USA > Massachusetts > Suffolk County > Winthrop > Town of Winthrop : Record of Deaths 1953 > Part 47
Note: The text from this book was generated using artificial intelligence so there may be some errors. The full pages can be found on Archive.org (link on the Part 1 page).
Part 1 | Part 2 | Part 3 | Part 4 | Part 5 | Part 6 | Part 7 | Part 8 | Part 9 | Part 10 | Part 11 | Part 12 | Part 13 | Part 14 | Part 15 | Part 16 | Part 17 | Part 18 | Part 19 | Part 20 | Part 21 | Part 22 | Part 23 | Part 24 | Part 25 | Part 26 | Part 27 | Part 28 | Part 29 | Part 30 | Part 31 | Part 32 | Part 33 | Part 34 | Part 35 | Part 36 | Part 37 | Part 38 | Part 39 | Part 40 | Part 41 | Part 42 | Part 43 | Part 44 | Part 45 | Part 46 | Part 47 | Part 48 | Part 49 | Part 50 | Part 51 | Part 52 | Part 53 | Part 54 | Part 55 | Part 56 | Part 57 | Part 58 | Part 59 | Part 60 | Part 61 | Part 62 | Part 63 | Part 64 | Part 65 | Part 66 | Part 67 | Part 68 | Part 69 | Part 70 | Part 71 | Part 72 | Part 73 | Part 74 | Part 75 | Part 76 | Part 77 | Part 78 | Part 79 | Part 80 | Part 81 | Part 82 | Part 83 | Part 84 | Part 85 | Part 86 | Part 87 | Part 88 | Part 89
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 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
R-301A 1
Winthrop
(City or Town)
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.
154
2 FULL NAME ..
Annie May (Robb) Miller
(If deceased is a married, widowed or divorced woman, give also maiden name.)
233A Woodside Ave.
St.
(If nonresident, give city or town and State)
Length of stay: In place of death .. .. years.
.. months. 1 .days. In place of residence.
2 0years.
.. months.
.days.
MEDICAL CERTIFICATE OF DEATH
3 DATE OF
DEATH
July
12
1953
(Month)
(Day)
(Year)
4 I HEREBY CERTIFY,
July 12
19
5.3
to
July
12
19
5.3
I last saw h
er alive on
July
12
19
5. 2death is said to
have occurred on the date stated above, at
7:45 Pm
DISEASE OR CONDITION DIRECTLY LEADINGBronchial Casthma TO DEATH (a)
ANTE CEDENT (b) CAUSES
Due To
Heart Disease
Due To (c)
OTHER
Bronchuctasis
SIGNIFICANT
CONDITIONS
Chronic Bronchitis
Major findings:
Of operations
None
Date of operation.
Was autopsy performed?
Clincal
What test confirmed diagnosis ?.
5 Was disease or injury in any way related to occupation of deceased? If so, specify Garlic
(Signed).
( Address) Winthrop
... Mas
.
July 78 5B
6
Cambridge
Cambridge
Place of Burial or Cremation
(City or Town)
DATE OF BURIAL. July 14
19.51
7 NAME OF
FUNERAL DIRECTOR.
ADDRESS Winthrop mass
Received and filed.
JOL 1 9 1953
July 13 1053
(Registrar)
0
PERSONAL AND STATISTICAL PARTICULARS
8 SEX
Female
White
9 COLOR OR RACE
10 SINGLE
MARRIED
(write the word)
WIDOWED
or DIVORCEDivorced
10a If married, widowed, or divorced
HUSBAND of
(Give maiden name of wife in full)
Louis Miller
(or) WIFE of
(Husband's name in full)
11 IF STILLBORN, enter that fact here.
12
65
O
5
If under 24 hours
AGE
Years
Months
.Days
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
James Robb
PARENTS
18 BIRTHPLACE OF
Boston
FATHER (City)
(State or country)
Mass.
19 MAIDEN NAME OF MOTHER Sarah
20 BIRTHPLACE OF
MOTHER (City)
(State or country)
Mass.
21 Emmitt Robb
Informant
(Address)
62 Halliday St Roslindale
I HEREBY CERTIFY that a satisfactory standard certificate of death was filed with me BEFORE the burial or transit permit was issued: Waller J. Walker
(Signature of Agent of Board of Health or other) Thealte alice 7. 13.53
(Official Designation) (Date of Issue of Permit)
JCTIONS OR ERTIFICATE
iving F DEATH t enter han one or each ) and (c)
Does not mean dying, such ure, asthenia, s the disease. lions which
conditions, g rise to the (a) stating ying cause
ons contrib- death but not e disease or using death.
50M (B)-1-51 903586
PLACE OF DEATH
Suffolk (County)
No.
Winthrop Community Hospital
CERTIFICATE OF DEATH
Registered No.
(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)
(a) Residence. No. . (Usual place of abode)
That ]
attended deceased from
INTERVAL BE- TWEEN ONSET AND DEATH about 5yrs
no
Boston
Cambridge
EXTRACTS FROM THE LAWS OF THE COMMONWEALTH OF MASSACHUSETTS GOVERNING THE
RETURN OF CERTIFICATES OF DEATH
RECETY _ . '
A physician or registered hospital medical officer shall forthwith, after the death of a person whom he has attended during his lastiltross. at the request of an undertaker or other authorized person or of ans menilkj 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 Is Supposed axe, the disease of which he died. defined as required by section anywhere time was contracted, the duration of his last illness, when fast sengalive by the physician or officer and the date of his death. . . Gen. Laws, Chap: 46, Scc 9.
3 x the
A physician or officer furnishing a certificate of death preceding section or by section forty-five of chapterzone C ind four- teen, shall, if the ‹leccased, to the best of his knowleds and belief. has been sf in the army, navy or marine corps of the United States in a engaged insert in the certificate a recital to that effe Swr. and shall also certify ir such certificate both the primary imme- diate cause of death as nearly as he can state the W.comply with any provision of this section, such physician or officer THROW ten dollars. For the purposes of this section and of sections forty-five, forty wwand forty-seven of said chapter one hundred and fourteen, the word "war" shall include the China relicf expedition and the Philippine insurrection, which shall; for said purpose deemed to have taken place between February fourteenfiliste8 e hundred d Mexican border ninety-cight and July fourth, nineteen hundred and two service of nineteen hundred and sixteen and nineteen hundred and seventeen. G. L. Chap. 46, Scc. 10.
Ne 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 dicd; 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 sclectmen 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 deecased, or as to the nianner or cause of the death, which the clerk or registrar may require .- Chap. 114, Sec. 45, G. L., (Tercentenary Edition).
Medical cxamincrs 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, Sce. 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 he buried or the funeral is to he held, or from a person appointed to have the care of the cemetery or burial ground in which the interment is made.
Chap. 114, Sec. 46, G. L., (Tercentenary Edition).
RULES OF PRACTICE
The fulfillment of the purpose of these laws calls for the observance of the follow- ing rules of practice:
(1) Attending physicians will certify to such deaths only as those of persons to whom they have given bedside care during a last illness from disease unrelated to any form of injury.
(2) Board of Health physicians will certify to such 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
X
EVERE
3.,
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.
155
2 FULL NAME.
Stephen .A. White
(If deceased is a married, widowed or divorced woman, give also maiden name.)
¿Was deceased a
U. S. War Veteran,
if so specify WAR)
no
(a) Residence.
No. 29 Shawmut St.,
(Usual place of abode)
St.
Revere
(If nonresident, give city or town and State)
Length of stay: In place of death
.years.
8
.. months.
11 days. In place of residence.
3.5 ... years.
.months
.days.
MEDICAL CERTIFICATE OF DEATH
PERSONAL AND STATISTICAL PARTICULARS
3 DATE OF
DEATH
(Monthy
(Day)
(Year)
4 I HEREBYCERT FY,
That I attended deceased from
November 1 19.5
to ...
Jul 13
1953
5
10a If married, widowed, or divorced
HUSBAND of.
Marie Ungvarsky.
(Give maiden name of wife in full)
(or) WIFE of.
(Husband's name in full)
11 IF STILLBORN, enter that fact here.
12
AGE ..
7.2 Years
Months
Days
If under 24 hours
Hours . ... Minutes
13 Usual
Occupation:
photographer
(Kind of work done during most of working life)
14 Industry or Business:
15 Social Security No.
c/b/1
16 BIRTHPLACE (City)
(State or country)
Gloucester .... lass.
17 NAME OF
FATHER
Augustus White
18 BIRTHPLACE OF
FATHER (City)
Prince Edward Isle.
(State or country)
19 MAIDEN NAME
OF MOTHER
Sarah McCormick
20 BIRTHPLACE OF
p.
MOTHER (City)
(State or country)
Price -dward Iste
6 St. Anns
Gloucester
Place of Burial or Cremation (City of Town)
DATE OF BURIAL
July15 1953
19
7 NAME OF
FUNERAL DIRECTOR
J. Vincent Murray
ADDRESS Revere Mass.
Received and filed
JUL 1-4 1053
19
(Registrar)
C
13th
1453
8 SEX
male
9 COLOR OR RACE
white
10 SINGLE
MARRIED
WIDOWERar
or DIVORCEfried
DISEASE OR CONDITION
DIRECTLY LEADING
TO DEATH (a)
Brancho pneumonia
INTERVAL BE- TWEEN ONSET AND DEATH 3 days
ANTE Due To (b) CEDENT CAUSES Cenebralhemorrhage
6 mg
Due To sentral hypertension (c)
Volpas.
OTHER SIGNIFICANT CONDITIONS
Major findings:
Of operations.
Date of operation
.Was autopsy performed ?.
What test confirmed diagnosis ?.
tay related to occupation of deceased?
5 Was disease or injury in ar It So, specify W. D. NATCHALIAN (Signed) .D. Machina (Address) Squchalist Cholyen Date /15
5 Nichols St
M. 1913
PARENTS
21 Informant Stephen ..... G ....... White
(Address)
87 Reservoir-Ave,. Revere
I HEREBY CERTIFY that a satisfactory standard certificate of death was filed with me BEFORE the burial or transit permit was issued: Wollte et Makerg
(Signafure of Agent of Board of Health of other) reallte Office 4.1453
(Official Designation ) (Date of Issue of Permit)
50M-10-52-908091
PLACE OF DEATH
1
1
Suffolk (County)
Winthrop (City or Town)
No.
1: flowers 39 Grovers Ave.,
NurEs 1
CERTIFICATE OF DEATH
Registered No.
J(If death occurred in a hospital or institution. St. [ give its NAME instead of street and number)
PHYSICIAN - IMPORTANT
......
CTIONS OR ERTIFICATE
iving F DEATH : enter an one or each ) and (c)
es not mean dying, such re, asthenia, s the disease. tions which .
conditions. g rise to the (a) stating ing cause
ns contrib- eath but not disease or using death.
lehajiang
12
R-301A 1
(write the word)
I last saw him.
... alive on
- 19 ..
death is said to
have occurred on the date stated above, at.
EXTRACTS
FROM THE LAWS OF THE
COMMONWEALTH OF MASSACHUSETTS
GOVERNING THE
REÇE !! RETURN OF CERTIFICATES OF DEATH I TOM
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's contracted, the duration of his last illness, when last seen live by their was
physicrab or officer and the date of his death. . . Gen. Laws, Chap. 46, Sec. 9.".
A physician or officer furnishing a certificate of death tas require preceding section or by section forty-five of chapter one Nundred and four teen, shall, if the deceased, to the best of his knowledge and he army, navy or marine corps of the United States in any war Been engaged, insert in the certificate a recital to that effect, specifying if 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, shallforfeit ten dollars. For the purposes of this section and of sections forty-five, fout fix and forty-severM 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 ninetcen 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 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 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
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.)
L
PLACE OF DEATH
(County)
"(City of Town)
The Commonwealth of Massachusetts EDWARD J. CRONIN SECRETARY OF THE COMMONWEALTH DIVISION OF VITAL STATISTICS COPY OF CERTIFICATE OF DEATH
Need help finding more records? Try our genealogical records directory which has more than 1 million sources to help you more easily locate the available records.