USA > Massachusetts > Suffolk County > Winthrop > Town of Winthrop : Record of Deaths 1953 > Part 36
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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 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 he 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 hury a human body or the ashes thereof which bar'e 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 of burial ground in which the interment is made.
har: 114_ Sec. 46, G. L., (Tercentenary Edition).
„ RULES OF PRACTICE
fulfillment of the purpose of these laws calls for the observance of the follow- rules of practice Attending physicians will certify to such deaths only as those of persons om they have gen bedside care during a last illness from disease unrelated 20 any oare of Health physicians will certify to such deaths only as those of p howah disabled by recognized disease unrelated to any form of haunted without recent medical attendance or whose physician is absent info from home in 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 (dryeluding sulting septicemia), and by the action of chemical Pourdos) 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
:
-
.
-
.
Copies of returns of deaths which occurred in your city or town in case the deceased resided in another city or town at the time of death should be transmitted on Form R-302 to the clerk of the city or town in which the deceased resided as soon as possible, after the close of the month in which the death occurred. (See Chap. 46, Sec. 12, G. L.)
PLACE OF DEATH
SUFFOLK BOSTON
(City or Town)
The Commonwealth of Massachusetts EDWARD J. CRONIN SECRETARY OF THE COMMONWEALTH DIVISION OF VITAL STATISTICS COPY OF CERTIFICATE OF DEATH
POSTON
(City or town making return)
Registered No ..
482.8
119
Boston ... C ... ty .... Hospital No.
.........
J(If death occurred in a hospital or institution, St. [ give its NAME instead of street and number)
2 FULL NAME
Israel .J .... Levitan
(If deceased is a married, widowed or divorced woman, give also maiden name.)
(a) Residence.
No.
(Usual place of abode)
149 Locust St
St.
Winthrop Hass
(If nonresident, give city or town and State)
Length of stay: In place of death.
.years ...
months ........
.days. In place of residence.4Q ... years
.months ....
.. days.
MEDICAL CERTIFICATE OF DEATH
PERSONAL AND STATISTICAL PARTICULARS
8 SEX
Male
9 COLOR OR RACE
White
10 SINGLE
(write the word)
MARRIED
WIDOWED
or DIVORCED
Married
4 I HEREBY CERTIFY,
......
May ... 23 .... 19.53.,
to
attended
XXXXXXXXX
X
May 23
.....
19 ..
.53
I last saw h ..... ..... alive on
19 death is said to
have occurred on the date stated above, at
10
.. m.
INTERVAL BE-
TWEEN ONSET AND DEATH
11 IF STILLBORN, enter that fact here.
12
AGE ... 65 Years.
.Months.
.Days
If under 24 hours
Hours
Minutes
13 Usual
Occupation:
School .... Teacher
(Kind of work done during most of working life)
14 Industry
or Business:
Chelsea High School
15 Social Security No.
16 BIRTHPLACE (City) ... Russia (State or country)
17 NAME OF
FATHER
Harry S Levitan
PARENTS
18 BIRTHPLACE OF
FATHER (City).
(State or country)
Russia
19 MAIDEN NAME
OF MOTHER
Celia Barnett
20 BIRTHPLACE OF
MOTHER (City) ... R.s.s.i.a .············
(State or country)
21
Informant
wife
(Address)
7 NAME OF
FUNERAL DIRECTOR
EL.Levine
ADDRESS
Brookline Mass
Received and filed.
IK € 1500
19
(Registrar of City or Town where deceased resided)
10a If married, widowed, or divorced
HUSBAND of
Fannie. SmarkowAtz
(or) WIFE of
(Husband's name in full)
DISEASE OR CONDITION DIRECTLY LEADING TO DEATH (a) .... Myocardial infarction
ANTE CEDENT (b) CAUSES
Due To
Diabetes Mellitus
Due To (c)
OTHER
SIGNIFICANT
CONDITIONS
Major findings:
Of operations.
Date of operation
Was autopsy performed?
What test confirmed diagnosis ?.
Clinical
5 Was disease or injury in any way related to occupation of deceased? If so, specify.
(Signed)
MW .... 01.Conno.11
M. D.
(Address)
Date
5/23
.19 .. 53
6
..... Ashkenaz .... Com
Place of Burial or Cremation
Everett Mass
City of Town)
DATE OF BURIAL
May .24
1953
A TRUE COPY
ATTEST:
(Registrar of/City or Town where death occurred)
DATE FILED
May 26
53
19
3 DATE OF
DEATH
May .... 23 .... 1953
(Month)
(Day)
(Year)
ent
deat deceast
from
hours
years
25M-(B)-11-51-905807
1 R-302 1
(Was deceased a
U. S. War Veteran,
if so specify WAR)
WEGEN. F
TO:
3
THROP
JUNI-2
PLACE OF DEATH
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
Winthrop (City or town making return)
120
Registered No.
Mayflower Nurseing Home No.
J(If death occurred in a hospital or institution, St. | give its NAME instead of street and number)
2 FULL NAME Arthur HaleStraw
(If deceased is a married, widowed or divorced woman, give also maiden name.)
(a) Residence. No. (Usual place of abode)
152 Cottage Park Road
St.
(If nonresident, give city or town and State)
Length of stay: In place of death. .years. .. months. 4.days. In place of residence. 20
.years. months .days.
MEDICAL CERTIFICATE OF DEATH
PERSONAL AND STATISTICAL PARTICULARS
8 SEX
male
9 COLOR OR RACE
white
10 SINGLE
MARRIED
WIDOWEDWidowed
or DIVORCED
(write the word)
(Month)
(Day)
(Year)
4 I HEREBY CERTIFY.
may 23
19.
53
to ....
May
26
1953
I last saw h .......... .alive on. may 26 1951 death is said to
have occurred on the date stated above, at 445 A
m.
INTERVAL BE-
DISEASE OR CONDITION DIRECTLY LEADING TO DEATH (a). Cerebral Hemorrhage
TWEEN ONSET AND DEATH 4 days
ANTE
CEDENT
CAUSES
Due To
(b)
Hypertension
3 yrs.
Due To (c)
OTHER
SIGNIFICANT
CONDITIONS
Branchial asthma
3 yrs
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? 200
If so, specify ..
(Signed) Louis 7 Salerno
M. D.
(Address) 175 Plansound St
Date Many 27 .19 83
6 Glenwood Cemetery , Everett Mass. Place of Burial or Cremation City or Town)
DATE OF BURIAL ....... Ma.v. 2.8.4.957
7 NAME OF
FUNERAL DIRECTOR.
aufed B Marche
ADDRESS
174 Winthrop St Winthrop,
Received and filed. mail at 19530
(Registrar)
A TRUE COPY ATTEST:
11 IF STILLBORN, enter that fact here.
12
AGE .. 8.5 Years ..... 6 ... Months3.
Days
If under 24 hours
Hours ...
Minutes
13 Usual
Occupation:
retired carpenter
(Kind of work done during most of working life)
14 Industry
or Business :..
Mechanic's Bldg.
15 Social Security No.
16 BIRTHPLACE (City)
(State or country)
Mainë
17 NAME OF
FATHER
William C. Straw
PARENTS
18 BIRTHPLACE OF
FATHER (City).
(State or country)
Maine
19 MAIDEN NAME
OF MOTHER
Rosilda ?
20 BIRTHPLACE OF MOTHER (City) (State or country) Maine
21 Informant. Frs ...... Russell ... M ...... Reid. (Address) ]] Britton Road Raynham Mass.
I HEREBY CERTIFY that a satisfactory standard certificate of death was filed with me BEFORE the burial or transit permit was issued:
Mass. Walter A. Fraker (Signature of Agent of Board of Health or other) Healthe Street 5.24.53
(Official Designation) (Date of Issue of Permit)
VI V
R-301 1
T.
CTIONS OR ERTIFICATE
iving F DEATH enter han one or each ) and (c)
es not mean dying, such tre, asthenia, s the disease, tions which
conditions, g rise to the (a) stating ing cause
ons contrib- eath but not disease or using death.
SOM (A)-1-51 903586
3 DATE OF
DEATH
May
26
1953
That I attended deceased from
(Was deceased a U. S. War Veteran, if so specify WAR) .. N.O.
10a If married, widowed, or divorced
HUSBAND of
Minnie Jane (Smith) Straw
(Give maiden name of wife in full)
(or) WIFE of.
(Husband's name in full)
Blue Hill
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@SCFI !: cxaminters shall inake 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 goltd 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, GI L., (Tercentenary Edition).
من
6 5
THROP.
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 theyhvveven bedside gare during a last illness from disease unrelated to any form (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
(County) Winthrop (City or Town)
The Commonwealth of Massachusetts EDWARD J. CRONIN SECRETARY OF THE COMMONWEALTH DIVISION OF VITAL STATISTICS STANDARD CERTIFICATE OF DEATH Shore Drive
To be filed for burial ·permit with Board of Health or its Agent.
Registered No. 121
J(If death occurred in a hospital or institution, St. [ give its NAME instead of street and number) No.
IReNe (BARSH) ABRAMS
(If deceased is a married, widowed or divorced woman, give also maiden name.)
(a) Residence. No.
(Usual place of abode)
83 Strive Drive
St.
(If nonresident, give city or town and State)
5
.. months
.days
MEDICAL CERTIFICATE OF DEATH
PERSONAL AND STATISTICAL PARTICULARS
3 DATE OF
DEATH
May 27 1953 (Year)
(Month
(Dáy)
4 I HEREBY CERTIFY.
That I attended deceased from
19 .. 40 to may 20
19.
Jemy 26. 1953, death is said to
have occurred on the d
e stated abov
at 10:45 A.m.
(or) WIFE of.
Harold Abrams
(Husband's name in full)
11 IF STILLBORN, enter that fact here.
12
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:
at home
15 Social Security No.
nome
16 BIRTHPLACE (City)
(State or country)
aussia
17 NAME OF
FATHER
Side Barsh
18 BIRTHPLACE OF
FATHER (City)
Russia
(State or country)
19 MAIDEN NAME
OF MOTHER
anne Cutler
20 BIRTHPLACE OF
MOTHER (City)
(State or country)
Harold abrams
Informant
(Address)
83 fleure Dr. Wualles
I HEREBY CERTIFY that a satisfactory standard certificate of death was filed with me BEFORE the burial or transit permit was issued:
(Signature of Agent of Board of Health or other) hallte
5.27.53
(Official Designation)
(Date of Issue of Permit)
1
ANTE Hypertension
CEDENT (b)
CAUSES
Due To
Coronary artery
(c) ..
Heart Disease
OTHER
SIGNIFICANT
CONDITIONS
Major findings:
Of operations.
Date of operation
Was autopsy performed? Les
What test confirmed diagnosis ?.
Clinical
5 Was disease or injury in any way related to occupation of deceased? 200. If so, s
M. D. (Signed) .. 238 those que
Date 5/27/ 1953 Bailston Lodge Come Wax 6
Place of Burial or Cremation
(City or Town)
DATE OF BURIAL
may 28 1, 57325
7 NAME OF
FUNERAL DIRECTOR.
Euviu L) Levite
ADDRESS
470 Harvard St. Brookline actie & Carry
Received and filed.
May 37, 1753
19
(Registrar)
8 SEX
female
9 COLOR OR RACE
wollte
10 SINGLE
MARRIED
WIDOWED
or DIVORCED
(write the word)
Maniel
10a If married, widowed, or divorced
HUSBAND of.
(Give maiden name of wife in full)
I last saw
h ....... alive on.
DISEASE OR CONDITION
DIRECTLY
LE dice dufunction
TO DEATH
(a)
INTERVAL BE- TWEEN ONSET AND DEATH 1 day
Byts.
0
R-301A 1
UCTIONS OR CERTIFICATE
iving F DEATH t enter han one For each ) and (c)
oes not mean dying, such ure, asthenia. s the disease. tions which
conditions, g rise to the (a) stating ying cause
ons contrib- death but not e disease or using death.
50M-5-52-907046
...
83
2 FULL NAME ..
PHYSICIAN - IMPORTANT (Was deceased a
U. S. War Veteran, if so specify WAR)
Length of stay: In place of death. ...... .years. 5 .months. .days. In place of residence ...... .years
53.
PARENTS
Russia
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 famHy 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 itas contracted, the duration of his last illness, when last seen aliye by the physician. or officer and the date of his death. . . Gen. Laws, Chap. 46, Sec, 9:
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