Town of Winthrop : Record of Deaths 1955, Part 14

Author: Winthrop (Mass.)
Publication date: 1955
Publisher:
Number of Pages: 570

USA > Massachusetts > Suffolk County > Winthrop > Town of Winthrop : Record of Deaths 1955 > Part 14

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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 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),

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 be helds & franla cemetery or burial ground in when appointed to have the care of the . . . Chap. 114, Sec. 46, G. L., (Tercentenary Edition).

RULES OF PRACTICE

The fulfillment of the purpose of theseflaws calls for the observance of the follow- ing 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 injury. S 1 .

(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 medival attendance or whose physician is absent from home when the certificate of death is needed.

(3) Medical Examiners will Ovesugate 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. FEB25 A11

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

ir h S1 P r 0

o S a

n 1:

e C

a C I t

1 1

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.

R-301A 1

....

Winthrop (City or Towns 69 Court Rd No. ...

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.

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

William J. Marshall

2 FULL NAME ..

(If deceased is a married, widowed or divorced woman, give also maiden name.) 69 Court Rd

St.

(If nonresident, give city or town and State)

Length of stay: In place of death JO years months

days. In place of residence 50 .years. months. days.

MEDICAL CERTIFICATE OF DEATH

3 DATE OF

DEATH

Fet

(Month)

1955

(Day)

(Year)

4 I HEREBY CERTIFY,

That I attended deceased from

Dec 5 1954 24 Feb- 1955

I last saw him

... alive on

23 Feb -

19, death is said to

have occurred on the date stated above, at

9 400 .. m. INTERVAL BE- TWEEN ONSET AND DEATH

DISEASE OR CONDITION

DIRECTLY LEADING

TO DEATH (a) Coronary Thrombosis

ANTE CEDENT (b) CAUSES

Due To General Arteriosclerosis

Due To (c)

OTHER

SIGNIFICANT

CONDITIONS

Major findings:

Of operations

Date of operation.

Was autopsy performed? NO

What test confirmed diagnosis?

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

If so, specify

Cho gatmilla

(Signed)

M. D.

(Address) 305 Clhelen ct 289 Date 26 Feb 1965

6 Holywood

Place of Burial or Cremation (City or Town)

DATE OF BURIAL. Feb 28 its

7 NAME OF

FUNERAL DIRECTOR ...

Charles H. Treanor

ADDRESS. East Boston

Received and filed. FEB 25-1955

(Registrar)

PERSONAL AND STATISTICAL PARTICULARS

8 SEX

9 COLOR OR RACE

10 SINGLE

MARRIED

WIDOWED

Married

10a If married, wido wed, or divorced

HUSBAND of

Margaret Moran

(Qwve maiden name of (wife in full)

(or) WIFE of.

(Husband's name in full)

11 IF STILLBORN, enter that fact here.

AGE

Years

Months

.. Days

If under 24 hours

.. Hours

.Minutes

13 Usual

Occupation :..

Retired Captain

(Kind of work done during most of working life)

14 Industry

or Business :.

Boston Fire Dept.

15 Social Security No ... none

16 BIRTHPLACE (City) ..

(State or country)

East Boston

17 NAME OF

FATHER

James Marshall

18 BIRTHPLACE OF

FATHER (City)

(State or country)

Boston

mass

19 MAIDEN NAME

OF MOTHER

Ellen Doherty

20 BIRTHPLACE OF

MOTHER (City)

(State or country)

Ireland

21 Margaret marshall Informant .. (Address) 696 burk Rdb Winthrop

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

Walter 6. Kaker

(Signature of Agents of Board of Health or other). 2/25/55

(Official Designation)

(Date of Issue of Permit)

V.I. V

ICTIONS OR ERTIFICATE

iving F DEATH 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) slating ving cause

ons contrib- leath but not disease or using death.

100M-10-53-910621

PLACE OF DEATH

X Suffolk county)

Registered 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

Brookline

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.

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, See. 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, See. 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 me headmmenwealth 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 dark of the town where the body is to be buried or the funeral is to be held, ør front al person appointed to have the care of the cemetery or burial ground in which the interment is made.

. . . . Chap. 114, Sec. 46, G. (excentenary Edition).

RULES OF PRACTICE

The fulfillment of the purpose of these laws calls for the observance of the follow- ing rules of practice:

(1) Attending physicians.will certify to such deaths only as those of persons to whom they have given bedside, care during la 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 sterncalagents, 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, eook-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

Auffull

(County) Mintegy (City of frown)

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.

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)

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

Feb

1955

(Year)

8 SEX

9 COLOR OR RACE

10 SINGLE

MARRIED

WIDOWED

or DIVORCED

(write the word)

4 I HEREBY CERTIFY .

I last saw h ...........

.. alive on.

death is said to

have occurred on the date stated above, at

INTERVAL BE-

TWEEN ONSET AND DEATH

11 IF STILLBORN, enter that fact here.

Stillborn -

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.

16 BIRTHPLACE (City) (State or country)

OTHER

SIGNIFICANT

CONDITIONS

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, (Signed) .. (Address).

M. D

Date: GB 27 355

Place of Burun or Cremation

DATE OF BURIAL

150

7 NAME OF FUNERAL DIRECTOR

ADDRESS

Received and filed.

MAS/2 1900

(Registrar)

PARENTS

18 BIRTHPLACE OF FATHER (City) (State or country)

Chart Bastón

19 MAIDEN NAME OF MOTHER

Flora Dunbar

20 BIRTHPLACE OF MOTHER (City) (State or country)

Cant Bastar

21 Informant. (Address)

Felold flug

I HEREBY CERTIFY that a satisfactory standard certificate of death was filed with me BEFORE the burial or transit permit was issued: Walter A. Habeis. XSignature of Agent of Board of Health or other) Thealche week 3/2/55

(Official Designation) (Date of Issue of Permit)

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 cause

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

SOM-(D)-6-51-904917

IR-301A 1

PLACE OF DEATH No.

2 FULL NAME ... Baby Boy Ford (If deceased is a married, widowed or divorced woman, give also maiden name.)

6 Central Se

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

(Month)

(Day)

That I attended deceased from

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)

Intra-uterine asphyxiation

ANTE

CEDENT (b)

CAUSES

Due To

Pre-Maturity

Due To (c)

17 NAME OF FATHER Gerald Ford,

Boston

Muede 2

Registered No.

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 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 heen 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., (Tercenter.ary Edition).

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Town of Winthrop : Record of Deaths 1955, Part 14

Author: Winthrop (Mass.) Publication date: 1955 Publisher: Number of Pages: 570

Author: Winthrop (Mass.)
Publication date: 1955
Publisher:
Number of Pages: 570