Town of Winthrop : Record of Deaths 1955, Part 41

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


USA > Massachusetts > Suffolk County > Winthrop > Town of Winthrop : Record of Deaths 1955 > Part 41


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Registered No.


121


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


2 FULL NAME


Francis J. Letson


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


186 Bartlett Rd. , Winthrop, Mass.


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


5 years 6


months. 15days.


In place of residence.


.... years.


months


.days.


MEDICAL CERTIFICATE OF DEATH


3 DATE OF DEATH May


16 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.) Coronary Occlusion


11a If married, widowed, or divorced HUSBAND of (Give maiden name of wife in full)


(or) WIFE of


(Husband's name in full)


12 IF STILLBORN, enter that fact here.


13


AGE


64 Years


4


.Months ..


.10Days


If under 24 hours


.Hours


Minutes


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 octur?)


Nature of


Injury


While at work?


.Was autopsy performed?


Nc


6 Was disease or injury in any way related to occupation of deceased? If so, specify


(Signed)


Ralph P. McCarthy


M. D.


(Address)


Peabody, Mass.


Date ..


5/17/55


Woodlawn Cemetery, Everett, Mass. 7


Place of Burial, or Cremation.


(City of Town) 1955


DATE OF BURIAL. May 20,


8 NAME OF


FUNERAL DIRECTOR


Howard S. Reynolds


ADDRESS Winthrop, Mass.


Received and filed. 19


(Registrar of City or Town where deceased resided)


PARENTS


19 BIRTHPLACE OF


Chatham


FATHER (City).


(State or country)


N. B. Canada


20 MAIDEN NAME OF MOTHER Elizabeth Abrams


Cha tham


21 BIRTHPLACE OF


MOTHER (City)


(State or country)


N. B. Canada


22 Mary E. Sheehan


Informant


(Address)


Hathorne, Mass.


A TRUE COPY.


ATTEST:


(Registrar of City or Town where death occurred)


DATE FILED


May 19,


........


19


55


WRITE TAINET, WETTE ONPAVING DRIVE INS ITTIS IS APERMANENT RECORD


25M-5-52-907046


PLACE OF DEATH


M R-305 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 after the close of the month in which the death occurred. (See Chap. 46, Sec. 12, G. L.) 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


PERSONAL AND STATISTICAL PARTICULARS


9 SEX


Male


10 COLOR OR RACE


White


11 SINGLE


MARRIED


WIDOWED


or DIVORCED


(write the word)


single


14 Usual


Occupation:


Tool Maker


(Kind of work done during most of working life)


15 Industry or Business:


16 Social Security No ...


Unknown


17 BIRTHPLACE (City)


(State or country)


England


18 NAME OF


FATHER


Henry F. Letson


Liverpool


(Specify type of place)


(Was deceased a


No


U. S. War Veteran,


( if so specify WAR)


(If nonresident, give city or town and State)


Length of stay: In place of death .years


No. Danvers State Hospital


Jay


RECEIVED


1


-


JUNGS


. .


1


.


PLACE OF DEATH


Suffolk (County)


A R-301A 1 Winthrop (City or Town) 125 Cliff Ave. No.


The Commonwealth of Massachusetts EDWARD J. CRONIN SECRETARY OF THE COMMONWEALTH DIVISION OF VITAL STATISTICS STANDARD CERTIFICATE OF DEATH


To be filed for burial permit with Board of Health or its Agent.


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


Marion (Sawyer) Armstrong 2 FULL NAME ..


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


(a) Residence. No.


(Usual place of abode)


Length of stay: In place of death 15 years .. .months .days. In place of residence.


15


.. years .. months .days.


MEDICAL CERTIFICATE OF DEATH


PERSONAL AND STATISTICAL PARTICULARS


8 SEX


Female


9 COLOR OR RACE


White


10 SINGLE


MARRIED


WIDOWED Widow


or DIVORCED-


4 I HEREBY CERTIFY,


FEB


19 50


to.


JUNE 1


19


I last saw h


CR


alive on


JUNE ,


1955


death is said to


INTERVAL BE-


10a If married, widowed, or divorced


HUSBAND of


(Give maiden name of wife in full)


(or) WIFE of ..


Frank Armstrong


(Husband's name in full)


11 IF STILLBORN, enter that fact here.


12


AGE76


Years


5


Months


6


Days


If under 24 hours


Hours . . Minutes


13 Usual


Housewife


Occupation:


(Kind of work done during most of working life)


14 Industry


At Home


or Business:


None


15 Social Security No.


Randolph


16 BIRTHPLACE (City)


(State or country)


Vermont


17 NAME OF


FATHER


Unable to obtain


18 BIRTHPLACE OF


FATHER (City).


(State or country)


unableto obtain


19 MAIDEN NAME


OF MOTHER


Cinciplate Obtain


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


21 Louise Paul


Informant


(Address)


Woodland Rd. North Hampton"


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


(Signature of Agent of Board of Health or other)


6/3/59-


(Official Designation)"


(Date of Issue of Permit)


X


RUCTIONS FOR CERTIFICATE


giving OF DEATH ot enter than one for each (b) and (c)


does not mean of dying, such ilure, asthenia, ans the disease. cations which th .


id conditions. ing rise to the se (a) stating lying cause


tions contrib- e death but not the disease or causing death.


- Chapter 137, 1954, requires ns to print or cause or causes th on death tes.


SOM-3-54-911867


7 NAME OF


FUNERAL DIRECTOR


Howard S Rumolds


ADDRESS


Winthrop


JUN 3 1950 19


Received and filed


(Registrar)


TWEEN ONSET AND DEATH 1/2 HR.


ANTE


CEDENT


(b)


Due To HYPERTENSIVE + ARTERIO-


CAUSES


SCLEROTIC HEART DISEASE


7 YRS.


Due To (c)


OTHER


SIGNIFICANT NINE


CONDITIONS


Major findings:


Of operations.


NONE


Date of operation


NONE


Was autopsy performed ?.


NONE


What test confirmed diagnosis ?.


CLINICAL


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


If so, specify


(Signed).


mynon n. Tam ZARPLEASANT SI Date JUNE 2


M. D.


لکر19.


(Address) Woodlawn


6 Place of Burial or Cremation


Everett (City or Town)


DATE OF BURIAL


June 3 19.55


PHYSICIAN - IMPORTANT


(Was deceased a


U. S. War Veteran,


if so specify WAR)


125 Cliff Ave.


St.


(If nonresident, give city or town and State)


(write the word)


3 DATE OF


DEATH


June


1


1955


(Month)


(Day)


(Year)


That I attended deceased from


have occurred on the date stated above, at


10 20A


.m.


DISEASE OR CONDITION


DIRECTLY LEADING


TO DEATH


(a)


ACUTE MYOCARDIAL


INFARCT


PARENTS


Registered No.


1.22


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 he 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.


RECEIVED


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 it's 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 fromp 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., (Terreliterary Edition). .


RULES OF PRACTICE


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


(1) Attending physicians will candy 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.


(3) Medical Examiners Mil


due to injury. These fenyvesgate and certify to all deaths supposably onlydeaths 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 .....


M R-303 A 1


of Death. See reverse side for extracts from the laws relative to the return of certificates of death. DEATH in plain terms, so that it may be properly classified under the International Classification of Causes information should be carefully supplied. MEDICAL EXAMINERS should state CAUSE AND MANNER OF N. B. - WRITE PLAINLY, WITH UNFADING BLACK INK-THIS IS A PERMANENT RECORD.


PLACE OF DEATH


Suffolk (County) Winthrop (City or Town) 134 Circuit Rd. No. ...


The Commonwealth of Massachusetts EDWARD J. CRONIN SECRETARY OF THE COMMONWEALTH DIVISION OF VITAL STATISTICS MEDICAL EXAMINER'S CERTIFICATE OF DEATH


To be filed for burial permit with Board of Health or its Agent.


Registered No. ...


123


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


Jo-ann Murphy


(Hayder)


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


(a) Residence. No. 134 Circuit Od. Minkrop


(Usual place of abode)


(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


Female


10 COLOR OR RACE


White


11 SINGLE


MARRIED


WIDOWED


or DIVORCED


(write the word)


Manid


11a If married, widowed, or divorced


HUSBAND of .....


(or) WIFE of


Robert


(Give maiden name of wife in full)


0


murphy


(Husband's name in fully


12 IF STILLBORN, enter that fact here.


13


5525.


AGE my .. Years .. O .....


Months.


.Days


If under 24 hours


Hours ..


Minutes


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


(Specify type of 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) ...


20 Thathad 1/ Date 6/4/1955


(Address)


Luongo M. D.


St


7 Place of Burial, or Cremation. (City or Town)


DATE OF BURIAL Keine 1955


8 NAME OF FUNERAL DIRECTOR Maria 2 Hab


ADDRESS


Received and filed. JUN ........ 6 .... 1955


.....


.......... 19


(Registrar)


PARENTS


18 NAME OF


FATHER


Joseph 5 Hayden


19 BIRTHPLACE OF


FATHER (City).


Siminille


(State or country) mars


20 MAIDEN NAME


OF MOTHER


Mary Masterson


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


Revere


22 134 Caul Rd Informant. (Address)


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


Ho


(Signature of Agent of Board of Health or other) .


an


6/6/55


(Official Designation)


(Date of Issue of Permit)


VE


3 DATE OF


DEATH


(Month) (Day)


3


1955


(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.) RHEUMATIC HEART DISEASE


CARDIAC DILATATION, MASSIVE


ACUTE CONGESTIVE HEART


FAILURE


14 Usual


Occupation :.


Housewife


(Kind of work done during most of working life)


15 Industry


or Business:


at home


16 Social Security No.


Boston


17 BIRTHPLACE (City)


(State or country)


man


25M-1-52-906135


.


If deceased was a U. S. War Veteran, G.L. Chap. 46, Section 10, requires physicians to insert a recital to that effect. place?


Every item of


2 FULL NAME.


PHYSICIAN - IMPORTANT


XWas deceased a U. S. War Veteran, ( if so specify WAR).


14


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 imine- 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, See. 10.


JUN


No undertaker or other person shaff 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 haft received a permit from the board of health or its agent aforesaid or from the ch 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 actompanied, 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 V


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. as amended by Chap. 48. Acts of 1927 and Chap. 414, Acts of 1931.


No undertaker or other person shall bury a human hody or the ashes thereof which have been brought into the commonwealth until he has received a perinit so to do from the board of health or its agent appointed to issue such permits, or if there is no such board, fronr 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 inade ....... .Chap. 114,


Sec. 46, G. L., as amended.


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 Tresultima 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.


. .. The medical examiner certifies the cause and manner of death to the best of his knowledge and belief.


RULES OF PRACTICE


:The fluffmentof the purpose of these laws calls for the observance of the follow- ing fules of practice:


(1)+ Attending physicians will certify to such deaths only as those of persons to whom they bose given bedside care during a last illness from disease unrelated to any form ofjury. (2) Board of Health physicians will certify to such deaths only as those of sons whenthough disabled by recognized disease unrelated to any forin of mjuryhave afed without recent medical attendance or whose physician is absent tyhomewhen the certificate of death is needed. rc


Medical Examiners will investigate and certify to all deaths supposably due toInjury. 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, doad.


STATEMENT OF CAUSE OF DEATH


Medical Examiners in certifying to a death will state the cause and manner thereof, and will specify: (1) Under eause the nature of an injury and of its consequences; and (2) under manner the mode of its production together with the circumstances when these are known. For example: "Compound fracture of the femur with ensuing septicemia (gas bacillus) caused by a steam railway accident." "Pistol shot wound of the chest with associated hemorrhage, hom- icidal." "Asphyxiation by suspension, suicidal." "Syncope while under the influence of ether administered as a surgical anaesthetic." "Fracture of the skull with associated internal injury sustained under circumstances unknown."




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