USA > Massachusetts > Suffolk County > Winthrop > Town of Winthrop : Record of Deaths 1955 > Part 28
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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 (3) Medical Examiners will investigate and certify to all deaths supposably person died; and no undertaker or other person shallexhume a human body and/ Dage to injury. These include not only deaths caused directly or indirectly by
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 arc 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.
A. S.61 Stakyror, 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 may 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 reinetory ne burial ground in which the internient is made.
Club. 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:
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 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.
Traumatism (including resulting septicemia), and by the action of chemical (drugs of 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
(County)
(City or Town) 41 Court Hpd No.
The Commonmralth of Massachusetts EDWARD J. CRONIN, SECRETARY DIVISION OF VITAL STATISTICS STANDARD CERTIFICATE OF DEATH
To be filed for burial permit with Board of Health or its Agent.
80
J(If death occurred in a hospital or institution, St. [ give its NAME instead of street and number)
William H Dealy fr.
(If deceased is a married, widowed or divorced woman, give also maiden name.) 41 Court Rd.
St.
(If nonresident, give city or town and State)
Length of stay: In place of death years. .months days. In place of residence 50 years. .. months .days.
MEDICAL CERTIFICATE OF DEATH
PERSONAL AND STATISTICAL PARTICULARS
8 SEX
Mule
9 COLOR OR RACE
White
10 SINGLE
MARRIED
WIDOWED
or DIVORCED
(write the word) Medwed
4 I HEREBY CERTIFY.
Feb
1950
to ..
april 12
1955
have occurred on the date stated above, at 2 P .. m.
INTERVAL BE-
DISEASE OR CONDITION
DIRECTLY L
TO DEATH (a)
Arteriosclerotic Heart Disease
ANTE
CEDENT
(b)
CAUSES
Due To Generalized Arteriosclerosis
Due To (c)
OTHER
SIGNIFICANT
CONDITIONS
Major findings:
Of operations.
Date of operation.
Was autopsy performed ?. no
What test confirmed diagnosis ?.
clinical
5 Was disease or mary in my way related to occupation of deceased? no. ci Arthur C. murray
(Signed) M. D. (Address)Mehrof Date 14 Cupnil 1955
6 Place of Burial of Cremation
DATE OF BURIAL apue 15 195
7 NAME OF
FUNERAL DIRECTOR
Prawnicy # 1 Fieby
ADDRESS
Received and filed APR 15 4955 19
(Registrar)
15 yrs
11 IF STILLBORN, enter that fact here.
12
AGEL 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)
Cast Boston
Man
17 NAME OF
FATHER
RE Wellerein H. Dealy
18 BIRTHPLACE OF FATHER (City) (State or country)
Auland
19 MAIDEN NAME OF MOTHER Catherine Grund.
20 BIRTHPLACE OF MOTHER (City) (State or country)
Endand
-21 Informant (Address) 4/ Curent Tid.
Thin Marion Dealy
I HEREBY CERTIFY that a satisfactory standard certificate of death was filed with me BEFORE the burial of transit permit was issued: Walter J. Ifalex (Signature of Agent of Board of Health or other)
Thealthe Office 4/15/55
Official Designation) (Date of Issue of Permit)
50M-2-19-25666
april (Month)
12
1955 (Year)
(Day)
That I attended deceased from
I last saw
hum alive on.
april 12 1955, death is said to
(or) WIFE of
(Husband's name in full)
TWEEN ONSET AND DEATH 5 yrs.
10a
If married, wodowed, or divorced
Ellen M
HUSBAND of
(Give maiden name of wife in fun)
Moriarty
PHYSICIAN - IMPORTANT (Was deceased a U. S. War Veteran, if so specify WAR)
(a) Residence. No. (Usual place of abode)
STRUCTIONS FOR AL CERTIFICATE
n giving E OF DEATH not enter re than one se for each ), (b) and (c)
is does not mean le of dying, such failure, asthenia, neans the disease, plications which lealh.
rbid conditions. giving rise to the use (a) staling derlying cause
ditions contrib- the death but not o the disease or n causing death.
M R-301A 1
PARENTS
(City or Town)
Registered No.
2 FULL NAME.
3 DATE OF
DEATH
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 arc supposed to have died by violence, or by the action of chemical, thermal or electrical agents or following abortion, or from diseases resulting E thiEns Vyfof)infection relating to occupation, or suddenly when not disabled by recognizable disease, or when any person is found dead. - General Laws, Chap. 38. Scc. 6., as amended by Chap. 632, Sec. 4. Acts of 1945.
No undertakef bi 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 euphy 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. )14 Sec'6, G. L., (Tercentenary Edition).
8 RULES OF PRACTICE
The Mufumeur of the purpose of these laws calls for the observance of the follow- ing fulgs ok nr Dice
(1)'Atrongmg 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 formofinjury. (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 pare died without recent medical attendance or whose physician is absent from homewhen 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
X
PLACE OF DEATH
(County)
1
(City or Town)
The Commonwealth of Massachusetts EDWARD J. CRONIN SECRETARY OF THE COMMONWEALTH DIVISION OF VITAL STATISTICS COPY OF CERTIFICATE OF DEATH
(City or town making return)
Registered No.
...... ........
New England San & Hospital No.
J(If death occurred in a hospital or institution, St. \ give its NAME instead of street and number)
2 FULL NAME ..
Edward Wechsler
(If deceased is a married, widowed or divorced woman, give also maiden name.)
40 Cliff Avenue
Winthrop
St.
(If nonresident, give city or town and State)
Length of stay: In place of death ...
... years.
1
months.
14
.. days. In place of residence
20
years
months
.. days.
MEDICAL CERTIFICATE OF DEATH
PERSONAL AND STATISTICAL PARTICULARS
3 DATE OF
DEATH
April
15
1955
8 SEX
Male
9 COLOR OR RACE
White
10 SINGLE
MARRIED
WIDOWED
or DIVORCED
(write the word)
(Month)
(Day)
(Year)
4 I HEREBY CERTIFY,
March 3
55
19
to
19
10a If married, widowed, or divorced
Cohen
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
Years
Months.
Days
53
If under 24 hours
Hours
Minutes
Occupation:
13 Usual
Manufacturer-Public Relations
(Kind of work done during most of working life)
14 Industry
or Business :.
Rubber Goods
15 Social Security No.
16 BIRTHPLACE (City).
(State or country)
Russia
17 NAME OF
FATHER
Morris Wechsler
18 BIRTHPLACE OF
FATHER (City)
(State or country)
Russia
19 MAIDEN NAME
OF MOTHER
Sarah White
20 BIRTHPLACE OF
MOTHER (City)
(State or country)
Russia
Ind. Workmen's Circle Cem. W. Roxbury Place of Burial or Cremation
(City or Town)
DATE OF BURIAL
April 17
19
55
7 NAME OF
FUNERAL DIRECTOR
Henry Levine
ADDRESS
70 Harvard St. Brookline
Received and filed.
April 21, 1955
19
(Registrar of City or Town where deceased resided)
PARENTS
21
Informant.
(Address)
NO: Cliff Ave. Winthrop
A TRUE COPY
ATTEST:
(Registrar of City or Town where death occurred)
DATE FILED
April 18.
1955
......
1.13.V
of death should be transmitted on Form R-302 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, Ser 12, G. L.)
25M (E)-6.50-902253
5 Was disease or injury in any way related to occupation of deceased? If so, specify
No
(Signed).
... Max ... J .... Klainer
M. D.
(Address).
...... Stoneham
Date.
4/15
1955
6
Major findings:
Carcinoma of Pancreas
Of operations.
Date of operation
12/9/54
Was autopsy performed?
No
What test confirmed diagnosis ?.
Biopsy
7 Mos.
ANTE
Due To
CEDENT (b)
CAUSES
Due To
(c)
OTHER
SIGNIFICANT
CONDITIONS
TWEEN ONSET AND DEATH
DISEASE OR CONDITION
DIRECTLY LEADING
TO DEATH (a)
Carcinoma .... of .... Pancreas
Metastases
That I attended deceased from
April 15
55
I last saw h.
im
alive on
April 15
19.55
death is said to
have occurred on the date stated above, at
4:31 P
m.
INTERVAL BE-
(a) Residence. No. (Usual place of abode)
(Was deceased a
U. S. War Veteran,
if so specify WAR)
None
Married
RM R-302 1
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 WRITE PLAINLY, WITH UNFADING BLACK INK - THIS IS A PERMANENT RECORD
Lillian Wechsler
RECEIVED
OF
TOW
OFFICE
10 - 1 12
9
MIN
CLERK
8
APR21
AM
X
PLACE OF DEATH SUFFOLK (County) Winthrop (City or Town)
320 Winthrop No.
J(If death occurred in a hospital or institution. St. \ give its NAME instead of street and number)
Richard J Quinlan
(If deceased is a married, widowed or divorced woman, give also maiden name.)
(Was deceased a
U. S. War Veteran,
if so specify WAR)
82
(a) Residence. No. .. 320 Winthrop . St.
(Usual place of abode)
(If nonresident, give city or town and State)
Length of stay: In place of death.
15
years
months. days. In place of residence. 15 years. .. months. .days.
PERSONAL AND STATISTICAL PARTICULARS
8 SEX male
9 COLOR QR RACE White
10 SINGLE
MARRIED
WIDOWED
or DIVORCED
(write the word)
Single
10a If married, widowed, or divorced HUSBAND of .. (Give maiden name of wife in full)
(or) WIFE of
(Husband's name in full)
INTERVAL BE- TWEEN ONSET AND DEATH 11 IF STILLBORN, enter that fact here.
12 AGE 6 2 years
Months . Days
If under 24 hours
Hours
Minutes
13 Usual
Occupation :
Chergyman
(Kind & work done during most of working life)
14 Industry or Business:
15 Social Security No. . abington
16 BIRTHPLACE (City) (State or country)
mass
17 NAME OF FATHER James R QuinLan
18 BIRTHPLACE OF
Was autopsy performed?
no
FATHER (City)
no abington
What test confirmed diagnosis?
5 Was disease or injury in Any way related to occupation of deceased? no
If so, specify Arthur @ murray (Signed) (Address) Winthrop Board of Health M. D. Date 19 02 Emil 1955
St. James Cemetery Whitman 6
Place of Burial or Cremation (City of Town)
DATE OF BURIAL .. april 20
1934
7 NAME OF
Maurice W Kirby FUNERAL DIRECTOR
ADDRESS
210 Winthrop ST Winther
Received and filed APR 201955 .19
(Registrar)
PARENTS
19 MAIDEN NAME OF MOTHER Mary Greaney
20 BIRTHPLACE OF MOTHER (City) Weymouth
(State or country)
Mass
Ma Kiaby 5 - 11-35
21 Informant (Address)
miss Loretta QuinLan 324 commercial ST Whiten
I HEREBY CERTIFY that a satisfactory standard certificate of death was filed with me BEFORE the burial or transit permit was issued: Water It Makers (Signature of Agent of Board of Health or other)
Health Officer 4/19/55
(Official Designation)
(Date of Issue of Permit)
V.I. L
16
1955 (Year)
(Day)
That I attended deceased from
4 I HEREBY CERTIFY.
19
to
19
I last saw h .. ......... alive on
19 ......
., death is said to
have occurred on the date stated above, at.
9P.
m.
DISEASE OR CONDITION DIRECTLY LEADING TO DEATH (a) Natural Causes
ANTE
CEDENT (b) ...
CAUSES
Coronary Occlus
Due To
(c) ..
OTHER
SIGNIFICANT
CONDITIONS
Major findings:
Of operations
Date of operation
Presumably
ion
50M-2-19-25666
TRUCTIONS FOR AL CERTIFICATE
n giving E OF DEATH not enter e than one se for each , (b) and (c)
is does not mean e of dying, such failure, asthenia, seans the disease. lications which eath.
bid conditions. iving rise to the use (a) stating derlying cause
ditions contrib- the death but not o the disease or causing death.
M R-301A 1
The Commonwealth of Massachusetts EDWARD J. CRONIN, SECRETARY DIVISION OF VITAL STATISTICS STANDARD CERTIFICATE OF DEATH
To be filed for burial permit with Board of Health or 1ts Agent.
Registered No.
PHYSICIAN - IMPORTANT
2 FULL NAME
3 DATE OF
DEATH
april
(Month)
MEDICAL CERTIFICATE OF DEATH
(State or country) mass
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.
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