USA > Massachusetts > Suffolk County > Winthrop > Town of Winthrop : Record of Deaths 1955 > Part 16
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X PLACE OF DEATH
Suffolk (County)
Winthrop (City or Town)
The Commonwealth of Massachusetts EDWARD J. CRONIN SECRETARY OF THE COMMONWEALTH DIVISION OF VITAL STATISTICS STANDARD CERTIFICATE OF DEATH
To be filed for burial permit with Board of Health or its Agent.
41
j(If death occurred in a hospital or institution, St. } give its NAME instead of street and number)
2 FULL NAME ... Edith Sawyer Newton
-
PHYSICIAN - IMPORTANT
(Was deceased a
U. S. War Veteran,
if so specify WAR)
(a) Residence. No. 258 Court Road (Usual place of abode)
St.
(If nonresident, give city or town and State)
Length of stay: In place of death. years months. .days. In place of residence 30
.years.
months.
.. days.
MEDICAL CERTIFICATE OF DEATH
PERSONAL AND STATISTICAL PARTICULARS
8 SEX
-
9 COLOR OR RACE
10 SINGLE
(write the add)
MARRIED marr
WIDOWED
Of DIVORCED
10a If married, widowed, or divorced
19
-
HUSBAND of
(Give maiden name of wife in full)
(or) WIFE of
Allen Edward Newton
(Husband's name in full)
11 IF STILLBORN, enter that fact here.
12
AGE68
.Years
6
Months
7.
Days
If under 24 hours
Hours . .. Minutes
13 Usual
Occupation :
Housewife
(Kind of work done during most of working life)
14 Industry
or Business:
Own Home
15 Social Security No.
16 BIRTHPLACE (City).
(State or country)
Mass.
17 NAME OF FATHER Charles Addison Sawyer
18 BIRTHPLACE OF
FATHER (City)
Stirling
(State or country) Mass.
19 MAIDEN NAME
OF MOTHER
Alice Cogshal
20 BIRTHPLACE OF
MOTHER (City)
Nantucket
Mass (State or country) Mass.
21 Informant Allen ... E ..... Newton
(Address) 258 Court Road, Winthrop
I HEREBY CERTIFY that a satisfactory standard certificate of death was filed with me BEFORE the burial or transit permit was issued:
Mass.
Walter S. Maker
(Signature of Agent of Board of Health or other -Z
Health Officer (Official Designation) (Date of Issue of Permit)
25/55
RUCTIONS 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
tions contrib- death but not he disease or ausing death.
5 Was disease of injury many way related to doupation of deceased? no
M. D.
(Signed)
Winthrop Board & Healthy
Date. 28 Feb 1955.
1
6 Winthrop Cemetery, Winthrop. Place of Burial or Cremation (City or Town) DATE OF BURIAL March 2 18551 01 19
7 NAME OF
FUNERAL DIRECTOR
Walked 73 March
ADDRESS
174 Winthrop St. Winthrop,
MAR 1 1958
19
Received and filed
(Registrar)
INTERVAL BE- TWEEN ONSET AND DEATH
ANTE
Due To
Presumably Coronary
CEDENT (b)
CAUSES
Occlusion
(Day)
(Year)
4 I HEREBY CERTIFY,
That
I attended deceased from
- 19
-
to
I last saw h ....*
alive on
19
....... ", death is said to
have occurred on the date stated above, at
8 A.
.m.
DISEASE OR CONDITION
DIRECTLY LEADING
TO DEATH (a)
Matural Causes
Due To Anterio-sclerotic
(c)
Heart Disease
OTHER
SIGNIFICANT
CONDITIONS
Sclerosis
Major findings:
Of operations.
Date of operation
Was autopsy performed?
no
What test confirmed diagnosis?
-
Cerebral Arterio-
-
50M (B)- 1-51 903586
,S.
1 R-301A 1
Registered No.
No.
258 Court .... Road
(If deceased is a married) widowed or divorced woman, give also maiden name.) .
30
3 DATE OF
DEATH
February 26, 1955
(Month)
Hema le
White
Malden
PARENTS
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 sakl 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 nade 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 transnit 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. 4.5. 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.
andeltaker 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 onthe funeral is to be held, or from a person appointed to have the care of the cemetery for burial ground in which the interment is made.
14.Gbap, 114 Sec. 46, G. L., (Tercentenary Edition).
RULES OF PRACTICE
9
The fulfillment of the purpose of these laws calls for the observance of the follow- m&rules of practice (Attending physicians will certify to such deaths only as those of persons mom they are given bedside care during a last illness from disease unrelated niGry.
Dostid of Health physicians will certify to such deathsonly as those of petseushot 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 Thesereclude not only deaths caused directly or indirectly by MAMitism (including resulting septicemia), and by the action of chemical (drugs or poisons) thermal, or electrical agents, and deaths following abortion, but also deaths from disease resulting from injury or infection related to occupation. the sudden deaths of persons not disabled by recognized disease, and those of persons found dead.
Statement of Cause of Death .- Physicians: see explanatory instructions on face side of standard certificate of death.
Statement of Occupation .- Precise statement of occupation is very import- ant, so that the relative healthfulness of various pursuits can be known. Make some entry in this section for every person aged 10 years or over. If the occupa- tion had been given up or changed, or if the deceased had retired from business, report the kind of work done during most of working life even if retired. Children not gainfully employed may be returned as at school or at home. For a woman whose only occupation was that of home housework, write housework. For a person engaged in domestic service for wages, however, designate the occupation by the appropriate terms, as housekeeper-private family, cook-hotel, etc. For a person who had no occupation whatever write none.
SPACE FOR ADDITIONAL INFORMATION
DATE OF ENTERING MILITARY SERVICE
DATE OF DISCHARGE
RANK, RATING
ORGANIZATION AND OUTFIT
SERVICE NUMBER
X
PLACE OF DEATH
SUFFOLK .. (County) WINTHROP (City or Town)
The Commonwealth of Massachusetts EDWARD J. CRONIN SECRETARY OF THE COMMONWEALTH DIVISION OF VITAL STATISTICS STANDARD CERTIFICATE OF DEATH
To be filed for burial permit with Board of Health or its Agent.
42
MOUNT'S CONVALESCENT HOME 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)
NONE
(a) Residence.
No.
(Usual place of abode)
43 SARATOGA
St.
EAST BOSTON
(If nonresident, give city or town and State)
Length of stay: In place of death years 4 months .days. In place of residence
50 years .-
months
days.
MEDICAL CERTIFICATE OF DEATH
PERSONAL AND STATISTICAL PARTICULARS
8 SEX F.
9 COLOR OR RACE
WHITE
10 SINGLE
MARRIED
WIDOWED
or DIVORCED
SINGLE
4 I HEREBY CERTIFY,
That I attended deceased from
NOVEMBER
1954
to FEBRUARY 28
19 55
I last saw h .... alive on.'
FEBRUARY 27, 1955.
th is said to
have occurred on the date stated above, at
10:15 Am.
INTERVAL BE-
DISEASE OR CONDITION
DIRECTLY LEADING
TO DEATH (a) TERMINAL PNEUMONIA
TWEEN ONSET AND DEATH 4 DAYS
ANTE
CEDENT (b)
CAUSES
Due To
CEREBRAL THROMBOSIS
Due To
(c)
HYPERTENSIVE
HEART DISEASE
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 ?. ₩ 0
If so, specify ... .
(Signed)
Franco P Schraffa
M. D.
(Address) 149P ation St. 5,12 Date MAR. 1
55
20 BIRTHPLACE OF
MOTHER (City)
UNKNOWN
6 CALVARY Place of Burial or Cremation
BOSTON (City or Town)
DATE OF BURIAL
MARCH 3
1943
7 NAME OF
FUNERAL DIRECTOR
Spor T. Arhite
ADDRESS 100 Boudoust &. Both
Received and filed
MAR 1 .....
1955 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)
11 IF STILLBORN, enter that fact here.
12
AGE
85%
Months
Days
If under 24 hours
Hours
Minutes
Occupation:
13 Usual
HOUSE WORK
(Kind of work done during most of working life)
14 Industry
or Business:
AT HOME
15 Social Security No. .
NONE
16 BIRTHPLACE (City).
(State or country)
MASS.
17 NAME OF
FATHER
John T. MCCARTHY
PARENTS
18 BIRTHPLACE OF
FATHER (City)
UNKNOWN
(State or country)
IRELAND
19 MAIDEN NAME
OF MOTHER
CATHERINE L. CLIFFORD
(State or country)
IRELAND
21 MARY T. SULLIVAN
(NIECE)
I HEREBY CERTIFY that a sausfactory standard certificate of death was filed with me BEFORE the burial or transit pergut was issued: Walter &- Makers. XSignature of Agent of Board of Health or other)
Healthe Officee 3/1/55
(Official Designation) (Date of Issue of Permit)
X
I R-301A 1
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.
50m-(b)-11-49-990,560 .
(Month)
FEBRUARY 28 (Day)
1955
(Year)
Registered No. ...
2 FULL NAME
ELLEN L. MCCARTHY
(If deceased is a married, widowed or divorced woman, give also maiden name.)
(write the word)
3 DATE OF
DEATH
8 DAYS
BOSTON
Informant
(Address)
EXTRACTS FROM THE LAWS OF THE COMMONWEALTH OF MASSACHUSETTS GOVERNING THE RETURN OF CERTIFICATES OF DEATH
A physician or registered hospital medical officer shall forthwith, after the death of a person whom he has attended during his last illness, at the request of an undertaker or other authorized person or of any member of the family of the deceased, furnish for registration a standard certificate of death, stating to the best of his knowledge and belief the name of the deceased, his supposed age, the disease of which he died, defined as required by section one, where same was contracted, the duration of his last illness, when last seen alive by the physician or officer and the date of his death. . . Gen. Laws, Chap. 46, Sec. 9.
A physician or officer furnishing a certificate of death as required by the preceding section or by section forty-five of chapter one hundred and four- teen, shall, if the deceased, to the best of his knowledge and belief, served in the army, navy or marine corps of the United States in any war in which it has been engaged, insert in the certificate a recital to that effect, specifying the war, and shall also certify in such certificate both the primary and the secondary or imme- diate cause of death as nearly as he can state the same. For neglect to comply with any provision of this section, such physician or officer, shall forfeit ten dollars. For the purposes of this section and of sections forty-five, forty-six and forty-seven of said chapter one hundred and fourteen, the word "war" shall include the China relief expedition and the Philippine insurrection, which shall, for said purposes, be deemed to have taken place between February fourteenth, eighteen hundred and ninety-eight and July fourth, nineteen hundred and two, and the Mexican border service of nineteen hundred and sixteen and nineteen hundred and seventeen. G. L. Chap. 46. Sec. 10.
No undertaker or other person shall bury or otherwise dispose of a human body in a town, or remove therefrom a human body which has not been buried, until he has received a permit from the board of health, or its agent appointed to issue such permits, or if there is no such board, from the clerk of the town where the person died; and no undertaker or other person shallexhume a human body and remove it from a town, from one cemetery to another, or from one grave or tomb other than the receiving tomb to another in the same cemetery, until he has received a permit from the board of health or its agent aforesaid or from the clerk of the town where the body is buried. No such permit shall be issued until there shall have been delivered to such board, agent or clerk, as the case may be, a satisfactory written statement containing the facts required by law to be returned and recorded, which shall be accompanied, in case of an original inter- ment, by a satisfactory certificate of the attending physician, if any, as required by law, or in lieu thereof a certificate as hereinafter provided. If there is no attending physician, or if, for sufficient reasons, his certificate cannot be obtained early enough for the purpose, or is insufficient, a physician who is a member of the board of health, or employed by it or by the selectmen for the purpose, shall upon application make the certificate required of the attending physician. If death is caused by violence, the medical examiner shall make such certificate. If such a permit for the removal of a human body, not previously interred, from one town to another within the commonwealth cannot be obtained early enough for the purpose, the certificate of death made as above provided and in the possession of the undertaker desiring to make such removal shall constitute a permit for such removal; provided, that such body shall be returned to the town from which it was removed within thirty-six hours after such removal, unless a permit in the usual form for the removal of such body has been sooner obtained hereunder. If the
death certificate contains a recital, as required by section ten of chapter forty-six. that the deceased served in the army, navy or marine corps of the United States in any war in which it has been engaged, such recital shall appear upon the permit. The board of health, or its agent, upon receipt of such statement and certificate, shall forthwith countersign it and transmit it to the clerk of the town for registra- tion. The person to whom the permit is so given and the physician certifying the cause of death shall thereafter furnish for registration any other necessary information which can be obtained as to the deceased, or as to the manner or cause of the death, which the clerk or registrar may require .- Chap. 114, Sec. 45, G. L., (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 y 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 bv Chap. 632, Sec. 4. Acts of 1945.
No undertaker or hithere forthis shall bury a human body of 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 issuc such pernuts, or if there is no such bested. fro werk of the town where the body is to be buried or the funeral is to hell 04 Hay a person appointed to have the care of the cemetery or burial chandan whatIf the interment is made.
Chap. Beck 7 (ercentenary Edition).
RULES OF PRACTICE
N!
The fulfill the purpose of these laws calls for the observance of the follow- ing rules of praet (1) Attending physicianHAcertify to such deaths only as those of persons to whom they ba Core during a last illness from disease unrelated to any form of (2) Board of flami will certify to such deathsonly as those of persons who, though recognized disease unrelated to any form of injury, have died withd ent 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. De include not only deaths caused directly or indirectly by WHAng resulting seofcemia), and by the action of chemical traumatism (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
Copies of returns of deaths which occurred in your city or town in case the deceased resided in another city or town at the time of death should be transmitted on Form R-305 to the clerk of the city or town in which the deceased resided as soon as possible after the close of the month in which the death occurred. (See Chap. 46, Sec. 12, G. L.)
S
PLACE OF DEATH
(County)
(City or Town)
The Commonwealth of Massachusetts EDWARD J. CRONIN SECRETARY OF THE COMMONWEALTH DIVISION OF VITAL STATISTICS COPY OF MEDICAL EXAMINER'S CERTIFICATE OF DEATH
BOSTON -
(City or town making return)
Registered No.
800. 43
Boston City Hospital No.
[(If death occurred in a hospital or institution, St. [ give its NAME instead of street and number)
2 FULL NAME.
Richard E Cox
(If deceased is a married, widowed or divorced woman, give also maiden name.)
57 Seaview Ave
St.
Winthrop Mass
(If nonresident, give city or town and State)
Length of stay: In place of death
.....
.years.
.. months.
.days. In place of residence.
.....
.years.
months.
.days.
MEDICAL CERTIFICATE OF DEATH
PERSONAL AND STATISTICAL PARTICULARS
9 SEX
Male
10 COLOR OR RACE
White
11 SINGLE
MARRIED
WIDOWED
or DIVORCED
(write the word)
Married
11a If married, widowed, or divorced
HUSBAND of
Alice E Budreau
(Give maiden name of wife in full)
(or) WIFE of
(Husband's name in full)
12 IF STILLBORN, enter that fact here.
13
AGE
Years
Months
Days
If under 24 hours
Hours ....
Minutes
14 Usual
Occupation:
(Kind of work done during most of working life)
15 Industry
or Business:
Navy Yard
16 Social Security No.
Winthrop dass
17 BIRTHPLACE (City).
(State or country)
Richard D Cox
18 NAME OF
FATHER
19 BIRTHPLACE OF
Boston Mass
FATHER (City)
(State or country)
20 MAIDEN NAME
OF MOTHER
Lillie Jacobs
21 BIRTHPLACE OF
W Newton Mass
MOTHER (City)
(State or country)
Wife
22
Informant
(Address)
A TRUE COPY.
?
ATTEST: ....
Viles H. Mackie
(Registrar of City or Town where death occurred)
DATE FILED
......
Jan 27
19
55
3 DATE OF
DEATH
Jon 24. 1955
(Month)
(Day)
(Year)
4 I HEREBY CERTIFY that I have investigated the death of the person above-named and that the CAUSE AND MANNER thereof are as follows: (If an injury was involved, state fully.) Fracture of skull. Accidental
fall on sidewalk. Boston 1/21/55
5 Accident, suicide, or homicide (specify)
Date and hour of injury.
19
Where did Injury occur ?. (City or town and State)
Did injury occur in or about home, on farm, in industrial place, or in public place?
Manner of
Injury
(How did injury occur?)
Nature of
Injury
While at work?
Was autopsy performed? yes
6 Was disease or injury in any way related to occupation of deceased?
If so, specify.
(Signed)
R Ford
M. D.
(Address) Date:
1/24
.. 19.5.5
Winthrop Com
Winthrop Mass
7 Place of Burial, or Cremation. (City or Town)
DATE OF BURIAL. Jan 27
19.55
8 NAME OF
FUNERAL DIRECTOR
E P Caggiano
...
ADDRESS
Winthrop,
Mass
MAR 18 1955
Received and filed 19
(Registrar of City or Town where deceased resided)
Vel
R-305 1
25M.5.52.907046
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