USA > Massachusetts > Suffolk County > Winthrop > Town of Winthrop : Record of Deaths 1953 > Part 73
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Vremea
INTERVAL BE- TWEEN OHSET AND DEATH 1 week
11 IF STILLBORN, enter that fact here.
12
AGE
77 Years 0
Months.
1
Days
If under 24 hours
Hours ..
.. Minutes
13 Usual
Occupation:
House Wife
(Kind of work done during most of working life)
14 Industry
or Business:
Own
Home
15 Social Security No.
.one
16 BIRTHPLACE (City)
(State or country)
England
17 NAME OF FATHER George W Baxter
PARENTS
18 BIRTHPLACE OF
FATHER (City).
(State or country)
England
19 MAIDEN NAME
OF MOTHER
Mary Ann Boyce
20 BIRTHPLACE OF
MOTHER (City)
(State or country)
England
21 Hazel R Hayden
Informant
(Address)
Highland 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 . Hokery.
(Signature of Agent of Board of Health or other)
Theattle Nicht
10.30.53
(Official Designation)
(Date of Issue of Permit)
V
TIONS R RTIFICATE wing DEATH enter an one r each and (c)
es not mean dying, such e, asthenia, -> the disease, ons which
conditions, rise to the (a) stating ing cause
os contrib. ath but not disease or ing death.
50M .(A)-11-51-905807
mis.
A TRUE COPY ATTEST:
Oct
(City or Town) 50
19 5
7 NAME OF
FUNERAL DIRECTOR ..
Howard 5 Minutes
ADDRESS
Received and filed
ABT 9 0 1953
. 19
(Registrar)
smoo
CEDENT (b)
CAUSES
Due To
arteriosclerosis
(c)
OTHER
SIGNIFICANT
CONDITIONS
Cerebral Hemmhage
5mos
Major findings:
Of operations
Date of operation.
Was autopsy performed? No
What test confirmed diagnosis ?.
5 Was disease or injury in any way related to occupation of deceased ?.
No
If so, specify The Dorothy Cheney appleton (Signed) M. D. (Address) 197 Wordsede Care Winthey Date
e Oct. 28 1963
Winthrop
Winthrop
6 Place of Burial or Cremation
DATE OF BURIAL
That I attended deceased from
(write the word)
9 COLOR OR RACE
(Was deceased a
U. S. War Veteran.
if so specify WAR)
(Usual place of abode)
4.3
2 FULL NAME
X
ANTE
Due To
Chronic Nephritis
10 gro.
Hisebeck
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 ot 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 seven -. teen. 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 buman 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 tbere 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 hy 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 tbe selectmen for the purpose, shall upon application make the certificate required of the attending physician. If death is caused hy violence, the medical examiner shall make such certificate. If such a permit for the removal of a human hody, 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 registration. The person to whom the permit is so given and the physician certifying the cause of death shall thereafter furnish for registration any other necessary information which can be obtained as to the deceased, or as to the manner or cause of the death, which the clerk or registrar may require .- Chap. 114, Sec. 45, G. L., (Tercentenary Edition). .
Medical examiners shall make examination upon the view of the dead bodies of only such persons as are supposed to have died by violence. If a medical examiner has notice that there is within his county the body of such a person, he shall forthwith go. to the place where the body lies and take charge of the same; . General Laws, Chap. 38, Sec. 6.
No undertaker or other persons shall bury a human body or the asbes 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 6
"The fulfillment of the purpose of these laws calls for the observance of the following 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 fo any form of injury.
OCT 22
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, hut also deaths from disease resulting from injury or infection related to occupa- tion, 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
PLACE OF DEATH
Suffolk (County)
Boston (City or Town)
The Commonwealth of Massachusetts EDWARD J. CRONIN SECRETARY OF THE COMMONWEALTH DIVISION OF VITAL STATISTICS COPY OF CERTIFICATE OF DEATH
Bosta
(City or town making return)
Registered No.
9560235
Veteran's Adm. Hos pt Boston
J (If death occurred in a hospital or institution, St. Į give its NAME instead of street and number)
2 FULL NAME
(If deceased is a married, widowed or divorced woman, give also maiden name.)
24 Bames Ave.
East Boston
Wy w #1
(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
PERSONAL AND STATISTICAL PARTICULARS
3 DATE OF
DEATH
Oct.28/53
(Month)
(Day)
(Year)
4 I HEREBY CERTIFY,
That I attended deceased from
Oct.26
19
53
to
Oct ..... 28
19.
53
I last saw h .............. alive on.
19
death is said to
have occurred on the date stated above, at.
9:40PMn.
INTERVAL BE- TWEEN ONSET AND DEATH Day's
11 IF STILLBORN, enter that fact here.
12
AGE
71
6
15
Months.
.Days
If under 24 hours
Hours ..
Minutes
13 Usual
Occupation:
Salesman
14 Industry
or Business:
Barber Supplies
15 Social Security No.
012.20-36944
16 BIRTHPLACE (City)
(State or country)
Italy
17 NAME OF FATHER
John Perrme
18 BIRTHPLACE OF
FATHER (City)
(State or country)
Italy
Date of operation.
Was autopsy performed ?.
Ycs
What test confirmed diagnosis ?.
autopsy
.No.
5 Was disease or injury in any way related to occupation of deceased? If so, specify ... David B-Snow
(Signed)
(Address)
Boston Lass.
.Date ..
10-29"
.19.
M. B
6
Place of Burial or Cremation (City of Town)
DATE OF BURIAL
Oct. 31/53
19
21
Informant
(Address)
Hogpt Records
7 NAME OF
FUNERAL DIRECTOR
E P Caggiano
ADDRESS.
Winthrop Mass
Received and filed 19
(Registrar of City or Town where deceased resided)
8 SEX
M
9 COLOR OR RACE
10 SINGLE
MARRIED
WIDOWED
or DIVORCED
(write the word)
Married
10a If married, widowed, or divorced
HUSBAND of
Julia ... Turbi
(Give maiden name of wife in full)
(or) WIFE of
(Husband's name in full)
DISEASE OR CONDITION
DIRECTLY LEADING
TO DEATH (a).
Gastric hemorrhage
ANTE
Due To
Cirrhosis of
the
CEDENT
(b)
CAUSES
liver
Years
Due To
(c)
Left.parietal fromal
subdural hemorrhage
Days
OTHER
SIGNIFICANT
CONDITIONS
Major findings:
Of operations.
PARENTS
19 MAIDEN NAME
OF MOTHER
Lavinna Cardilli
20 BIRTHPLACE OF
MOTHER (City)
(State or country)
Italy
A TRUE COPY
ATTEST:
A / (Registrar of City or Town where death occurred)
DATE FILED
NOV.2,1953
..................... 19
X
1 R-302 1
No.
Frank Perrme
(Was deceased a
U. S. War Veteran,
if so specify WAR)
Sp .. Am
(a) Residence. No. (Usual place of abode)
St.
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 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 after the close of the month in which the death occurred. (See Chap. 46, Sec. 12, G. L.)
25m-(b)-11-49-900,475
Winthrop Com-Winthrop Mass .
(Kind of work done during most of working life)
TECE :
TOO
NOV-9
Entered Service
12-27-17
11-10-98
Discharged
12-16-18
4-21- 1899
Service No. 591 723
Sgt.U S Army
R-301A 1
PLACE OF DEATH
Suffolk (County)
Winthrop (City or Town)
No.
Bay View Nursing Home
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. 236
Registered No.
J(If death occurred in a hospital or institution. St. [ give its NAME instead of street and number)
PHYSICIAN - IMPORTANT
2 FULL NAME. John. Archibald Webster (If deceased is a married, widowed or divorced woman, give also maiden name.) 88 Woodside AVE. 140 Circuit Road St.
(Was deceased a
U. S. War Veteran.
if so specify WAR)
N.O.
(a) Residence. No.
(Usual place of abode)
(If nonresident, give city or town and State)
Length of stay: In place of death.
years
7
months.
.days. In place of residence
50years
.months
days.
MEDICAL CERTIFICATE OF DEATH
PERSONAL AND STATISTICAL PARTICULARS
3 DATE OF
DEATH
October
28
19.53
(Month)
(Day)
(Year)
deceased from
4 I HEREBY CERTIFY,
Only
1953
to ..
Oct. 28
19.13, death is said to
10a If married, widowed, or divorced
HUSBAND of.
Edith Hewson
(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.Q.Years
Q Months.21
Days
If under 24 hours
.Hours . ...
Minutes
13 Usual
Occupation:
retired ... salesman
(Kind of work done during most of working life)
14 Industry
or Business:
Wholesale Drug Co.
15 Social Security No ..
16 BIRTHPLACE (City)
East Boston
(State or country)
Mass.
17 NAME OF FATHER John Archibald Wenster
18 BIRTHPLACE OF
FATHER (City)
Digby
(State or country)
Nova Scotia
19 MAIDEN NAME
OF MOTHER
Ellen Collins
20 BIRTHPLACE OF MOTHER (City) (State or country) England
21
Informant.
Walter .... H ....... Webster.
(Address) 740 Circuit Road, Winthrop
I HEREBY CERTIFY that a satisfactory standard certificate of death was filed with me BEFORE the burial or transit permit was issued: Walter I. Bakery.
(Signature of Agent of Board of Health or other>
Health Sphere 10.30.53
(Official Designation) (Date of Issue of Permit) :
CTIONS )R ERTIFICATE
ving F DEATH enter an one or each ) and (c)
es not mean dying. such re, asthenia, the disease. tions which
conditions. g rise to the (a) stating ing cause
ns contrib- eath but not disease or sing death.
50M-10-52-908091
5 Was disease or injury in any way related to occupation of deceased? Wo
If so, specify
Charles Likequan
(Signed)
M. P.
(Address) 238 Shore Dread. Wirth Date 10/30, 1953
Woodlawn .... Cemetery Everett Mass
6
Place of Burial or Cremation (City of Town)
DATE OF BURIAL. October 31 1953 19
7 NAME OF
FUNERAL DIRECTOR.
Defeel B. March
ADDRESS
.1.74 Winthrop St ,Winthrop, Mass.
Received and filed 19
(Registrar)
INTERVAL BE- TWEEN ONSET AND DEATH 3/2
DISEASE OR CONDITION
DIRECTLY LEADING
TO DEATH (a)
(a) Caremonitorio
Carcinoma of Planyny
ANTE
Due To
CEDENT (b)
CAUSES
Due To (c)
OTHER
SIGNIFICANT
CONDITIONS
Major findings:
Of operations.
Date of operation
Was autopsy performed?
200
What test confirmed diagnosis?
Clinical x- rays
PARENTS
9 COLOR OR RACE
8 SEX
male
white
10 SINGLE
(write the word)
MARRIED married
WIDOWED
or DIVORCED
I last saw
thim
That I attended
Oct.28
1953
have occurred on the date stated above, at 11:00 P.m.
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 decmed 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, thérmal, 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, Seć, 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 funeralis to be held, or from a person appointed to have the care of the cemeter yor burial ground in which the interment is made.
Chan, 114, Sec. 46, G. L., (Tercentenary Edition).
RULES OF PRACTICE
CO Tifment 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-302
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, 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 after the close of the month in which the death occurred. (See Chap. 46, Sec. 12, G. L.)
X
PLACE OF DEATH
Middlesex (County)
Cambridge. (City or Town)
No. Mount Auburn Hospital
.....
The Commonwealth of Massachusetts EDWARD J. CRONIN SECRETARY OF THE COMMONWEALTH DIVISION OF VITAL STATISTICS COPY OF CERTIFICATE OF DEATH
Cambridge (City or town making return)
Registered No ..
1371 ... 237
(If death occurred in a hospital or institution, St. [ give its NAME instead of street and number)
2 FULL NAME. Ethel .... Ivalon .Jutts (If deceased is a married, widowed or divorced woman, give also maiden name.)
(Was deceased a
U. S. War Veteran,
if so specify WAR)
(a) Residence. No.
80. Upland .... Rd ..
St.
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