USA > Massachusetts > Suffolk County > Winthrop > Town of Winthrop : Record of Deaths 1952 > Part 28
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SPACE FOR ADDITIONAL INFORMATION
DATE OF ENTERING MILITARY SERVICE
DATE OF DISCHARGE RANK, RATING
ORGANIZATION AND OUTFIT
SERVICE NUMBER
-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.
78
Registered No.
J(If death occurred in a hospital or institution,
Maria T. McCann. ( Collins)
(If deceased is a married, widowed or divorced woman, give also maiden name.)
85 Sunnyside Avenue
St.
(If nonresident, give city or town and State)
Length of stay: In place of death ... years
.mont 23.
.days. In place of residence
6
.years
months
.days.
MEDICAL CERTIFICATE OF DEATH
PERSONAL AND STATISTICAL PARTICULARS
3 DATE OF
DEATH
March (Month)
20 (Day) )
1952 (Year)
8 SEX
9 COLOR OR RACE
White
10 SINGLE
MARRIEDIN
WIDOWEDWidowed
or DIVORCED
4 I HEREBY CERTIFY.
FEB. 26
19.
52
to.
march 20
19.5.2
I last saw h Q .alive on. marek 19, 1952 death is said to
have occurred on the date stated above, at INTERVAL BE-
TWEEN ONSET AND DEATH
11 IF STILLBORN, enter that fact here.
12
AGE81
Years
11
Months
23
Days
If under 24 hours
Hours .. . . Minutes
13 Usual
Occupation :
At Home
(Kind of work done during most of working life)
14 Industry
or Business:
aunt Home
15 Social Security No.
None
16 BIRTHPLACE (City) ..
(State or country)
Chelsea Mass.
17 NAME OF
FATHER
Daniel Collins
18 BIRTHPLACE OF
FATHER (City)
(State or country)
Ireland
19 MAIDEN NAME OF MOTHER Johanna Mahan
20 BIRTHPLACE OF
MOTHER (City)
(State or country)
Ireland
6 Holy Cross
Place of Burial or Cremation
DATE OF BURIAL.
March 22,1952
19
7 NAME OF FUNERAL DIRECTOR.Bernard .Kelly .... & .... Son ... Inc 310 Bowdoin St. Dorchester
Received and filed 19
MAR 2 4 1952
(Registrar)
PARENTS
21 Informant (Address)
Paul L.McCann 29 Murray Hill Rd. Cambridge
I HEREBY CERTIFY that a satisfactory standard certificate of death was filed with me BEFORE the burial or transit permit was issued: Walter - Maker. (Signature of Agent of Board of Health or other)
the 3/2/52
(Official Designation)
(Date of Issue of Permit)
NS ICATE
ATH er one ch (c)
i mean g. such thenia. disease, which
itions. : to the stating cause
ontrib- but not ase or death.
OTHER SIGNIFICANT CONDITIONS
Cerebral hevorlage
Pernicious averis
2 week 1 year
Major findings:
Of operations.
no
Date of operation
Was autopsy performed?
Clinical + laboratory
What test confirmed diagnosis?
5 Was disease or injury in any way related to occupation af deceased ?.
If so, specify
Trayveterin
(Signed)
(Address) 5.6.2 Sheily Want Dat March 20 1952
Malden'
(City or Town)
50M (B)-1-51 903586
1
Winthrop Community Hospital
St. \ give its NAME instead of street and number) No.
2 FULL NAME
(a) Residence. No. (Usual place of abode)
That I attended deceased from
10a If married, widowed, or divorced HUSBAND of .. (Give maiden name of wife in full)
(or) WIFE of
James G.McCann
(Husband's name in full)
DISEASE OR CONDITION
DIRECTLY LEADING)
TO DEATH
(a)
glomerulo
nephritis
2 years
ANTE CEDENT (b) CAUSES
Arteriosclerosis
3 years
Due To (c)
2:10 A. m.
Female
PHYSICIAN - IMPORTANT
No
(Was deceased a
U. S. War Veteran,
if so specify WAR)
(write the word)
ADDRESS
01A
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 dicd, 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 hest 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, Scc. 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 aunt 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, 'agente 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 incase of an original inter- ment, by a satisfactory certificate of the attending par m Lany, as required by law, or in lieu thereof a certificate as hereinafter o med. There is no attending physician, or if, for sufficient reasons, his certificate unnot 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 hury 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, 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
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.
29
No. Winthrop Community Hospital Alice S. (Burt ) Connor:
2
(If deceased is a married, widowed or divorced woman, give also maiden name.)
lileston
Rd. WinThro St.
(If nonresident, give city or town and State)
22
4
.days. In place of residence
years
months
.days.
MEDICAL CERTIFICATE OF DEATH
3 DATE OF
DEATH
March (Month)
21 (Day)
1952 (Year)
4 THEREBY CERTIFY,
Iurek 18 19
to
1952
I last saw her alive on 21, 19 52, death is said to have occurred on the date stated above, at 6.You. m.
DISEASE OR CONDITION
DIRECTLY LEADING
TO DEATH (a)
Central demontig
INTERVAL BE- TWEEN ONSET ANO DEATH 345
11 IF STILLBORN. enter that fact here.
12
83
1
AGE
Years
Months
21
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
15 Social Security No.
None
16 BIRTHPLACE (City)
(State or country)
England
17 NAME OF
FATHER
Simion Burt
18 BIRTHPLACE OF FATHER (City) (State or country) England
19 MAIDEN NAME
OF MOTHER
Annie Fowler
20 BIRTHPLACE OF
MOTHER (City)
(State or country)
England
6 Winthrop Place of Burial or Cremation
Winthrop (City or Town)
DATE OF BURIAL
March 24
19
52
7 NAME OF FUNERAL DIRECTOR
ADDRESS
Received and filed
MAR 2 4 1952
19
(Registrar)
PERSONAL AND STATISTICAL PARTICULARS
8 SEX
9 COLOR OR RACE
Female White
10 SINGLE
(write the word)
MARRIED
WIDOWED
or DIVORCED Married
10a If married. widowed, or divorced HUSBAND of (Give maiden name of wife in fuli)
William Connor
(or) WIFE of
(Husband's name in full)
ANTE CEDENT (b) . CAUSES
Chronic ArTerio salpresis years
Due To (c)
OTHER SIGNIFICANT CONDITIONS
Major findings:
Of operations.
Date of operation.
none Was autopsy performed?
200
What test confirmed diagnosis?
Clinical Signs
5 Was disease or injury in any way related to occupation of deceased? If so, specify .... (Signed) (Address) Whichmay Date 3/2
200
. M. D. 1952
50m-(1))-11-49-900,560
301A 1
ONS FICATE 3 EATH ter one ach d (c)
of mean ng. such sthenio. . disease. which
ditions. e to the stating cause
contrib- but not ease or death.
PARENTS
21 Informant
Wilbert H Connor (Address) 49 Fisher Rd. Arlington Mass
I HEREBY CERTIFY that a satisfactory standard certificate of death was filed with me BEFORE the burial or transit pefinit was issued: Walter A Hover (Signature of Agent of Board of Health ofother) Tealthe phar (Official Designation) (Date of Issue of Permit)
3/24/52
Registered No. .
[(If death occurred in a hospital or institution.
St. | give its NAME instead of street and number)
2 FULL NAME
PHYSICIAN - IMPORTANT
(Was deceased a
U. S. War Veteran.
( if so specify WAR)
(a) Residence. No. 19 (L'sual place of abode) Length of stay: In place of death years months.
That I attended deceased from
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 arrny, 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 shallexhume 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 diseascs 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.
SPACE FOR ADDITIONAL INFORMATION
DATE OF ENTERING MILITARY SERVICE DATE OF DISCHARGE RANK, RATING ORGANIZATION AND OUTFIT SERVICE NUMBER
03 A 1
No. 8 PLACE OF DEATH With (County)
(City or Towny
The Commonwealth of Massachusetts EDWARD J. CRONIN SECRETARY OF THE COMMONWEALTH DIVISION OF VITAL STATISTICS
MEDICAL EXAMINER'S CERTIFICATE OF DEATH
Registered No.
.....
30
Rd,
J(If death occurred in a hospital or institution.
St. [ give its NAME instead of street and number)
2 FULL NAME.
(If deceased is a married, Kdowed or divorced woman, give also maiden name.)
69 Circuit Rd.
St.
(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
Plancha (Month) (Day)
7 3
1952
(Year)
9 SEX
10 COLOR OR RACE
11 SINGLE
(write the word)
MARRIED
WIDOWED
or DIVORCED Widowed
4 I 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.)
11a If married, widowed, or divorced
HUSBAND of.
(Give maiden name of wife in full)
(or) WIFE of
Howard D Snow
(Husband's name in full)
12 IP STILLBORN, enter that fact here.
13
73
AGE
Years
Months.
Days
If under 24 hours
Hours ........ Minutes
14 Usual
Occupation :.
Housewife
(Kind of work done during most of working life)
15 Industry
or Business:
At Home
16 Social Security No.
None
17 BIRTHPLACE (City).
(State or country) ma
Saute Yarmouth
18 NAME OF
FATHER
Franklyn Young
19 BIRTHPLACE OF
FATHER (City).
Boston
(State or country)
Mass
20 MAIDEN NAME
OF MOTHER
Lillian
(cannot be learned)
21 BIRTHPLACE OF
MOTHER (City)
(State or country)
Mass
Boston
22 Edward A Thomas
(Address) 143 Court Rd. Winthrop, Mass
I HEREBY CERTIFY that a satisfactory standard certificate of death was filed with me BEFORE the burial on transit permit was issued: Walter & Laker
(Signature of Agent of Board of Health of other)
Healthe officer 3/26/52
(Official Designation)
(Date of Issue of Permit)
25M (8)-8-50.902 592
If deceased was a U. S. War Veteran, G.L. Chap. 46, Section 10, requires physicians to insert a recital to that effect.
Injury Injury of Death. See reverse side for extracts from the laws relative to the return of certificates of death. Nature of
5 Accident, suicide, or homiside (specify).
Date and hour of injury 19
Where did Injury occur? (City or town and State)
Did injury occur in or about home, on farm, in industrial place, or in public place?
(Specify type of place)
Manner of
(How did injury occur?)
While at work?
.Was autopsy performed?
related to occupation of deceased? ...
6 Was disease of
H so sperify ..
M. D. end Date 3 2 / 105 2
(Address) .......
Winthrop 7
Winthrop
Place of Burial, or Cremation.
(City or Town)
March
26
DATE OF BURIAL
8 NAME OF Howard So Permolds
ADDRESS ....
Received and filed .. MAR-27-1952 19
(Registrar)
PARENTS
2 Informant
19 ..
To be filed for burial pormit with Board of Health or Its Agent.
PHYSICIAN - IMPORTANT
J (Was deceased a U. S. War Veteran. ( if so specify WAR).
(a) Residence. No.
(Usual place of abode)
Female
White
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