenia, ns the disease, cations which th.

d conditions. ing rise to the e (a) stating lying cause

tions contrib- death but not he disease or ausing death.

50M (A)- 12 49-900722

7 NAME OF

Howard SOSynolds

ADDRESS.

Received and filed.

JUL 11 1951

(Registrar)

A TRUI. COPY ATTEST

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.

148

(Was deceased a

U. S. War Veteran,

{if so specify WAR)

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

10a If married, widowed, or divorced HUSBAND of (Give maiden name of wife in full)

(or) WIFE of

Carl David Ericson

(Husband's name in full)

DISEASE OR CONDITION

DIRECTLY LEAD carcinoma

TO DEATH

(a)

right breast

ANTE D

Carcinoma of

CEDENT (b) ..

CAUSES

rt. lung

Due To

Several

Carcin matodes

4mos

OTHER

SIGNIFICANT

CONDITIONS

zione

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

If so, specify)

(Signed)

(Address) 7562 Clubla plume Top 719/5%.

Chelmsford.

(City_or Town)

West Chelmsford

Place of Burial or Cremation

DATE OF BURIAL.

July

2 yrs.

AGE

Years

(City or Town)

EXTRACTS FROM THE LAWS OF THE COMMONWEALTH OF MASSACHUSETTS GOVERNING THE

RETURN OF CERTIFICATES OF DEATH

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.

Town of Winthrop : Record of Deaths 1951, Part 54

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

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