USA > Massachusetts > Suffolk County > Winthrop > Town of Winthrop : Record of Deaths 1952 > Part 72
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To be filed for burial permit with Board of Health or its Agent. 212
Registered No.
{(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 soSpecify WAR)
(a) Residence. No. (Usual place of abode)
46 Tewehsbury
St. .
Winthrop
(If nonresident, give city or town and State)
Length of stay: In place of death ...... years .. . months. days. In place of residence ... years .... .months .days.
MEDICAL CERTIFICATE OF DEATH
PERSONAL AND STATISTICAL PARTICULARS
8 SEX 7
9 COLOR OF RACE
White
10 SINGLE
MARRIED
WIDOWED
or DIVORCED
(write the word) Married
1ba If married, widowed, or divorced HUSBAND of.
(or) WIFE of.
(Husband's name in full)
11 IF STILLBORN. enter that fact here.
12
AT
i ears
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:
Own home
15 Social Security No ..
none
16 BIRTHPLACE (City).
(State or country)
Lithuania
17 NAME OF
FATHER
Yehudi alpert
18 BIRTHPLACE OF
FATHER (City)
(State or country)
Lithuania
19 MAIDEN NAME
OF MOTHER
Cannot be lexinel
20 BIRTHPLACE OF
MOTHER (City)
(State or country)
Lithuania
DATE OF BURIAL Oct. w
19.5.2
7 NAME OF
FUNERAL DIRECTOR
Benjamin Birnbach
ADDRESS 10 Washington ST. Dorchester
Received and filed OCT 3 532 19
(Signature of Agent of Board of Health for other)
Health Micer 10
(Official Designation)
(Date of Issue of Permit)
3 52
ONS IFICATE 8 DEATH ter one :ach nd (c)
rol mean ng, such asthenia, e disease. s which
ditions, se to the stating cause
contrib- but not sease or g death.
SOM (B)-1-51 903586
5 Was disease or injury in any way related to occupation of decreased? no If so, specify Chance mongly m. (Signed)
(Address) Main uthrop Board go Date J.OCT.1952
. Mit Lebanon Len. West Ropway Place of Burial or Cremation
(City or Towrf)
Sudden
ANTE
Due To
Coronary Occlusion
CEDENT (b) CAUSES
Hypertensive Heart Disease
(c)
years
OTHER SIGNIFICANT CONDITIONS
Diabetes Mellitus 8 yrs
Major findings:
Of operations.
Date of operation.
What test confirmed diagnosis ?.
Was autopsy performed? no clinical
PARENTS
Dr. Nathan Brenner
Informant (Address) 575 Hyde Parkau Ros.
I HEREBY CERTIFY that a satisfactory standard certificate of death was filed with, me BEFORE the burial or transit permit was issued; . 87-2005
(Registrar)
from
4 I HEREBY CERTIFY,
19
...
to
19
I last saw h .... .. ... alive on .. 19. , death is said to
have occurred on the date stated above, at
4 A. m.
INTERVAL BE- TWEEN ONSET AND DEATH
DISEASE OR CONDITION
DIRECTLY LEAD Natural Causes.
TO DEATH (a)
Presumably
3 DATE OF
DEATH
October 3 1952 (Year)
(Month)
(Day)
That I attended deceased
(If deceased is a married, widowed or divorced woman, give also maiden name.)
2 FULL NAME.
Temelbury fannie (albert) Shore
Health, M. D.
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 leath 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 he deceased furnish for registration a standard certificate of death. stating tothe lisease of which he dicd. defined as required by section one, where same was ontracted, 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. Edur- een, shall, if the deceased, to the best of his knowledge and belief, served in the ... rmy. 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 hall also certify in such certificate both the primary and the secondary-or jimmie- iate 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 5 elief expedition and the Philippine insurrection, which shall, for said purposes, 6, leemed to have taken place between February fourteenth, eighteen hundredaf inety-eight and July fourth, nineteen hundred and two. and the Mexican border pngrules of practice:
ervice of nineteen hundred and sixteen and nineteen hundred and seventeen. `. L. Chap. 46, Sec. 10.
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
best of his knowledge and belief the name of the deceased, his supposed age, the " 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 ThayE Chap. 38. Sec. 6., as amended by Chap. 6.32, 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 i'go 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 for the funeral is to be held, or from a person appointed to have the care of the cometery oni burial ground in which the interment is made.
Chag. ~ 144, Sec. 46. G. L., (Tercentenary Edition).
RULES OF PRACTICE
the fulfillment of the purpose of these laws calls for the observance of the follow-
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.
No undertaker or other person shall bury or otherwise dispose of a humafrody(2)Board of Health physicians will certify to such deaths only as those of a town. or remove therefrom a human body which has not been buried. un Orsonsthonthough 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. as received a permit from the board of health, or its agent appointed to issue uch permits, or if there is no such board, from the clerk of the town where the erson died; and no undertaker or other person shall exhume a human body and (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. emove it from a town. from one cemetery to another, or from one grave or tomb ther than the receiving tomb to another in the same cemetery, until he has eceived a permit from the board of health or its agent aforesaid or from the clerk f the town where the body is buried. No such permit shall be issued until there hall have been delivered to such board, agent or clerk, as the case may be, satisfactory written statement containing the facts required by law to be eturned and recorded, which shall be accompanied, in case of an original inter- nent, 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. aw, or in lieu thereof a certificate as hereinafter provided. If there is no attending hysician, or if, for sufficient reasons, his certificate cannot be obtained early nough for the purpose, or is insufficient, a physician who is a member of the board f health, or employed by it or by the selectmen for the purpose, shall upon pplication make the certificate required of the attending physician. If death is aused by violence, the medical examiner shall make such certificate. If such a ermit for the removal of a human body, not previously interred, from one town o 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 he undertaker desiring to make such removal shall constitute a permit for such emoval; provided, that such body shall be returned to the town from which it was emoved within thirty-six hours after such removal, unless a permit in the usual orm for the removal of such body has been sooner obtained hereunder. If the
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 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. 213
No. 511 Pleasant Street
J(If death occurred in a hospital or institution,
St. [ give its NAME instead of street and number)
mary Sales
(If deceased is a married, widowed or divorced woman, give also maiden name.)
(a) Residence. No. (Usual place of abode)
511 Pleasant
St. Winthrop
(If nonresident, give nity or town and State)
Length of stay: In place of death .years. 1 months 10 days. In place of residence .years / months.days.
MEDICAL CERTIFICATE OF DEATH
PERSONAL AND STATISTICAL PARTICULARS
8 SEX
Fem
9 COLOR OR RACE
White
10 SINGLE
(write the word)
MARRIED
WIDOWED Wedu-
or DIVORCED
10a If married, widowed. of divorced HUSBAND of
Sales
(or) WIFE of
William
Sales
(Husband's name in full)
11 IF STILLBORN. enter that fact here.
13
12
AGE 72
F. Years
Months
Days
.
If under 24 hours
Hours ...
Minutes
13 Usual
Occupation :
(Kind of work done during most of working life)
14 Industry
or Business:
More
15 Social Security No .. More
16 BIRTHPLACE (City) L'allarmey Ireland (State or country)
17 NAME OF
FATHER
Daniel MC Carthy
PARENTS
18 BIRTHPLACE OF FATHER (City) . (State or country)
Ireland
Julia Foley
19 MAIDEN NAME
OF MOTHER
Mary O Brien
20 BIRTHPLACE OF MOTHER (City) (State or country)
Ireland
21
Informant. Trancio
inicio Perrault
511 Pleasant ST, Mintha
I HEREBY CERTIFY that a satisfactory standard certificate of death wAs filed with me BEFORE the burial or transit permit was issued: Walter S. Kakerg. (Signature of Agent of Board of Health or other) Healthe Much 10 6, 52
(Official Designation) (Date of Issue of Permit)
1
years
OTHER SIGNIFICANT CONDITIONS
Major find
Forgallbladder Harley Hospital
Of operations
Date of operation
1945
Was autopsy performed? no
What test confirmed diagnosis?
chinial
5 Was disease or injury in my way related to occupation of deceased? no
If so, specerchio@amgpay.f
(Signed) Winthrop Board of Health
(Address) ...
M. D. .1952
6 Meu Calvary Place of Burial or Cremation DATE OF BURIAL October 7 19 57
7 NAME OF
FUNERAL DIRECTORA
David . O'Connor
ADDRESS 1617 Tremont It Boston
Received and filed 19
(Registrar)
(Day) )
That
I
attended deceased from
to 4 Oct
19.52
I last saw her alive on .. 4 Oct 19 52, death is said to
11:50 Am.
have occurred on the date stated above. at INTERVAL BE- TWEEN ONSET AND DEATH
DISEASE OR CONDITION
DIRECTLY LEADING
TO DEATH (a)
Matural causes
ANTE
Arterio-sclerotic Heart Disease
CAUSES
years
Due (c)
To generalized arteriosclerosis
100M-(D)-10-48-24658
T.M.
301A 1
NS FICATE : EATH ter one ich d (c)
t mean g, such sthenia, disease, which
ditions. e to the staling cause
contrib- but not case or death.
October 4 1952 (Year)
3 DATE OF
DEATH
(Month)
4 I HEREBY CERTIFY, 4 0cf 1952.
(Give maiden name of wife in full)
PHYSICIAN - IMPORTANT
(Was deceased a
U. S. War Veteran,
if so specify WAR)
2 FULL NAME ..
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 elief 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 ervice 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 n 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 uch 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 emove 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, satisfactory written statement containing the facts required by law to be eturned 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 aw, 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 o 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 emoval; provided, that such body shall be returned to the town from which it was emoved 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 funeral is to be held, or from a person appointed to have the care of the cemetery or buffal ground in which the interment is made.
Chap. 114, Sec.46. G. L., (Tercentenary Edition).
F TOW/
RULES OF PRACTICE
The fulfillment of the purpose of these laws calls for the observance of the follow- ing rules of practice, l
(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) > Bbard/ off 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 Mr iGeJude not only deaths caused directly or indirectly by traumati poging (resulting septicemia), and by the action of chemical (drugs or poistaU)themral, 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. AM OCT-6
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 occup ::- 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
-302 1
PLACE OF DEATH
SUFFOLK 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.
8710
214
J(If death occurred in a hospital or institution. >St ) give its NAME instead of street and number)
2 FULL NAME.
ISAAC CONNORS
(If deceased is a married, widowed or divorced woman, give also maiden name.)
(a) Residence. No. (Usual place of abode)
241 Washington Ave ..
XX
Winthrop. Mass.
(If nonresident, give city or town and State)
Length of stay: In place of death .years. 1 ..... months. . ] ....... days. In place of residence. .years.
months.
.days.
MEDICAL CERTIFICATE OF DEATH
PERSONAL AND STATISTICAL PARTICULARS
3 DATE OF
DEATH
October
5,
1952
(Month)
(Day)
(Year)
4 I HEREBY CERTIFY,
That I attended deceased from
8/17
19
to
10/5
19
5.2
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
Years
71
7
Months
25
.Days
If under 24 hours
Hours .......
.Minutes
13 Usual
Salesman - ret.
Occupation:
(Kind of work done during most of working life)
14 Industry
or Business:
Retail Dress Goods
15 Social Security No. ...
Lawrence
16 BIRTHPLACE (City)
(State or country)
Mass.
17 NAME OF
FATHER
-unable to obtain-
18 BIRTHPLACE OF
11
11
11
FATHER (City)
(State or country)
19 MAIDEN NAME
OF MOTHER
-unable to obtain-
20 BIRTHPLACE OF
MOTHER (City)
(State or country)
11
6 Winthrop Cen
Winthro.p.
Place of Burialor Cremation
(City or Town)
DATE OF BURIAL
ct. 8,
19.52
21 Informant
(Address)
Mrs. I. Connors
7 NAME OF
FUNERAL DIRECTOR
A ... Marsh
ADDRESS Winthrop,Mas.s ..
Received and filed.
OCT 2 0 1952
19
(Registrar of City or Town where deceased resided)
8 SEX
M
9 COLOR OR RACE
W
10 SINGLE
MARRIED
WIDOWED
or DIVORCED
(write the word)
Married
10a If married, widowed, er divorced
dMarred C Ray mond
I last saw h.j.m.
.. alive on
10/5
19.5.2, death is said to
have occurred on the date stated above, at 3:000 m.
INTERVAL BE-
DISEASE OR CONDITION DIRECTLY LEADING
TO DEATH
(a) Lymphosarcoma, gen-
eralized, prob. primary
in abd. , lymph nodes, CEDENT (b) CAUSES
Due To (c)
OTHER
SIGNIFICANT
Dronchopneumonia
2 days
Yes
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) ..
P Bonnet
M. D.
(Address).
MMH
Date.
10/6
19 ... 5.2
PARENTS
25m-(b)-11-49-900,475
ANTE Major findings: Of operations. Copies of Tetumis of acanio wanie occupied if your city of town Is case this actcasca schluch if another City of town at the title CONDITIONS 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, Sec. 12, G. L.)
No.
Mass Memorial Hospitals
(Was deceased a
U. S. War Veteran,
if so specify WAR)
A TRUE COPY
ATTEST:
ar
2 Mackie
(Registrar of City or Town where death occurred)
DATE FILED
Oct. 8,
..........
.19 52
1) - -
TWEEN ONSET AND DEATH
Due To
mesenteric
RECEIV_O
TOMAT
74 1.2
6
MASS
OCT20
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, Sec. 12, G. L.)
25m-(b)-11-49-900,475
PLACE OF DEATH
... SUFFOLK (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
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