USA > Massachusetts > Suffolk County > Winthrop > Town of Winthrop : Record of Deaths 1955 > Part 31
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WINTHE
OF
---
-
P.
NIW
112
TOWN
MAS
A
PM
APR22
RECEIVED
M R-301A 1
PLACE OF DEATH No.
X Suffolk (County) Withrep (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.
Registered No.
87
J(If death occurred in a hospital or institution, St. [ give its NAME instead of street and number)
Anthony Leo Vogel 2 FULL NAME.
(If deceased is a married, widowed or divorced woman, give also maiden name.) 185 Woodside ave .
(a) Residence. No. (Usual place of abode)
Length of stay: In place of death. .. years
months. 3. .. days. In place of residence.
: 45 ye ... years. .. months. days.
MEDICAL CERTIFICATE OF DEATH
3 DATE OF
DEATH
abril
23
1955
(Month)
(Day)
(Year)
4 I HEREBY CERTIFY.
That I attended deceased from
Sept. 1952 ... to .. april 23.
19 55
I last saw her alive on. april 23, 1955, death is said to
have occurred on the date stated above, at 2:30Pm
INTERVAL BE-
(Husband's name in full)
11 IF STILLBORN, enter that fact here.
12
84
Years
0
Months
2
.Days
If under 24 hours
Hours . Minutes
13 Usual
Occupation :
Stereotyper
(Kind of work done during most of working life)
14 Industry
or Business:
newx
Paper
15 Social Security No 011-14-2179
16 BIRTHPLACE (City) (State or country)
17 NAME OF FATHER William Vogel
18 BIRTHPLACE OF
FATHER (City) Barvaria
(State or country)
19 MAIDEN NAME OF MOTHER Unable to obtain
20 BIRTHPLACE OF MOTHER (City) (State or country)
Bavaria
Lennart
InFrancis. H. Vogel
21 Informant .. (Address)
R. I HEREBY CERTIFY that a satisfactory standard certificate of death was filed with me BEFORE the burial or transit permit was issued: Walter f. Baker
(Signature of Agent of Board of Health or other)
4/25/25
(Official Designation Y
(Date of Issue of Permit)
V.S.V
10a If married, widowed, or divorced HUSBAND of arate (Give maiden name of wife in full)
E, Holland
DISEASE OR CONDITION
DIRECTLY LEADING Cerebral Thrombosis
TO DEATH (a)
(recurrent)
3 days
ANTE
CEDENT (b)
CAUSES
Due
Cerebral Arteriosclerosis
years
Due To Generalized Arteriosclerosis
(c)
OTHER SIGNIFICANT CONDITIONS
Major findings: Of operations.
Date of operation
Was autopsy performed? no
What test confirmed diagnosis ?.
clinical
5 Was disease or injury in any way related to getupation of deceased? no
M. D. (Signed) (Address) Winthrop, MasDate 25 April 1955 6 St.
Place of Burial or Cremation
"(Chy or Town)
DATE OF BURIAL april 26 ..
195$
Howard S. Kugallery
7 NAME OF FUNERAL DIRECTOR 180 Winthrop 7 ADDRESS
APR 2 0 0: 19
(Registrar)
PERSONAL AND STATISTICAL PARTICULARS
8 SEX
male
9 COLOR OR RACE
white
10 SINGLE
MARRIED
WIDOWED
or DIVORCED
(write the word)
wondered
PHYSICIAN - IMPORTANT -
(Was deceased a
U. S. War Veteran,
if so specify WAR)
TRUCTIONS FOR L CERTIFICATE
giving OF DEATH not enter than one e for each (b) and (c)
does not mean of dying, such ilure, asthenia. ans the disease. ications which ath.
bid conditions, ving rise to the se (a) stating erlying cause
itions contrib- re death but not the disease or causing death.
:- Chapter 137. 1954, requires ans to print or cause or causes ath on death ates.
50M-3-54-911667
Received and filed ..
TWEEN ONSET AND DEATH
years
South Bouton
PARENTS
city Hospital
(If nonresident, give city or town and State)
(or) WIFE of
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 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 derk of the town where the body is to be buried or the funeralis 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).
MIN
: RULES OF PRACTICE
The fulfillment of the purpose of these laws calls for the observance of the follow- ing tales of practice !!
(N) Attending physicians will certify to such deaths only as those of persons to, whom they have giyen bedside care during a last illness from disease unrelated tò any formof mufry.
(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.
BD Medical Examiners will investigate and certify to all deaths supposably due to Ingurs. These ifitlude 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.
SF
SPACE FOR ADDITIONAL INFORMATION
DATE OF ENTERING MILITARY SERVICE
DATE OF DISCHARGE
RANK, RATING
ORGANIZATION AND OUTFIT.
E
SERVICE NUMBER
de of th be di co or pr te ar en dia vi Fc f el mir er
1 n : a: uc er en th ec f 1 ha s et
hy nc E PI at er ur e n en
PLACE OF DEATH
SufFolk (County) Winthrop (City or Town) 16
The Commonwealth of Massachusetts EDWARD J. CRONIN SECRETARY OF THE COMMONWEALTH DIVISION OF VITAL STATISTICS STANDARD
To be filed for burlal ·permit with Board of Health or its Agent.
88
John E Kelly 2 FULL NAME
(If deceased is a married, widowed or divorced woman, give also maiden name.) 16 Pearl Ave
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
3 DATE OF
DEATH
April
(Month)
(Day)
28
1955
(Year)
8 SEX
MAle
9 COLOR QR RACE
White
10 SINGLE
MARRIED
WIDOWED
or DIVORCED
write the word) Widowed
10a If married. Andoweg or divorced McCormick HUSBAND of / Annie)
(Give maiden name of wife in full)
(or) WIFE of.
(Husband's name in full)
11 IF STILLBORN, enter that fact here.
12
AGE
89.
Months
Days
If under 24 hours
Hours . . Minutes
13 Usual
Occupation :
Cooper
(Kind of work done during most of working life)
14 Industry
or Business:
Retired
15 Social Security N
CANNOT BE Learned
16 BIRTHPLACE (City) St .John
(State or country)
New Brunswick
17 NAME OF
FATHER
Edward Kelly
18 BIRTHPLACE OF
FATHER (City) (State or country)
Ireland
19 MAIDEN NAME
OF MOTHER
MARY BURKE
20 BIRTHPLACE OF
MOTHER (City)
(State or country)
Ireland
- 21
Informant
Avista Fontaine.
(Address) 16 Pearl Ave Winthrop
7 NAME OF
FUNERAL DIRECTOR
Frederick & magrado
ADDRESS East Boston
Received and filed APR 29 1955 19
(Registrar)
-
I last saw h
.. alive on
19
., death is said to
have occurred on the date stated above, at
5:40 P.m.
DISEASE OR CONDITION
DIRECTLY LEADING
TO DEATH (a).
Natural Causes
INTERVAL BE- TWEEN ONSET AND DEATH
ANTE
Due To
Presumably Coronary
CEDENT (b)
CAUSES
Occlusion
Due (c) ...
Generalized Arterio- sclerosis
OTHER SIGNIFICANT CONDITIONS
Major findings:
Of operations ..
Date of operation
Was autopsy performed? no
What test confirmed diagnosis ?.
5 Was disease of injury in any way related to Occupation of deceased? no
If so, specie Char Co.
(Sig
Winthrop Board of Hea
mywaym.b
6 Health M. D. Date 29 april. 55
(Address)" ..
6
Holy
CROSS
Malden
Place of Burial or Cremation (City or Town)
DATE OF BURIAL. MAY
50M (B)-1-51 903586
TRUCTIONS FOR L CERTIFICATE giving OF DEATH not enter than one e for each (b) and (c)
does not mean of dying, such ailure, asthenia, cans the disease. lications which atk.
bid conditions, ving rise to the ase (a) stating erlying cause
ditions contrib- he death but not the disease or causing death.
M R-301A 1
No.
Pearl Ave
CERTIFICATE OF DEATH
Registered No.
J(If death occurred in a hospital or institution. St. Į 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)
That I attended deceased from
4 I HEREBY CERTIFY.
19
to
19
PERSONAL AND STATISTICAL PARTICULARS
PARENTS
I HEREBY CERTIFY that a satisfactory standard certificate of death was filed with me BEFORE me burial of transit permit was issued: Walter f. Walker. (Signature of Agent of Board of Health or other)
4/19/55
Theatthe Heck
(Official Designation)
(Date of Issue of Permy)
X
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, Scc. 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 tecn, 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 ncarly as he can state the same. For neglect to comply with any provision of this section, such physician or officer, shall forfeit tert dollars. For the purposes of this section and of sections forty-five, forty-six and fortyseven~ 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 ..... te rules of practice:
F O I d n service of nineteen hundred and sixteen and nineteen hundred and seventeen. G. L. Chap. 46, Sec. 10.
6
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 pas remove it from a town, from one cemetery to another, or from one grave or tofm 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 held, or from a person appointed to have the care of the cemetery or burial ground in winch the interment is made.
.Chap. 114, Scc. 46, G. L., (Tercentenary Edition).
RULES OF PRACTICE
The fulfillment of the purpose of these laws calls for the observance of the follow-
(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.
api? (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 supposally 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
O t 1 d c 0
t a e S d
h S P TI O T O S a T n 1: F e C a C
I t
t
f
L
F C
S
X
PLACE OF DEATH
Suffolk
(County)
Boston
(City or Town)
The Commonwealth of Massachusetts EDWARD J. CRONIN SECRETARY OF THE COMMONWEALTH DIVISION OF VITAL STATISTICS COPY OF CERTIFICATE OF DEATH
8
Boston
(City or town making return)
Registered No.
89 2741
New England Deaconess Hospt. No.
J(If death occurred in a hospital or institution, St. [ give its NAME instead of street and number)
2 FULL NAME George 0 Lloyd (If deceased is a married, widowed or divorced woman, give also maiden name.)
(Was deceased a
U. S. War Veteran,
if so specify WAR)
(a) Residence. No. 9 .... Albert Ave. (Usual place of abode)
St.
Winthrop Mass.
(If nonresident, give city or town and State)
Length of stay: In place of death. ........ .years. .. months2. ...... days. In place of residence ..... 3.2 .. years .. months. .days.
MEDICAL CERTIFICATE OF DEATH
PERSONAL AND STATISTICAL PARTICULARS
8 SEX M
9 COLOR OR RACE
10 SINGLE
MARRIED
WIDOWEDharried
or DIVORCED
4 I HEREBY CERTIFY,
That I attended deceased from
....... Feb. · ··· 22 ......
1955
to
March 15
1955
I last saw h ....
im
.. alive on
have occurred on the date stated above, at.
12 ,104
.m.
INTERVAL BE-
TWEEN ONSET
AND DEATH
4 Hr
11 IF STILLBORN. enter that fact here.
12
AG 63
.Years
Months.
Days
If under 24 hours
Hours.
.Minutes
13 Usual
Occupation :
Buyer
(Kind of work done during most of working life)
14 Industry
or Business :.
Radi o
15 Social Security No.
16 BIRTHPLACE (City)
(State or country)
Cambridge Mess ..
17 NAME OF
FATHER
James Lloyd
Dans BIRTHPLACE OF
FATHER (City)
England
(State or country)
19 MAIDEN NAME
OF MOTHER
Florence K Lovett
20 BIRTHPLACE OF
MOTHER (City)
Haliafx.N.S.
(State or country)
21
Informant
(Address)
Mrg Ethel Lloyd
A TRUE COPY
ATTEST:
(Registrar of City or Town where death occurred)
DATE FILED
March 21/55
-
.19
.....
(Registrar of City or Town where deceased resided)
5 Mos ..
OTHER
SIGNIFICANT
CONDITIONS
Major findings:
Of operations.
Duodenal ... ulcer penetrating
Date of operation.
March .... 7/55
autopsy performed? Yes
What test confirmed diagnosis ?.
"autopsy ;xray
5 Was disease or injury in any way related to occupation of deceased?
If so, specify
(Signed)
R.G.Kerr
M. D.
No
(Address) Brookline 19.3. .Date. 3-75 .19 .. 55
Place of Burial or Cinthrop vem Winthrop Mass.
(City br Town)
DATE OF BURIAL March 18/55 19
7 NAME OF
FUNERAL DIRECTOR
E P Caggiano
Winthrop Mass .
ADDRESS.
Received and filed.
NAY 12 1955
19
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
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