USA > Massachusetts > Suffolk County > Winthrop > Town of Winthrop : Record of Deaths 1951 > Part 70
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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 behef the name of the deceased, his supposed age. the thiscase 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 .r 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 shill 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 se tion 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, b 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, Cy. 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 pernat 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 n undertaker or other person shall exhume a human body and remove it fron 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 perunit 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 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 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 posons) thermal, or electrical agents, and deaths following abortion, but also deaths from disease resulting from injury or infeetion 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 oeeupation by the appropriate terms. as housekeeper-private family, cook-hotel, etc. For a person who had no occupation whatever write none.
SPACE FOR ADDITIONAL INFORMATION
DATE OF ENTERING MILITARY SERVICE DATE OF DISCHARGE RANK. RATING ORGANIZATION AND OUTFIT
SERVICE NUMBER
+
PLACE OF DEATH
Suffolk (County)
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.
719193
Mass.General Hospital
[(If death occurred in a hospital or institution,
St. ¿ give its NAME instead of street and number)
Maurice F Driscoll
(If deceased is a married, widowed or divorced woman, give also maiden name.)
30 Villa Ave.
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
August 29/51
(Day)
(Year)
That I
attended deceased
from
Aug .29 10.51
19.
to
Aug. 29
51
I last saw h
imalive on
August 29
19.
death is said to
51
10a If married, widowed, or divorgènes M Fitzgerald
HUSBAND of
(Give maiden name of wife in full)
(or) WIFE of
(Husband's name in full)
11 IF STILLBORN, enter that fact here.
12
AGE
66
Years
Months.
Days
If under 24 hours
.. Hours ...
Minutes
13 Usual
Occupation:
Retired
(Kind of work done during most of working life)
14 Industry
or Business:
Paper Broker
15 Social Security No.
023-12-4453
16 BIRTHPLACE (City).
(State or country)
Quincy Mass.
17 NAME OF FATHER
Maurice Driscoll
18 BIRTHPLACE OF
FATHER (City)
(State or country)
Ireland
19 MAIDEN NAME
OF MOTHER
Emma Loring
5 Was disease or injury in any way related to occupation of deceased?
If so, specify.
CL Clay
(Signed)
Mass General Hosphate 8-30
51
WinthropCem-Winthrop Mass.
Place of Burial or Cremation (City or Town)
DATE OF BURIAL
Sept.3/51
19
7 NAME OF
FUNERAL DIRECTOR
J F O'Maley
ADDRESS
Received and filed.
SEP 1796
19
(Registrar of City or Town where deceased resided)
PERSONAL AND STATISTICAL PARTICULARS
8 SEX
M
9 COLOR OR RACE
W
10 SINGLE
MARRIED
WIDOWED
or DIVORCED
(write the word)
Married
have occurred on the date stated above. at
11;25P
m.
INTERVAL BE-
TWEEN ONSET
AND DEATH
4 Hr
DISEASE OR CONDITION DIRECTLY LEADING TO DEATH (a) Acute pulmonary edema
ANTE Due To Arterio sclerotic heart
5 Yrs
Plus
Was autopsy performed?
No
Clinical
PARENTS
20 BIRTHPLACE OF
MOTHER (City)
(State or country)
Quincy Mass.
A M Driscoll
21 Informant (Address) JE CORE ales H. IMac
ATTEST
(Registrar of City or Town where death occurred)
DATE FILED
Sept. 4/51
19
25m-(b)-11-49-900,475
No.
2 FULL NAME.
(a) Residence.
No.
(Usual place of abode)
3 DATE OF
DEATH
(Month)
4 I HEREBY CERTIFY,
CEDENT (b)
Due To
(c)
OTHER
SIGNIFICANT
CONDITIONS
Major findings:
Of operations.
Date of operation
None
What test confirmed diagnosis?
(Address)
6
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
CAUSES
disease
I R-302 1
Copies of returns of deaths which occurred in your city or town in case the deccased 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.)
Winthrop Mass.
40
(Was deceased a
U. S. War Veteran,
if so specify WAR)
0
M R-302 1
PLACE OF DEATH
Suffolk (County)
Revere
(City or Town)
The Commonwealth of Massachusetts OFFICE OF THE SECRETARY DIVISION OF VITAL STATISTICS
Revere
(City or town making return)
COPY OF CERTIFICATE OF DEATH
Registered No.
194
No. 42 Pearl Avenue
..........
(If death occurred in a hospital or institution, St. { give its NAME instead of street and number)
2 FULL NAME ...
Patrick H. Gaffny
(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. 128 .... Revere.Street
St.
Winthrop
(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 .... 3.1 .. years.
.. months.
.. days.
MEDICAL CERTIFICATE OF DEATH
PERSONAL AND STATISTICAL PARTICULARS
3 DATE OF
DEATH
August.
.
29.
1951
(Month)
(Day)
(Year)
4 I HEREBY CERTIFY,
That I attended deceased from
June. .... 16 ......
19.
50 to August 29
19 .. 51.
I last saw h ... i.m .. alive on ... August ..... 29 ... , 19 ... 5.1death is said to
have occurred on the date stated above, at 8: 30 A.m.
INTERVAL BE-
10a If married, widowed, or divorced
HUSBAND of ..
Lena ... A.
Miskell
(or) WIFE of
(Husband's name in full)
DISEASE OR CONDITION
DIRECTLY LEADING
TO DEATH (a) ... Congestiveheart
failure
TWEEN ONSET AND DEATH
11 IF STILLBORN, enter that fact here.
12
AGE.9.0.
Years
Months.
Days
If under 24 hours
Hours ....
Minutes
ANTE
CEDENT
CAUSES
Due To
(b) ...
Arterio sclerotic
heart disease
Due To
Generalizedarterio
(c)
sclerosis
? years
Milford
OTHER
SIGNIFICANT Osteoarthritis .... o.f.
CONDITIONS
spine
2 years
17 NAME OF
FATHER
John
Major findings:
Of operations
Date of operation.
.Was autopsy performed?
What test confirmed diagnosis?
Clinical
No
(Address) ..
Tinthrop, Massachusetts
6
..
Place of Burial or Cremation
WanthrQrown)
DATE OF BURIAL
September ..... ]
19.5.7
21
Informant
(Address)
John Gaffny 216 Lincoln Street
7 NAME OF
FUNERAL DIRECTOR.
John F. O' Maley
ADDRESS.
Winthrop
A TRUE COPY.
ATTEST:
(Registrar of City or Town where death occurred)
Received and filed
SEP 20 1951
19
(Registrar of City or Town where deceased resided)
PARENTS Q
18 BIRTHPLACE OF
FATHER (City)
(State or country)
Ireland
19 MAIDEN NAME
OF MOTHER
Mary Carroll
5 Was disease or injury in any way related to occupation of deceased ?.
If so, specify
(Signed)
Paul .P ...... Weinsaft
M. D.
238 Shore Drive Date 8/29
19.5.1
20 BIRTHPLACE OF
MOTHER (City)
(State or country) Ireland
50m-(e)-10-48-24658
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
.............
8 SEX
Male
9 COLOR OR RACE
White
10 SINGLE
(write the word)
MARRIED
WIDOWEDWidowed
or DIVORCED
1 weekt
13 Usual
Occupation
Retired
? years4 Industry
Oil & Furniture
or Business:
(Kind of work done during most of working life)
15 Social Security No.
16 BIRTHPLACE (City)
(State or country)
Massachusetts
DATE FILED
September 4,
........... 19.51
.......
(Give maiden name of wife in full)
M R-301
PLACE OF DEATH
Suffolk (Count=)
13
1 Winthrop
(City or Town)
The Commontralth of Massachusetts FEDWARD J. CRONIN SECRETARY OF THE COMMONWEALTH DIVISION OF VITAL STATISTICS STANDARD CERTIFICATE OF DEATH
Winthrop (City or town making return)
Registered No.
195
[(If death occurred in a hospital or institution,
Sti ( give its NAME instead of street and number)
2 FULL NAME.
(If deceased is a married, widowed or divorced woman, give also maiden name.)
23
Corona St
St.
Dorchester Mass
(If nonresident, give city of town and State) /
Length of stay: In place of death. . .years .. ... months.
days. In place of residence 23 years .. months .days.
MEDICAL CERTIFICATE OF DEATH
PERSONAL AND STATISTICAL PARTICULARS
8 SEX
Fale
9 COLOR OR RACE
white
10 SINGLE
MARRIED
WIDOWED
OF DIVORCED
(write the word)
3 DATE OF
DEATH
September 6
1951
(Month) (Day)
(Year)
4 I HEREBY CERTIFY
July 1.
19.
22
to
Sept. 6
That I attended deceased from!
1.5/
Dejot 6, 19
15/ death is said to
INTERVAL BE-
TWEEN ONSET AND DEATH
11 IF STILLBORN, enter that fact here.
4 days GE 83
.Years
Months.
Days
If under 24 hours
Hours ......
Minutes
13 Usual Housewife Occupation :.
1 year
14 Industry
or Business :...
Home
15 Social Security No .. moze
Stadt
10 years
BIRTHPLACE (City) (State or country) Russia
17 NAME OF FATHER abraham. FEvre
PARENTS
18 BIRTHPLACE OF FATHER (City) (State or country) Russia
19 MAIDEN NAME OF MOTHER
C. B. F.
20 BIRTHPLACE OF MOTHER (City) (State or country)
Shadt, Russia
21 Informant (Addres 11562 Clwiley St. 04
I HEREBY CERTIFY that a satisfactory standard certificate of death was filed with me BEFORE the burial or transit permit was issued:
Matter 5. Baker
H.OSIgnal Left of Board of Health or other) (Official Designation)
Seft 6/5/
(Date ch Que of Permit)
1 IRIL. COPY ATTE P
(Registrar)
LOM. D.
6 . Pla CHELCe JACOB=CEMUWOBURN
DATE OF BURIAL ... Sept. 1
1951
HEury LENINE
7 NAME OF FUNERAL DIRECTOR .. 470 Harvard It. Brookline ADDRESS
Received and filed.
SEP 14 1951 19
TOM (A) 12 49.900722
Progressive
OTHER
SIGNIFICANT
CONDITIONS
cutantes deformano
Major findings:
Of operations.
none
Date of operation zione
Was autopsy performed ?. 20
What test confirmed diagnosis.
clinical
X lab.
5 Was disease or injury in any way related to occupation of deceased? If so, spegify (Signed) Jacob A. Chamo 24. (Addres: 562 Abrily A Date 9/6/50%.
Due To (c)
Due To artenvalentic Heart Disease
ANTE
CEDENT
CAUSES
DISEASE OR CONDITION
DIRECTLY
DEcute Coronary
TO DEATH (a)
Thrombosis
alive on.
2:30 Am.
10a If married, widowed, or divorced HUSBAND of. Louis
(Give maiden name of wife in full) abrams
(or) WIFE of.
(Husband's name in full)
widowed
1
(Was deceased a
U. S. War Veteran,
if so spotify WARY
(a) Residence. No. (Usual place of abode)
RUCTIONS 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.
id conditions, ing rise to the e (a) stating Flying cause
lions contrib- e death but not the disease or causing death.
Stadt,
Jacob
(Kind of work done during most of working life)
have occurred on the date stated above, at
Boste 10/9/57
Winthrop Community Hospitais No. Jamie abramo
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 «lisease 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 saire. 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. b. 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 or cause of the death, which the clerk or registrar may require .- Chap. 114, Sec. 45, G. L., (Tercentenary Edition).
Medical examiners shall make examination upon the view of the dead bodies of only such persons as are supposed to have died by violence. If a medical examiner has notice that there is within his county the body of such a person, he shall forthwith go to the place where the body lies and take charge of the same; . . General Laws, Chap. 38, Sec. 6.
No undertaker or other persons shall bury a human body or the ashes thereof which have been 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, 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
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