USA > Massachusetts > Suffolk County > Winthrop > Town of Winthrop : Record of Deaths 1953 > Part 77
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anna Marshall
21 Informant (Address) 209 Somerset are War I HEREBY CERTIFY that a satisfactory standard certificate of death was filed with me BEFORE the burial or transit permit was issued: Water p. Haber.g
(Signature of Agent of Board of Health or other) healthe Officer 11.12.53
(Official Designation)
(Date of Issue of Permit)
(write the word)
4 I HEREBY CERTIEY.
1/16
19.8
to
11/10
That I attended deceased from
53
I last saw h.A ..... alive on 11/10/ 195 death is said to
have occurred on the date stated above, at. 117 m.
INTERVAL BE-
TWEEN ONSET AND DEATH
DISEASE OR CONDITION DIRECTLY LEADING TO DEATH (a) Pneumonia
ANTE
Due To
Carcinoma
CEDENT (b)
CAUSES
2 zu
Due To (c)
OTHER
SIGNIFICANT
CONDITIONS
Major findings:
Of operations.
Concenary
Date of operation
11/52
Was autopsy performed ?.
What test confirmed diagnosis ?.
5 Was disease or injury in any way related to occupation of deceased?
If so, specify
(Signed).
(Address) 670 laralogan
M. D.
Date 11/12 19
18.0Winthrop
DATE OF BURIAL nov 13 1953
Charles H· Treanor
ADDRESS
Received and filed NOV 12 1953 19
(Registrar)
PARENTS
.
Ireland
6 Winthrop Place of Burial or Cremation (City or Town)
50M-5-52-907046
JCTIONS OR ERTIFICATE iving F DEATH t enter han one or each ) and (c)
Does 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.
M.S
Registered No.
[(If death occurred in a hospital or institution. St. [ give its NAME instead of street and number)
(If deceased is a married, widowed or divorced woman, give also maiden name.) 209 Somespel are
St. (If nonresident, give city or town and State)
PERSONAL AND STATISTICAL PARTICULARS
2 yes
0
7 NAME OF
UNERAL DIRECT
Each Boston
19
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 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 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, Scc. 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 huried 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).
6
RULES OF PRACTICE
The fulfillment of the purpose of these laws calls for the observance of the follow- ing rules of practice:p
(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
PLACE OF DEATH
Suffolk (County)
Winthrop
The Commonwealth of Massachusetts OFFICE OF THE SECRETARY DIVISION OF VITAL STATISTICS STANDARD CERTIFICATE OF DEATH
To be filed for burial permit with Board of Health or its Agent.
Registered No.
249
2 FULL NAME. MRS. ANNA T. MACKEN
(If deceased is a married, widowed or divorced woman, give also maiden name.)
PHYSICIAN - IMPORTANT
(Was deceased a
U. S. War Veteran,
if so specify WAR)
(a) Residence. No. 104 Johnson Ave
WINTHROP
(Usual place of abode)
St.
(If nonresident, gide city or town and State)
Length of stay: In place of death
years.
months
days. In place of residence.
.years
.. months.
.days.
MEDICAL CERTIFICATE OF DEATH
3 DATE OF
DEATH
NOVEMBER
10
1953
(Year)
(Day)
(Month)
4 I HEREBY CERTIFY,
That I attended deceased from
Jan
30
1953.
to ..
nov. 10
1953
I last saw
her alive on
Get
19
.. 19$ 3, death is said to
have occurred on the date stated above, at
3:10 am.
DISEASE OR CONDITION
DIRECTLY LEADING
TO DEATH (a)
Bile Duct
Carcinoma of
INTERVAL BE- TWEEN ONSET AND DEATH 2 yrs
ANTE
Due To
CEDENT (b)
CAUSES
none
Due To (c)
OTHER
SIGNIFICANT
CONDITIONS
one
Major findings:
Of operations
Carcinoma of bile duct
Date of operation
2-9-53
NO
.Was autopsy performed ?.
What test confirmed diagnosis? surgical exploration
NO PARENTS
5 Was disease or injury in any way related to occupation of deceased?
If so, specify.
Edward . Welch
M. D.
(Address)
Brookline
Date 11-10-1953.
Winthrop
6
Place of Burial or Cremation
(City or Town)
DATE OF BURIAL
November 13
1953
7 NAME OF
FUNERAL DIRECTOR.
Winthrop Magg
ADDRESS
Received and filed
NOV 12 1953
19
(Registrar)
PERSONAL AND STATISTICAL PARTICULARS
8 SEX
Female
9 COLOR OR RACE
White
10 SINGLE
(write the word)
MARRIED
WIDOWED
of DIVORMarried
10a If married, widowed, or divorced
HUSBAND of
(Give maiden name of wife in full)
(or) WIFE of
Patrick J ... Macken
(Husband's name in full)
11 IF STILLBORN, enter that fact here.
72
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:
Own Home
15 Social Security No.
Chester
16 BIRTHPLACE (City).
(State or country)
Mass.
17 NAME OF
FATHER
Matthew Tormey
.
18 BIRTHPLACE OF
FATHER (City)
(State or country)
Ireland
19 MAIDEN NAME
OF MOTHER
Ann E. Fitzimmons
20 BIRTHPLACE OF
MOTHER (City)
(State or country)
Ireland
21 atrick J ....... Macken 184 Johnson Ave. Winthrop
Informant
(Address)
I HEREBY CERTIFY that a satisfactory standard certificate of death was filed with me BEFORE the burial or transit permit was issued:
Walter
(Signature of Agent of Board of Health or other )
Thealite Officer
11.12.23
(Official Designation)
(Date of Issue of Permit)
TIONS TIFICATE ing DEATH enter in one each and (c)
not mean ying, such , asthenia, he disease. ons which
onditions, rise to the 2) stating cause
s contrib- th but not disease or ing death.
100M-(D)-10-48-24658
R-301A 1
No.
(City or Town) 104 Johnson Ave.,
[(If death occurred in a hospital or institution,
St. [ give its NAME instead of street and number)
32
Winthrop
(Signed)
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 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 ashes thereof which' have been brought into the commonwealth until he has received a permit sa 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. J'14, Sec.46, G. L., (Tercentenary Edition),
6 2
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 Ito thom they have given bedside care during a last illness from disease unrelated 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
R-301A 1
PLACE OF DEATH
K Suffolk (County) Winthrop (City or Town) 183 Cottage Park Road
The Commonwealth of Massachusetts EDWARD J. CRONIN SECRETARY OF THE COMMONWEALTH DIVISION OF VITAL STATISTICS STANDARD
CERTIFICATE OF DEATH
Registered No.
To be filed for burial permit with Board of Health or its Agent. 250
Mary Clara Murray 2 FULL NAME.
(If deceased § a married, widowed or divorced woman, give also maiden name.) 183 Cottage Park Rd
St.
(If nonresident, give city or town and State)
Length of stay: In place of death .years. months days. In place of residence .years months .days.
MEDICAL CERTIFICATE OF DEATH
PERSONAL AND STATISTICAL PARTICULARS
3 DATE OF
DEATH
November 12
(Month)
(Day)
1953
(Year)
8 SEX
Female
White
9 COLOR OR RACE
10 SINGLE
(write the word)
MARRIED
WIDOWED
or DIVORCESingle
4 I HEREBY CERTIFY,
Oct 25
53
19.
to
nev 12
1953
I last saw her
.alive on
1953
death is said to
10a If married, widowed, or divorced
HUSBAND of.
(Give maiden name of wife in full)
(or) WIFE of
(Husband's name in full)
11 IF STILLBORN, enter that fact here.
12
AGE
Years.
Months
Days
If under 24 hours
.Hours ... .. Minutes
13 Usual
Occupation :
At Home
(Kind of work done during most of working life)
14 Industry or Business:
15 Social Security No ....
16 BIRTHPLACE (City) Warrington, Lancashire
(State or country)
England
.
. . .
PARENTS
18 BIRTHPLACE OF
FATHER (City)
(State or country)
Ireland
19 MAIDEN NAME
OF MOTHI
Mary Ann Stirrup
20 BIRTHPLACE OF
MOTHER (City)
(State or country)
England
6
Winthrop
Place of Burial or Cremation
Winthrop (City or Town)
DATE OF BURIAL ...
November 16
19.53
7 NAME OF
FUNERAL DIRECTOR.
Shut: Omalen
ADDRESS
Winthrop Mass,
Received and filed.
NOV 16 1953
19
(Registrar)
INTERVAL BE- TWEEN ONSET AND DEATH 18 min agi
have occurred on the date stated above, at 1:15 Pm
DISEASE OR CONDITION
DIRECTLY LEADING
Chronic Myocarditis
TO DEATH (a)
First national.
-
ANTE
Due To
Old age
CEDENT (b)
CAUSES
Due To (c)
OTHER
SIGNIFICANT
CONDITIONS
Major findings:
Of operations.
Date of operation
none
.. Was autopsy performed? no
What test confirmed diagnosis?
5 Was disease or injury in any way related to occupation of deceased?
(Signed).
M. D.
(Address)
Rener mars
Date 12 Mas 1953
50M-(D)-6-51-904917
MIS
21
Informant
(Address)
183 Cottage Park Rd.
Mary Murray
I HEREBY CERTIFY that a satisfactory standard certificate of death was filed with me BEFORE the burial or transit permit was issued: Waller Maher H. O.
(Signature of Agent of Board of Health or other) Mov 16. '5 3
(Official Designation) (Date of Issue of Permit)
1
UCTIONS OR CERTIFICATE iving OF DEATH t enter han one for each b) and (c)
oes not mean f dying, such ure, asthenia. as the disease, ations which h.
conditions. ng rise to the (a) stating ying cause
ons contrib- death but not e disease or using death.
No.
(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)
(a) Residence. No. (Usual place of abode)
33
That I attended deceased from
89
17 NAME OF
FATHER
Thomas Murray
County Galway
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 sectior forty-five of chapter one hundred and four-}1 . 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 want, 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, sever Itech G. L. Chap. 46, Sec. 10. IROP.
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