USA > Massachusetts > Suffolk County > Winthrop > Town of Winthrop : Record of Deaths 1952 > Part 76
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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) Bay View Rest Home
The Commonwealth of Massachusetts EDWARD J. CRONIN SECRETARY OF THE COMMONWEALTH DIVISION OF VITAL STATISTICS STANDARD CERTIFICATE OF DEATH 41 Washington Que
To be filed for burial ·permit with Board of Health or its Agent.
224
Registered No.
J(If death occurred in a hospital or institution, St. [ give its NAME instead of street and number)
anna Lepp
nee miller
(If deceased is a married, widowed or divorced woman, give also maiden name.)
304 Washington Dcce
St. Celeca mass
(If nonresident, give city or town and State)
Length of stay: In place of death
years.
3
months
0
.. days. In place of residence
60
.. years
0 months
0
.days.
MEDICAL CERTIFICATE OF DEATH
PERSONAL AND STATISTICAL PARTICULARS
3 DATE OF
DEATH
October
19th '52
(Month)
(Day)
(Year)
4 I HEREBY CERTIFY,
That I attended deceased from
June
1950
to
October 19
19
52
I Yast saw
her alive on
October 19 1952
death is said to
10a If married, widowed, or divorced
HUSBAND of.
(or) WIFE o Jacob Lipp
(Husband's name in full)
11 IF STILLBORN, enter that fact here.
12
Years
AGE 70
0
Months
0
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)
Russia
a (zikes).
17 NAME OF
FATHER
R Joseph miller
18 BIRTHPLACE OF
FATHER (City)
(State or country)
Russia
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 ....
Frederick Ornsteen
M. D.
(Signed).
(Address) 131 WASHINGTON RA Date
@telser binss
Oct.19
1952
6 Chelegg chevra Kadechu.
Place of Burial or Cremation.
(City or Town)
DATE OF BURIAL
october 20
198 2
7 NAME OF
FUNERAL DIRECTOR
Hymanhvor
ADDRESS. 15, Washington Que Chelsea
Received and filed OCT 20T
19
(Registrar)
8 SEX
Female
9 COLOR OR RACE
White
10 SINGLE
MARRIED
WIDOWED
OF DIVORCED
(write the word) Widowed
have occurred on the date stated above, at
7.58 A
m.
INTERVAL BE- TWEEN ONSET AND DEATH
DISEASE OR CONDITION
DIRECTLY LEADING
TO DEATH (a)
Acute Myocardial
Failure with PulmonAry EdenA
3 days
ANTE
Due To
Chronic Barterenia
CEDENT (b)
CAUSES
from
Infected Bad Sores
Due To
(c)
Arthritis DeforMANS
( Severe)
10 years
OTHER
SIGNIFICANT
CONDITIONS
Major findings:
Of operations
PARENTS
19 MAIDEN NAME
.
OF MOTHER
C.B.Z.I
20 BIRTHPLACE OF
MOTHER (City)
(State or country)
Russia
21 Florence Gross
Informant
(Address) 304 WashingtonBere Chalice
X
I HEREBY CERTIFY that a satisfactory standard certificate of death was
filed/with me BEFORE the burial or transit permit was issued:
Walter S. Bakery.
(Signature of Agent of Board of Health or other)
Health Officer
10/10/52
(Official Designation) (Date of Issue of Permity
-
TIONS TIFICATE ng DEATH nter n one each nd (c)
not mean ying, such , asthenia. he disease. ns which
onditions. ise to the ) stating cause
contrib- th but not disease or ing death.
50M-(D)-6-51-904917
a
Chelsea 11/6/52
2 FULL NAME.
(a) Residence. No. (Usual place of abode)
PHYSICIAN - IMPORTANT
(Was deceased a
U. S. War Veteran,
if so specify WAR)
ho
(Give maiden name of wife in full)
5 Weeks
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 tumb 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 chemical, thermal or electrical agents or following abortion, or from diseases resulting from injury er infection relating to occupation, or suddenly when not disabled by recognizable discase, or when any person is found dead. . - General Laws, Chap. 38, Sec, 6, as amended by Chap. 632, Sec. 4. Acts of 1945.
1,2 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 clerkof 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 of burial ground in which the interment is made.
Chap. f'13. Sec. 46, G. L. fTercentenary Edition).
OF PRACTICE
The fulfillment of-t 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 duming a last illness from disease unrelated
to any form of injusicians will certify to such deaths only as those of (2) Board 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
R-301A 1
PLACE OF DEATH
Suffolk (County ) Winthrop (City or Towny 322 Pleasant No.
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. 225
[(If death occurred in a hospital or institution. St. \ give its NAME instead of street and number)
Kathryn Marie Lane 2 FULL NAME
(If deceased is a marfiled. widowed or divorced woman, give also maiden name.)
118 Barnes Are.
St.
East Boston
(If nonresident, give city of town and State)
Length of stay: In place of death. years .... 5
... months days. In place of residence
50 years
months
days.
MEDICAL CERTIFICATE OF DEATH
PERSONAL AND STATISTICAL PARTICULARS
(write the word)
DEATH
(Month)
(Day)
1952 (Year)
8 SEX Female
9 COLOR OR RACE
white
10 SINGLE
MARRIED
WIDOWED
or DIVORCED
Dingle
4 I HEREBY CERTIFY,
19 May
52
to
That I attended deceased from
20 October
052
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.
1 nr.
12
50
AGE
Years
9
Months
15,
If under 24 hours
.Hours .. ... Minutes
13 Usual
Occupation:
Clerk
(Kind of work done during most of working life)
14 Industry
or Business
New England Tel. + Tel. Go.
15 Social Security No.
011-03-8402
East Boston
OTHER
Ruptured diverticulum
SIGNIFICANT
CONDITIONS
1 of rectum
gmo.
Major findings:
Of operations.
as above
15 march 52
Date of operation. 28 april 52 Was autopsy performed?
no
What test c
biopsy
5 Was disease or injury in any way related to occupation of deceased? no
If so, specify the
(Signed)
M. D.
(Address) Winthrop Mass Date 2100%.
1952
6 Italy Gross, malden Place of Burial of Cremation (City or Town) DATE OF BURIAL. October 2,3 1952
7 NAME OF
FUNERAL DIRECTOR.
John T. Kelly
ADDRESS 286 Meridian St. E.B.
Received and filed. UCT 23 19
(Registrar)
PARENTS
17 NAME OF
FATHER
John Ti Lane
18 BIRTHPLACE OF
East Boston
FATHER (City)
(State or country)
mass.
19 MAIDEN NAME
OF MOTHER
Charlotte V. Murphy
20 BIRTHPLACE OF
MOTHER (City)
(State or country)
masa.
East Boston
Alice V. Jana
I HEREBY CERTIFY that a satisfactory standard certificate of death was filed with me BEFORE the burial or transit permit was issued: Walter & Kaker
(Signature of Agent of Board of Health or other)
/ dallo Officer 10/22/52
(Official Designation)
(Date of Issue of Permit)
ICTIONS OR ERTIFICATE
iving F DEATH tenter han one or each ) and (c)
es not mean dying, such re, asthenia, s the disease. lions which 1.
conditions, g rise lo the (a) stating ying cause
ons contrib- death but not e disease or using death.
50M-(D)-6-51-904917
DISEASE OR CONDITION
DIRECTLY LEADING
TO DEATH
(a) adenocarcinoma
of colon
ANTE
CEDENT
CAUSES
Due To
(b)
Due To (c)
INTERVAL BE- TWEEK OKSET AND DEATH
I last saw her alive on
20 October , 52 death is said to
have occurred on the date stated above, at 8:30 P.m.
3 DATE OF
October
20
PHYSICIAN - IMPORTANT
(Was deceased a
U. S. War Veteran,
no
Hif so specify WAR)
(a) Residence. No. (Usual place of abode)
Dostan 11/6/5:
Registered No.
21
Informant
(Address)
118 Barner Ave. E. B.
16 BIRTHPLACE (City)
(State or country)
tuasa.
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 hest of his knowledge and belief, served in the it 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 inme- 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, beff 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 be 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 clerl 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 he 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 hury a human body or the ashes thereof which have heen brought into the commonwealth until he has received a permit soto-do,from.the board of health or its agent appointed to issue such permits, or f there is no such board, from the clerk of the town where the body is to be huried or the funeral is to he held, or from a person appointed to have the care of the cemetery or burial ground in which the interment is made.
1 0ºhar. 114, Sec. 46, G. L., (Tercentenary Edition). Vil
17. 1
RULES OF PRACTICE
The fullfument of the purpose of these laws calls for the observance of the follow- ihg rules of practice:
(O 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 18 any form of injury.
(2) Board of :Health physicians will certify to such deaths only as those of erstins who though disabled by recognized disease unrelated to any form of njufy, have died without recent medical attendance or whose physician is absent from home when the certificate of death is needed.
Medical Examiners will investigate and certify to all deaths supposably 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
of the town where the body is buried. No such permit shall be issued until the e Jats 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 oceupation 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) 154 Lincoln St
The Commonwealth of Massachusetts EDWARD J. CRONIN SECRETARY OF THE COMMONWEALTH DIVISION OF VITAL STATISTICS STANDARD
CERTIFICATE OF DEATH
Registered No.
226
j(If death occurred in a hospital or institution, St. [ give its NAME instead of street and number)
2 FULL NAME Elizabeth M ....... . Enn.i.s ....... Kelly
(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. 154 LincolnSt 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 residence Q.
.years.
.months
.days.
MEDICAL CERTIFICATE OF DEATH
GET
21
+452 (Year)
8 SEX
9 COLOR OR RACE
White
10 SINGLE
MARRIED
WIDOWED
or DIVOR CEPed
4 I HEREBY CERTIFY.
Cuz 15.
1952
to
Oct 21
19
10a If married, widowed, or divorced
HUSBAND of
(Give maiden name of wife in full)
(or) WIFE of
Joseph T. Kelly
(Husband's name in full)
11 IF STILLBORN, enter that fact here.
12
AGES
Years
Months
Days
If under 24 hours
Hours
Minutes
13 Usual
Occupation: Housewife
(Kind of work done during most of working life)
14 Industry
or Business:
.... Home
15 Social Security No ..
16 BIRTHPLACE (City) ..
(State or country)
Mass
17 NAME OF
FATHER
Patrick
Ennis
18 BIRTHPLACE OF
FATHER (City)
(State or country)
Ireland
19 MAIDEN NAME
OF MOTHER
Margaret HaRford
20 BIRTHPLACE OF
MOTHER (City)
(State or country)
Ireland
21 Informant (Address) 154 Lincoln St
I HEREBY CERTIFY that a satisfactory standard certificate of death was filed with me BEFORE the burial of transit permit was issued: Walter of Makers.
(Signature of Agent of Board of Health or other)
Seattle Officer 10/23/57
(Official Designation) (Date of Issue of Permit)
50M-(D).6-51-904917
6
Place of Burial or Cremation
(City or Town)
DATE OF BURIAL. Oct 24; p 795211
1.19
7 NAME OF
FUNERAL DIRECTOR
ADDRESS
Winthrop
Received and filed ..
OFF-24952
19
(Registrar)
PERSONAL AND STATISTICAL PARTICULARS
3 DATE OF
DEATH
(Day)
That I attended deceased from 52
I last saw how ... alive on
19> .. , death is said to
have occurred on the date stated above. at
11.208
.. m.
INTERVAL BE-
DISEASE OR CONDITION
DIRECTLY
Cardico Dilat
TO DEATH (a)
Cardine Dilection
TWEEN ONSET
AND DEATH
1
ANTE
CEDENT
(b)
Due To
Cheron anteriores
CAUSES
19 50
Due To (c)
OTHER
SIGNIFICANT
CONDITIONS
nous
Major findings:
Of operations.
Date of operation.
Was autopsy performed?
What test confirmed diagnosis?
Applyp
5 Was disease or injury in any way related to occupation of deceased ?.
If so, specify.
(Signed)
(Address)
M. D.
19.
Holy
cross
Målden
PARENTS
Joseph Kelly
-
CTIONS OR ERTIFICATE
iving F DEATH tenter han one or each ) and (c)
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