USA > Massachusetts > Suffolk County > Winthrop > Town of Winthrop : Record of Deaths 1954 > Part 90
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Medical Ramindrs ishall 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 forthwithgo to the place where the body lies and take charge of the same; Gonera Laws. Chap. 38, Sec. 6.
Nonundertaker pr other persons sball bury a human body or the asbes thereof which have Been brought into the commonwealth until he has received a permit soyto do from the board of bealth or its agent appointed to issue such permits, or jif; there is no such board, from the clerk of the town where the body is to be baried or the funeral is to be held, or from a person appointed to have the care of the cemetery br bunal ground in which the interment is made.
Chap. 11g, Sec: 46, G. L., (Tercentenary Edition).
4.
RULES OF PRACTICE
6 of the purpose of these laws calls for the observance of the following futes of practice:
(1) Attending physicians will certify to such deaths only as those of persons to whom they have given bedside care during a last illness from disease unrelated to any form of injury.
podeof Health physicians will certify to such deaths only as those of prior 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 bad retired from business, report tbe 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
Suffolk (County) Winthrop
No.
(City or Town) 12 Jefferso n. Street
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.
268
2 FULL NAME
Edith Maud (Mooney ) Edgar
(If deceased is a married, widowed or divorced woman, give also maiden name.)
12 Jefferson Street (a) Residence. No. (Usual place of abode) 1 4
63
(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
December 24
(Month)
(Day)
(Year)
1954
8 SEX
Female
9 COLOR OR RACE
White
10 SINGLE
MARRIED
WIDOWED
or DIVORCED
Widow
4 I HEREBY CERTIFY.
June
19 48 to .. Dec. 27 190-4
I last saw
her alive on.
Dec. 2%, 1954 death is said to
have occurred on the date stated above, at 11:20 Pm.
INTERVAL BE-
TWEEN ONSET AND DEATH
5 min
ANTE
Due To
Mayocardial
CEDENT (b) CAUSES heart disease
Due Toarteriosclerosis (c)
generalized
OTHER SIGNIFICANT CONDITIONS Diabetes mellitus
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)
(Address) 1956 Wachunglaydre Date 12-20
theforce M. D.
.194.Y.
Winthrop
6 Place of Burial or Cremation
DATE OF BURIAL
19.7.544
7 NAME OF FUNERAL DIRECTOR Lowand Sigermild
ADDRESS
Received and filed JEU/28 1924 19
(Registrar)
65 5
1
If under 24 hours
.Hours
Minutes
13 Usual
Occupation:
Housewife
(Kind of work done during most of working life)
14 Industry
Own Home
or Business:
15 Social Security No. 032-10-6787
16 BIRTHPLACE (City)
(State or country)
Mass
17 NAME OF
FATHER
James L Mooney
PARENTS
18 BIRTHPLACE OF
FATHER (City)
(State or country)
Mass
East Boston
19 MAIDEN NAME OF MOTHER Julia I Lewis
20 BIRTHPLACE OF
MOTHER (City)
East Boston
(State or country)
Mass
21 Orrin F Edgar
Informant.
(Address) .
12 Jefferson St. Winthrop
I HEREBY CERTIFY that a satisfactory standard certificate of death was filed with me BEFORE the burial or transit permit was issued:
atter & Kaker
(Signature of Agent of Board of Health or other) Theater Office 12/28/04
(Official Designation) (Date of Issue of Permit)
50M-3-54-911887
.
ICTIONS OR ERTIFICATE
iving F DEATH t enter han one or each ) and (c)
es not mean dying, such re, asthenia. s the disease, tions which
conditions. g rise to the (a) stating ving
cause
ons contrib- eath but not e disease or using death.
Chapter 137. 954, requires s to print or use or causes on death
Registered No.
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)
(write the word)
A
11 IF STILLBORN, enter that fact here.
12
AGE
Years .
Months
. Days
10a If married, widowed, or divorced
HUSBAND of
(Give maiden name of wife in full)
(or) WIFE of.
William W Edgar
(Husband's name in full)
DISEASE OR CONDITION
DIRECTLY LEADING
TO DEATH (a)
myocardial
Infarct
yo
Winthrop (City or Town)
Dec. 28
That I attended deceased from
St.
East Boston
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 cath of a person whom he has attended during his last illness, at the request f an undertaker or other authorized person or of any member of the family of he deceased, furnish for registration a standard certificate of death, stating to the est of his knowledge and belief the name of the deceased. his supposed age, the isease of which he died, defined as required by section one, where same was ontracted. the duration of his last illness, when last seen alive by the physician r 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 receding section or by section forty-five of chapter one hundred and four- een, shall. if the deccased, to the best of his knowledge and belief, served in the rmy, navy or marine corps of the United States in any war in which it has been ngaged. insert in the certificate a recital to that effect, specifying the war, and hall also certify in such certificate both the primary and the secondary or imme-E Ccemetery. or burial ground in which the interment is made.
iate cause of death as nearly as he can state the same. For neglect to comply ith 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-sever f said chapter one hundred and fourteen, the word "war" shall include the China- elief expedition and the Philippine insurrection, which shall, for said purposes, be eemed to have taken place between February fourteenth, eightcen hundred and inety-eight and July fourth, nineteen hundred and two, and the Mexican border ervice of nineteen hundred and sixteen and nineteen hundred and seventhen . L. Chap. 46. Sec. 10. L
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 burled, untilhe as received a permit from the board of health, or its agent appointed to ist ich permits, or if there is no such board, from the clerk of the town when erson died; and no undertaker or other person shall exhume a human body move it from a town, from one cemetery to another, or from one grave qr top ther 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 f 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 lay turned and recorded, which shall be accompanied, in case of an original iner ient, 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 hysician, or if, for sufficient reasons, his certificate cannot be obtained early nough for the purpose, or is insufficient, a physician who is a member of the board f health, or employed by it or by the selectmen for the purpose, shall upon pplication make the certificate required of the attending physician. If death is aused 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 he undertaker desiring to make such removal shall constitute a permit for such emoval; provided, that such body shall be returned to the town from whichit was emoved within thirty-six hours after such removal, unless a permit in the usual orm 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. 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 buried or the funeral is to he held, or from a person appointed to have the care of the
thấp. 114, Sec. 46, G. L., (Tercentenary Edition).
TOW 12
RULES OF PRACTICE
"hefulfillment of the purpose of these laws calls for the observance of the follow- rules of practice: Attending physicians will certify to such deaths only as those of persons 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 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.
Medical Examiners will investigate and certify to all deaths supposably Questo Anfury. These include not only deaths caused directly or indirectly by wuumatism (including resulting septicemia), and by the action of chemical (IR Ofrugs 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 (City of Town)
No.
winthrop Hospital
J(If death occurred in a hospital or institution, St. \ give its NAME instead of street and number)
Agnes M. Emerson
(If deceased is a married, widowed or divorced woman, give also maiden name.)
(a) Residence. No. (Usual place of abode)
11 Charles Ave Revere St.
(If nonresident, give city or town and State)
Length of stay: In place of death years. .months. 5 .days. In place of residence. 5.0.years. .months .. days.
MEDICAL CERTIFICATE OF DEATH
PERSONAL AND STATISTICAL PARTICULARS
3 DATE OF
DEATH
December
24
1954
(Month)
(Day)
(Year)
4 I HEREBY CERTIFY.
That I attended deceased from
December 18 19.54
to
December 24
,54
I last saw her ......
alive on
December 23 1954 death is said to
have occurred on the date stated above, at 2:50 A.m.
INTERVAL BE.
(Husband's name in full)
DISEASE OR CONDITION
DIRECTLY LEADING
TO DEATH (a)
Cerebral Hemorrhage
TWEEN ONSET AND DEATH
11 IF STILLBORN, enter that fact here.
Dec. 18/54
12
AGE 82
Years
Months
.Days
If under 24 hours
Hours .. . Minutes
13 Usual
Occupation :
at home
Housewife
(Kind of work done during most of working life)
14 Industry
or Business:
At home
15 Social Security No ...
16 BIRTHPLACE (City)
(State or country)
Mass
Bo.s.ton
OTHER
SIGNIFICANT
CONDITIONS
Hypertensive Heart Disease Over
6 yrs.
Major findings:
Of operations.
None
Date of operation
Was autopsy performed?
No
What test confirmed diagnosis?
Clinical Findings
No
5 Was disease or injury in any way related to occupation of deceased ?.
If so, specify Kot
7
(Signed).
(Address)
123 Bennington
"St
Dec.24' 54
Rovere MASS TEVerett
6
Woodlawn
Place of Burial or Cremation
rec.27
(City of Town)
DATE OF BURIAL
1954
7.
7 NAME OF
FUNERAL DIRECTOR
1. 1. DE Heill
ADDRESS
Revere
Received and filed.
DEC 27 1954
19
(Registrar)
PARENTS
18 BIRTHPLACE OF
FATHER (City)
(State or country)
Ireland
19 MAIDEN NAME
OF MOTHER
Annie J.Barry
20 BIRTHPLACE OF
MOTHER (City)
(State or country)
Ireland
2 1
Informant.
Eileene M.Emerson
(Address) Il Charles Ave, Revere
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)
12/06/52
(Official Designation)
vv
(Date of Issue of Permit)
CTIONS OR ERTIFICATE
iving F DEATH tenter han one or each ) and (c)
es not mean dying, such re, asthenia, s the disease. tions which
conditions. g rise to the (a) stating ving cause
ons contrib- eath but not · disease or using death.
100M-10-53-910621
R-301A 1
DEVERE 1. 7- 55
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.
Registered No.
260
PHYSICIAN - IMPORTANT
(Was deceased a U. S. War Veteran, if so specify WAR)
8 SEX
/1
9 COLOR OR RACE
white
10 SINGLE
MARRIED
WIDOWED
or DIVORCED
(write the word)
10a If married, widowed, or divorced
HUSBAND of.
(Give maiden name of wife in full)
(or) WIFE of
Charles E.Emerson
-
,
ANTE
Due To
CEDENT (b)
CAUSES
Hypertension
Over 6 yr
Due To Arteriosclerosis
(c)
Over 6 yrs.
17 NAME OF
FATHER
Patrick F.Burke
2 FULL NAME ..
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 n 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 erson died; and no undertaker or other person shall exhume a human body and emove 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, satisfactory written statement containing the facts required by law to be eturned 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 aw. 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).
RECEIVES
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 dledttical agents or following abortion, or from diseases resulting from infury infection relating to occupation, or suddenly when not disabled by recegm abyl disease. pr. when any person is found dead. .. - General Laws, Chap(38, Spt mended by Chap. 632, Sec. 4, Acts of 1945. No undertaker Brother 2 perstir shall bury a human body or the ashes thereof which have been blou 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 Merk of the town where the body is to be buried or the funeral is to be held, ot Arom.a person appointed to have the care of the
cemetery of budal ground with the interment is made.
Chap. 4.
(Tercentenary Edition).
ORULES OF PRACTICE
The fulfillment of the purpose of these laws calls for the observance of the follow- ing rules of practice:
(1) Attentie physicians will certify to such deaths only as those of persons to whom theylh d 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
20
50M-3-53-909098
7 NAME OF
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