USA > Massachusetts > Suffolk County > Winthrop > Town of Winthrop : Record of Deaths 1953 > Part 55
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(How did injury occur?)
Nature of
Injury
While at work?
Was autopsy performed?
yes
19
5 Accident, suicide, or homicide (specify)
Date and hour of injury.
Where did Injury occur ?. (City or town and State)
Did injury occur in or about home, on farm, in industrial place, or in public
taxi
Taxi Driver
(Give maiden name of wife in full)
Married
3 DATE OF
August
17
1953
Arteriosclerosis of coronary arteries
A R-305 1
PARENTS
Aug 20
Xxx
Winthrop, Mass.
RECEIVE .
TO:
MN
AUG2 4 RY
X
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
To be filed for burial ·permit with Board of Health or its Agent.
179
No. Winthrop Convalescent Home St. [ give its NAME instead of street and number)
2 FULL NAME. Marjorie Isobel Tatum
(If deceased is a married, widowed or divorced woman, give also maiden name.)
(Was deceased a
U. S. War Veteran.
if so specify WAR)
N.Q.
(a) Residence. No. 75 ... Washington ... Avenue St. (If nonresident, give city or town and State)
(Usual place of abode)
Length of stay: In place of death. years. 4 .. months. days. In place of residence. 40 years.
months.
days.
MEDICAL CERTIFICATE OF DEATH
PERSONAL AND STATISTICAL PARTICULARS
8 SEX
9 COLOR OR RACE
10 SINGLE
(write the word)
MARRIEDwidowed
WIDOWED'
or DIVORCED
4 I HEREBY CERTIFY,
That I attended deceased from
May 15,
1951
to Luca 18
1953
I last saw her alive on
Cung 17, 195 3 death is said to
have occurred on the date stated above, at 1.2.15 cm.
INTERVAL BE- TWEEN ONSET ANO DEATH
DISEASE OR CONDITION
DIRECTLY LEADING
IO Carcinoma
TO DEATH (a).
af Liver and bowel
agro
ANTE Due To CEDENT (b) CAUSES
Due To (c)
OTHER
SIGNIFICANT
CONDITIONS
Major findings:
Of operations.
Степока
Date of operation You 20, 145 Was autopsy performed?
200
What test confirmed diagnosis ?.
Pathology Tests
5 Was disease or injury in any way related to occupation of deceased? 200
If so, specify Dance
Daniel JSOU Juin ml
(Signed)
M. D.
(Address) Manchrap
Date q 10
6 Winthrop Cemetery Winthrop Mass. Place of Burial or Cremation (City or Town)
DATE OF BURIAL August 20 1953 19
7 NAME OF
FUNERAL DIRECTOR
alfred B. March
ADDRESS 174 Winthrop St Winthrop, Mass.
Received and filed. AUG 2 0 1953 19
(Registrar)
PARENTS
18 BIRTHPLACE OF
FATHER (City)
Charlotet own
(State or country) Prince Edward Island
19 MAIDEN NAME
OF MOTHER
Margaret Armstrong
20 BIRTHPLACE OF
MOTHER (City)
County Sligo
(State or country)
Ireland
21
Informant.
Mrs ........ Ralnh.M ...... Navis
(Address)
108 Marlborough St. Boston
I HEREBY CERTIFY that a satisfactory standard certificate of death was filed with me BEFORE the burial or transit permit was issued:
Walter S Bakery
(Signature of Agent of Board of Health or other)
Healthe Office 8.20.53
(Official Designation) (Date of Issue of Permit)
R-301A 1
CTIONS OR ERTIFICATE vin 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.
50M-10-52-908091
3 DATE OF
DEATH
August
18
1953
(Month)
(Day)
(Year)
female
white
10a If married, widowed, or divorced
HUSBAND of
(Give maiden name of wife in full)
(or) WIFE of
Charles Coleman Tatum
(Husband's name in full)
11 IF STILLBORN. enter that fact here.
12
AGE7.5 Years
1.0 Months
0
Days
If under 24 hours
Hours . ... Minutes
13 Usual
Occupation :
housekeeper
(Kind of work done during most of working life)
14 Industry
or Business :.
private residence
15 Social Security No.
none
16 BIRTHPLACE (City)
Gloucester
(State or country)
Mass
17 NAME OF FATHER Hugh Mackay
Registered No.
J (If death occurred in a hospital or institution,
PHYSICIAN - IMPORTANT
TaTem> Rom vado . 5.,
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 of 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 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 practical
(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 rer (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
50M-3-53-909098
7 NAME OF
Bory. 7 Salernon.
ADDRESS
420 Harvard St. Brookline.
Received and filed
AUG ... 2.1 1953
19
(Registrar)
PERSONAL AND STATISTICAL PARTICULARS
8 SEX
fenal ¢
9 COLOR OR RACE
white
10 SINGLE
(write the word)
MARRIED
WIDOWED
or DIVORCEDmarried
10a
If married, widowed, or divorced
HUSBAND of.
(Give maiden name of wife in full)
(or) WIFE of
Isaac Greenberg
(Husband's name in full)
11 IF STILLBORN. enter that fact here.
12
AGE DE
.Years
Months
Days
If under 24 hours
.... .. Hours . Minutes
13 Usual
Occupation :... o.u.s.e.w.i.f.e.
(Kind of work done during most of working life)
14 Industry or Business:
15 Social Security No.
16 BIRTHPLACE (City) ..
(State or country)
Russia
17 NAME OF
FATHER
Oshu White
PARENTS
18 BIRTHPLACE OF
FATHER (City)
(State or country)
Russia
19 MAIDEN NAME
OF MOTHER
Annie Bleiswis
20 BIRTHPLACE OF
MOTHER (City)
(State or country)
Russia
21 Informant. Isaac Greenberg (Address) 655 Beach St. Revere Mass.
I HEREBY CERTIFY that a satisfactory standard certificate of death was filed with me BEFORE the burial or transit permit was issued: Walter A. Bakkers (Signature of Agent of Board of Health or other)
Thealth officer 8,22158
(Official Designation) (Date of Issue of Permit)
X
MEDICAL CERTIFICATE OF DEATH
3 DATE OF
DEATH
(Month)
(Dầy)
21
1953
(Year)
I HEREBY CERTIFY.
That I attended deceased from
52
to.
19
I last saw her alive on
aug 20 , 1959
death is said to
have occurred on the date stated above, at.
10 ° A.
.. m.
INTERVAL BE-
TWEEN ONSET ANO DEATH 16 00
richardais
ANTE
CEDENT (b)
CAUSES
Due To
General Metrestesis to Bonus
Due To (c)
OTHER
SIGNIFICANT
CONDITIONS
Major findings:
Of operations
ConsulTation
Date of operation.
Was autopsy performed ?.
Corsitativi > Krogs
What test confirmed diagnosis!
5 Was disease or injury in any way related to occupation of deceased?
If so, specify
1
(Signed)
(Address) 12 Aprile An La Date
M ... D.
8/22
19
6 Hebrew Progressive, Test Roxbury
Place of Burial or Cremation
(City or Town)
DATE OF BURIAL. August 23, 19 53
DEVORE
1/3/53
The Commonwealth of Massachusetts EDWARD J. CRONIN SECRETARY OF THE COMMONWEALTH DIVISION OF VITAL STATISTICS STANDARD CERTIFICATE OF DEATH
To be filed for burlal ·permit with Board of Health or Its Agent.
Registered No. 180
No. . Winthrop Community Hospital
J(If death occurred in a hospital or institution,
St. [ give its NAME instead of street and number)
PHYSICIAN - IMPORTANT
(Was deceased a
U. S. War Veteran,
if so specify WAR)
no .
(a) Residence. No. 655 Beach (Usual place of abode)
St.
Revere MUSS.
(If nonresident, give city or town and State)
Length of stay: In place of death years ... 3 months days. In place of residence years months .days.
× Suffolk (County)
PLACE OF DEATH
ICTIONS OR ERTIFICATE
iving F DEATH t enter han 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
ons contrib -- eath but not disease or using death.
R-301A 1 Rx Winthrop (City or Town)
2 FULL NAME .. Rose Greenberg
(If deceased is a married, widowed or divorced woman, give also maiden name.)
-1
19. 53
DISEASE OR CONDITION
DIRECTLY LEADING
TO DEATH (a)
Carcinoma y Precio
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 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 physicjans 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 Mouth physicians will certify to such deaths only as those of persons who tough 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 path 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 (ingadies "resulting septicemia), and by the action of chemical (drugs or pois52 hermal, 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
PLACE OF DEATH
Suffolk (County)
Winthrop (City or Town)
The Commonwealth of Massachusetts EDWARD J. CRONIN SECRETARY OF THE COMMONWEALTH DIVISION OF VITAL STATISTICS IMY STANDARD CERTIFICATE OF DEATH
To be filed for burlal .permit with Board of Health or Its Agent.
181
2 FULL NAME Minnie Frances Mc ... Gunigle
(If deceased is a married, widowed or divorced woman, give also maiden name.)
(a) Residence. No.
40 ... Sagamore .... Avenue
(Usual place of abode)
St.
(If nonresident, give city or town and State)
Length of stay: In place of death
........ years.
months.
.....
.. days.
In place of residence
45. . years.
.. months.
days.
MEDICAL CERTIFICATE OF DEATH
PERSONAL AND STATISTICAL PARTICULARS
8 SEX
9 COLOR OR RACE
10 SINGLE
(write the word)
MARRIED
WIDOWED
widowed
or DIVORCED
4 I HEREBY CERTIFY.
That I
attended deceased from
19
53
Que
52
to.
21 aux.
I last saw ht .... alive on
Carry.19, 1933 death is said to
have occurred on the date stated above, at 8: 00 P.m.
INTERVAL BE-
DISEASE OR CONDITION
DIRECTLY LEADING
TO DEATH
(a)
Candice dufonction
TWEEN ONSET
AND DEATH
day
10a If married, widowed, or divorced
HUSBAND of
(Give maiden name of wife in full)
(or) WIFE Archibald Rupert McGunigle
(Husband's name in full)
11 IF STILLBORN, enter that fact here.
12
AGE. 83.Years
7Months Q2 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.
none
16 BIRTHPLACE (City)
(State or country)
New. Haven
Ct.
17 NAME OF
FATHERDaniel L.Sharpe
18 BIRTHPLACE OF
FATHER (City)
(State or country)
Albany
New York
19 MAIDEN NAME
OF MOTHER
Mary E. Norton
20 BIRTHPLACE OF
MOTHER (City)
Gilford
(State or country)
Ct.
21
Informant
(Address)
Albert S. McGunigle
40 Sagamore 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 . Haber
Signature of Agent of Board of Health or other
Healthe Officer 8.24.53
(Official Designation)
(Date of Issue of Permit)
50M-10-52-908091
6
Winthrop Cemetery ..... Winthrop Place of Burial or Cremation (City or Town)
Mass
DATE OF BURIAL August 24 .1.953 19
7 NAME OF
FUNERAL DIRECTOR
Alfred B March
ADDRESS
174 Winthrop St Winthrop, Mass.
Received and filed. AUG 2.5 1953 19
(Registrar)
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