USA > Massachusetts > Suffolk County > Winthrop > Town of Winthrop : Record of Deaths 1952 > Part 80
Note: The text from this book was generated using artificial intelligence so there may be some errors. The full pages can be found on Archive.org (link on the Part 1 page).
Part 1 | Part 2 | Part 3 | Part 4 | Part 5 | Part 6 | Part 7 | Part 8 | Part 9 | Part 10 | Part 11 | Part 12 | Part 13 | Part 14 | Part 15 | Part 16 | Part 17 | Part 18 | Part 19 | Part 20 | Part 21 | Part 22 | Part 23 | Part 24 | Part 25 | Part 26 | Part 27 | Part 28 | Part 29 | Part 30 | Part 31 | Part 32 | Part 33 | Part 34 | Part 35 | Part 36 | Part 37 | Part 38 | Part 39 | Part 40 | Part 41 | Part 42 | Part 43 | Part 44 | Part 45 | Part 46 | Part 47 | Part 48 | Part 49 | Part 50 | Part 51 | Part 52 | Part 53 | Part 54 | Part 55 | Part 56 | Part 57 | Part 58 | Part 59 | Part 60 | Part 61 | Part 62 | Part 63 | Part 64 | Part 65 | Part 66 | Part 67 | Part 68 | Part 69 | Part 70 | Part 71 | Part 72 | Part 73 | Part 74 | Part 75 | Part 76 | Part 77 | Part 78 | Part 79 | Part 80 | Part 81 | Part 82 | Part 83 | Part 84 | Part 85 | Part 86 | Part 87 | Part 88 | Part 89 | Part 90 | Part 91 | Part 92 | Part 93
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 clectrical agents or following abortion, or from diseases resulting bomfinjury of infection relating to occupation, or suddenly when not disabletruy 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 undertaket at 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 try 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 hold, or from a person appointed to have the care of the cemetery or burial ground in which the interinent is made.
Chap. 114 [Sec. do. G. L., (Tercentenary Edition).
OFR
A
3 1. RULES OF PRACTICE
The fulohmen of the purpose of these laws calls for the observance of the follow- ing rule (1) phì icjans will certify to such deaths only as those of persons to whom they Had kivon bedside care during a last illness from disease unrelated to any form or injury. (2) Board of Health physicians will certify to such deaths only as those of persons wh though disabledyby recognized disease unrelated to any form of injury. Have de without recent medical attendance or whose physician is absent from hor Then 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
Winthrop
The Commonwealth of Massachusetts EDWARD J. CRONIN, SECRETARY DIVISION OF VITAL STATISTICS STANDARD CERTIFICATE OF DEATH
To be filed for burial permit with Board of Health or its Agent.
Registered No.
235
2 FULL NAME
Robert Lee Basinger
(If deceased is a married, widowed or divorced woman, give also maiden name.)
14 Pebble Ave .
St.
(If nonresident, give city or town and State)
Length of stay: In place of death
years ..
.months
2
days.
In place of residence!
.years .
.months
.days.
MEDICAL CERTIFICATE OF DEATH
PERSONAL AND STATISTICAL PARTICULARS
3 DATE OF
DEATH
October 31
(Month)
(Day)
1952
(Year)
8 SEX
Male
9 COLOR OR RACE
White
10 SINGLE
(write the word)
MARRIED
WIDOWED
or DIVORCED
Married
4I HEREBY CERTIFY,
august 15 1952
to
That
actola 31
1952
10a If married, widowed
HUSBAND of.
Giadeys Wiggin
(or) WIFE of
(Husband's name in full)
11 IF STILLBORN, enter that fact here.
DISEASE OR CONDITION
DIRECTLY LEADI Cancucoura of
TO DEATH (a)
Bladder
TWEEN ONSET AND DEATH 1 year 12 AGE 7.6 Years 8 Months2 3
Days
If under 24 hours
Hours . . Minutes
ANTE Metastatic
CEDENT CAUSES
Carcinoma (generalizes)
Due Artemoreartic
Heart Rt. Temparesis
OTHER
SIGNIFICANT
CONDITIONS
Major
Benign Prostatic Hypertrophy
Of operate
Date of operation 2/19/50 Was autopsy performed ?. What test confirmed diagnosis chemical & lat
5 Wardisease or injury in any way rented to occupation of dece If somecent occupation (Spd) 62 Celular
M. D. (Address) Winthrop Se Mon Date for 1/52 6 MWinthrop Place of Burial or Cremation
DATE OF BURIAL
Nov. 3
152
7 NAME OF
FUNERAL DIRECTOR
Kawand S Pumoldo
ADDRESS Winthrop meus
Received and filed. NOV 3 1952 19
(Registrar)
PARENTS
17 NAME OF
FATHER
John C Basinger
18 BIRTHPLACE OF
Salisbury
FATHER (City)
(State or country) North Carolina
19 MAIDEN NAME
OF MOTHER
Marinda A 'Crowell
20 BIRTHPLACE OF
MOTHER (City)
(State or country) North Carolina
Informant.
21
Gladyes Basinger
(Address)
14 Pebble Ave. Winthrop Mass
I HEREBY CERTIFY that a satisfactory standard certificate of death was filed with me BEFORE the buriabor transit permit was issued: Walter&- Bakerg.
(Signature of Agent of Board of Health Of other)
Thatthe Rice 11/3/57
(Official Designation) (Date of Issue of Permit)
50M-2-19-25666
PLACE OF DEATH
Suffolk (County)
No.
(City or Town) 39 Grover are
J(If death occurred in a hospital or institution,
St. Į give its NAME instead of street and number)
PHYSICIAN - IMPORTANT -
(M'as deceased a U. S. War Veteran, if so specify WAR)
ONS
IFICATE
DEATH ter one ach nd (c)
ot mean ng, such asthenia, disease, s which
ditions, se to the stating cause
contrib- but not sease or g death.
16 BIRTHPLACE (City). New Richfield
(State or country)
North Carloina
olina
4 mois
13 Usual
Occupation:
Overseer
(Kind of work done during most of working life)
3 nie
14 Industry
or Business:
Textile Mill
15 Social Security No ... 007-01-4820
2 years
(Give maiden name of wife in full)
I last saw h M alive on
October 3( 1057 death is said to
have occurred on the date stated above, at INTERVAL BE-
UP:M
deceased
from
Winthro6
(City of Town)
. -
(a) Residence. No.
(Usual place of abode)
7
I
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 arrny, navy or marine corps of the United States in any war in which it has been engaged, insert in the certificate a recital to that effect, specifying the war, and shall also certify in such certificate both the primary and the secondary or imme- diate cause of death as nearly as he can state the same. For neglect to comply with any provision of this section, such physician or officer, shall forfeit ten dollars. For the purposes of this section and of sections forty-five, forty-six and forty-seven of said chapter one hundred and fourteen. the word "war" shall include the China relief expedition and the Philippine insurrection, which shall, for said purposes, be deemed to have taken place between February fourteenth, eighteen hundred and ninety-eight and July fourth, nineteen hundred and two, and the Mexican border service of nineteen hundred and sixteen and nineteen hundred and seventeen. G. L. Chap. 46, Sec. 10.
No undertaker or other person shall bury or otherwise dispose of a human body in a town, or remove therefrom a human body which has not been buried, until he has received a permit from the board of health, or its agent appointed to issue such permits, or if there is no such board, from the clerk of the town where the person died; and no undertaker or other person shall exhume a human body and remove it from a town, from one cemetery to another, or from one grave or tomb other than the receiving tomb to another in the same cemetery, until he has received a permit from the board of health or its agent aforesaid or from the clerk of the town where the body is buried. No such permit shall be issued until there shall have been delivered to such board, agent or clerk, as the case may be, a satisfactory written statement containing the facts required by law to be returned and recorded, which shall be accompanied, in case of an original inter- ment, by a satisfactory certificate of the attending physician, if any, as required by law, or in lieu thereof a certificate as hereinafter provided. If there is no attending physician, or if, for sufficient reasons, his certificate cannot be obtained early enough for the purpose, or is insufficient, a physician who is a member of the board of health, or employed by it or by the selectmen for the purpose, shall upon application make the certificate required of the attending physician. If death is caused by violence, the medical examiner shall make such certificate. If such a permit for the removal of a human body, not previously interred, from one town to another within the commonwealth cannot be obtained early enough for the purpose, the certificate of death made as above provided and in the possession of the undertaker desiring to make such removal shall constitute a permit for such removal; provided, that such body shall be returned to the town from which it was removed within thirty-six hours after such removal, unless a permit in the usual form for the removal of such body has been sooner obtained hereunder. If the
death certificate contains a recital, as required by section ten of chapter forty-six, that the deceased served in the army, navy or marine corps of the United States in any war in which it has been engaged, such recital shall appear upon the permit. The board of health, or its agent, upon receipt of such statement and certificate, shall forthwith countersign it and transmit it to the clerk of the town for registra- tion. The person to whom the permit is so given and the physician certifying the cause of death shall thereafter furnish for registration any other necessary information which can be obtained as to the deceased, or as to the manner or cause of the death, which the clerk or registrar may require .- Chap. 114, Sec. 45, G. L., (Tercentenary Edition). .
Medical examiners shall make examination upon the view of the dead bodies of 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 discasc, 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).
RECEIVED
RULES OF PRACTICE
The fulfillment of the purpose of these laws calle dobarVance of the follow- ing rules of practice:
(1) Attending physicians will certify to such Ihskaly s Those of persons to whom they have given bedside care during aMast il disease unrelated to any form of injury. Ti
(2) Board of Health physicians will øger persons who, though disabled by recognized injury, have died without recent medical atten from home when the certificate of death is needed
such deaths only as those of seuse unrelated dcany form of fee or whose physicianis absent
(3) Medical Examiners will investigate and ceoify due to injury. These include not only death traumatism (including resulting septicemia). (drugs or poisons) thermal, or electrical agents,
to all aths supposably
aus orandirectly by
2 of chemical Yabortion, but also deaths from disease resulting from injury the sudden deaths of persons not disabled by reco to occupation, persons found dead.
se, and those of
Statement of Cause of Death .- Physician LOV on face side of standard certificate of death.
tions
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
-302
1
PLACE OF DEATH
Middlesex (County)
Cambridge (City of Town)
The Commonwealth of Massachusetts EDWARD J. CRONIN SECRETARY OF THE COMMONWEALTH DIVISION OF VITAL STATISTICS COPY OF CERTIFICATE OF DEATH
236
Cambridge
(City or town making return)
Registered No.
1545 36
J(If death occurred in a hospital or institution, St. [ give its NAME instead of street and number)
2 FULL NAME
(If deceased is a married, widowed or divorced woman, give also maiden name.)
(a) Residence. No. 46 Court Road
St.
Winthrop
(If nonresident, give city or town and State)
Length of stay: In place of death ...
.. years ...
months.
1. .. days. In place of residence.
......... years.
months.
.days.
MEDICAL CERTIFICATE OF DEATH
PERSONAL AND STATISTICAL PARTICULARS
8 SEX
9 COLOR OR RACE
(write the word)
male
white
10 SINGLE
MARRIED
WIDOWED
or DIVORCED
single
4 I HEREBY CERTIFY.
Oct. 27.
19
52
to.
Oct. 28
19
52
I last saw h .... im .. alive orOct ..... 28,
19 ..
52death is said to
have occurred on the date stated above, at .... 1.0.05 . ... P. m.
INTERVAL BE- TWEEN ONSET AND DEATH
11 IF STILLBORN. enter that fact here.
12
AGE
-
Years
Months.
2
Days
If under 24 hours
Hours.
Minutes
13 Usual
Occupation :
(Kind of work done during most of working life)
14 Industry
or Business:
15 Social Security No.
16 BIRTHPLACE (City)
(State or country)
Cambridge
17 NAME OF FATHER Edward Lally
18 BIRTHPLACE OF
FATHER (City).
Portland Laine
(State or country)
19 MAIDEN NAME
OF MOTHER
Katherine Brennan
20 BIRTHPLACE OF
MOTHER (City)
(State or country)
Boston , Mass.
.. Winthrop Cem. Winthrop Mass. Place of Burial or Cremation (City or Town)
DATE OF BURIAL ..... October .30 1952
19
7 NAME OF FUNERAL DIRECTOR Frederick Magrath
ADDRESS
fast Boston, Mass.
Received and filed.
NOV 1 2 1952
19
(Registrar of City or Town where deceased resided)
A TRUE COPY
ATTEST:
Frederick H.Burke
(Registrar of City or Town where death occurred)
DATE FILED
Oct. 30, 1952
.....
.......
.19 ..
.........
X
-
October 28, 1952
(Month)
(Day)
(Year)
That I attended deceased from
10a If married, widowed, or divorced
HUSBAND of
(Give maiden name of wife in full)
(or) WIFE of
(Husband's name in full)
DISEASE OR CONDITION DIRECTLY LEADING TO DEATH (a) Prematurity
Due To
CEDENT (b)
CAUSES
Due To (c)
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) ... Dr ..... T.B .... Brazelton M. D.
(Address). 51 Brattle St.
Date 10-28
19 .. 52
25M (E)-6-50.902253
3 DATE OF DEATH ANTE Major findings: Of operations 6 Copies of ICtuITIS Of acadio wanieil Oscunica if your city of conan in case the deceased Itsluca iff another City of town at the LIIIIC OTHER SIGNIFICANT 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, Ser 12, G. L.)
Sancta Maria .. Hospital No.
Richard Lally
(Was deceased a
U. S. War Veteran,
if so specify WAR).
-
(Usual place of abode)
PARENTS
Edward Lally
21
Informant.
(Address)
46 Court Rd, Winthrop Mass.
RECEIVED
TOWA
0 301:
$1 12
€
110
MINI
CLERK
3:
WIN
6
NOV13
+
PLACE OF DEATH
Middlesex (County)
Cambridge (City or Town)
The Commonwealth of Massachusetts EDWARD J. CRONIN SECRETARY OF THE COMMONWEALTH DIVISION OF VITAL STATISTICS COPY OF CERTIFICATE OF DEATH
Cambridge
(City or town making return)
Registered No.
1579 237
[(If death occurred in a hospital or institution, St. [ give its NAME instead of street and number)
2 FULL NAME. Miss Margaret A. Gallagher
(If deceased is a married, widowed or divorced woman, give also maiden name.)
(a) Residence. No. 109 Pleasant Street
St.
Winthrop,
(Was deceased a
U. S. War Veteran,
if so specify WAR)
Mass.
(If nonresident, give city or town and State)
Length of stay: In place of death
.years.
4
... months.
29days.
In place of residence
1.Y.years.
months
days.
MEDICAL CERTIFICATE OF DEATH
PERSONAL AND STATISTICAL PARTICULARS
3 DATE OF
DEATH
October
31,
1952
(Month)
(Day)
(Year)
8 SEX
Female
9 COLOR OR RACE
W
10 SINGLE
(write the word)
Single
WIDOWED
or DIVORCED
4 I HEREBY CERTIFY,
June 2,
19 ... 52
to
Oct. 31,
19.
That
I attended deceased from
52
I last saw h .. Q.I ...... alive on
October 3,4, 52 death is said to
have occurred on the date stated above, at.
9.50P
.m.
INTERVAL BE-
TWEEN ONSET
AND DEATH
11 IF STILLBORN, enter that fact here.
12
AGE.
78 Years.
...... Months.
..... Days
If under 24 hours
Hours .......
Minutes
13 Usual
Occupation:
Housework
14 Industry
or Business:
Own home
15 Social Security No ..
16 BIRTHPLACE (City)
(State or country)
Ireland
Londonderry
OTHER
SIGNIFICANT Arteriosclerosis
CONDITIONS
(generalized)
Major findings:
Of operations.
Date of operation
Was autopsy performed ?...... yes
What test confirmed diagnosis ?.
autopsy
5 Was disease or injury in any way related to occupation of deceased?
If so, specify.
(Signed) Francis W. Drinan
(Address) HolyGhostHospt. Date 11/1
19.52.
M. D.
6
.....
Holy Cross
Place of Burial or Cremation
(City or Town)
Malden
DATE OF BURIAL ...
November 3, 1952
19
7 NAME OF
FUNERAL DIRECTOR
Frank H. Carr
ADDRESS ..
79 Elm St., Charlestown
Received and filed.
NOV 2.0 1952
19
(Registrar of City or Town where deceased resided)
PARENTS
18 BIRTHPLACE OF
FATHER (City)
Londonderry
(State or country)
Ireland
19 MAIDEN NAME
OF MOTHER
Mary Bradley
20 BIRTHPLACE OF
MOTHER (City)
(State or country)
Ireland
21
Helene Murphy
Informant
( Address)
85 -Suffolk, St., Medford
A TRUE COPY
Frederick N. Burke
ATTEST:
(Registrar of City or Town where death occurred)
DATE FILED
Novmeber 4, 1952
19
I
1
M.s
1
-302
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, Ser 12, G. L.)
25M (E)-6-50.902253
ANTE
Due To
CEDENT (b)
CAUSES
-
10a If married, widowed, or divorced
HUSBAND of ..
(Give maiden name of wife in full)
(or) WIFE of
(Husband's name in full)
DISEASE OR CONDITION
DIRECTLY LEADING
TO DEATH (a)
Bronchopneumonia
(Kind of work done during most of working life)
Due To
(c)
17 NAME OF
FATHER
Daniel F. Gallagher
.....
Londonderry
(Usual place of abode)
No. Holy Ghost Hospital
RECEIVED
TOWA
OF
OFFICE O
11 12
::
6
HROE
NOV20 AM
-301A
ONS IFICATE g DEATH ter one ach nd (c)
sol mean ng, such asthenia. e disease. s which
ditions. se to the stating cause
contrib- but not sease or g death.
PLACE OF DEATH
X Suffolk (County) DosTore 11/20/52
The Commonwealth of Massachusetts EDWARD J. CRONIN SECRETARY OF THE COMMONWEALTH DIVISION OF VITAL STATISTICS STANDARD
CERTIFICATE OF DEATH
Registered No.
238.
No. Winthrop Community Hospital Edward J. d'Entremont (If deceased is a married, widowed or divorced woman, give also maiden name.) 125 Lexington (a) Residence. No. (Usual place of abode)
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. W WI ( if so specify WAR)
East Boston St. .
(If nonresident, give city or town and State)
Length of stay: In place of death years ... . months.
days.
In place of residen
45
.years
.months
.days.
MEFICAL CERTIFICATE OF DEATH
PERSONAL AND STATISTICAL PARTICULARS
8 SEX MAle
9 COLOR OR RACE
White
10 SINGLE
MARRIED
WIDOWED
BARRIed
4 I HEREBY CERTIFY,
2
007.15
19
.... to.
That I attended deceased from
hör 1.
19
52
I last saw h ........... alive on
19 death is said to
have occurred on the date stated above, at
109.
.m.
INTERVAL BE- TWEEN ONSET AND DEATH
11 IF STILLBORN, enter that fact here.
12
AGE
60 Years
Months.
Days
If under 24 hours
Hours
.Minutes
13 Usual
Occupation :
Accountant
(Kind of work done during most of working life)
14 Industry
or Business :..
Swift & Co.
15 Social Security No. 011-10-4478
16 BIRTHPLACE (City) West Publico
(State or country)
Nova Scotia
17 NAME OF
FATHER
Anthony d'Entremont
18 BIRTHPLACE OF
FATHER (City)
West Publico
(State or country)
Nova Scotia
19 MAIDEN NAME
OF MOTHER
Emeline Bourque
FEL BROOK
West tubules
6 Holy CROSS
Place of Burial or Cremation
Malden
(City or Town)
DATE OF BURIAL
November 4
1957
7 NAME OF
FUNERAL
postredaniele Magneet
ADDRESS
EAST Boston
Received and filed
NOV & 1952
19
(Registrar)
1day
ANTE
Yusocandide
1 week
Due To (c)
Vity perfusion
1 yr.
OTHER SIGNIFICANT CONDITIONS
Major findings:
Of operations.
Date of operation
Irout
Was autopsy performed?
What test confirmed diagnosis ?.
5 Was disease or injury in any way related to occupation of deceased ?.
If so, specify ..
(Signed) ..
(Address) 15 Princeton 86
PARENTS
20 BIRTHPLACE OF
MOTHER (City)
(State or country)
Nova Scotia
21 Informant Annie N d'Entremont (Address) 125 Lexington St. East Boston
I HEREBY CERTIFY that a satisfactory standard certificate of death was filed with me BEFORE the burialor transit permit was issued: Walter L. Baker (Signature of Agent of Board of Health or other)
sealla fiket
(Official Designation)
(Date of Issue of Permit) 11. 3 /52
1
10a If married. widowed, or divort
HUSBAND of
Annie M. D'Eon
(Give maiden name of wife in full)
(or) WIFE of.
(Husband's name in full)
DISEASE OR CONDITION
DIRECTLY LEADING
TO DEATH
Venta Pulmonara Elig
Due To CEDENT (b). CAUSES
(write the word)
3 DATE OF
DEATH
(Month)
November 1. 1952 (Day) (Year)
50M (B). 1.51 903586
Jorge. It. Schwartz
M. D.
Date .... //19
To be filed for burlal permit with Board of Health or 1ts Agent.
1 Winthrop (City or Town)
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 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 hy 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 helief, 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 decmed to have taken place between February fourteenth, eighteen hundred and ninety-eight and July fourth, nineteen hundred and two. and the Mexican border service of nineteen hundred and sixteen and nincteen hundred and seventeen. G L. Chap. 46. Sec. 10.
Need help finding more records? Try our genealogical records directory which has more than 1 million sources to help you more easily locate the available records.