USA > Massachusetts > Suffolk County > Winthrop > Town of Winthrop : Record of Deaths 1952 > Part 65
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A B Marsh
ADDRESS
Winthrop Mass
Received and filed
SEP 29
19
(Registrar of City or Town where deceased resided)
10a If married, widowed,
HUSBAND of
gr divorced
Kathryn
A Cassidy
(Give maiden name of wife in full)
(or) WIFE of
(Husband's name in full)
11 IF STILLBORN, enter that fact here.
12
AGE
58
1
Years.
Months
18
Days
Foreman
13 Usual
Occupation :.
(Kind of work done during most of working life)
14 Industry
or Business:
Mass. Transit Authority
15 Social Security No.
024-10-2188
Boston Mass.
16 BIRTHPLACE (City)
(State or country)
17 NAME OF
FATHER
Charles O'Connor
18 BIRTHPLACE OF
FATHER (City)
(State or country)
Digby N.S.
19 MAIDEN NAME
OF MOTHER
Catherine Cahill
20 BIRTHPLACE OF
MOTHER (City)
(State or country)
Ireland
Mrs J H O' Connor
21 Informant (Address)
A TRUE COPY
AZharles & Mackie
(Registrar of City or Town where death occurred)
DATE FILED
.......................
................... .. 19
...
of death should be transmitted on Form K-302 to the clerk of the city of town in Which the deceased resided as soon as possible after the close of the month in which the death occurred. (See Chap. 46, Sec. 12, G. L.)
25m-(b)-11-49-900,475
(Signed)
Boston City Hospt
Date 9-5 19.5
PARENTS
2
302 1
No.
Boston City Hospital
John H O'Connor
-
If under 24 hours
Hours ......
Minutes
RECEIVED
TOW
0 301
11 12
GL
10:
110
(MIN)
ERK
5
6
THR
SEP29
AM
---
PLACE OF DEATH
Suffolk 00 (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 Heaith or its Agent.
Registered No.
191
No. Winthrop Community Hospital
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)
No.
(a) Residence. No. (Usual place of abode)
140 Cottage Park Road
St.
(If nonresident, give city or town and State)
Length of stay: In place of death years .. months 7 days. In place of residence +5 .years .. months days.
MEDICAL CERTIFICATE OF DEATH
3 DATE OF
DEATH
September
10
1952
(Year)
(Month) (Day)
4 I HEREBY CERTIFY,
That I attended deceased from
august 28
1952
to September 10.
1952
I last saw her
alive on ...
September10 19 52 death is said to
have occurred on the date stated above, at 7:40 P.m.
INTERVAL BE- TWEEN ONSET AND DEATH 7 days
ANTE
Due arteriosclerosis Heart
(b)
CEDENT CAUSES Disease wirth auricular fibrillation
and cardiac enlargement (c) .
OTHER
SIGNIFICANT
CONDITIONS
Secondary anemia
Major findings:
Of operations.
No
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 ...
(Signed)
Dorothy Cheney appleton
M. D.
(Address) 197 Wordsde avenue Dat Sept 10
195.2
No
6 Winthrop Cemetery, Winthrop. Place of Burial or Cremation (City or TowR)
DATE OF BURIALSeptember 13 1952
7 NAME OF
FUNERAL DIRECTOR
Cheful B. March
ADDRESS 174 Winthrop St. Winthrop, Mass.
Received and filed.
SEP 12 1952
19
(Registrar)
PERSONAL AND STATISTICAL PARTICULARS
8 SEX
9 COLOR OR RACE
10 SINGLE
MARRIED
WIDOWED
or DIVORCED
(write the word)
single
female white
10a If married, widowed, or divorced HUSBAND of . (Give maiden name of wife in full)
(or) WIFE of
(Husband's name in full)
11 IF STILLBORN, enter that fact here.
12
AGE
85 Years
2.
Months
7
Days
If under 24 hours
.Hours . . .
. Minutes
13 Usual
Occupation :
housework
(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)
Liverpool
England
17 NAME OF
FATHER
unable to obtain
PARENTS
18 BIRTHPLACE OF
FATHER (City)
(State or country)
Scotland
19 MAIDEN NAME
OF MOTHER
unable to obtain
20 BIRTHPLACE OF
MOTHER (City)
(State or country)
England
1
Informant
(Address)
Atty. Edward R. Thomas
54 Devonshire St .Boston
I HEREBY CERTIFY that a satisfactory standard certificate of death was filed with me BEFORE the burial or transit permit was issued:
Walter G. Baker
(Signature of Ageut & Board of Health or other)
HO Left: 1 2 ks
(Official Designation)
(Date of Issue of Permit)
ONS FICATE g EATH ter one ach d (c)
ot mean ng, such sthenia. disease, which
ditions. e to the stating cause
contrib- but not ease or g death.
50m-(b)-11-49-900,560
. 5
301A 1
Nellie Layton 2 FULL NAME
(If deceased is a married, widowed or divorced woman, give also maiden name.)
Wintrung maso Mass
DISEASE OR CONDITION
DIRECTLY LEADING
TO DEATH
(a)
Broncho precumme à
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
1.
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 fromn 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 perinits, 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 madc.
Chap. 114, Sec. 46, G. L .. (Tercentenary Edition).
RECEIVED 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 whopr they have given bedside care during a last illness from disease unrelated to any fotth.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 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 traumatisme (including resulting septicemia), and by the action of chemical (drugs or poisons) thermal, or electrical agents, and deaths following abortion, but also de hs om ducase resulting from injury or infection related to occupation, persons få point persons not disabled by recognized disease, and those of the sudder
Statement of Cause of Death .- Physicians: see explanatory instructions onSide Ostandard 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
C ..
To be filed for burlal permit with Board of Health or its Agent.
Registered No. .. 192
..... Joshua Stevens Wheeler (If deceased is a married, widowed or divorced woman, give also maiden name.)
255 Pleasant Street
St.
(If nonresident, give city or town and State)
Length of stay: In place of death ...
years ....
months. 2.Odays. In place of residence 6 .years .months days.
PERSONAL AND STATISTICAL PARTICULARS
8 SEX
Male
White
9 COLOR OR RACE
10 SINGLE
(write the word)
MARRIED
WIDOWED
or DIVORCEDMarried
4 I HEREBY CERTIFY,
Oct
1951
oto
Sept 1,2
193-2
10a If married, widowed, or divorced
HUSBAND of
Louise M Davy
(Give maiden name of wife in full)
(or) WIFE of
(Husband's name in full)
INTERVAL BE- TWEEN ONSET AND DEATH 11 IF STILLBORN, enter that fact here.
12
AGE
Years
3
Months
27
Days
If under 24 hours
Hours
Minutes
13 Usual
Occupation :
Machinest
(Kind of work done during most of working life)
14 Industry
or Business:
Shoe Machinery
15 Social Security No.
015-28-5319A
16 BIRTHPLACE (City).
(State or country)
Mass
Wellfleet
OTHER SIGNIFICANT CONDITIONS
have
Date of operation.
home
Was autopsy performed?
What test confirmed diagnosis ?.
Elmical
PARENTS
18 BIRTHPLACE OF
FATHER (City)
Wellfleet
(State or country)
Mass
19 MAIDEN NAME OF MOTHER Sarah Gould
20 BIRTHPLACE OF
Unable to obtain
6 Winthrop
Place of Burial or Cremation
DATE OF BURIAL
Sept 15
1952
7 NAME OF
FUNERAL DIRECTOR
Howard SOMgrilo
ADDRESS . illerinof Taracho
Received and filed.
SEP 15/1952
19
(Signature of Agent of Board of Health or other)
Thatthe Office $15,52
(Official Designation)
(Date of Issue of Permit)/
50m-(b)-11-49-920,560
301A 1
NS FICATE
EATH ter one ch d (c)
t mean g, such sthenia, - disease, which
ditions, to the stating cause
contrib- but not ease or death.
MEDICAL CERTIFICATE OF DEATH
3 DATE OF
DEATH
felt.
(Month)
(Day)
12
1952
(Year)
That I attended deceased from
I last saw
h mmm alive on
Sept it 195, death is said to
have occurred on the date stated above, at 10 35 8 m.
DISEASE OR CONDITION
DIRECTLY LEADLYG
TO DEATH
(a) Cerebral hermitage
with left hemiplegia
(b)
ANTE
Due To
Hypertensive and
CEDENT CAUSES interventi Heart Dis
2yrs
Due To (c)
Major findings:
Of operations.
5 Was disease or injury in any way related to occupation of deceased to.
If so, specify ....
M. D.
(Signed)
DE Sturges STrechenDage 4/19
1952
MOTHER (City)
(State or country)
Winthrop
(City or Town)
Carl R Wheeler
21 Informant (Address) 163 Buchanan St. Winthrop
I HEREBY CERTIFY that a satisfactory standard certificate of death was filed with me BEFORE the buriabor transit permit was issued: Walter S. Bakerz.
(Registrar)
Winthrop Community Hospital No.
J (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. (Usual place of abode)
18 days 83
17 NAME OF
FATHER
John Wheeler
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.
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 $ melden brought into the commonwealth until he has received a permit yath do from the board of health or its agent appointed to issue such permits, or or the funeralJEto be held, or from a person appointed to have the care of the cemetery or burial ground in which the interment is made.
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 Eif there is no such board, from the clerk of the town where the body is to be buried 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- + Sec. 46, G. L., (Tercentenary Edition). diate cause of death as nearly as he can state the same. For neglect to comply 11 with any provision of this section, such physician or officer, shall forfeit ten doHa 7 For the purposes of this section and of sections forty-five, forty-six and forty seven RULES OF PRACTICE 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 setenteen. to G. L. Chap. 46, Sec. 10. 8
fulfilment of the purpose of these laws calls for the observance of the follow- rates of practice trending physicians will certify to such deaths only as those of persons from they have given, bedside care during a last illness from disease unrelated Yo ard of Health physicians will certify to such deaths only as those of ugh disabled by recognized disease unrelated to any form of und Mthout recent medical attendance or whose physician is absent bir Much the certificate of death is needed.
No undertaker or other person shall bury or otherwise dispose of a human in a town, or remove therefrom a human body which has not been buried, ght has received a permit from the board of health, or its agent appointed to such permits, or if there is no such board, from the clerk of the town where the (3)" Medical Examiners will investigate and certify to all deaths supposably person died; and no undertaker or other person shall exhume a human body and je to in jury. These include not only deaths caused directly or indirectly by traumatism (including resulting septicemia), and by the action of chemical (dibi ons) thermafor electrical agents, and deaths following abortion, but cathy Mom disease resulting from injury or infection related to occupation. be sudden deaths of persons not disabled by recognized disease, and those of persons found dead. 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 thepa of the town where the body is buried. No such permit shall be issued untit 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 Statement of Cause of Death .- Physicians: see explanatory instructions on face side of standard certificate of death. 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 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. 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
SPACE FOR ADDITIONAL INFORMATION
DATE OF ENTERING MILITARY SERVICE
DATE OF DISCHARGE RANK, RATING ORGANIZATION AND OUTFIT
SERVICE NUMBER
C.4 K Sulfille Vi (County
The Commonwealth of Massachusetts OFFICE OF THE SECRETARY DIVISION OF VITAL STATISTICS STANDARD CERTIFICATE OF DEATH
C
To be filed for burial permit with Board of Health or its Agent.
Registered No.
193
J(If death occurred in a hospital or institution, St. [ give its NAME instead of street and number)
Olmer ( Henry 2 FULL NAME.
(If deceased is a married, widowed or divorced woman, give also maiden name.)
75 Creat The St.
(If nonresident, give city or town and State)
Length of stay: In place of death. years months. days. In place of residence
36 ver
months
.days.
MEDICAL CERTIFICATE OF DEATH
PERSONAL AND STATISTICAL PARTICULARS
8 SEX
9 COLOR OR RACE
10 SINGLE
MARRIED
WIDOWED
(write the word)
(Month)
(Day)
1952
(Year)
4 I HEREBY CERTIFY,
nov 30
51
19
to ..
Sepet 13
52
19
10a If married, widowed, or divorced, HUSBAND of ..
(Give maiden name of wife in full)
(or) WIFE of
(Husband's name in full)
11 IF STILLBORN. enter that fact here.
12
AGE
71 Years
.... Months?
Days
If under 24 hours
Hours .. . Minutes
Due To
Generalized
ANTE
CEDENT
(b) ...
CAUSES
arteriosclerosis
Due To
(c)
OTHER
SIGNIFICANT
CONDITIONS
Major findings:
Of operations.
Date of operation
.. Was autopsy performed?
no
What test confirmed diagnosis?
5 Was disease or Injury in any way related to occupation of deceased?
John 7 Collins
(Signed)
Derer mars Date,
13 Let M. D.
6 Place of Burial of Cremation (City of Towny
DATE OF BURIAL feb/14
19
7 NAME OF NERAL DIRECTO ADDRESS
Macerace Mikala
Received and filed
SEP 15 1952
19
(Registrar)
PARENTS
19 MAIDEN NAME
OF MOTHER
Leggie. P (Online)
20 BIRTHPLACE OF MOTHER (City) (State or equntry)
21 Informant Techart Pervij.
I HEREBY CERTIFY that a satisfactory standard certificate of death was filed with me BEFORE the burial or transit permit was issued: Walter Maken
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