USA > Massachusetts > Suffolk County > Winthrop > Town of Winthrop : Record of Deaths 1952 > Part 90
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SPACE FOR ADDITIONAL INFORMATION
DATE OF ENTERING MILITARY SERVICE
DATE OF DISCHARGE RANK, RATING ORGANIZATION AND OUTFIT SERVICE NUMBER
PLACE OF DEATH
Suffolk (County)
CAJTI.
Winthrop (City or Town)
The Commonwealth of Massachusetts OFFICE OF THE SECRETARY DIVISION OF VITAL STATISTICS
STANDARD CERTIFICATE OF DEATH
To be filed for burial permit with Board of Health or its Agent.
265
Registered No.
No. Winthrop Community Hospital
f(If death occurred in a hospital or institution,
St. [ give its NAME instead of street and number)
2 FULL NAME ..
Jogeph A. Howard
(If deceased is a married, widowed or divorced woman, give also maiden name.)
4 Lorean Terrace
St.
(If nonresident, give city or town and State)
Length of stay: In place of death
years ..
6
40
.months.
days.
In place of residence
... years
.months
days.
MEDICAL CERTIFICATE OF DEATH
PERSONAL AND STATISTICAL PARTICULARS
3 DATE OF
DEATH
December 15. 1952
(Month)
8 SEX
Male
9 COLOR OR RACE
Thite
10 SINGLE
(write the word)
MARRIED
WIDOWED
or DIVORCEDrried
4 I HEREBY CERTIFY.
That I attended deceased from
...
to ...
December 15
19 52
I last saw h AvAalive on ..
DECEmber 15, 195%, death is said to
have occurred on the date stated above, at
8:40 P. m.
INTERVAL BE- TWEEN ONSET AND DEATH 7 days.
11 IF STILLBORN, enter that fact here.
12
AGE
.6.6 Years
Months
Days
If under 24 hours
Hours.
Minutes
13 Usual
Ass't Sup't
Occupation :
(Kind of work done during most of working life)
14 Industry
or Business:
M.T.A.
15 Social Security No.
012-09-4648
16 BIRTHPLACE (City)
(State or country)
Mass.
17 NAME OF
FATHER
Andrew Howard
18 BIRTHPLACE OF
FATHER (City)
Boston
(State or country)
Mass.
19 MAIDEN NAME
OF MOTHER
Mary A. Baldwin
20 BIRTHPLACE OF
MOTHER (City)
Boston
(State or country)
Mass
21
Informant
(Address)
IO Eleanor Court Winthrop
I HEREBY CERTIFY that a satisfactory standard certificate of death was filed with me BEFORE the burial or transit permit was issued: Walter S. Maker (Signature of Agent of Board of Health or other)
Health officer
12/17/52
(Official Designation)
(Date of Issue of Permit)
1
01A
IS ICATE
ATH
ne ch (c)
mean , such henia, iscase. which
itions. to the taling cause
ntrib- ut not se or death.
Gastro long
Major findings:
Of operations ...
Peptic was. K.E. Baptist Hosp
Date of operation.
aug. 1950
ko
.Was autopsy performed?
What test confirmed diagnosis ?.
Clinical + laboratory.
5 Was disease or injury in any way related to occupation of deceased? 2
If so, specify.
d) maurice Trannefi
(Sig
M. D.
(Addr
567 Shelly SP Wint Pie Dec. 15
19 $.21
6
Winthrop.
Place of Burial or Cremation
Winthrop
(City or Town)
DATE OF BURIAL
December 18
52
7 NAME OF
FUNERAL DIRECTOR.
sw F. O'malley
ADDRESS
Winthrop Mass.
Received and filed
RFC 1 8 1952
19
(Registrar)
PARENTS
10a If married, widowed, or divorced
Cien A
Lennon
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)
Bleeding PEPtic Ulcer-
marinz.
ANTE
Due To
CEDENT (b)
CAUSES
Due To (c)
OTHER
SIGNIFICANT
CONDITIONS
Diabetes Mellitus
7 years.
100M-(D)-10-46-24658
10
1
PHYSICIAN - IMPORTANT
(Was deceased a U. S. War Veteran, if so specify WAR)
(a) Residence. No. (Usual place of abode)
(Day)
(Year)
19
52
-
Jean Tilkinson
Boston
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 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 only such persons as are supposed to have died by violence. If a medical examiner has notice that there is within his county the body of such a person, he shall forthwith go to the place where the body lies and take charge of the same; General Laws, Chap. 38, Sec.6.
No undertaker or other persons shall bury a human body or the ashes thereof which have been brought into the commonwealth until he has received a permit so to do from the board of health or its agent appointed to issue such permits, or if there is no such board, from the clerk of the town where the body is to be buried or the funeral is to be held, or from a person appointed to have the care of the cemetery or 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 carerduring 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 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 electHoal 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.
DEC1 8
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)
65 Lowell Road
J(If death occurred in a hospital or institution,
St. [ give its NAME instead of street and number)
2 FULL NAME
Margaret Baldwin Dilleber
(If deceased is a married, widowed or divorced woman, give also maiden name.)
65 Lowell 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
3 DATE OF
DEATH
December 16 1952
(Month)
(Day)
(Year)
4 L HEREBY CERTIFY,
That I attended
deceased from
190
Die 12
1952
to
19.> 2, death is said to
I last saw
alive on
12.32
.m.
10a If married, widowed, or divorced
HUSBAND of
(Give maiden name of wife in full)
(or) WIFE of
Lorraine Dilleber
(Husband's name in full)
11 IF STILLBORN, enter that fact here.
12
88
AGE
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:
Own Home
15 Social Security No.
16 BIRTHPLACE (City)
(State or country)
lass
17 NAME OF
FATHER
Richard Baldwin
PARENTS
18 BIRTHPLACE OF
FATHER (City)
(State or country)
Nova Scotia
19 MAIDEN NAME
OF MOTHER
Maria Sullivan
20 BIRTHPLACE OF
MOTHER (City)
(State or country)
Trelana
21 Informant (Address) 65 Lowell Road Winthrop
I HEREBY CERTIFY that a satisfactory standard certificate of death was filed with me BEFORE the burial or transit permit was issued:
Walter A. Wakker.
Signature of Agent of Board of Health or other)
12/17/52
(Registrar)
PERSONAL AND STATISTICAL PARTICULARS
Fesfåle
9 9PIPE ER RACE
10 SINGLE
MARRIED
{write the word)
Tidowed
WIDOWED
or DIVORCED
have occurred on the date stated above, at.
INTERVAL BE-
DISEASE OR CONDITION
DIRECTLY LEADING
TO DEATH (a)
TWEEN ONSET
AND DEATH
4 ch.
ANTE
Due Talmente
CEDENT (b)
CAUSES
Due To
(c)
OTHER SIGNIFICANT CONDITIONS
Major findings:
Of operations.
728.84
Date of operation
262-6( Was autopsy performed?
326
What test confirmed diagnosis ?.
Clinical Siques
5 Was disease or injury in any way related to occupation of deceased? LLE
If so, specify
(Signed)
1.
Edenchira Date/2/16/
(Address)
M. D. 19:12
Winthrop
Winthrop
(City or Town)
6 Place of Burial or Cremation DATE OF BURIAL
December 14
19.52
7 NAME OF
FUNERAL DIRECTOR.
John F. Omaley
ADDRESS
Winthrop Mass.
Received and filed.
DEC 18 1352 19
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.
266
Registered No.
-
PHYSICIAN - IMPORTANT
(Was deceased a
U. S. War Veteran,
if so specify WAR)
(a) Residence. No. (Usual place of abode)
40
ONS FICATE 8 EATH ter one ach ad (c)
ot mean ng, such asthenia, disease, s which
ditions. se to the staling cause
contrib- but not sease or g death.
50M-(D)-6-51-904917
¥2
Ti
301A 1
5.
Health Office
(Official Designation)
(Date of Issue of Permit)'
MarieFielding
East Boston
No.
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 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 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 ohtained 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 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 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).
11 12 1
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 nury.
(2) Board of fralth physicians will certify to such deathsonly 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
4
(a) Residence.
No.
(Usual place of abode)
51.Fremont Street
St.
(If nonresident, give city or town and State)
Length of stay: In place of death.
... years .........
.months
5
.days.
In place of residence.
60 years.
.months ...
.. ...
.days.
MEDICAL CERTIFICATE OF DEATH
3 DATE OF
DEATH
December
2.2
1.952
(Month)
(Day)
(Year)
4 I HEREBY CERTIFY,
That I attended deceased from
Sel. 1
19.
46
to ..
Dec. 22
1002
I last saw h ............. alive on
19 .... 2., death is said to
have occurred on the date stated above, at.
8:55-A
m.
INTERVAL BE- TWEEN ONSET AND DEATH
TO DEATH
(Remache)
2ylos
ANTE
Myocardial
Due To
hyacordul lecart
CEDENT (b)
CAUSES
disease
atenacesso
(c) generalyo
OTHER
Q DIVERTÍCULOSIS
SIGNIFICANT
CONDITIONS
kleding
Major findings:
Of operations.
Date of operation
Dec. 18
.Was autopsy performed?
200
What test confirmed diagnosis ?..
5 Was disease or injury in any way related to'occupation of deceased?
If so, specify
(Signed) Souple Anyone
(Address )In Wadernto Date 12-23
M. D.
6 WinthropCemetery ......... Winthrop Mass. Place of Burial or Cremation (City or Town)
DATE OF BURIAL ..... December 24 1952 .1
7 NAME OF
FUNERAL DIRECTOR
alfred 3. March
ADDRESS 774 Winthrop St, Winthrop,
Received and filed. DEC.2.4.1952
19
(Registrar)
TRUR COPY ATTE ATTEST.
PERSONAL AND STATISTICAL PARTICULARS
8 SEX
9 COLOR OR RACE
10 SINGLE
(write the word)
Female
White
10a If married, widowed, or divorced
HUSBAND of
(Give maiden name of wife in full)
(or) WIFE of
Leonard Glover
(Husband's hame in full)
11 IF STILLBORN, enter that fact here.
12
AGE.7.8 ... Years.
.4
Months. . 6
.... Days
If under 24 hours
Hours. .. . Minutes
13 Usual
Occupation:
Housework
(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)
Maine
Ellsworth
-
17 NAME OF
FATHER
Jellison
PARENTS
18 BIRTHPLACE OF
FATHER (City)
(State or country)
Maine
19 MAIDEN NAME
OF MOTHER
Unable to ascertain
20 BIRTHPLACE OF
MOTHER (City)
(State or country)
21
Informant
Att.y ........ Edward ... R. Thomas
(Address)
54 Devonshire St. Boston
I HEREBY CERTIFY that a satisfactory standard certificate of death was filed with me BEFORE the buriakor transit pormit was issued:
lass
atter e
Signature of Agent of Board of Health or other)
(Official Designation)
Office
12/24/52
(Date of Issue of Permit).
L
1
PLACE OF DEATH
X 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
(City or town making return)
267
J(If death occurred in a hospital or institution, No. Winthrop .... Community ..... Hospital
. St. [ give its NAME instead of street and number)
2 FULL NAME Mabel ..... G .... Glover
(Was deceased a
NO.
(If deceased is a married, widowed or divorced woman, give also maiden name.)
U. S. War Veteran,
if so specify WAR)
IONS IFICATE
DEATH nter one each nd (c)
not mean ing, such asthenia, e disease, s which
nditions, ise to the stating
contrib- h but not isease or g death.
SOM (A)1-51 903586
11.5
5
R-301 host
Registered No.
;
MARRIED
WIDOWED
or DIVORCED
Widowed
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