USA > Massachusetts > Suffolk County > Winthrop > Town of Winthrop : Record of Deaths 1952 > Part 32
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6. P
.m .
have occurred on the date stated above, at . . INTERVAL BE- DISEASE OR CONDITION DIRECTLY LEADING TO DEATH (a) .. TWEEN ONSET AND DEATH 64000
acute Coronary
asufficiency
ANTE
Due To Q
Generalized Slitero-selantic
CEDENT (b) .. CAUSES
Due To (c)
you
3 DATE OF
DEATH
april (Month)
(Day)
1952 (Year)
CERTIFICATE OF DEATH
Registered No.
J (If death occurred in a hospital or institution, St. [ give its NAME instead of street and number)
2 FULL NAME ..
(a) Residence. No. (Usual place of abode)
PHYSICIAN - IMPORTANT
(Was deceased a
U. S. War Veteran,
if so specify WAR)
none
(Official Designation)
(Date of Issue of Pernyit)
Boston
If under 24 hours
Hours
Minutes
19
EXTRACTS FROM THE LAWS OF THE COMMONWEALTH OF MASSACHUSETTS GOVERNING THE
RETURN OF CERTIFICATES OF DEATH
A physician or registered hospital medical nfficer 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 ninetcen 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 fr , inc cemetery to a bother or from one grave or tor b 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 nf 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 thercafter 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 upnn 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 per nit 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 indie tv by traumatism (including res ting septicemia), an by the cti n ot he ia. (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
.. ... .
301A 1
SOM (B)- 1-51 903586
7 NAME OF
FUNERAL DIRECTOR,
Bendamm Birnbach
ADDRESS
10
Washington St. Dorchester
Received and filed
APR 7
1952
19
(Registrar)
PERSONAL AND STATISTICAL PARTICULARS
8 SEX
Male
9 COLOR OR RACE
White
10 SINGLE
MARRIED
WIDOWED
or DIVORCED
(write the word)
Morris Bloomfield
(Give maiden name of wife in full)
(or) WIFE of
(Husband's name in full)
11 IF STILLBORN, enter that fact here.
12
AGE 7 Years
Months.
Days
If under 24 hours
Hours .. .. Minutes
13 Usual
Occupation :.
Pants
Presser
(Kind of work done during most of working life)
14 Industry
or Business:
SELF- EMPLOYED
15 Social Security No ..
16 BIRTHPLACE (City)
(State or country)
Russia
17 NAME OF
FATHER
Mandel Lundy
18 BIRTHPLACE OF
FATHER (City)
(State or country)
Musslor
19 MAIDEN NAME
OF MOTHER
ATB be learned .
20 BIRTHPLACE OF MOTHER (City) (State or country) Russia.
Mrs Max Rundy
SVIN.
I HEREBY CERTIFY that a satisfactory standard certificate of death was filed with me BEFORE the burial ør transit permit was issued: Walter f.19 allig
(Signature of Agent of Board of Health or other) Thealth Mlecer (Official Designation)
4/7 152
(Date of Issue of Permit)
3 DATE OF
DEATH
april
2
1952
(Years
(Month)
(Day)
4 I HEREBY CERTIFY,
That I attended deceased from
19
to
19
I last saw h ............ .alive on 19 death is said to
have occurred on the date stated above, at. 5 A m.
DISEASE OR CONDITION
DIRECTLY LEADING)
TO DEATH (a)
Natural
Canses
INTERVAL BE- TWEEN ONSET AND DEATH
ANTE CEDENT (b) CAUSES
Due To
Presumably
Due To
Coronary Occlusion
OTHER SIGNIFICANT CONDITIONS
Major findings:
Of operations.
none
Date of operation
Was autopsy performed?
no
What test confirmed diagnosis ?.
clinical
5 Was disease or injury in any way related to occupation of deceased? no (Signed) Atenthrop Board of Health
M. D.
Date 7 april 1952
DATE OF BURIAL ....
6 . 6 Day of Burit LEBANON WROXBURY 152
PARENTS
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)
(a) Residence. No. 7 Trident Ave.
St.
winthrop.
(If nonresident, give city or townand State)
.months days.
MEDICAL CERTIFICATE OF DEATH
The Commonwealth of Massachusetts EDWARD J. CRONIN SECRETARY OF THE COMMONWEALTH DIVISION OF VITAL STATISTICS STANDARD CERTIFICATE OF DEATH Ave
To be filed for burial permit with Board of Health or its Agent.
90
Registered No.
(If deceased is a married, widower or divorced woman, give also maiden name.)
(Usual place of abode) Length of stay: In place of death 9 years .......... months. days. In place of residences .years ..
ONS FICATE g EATH ter one ach ad (c)
ot mean ng. such asthenia, disease, s which
ditions. se to the Stating cause
contrib- but not sease or g death.
+ Suffolk (County) Winthrop (City or Town) 17 Trident No. PLACE OF DEATH Max Lundy 2 FULL NAME ..
12 hrs
10a If married, widowed, or divorced
HUSBAND of
ronnie
21 Informant (Address) 17 Trident Ave gay!
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 ton 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 194.5.
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 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 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
+
PLACE OF DEATH
LAUFFOLK (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.
3401
91
(If death occurred in a hospital or institution, EtXl give its NAME instead of street and number)
2 FULL NAME
(If deceased is a married, widowed or divorced woman, give also maiden name.)
273 Shirley
St.
Winthrop ...... Mass
(If nonresident, give city or town and State)
Length of stay: In place of death
.. years
2
months. days.
In place of residence.
.years
months.
days.
MEDICAL CERTIFICATE OF DEATH
PERSONAL AND STATISTICAL PARTICULARS
3 DATE OF
DEATH
April
10, 1952
(Month)
(Day)
(Year)
4 I HEREBY CERTIFY,
Apr. 8,
19.
.52
to
Apr. 10,
19
52
I last saw h
...... r .... alive on
Apr. 10,. 19 52 death is said to
have occurred on the date stated above, at 1:300.
.m.
INTERVAL BE-
10a If married, widowed, or divorced
HUSBAND of
(Give maiden name of wife in full)
(or) WIFE of.
Barney Kolodny
(Husband's name in full)
11 IF STILLBORN, enter that fact here.
12
AGE
73 Years
Months.
Days
If under 24 hours
Hours ........ Minutes
13 Usual
Occupation :.
Housewife
(Kind of work done during most of working life)
14 Industry
or Business:
Home
15 Social Security No ...
16 BIRTHPLACE (City).
(State or country)
Russia
17 NAME OF
FATHER
Joseph Galoon
18 BIRTHPLACE OF
FATHER (City)
(State or country)
Russia
19 MAIDEN NAME cannot be learned- OF MOTHER
20 BIRTHPLACE OF MOTHER (City) (State or country)
Russia
Place of Burial or Cremation
Lynn , Mass
(City or Town)
DATE OF BURIAL. April 11,
19
52
7 NAME OF
FUNERAL DIRECTOR
L Hymanson
ADDRESS. Lynn, Mass.
Received and filed.
April 1, 21 52
19
APR 2 1 1952
(Registrar of City or Town where deceased resided)
PARENTS
5 Was disease or injury in any way related to occupation of deceased? If so, specify.
(Signed).
g frøager
M.
(Address). Pride of Lynn 6
Date.
4/10
19. 52
21 Informant. (Address)
Carl Kolodny son
A TRUE COPY
Charles A. Inactie
ATTEST:
(Registrar of City or Town where death occurred)
DATE FILED
April - 14.
..........
........
.19
52
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 after the close of the month in which the death occurred. (See Chap. 46, Ser 12, G. L.)
25M (E)-6-50-902253
ANTE CEDENT (b) CAUSES
Due To
Arteriosclerotic
cerebrovascular
disease
Due To (c)
OTHER
SIGNIFICANT
CONDITIONS
Major findings:
Of operations.
Date of operation.
Was autopsy performed ?.
N.o
What test confirmed diagnosis?
Lumbar puncture
TWEEN ONSET
AND DEATH
DISEASE OR CONDITION DIRECTLY LEADING TO DEATH (a) Cerebral hemorrhage
2days
8 SEX
F
9 COLOR OR RACE
(Was deceased a
U. S. War Veteran,
if so specify WAR)
No
(a) Residence. No. (Usual place of abode)
42
(write the word)
10 SINGLE
MARRIED
WIDOWED
or DIVORCED Widow ed
That I attended deceased from
No
302 1
No. Beth Israel Hospital FLORENCE S. KOLODNY
L Suffolk Ounty) Winthrop 1 (City or Town) Winthrop Community tarp. No. Joseph Freenfield PLACE OF DEATH
The Commonwealth of Massachusetts EDWARD J. CRONIN SECRETARY OF THE COMMONWEALTH DIVISION OF VITAL STATISTICS STANDARD
(City or town making return)
Registered No. 92
CERTIFICATE OF DEATH
1(If death occurred in a hospital or institution, .: St. [ give its NAME instead of street and number)
2 FULL NAME
(Ifdeceased is ( married, widowed or divorced woman, give also maiden name.) 24 Hawthorne are
(a) Residence. No. (Usual place of abode)
Length of stay: In place of death. .years.
months ... 4 days.
In place of residence
5 years
months.
days.
MEDICAL CERTIFICATE OF DEATH
PERSONAL AND STATISTICAL PARTICULARS
3 DATE OF
DEATH
april
(Month)
(Day)
11 1952 (Year)
8 SEX male
9 COLOR OR RACE
White
10 SINGLE MARRIED WIDOWED or DIVORCED
(write the word) Widowal
4 I HEREBY CERTIFY,
That I attended deceased from
to. apr 11 52
I last saw h. W alive on
apr 10, 1952 death is said to
have occurred on the date stated above, at. 917/2.
(or) WIFE of
(Husband's name in full)
11 IF STILLBORN, enter that fact here.
12
AGE
74 Years
2
Months
2
Days
If under 24 hours
Hours.
Minutes
13 Usual
Occupation :
(Kind of work done during most of working life)
14 Industry
or Business:
Share
15 Social Security No.
16 BIRTHPLACE (City)
(State or country)
Buccia
17 NAME OF
FATHER
Gordon Gerenfield
Major findings:
Of operations.
Date of operation.
Was autopsy performed ?.
What test confirmed diagnosis?
5 Was disease or injury in any way related to occupation of deceased?
If so, specify
Marin n. Haug
M. D.
(Signed)
(Address).
25
Slanges St incharge 4/1.
1952
Tilluno 6 Chevain Place of Burial or Cremation (City or Town)
DATE OF BURIAL
april 13
19.5°
7 NAME OF
FUNERAL DIRECTOR ..
ADDRESS
11) ho Common st Ly
Received and filed.
19
APR 11 1952
(Registrar)
A TRUE COPY ATTEST.
PARENTS
18 BIRTHPLACE OF FATHER (City) (State or country)
Buccia
19 MAIDEN NAME OF MOTHER
Basha Berman
20 BIRTHPLACE OF
MOTHER (City)
(State or country)
Buccia
21
Informant
(Address)
25 Delfin de Rever
I HEREBY CERTIFY that a satisfactory standard certificate of death was filed with me BEFORE the burial or transit perfnit was issued: Walter A. Bakery (Signature of Agent of Board of Healthlor other)
Health Of
4/11/57
(Official Designation)
(Date of Issue of Permit)/
Due
ANTE CEDENT (b) CAUSES
5yrs
(c)
Due To Cheme tranclientes
20 grs
2 mg.
SOM (A)- 12-49.900722
-301
NS FICATE
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
DISEASE OR CONDITION
DIRECTLY LEADING
TO DEATH (a)
Coronary Occlusion
INTERVAL BE- TWEEN ONSET AND DEATH 1/2 hr .
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