USA > Massachusetts > Suffolk County > Winthrop > Town of Winthrop : Record of Deaths 1952 > Part 57
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Nurse
(Retired)
(Kind of work done during most of working life)
14 Industry
or Business:
Private home
15 Social Security No ..
None
16 BIRTHPLACE (City)
(State or country)
Nova Scotia
17 NAME OF
FATHER
George Mackenzie
PARENTS
18 BIRTHPLACE OF
FATHER (City)
(State or country)
Nova Scotia
19 MAIDEN NAME
OF MOTHER
Isabell MacDonald
20 BIRTHPLACE OF
MOTHER (City)
(State or country)
Nova Scotia
Jennie Howatt
21 Informant (Address) 19 Thornton St Winthrop
7 NAME OF
FUNERAL DIRECTOR
Saward SPynolds
ADDRESS
Received and filed
AUG 5 1952
19
(Registrar)
195% (Year)
4 I HEREBY CERTIFY,
That I
attended deceased from
6
19.5%
to ..
aug
4
19 5%
I last saw her alive on Guez 1 19 . 1.2 .. , death is said to
6-30A .m.
have occurred on the date stated above, at INTERVAL BE- TWEEN ONSET AND DEATH
DISEASE OR CONDITION DIRECTLY LEADING TO DEATH (a) Congestive heart failure
ANTE Due To CEDENT (b) CAUSES
Due To (c)
OTHER SIGNIFICANT CONDITIONS
Major findings:
Of operations.
Date of operation
Was autopsy performed?
no
What test confirmed diagnosis?
X- Rays of cheat
5 Was disease or injury in any way related to occupation of deceased? If so, specify 16200 Newheste (Signed) 447 Thirty
M. D.
(Address) Waithan
Date Cary 4
1950
6 Winthrop
Winthrop
Place of Burial or Cremation
DATE OF BURIAL.
August
6
1952
50M (B)-1-51 903586
301A 1
ONS
FICATE
EATH ter one ach d (c)
ol mean ng, such sthenia, disease, which
ditions. e to the stating cause
contrib- but not ease or death.
No.
19 Thornton Street
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)
(a) Residence. No. (Usual place of abode)
4
3 DATE OF
DEATH
AUG
4
(Month)
(Day)
6 months
(City or Town)
I HEREBY CERTIFY that a satisfactory standard certificate of death was filed with me BEFORE the burial or transit permit was issued: Walter (Signature of Agent of Board of Health or other ) A. Makerg'. Thealth Officer ger/5/52
(Official Designation) (Date of Issue of Permit) /
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 whico 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 er 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, sha&. 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 ( ne hundred and fourteen, the word "war" shall include the China relief expedition and the Philippine insurrection, which shall. for said purposes, be dcemed 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 nincteen 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 receivedl 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 chemieal, 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 pagerevery brought into the commonwealth until he has received a permit so to'da 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 funeralis to be held, or from a person appointed to have the care of the cemetery or burial ground in which the interment is made.
Chaps 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 (dfukje estens) thermal, or electrical agents, and deaths following abortion, but om 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
-301
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
Winthrop (City or town making return)
Registered No. 168
f(If death occurred in a hospital or institution, St. Į give its NAME instead of street and number)
2 FULL NAME Adelaide Blanche Whittemore
(If deceased is a married, widowed or divorced woman, give also maiden name.)
(a) Residence. No. 55 Orlando Que
St.
(Usual place of abode)
(If nonresident, give city or town and State)
Length of stay: In place of death .. .years ... months. ...... .days. In place of residen .years months. .days.
MEDICAL CERTIFICATE OF DEATH
PERSONAL AND STATISTICAL PARTICULARS
3 DATE OF
DEATH
August
(Month)
6
1952
(Year)
8 SEX
Female
9 COLOR OR RACE
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 full)
(or) WIFE of.
Almon Everett Whittemore
(Husband's name in full)
11 IF STILLBORN, enter that fact here.
12
AGE.7.4 ... Years 11.
Months.
10 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:
housewife
15 Social Security No.
no
16 BIRTHPLACE (City) (State or country) Mass
Boston,
17 NAME OF
FATHER
James G. Walker
18 BIRTHPLACE OF
FATHER (City)
(State or country)
New Hampshire
19 MAIDEN NAME
OF MOTHER
Carrie Martha Harvey
20 BIRTHPLACE OF
MOTHER (City)
(State or country)
Unknown
21 Informant
Almon E. Whittemore
(Address) 55 Orlando Ave.
I HEREBY CERTIFY that a satisfactory standard certificate of death was filed with me BEFORE the burial or transit permit was issued: Walter
(Signature of Agent of Board of Health or other)
Health Officer 8/8/52
(Date of Issue of Permit)
A TRUE COPY ATTEST:
1 hr.
ANTE Due To augura
CEDENT (b) CAUSES Pedais
5yrs.
Due To (c)
OTHER
SIGNIFICANT
CONDITIONS
none
Major findings:
Of operations.
none
Date of operation une .. Was autopsy performed? What test confirmed diagnosis ?. 5 Was disease or injury in any way related to'occupation of deceased ?... 0 PARENTS
If so, specify.
(Signed) Jacob& Chramo
a D
6 Winthrop .... Cemetery
Winthrop.
Place of Burial or Cremation (City or Town)
DATE OF BURIAL August 9 1952
Billed & March
7 NAME OF
FUNERAL DIRECTOR
Alfred B. Marsh
ADDRESS.
174 Winthrop
AUG
Received and filed. 19
(Registrar)
52
Launay 10 19. 40
to
august 612 death is said to
[ last saw .. alive on &P:m.
have occurred on the date stated above, at.
INTERVAL BE- TWEEN ONSET AND DEATH
DISEASE OR CONDITION
DIRECTLY LEADING cute Coronary
TO DE
thrombosis
(Day)
4 I HEREBY CERTIFY,
That I attended deceased from
august 6
19
65
(Was deceased a U. S. War Veteran, if so specify WAR) NO
NS FICATE
EATH ter one ch d (c)
t mean g, such sthenia, disease. which
ditions, e to the stating cause
contrib- but not ease or death.
50M (A)-1-51 903586
5
(Official Designation)
No. 5.5 ..... Orlando ..... A.ve ..
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 only such persons as are supposed to have died by violence. If a medical examiner has notice that there is within his county the body of such a person. he shall forthwith go to the place where the body lies and take charge of the same; . General Laws, Chap. 38, Sec. 6.
No undertaker or other persons shall bury a human body or the ashes thereof which have been brought into the commonwealth until he has received a permit so to do from the board of health or its agent appointed to issue such permits, or if there is no such board, from the clerk of the town where the body is to be buried or the funfactE tehdDor 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).
.
TOWN
39
11 12
IL'ES OF PRACTICE
ent of the
e of these laws calls for the observance of the follow-
ingt tale
ra
Thysi
wiicertify to such deaths only as those of persons Theare during a last illness from disease unrelated
to IT
y ha
to an
fin
(2)
Heald
persons
injury
ded
thor
(3)
due to injury They will investigate and certify to all deaths supposably 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 dea
AUGE 8
degease resulting from injury or infection related to occupation, personstoot 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
Hysicians will certify to such deaths only as those of sahned by recognized disease unrelated to any form of Gat medical attendance or whose physician is absent De of death is needed.
from hon
1A
1
PLACE OF DEATH
ـن
Suffolk. (Count&
The Commonwealth of Massachusetts OFFICE OF THE SECRETARY DIVISION OF VITAL STATISTICS STANDARD CERTIFICATE OF DEATH
To be filed for burial permit with Board of Health or its Agent.
Registered No.
169
[(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)
St. (If nonresident, give city or town and State)
Length of stay: In place of death. 2_years .. months days. In place of residence .
40 years
months
.days.
MEDICAL CERTIFICATE OF DEATH
PERSONAL AND STATISTICAL PARTICULARS
3 DATE OF
DEATH
(Monthy
(Day)
1
1952
(Year)
8 SEX
Herval
9 COLOR OR RACE
H hile
10 SINGLE
MARRIED
WIDOWED
or DIVORCED
i
(write the word) Medowed
4 I HEREBY CERTIFY,
Ceny 4
19 52
to
Quy 7
1952
I last saw her alive on
death is said to have occurred on the date stated above, at &t 49 17 m
INTERVAL BE- TWEEN ONSET AND DEATH 3
11 IF STILLBORN, enter that fact here.
12
AGE 75 Years
Months
Days
If under 24 hours
.Hours ...... Minutes
13 Usual
Occupation :
1forme
(Kind of work done during most of working life)
14 Industry or Business:
15 Social Security No. none
16 BIRTHPLACE (City)
(State or country)
Cast Boston
mais
17 NAME OF
FATHER
James Fraser.
18 BIRTHPLACE OF
FATHER (City)
(State or country)
Nova Scotia
Date of operation
Was autopsy performed ?.
What test confirmed diagnosis?
5 Was disease or injury in any way related to occupation of deceased ? Lo
If so, specify
(Signed).
(Address) Is Why ST Wuihop Date /8/81
M. D.
6 Function sPrice of Bunch Or Cremation
DATE OF BURIAL
19
7 NAME OF
FUNERAL DIRECTOR
ADDRESS 210 Minuterof SV
Received and filed.
AUG $ 552
19
(Registrar)
PARENTS
19 MAIDEN NAME
OF MOTHER
Matilda Sentner
20 BIRTHPLACE OF
Nova Scotia
.19 > MOTHER (City) (State or country)
Mun Pass
VESSEY
21 Informant (Address) 49 Marsheeft Kindlich
I HEREBY CERTIFY that a satisfactory standard certificate of death was filed with me BEFORE the burial or transit permit was issued: Waller I Wakery. (Signature of Agent of Board of Health or other)
Thealthe Ophiele
8/8/02
(Official Designation)
(Date of Issue of Permit)
X
S CATE
ATH r ne h (c)
mean , such henia. sease, which
tions, to the lating cause
nirib- ut not se or death.
100M-(D)-10-48-24858
ANTE Due Tofinte au relieto the at dig CEDENT (b) CAUSES
Due To HappenTo manos
(c)
5 yrs
OTHER
SIGNIFICANT
CONDITIONS
Major findings:
Of operations
That I attended deceased from
. 19 5L
.
10a If married, widowed, or divorced
HUSBAND of
Charter Hacer unders an
(or) WIFE of
(Husband's name in full)
(a) Residence. No. (Usual place of abode)
(City, or Town) 12 Highland are No7 ....
Theline @ Anderson (Frases)
2 FULL NAME ..
(If deceased is a married, widowed or divorced woman, give also maiden name.) 49 Marshall It
DISEASE OR CONDITION
MENORRhagE
DIRECTLY LEADING Lund Hemorrhage
TO DEATH (a)
(City OF Towns
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 then army, navy or marine corps of the United States in any war in whElOtthas be 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 with any provision of this section, such physician or officer, shall forfeit te For the purposes of this section and of sections forty-five, forty six a of said chapter one hundred and fourteen, the word "war" shelling th aid hiha relief expedition and the Philippine insurrection, which shall for deemed to have taken place between February fourteenth, efel di Hundred and lexican border id ninety-eight and July fourth, nineteen hundred and two, and t service of nineteen hundred and sixteen and nineteen hendr G. L. Chap. 46, Sec. 10.
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