USA > Massachusetts > Suffolk County > Winthrop > Town of Winthrop : Record of Deaths 1955 > Part 24
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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 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,
Medical examiners shall make cxamination 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 discascs resulting from injury or infection relating to occupation. or suddenly when not : gisabled by recognizable disease, or when any person is found dead. ... - General This. ¡ Chap. 38, Sec. 6., as amended by Chap. 632, Scc. 4. Acts of 1945.
No undertaker or other persons shall bury a human body or the ashes thereof Mạch have been brought into the commonwealth until he has received a permit so to do from the board of health or its agent appointed to issue such permits, or if there is no such board, from the clerk of the town where the body is to be buried or the funeral is to be held, or from a person appointed to have the care of the cemetery or burial ground in which the interment is made.
:- Chap. 114, Sec.46, G. L., (Tercentenary Edition).
RULES OF PRACTICE
The fulfillment of the purpose of these laws calls for the observance of the 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.
(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.
(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 occup -- 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
V
RM R-301A 1
PLACE OF DEATH
X SUFFOLK (County)
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. 66
J(If death occurred in a hospital or institution, St. [ give its NAME instead of street and number)
PHYSICIAN - IMPORTANT
2 FULL NAME .. JOSEPH KURLAND
(If deceased is a married, widowed or divorced woman, give also maiden name.)
(a) Residence. No. 383 SHIRLEY
St.
WINTHROP
(If nonresident, give city or town and State)
Length of stay: In place of death ............ years .... .months. ........... days. In place of residence .. years .G.months ....... days.
MEDICAL CERTIFICATE OF DEATH
PERSONAL AND STATISTICAL PARTICULARS
3 DATE OF
DEATH
(Month)
(Day)
8 SEX
MALE
9 COLOR OR RACE
WHITE
10 SINGLE
MARRIED
WIDOWED
of DIVORCED
(write the word) MARRIED
4 I HEREBY CERTIFY,
That I attended deceased from
3/28/ 1955 to 3-30
I last saw hf M alive on 3-30- 195 death is said to
have occurred on the date stated above, at 4:A.M.
INTERVAL BE-
(Husband's name in full)
11 IF STILLBORN, enter that fact here.
12
AGE
76
.Months
Days
If under 24 hours
Hours ... . Minutes
13 Usual
Occupation :
JUNK DEALER
(Kind of work done during most of working life)
14 Industry
or Business:
RETIRED
15 Social Security No.
NONE
16 BIRTHPLACE (City)
(State or country)
RUSSIA
17 NAME OF
FATHER
SAMUEL KURLAND
18 BIRTHPLACE OF
FATHER (City)
(State or country)
RUSSIA
19 MAIDEN NAME
OF MOTHER
MALKA WALDMAN
20 BIRTHPLACE OF MOTHER (City) (State or country)
RUSSIA
21 EDWARD 1. KURLAND
Informant (Address)
30 MERMAID QUE WILLTHE
7 NAME OF
FUNERAL DIRECTOR
AARON GOLOV
ADDRESS 1668 BEACON ST. BROOKLINE MAR 30 100
Received and filed 19
(Registrar)
PARENTS
5 Was disease or injury in any way related to occupation of deceased?
LE so, s
(Signed) a. n. Caplan
M. D.
(Address) 186PRINCE FON ST Date 13 3-30-1955
NO
TIFFRETH ISRAEL 6 Place of Burial or Cremation (City or Town)
EVERETT
DATE OF BURIAL MARCH 30
1955
10yes
Major findings: Of operations
Date of operation . Was autopsy performed?
What test confirmed diagnosis?
TWEEN ONSET AND DEATH
DISEASE OR CONDITION
DIRECTLY LEADING CORONARY
TO DEATH (a)
THROMBOSIS
ANTE CEDENT (b) CAUSES
Due To ARTERIOSCLEROSIS
Due To (c)
OTHER
SIGNIFICANT
CONDITIONS
DIABETES
MELLITIS
2 DAYS
2 DAYS
20 YRS
10a If married, widowed, or divorced
HUSBAND of.
FANNIE
LIEBER
(Give maiden name of wife in full)
(or) WIFE of
Į (Was deceased a
U. S. War Veteran,
if so specify WAR)
No
(Usual place of abode)
NSTRUCTIONS FOR CAL CERTIFICATE In giving SE OF DEATH o not enter ore than one use for each a), (b) and (c)
his does not mean ode of dying, such l failure, asthenia, means the disease, nplications which death.
forbid conditions, giving rise to the cause (a) staling nderlying cause
onditions contrib- o the death but not to the disease or on causing death.
te :- Chapter 137, of 1954, requires icians to print or the cause or causes death on death ficates.
50M-3-54-911887
I HEREBY CERTIFY that a satisfactory standard certificate of death was filed with me BEFORE the burial or transit permit was issued: Walter f: Hover.
(Signature, of Agent of Board of Health or other) Health Jejich 3/30/55
(Official Designation)
(Date of Issue of Permit)
3MARCH
30
1955
(Year)
WINTHROP (City or Town)
No. 383
SHIRLEY
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 hest 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 horder 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 hy violence, the medical examiner shall make such certificate. If such a permit for the removal of a human body, not previously interred, from one town to another within the commonwealth cannot be ohtained 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 Ethermaltor 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, See. 4, Acts of 1945.
No tindestaker or other persons shall bury a human body or the ashes thereof which bave 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 beard, from the clerk of the town where the body is to be buried or the funeral is to be held, or from a person appointed to have the care of the 'cemetery or burial ground in which the interment is made.
Chap. 114, Sec 16. G. L. (Tercentenary Edition).
RULES OF PRACTICE
Thể ty 765 hts 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 a last illness from disease unrelated to any form of injury.
Board of Health physicians will certify to such deaths only as those of pertofur lough disabled by recognized disease unrelated to any form of injury, Have died without Hetent 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
ORM R-301A 1
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
67
Mount's Rest Home 104 Highland Ave No. WILHELMINA(Meinhardt
LEMAY
(If deceased is a married, widowed or divorced woman, give also maiden name.)
63 CHESTERAVE.
WINTHROP
MASS
(If nonresident, give city of town and State)
Length of stay: In place of death. years months 5 .days. In place of residence .years months .days.
MEDICAL CERTIFICATE OF DEATH
PERSONAL AND STATISTICAL PARTICULARS
3 DATE OF
DEATH
MARCH (Month)
30, (Day)
1955 (Year)
8 SEX Female
9 COLOR OR RACE
White
MARRIED
WIDOWED
or DIVORCED
Wido
4 I HEREBY CERTIFY,
That I attended deceased from
MAR. 29, 1955.
to.
MAR 30
1953
I last saw h ER .. alive on MAR 30,, 195 S death is said to
10a If married, widowed, or divorced HUSBAND of . (Give maiden name of wife in full)
(or) WIFE of
John Le . May
(Husband's name in full)
DISEASE OR CONDITION
DIRECTLY LEADING
TO DEATH (a)
CHRONIC MYOCARDITIS
1 YEAR
12 AGE 7 .. Years 2 Months 11Days
If under 24 hours
.Hours . Minutes
13 Usual
Hougewife
Occupation :
(Kind of work done during most of working life)
14 Industry
At Home
or Business :.
15 Social Security No.
16 BIRTHPLACE (City)
(State or country)
Phila
Penn
17 NAME OF FATHER Charles F Meinhardt
18 BIRTHPLACE OF
FATHER (City)
(State or country)
Germany
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 a·n. Caplan MD IM
M. D.
(Add ) PRINCETONST E.BDate 3-30-1955 Woodlawn Everett
6
Place of Burial or Cremation
(City or Town)
DATE OF BURIAL
Apr. 2 1955
19
7 NAME OF
FUNERAL DIRECTOR
Ernest P Caggiano
ADDRES
147 Winthrop St Winthrop
Received and filed.
APR 1 1955
19
(Registrar)
PARENTS
19 MAIDEN NAME OF MOTHER Annie C Beattie
20 BIRTHPLACE OF
MOTHER (City)
(State or country)
England
21
Informant
(Address)
95 Bay view Ave Winthro P
I HEREBY CERTIFY that a satisfactory standard certificate of death was filed with me BEFORE the burial or transit permit was issued: Watter of Makes. (Signature of Agent of Board of/Health or other)
4-1-55
Official Designation9
(Date of Issue of Permit)
V.I. V
INSTRUCTIONS FOR ICAL CERTIFICATE In giving JSE OF DEATH do not enter more than one ause for each (a), (b) and (c)
This does not mean node of dying, such ari failure, asthenia, t means the disease, implications which d death.
Morbid conditions, y, giving rise to the cause (a) stating underlying cause
Conditions contrib- to the death but not d to the disease or tion causing death,
50m-(b)-11-49-900,569
ANTE CEDENT (b) CAUSES GENERALIZED
(Cystitis- PYELINS
5DAYS
OTHER
LEFT HEMIPLEGIA
SIGNIFICANT
CONDITIONS
DIABETES MELLITUS
Major findings:
Of operations
Due To ARTERIOSCLEROSIS
POYEARS
11 IF STILLBORN, enter that fact here.
INTERVAL BE- TWEEN ONSET AND DEATH
have occurred on the date stated above, at 11:45 Pm.
.26
To be filed for burial permit with Board of Health or its Agent
Registered No.
J(If death occurred in a hospital or institution.
. St. Į give its NAME instead of street and number)
2 FULL NAME
PHYSICIAN - IMPORTANT
(Was deceased a
U. S. War Veteran.
if so specify WAR)
(a) Residence. No. (Usual place of abode)
10 SINGLE
(write the word)
George F Meinhardt
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, oavy 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).
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