Town of Winthrop : Record of Deaths 1952, Part 13

Author: Winthrop (Mass.)
Publication date: 1952
Publisher:
Number of Pages: 572


USA > Massachusetts > Suffolk County > Winthrop > Town of Winthrop : Record of Deaths 1952 > Part 13


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No undertaker or other persons shall bury a human body or the ashes thereot 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 heldl. 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. (. 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


I R-301A 1


PLACE OF DEATH


Suffolk (County)


Winthrop (City or Town)


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.


36


No. Winthrop Community Hospital


[(If death occurred in a hospital or institution,


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


2 FULL NAME ..


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


PHYSICIAN - IMPORTANT


(Was deceased a


U. S. War Veteran,


if so specify WAR)


...


NO.


(a) Residence. No. 19 Locust St (parants) St.


(Usual place of abode)


Length of stay: In place of death years months Zhours place of residence


.years months . . days.


MEDICAL CERTIFICATE OF DEATH


PERSONAL AND STATISTICAL PARTICULARS


8 SEX


9 COLOR OR RACE


female white


10 SINGLE


MARRIED


WIDOWED


or DIVORCED


(write the word)


single


4 I HEREBY CERTIFY.


February 3.


1952


to.


February 3


19


I last saw ha alive on


February 3, 135


have occurred on the date stated above, at 17: 25 A.m.


death is said to


(or) WIFE of


(Husband's name in full)


11 IF STILLBORN, enter that fact here.


12


AGE


Years


Months


Days


Ifrunder 24 hours


Hours / 9 Minutes


13 Usual


Occupation :


(Kind of work done during most of working life)


14 Industry


or Business:


15 Social Security No.


Winthrop,


16 BIRTHPLACE (City).


(State or country)


Mass.


17 NAME OF


FATHER


Thomas A. Flaherty


18 BIRTHPLACE OF


FATHER (City)


Chelsea


(State or country)


Mass.


19 MAIDEN NAME


OF MOTHER


Edna E. O'Brien


20 BIRTHPLACE OF


MOTHER (City)


Chelsea


(State or country) Mass.


21


Informant


(Address)


19 Locust St .Winthrop


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


Mass.


V./ aller t. Baker


(Signature of Agent of Board of Health or other)


Chealthe Officer


2/4/52


(Official Designation)


(Date of Issue of Permit).


50m-(b)-11-49-900,560


Place'o


6


Winthrop Cemetery Winthrop


DATE OF BURIAL


February 4 195229


7 NAME OF


FUNERAL DIRECTOR


alfred . March


ADDRESS 174 Winthrop St, Winthrop,


a


Received and filed


FEB 4 1952


(Registrar)


18


ANTE Due To CEDENT (b) CAUSES


Due To (c)


OTHER


SIGNIFICANT


CONDITIONS


QTELEctoBio


3 ks


Major findings:


Of operations.


none


18 200


Date of operation


Was autopsy performed ?.


What test confirmed diagnosis?


clinical+ laboratory.


5 Was disease or injury in any way related to occupation of deceased? no.


If so, specity ....


Maurer Traunstein


M. D.


(Signed)


(Address) 562 Choty CP Winthe Date Febi 3,


1912


PARENTS


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


DISEASE OR CONDITION


DIRECTLY LEADING


TO DEATH (a)


Prematurity 5/2


MOS.


INTERVAL BE- TWEEN ONSET AND DEATH


3ks.


DEATH


February (Month) 2


3 (Day)/


1952 (Year)


That I attended deceased from


flaherty #2


(If nonresident, give city or town and State)


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, ations which th.


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


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


Registered No.


Thomas ..... A. Flaherty


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


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 diseasc, or when any person is found dead. ... - General Laws, Chap. 38, Scc. 6., as amended by Chap. 632, Sec. 4. Acts of 1945.


No undertaker or other persons shall bury a human body or the ashes thereot 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


-


R-301A


1


PLACE OF DEATH


Suffolk. (County) Winthrop (City or Towns


Revere 3/7/52


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 .. 37


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, No if so specify WAR)


en


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


3 Hours 35 min


28


days. In place of residence years . . months .days.


PERSONAL AND STATISTICAL PARTICULARS


MEDICAL CERTIFICATE OF DEATH


3 DATE OF


DEATH


February 4


1952


(Month)


(Day)


(Year)


4 I HEREBY CERTIFY,


That ,I attended deceased1 from


January 27 1952.


to


Feh. 4


19 52


I last saw alive on


have occurred on the date stated above. at 7.05 Pm.


INTERVAL BE- TWEEN ONSET AND DEATH


11 IF STILLBORN, enter that fact here.


12


AGE


69 Years Months


Day's


Ii under 24 hours


Hours


Minutes


Photoengranic


13 Usual


Occupation :. .


(Kind of work done during most of working life)


COLOR PROCESS ENG. CO.


14 Industry


or Business:


Photoengraving Boston


15 Social Security No. ..


010-09-6878


16 BIRTHPLACE (City)


(State or country)


AGEN


ARMENIA


17 NAME OF


FATHER


Sumpad GABRIEL


18 BIRTHPLACE OF


FATHER (City)


(State or country)


AGEN


ARMenia


19 MAIDEN NAME


OF MOTHER


UNKNOWN


20 BIRTHPLACE OF


MOTHER (City)


(State or country)


AGEN


ARMenia


Walter LaBRiel


21


Informant


(Address)


119 Bradit Dor Revere


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


ADDRESS


558 net auburn of Watertown


Received and filed


FEB 5 1952 19


(Registrar)


2


dans


15


moz


OTHER SIGNIFICANT CONDITIONS


authorities.


12


years


Major findings:


Of operations


Carcinoma of mouth


Date of operation


New 1950 Was autopay performed?


no


What test confirmed diagnosis?


Lab Enam of Spec


200


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


(Signed),


(Address) Kener Mars


Date 4 7 ah 1952


watertown


(City or Town)


Plaèe of Burial or Cremation


DATE OF BURIAL.


February


7


7 NAME OF


FUNERAL DIRECTOR


Gram Bedrosian


Walter to Bakle (Signature of Agent of Board of Health or other) Health Glicer 2/5 /52


(Official Designation) (Date of Issue of Permit)


CTIONS OR ERTIFICATE


iving F DEATH t enter han one or each ) and (c)


Des not mean dying, such ure, asthenia, s the disease, tions which


conditions. g rise to the (a) stating ying cause


ions contrib- death but not re disease or using death.


/50M (B)-12-49-900722


2 FULL NAME


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


119 Bradstreet ar


St. .


(If nonresident, give city or town and State)


Length of stay: In place of death years


months.


8 SEX


9 COLOR OR RACE -


white


10 SINGLE


MARRIED


WIDOWED


or DIVORCED


i


Wanderasian


widowed


10a If married, widowed, or divorced HUSBAND of Louise


(Give maiden name of wife in full)


(or) WIFE of


(Husband's name in full)


DISEASE OR CONDITION


DIRECTLY LEADI


acute Pulmonary


TO DEATH (a)


edema


2 Horas


ANTE Due To Dehydration und CEDENT (b) CAUSES malnutrition


Due To


Carcinoma


Priming in mouth


50


PARENTS


M. D.


6 Ridgelawn


Winthrop Community Hospitals No.


Oostfirm Gabriel


(write the word)


7 eh


3


195 death is said to


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 elerk 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. See. 45, G. L., (Tercentenary Edition).


Medical examiners shall make examination upon the view of the dead bodies of persons as are supposed to have died by violence, or by the action of chemical, thermal or electrical agents or following abortion, or from diseases resulting from injury or infection relating to occupation, or suddenly when not disabled by recognizable disease, or when any person is found dead. - General Laws, Chap. 38, Sec. 6., as amended by Chap. 632, Sec. 4. Acts of 1945.


No undertaker or other persons shall bury a human 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, See. 46, G. L., (Tercentenary Edition).


RULES OF PRACTICE


The fulfillment of the purpose of these laws calls for the observanee 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 eare during a last illness fromn disease unrelated to any form of injury.


(2) Board of Health physicians will certify to such deathsonly as those of persons who, though disabled by recognized disease unrelated to any form of injury, have died without recent medical attendance or whose physician is absent from home when the certificate of death is needed.


(3) Medical Examiners will investigate and certify to all deaths supposably due to injury. These include not only deaths caused directly or indirectly by traumatism (including resulting septicemia), and by the action of chemical (drugs or poisons) thermal, or electrical agents, and deaths following abortion, but also deaths from disease resulting from injury or infection related to occupation. the sudden deaths of persons not disabled by recognized disease, and those of persons found dead.


Statement of Cause of Death .- Physicians: see explanatory instructions on face side of standard certificate of death.


Statement of Occupation .- Precise statement of occupation is very import- ant, so that the relative healthfulness of various pursuits can be known. Make some entry in this section for every person aged 10 years or over. If the occupa- tion had been given up or changed, or if the deceased had retired from business, report the kind of work dore during most of working life even if retired. Children not gainfully employed may be returned as at school or at home. For a woman whose only occupation was that of home housework, write housework. For a person engaged in domestie serviee for wages, however, designate the occupation by the appropriate terms, as housekeeper-private family, cook-hotel, cte. 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


R-301A 1


PLACE OF DEATH


Suffolk (County)


(City or Town)


No.


notch


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.




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