USA > Massachusetts > Suffolk County > Winthrop > Town of Winthrop : Record of Deaths 1954 > Part 67
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Tifcreth Ismel, Everett, Dass 6 Place of Burial or Cremation (City or Town)
DATE OF BURIAL.
Sept .21 1954
19
A TRUE COPY.
ATTEST:
(Registrar of City or Town where death occurred)
DATE FILED
Sept .20.1954
.. 19
VIV
50m-(e)-10-48-24658
PLACE OF DEATH
No.
(Was deceased a
U. S. War Veteran,
if so specify WAR)
Winthrop,
(a) Residence. No.
(Usual place of ab
3 DATE OF
Sept.20,1954
R-302 1
PARENTS
RECEIVED
TOM
11 12
1
OCT1_
Enlisted June 21,1918 Discharged Feb. 14,1919 Landsman Electrician (G) USN 161-36-33
-301A 1
TIONS TIFICATE ing DEATH enter n one each and (c)
not mean ying, such , asthenia, he disease. ns which
onditions. rise to the 1) stating cause
s contrib- th but not disease or ing death.
PLACE OF DEATH
X SUFFOLK (County) WINTHROP (City of Town) 45 PEBBLE AVE No.
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.
200
Registered No.
j(If death occurred in a hospital or institution,
St. [ give its NAME instead of street and number)
2 FULL NAME MARGARET 4. O'CONNOR
(If deceased is a married, widowed or divorced woman, give also maiden name.)
45 PEBBLE AVE
WINTHROP
52 MASS
(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
8 SEX
FEMALE
9 COLOR OR RACE
WHITE
10 SINGLE
MARRIED
WIDOWED
Of DIVORCED
(write the word)
WIDOW
4 I HEREBY CERTIFY,
That I attended deceased from
JANUARY 101948
to
SEPT. 20
1954
I last saw h
alive on SEPTEMBER 20 thy's said to
have occurred on the date stated above, at 11A m .
INTERVAL BE- TWEEN ONSET AND DEATH
11 IF STILLBORN, enter that fact here.
12
E 85Y
.Years
Months
.Days
If under 24 hours
.Hours ...
Minutes
Occupation:
HOUSEWIFE
ANTE
CEDENT
(b)
CEREBRAL
CAUS ARTERIOSCLEROSIS
Due GENERALIZED ARTERIOSCLEROSIS (c)
OTHER CHRONIC Glomerular SIGNIFICANT CONDITIONS nephritis
3 yrs.
17 NAME OF
FATHER
DANIEL J HEFFERNAN
Major findings:
Of operations.
none
Date of operation. L.
Was autopsy performed ?.
What test confirmed diagnosis? CLINICAL &LAB.
NO
PARENTS
18 BIRTHPLACE OF
FATHER (City)
(State or country)
IRELAND
OF MOTHER
19 MAIDEN NAME
JULIA MURPHY
20 BIRTHPLACE OF
MOTHER (City)
IRELAND
(State or country)
(daughter)
21 Informant HELEN O CONNOR 45 PEBBLE ATE WINTHROP
I HEREBY CERTIFY that a satisfactory standard certificate of death was filed with me BEFORE the burial or transit permit was issued: Walter A. Watery. (Signatufe of Agent of Board of Health or other) Seattle Office
(Date of Issue of Perfmit) 9/20/54
X
-
DISEASE OR CONDITION
DIRECTLY LEADI
TO DEATH
CEREBRAL HEMORRHAGE
3 days
13 Usual
(Kind of work done during most of working life)
3 mos.
14 Industry
of Business:
OWN HOME
15 Social Security No. NONE
16 BIRTHPLACE (City)
(State or country)
BOSTON
-
5 Was disease or injury in any way related to occupation of deceased?
If so, specify.
acre J. abrams 2
(Signed)
(Addres )562 SHIRLEY 5 Date 9/20/594
WINTHROP S2
6 MIT HOPE
lace of Burial of Cremation BOSTON (City or Town) MASS
1957
DATE OF BURIAL
SEPT 23
7 NAME OF anna@ Milky
ADDRE SKING ST DORCHESTER
Received and filed SEP 201954 19
(Registrar)
1 year
10a If married, widowed er divorced
HUSBAND of
MARGARET
HEFGE
HEFFER
(Give maiden name of wife in full)
(or) WIFE of
PATRICK J OCONNOR (Husband's name in full)
3 DATE OF
DEATH
SEPTEMBER 20 1954
(Month)
(Year)
(Day)
100M-(D)-10-48-24658
(Official Designation)
NO
PHYSICIAN - IMPORTANT
(Was deceased a
U. S. War Veteran,
if so specify WAR)
(a) Residence. No. (Usual place of abode)
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 shallexhume 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., (Tercenteday (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; in.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 so to do from the board of health or its agent appointed to issue such permits, or if there is no such beard, from the clerk of the town where the body is to be buried of the funeral is to be held, or from a person appointed to have the care of the cemetery w wurtal ground in which the interment is made.
Chap. 119, 9 p.46. G. L., (Tercentenary Edition).
RULES OF PRACTICE
The fulfillment of the purpose of these laws calls for the observance of the follow- Stepare Apractice:
tending 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
X
PLACE OF DEATH
V (Counts!)
(City or Town)
Thank
§(If death occurred in a hospital or institution, St. [ give its NAME instead of street and number)
Musikam Fo MC Carthy
2 FULL NAME.
(If deceased is a married, widowed or divorced womangive also maiden name.) 91 Faure 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
SEPT.
(Month)
22
1954
(Day)
(Year)
& SEX
Ferrel
9 COLOR OR RACE
10 SINGLE MARRIED WIDOWED or DIVORCED
Angle
4 I HEREBY CERTIFY,
That I attended deceased from
FEB 1952 to. SEPT 22 1954
I last saw h S.R. alive on
SEPT 22
death is said to
have occurred on the date stated above, at
5 05 A.m.
.m.
INTERVAL BE- TWEEN ONSET AND DEATH 3mo.
11 IF STILLBORN, enter that fact here.
12 AGE, . Years
Months Days
If under 24 hours Hours Minutes'
13 Usual Occupation :
(Kind of work done during most of working life)
14 Industry or Business:
Bank
15 Social Security No ...
16 BIRTHPLACE (City) (State or country)
17 NAME OF FATHER
ERE Facial Mccarthy
18 BIRTHPLACE OF FATHER (City) (State or country)
farit Forin mo
19 MAIDEN NAME OF MOTHER Mary McCormade
20 BIRTHPLACE OF MOTHER (City) (State or country)
Boston
21
Mes Margaret Mccarthy
Informant (Address) 91 Jour Rid Nudling
I HEREBY CERTIFY that a satisfactory standard certificate of death was filed with me BEFORE the burial, or transit permit was issued:
Walter &. Vraket8. (Signature of) Agent of Board of Health or other) Health Officer 9/27/54
(Official Designation)
(Date of Issue of Permit)
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) GENERAL CARCINOMATOSIS
ANTE Due To ADENO CARCINOMA LEFT
CEDENT (b)
CAUSES
BREAST
2 YRS.
Due To (c)
OTHER
SIGNIFICANT CHRONIC INTERSTITIAL
3 YRS.
CONDITIONS CYSTITIS.
Major findings:
Of operations ADENO CARCINOMA LEFT BREAST + NODE
Date of operation. 10/6/52 Was autopsy performed? Nr.
What test confirmed diagnosis? PATHOLOGICAL SMEAR.
5 Was disease or injury in any way related to occupation of deceased? ...... If so, specify (Signed) myron n. King (Address 1222 LEASANT 27 .
M. D.
WINKHARD Day / 9/2A
اكزوا
6 Place of BurlaYor Cremation
(City of Towy)
DATE OF BURIAL
7 NAME OF FUNERAL DIRECTOR
Maurice IN Italy
ADDRESS
Received and filed
P
SEPI, 24 1004
(Registrar)
The Commonwealth of Massachusetts EDWARD J. CRONIN, SECRETARY DIVISION OF VITAL STATISTICS STANDARD CERTIFICATE OF DEATH
To be filed for burial permit with Board of Health or its Agent.
201
Registered No.
RUCTIONS FOR . CERTIFICATE
giving OF DEATH not enter than one : for each (b) and (c)
does not mean of dying, such tilure, asthenia, ans the disease, ications which ath.
id conditions. ring rise to the se (a) stating erlying cause
itions contrib. e death but not the disease or causing death.
50M-2-49-25666
M R-301A 1
No.
PHYSICIAN - IMPORTANT (Was deceased a U. S. War Veteran, if so specify WAR)
(a) Residence. No. (Usual place of abode)
(write the word)
PARENTS
Boston minh
marco
Sept 24
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 sodher 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 cxaminers shall make cxamination upon the view of the dead bodies of persons as are supposed to have dicd 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 boardof 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 cemeterft butal young in which the interment is made.
Chap. 114, Sec.46. G. L., (Tercentenary Edition).
OF TOWA
RULES OF PRACTICE
The inni helt of the purpose of these laws calls for the observance of the follow- ing rules of practice! (t) lAttending physicians will certify to such deaths only as those of persons to whom they have givenr bedside care during a last illness from disease unrelated to any form ofinjury .: -
(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 hamer Whenthe certificate of death is needed.
(3) MudicA Exhatners will investigate and certify to all deaths supposably due to inin se Include not only deaths caused directly or indirectly by traumatish (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 persSEpo 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
4
ORGANIZATION AND OUTFIT
SERVICE NUMBER.
X
PLACE OF DEATH
Suffolk (County)
Winthrop yor 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.
202
J(If death occurred in a hospital or institution, ......... St. [ give its NAME instead of street and number) No. . Winthrop Community .... Hospital
2 FULL NAME. Annie Tuite
(Hearty)
(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)
no.
(a) Residence. No. (Usual place of abode)
71 Quincy Avenue Winthrop . St.
(If nonresident, give city or town and State)
Length of stay: In place of death .years .. months. I.days. In place of residence 3 .years. .. months .. days.
MEDICAL CERTIFICATE OF DEATH
PERSONAL AND STATISTICAL PARTICULARS
8 SEX
femalel
white
9 COLOR OR RACE
10 SINGLE
(write the word)
MARRIED
WIDOWED
or DIVORCED Widowed
10a If married, widowed, or divorced
HUSBAND of ..
(Give maiden name of wife in full)
(or) WIFE of
John Tuite
(Husband's name in full)
11 IF STILLBORN, enter that fact here.
81
12
AGE
Years
4
Months
2
.Days
If under 24 hours
Hours .
.Minutes
13 Usual
Occupation:
Housewife
(Kind of work done during most of working life)
14 Industry
or Business :.
At home
15 Social Security No. none
16 BIRTHPLACE (City)
(State or country)
Pennsylvania
17 NAME OF
FATHER
Patrick Hearty
PARENTS
18 BIRTHPLACE OF
FATHER (City)
(State or country)
Ireland
19 MAIDEN NAME
OF MOTHER
Mary Burns
20 BIRTHPLACE OF
MOTHER (City)
(State or country)
Ireland
21 Mrs. Irene Diaz daughter
Informant
(Address)
71 Quincy Ave Winthrop
7 NAME OF
FUNERAL DIRECTOR
Richard C. Kirby
ADDRESS
917 Bennington St East Boston
Received and filed.
SEP &.8.1954
19
(Registrar)
1954
(Year)
(Month)
(Day)
That I attended deceased from
54
to
Sept. 27
19
54
I last saw
h
alive on
Er
September 2/ 1054
death is said to
have occurred on the date stated above, at 9:0 P. m.
DISEASE OR CONDITION
DIRECTLY LEADING
TO DEATH (a).
Edema.
Acute Pulmonary
INTERVAL BE- TWEEN ONSET AND DEATH 1 Day
ANTE
Due To Chronic Myocarditis
CEDENT (b)
CAUSES
1 yr
Due To Arteriosclerosis
(c)
3 yrs
OTHER
SIGNIFICANT
CONDITIONS
houE
Major findings:
Of operations.
Date of operation.
Was autopsy performed ?.
What test confirmed diagnosis?
40
5 Was disease or injury in any way related to occupation of deceased ?.
If so, specify ....
(Signed)
M. D.
Szuka, H. SchwIFFte
(Address)
19 Prin catom St. B. Date 18/28
1954
6 Holy Cross Malden
Place of Burial of Cremation (City or Town)
DATE OF BURIAL
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