USA > Massachusetts > Suffolk County > Winthrop > Town of Winthrop : Record of Deaths 1952 > Part 83
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Secret
Place of Burial or Cremation nov. 13
(City or Town)
DATE OF BURIAL
7 NAME OF
FUNERAL DIRECTOR
Bauj.F. Salamon
ADDRESS
420 Harvard SK Possablive
Received and filed ..
NOV 12 1952
19
(Registrar)
PERSONAL AND STATISTICAL PARTICULARS
8 SEX
F
9 COLOR OR RACE
10 SINGLE
MARRIED
WIDOWED WIDOWED
or DIVORCED
10a If married, widowed, or divorced
HUSBAND of
(Give maiden namc, of wife in full)
(or) WIFE of.
Joseph Queenefeld
(Husband's name in full)
11 IF STILLBORN, enter that fact here.
10 (pun tes with the grundare)
12
72
AGE
78
Months
22 Days
Hours ....... Minutes
13 Usual
Occupation :
Nouseinle
(Kind of work done during most of working life)
14 Industry
or Business :.
15 Social Security No.
none
16 BIRTHPLACE (City) ..
(State or country)
سمع مني
17 NAME OF
FATHER
?
GRUNTHALD
18 BIRTHPLACE OF
FATHER (City)
(State or country)
UNKNOWN
19 MAIDEN NAME
OF MOTHER
UNKNOWN
20 BIRTHPLACE OF
MOTHER (City)
(State or country)
UNKNOWN
21 DR. H.B. GREENFIELD
Informant .
(Address)
IFrances SK Nuleras
I HEREBY CERTIFY that a satisfactory standard certificate of death was filed with me BEFORE the burial)or transit permit was issued:
1 alter & Makerg
(Signature of Agent of Board of Health or other)
Health Officee
11/2/52
(Official Designation) (Date of Issue of Permit)
50M (B)-1-51 903586
ms
-D 1.
301A
ONS IFICATE g DEATH ter one each nd (c)
not mean ing, such asthenia, e disease. s which
nditions. se to the stating cause
contrib- h but not sease or g death.
PARENTS
To be filed for burial permit with Board of Health or its Agent. 243
PHYSICIAN - IMPORTANT
(Was deceased a
U. S. War Veteran,
if so specify WAR)
NO
(a) Residence. No. (Usual place of abode)
(Month)
(write the word)
If under 24 hours
36 hours
(c)
EXTRACTS ; FROM THE LAWS OF THE
COMMONWEALTH OF MASSACHUSETTS GOVERN
RETURN OF CERTIFICATES OF DEATH
A physician or registered death of a person whom he hat of an undertaker or other aufhertzed the deceased, furnish for registrationa best of his knowledge and belief the
med officer Thatl forthwith, after the curled during his Yast illness, at the request
person of f any member of the family of
dard coolhb de of death, stating to the
na cursed. his supposed age, the disease of which he died. defing stiri, one, where same was 6 contracted. the duration of his las ten alive by the physician or officer and the date of his deat! Tạp. 46, Sec. 9.
A physician or officer furnishing a certincate 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 belief, served in the TOY 2 1% 2' in which it has been army navy or marine corps of the engaged. insert in the certificate a fetital 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 às 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 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 heen brought into the commonwealth until he has received a permit so to do from the board of health or its agent appointed to issue such permits, or if there is no such board, from the clerk of the town where the body is to be buried or the funeral is to be held, or from a person appointed to have the care of the cemetery or burial ground in which the interment is made.
. . Chap. 114, Sec. 46, G. L., (Tercentenary Edition).
RULES OF PRACTICE
The fulfillment of the purpose of these laws calls for the observance of the follow- ing rules of practice:
(1) Attending physicians will certify to such deaths only as those of persons to whom they have given bedside care during a last illness from disease unrelated to any form of injury.
(2) Board of Health physicians will certify to such deaths only as those of persons who, though disabled by recognized disease unrelated to any form of injury, have died without recent medical attendance or whose physician is absent from home when the certificate of death is needed.
(3) Medical Examiners will investigate and certify to all deaths supposably due to injury. These include not only deaths caused directly or indirectly by traumatism (including resulting septicemia), and by the action of chemical (drugs or poisons) thermal, or electrical agents, and deaths following abortion, but also deaths from disease resulting from injury or infection related to occupation, the sudden deaths of persons not disabled by recognized disease, and those of persons found dead.
Statement of Cause of Death .- Physicians: see explanatory instructions on face side of standard certificate of death.
Statement of Occupation .- Precise statement of occupation is very import- ant, so that the relative healthfulness of various pursuits can be known. Make some entry in this section for every person aged 10 years or over. If the occupa- tion had been given up or changed, or if the deceased had retired from business, report the kind of work done during most of working life even if retired. Children not gainfully employed may be returned as at school or at home. For a woman whose only occupation was that of home housework, write housework. For a person engaged in domestic service for wages, however, designate the occupation by the appropriate terms, as housekeeper-private family, cook-hotel, etc. For a person who had no occupation whatever write none.
SPACE FOR ADDITIONAL INFORMATION
DATE OF ENTERING MILITARY SERVICE. DATE OF DISCHARGE RANK, RATING ORGANIZATION AND OUTFIT
SERVICE NUMBER
+ PLACE OF DEATH
Suffolk (County) Winthrop (City or Town) 47 Prospect Ave.
The Commonwealth of Massachusetts EDWARD J. CRONIN, SECRETARY DIVISION OF VITAL STATISTICS
STANDARD CERTIFICATE OF DEATH
Registered No
241.
2 FULL NAME Orpah Ann (Robinson) Ridley
(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.
(Usual place of abode)
47 Prospect Ave.
St.
(If nonresident, give city or town and State)
Length of stay: In place of death
19ears
months. days. In place of residence.
1Gears
.months
.. days.
MEDICAL CERTIFICATE OF DEATH
3 DATE OF
DEATH
November 12
(Month)
(Day)
1952
(Year)
4 I HEREBY CERTIFY,
That I attended deceased from
19
47.
to ..
November 12 1952
I last saw her
alive on.
nov 10, 1952, death is said to
8:35 pm.
have occurred on the date stated above, at
INTERVAL BE-
TWEEN ONSET
AND DEATH
2 wks
ANTE CEDENT (b) CAUSES arteriosclerosis
Due To (c)
OTHER
SIGNIFICANT
CONDITIONS
Major findings:
Of operations.
none
Date of operation.
Was autopsy performed? 100
What test confirmed diagnosis ?.
clinical
5 Was disease or injury in any way related to occupation of deceased? no
If so, specify Lavado feverray
(Signed)
Winthrop AvaisDate Mov 13/1952
(Address).
M. D.
6 Fern Hill
Hanson, Mass.
Place of Burial or Cremation
(City or Town)
DATE OF BURIAL
Howard S Dunolds
19
ADDRESS
Received and filed
NOV 1 4 1952
19
(Registrar)
PERSONAL AND STATISTICAL PARTICULARS
8 SEX
9 COLOR OR RACE
10 SINGLE
(write the word)
Female
White
MARRIED
WIDOWED
or DIVORCEDWidow
10a If married, widowed, or divorced
HUSBAND of.
(Give maiden name of wife in full)
(or) WIFE of
George W Ridley
(Husband's name in full)
11 IF STILLBORN, enter that fact here.
12
AGE
Years.
Months
7
Days
If under 24 hours
Hours
Minutes
13 Usual
Occupation :
(Kind of work done during most of working life)
14 Industry
or Business:
At Home
15 Social Security No.
None
16 BIRTHPLACE (City)
(State or country)
England
17 NAME OF
FATHER
Thomas Robinson
PARENTS
18 BIRTHPLACE OF
FATHER (City)
(State or country)
England
19 MAIDEN NAME OF MOTHER Ruth Twill
20 BIRTHPLACE OF
MOTHER (City)
(State or country)
England
21 Mr Arthur E Ridley
$2 Informant .. (Address) 47 Prospect Ave. Winthrop
I HEREBY CERTIFY that a satisfactory standard certificate of death was filed with me BEFORE the buriabor transit permit was issued: Walter - Krakers
(Signature of Agent of Board of Health or other) health Officer 11/14/57
(Official Designation) (Date of Issue of Permit)
V
ONS
IFICATE g DEATH ter one ach nd (c)
o! mean ng, such asthenia, e disease. s which
ditions. se to the stating cause
contrib- but not sease or g death.
301A 1
.50M-2-19-25666
7 NAME OF
FUNERAL DIRECTOR
Winches max.
15
To be filed for burial pormit with Board of Health or its Agent.
No.
f(If death occurred in a hospital or institution.
St. Į give its NAME instead of street and number)
87
10
Housewife
DISEASE OR CONDITION
DIRECTLY LEADING
TO DEATH (a).
Cerebral Thrombosis
Due To Generalized.
years
London
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 shallexhume 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 arc supposed to have died by violence, or by the action of chemical, thermal or electrical agents or following abortion, or from discascs resulting from injury or 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.
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 ;- Set.46, G. L., (Tercentenary Edition).
"RULES OF PRACTICE
The fulfillment of the purpose of these laws calls for the observance of the follow- ing rules ofpractice:
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 fofurof Injury.
(2) ~Board of' Health physicians will certify to such deaths only as those of persons who, though disabled by recognized disease unrelated to any form of injury, have died without recent medical attendance or whose physician is absent from home when the certificate of death is needed.
()UMedical Examiner's 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 occupi .- 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)
10/2/2
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. 245
Registered No.
Winthrop Community Hospital No.
f(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)
(a) Residence. No. (Usual place of abode)
194 Broad ST
St.
(Fnonresident, give city or town and State)
Length of stay: In place of death - years 10 .days. In place of residence 55 years. ~ months days.
MEDICAL CERTIFICATE OF DEATH
PERSONAL AND STATISTICAL PARTICULARS
8 SEX
9 COLOR OR RACE
10 SINGLE
MARRIED
WIDOWED
or DIVORCEDSingle
(write the word)
.
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 60
Years
8
Months 23 Days
If under 24 hours
.Hours .
Minutes
13 Usual
Occupation :.
(Kind of work done during most of working life)
14 Industry
or Business:
Department Store
15 Social Security No. 015-09-5956
16 BIRTHPLACE (City)
(State or country)
mass
17 NAME OF FATHER Joseph P. M ain
PARENTS
18 BIRTHPLACE OF
FATHER (City)
(State or country)
mass.
19 MAIDEN NAME
OF MOTHER
mary Haley
20 BIRTHPLACE OF MOTHER (City) (State or country)
Salem
mass.
21 Informant (Address) 218 north & lebe Rd, arlington Va.
I HEREBY CERTIFY that a satisfactory standard certificate of death was filed with me BEFORE the burial or transit permit was issued: atter & Kaktig. (Signature of Agent of Board of Health or other)
Health Officer
11/17/52
(Date of Issue of 'Permit)
ONS IFICATE
DEATH ter one each nd (c)
tot mean ng, such asthenia, e disease. s which
ditions, se to the staling cause
contrib- but not sease or g death.
Carcinom
1952
Major findings:
Of operations.
Carcinoma & Breast
Date of operation.
.. Was autopsy performed?
200
What test confirmed diagnosis ?. Patholo .
5 Was disease or injury in any way related to occupation of deceased? ha
If so, specify
(Signed).
(Address)624 Denli
grunde gatene
M. D.
Date mr. 15 19.5.21
Stor of the Sea Cemetery, marblehead Place of Burial or Cremation (City or Town)
DATE OF BURIAL nov. 19 1952
7 NAME OF
FUNERAL DIRECTOR
H. J. Richardson
ADDRESS 48 Jabarrette Part, Lynn
Received and filed. NOV 17 100 19
(Registrar)
1952 (Year)
4 I HEREBY CERTIFY,
That I attended deceased from
... que 5
19
52
to ...
19521
I last saw h ...... alive on ...
1952 death is said to
have occurred on the date stated above, at
10.40 P.
m.
INTERVAL BE- TWEEN ONSET AND DEATH
DISEASE OR CONDITION
DIRECTLY LEADING
TO DEATH (a)
Carcinoi f
1952
ANTE
Due To
CEDENT (b)
CAUSES
Due To (c)
OTHER
SIGNIFICANT
CONDITIONS
50M (8)-1-51 903586
-301A 1 Winterok (City or Town)
2 FULL NAME
Plexi-Theresa main
(If deceased is a married, widowed or divorced woman, give also maiden name.)
3 DATE OF
OF
DEATH
(Month)
15 (Day)
marblehead
marblehead
Horace f. Main
(Official Designation)
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 belicf 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 way, and shall also certify in such certificate both the primary and the secondary of inthe. diate cause of death as nearly as he can state the same. For neglect encomply. 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 fottu.seven of said chapter one hundred and fourteen, the word "war" shall include the Chris 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- Sing rules of practice:
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