Town of Winthrop : Record of Deaths 1954, Part 72

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


USA > Massachusetts > Suffolk County > Winthrop > Town of Winthrop : Record of Deaths 1954 > Part 72


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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 bereinafter 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 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 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 .- Cbap. 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; . . GenefilSUGE that 39, 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 fromr the Board of ,health or its agent appointed to issue such permits, or if there is no stich board, from the clerk of the town where the body is to be buried or the funtral is to be held, or from a person appointed to have the care of the cemetery Briburial ground in which the interment is made.


Chap. 114, Sec. 46 ;. G.L. (Tercentenary Edition).


RULES OF PRACTICE


The fulfillment of the purpose of these laws calls for the observance of the 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 to any form of mjury.


(2) Board of Health physicians will certify to such deatbs 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) Medieal Examiners will investigate and certify to all deaths supposably due to Gihindy. These includel hot 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 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


PLACE OF DEATH


Suffolk (County )


No. D


(City or Towy 87Hardrode am /


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


STANDARD CERTIFICATE OF DEATH


Registered No.


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,)


8'I WESTSIDE AVENUE!


St.


(If nonresident, give city or town and State)


Length of stay: In place of death.


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


.. months. days. In place of residence 21 years. .months. .days.


MEDICAL CERTIFICATE OF DEATH


PERSONAL AND STATISTICAL PARTICULARS


3 DATE OF


DEATH


Oct.


(Month)


11


1907 (Year)


& SEX


9 COLOR OR RACE


Il tic


10 SINGLE


MARRIED


WIDOWED


or DIVORCED


1


(write the word)


4 I HEREBY CERTIFY.


abril


1953


to ..


Oct.


11


1907


I last saw her


alive on


Oct 10


19 27, death is said to


have occurred on the date stated above, at 12:00 m.


INTERVAL BE-


TWEEN OHSET AND DEATH


11 IF STILLBØRN, enter that fact here.


12


AGE ..


76 ears


Months.


Days


If under 24 hours


Hours ...


Minutes


13 Usual


Occupation :.


(Kind of work done during most of working life)


14 Industry or Business:


15 Social Security No ...


16 BIRTHPLACE (City)


(State or country)


Boston Man


17 NAME OF FATHER Phones 1 Viley


18 BIRTHPLACE OF


FATHER (City)


(State or country)


Boston


Muss.


19 MAIDEN NAME


OF MOTHER


Ellen Casey


20 BIRTHPLACE OF\


MOTHER (City)


(State or country)


Bastoni


I HEREBY CERTIFY that a satisfactory standard certificate of death was filed with me BEFORE the burial or transit permit was issued: Walter & Baker-


(Signature of Agent of Board of Health or other)


Thealle Officer 10/13/54


(Official Designation)


(Date of Issue of Permit)


A TRUE COPY ATTEST:


48hs


ANTE


Due To


To Carcinoma


CEDENT (b)


CAUSES


of liver


1 yr.


Due To (c)


OTHER


Diabetes Mellitus


SIGNIFICANT


CONDITIONS


arteriosclerosis-gen.


Major findings:


Of operations.


Date of operation.


.Was autopsy performed?


What test confirmed diagnosis ?.


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


If so, specify.


·


(Signed) suple Aregone


..:: M. D.


(Address) 194 LethinEt& Cc Date 10-1/ 194


6 Place of Burial or Cremation


DATE OF BURIAL. Och13 19


7 NAME OF


FUNERAL DIRECTOR


ADDRESS


Macina A Ruby ликер


Received and filed. ACT 13 1954 .19


(Registrar)


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). (Vermina))


) Erwhophouman


50M .(A)-11-51-905807


I R-301 1


UCTIONS FOR CERTIFICATE giving OF DEATH t enter han one for each b) and (c)


does not mean dying, such ure, asthenia,- s the disease, ations which h .


id conditions, g rise to the (a) stating ying cause


tions contrib-> death but not re disease or using death.


4


PARENTS


(City of Town)


Informant


(Address)


(City or town making return)


(Was deceased a U. S. War Veteran, if so specify WAR)


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


(Day)


That I attended deceased from


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 bas 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 Cbina 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 sball 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, sball 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 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 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 of registrar may require .- Chap. 114, Sec. 45, G. L., (Tercentenary Edition). .


Medical examiners shall make examination upohr 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 hig 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 shaft bury a human body' or the ashes thereof which have been brought into the commonwealth. until he has received a permit so to do from the board of health or its agent appointed to -issue such permits, or if there is no such board, from the clerk of the town where the body is to be buried or the funeral is to be held, or from a person appointed to have the care of the cemetery or burial ground in, which ille internett is made.


. . Chap. 114, Sec. 46, G. L., (Teroentenars Editor


RULES OF FRAGY HICE


The fulfillment of the purpose of these laws calls for the observance of the following rules of practice : (1) Attending physicians will bily ogach deaths Mhly 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 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 DISCHARGE


RANK, RATING


ORGANIZATION AND OUTFIT


:* , SERVICE NUMBER ....


M R-301 1


PLACE OF DEATH


suffolk (County) Winthrop (City of Town) Winthrop Community No.


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


(City or town making return) ...


218


CERTIFICATE OF DEATH


Hosp


J(If death occurred in a hospital or institution,


St. Į give its NAME instead of street and number)


2 FULL NAME. HALL- BABY Boy


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


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


7 gelante th Still born


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


3 DATE OF


October


12


1954


DEATH


(Month)


(Day)


(Year)


4 I HEREBY CERTIFY,


That I attended deceased from


Oct 12


19


54


to


Oct 12


..


1954


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


19


death is said to


have occurred on the date stated above, at


m.


INTERVAL BE- TWEEN ONSET ANO DEATH


11 IF STILLBORN, enter that fact here. Still born


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:


15 Social Security No.


winthrop


MASS


16 BIRTHPLACE (City)


(State or country)


USA


17- NAME OF


FATHER


Edgar Hall


18 BIRTHPLACE OF


FATHER (City)


(State or country)


MALDEN MASS


USA


19 MAIDEN NAME


OF MOTHER


MARION COYNE


5 Was disease or injury in any way related to occupation of deceased? NO


If so, specify Con 7 Wielu


(Signed),


M. D.


SEVERE MASS DaDet Or


20 BIRTHPLACE OF


ا كور


MOTHER (City)


Boston MASS


(State or country) +/-


USA


MARION HALL


~21


Informant.


(Address)


MOTHER


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


(Signature of Agent of Board of Health or other) /


lacte Price 10 13 54


(Official Designation) (Date of Issue of Permit)


K


A TRUE COPY ATTEST.


(Registrar)


PERSONAL AND STATISTICAL PARTICULARS


8 SEX


MALE


9 COLOR OR RACE


white


10 SINGLE


MARRIED


WIDOWED


or DIVORCED


(write the word)


Single


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).


Stillborn


Due To Premature


ANTE


CEDENT (b)


CAUSES


Separation of Placenta


Due To (c)


OTHER


SIGNIFICANT


CONDITIONS


Major findings:


Separated Placenta- Bleeding


Of operations


Date of operation OCT 12-54 Was autopsy performed? NO


What test confirmed diagnosis?


NONE


Metteur (City or Town)


DATE OF BURIAL Och 13


7 NAME OF


FUNERAL DIRECTOR.


Mauro Mr 1 Rubri


ADDRESS Neveltual


Received and filed


OCT 13 1954


19


SOM (A)-1-51 903586


UCTIONS FOR CERTIFICATE


giving OF DEATH


ot enter than one for each (b) and (c)


does not mean of dying, such lure, asthenia, ns the disease, cations which th


d conditions, ing rise to the e (a) stating lying


tions contrib- death but not he disease or ausing death.


PARENTS


6 Place of Burial or Cremation


4 Hours


Registered No.


(Was deceased a U. S. War Veteran, if so specify WAR).


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 cer ificate 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 niade 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 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.




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