USA > Massachusetts > Suffolk County > Winthrop > Town of Winthrop : Record of Deaths 1952 > Part 62
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3 DATE OF
DEATH
Jan
19
to
I last saw h
yle- alive on
10 ==
., death is said to
have occurred on the date stated above, at $ 45,00
INTERVAL BE-
.m.
TWEEN ONSET
AND DEATH
3 days
DISEASE OR CONDITION
.
DIRECTLY LEADING4
TO DEATH
(a)
Urbina- -
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 cleath 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 dicd; 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 forin 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 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
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.
Registered No.
181
Bayview Rest Home No.
[ (If death occurred in a hospital or institution, St. Į give its NAME instead of street and number)
2 FULL NAME . Mary M. Dearing ( Tinsley )
(If deceased is a married, widowed or divorced woman, give also maiden name.)
23 Waldemar Avenue, Winthrop
St.
(If nonresident, give city or town and State)
Length of stay: In place of death. 3. years months days. In place of residence.
25 years
months
.. days.
MEDICAL CERTIFICATE OF DEATH
3 DATE OF
DEATH
Quequel 30
(Month)
(Day)
1952
(Year)
4 I HEREBY CERTIFY,
That I attended deceased from
Cuz 26
1952
to
Cung 30
195.2
I last saw her alive on
Gug 30, 195 2 death is said to
have occurred on the date stated above, at 6:30 Pm.
INTERVAL BE- TWEEN ONSET AND DEATH
11 IF STILLBORN, enter that fact here.
24 hours
AGE
77
Years
0
.Months
26 Days
If under 24 hours
Hours
Minutes
13 Usual
Occupation:
Housewife
(Kind of work done during most of working life)
14 Industry
or Business:
At home
15 Social Security No.
None
Portland
16 BIRTHPLACE (City).
(State or country)
Maine
17 NAME OF
FATHER
Thomas Tinsley
PARENTS
18 BIRTHPLACE OF
FATHER (City)
Richmond
(State or country)
Virginia
19 MAIDEN NAME
OF MOTHER
Eliza J. Glawson
20 BIRTHPLACE OF
MOTHIER (City)
Portland
(State or country)
Maine
21
H. Edward Dearing-son
Informant.
(Address)
68 W. Cedar St., Boston, Mass
7 NAME OF
FUNERAL DIRECTOR.
Richard C. Kirby
ADDRESS
Boston, Mass.
Received and filed.
SEP 3
1952
19
(Registrar)
PERSONAL AND STATISTICAL PARTICULARS
8 SEX
Female
9 COLOR OR RACE
White
10 SINGLE
(write the word)
MARRIED
WIDOWED
or DIVORCED Widowed
10a If married, widowed, or divorced
HUSBAND of
(Give maiden name of wife in full)
(or) WIFE of
Alfred J. Dearing
(Husband's name in full)
DISEASE OR CONDITION DIRECTLY LEADING Bronchial Franconia TO DEATH (a)
ANTE Chronic Tuyo carditis
CEDENT (b) CAUSES
Due To (c)
OTHER
SIGNIFICANT
CONDITIONS
Major findings:
4
Of operations.
Date of operation
none Was autopsy performed?
200
What test confirmed diagnosis ?.
Clini Sign
5 Was disease or injury in any way related to occupation of deceased? 200
If so, specify ........
(Signed)
Winthrop
(Address)
M. D.
Date Mg 30
1952
Winthrop Cemetery, Winthrop
6
Place of Burial or Cremation
(City or Town)
DATE OF BURIAL
September 2nd
19
52
I HEREBY CERTIFY that a satisfactory standard certificate of death was filed with me BEFORE the burial or transit permit was issued: h-6: Baker
HO
(Signature of Agent of Board of Health orother) Sep1 2/32
(Official Designation)
(Date of Issue of Permit)
X
301A 1
ONS FICATE g EATH ter one ach d (c)
ol mean ng, such asthenia, disease, s which
ditions. se to the stating cause
contrib -- but not sease or g death.
50m-(b)-11-49-900,560
PHYSICIAN - IMPORTANT
(Was deceased a U. S. War Veteran, if so specify WAR)
No
(a) Residence. No. (Usual place of abode)
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
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 contracted, the duration of his last illness, when last seen alive by the physician y Lays, Chap. 38, Sec. 6., as amended by Chap. 632, Sec. 4, Acts of 1945. or officer and the date of his death. . . Gen. Laws, Chap. 46, Sec. 9. 7.
No undertaker or other persons shall bury a human body or the ashes thereof
A physician or officer furnishing a certificate of death as required by-the-which have been brought into the commonwealth until he has received a permit preceding section or by section forty-five of chapter one hundred and four-Iltesto do from the board of health or its agent appointed to issue such permits, or teen, shall, if the deceased, to the best of his knowledge and belief, served in the fthere is no such board, from the clerk of the town where the body is to be buried the funeral is to be held, or from a person appointed to have the care of the Iconictery or burial ground in which the interment is made. 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 me- Chap. 114. Sec. 46. G. L., (Tercentenary Edition). diate cause of death as nearly as he can state the same. For neglect to comply 2 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-sikland forty-seyen 3 RULES OF PRACTICE of said chapter one hundred and fourteen, the word "war" shalluinclude the China relief expedition and the Philippine insurrection, which Shall, for said perroses, be e fulfillment of the purpose of these laws calls for the observance of the follow- Talés of practice: deemed to have taken place between February fourteenth, eighteen Mladred and ninety-eight and July fourth, nineteen hundred and two, and the Mext a Attending physicians will certify to such deaths only as those of persons Inte Them they have given bedside care during a last illness from disease unrelated ny form of injury. service of nineteen hundred and sixteen and nineteen hundred and 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 towerpeth person died; and no undertaker or other person shall exhume a huma 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
(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 in jury, 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
301A 1
PLACE OF DEATH
SUFFOLK (County)
WINTHROP (City or Town)
No. .... 1079 SHIRLEY
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.
182
SARAH/NORMAN/ NEIL 2 FULL NAME
(If deceased is a married, widowed or divorced woman, give also maiden name.)
PHYSICIAN - IMPORTANT (Was deceased a U. S. War Veteran, if so specify WAR)
(a) Residence. No. . 1079 SHIRLEYST, WINTHRO8
(Usual place of abode) Length of stay: In place of death 5 years months. .days. In place of residence
5 years . . months .days.
MEDICAL CERTIFICATE OF DEATH
PERSONAL AND STATISTICAL PARTICULARS
3 DATE OF
DEATH
august 30 1952.
(Month)
(Day)
(Year)
8 SEX
FEMALE
WHITE
9 COLOR OR RACE
10 SINGLE
MARRIED
(write the word)
WIDOWED
or DIVORCED WIDOW
4 hHEREBY CERTIFY,
That I attended deceased from
august 10052
to
august 30,00
august 30,002 death is said to
have occurred on the date stated above, at
DISEASE OR CONDITION
DIRECTLY LEAPLacuna of
TO DEATH (a)
Vagina (primary )
CEDENT CAUSES
ANTE
Due To
general
Carcinomatorio
6 mos
14 Industry
or Business :..
OVIN HOME
15 Social Security No. .
16 BIRTHPLACE (City) ..
BAY ROBERTS
(State or country)
N. F.
17 NAME OF
FATHER
UNKNOWN(NORMAN)
11
18 BIRTHPLACE OF
FATHER (City)
(State or country)
19 MAIDEN NAME
OF MOTHER
ANNIEFRENCH
20 BIRTHPLACE OF MOTHER (City) . (State or country) NEWFOUNDLAND
21
Informant
FREDERICK NEAL
(Address) 1074 SHIRLEY STWINTHIONMASS
I HEREBY CERTIFY that a satisfactory standard certificate of death was filed with me BEFORE the burial øn transit permit was issued .
(Signature of Ager of Board of Health or other)
10××21
02
(Official Designation)
(Date of Issue of Permit)
X
ONS IFICATE g EATH ter one ach d (c)
ot mean ng. such asthenia .- disease. s which
ditions. se to the stating cause
contrib- but not sease or g death.
SOM (8)-1-51 903586
6
DATE OF BURIAL.
SEPT. 21
2.1952
7 NAME OF
Wendell M. Datemane
ADDRESS 23 Gary ave Chilea
Received and filed.
SEP 3 .1952
19
(Registrar)
TWEEN ONSET AND DEATH 11 IF STILLBORN. enter that fact here.
Ihear
12
AGE 85
Years
Months
Days
If under 24 hours
Hours
Minutes
13 Usual
Occupation :
RETIRED HOUSEWIFE
(Kind of work done during most of working life)
Due To
(c)
Uremia
2 days
OTHER
SIGNIFICANT
CONDITIONS
Generalized
2 yra
Major findings:
Of operations.
none
Date of operation
Was autopsy performed ?.
What test confirmed di
clinical labualing
5 Was disease or injury in any way related tejoccupation of deceased? If so, spettty
(Signed)
(Addres )562 Hailey che 0/30
I D.
PARENTS
10a If married, widowed, or divorced
HUSBAND of
(Give maiden name of wife in ful!)
(or) WIFE of JACOB NEIL
(Husband's name in full)
I last saw her
alive on.
6:45INTERVAL BE.
(If nonresident, give city or town and State)
HO
J(If death occurred in a hospital or institution,
. St. [ give its NAME instead of street and number)
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-seyen 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, bey deemed to have taken place between February fourteenth, eighteen hundred, ard ninety-eight and July fourth, nineteen hundred and two, and the Mexican borde service of nineteen hundred and sixteen and nineteen hundred and sevented G. L. Chap. 46. Sec. 10. --
No undertaker or other person shall bury or otherwise dispose of a human body in a town. or remove therefrom a human body which has not been buried, until he has received a permit from the board of health, or its agent appointed to issue such permits, or if there is no such board, from the clerk of the town where the person died; and no undertaker or other person shall exhume a human body and remove it from a town, from one cemetery to another, or from one grave or tomb other than the receiving tomb to another in the same cemetery. until he has received a permit from the board of health or its agent aforesaid or from the clerk of the town where the body is buried. No such permit shall be issued until there shall have been delivered to such board, agent or clerk, as the case may be, a satisfactory written statement containing the facts required by law to be returned and recorded, which shall be accompanied, in case of an original inter- ment, by a satisfactory certificate of the attending physician, if any, as required by law. or in lieu thereof a certificate as hereinafter provided. If there is no attending physician, or if, for sufficient reasons, his certificate cannot be obtained early enough for the purpose, or is insufficient, a physician who is a member of the board of health, or employed by it or by the selectmen for the purpose, shall upon application make the certificate required of the attending physician. If death is caused by violence, the medical examiner shall make such certificate. If such a permit for the removal of a human body, not previously interred, from one town to another within the commonwealth cannot be obtained early enough for the purpose, the certificate of death made as above provided and in the possession of the undertaker desiring to make such removal shall constitute a permit for such removal; provided, that such body shall be returned to the town from which it was removed within thirty-six hours after such removal, unless a permit in the usual form for the removal of such body has been sooner obtained hereunder. If the
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