USA > Massachusetts > Suffolk County > Winthrop > Town of Winthrop : Record of Deaths 1953 > Part 25
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Mass?
DATE OF BURKALCremation April 15 1953
8 NAME OF
FUNERAL DIRECTOR
ADDRESS
3.74.Winthrop St Winthrop.
Received and filed.
APR 15 133
19
....
(Registrar)
5 Full name is Ella Frances Lithgowhe Commonwealth of Massachusetts
EDWARD J. CRONIN
SECRETARY OF THE COMMONWEALTH DIVISION OF VITAL STATISTICS MEDICAL EXAMINER'S CERTIFICATE OF DEATH
To be filed for burial permit with Board of Health or its Agent.
Registered No. 83
... (City or Pown) 37 Dummy side avz No. Ella F. Lithgow
J(If death occurred in a hospital or institution,
St. [ give its NAME instead of street and number)
PHYSICIAN - IMPORTANT
2 FULL NAME.
(If deceased is a married, widowed or divorced woman, give also maiden name.) 37 Sunnyside Que Prauthor
(Was deceased a U. S. War Veteran, if so specify WAR)
(a) Residence. No. (Usual place of abode)
Length of stay: In place of death ........
.years
15 .months. days. In place of residence ..
33.years.
.months.
days.
MEDICAL CERTIFICATE OF DEATH
PERSONAL AND STATISTICAL PARTICULARS
9 SEX
female
white
11 SINGLE
(write the word)
MARRIED
WIDOWED
or DIVORCED
widowed
(or) WIFE of.
Toppan Lithgow
(Husband's name in full)
5 Accident, suicide, or homicide (specify).
Date and hour of injury.
19
Where did
Injury occur ?.
(City or town and State)
Did infry occur in or about home, on farm, in industrial place, or in public
(Specify type of place)
Manner of red dead in her lcd
Injury
(How did injury occur?)
Was autopsy performed? .... yes
6 Was disease or injury inany way related to occupation of deceased?
If so, specify ....
M. D.
(Address)
Better
amex 13
1958
PARENTS
Informant.
Francis T Lithgow
(Address)
37 Sunnyside Ave, Winthrop-
I HEREBY CERTIFY that a satisfactory standard certificate of death was filed with me BEFORE the burial or transit permit was issued:
Mass
Walter H. Makeles.
(Signature of Agent of Board of Health or other)
Thealeto Oficio
4-15-5-3
(Official Designation)
(Date of Issue of Permit)
Every item of
of Death. See reverse side for extracts from the laws relative to the return of certificates of death. DEATH in plain terms, so that it may be properly classified under the International Classification of Causes information should be carefully supplied. MEDICAL EXAMINERS should stato CAUSE AND MANNER OF
PLACE OF DEATH
Suffolk (County)
: R-303 A 1
T.
(If nonresident, give city or town and State)
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, See. 9. CCE !!
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, servedin 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, fand .. shall also certify in such certificate both the primary and the secondary or ininte- 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 borden; service of nineteen hundred and sixteen and nineteen hundred and sevenfeen G. L. Chap. 46, Sec. 10.
No undertaker or other person shall bury or otherwise dispose of a hunian 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 bedand 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 1 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 à 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 deathsonly as those of persons who, though disabled by recognized disease unrelated to any form of OVinjury, 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
Medical Examiners 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 aceident.""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
1 name Madeline Sumner Sandman
PLACE OF DEATH
Suffolk (County)
A R-301A 1 Winthrop (City or Town)
1 ...
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.
84
& . Home ... St. \ give its NAME instead of street and number) J(If death occurred in a hospital or institution, No. .. Mount's Convelecent madeline PHYSICIAN - IMPORTANT 2 FULL NAME.
(If deceased is a married, widowed or divorced woman, give also maiden name.)
(a) Residence. No. 63 Waldermar .... Avenue
(Usual place of abode)
Length of stay: In place of death 2 years ... months ... .. .
days. In place of residence
2years . ..... months days.
MEDICAL CERTIFICATE OF DEATH
PERSONAL AND STATISTICAL PARTICULARS
8 SEX
9 COLOR OR RACE
10 SINGLE
(write the word)
female
Thite
MARRIED
WIDOWED
or DIVORCED
widowed
4 I HEREBY CERTIFY ,
That I attended deceased from
agora 13 .
1953
to
april 10-
193
I last saw her alive on april 14, 1993
death is said to
have' occurred on the date stated above, at 7:00Am.
INTERVAL BE-
11 IF STILLBORN. enter that fact here.
12
AGE 74 Years
5
Months
2.5Days
If under 24 hours
Hours . . Minutes
13 Usual
Occupationhousewife
(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)
Hass.
17 NAME OF
FATHER
Morris Benjamin Rowe
PARENTS
18 BIRTHPLACE OF
FATHER (City)
(State or country)
19 MAIDEN NAME
no
OF MOTHER
Lucy Haskell
20 BIRTHPLACE OF
Glowcester
MOTHER (City)
(State or country)
Mass.
21
Informant Mrs ..... Alfred H ..... Fowlie (Address) 63 Waldemar Ave, Winthrop I HEREBY CERTIFY that a satisfactory standard certificate of death was filed with me BEFORE the burial or transit permit was issued: Walter & Bakli. Y
(Signature of Agent di Board of Health or other)
He alle Officer 4.17.53
(Official Designation) (Date of Issue of Permit)
50m-(b)-11-49-900,560
6 Mt. Hope Cemetery Dorchester Place of Burfar
DATE OF BURIAL April 18, 1953
7 NAME OF
FUNERAL DIRECTOR
Preferred B. March
ADDRESS 174 Winthrop St, Winthrop, Lass.
Received and filed
APR 17- 1953
19
(Registrar)
TWEEN ONSET AND DEATH
DISEASE OR CONDITION DIRECTLY LEADING TO DEATH (a) break Quene
ANTE CEDENT CAUSES
Due To (b)
Due To (c)
chol: lis
-
OTHER SIGNIFICANT CONDITIONS
clicenstato-
6tmrs
Major findings:
Of operations
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)
M. D.
(Address)) 1 2nd wanderla Date y- IJ. 1953
15
(Day)
142- (Year)
3 DATE OF
DEATH
april (Month)
RUCTIONS FOR . CERTIFICATE giving OF DEATH ot enter than one for each (b) and (c)
does not mean of dying, such ilure, asthenia. ans the disease, ications which 1th.
id conditions. 'ing rise to the se (a) stating rlying cause
itions contrib- e death but not the disease or causing death.
Registered No.
(Was deceased a U. S. War Veteran. ( if so specify WAR) NO.
St. (If nonresident, give city or town and State)
10a If married, widowed, or divorced HUSBAND of .. (Give maiden name of wife in full)
(or) WIFE of William B. Sandman
Boston
Maine
EXTRACTS FROM THE LAWS OF THE COMMONWEALTH OF MASSACHUSETTS GOVERNING THE
RETURN OF CERTIFICATES OF DEATH
A physician or registered hospital medical officer shall forthwith, after the death of a person whom he has attended during his last illness, at the request of an undertaker or other authorized person or of any member of the family of the deceased, furnish for registration a standard certificate of death, stating to the best of his knowledge and belief the name of the deceased, his supposed age, the disease of which he died, defined as required by section one, where same was contracted, the duration of his last illness, when last seen alive by the physician or officer and the date of his death. . . Gen. Laws, Chap. 46, Sec. 9.
A physician or officer furnishing a certificate of death as required by the preceding section or by section forty-five of chapter one hundred and four- teen, shall, if the deceased, to the best of his knowledge and belief, served in the army, navy or marine corps of the United States in any war in which it has been engaged, insert in the certificate a recital to that effect, specifying the war, and shall also certify in such certificate both the primary and the secondary or imme- diate cause of death as nearly as he can state the same. For neglect to comply with any provision of this section, such physician or officer, shall forfeit ten dollars. For the purposes of this section and of sections forty-five, forty-six and forty-seven of said chapter one hundred and fourteen, the word "war" shall include the China relief expedition and the Philippine insurrection, which shall, for said purposes, be deemed to have taken place between February fourteenth, eighteen hundred and ninety-eight and July fourth, nineteen hundred and two, and the Mexican border service of nineteen hundred and sixteen and nineteen hundred and seventeen. G. L. Chap. 46, Sec. 10.
No undertaker or other person shall bury or otherwise dispose of a human body in a town, or remove therefrom a human body which has not been buried, until he has received a permit from the board of health, or its agent appointed to issue such permits, or if there is no such board, from the clerk of the town where the person died; and no undertaker or other person shall exhume a human body and remove it from a town, from one cemetery to another, or from one grave or 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 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 thereot which have been brought lidt 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 hoafd. Atomthe clerk of the town where the body is to be buried or the funeralis to be Halt;or from a person appointed to have the care of the cemetery or Initial ground in which the interment is made.
Chap. 119, Fec. A . I.(Tercentenary Edition).
CI MIN
RULES OF PRACTICE
The fulfillment of the purpose of these laws calls for the observance of the follow- ing rules of practice? (1) Attending, puy ans will certify to such deaths only as those of persons to whom they have given gedside care during a last illness from disease unrelated to any form of injury./70
(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 tik cortistate 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
1 R-301A 1
(Counsys PLACE OF DEATH Juffork Winttrajo (City of Town)
EVERETT
5l/33
The Commonwealth of Massachusetts EDWARD J. CRONIN SECRETARY OF THE COMMONWEALTH DIVISION OF VITAL STATISTICS STANDARD
To be filed for burial permit with Board of Health or its Agent.
85
CERTIFICATE OF DEATH Hospital
J(If death occurred in a hospital or institution. St. Į give its NAME instead of street and number)
PHYSICIAN - IMPORTANT (Was deceased a U. S. War Veteran, if so specify WAR)
(If deceased is a married, widowed or divorced woman, give also maiden name.) 2 Beachan
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
16 (Days
1953 (Year)
4 I HEREBY CERTIFY. 100 16 19 ...
to.
That I attended deceased from Det16
I last saw h .alive on. 19 death is said to
have occurred on the date stated above, at. 12.09 P. m.
INTERVAL BE- TWEEN ONSET AND DEATH
DISEASE OR CONDITION DIRECTLY L Stillborn
TO DEATH (a)
Due To
Prematurity
Due To (c)
7 months.
OTHER SIGNIFICANT CONDITIONS
Major findings:
Of operations
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)
(Address) 1 6 BemAp Date 1/7/19
M. D.
6 Place of Burial or Cremation DATE OF BURIAL april 20
7 NAME OF FUNERAL DIRECTOR ...... 65
ADDRESS
Received and filed APR 17 1052 19
(Registrar)
PERSONAL AND STATISTICAL PARTICULARS
8/SEX
Female White
10 SINGLE
MARRIED
WIDOWED
or DIVORCED
(write the word)
Single
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.
Hillfarm
12 AGE .Years ... Months . 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)
17 NAME OF FATHER
angelo Covino
18 BIRTHPLACE OF FATHER (City) (State or country) Traso
19 MAIDEN NAME OF MOTHER
Tva Formoso
20 BIRTHPLACE OF MOTHER (City) (State or country) Teraz0
21 madlo Covino& (Address) 2 Ideackan G Gueret
I HEREBY CERTIFY that a satisfactory standard certificate of death was filed with me BEFORE the burial of transif permit was issued: Walter & Bakerz.
(Signature of Agept of Board of Health or other)
Healthe Office 4.17.53
(Official Designation) (Date of Issue of Permit) '
RUCTIONS FOR CERTIFICATE
giving OF DEATH ot enter than one for each (b) and (c)
does not mean of dying, such lure, asthenia, ns the disease, cations which th.
d conditions, ing rise to the e (a) staling lying cause
ions contrib- death but not he disease or ausing death.
SOM (B)-1-51 903586
2 FULL NAME
Baby Covino
Quereto 0
(a) Residence. No. (Usual place of abode)
ANTE
CEDENT
CAUSES
(b)
A buyand Gale b
(City or Town)
Guerett
PARENTS
9 COLOR OR RACE
Registered 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.
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