Town of Winthrop : Record of Deaths 1952, Part 87

Author: Winthrop (Mass.)
Publication date: 1952
Publisher:
Number of Pages: 572


USA > Massachusetts > Suffolk County > Winthrop > Town of Winthrop : Record of Deaths 1952 > Part 87


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I HEREBY CERTIFY that a satisfactory standard certificate of death was filed with me BEFORE the burial or transit permit was issued: Walter S. Baker


(Signature of Agent of Board of Health of other)


Mealett


Oficer


12/5/55


(Official Designation) (Date of Issue of Permit)


(Registrar)


PARENTS


6 Was disease or injury in any way related to occupation of deceased?


(Signed)


M. D. 125 Shattuck Date 15/3 195


Holy Cross Com malden mais 7


Place of Burial, or Cremation


(City of Town)


DATE OF BURIAL .. Pec 6 1952


8 NAME OF John H & land


FUNERAL DIRECTOR


ADDRESS. 772 Pouradway que nous


Received and filed DEC 50 1952 19


(Specify type of place)


Manner of


Injury


(How did injury occur?)


Nature of Injury


While at work?


Was autopsy performed? 20


5 Accident, suicide, or homicide (specify)


Date and hour of injury .. 19


Where did


Injury occur?


(City or town and State)


Did injury occur in or about home, on farm, in industrial place, or in public place?


Comman


303 A 1


(City or Towy 40 Winthrop St. No.


(a) Residence.


No.


(Usual place of abode)


20 (Pleasant St. Winthrop


10 COLOR OR RACE


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 cffect, specifying the war, and shall also certify in such certificate both the primary and the secondary or imine- 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. as amended by Chap. 48, Acts of 1927 and Chap. 414, Acts of 1931.


No undertaker or other person 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., as amended.


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.


The medical examiner certifies the cause and manner of death to the best of nis knowledge and belief.


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.mjury."


(2) Board of Heaith' physicians will certify to such deaths only us those of persons whir, 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 Inelude 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


Medus Gran taminers in certifying to a death will state the cause and manner thereof; and will specify: (1).Under cause the nature of an injury and of its consequences; and (2) under manner the mode of its production together with the circumstances when these are known. For example: "Compound fracture of the femur with ensuing septicemia (gas bacillus) caused by a steam railway accident." "Pistol shot wound of the chest with associated hemorrhage, hom- icidal." "Asphyxiation by suspension, suicidal." "Syncope while under the influence of ether administered as a surgical anaesthetic." "Fracture of the skull with associated internal injury sustained under circumstances unknown."


If disease or injury was related to occupation, specify. If investigation shows the death to have been due to disease, specify: (1)Under cause its known or presumable nature; and (2) under manner, indicate the circumstances leading to medico-legal inquiry. For example: "Hemorrhage spontaneous of the brain (basal ganglia) (found dead in bed).' "Heart disease, presumably coronary sclerosis. (Sudden death.)"*


SPACE FOR ADDITIONAL INFORMATION


DATE OF ENTERING MILITARY SERVICE DATE OF DISCHARGE RANK, RATING. ........


ORGANIZATION AND OUTFIT


SERVICE NUMBER


PLACE OF DEATH


X Suffolk. Cofinty)


Wuithof. (City or Town)


The Commonwealth of Massachusetts EDWARD J. CRONIN SECRETARY OF THE COMMONWEALTH DIVISION OF VITAL STATISTICS STANDARD CERTIFICATE OF DEATH


To be filed for burial permit with Board of Health or its Agent.


256


Registered No.


[(If death occurred in a hospital or institution, .St. \ give its, NAME instead of street and number)


Catherinel Progany Mclaughlin


PHYSICIAN - IMPORTANT


CY (Was deceased a U. S. War Veteran, if so specify WAR)


(If deceased is a married, widowed or divorced woman, give also maiden name.) 212 Fuer Rd


St. ...


(If nonresident, give city or town and State)


Length of stay: In place of death years. months.


days. In place of residence


34


ears


months .. days.


MEDICAL CERTIFICATE OF DEATH


PERSONAL AND STATISTICAL PARTICULARS


3 DATE OF


DEATH


December


3 1952


(Month)


(Day)


(Year)


4 I HEREBY CERTIFY,


That I attended deceased from


December 10 1945


to.


Decembra 3


19


52


I last saw


er


alive on December 3052 death is said to


10a If married, widowed, or divorced


(Give maiden narhe of wife in full)


HUSBAND of


Bernard Lietau.


(or) WIFE of


(Husband's name in full)


have occurred on the date stated above, at 11:40 ail INTERVAL BE-


DISEASE OR CONDITION


DIRECTLY LEADING teresaclerate c


TO DEATH


(a).


heart Disease


ANTE


Due To Hleabetes Mellitus


CEDENT (b) ... CAUSES


Due Togeneralized


arteriosclerosis


5 yrs


OTHER SIGNIFICANT CONDITIONS


Vienia


48hrs


Major find


amputation left leg (mid:


Of operations klubbelis


gretigrent thigh


Date of operation amway ! We autopsy performed? no


What test confirmed diagnosis ?.. chriscal+ laboratory


5 Was disease or injury in any way related to occupation of deceased ?. If so, specify Jacob & Gbygqash Q (Address) 156256


· PARENTS


18 BIRTHPLACE OF FATHER (City) (State or country)


Deland


19 MAIDEN NAME OF MOTHER Marcy abounty


20 BIRTHPLACE OF MOTHER (City) (State or country)


Gerland 11


6 Place of Burial or Cremation


DATE OF BURIAL Deg 19


21


Informant


(Address)


Eleanor Braga


7 NAME OF for FUNERAL DIRECTOR


ADDRESS


Received and filed DEC 4 195Z 19


(Registrar)


TWEEN ONSET AND DEATH 2 yra 12 AGE8 3


11 IF STILLBORN, enter that fact here.


Years


Months


.Days


If under 24 hours


Hours .


Minutes


13 Usual


Housewife


Occupation :


(Kind of work done during most of working life)


14 Industry or Business: Cur Homer


15 Social Security No.


16 BIRTHPLACE (City) (State or country)


Boatão


17 NAME OF FATHER Daniel C. Mc Loughlin


50m-(b)-11-49-900,560


-301A 1


IONS IFICATE g DEATH ater one each nd (c)


not mean ing, such asthenia, e disease, is which


nditions. ise to the stating cause


contrib- h but not isease or ng death.


A.S.


No.


2 FULL NAME


(a) Residence. No. (Usual place of abode)


9 COLOR OR, RACE


& SEX


Penale Allete


10 SINGLE


MARRIED


WIDOWED


Or


(write the word)


i


I HEREBY CERTIFY that a satisfactory standard certificate of death was filed with me BEFORE the burial or transit permit was issued: Walter S. talvez (Signature of Agepf of Board of Health or other) Freatthe Office 12/4/52 (Official Designation) (Date of Issue of Permit)


1


My D (Signed), wojo /Bara Wled 31952 melden. (City or Town)


5 years


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 wa's 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.


10


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- 88 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 -. THROW diate cause of death as nearly as he can state the same. For neglect to comply [14, Scc. 46, G. L., (Tercentenary Edition). 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 RULES OF PRACTICE of said chapter one hundred and fourteen, the word "war" shall include the China relief expedition and the Philippine insurrection, which shall, for said purposes, ben. (The fillfillment of the purpose of these laws calls for the observance of the follow- deemed to have taken place between February fourteenth, eighteen hundred and rules of practice! ! 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 hy violence, or by the action of themira. thormal or electrical agents or following abortion, or from diseases resulting from injury or infection relating to occupation. or suddenly when not disabledby greognizable diseasc, or when any person is found dead. - General Eawo Chap. 38: Scc. 6., as amended by Chap. 632, Sec. 4. Acts of 1945.


In invert: dub or other persons shall bury a human body or the ashes thereof Schichthire been brought into the commonwealth until he has received a permit to do froui the board of health or its agent appointed to issue such permits, or www step board, from the clerk of the town where the body is to be buried Tudo. be held, or from a person appointed to have the care of the Dubitiat ground in which the interment is made.


(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


2:35 Suffolk (County)


Winthrop (City or Town)


The Commonwealth of Massachusetts EDWARD J. CRONIN SECRETARY OF THE COMMONWEALTH DIVISION OF VITAL STATISTICS STANDARD


CERTIFICATE OF DEATH


Registered No.


257


No.


52 Brookfield Road


J(If death occurred in a hospital or institution,


St. [ give its NAME instead of street and number)


2 FULL NAME


HUGH J. SHAY


(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)


52 Brookfield Road


St.


(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


3 DATE OF


December 5, 1952


DEATH


(Month)


(Day)


(Year)


8 SEX


Male


9 COLOR OR RACE


White


10 SINGLE


(write the word)


MARRIED


WIDOWED


or DIVORCEDMarried


HEREBY CERTIFY.


That I attended deceased from


4 1


august 15


1951.


to ..


Decuba 5


1052


I last saw him alive on.


December 5 /5 da


eath is said to


have occurred on the date stated above, at //110 p.m.


INTERVAL BE-


(Husband's name in full)


DISEASE OR CONDITION


DIRECTLY LEADINGcebul


TO DEATH (a)


Нетоннаде


TWEEN ONSET


AND DEATH


12


AGE 6.8


y hour


Years


11 IF STILLBORN, enter that fact here.


Months


Days


If under 24 hours


Hours ... ... Minutes


13 Usual


Occupation :


Attorney


(Kind of work done during most of working life)


14 Industry


or Business :.


Law


15 Social Security No.


6 BIRTHPLACE (City)


(State or country)


Colorado


17 NAME OF


FATHER


Thomas Shaw


18 BIRTHPLACE OF


FATHER (City)


Boston


(State or country)


Massachusetts


19 MAIDEN NAME


OF MOTHER


Julia


20 BIRTHPLACE OF


MOTHER (City)


(State or country)


New York


21 Informant


Mary Shaw


(Address)


52 Brookfield Rd Winthrop


7 NAME OF


FUNERAL DIRECTOR


John F.O Malley


Winthrop Mass.


Received and filed DEC ... & ......... 1952 19


(Registrar)


Agro.


Due To (c)


OTHER


SIGNIFICANT


CONDITIONS


Cerchul sunce ting 15


1951


Major findings:


Of operations.


none


Date of operation.


What test confirmed diag


Was autopsy performed?


Chaucerlah


5 Was disease or injury in any way related to occupation of deceased?


If so, speciff


(Signed).


Jacobs l. alamo 4


wo


Winthrop


6


Place of Burial or Cremation


DATE OF BURIAL


December 9


watt Winthrop (City or Town) 1952 19


M. D.


ilg [ Date 12/6/12


50M-(D)-6-51-904917


301A 1


ONS IFICATE


EATH ter one ach d (c)


ot mean ng, such asthenia. disease, s which


ditions. se to the stating cause


contrib -- but not sease or g death.


ANTE CEDENT (b)


Due To


Cachal


CAUSES arteriosclerosis


Mary


Arnaud


10a If married, widowed, or divorced


HUSBAND of


(Give maiden name of wife in full)


(or) WIFE of


La junta


PARENTS


I HEREBY CERTIFY that a satisfactory standard certificate of death was filed with me BEFORE the burial or transit permit was issued: Watter & Bakes (Signature of Agent of Board of Health or other)


Health Officer


12/8/52


(Official Designation)


(Date of Issue of Permit)


ADDRESS


(a) Residence. No. (Usual place of abode)


45


To be filed for burial permit with Board of Health or its Agent.


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.




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