USA > Massachusetts > Suffolk County > Winthrop > Town of Winthrop : Record of Deaths 1951 > Part 84
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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 hoard 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
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 he obtained as to the deceased, or as to the manner or cause of the death, which the clerk or registrar may require .- Chap. 114, Sec. 45, G. L., (Tercentenary Edition).
Medical examiners shall make examination upon the view of the dead bodies of persons as are supposed to have died by violence, or by the action of chemical, thermal or electrical agents or following abortion, or from diseases resulting from injury or infection relating to occupation, or suddenly when not disabled by recognizable disease, or when any person is found dead. - General Laws, Chap. 38, Sec, 6., as amended by Chap. 632, Sec. 4, Acts of 1945.
No undertaker or other persons shall bury a human body or the ashes thereof which have been brought into the commonwealth until he has received a permit so to do from the board of health or its agent appointed to issue such permits, or if there is no such board, from the clerk of the town where the body is to be buried or the funeral is to be held, or from a person appointed to have the care of the cemetery or burial ground in which the interment is made.
Chap. 114, Sec. 46, G. L., (Tercentenary Edition).
RULES OF PRACTICE
The fulfillment of the purpose of these laws calls for the observance of the follow- ing rules of practice:
(1) Attending physicians will certify to such deaths only as those of persons to whom they have given bedside care during a last illness from disease unrelated to any form of injury.
(2) Board of Health physicians will certify to such deaths only as those of persons who, though disabled by recognized disease unrelated to any form of injury, have died without recent medical attendance or whose physician is absent from home when the certificate of death is needed.
(3) Medical Examiners will investigate and certify to all deaths supposably due to injury. These include not only deaths caused directly or indirectly by traumatism (including resulting septicemia), 'and by the action of chemical (drugs or poisons) thermal, or electrical agents, and deaths following abortion, but also deaths from disease resulting from injury or infection related to occupation, the sudden deaths of persons not disabled by recognized disease, and those of persons found dead.
Statement of Cause of Death .- Physicians: see explanatory instructions on face side of standard certificate of death.
Statement of Occupation .- Precise statement of occupation is very import- ant, so that the relative healthfulness of various pursuits can be known. Make some entry in this section for every person aged 10 years or over. If the occupa- tion had been given up or changed, or if the deceased had retired from business, report the kind of work done during most of working life even if retired. Children not gainfully employed may be returned as at school or at home. For a woman whose only occupation was that of home housework, write housework. For a person engaged in domestic service for wages, however, designate the occupation by the appropriate terms, as housekeeper-private family, cook-hotel, etc. For a person who had no occupation whatever write none.
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SPACE FOR ADDITIONAL INFORMATION
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DATE OF ENTERING MILITARY SERVICE ..
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DATE OF DISCHARGE
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R-303-A
PLACE OF DEATH
Sullolic
(City or Toomn) 46 Enfield Road
The Commontoralth 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 its Agent.
Registered No.
235
St. [ {If death occurred in a hospital or institution, ( give its NAME instead of street and number)
2 FULL NAME.
Thomas h. Waldron
(If deceased is a married, widowed or divorced woman, give also maiden name.)
(a) Residence. No.
46 Enfield Road Mulher so
(Usual place of abode)
Length of stay: In hospital or Institution.
(Before death)
(Specify whether)
....
years
months
days.
In this community
3GTs.
mos.
days.
PERSONAL AND STATISTICAL PARTICULARS
MEDICAL CERTIFICATE OF DEATH
18 DATE OF
DEATH
Oct-26-1951
(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.)
acute Cardiac Facture!
Den, anterio veleroões: "
Probably Cormari Sclerosi
20 Accident, sulolde, or homlolde (specify)
Date of ooourrence
19
Where did
Injury ooour ?
(City or town and State)
Did Injury ooour in or about home, on farm, In Industrial place, or In publio
place ?
(Specify type of place)
Injury
· Found dead or his own bed
Nature of Injury
While at work ?.
Was there an autopsy?
21 Was disease or Injury In any way related to oooupation of deceased?
If so, spoolfy.
(Signed)
M. D.
(Address)
Buton
1857
22
Winthrop
linthrop
Place of Burial, Cremation or Removal.
(City or Town)
Oct. 30
19.51
23 NAME OF
FUNERAL DIRECTOR
Plaward S Punolab
ADDRESS
Winthy mus.
Received and filed.
OCT 31 1951
.19
Treatthe Office
(Signature of Agent of Board of Health of other) 10 /29 37
( Official Designation) (Date of Issue of Permit)' ,
5 SINGLE
(write the word)
MARRIED
WIDOWED
or DIVORCED
Widowed
Eleanor
Horton
(Give maiden name of wife in full)
(Husband's name in full)
6 Age of husband or wife If allve years
If less than 1 day
Hours ........
.Minutes
J S Customs Collector
13 NAME OF
FATHER
Thomas Waldron
15 MAIDEN NAME
OF MOTHER
Ann .. cDevitt
16 BIRTHPLACE OF
MOTHER (City)
Unable to obtain
17 Informe (Adrex) Of Broad St. Boston
Relation, if any DATE OF BURIAL
I HEREBY CERTIFY that a satisfactory standard certificate of death was filed with me BEFORE the burial or transit permit was Issued: Matter , Av Kraker
50m - (f) -6-43-12056
(County)
1
...
No.
3 SEX
Kale
4 COLOR OR RACE!
White
5a If married, widowed, or divoroed
HUSBAND of
(or) WIFE of
7 IF STILLBORN, enter that fact here.
8
AGE ...
83 Years
Usual
Months.
Days
9 Occupation :
10 or Business :
11 Soolal Security No .........
LOtie
12 BIRTHPLACE (City)
Gloucester
(State or country)
Lass
14 BIRTHPLACE OF
FATHER (City)
Gloucester
(State or country)
Hass
PARENTS
(State or country)
Horton
Marlor
If deceased was a U. S. War Veteran, G. L. Chap. 46, Section 10, requires physiolans to Insert a reoltal to that effect
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
Industry
US Goverment
PHYSICIAN-IMPORTANT
(Was deceased a
U. S. War Veteran,
If so speolfy WAR)
(If nonresident, give city or town and State)
(Registrar)
-
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 Isst illness, at the request of an umulertsker 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 bis knowledge and belief the uame 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 slive 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, served in the army, navy or marine corps of the United States in suy war in wbich it has been engaged, insert in the certificate a recital to that effect, speci- fying the war, and shall also certify in such certificate both the primary and the secondary or immediste cause of death as nearly as be can state the same. For neglect to comply with any provision of this section, sucb physician or officer shall forfeit ten dollars. For the purposes of this sec- 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 ex- pedition and the l'hilippine insurrection, which shall, for ssid purposes, be deemeil to have taken place between February fourteenth, eighteen bundred and ninety-eight and July fourth, nineteen hundred and two, and the Mexi- con border service of nineteen bundred and sixteen and nineteen bundred and seventeen. G. L. Cbap. 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 haa received a perinit froin the board of health, or ita 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 exhumne a human body and remove it from a town, from one cemetery to another, or from one grave or tomb other thau the receiving tomb to another in the same cemetery, until be has received a permit from the board of health or ita agent aforessid or from the clerk of the town where the hody is buried. No such permit shall be issued until tbere shali have been delivered to sucb board, agent or clerk, as the case may be, a aatisfactory written statement containing the facts required by law to he returned and recorded, which shall be accompanied, in case of an original interment, by a satisfactory certificate of the attending physician, if any, as required by Isw, or in lieu thereof a certificate as hereinafter provided. If there is no attending physician, or if, for sufficient ressons, bis certificate cannot be obtained early enough for the purpose, or is insufficient, a pbysi- cian who is a member of the board of health, or employed by it or by tbe aelectmen for the purpose, shall upon application make the certificate re- quired of the attending physician. If desth is caused by violence, tbe medical exsininer shall make such certificate. If such 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 msde as above provided and in the pos- session of the undertaker desiring to inske 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 sucb re- moval, unless a permit in the ususl 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 I'nited States in any war in which
it has heen eugsged, such recital shall appear upon the permit. The board of health, or its agent, upon receipt of such statement and certificate, shat] forthwith countersign it atul transmit it to the clerk of the town for regis- tration. The person to whom the permit is 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 registrar 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 been 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 towa 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 cenietery or burial ground in which the intermeut is made. ... Cbap. 114, Sec. 46, G. L., (Tercentenary Edi- tion).
Medical examiners shall make examination upon the view of the dead bodies of ouly such persons ss 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, lie shall forthwith go to the place where the body iles and take charge of the sanie; ... - General Laws, Chap. 3S, Sec. 6.
... He shall in all cases certify to the town clerk or registrar in the place where the deceased died his name and residence, if known; otherwise a description as full as may be, with the cause and manner of death .- General Laws, Chap. 38, Sec. 7.
. .. The medical examiner certifies the cause and manner of death to the best of bis knowiedge and belief.
RULES OF PRACTICE
The fulfillment of the purpose of these laws calls for the observance of the following rules of practice :
(1) Attending physicians will certify to such deaths only as those of persona to whom they have given bedside care during a last illness from disease unrelated to any forin of injury.
(2) Board of Health physicians will certify to such deatbs oniy aa those of persons wbo, though disabled by recognized disease unrelated to any form of injury, have died without recent medical attendance or wbose pbysi- ciau is absent from home when the certificate of death is needed.
(3) Medical Examiners will investigate and certify to all deaths sup- posably due to Injury. These include not oniy deatby caused directly or in- directly 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
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 its consequences; and (2) under manner, tbe mode of ita production together with the circumstances when these are known. For example: "Com- pound fracture of tbe femnur with ensuing septicemia (gas bacillus) caused hy a steam railway accident." "Pistol shot wound of the chest with asso- ciated hemorrhage, homicidal." "Asphyxiation by suspension, suicidal." "Syncope while under the influence of ether administered as a surgicai anaesthetic." "Fracture of the skull with associated internal injury sus- tained under circumstances unknown."
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 presumahle nature; anıl (2) under manner, indicste tbe circum- stances leading to medico-legal inquiry. For example : "Hemorrhage spon- taneous of the brain (basal ganglia) (found desd in hed)." "Heart disease, presumably coronary sclerosis. (Sudden death. )"
DESCRIPTION (for unknown person)
NOTICE TO UNDERTAKERS: No embalming fluid, or any substitute therefor, shall be injected into the body of any person supposed to have met his death by violence, until a permit, signed by the Medical Examiner, has first been obtained .- General Laws, Chap. 38, Sec. 14.
THIS CERTIFICATE CONSTITUTES SUCH PERMIT
of th di cc 01
P te af €1 sł d W F of TE de ni se G
In ha st re 01 of sł a TE IT
la P e O a C p t
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1
-
R-301A 1
+ Sufreh (Countyy Winthrop (City of Town) Vin Community Hospital Isabella Preller PLACE OF DEATH 2 FULL NAME
The Commonwealth of Massachusetts EDWARD J. CRONIN SECRETARY OF THE COMMONWEALTH DIVISION OF VITAL STATISTICS STANDARD CERTIFICATE OF DEATH
To be filed for burial permit with Board of Health or its Agent.
Registered No. 236
J(If death occurred in a hospital or institution, St. [ give its NAME instead of street and number)
PHYSICIAN - IMPORTANT (Was deceased a U. S. War Veteran, if so specify WAR)
Of nonresident, give city or town and State)
days. . In place of residence years
months .. days.
MEDICAL CERTIFICATE OF DEATH
PERSONAL AND STATISTICAL PARTICULARS
8 SEX Quale
9 COLOR OR RACE
10 SINGLE MARRIED WIDOWED DIVORC
(write the word) Jungle
10a
If married, widowed, or divorced
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 AG 67
.Years 7. Months Days
Dress Filter
13 Usual
Occupation :
(Kind of work done during most of working life)
14 Industry
or Business:
Chandler + Co
15 Social Security No. 025-03-6178.
16 BIRTHPLACE (City) (State or country) Boston
17 NAME OF FATHER
Muchael FF. Shellun
18 BIRTHPLACE OF FATHER (City) (State or country)
Ireland ()
19 MAIDEN NAME OF MOTHER
May Breslin
20 BIRTHPLACE OF MOTHER (City) (State or country)
Wieland
-
mary
Breslin
21 Informant (Address) 115 Darlington lisa
I HEREBY CERTIFY that a satisfat ory standard certificate of death was filurl with me BEFORE the burial of transit permit was issued: Walter G. Kaker (Signature of Agent of Board of Health of other) /
Health
10 29,51
(Official Designation)
(Date of Issue of Permit)
'50M (8)-12.49.900722
(Address
6 coty Unos Maldin
Place of Burial or Cremarim (City or Town)
DATE OF BURIAL
Wet 31 1957
Z NAME OF FUNERAL DIRECTO
ADDRESS
Received and filed
OCT 31 1951
19
(Registrar)
Fyra
Due To (c)
OTHER SIGNIFICANT CONDITIONS
Major findings: Of operations .. 2000
Date of operation.
What test confirmed diagnosis?
Was autopsy performed? Clinical Signs
200
5 Was disease or injury in any way related to occupation of deceased? If so, specify .. (Signed)
M. D. Seguehogy Danoget 79, 1951
1951 (Year)
4 IHEREBY CERTIFY,
19/14.7 to Cect 28,
That I attended deceased from
194/
I last saw hey .alive on. Get 28 196 /, death is said to
have occurred on the date stated above, at. ... . m.
INTERVAL BE- TWEEN ONSET AND DEATH
DISEASE OR CONDITION
DIRECTLY LEADING
TO DEATH (a)
Cerebral/demossigo 12hrs
3 DATE OF
DEATH
October (Month)
28 (Day)
Length of stay: In place of death years .months ... ..... Chra 6 min
(If deceased is a married, widowed or divorced woman, give also maiden name.) 115 Washington Chez Hutterof
(a) Residence. No. (Usual place of abode)
CTIONS OR ERTIFICATE
iving F DEATH enter han one or each ) and (c)
es not mean dying, such re, asthenia, s the disease, tions which .
conditions. g rise to the (a) stating ving cause
ons contrib- death but not e disease or using death.
PARENTS
If under 24 hours Hours Minutes
ANTE CEDENT (b) CAUSES
Due To Hypertension
EXTRACTS FROM THE LAWS OF THE COMMONWEALTH OF MASSACHUSETTS GOVERNING THE
RETURN OF CERTIFICATES OF DEATH
A physician or registered hospital medical officer shall forthwith, after the death of a person whom he has attended during his last illness, at the request of an undertaker or other authorized person or of any member of the family of the deceased, furnish for registration a standard certificate of death, stating to the best of his knowledge and belief the name of the deceased, his supposed age, the disease of which he died, defined as required by section one, where same was contracted, the duration of his last illness, when last seen alive by the physician or officer and the date of his death. . . Gen. Laws, Chap. 46, Sec. 9.
A physician or officer furnishing a certificate of death as required by the preceding section or by section forty-five of chapter one hundred and four- teen, shall, if the deceased, to the best of his knowledge and belief, served in the army, navy or marine corps of the United States in any war in which it has been engaged, insert in the certificate a recital to that effect, specifying the war, and shall also certify in such certificate both the primary and the secondary or imme- diate cause of death as nearly as he can state the same. For neglect to comply with any provision of this section, such physician or officer, shall forfeit ten dollars. For the purposes of this section and of sections forty-five, forty-six and forty-seven of said chapter one hundred and fourteen, the word "war" shall include the China relief expedition and the Philippine insurrection, which shall, for said purposes, be deemed to have taken place between February fourteenth, eighteen hundred and ninety-eight and July fourth, nineteen hundred and two, and the Mexican border service of nineteen hundred and sixteen and nineteen hundred and seventeen. G. L. Chap. 46. Sec. 10.
No undertaker or other person shall bury or otherwise dispose of a human body in a town, or remove therefrom a human body which has not been buried, until he has received a permit from the board of health. or its agent appointed to issue such permits, or if there is no such board, from the clerk of the town where the person 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
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