Town of Winthrop : Record of Deaths 1954, Part 90

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


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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