Town of Winthrop : Record of Deaths 1954, Part 10

Author: Winthrop (Mass.)
Publication date: 1954
Publisher:
Number of Pages: 566


USA > Massachusetts > Suffolk County > Winthrop > Town of Winthrop : Record of Deaths 1954 > Part 10


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 | Part 90 | Part 91 | Part 92 | Part 93


R-302 1


11.12


6


FEB10


M R-302 1


3 DATE OF


DEATH


(Signed).


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.)


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,


CONDITIONS


(Month)


Jan-36/5h


(Year)


4 I HEREBY CERTIFY,


That I attended deceased from


Dec.17"


57


19


to ..............


Jan .26 .... 19.521


I last saw h ............ alive on


Jan .26"


19 .. 5}- death is said to


have occurred on the date stated above. at.


.m.


INTERVAL BE-


L;LOA


TWEEN ONSET


AND DEATH


11 IF STILLBORN. enter that fact here.


12


AGE ... 81 .. Years'


4


.Months .


8


.Days


If under 24 hours


Hours .....


Minutes


13 Usual


Occupation:


(Kind of work done during most of working life)


14 Industry


or Business:


On .... Home


15 Social Security No.


Hone


16 BIRTHPLACE (City).


(State or country)


New York New York


17 NAME OF FATHER


Edwin S Watson


18 BIRTHPLACE OF


FATHER (City)


(State or country)


Acton Maine


19 MAIDEN NAME


OF MOTHER


20 BIRTHPLACE OF


MOTHER (City)


(State or country)


New Brunswick


21 Records of Old


Informant.


(Address)


Age Assistance


A TRUE COPY


ATTEST:


(Registrar of City or Town where death occurred) Jan.29/54


DATE FILED


19 .......


WRITE PLAINLY, WITH UNFADING BLACK INK - THIS IS A PERMANENT RECORD


25M-10-53-910621


>


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


Boston


(City or town making return)


Registered No.


23 802. ...


J(If death occurred in a hospital or institution. St. [ give its NAME instead of street and number)


2 FULL NAME


(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.


(Usual place of abode)


46 ... Washington ... Ave.


St


(If nonresident, give city or town and State)


Length of stay: In place of death


.years ........... months1.6.


.. days. In place of residence.


........... years.


.. months.


.....


.days.


MEDICAL CERTIFICATE OF DEATH


PERSONAL AND STATISTICAL PARTICULARS


8 SEX


F


9 COLOR OR RACE


10 SINGLE


MARRIED


WIDOWED


or DIVORCEOnsle


(write the word)


10a If married, widowed, or divorced


HUSBAND of


(Give maiden name of wife in full)


(or) WIFE of


(Husband's name in full)


DISEASE OR CONDITION


DIRECTLY LEADING


TO DEATH (a).


Post-operativo


chock


18 Hrs


ANTE


Due To


CEDENT (b)


CAUSES


Due To (c)


OTHER


SIGNIFICANT


Carcinoma of the rectum


3 Hos


Major findings:


Of operations.


Carcinoma of-rectum


Date of operation.


3+26~5} ... Was autopsy performed?


What test confirmed diagnosis?


methology


5 Was disease or injury in any way related to occupation of deceased?


If so, specify


William A Whitcomb


(Address)


Mass.Mem.Hospt


1-26


Win throp Cem-Winthrop Mass.


6 Place of Burialor Cremation (City or Town) ·


DATE OF BURIAL


Jan. 28/54 19


7 NAME OF


FUNERAL DIRECTOR


H S Reynolds


Winthrop Mass.


ADDRESS.


Received and filed.


19


(Registrar of City or Town where deceased resided)


PARENTS


Annie l Kinney


a


n.S.


No.


Mass.Memorial Hosrt.


.......


Nettie .Watson


-


Winthrop Mass .


10


C


AVE.


M R-302


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.) 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,


25M· 10.53-910621


PLACE OF DEATH


[ SUFFOLK


The Commonwealth of Massachusetts EDWARD J. CRONIN SECRETARY OF THE COMMONWEALTH DIVISION OF VITAL STATISTICS COPY OF


DOSTON


(City or town making return)


Registered No.


874 23


J(If death occurred in a hospital or institution. No. Peter Dent Brigham Hospital


.XXS. ( give its NAME instead of street and number)


2 FULL NAME. BLANCHE .... DITTMAR


(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.


(Usual place of abode)


14.Sunnyside Ave .. ....


Winthrop


(If nonresident, give city or town and State)


Length of stay: In place of death .......


.years ..... ] ..... months .... 3 .... days. In place of residence ..


.months.


days.


MEDICAL CERTIFICATE OF DEATH


PERSONAL AND STATISTICAL PARTICULARS


3 DATE OF


DEATH


January


28.


.19.5.4


(Month)


(Day)


(Year)


YHEREBY CERTIFY.


That IWarended deceased from


12/26


19


53


to


1/28


19


54


L last saw h .... A.I ... alive on


1/28


195.4, death is said to


have occurred on the date stated above, at ... B .:. 1Q.p ..... m.


INTERVAL BE-


TWEEN ONSET AND DEATH


11 IF STILLBORN, enter that fact here.


12


AGE ..... Q. Years.


.3 ... Months. 2.5 ... Days


If under 24 hours


Hours.


.Minutes


Due To


mitral insufficiency


ANTE


CEDENT (b)


CAUSES


-3yrs


14 Industry


or Business:


At home


15 Social Security No ......


16 BIRTHPLACE (City)


(State or country)


Canada


17 NAME OF


FATHER


Joseph St. Cyr


Major findings:


Of operations.


Baffle procedure


Date of operation.


3/14/53


Was autopsy performed ?.


What test confirmed diagnosis?


autopsy


no


6 Oak Grove


Place of Burial or Cremation


(City of Town)


Plymouth, Mass.


DATE OF BURIAL.


Feb 1


19


4


Informant


(Address)


Husband


7 NAME OF


FUNERAL DIRECTOR


R .... Boaman


ADDRESS


Plymouth, 889


Received and filed.


19


(Registrar of City or Town where deceased resided)


PARENTS


18 BIRTHPLACE OF


FATHER (City).


(State or country)


Canada


19 MAIDEN NAME


OF MOTHERBernadette Bernard


5 Was disease or injury in any way related to occupation of deceased?


If so, specify ....


(Signed) ...


V Cass


M. D.


(Address)


...... BBH


Data/29


19


20 BIRTHPLACE OF


MOTHER (City)


(State or country)


Canada


21


A TRUE COPY


ATTEST: Markes H. Mackie


(Registrar of City or Town where death occurred) Feb. 1,


54


DATE FILED


19


X


8 SEX


F


9 COLOR OR RACE


10 SINGLE


MARRIED


WIDOWED


of DIVORCED


(write the word)


Married


10a If married, widowed, or divorced


HUSBAND of


(Give maiden name of wife in full)


(or) WIFE of


George Dittmar


(Husband's name in full)


DISEASE OR CONDITION


DIRECTLY LEADING


TO DEATH (a) ......


rheumatic heart


disease &


13 Usual


Occupation:


Housework


(Kind of work done during most of working life)


Due To


Thrombus abdominal


(c)


aorta


OTHER


SIGNIFICANT


CONDITIONS


-term


BOSTON


1


(City or Town)


CERTIFICATE OF DEATH


M R-302 1


PLACE OF DEATH


Suffolk


(County)


Bos ton


The Commonwealth of Massachusetts EDWARD J. CRONIN SECRETARY OF THE COMMONWEALTH DIVISION OF VITAL STATISTICS COPY OF


Boston


(City or town making return) ...


1019


30


Registered No.


[(If death occurred in a hospital or institution, St. [ give its NAME instead of street and number)


2 FULL NAME


(If deceased is a married, widowed or divorced woman, give also maiden name.)


16 North Ave.


St.


(If nonresident, give city or town and State)


Length of stay: In place of death ............ years.


.1 .. months.


.days. In place of residence22 ..... years.


.months.


... days.


MEDICAL CERTIFICATE OF DEATH


PERSONAL AND STATISTICAL PARTICULARS


3 DATE OF


DEATH


Jan/31/54


8 SEX


9 COLOR OR RACE


10 SINGLE


MARRIED


WIDOWED


or DIVORCED


(write the word)


Married


(Month)


(Day)


(Year)


4 I HEREBY CERTIFY.


That I attended deceased from


Dec.31


19 ... 53 ....


to


Jan.31 .. , 19.52:


I last saw h .......... alive on


19


death is said to


have occurred on the date stated above, at.) .... 55A


.m.


INTERVAL BE-


TWEEN ONSET AND DEATH


11 IF STILLBORN, enter that fact here.


12


.Month2.6.


Days


If under 24 hours


Hours.


Minutes


13 Usual


Occupation :.


Finoman Winthrop


(Kind of work done during most of working life)


14 Industry


or Business:


Fire Dept.


15 Social Security No ....


None


16 BIRTHPLACE (City).


(State or country)


Boston Mass.


17 NAME OF


FATHER


Nicholas Morris


PARENTS


18 BIRTHPLACE OF


FATHER (City).


(State or country)


Ireland


Date of operation.


Was autopsy performed ?... Y.


What test confirmed diagnosis ?..


autopay


5 Was disease or injury in any way related to occupation of deceased ?. If so, specify


No


(Signed) ............. J ... Merks.


M. D.


(Address) ......


Boston Hass


Date .... ] .- 37


winthrop .... Ven-Winthrop Mass


6 Place of Burial or Cremation


(City of Town)


DATE OF BURIAL.


Feb. 3/54


19


7 NAME OF


FUNERAL DIRECTOR


Reynolds Funeral Hom


Winthrop Mass.


ADDRESS


Received and filed


19


(Registrar of City of Town where deceased resided)


A TRUE COPY


V macho


ATTEST:


(Registrar of City or Town where death occurred) Feb.4/54


DATE FILED


19


......


V


25M·10-53-910621


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.) 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,


Due To (c)


OTHER


SIGNIFICANT


CONDITIONS


Bronchopunic .... carcinoma


right unper lobe


Major findings:


Of operations


with widespread metastases


both .... lungs


10a If married, widowed, or divorced


Helen Hayward


HUSBAND of


(Give maiden name of wife in full)


(or) WIFE of


(Husband's name in full)


DISEASE OR CONDITION


DIRECTLY LEADING


TO DEATH (a)


Broncho ... pneumonia


with pulmonary congestionAGE6 Years?


ANTE


Due To


and edema, bilateral


CEDENT (b)


CAUSES


Days


19 MAIDEN NAME


OF MOTHER


Ann Mccarthy


20 BIRTHPLACE OF


MOTHER (City)


.....


·Ireland ···············......


(State or country)


21


Informant


(Address )


V.A Hospt Records ....


No.


(City or Town)


CERTIFICATE OF DEATH


Veteran's Adm.Hospt Boston Mass.


John J Morris


1 W #1


(Was deceased a


U. S. War Veteran,


if so specify WAR)


Winthrop


(a) Residence.


No.


(Usual place of abode)


-


Entered Service 3-7-18 Discharged 6-11-19 Pfc. U S Army 463 rd Aero Squadra


Service No. 10,51292


ORM R-302 1


WRITE PLAINLY, WITH UNFADING BLACK INK - THIS IS A PERMANENT RECORD


X


PLACE OF DEATH


Suffolk (County)


Chelsea (City of Town)


The Commonwealth of Massachusetts OFFICE OF THE SECRETARY DIVISION OF VITAL STATISTICS COPY OF CERTIFICATE OF DEATH


Chelsea


(City or town making return)


6731


No. Chelsea .... Memorial .... Hospital


[(If death occurred in a hospital or institution, St. ¿ give its NAME instead of street and number)


2 FULL NAME John .David ... Coleman


(If deceased is a married, widowed or divorced woman, give also maiden name.)


(a) Residence. No. 101 Johnson Avo


.......


St.


Winthrop Lasa


(If nonresident, give city or town and State)


months.3 .days. In place of residence L .. years .......... months .......... days.


MEDICAL CERTIFICATE OF DEATH


(Month)


(Day)


(Year)


That I attended deceased from


Fob.1


1954 ... ,


to.


Fob.3


154


I last saw .. alive on .. 15.4 .. , death is said to have occurred on the date stated above. at 10:300 m. INTERVAL BE- TWEEN ONSET ANO DEATH


Mesenteric thrombosis


3 das


1 da


5 Was disease or injury in any way related to occupation of deceased? If so, specify (Signed) . Thomas E.Wallace M. D.


Date


2/5/54


.. Holy Cross Holdon,mies(yor Town) 6 Place of Burial or


DATE OF BURIAL.


Feb.6. 1954


19


, DIRECT Richard C.Kirby


ADDRESS 17 Bennington St F. Boston


Received and filed.


MAR 8


00


19


(Registrar of City or Town where deceased resided)


PERSONAL AND STATISTICAL PARTICULARS


8 SEX


Male


White


9 COLOR OR RACE


10 SINGLE


(write the word)


MARRIED


WIDOWED


or DIVORCED Ti doved


10a If married, widowed, or divorced


(or) WIFE of


(Husband's name in full)


11 IF STILLBORN. enter that fact here.


12


AGB .! 7.


Years


Month24.


Days


If under 24 hours


.Hours ... ....


Minutes


13 Usual


Occupation :


Mallor


(Kind of work done during most of working life)


14 Industry


Globe Newspaper Co


15 Social Security No .... 010-03-5998


16 BIRTHPLACE (City)


(State or country)


Boston, Mass


17 NAME OF FATHER Michael J.


18 BIRTHPLACE OF


FATHER (City)


(State or country)


Boston Mass


19 MAIDEN NAME


OF MOTHER therine Morgan


20 BIRTHPLACE OF


MOTHER (City)


(State or country)


Boston, Mass


21 Informant


Mrs . Arthur J. Larivec-siste


(Address)


101 Jelmcon Ave Winthrop


A TRUE COPY


ATTEST:


Graph QLTerrell


(Redist


(Registrar of City or Town where death occurred)


DATE FILED


Fab. 5,1954


19


50m-(e)-10-48-24658


(Usual place of abode) Length of stay: In place of death ........ years. 3 DATE OF DEATH Feb.3,1954 4 I HEREBY CERTIFY, DISEASE OR CONDITION DIRECTLY LEADING TO DEATH (a) ANTE Due To CEDENT (b) Due To (c) (anoperable) OTHER SIGNIFICANT CONDITIONS Major findings: Of operations. What test confirmed diagnosis? (Address Hovere Moss 7 NAME OF 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.) 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 CAUSES Carcinoma of colon


Circulatory collapse


Date of operation


Was autopsy performed?


PARENTS


Registered No.


(Was deceased a


U. S. War Veteran,


if so specify WAR)


1


6


MAR-8 .


Enlisted Nov.20,1917 Discharged Sept.30,1921 Plumber and fitter 12109892


X


SUFFOLK


(County)


(City or Town)


The Commonwealth of Massachusetts EDWARD J. CRONIN SECRETARY OF THE COMMONWEALTH DIVISION OF VITAL STATISTICS COPY OF CERTIFICATE OF DEATH


(City or town making return)


Registered No.


1188


32


Veterans Administration Hospital


[(If death occurred in a hospital or institution,


( give its NAME instead of street and number)


2 FULL NAME


(If deceased is a married, widowed or divorced woman, give also maiden name.) 293 Main


Winthrop, Mass.


St.


(a) Residence. No.


(Usual place of abode)


life


(If nonresident, give city or town and State)


Length of stay: In place of death ............ years ..


months


1


days. In place of residence ..


.......... years.


.months.


.. days.


MEDICAL CERTIFICATE OF DEATH


PERSONAL AND STATISTICAL PARTICULARS


3 DATE OF


DEATH


February


5


1954


8 SEX


9 COLOR OR RACE


10 SINGLE


MARRIED


WIDOWED


or DIVORCED


Married


4 I HEREBY CERTIFY,


2/5


19


to


19


10a If married, widowed, or divorced


HUSBAND of


Catherine


Bridgeman


(or) WIFE of


(Husband's name in full)


11 IF STILLBORN, enter that fact here.


12


35


AGE


Years


7


.Month's


Days


If under 24 hours


Hours .....


Minutes


ANTE


Due To


bilateral bronchopneumonia-day!


CEDENT (b)


CAUSES


Due Tosuspected beri-beri heart (c)


disease


mos


OTHER


SIGNIFICANT


CONDITIONS


Laennec's Cir mosis


yrs.


Major findings:


Of operations.


Was autopsy performed?


no


What test confirmed diagnosis ?.


clin lab findings


no


(Address) VAH


Date .... 2/6


19 .... 521


6 winthrop Cem


Winthrop, Mass.


Place of Burial or Cremation (City or Town)


DATE OF BURIAL


Feb 6


7 NAME OF


FUNERAL DIRECTOR


inthrop, Lass


ADDRESS


Received and filed


19


(Registrar of City or Town where deceased resided)


PARENTS


18 BIRTHPLACE OF


East Boston, Mass


FATHER (City).


(State or country)


19 MAIDEN NAME


OF MOTHERMary Meehan


20 BIRTHPLACE OF


MOTHER (City)


(State or country)


Hospital Records


.


ATTEST: Parles A. Macs


(Registrar of City or Town where death occurred) Feb 9 54


DATE FILED


......... ........


19 X


WRITE PLAINLY, WITH UNFADING BLACK INK - THIS IS A PERMANENT RECORD


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.) 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,


25M-10-53-910621


PLACE OF DEATH


No.


GEORGE LAUNDRY, JR.


WW II


(Was deceased a


U. S. War Veteran,


if so specify WAR)


(write the word)


(Month)


(Day)


(Year)


ThatL'attended deceased from


54


(Give maiden name of wife in full)


Hast saw !.............. alive on.


19. death is said to


have occurred on the date stated above. at ..


8:40p


.m.


DISEASE OR CONDITION DIRECTLY LEADING


TO DEATH (a)


acute pulmonary edema


INTERVAL BE-


TWEEN ONSET


AND DEATH


hrs


13 Usual


Occupation :


Painter


(Kind of work done during most of working life)


14 Industry


or Business:


15 Social Security No.


16 BIRTHPLACE (City)


(State or country)


East Boston, Mass


17 NAME OF


FATHER


George Laundry


Date of operation


5 Was disease or injury in any way related to occupation of deceased?


If so, specify ........ Kaufman


(Signed).


M. D.


Woburn, Mass.


21


Informant.


(Address)


A TRUE COPY


WKirby


M R-302 1


DATE OF ENTERING MILITARY SERVICE - 6/3/43


# # DISCHARGE


11/11/45


RANK , RATING


MM 3/c


ORGANIZATION & OUTFIT US Navy


SERVICE NUMBER


8019902


F


6


FEBA


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 STANDARD CERTIFICATE OF DEATH


To be filed for burial -permit with Board of Health or its Agent.


33


2 FULL NAME


Winfield Scott Burrill


(If deceased is a married, widowed or divorced woman, give also maiden name.)


12 Sunset Road


St.


(If nonresident, give city or town and State)


Length of stay: In place of death


......


.years


months. days. In place of residence. 5.0 years. .. months. .days.


MEDICAL CERTIFICATE OF DEATH


PERSONAL AND STATISTICAL PARTICULARS


3 DATE OF


DEATH


FEBRUARY 6 (Month)


(Day)


1954. (Year)


8 SEX


Male


9 COLOR OR RACE


White


10 SINGLE


(write the word)


MARRIED


WIDOWED


or DIVORCEDowed


4 I HEREBY CERTIFY,


That I attended deceased from


to


Feb. 6


1954


I last saw halive on.


FEB.


6


954


death is said to


have occurred on the date stated above, at.


9:30 A.


.. m.


INTERVAL BE-


TWEEN ONSET AND DEATH 11 IF STILLBORN, enter that fact here.


3 years


12


AGE7.6


Years


Months


Days


If under 24 hours


Hours


Minutes


13 Usual


Occupation:


Engineer


(Kind of work done during most of working life)


14 Industry


or Business:


Marine


15 Social Security No.


021-14-1108


16 BIRTHPLACE (City)


(State or country)


WinthropMa's's


17 NAME OF


FATHER


Winfield Burrill


18 BIRTHPLACE OF


FATHER (City)


Winthrop


(State or country)


Mass


19 MAIDEN NAME


OF MOTHER


Cannot be learned


20 BIRTHPLACE OF


MOTHER (City)


(State or country)


Cannot be learned


21


Informant


(Address)


12 Sunset Road Winthrop


I HEREBY CERTIFY that a satisfactory standard certificate of death was filed with me BEFORE the burial or transit permit was issued: W.G. Raken


(Signature of Agertt ot Board of Health or other)


Hro


2/8/54


(Official Designation) (Date of Issue of Permit)


50M-3-53-909098


ADDRESS


FARO 0 1334


Received and filed


19


(Registrar)


10a If married, wid~"


1


HUSBAND of.


Katherine Butler


(Give maiden name of wife in full)


(or) WIFE of


(Husband's name in full)


DISEASE OR CONDITION


DIRECTLY LEADING


(a) arteriosclertic+ hyper-


TO DEATH


tereiE beat dessins


ANTE


Due To


CEDENT (b)


CAUSES


Due To (c)


ACUTE AgregarNE Chuclears TiTia


aceite gangerans


2 days


Major findings:


acute govequenous cholecystitis


Of operations


Date of operation.


FEB. 4. 1954


.. Was autopsy performed?


yes


What test confirmed diagnosis? Clinical + Laboratory


5 Was disease or injury in any way related to occupation of deceased ?......


If so, specify.


(Signed) Maurice Trausciti


(Address) S62 Cheily St. Withog Date


M. D.


OFER. 6 1054


Winthrop


Winthrop (City of Town)


6 Place of Burial or Cremation


DATE OF BURIAL


February


9


19.5.4


7 NAME OF


FUNERAL DIRECTOR


Winthrop Mass,


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)


(a) Residence. No. (Usual place of abode)


UCTIONS OR CERTIFICATE


iving F DEATH t enter han one or each ) and (c)


oes not mean dying, such ure, asthenia, s the disease, tions which


conditions. ig rise to the (a) staling ying cause


ons contrib- death but not e disease or using death.


1.5.


Winthrop Community Hospital No.


Registered No.


Lillian V Kinsel


PARENTS


OTHER


SIGNIFICANT


CONDITIONS


cholicolitis.


Feb. 17,


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 ath of a person whom he has attended during his last illness, at the request an undertaker or other authorized person or of any member of the family of e deceased, furnish for registration a standard certificate of death, stating to the st of his knowledge and belief the name of the deceased, his supposed age, the sease of which he died, defined as required by section one, where same was ntracted, the duration of his last illness, when last seen alive by the physician 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 eceding section or by section forty-five of chapter one hundred and four- en, shall, if the deceased, to the best of his knowledge and belief, served in the my, navy or marine corps of the United States in any war in which it has been gaged, insert in the certificate a recital to that effect, specifying the war, and all also certify in such certificate both the primary and the secondary or imme- ate cause of death as nearly as he can state the same. For neglect to comply th any provision of this section, such physician or officer, shall forfeit ten dollars. or the purposes of this section and of sections forty-five, forty-six and forty-seven said chapter one hundred and fourteen, the word "war" shall include the China lief expedition and the Philippine insurrection, which shall, for said purposes, be emed to have taken place between February fourteenth, eighteen hundred and nety-eight and July fourth, nineteen hundred and two, and the Mexican border rvice of nineteen hundred and sixteen and nineteen hundred and seventeen. . L. Chap. 46, Sec. 10.


No undertaker or other person shall bury or otherwise dispose of a human body a town, or remove therefrom a human body which has not been buried, until he is received a permit from the board of health, or its agent appointed to issue ch permits, or if there is no such board, from the clerk of the town where the rson died; and no undertaker or other person shall exhume a human body and move it from a town, from one cemetery to another, or from one grave or tomb her than the receiving tomb to another in the same cemetery, until he has ceived a permit from the board of health or its agent aforesaid or from the clerk the town where the body is buried. No such permit shall be issued until there all have been delivered to such board, agent or clerk, as the case may be, satisfactory written statement containing the facts required by law to be turned and recorded, which shall be accompanied, in case of an original inter- ent, by a satisfactory certificate of the attending physician, if any, as required by w. or in lieu thereof a certificate as hereinafter provided. If there is no attending ysician, or if, for sufficient reasons, his certificate cannot be obtained early ough for the purpose, or is insufficient, a physician who is a member of the board health, or employed by it or by the selectmen for the purpose, shall upon plication make the certificate required of the attending physician. If death is used by violence, the medical examiner shall make such certificate. If such a ermit for the removal of a human body, not previously interred, from one town another within the commonwealth cannot be obtained early enough for the urpose, the certificate of death made as above provided and in the possession of e undertaker desiring to make such removal shall constitute a permit for such moval; provided, that such body shall be returned to the town from which it was moved within thirty-six hours after such removal, unless a permit in the usual rm 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 he 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, Ģ. 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 he held, or from a person appointed to have the care of the cemetery or burial ground in which the interment is made.




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.