USA > Massachusetts > Suffolk County > Winthrop > Town of Winthrop : Record of Deaths 1956 > Part 15
Note: The text from this book was generated using artificial intelligence so there may be some errors. The full pages can be found on Archive.org (link on the Part 1 page).
Part 1 | Part 2 | Part 3 | Part 4 | Part 5 | Part 6 | Part 7 | Part 8 | Part 9 | Part 10 | Part 11 | Part 12 | Part 13 | Part 14 | Part 15 | Part 16 | Part 17 | Part 18 | Part 19 | Part 20 | Part 21 | Part 22 | Part 23 | Part 24 | Part 25 | Part 26 | Part 27 | Part 28 | Part 29 | Part 30 | Part 31 | Part 32 | Part 33 | Part 34 | Part 35 | Part 36 | Part 37 | Part 38 | Part 39 | Part 40 | Part 41 | Part 42 | Part 43 | Part 44 | Part 45 | Part 46 | Part 47 | Part 48 | Part 49 | Part 50 | Part 51 | Part 52 | Part 53 | Part 54 | Part 55 | Part 56 | Part 57 | Part 58 | Part 59 | Part 60 | Part 61 | Part 62 | Part 63 | Part 64 | Part 65 | Part 66 | Part 67 | Part 68 | Part 69 | Part 70 | Part 71 | Part 72 | Part 73 | Part 74 | Part 75 | Part 76 | Part 77 | Part 78 | Part 79 | Part 80 | Part 81 | Part 82 | Part 83 | Part 84 | Part 85 | Part 86 | Part 87
13
60
AGE
Years
Months.
Days
If under 24 hours
Hours .....
.Minutes
14 Usual
Occupation :
(Kind of work done during most of working life)
15 Industry
Shipyard
or Business:
16 Social Security No.
None
17 BIRTHPLACE (City)
(State or country)
Maine
18 NAME OF
FATHER
Duncan MacPhail
19 BIRTHPLACE OF
FATHER (City).
Calais
(State or country)
Maine
20 MAIDEN NAME
OF MOTHER
Jenney Mccabe
21 BIRTHPLACE OF
MOTHER (City)
Calais
(State or country)
Maine
22 Gertrude MacPMail
Informant.
(Address)
125 Hermon St. Winthrop
I HEREBY CERTIFY that a satisfactory standard certificate of death was filed with me BEFORE the burial or transit permit was issued:
Walter & Bakery.
(Signature, of Agent of Board of Health or other)
Thealite Akecer 3/7/56
(Oficial Designation)
(Date of Issue of Permit)
50M-10-53-910621
7 Winthrop
Winthrop
Place of Burial, or Cremation. (City or Town)
DATE OF BURIAL March
8 NAME OF
FUNERAL DIRECTOR Levered S Rumnitro
ADDRESS
Received and filed
MAR : 1966
19
(Registrar)
PARENTS
6 Was disease or injury in any way related to occupation of deceased? ....
Il so, specify The brickles Me.D.
(Signed)
(Address)
Bartin
(Specify type of place)
Injury
Manner
Elapsed at his kome
Nature of
(How did injury occur?)
Injury
died quickly
While at work?
. Was autopsy performed?
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?
Calais
(If nonresident, give city or town and State)
32
....
W.S.
11 SINGLE
(write the word)
Rigger
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 of 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 iinme- 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. as amended by Chap. 48. Acts of 1927 and Chap. 414, Acts of 1931.
No undertaker or other person 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 which the interment is made ...... .. Chap. 114,
Sec. 46. G! LI: 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 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.
The medical examiner certifies the cause and manner of death to the best of his knowledge and belief.
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 in jury, 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
Medical Examiners in certifying to a death will state the cause and manner thereof, and will specify: (1) Under cause 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."
If disease or injury was related to occupation, specify. If investigation shows the death to have been due to disease, specify: (1)Under cause its known or presumable nature; and (2) under manner, indicate the circumstances leading to medico-legal inquiry. For example: "Hemorrhage spontaneous of the brain (basal ganglia) (found dead in bed)." "Heart disease, presumably coronary sclerosis. (Sudden death.)'
SPACE FOR ADDITIONAL INFORMATION
DATE OF ENTERING MILITARY SERVICE Dec. 4, 1917
DATE OF DISCHARGE Sept. 30, 1921
RANK, RATING S.C. 4c
ORGANIZATION AND OUTFIT
Navy
SERVICE NUMBER
132-73-04
[ R-301A 1
SIUCTIONS FOR CERTIFICATE 1 giving SEOF DEATH o ot enter than one u for each (b) and (c)
loes not mean ne of dying, aghheart failure, idetc. It means ste, or compli- s which caused
dons, if any, clave rise to ausc (a), inthe under- g ause last.
ions contrib- tolcath but not d the terminal Indition given 1.
t Chapter 137, 1954, requires sichs to print or e cause or
e
f death on rtificates.
h
+ PLACE OF DEATH
Suffolk (County)
Winthrop (City or Town)
The Commonwealth of Massachusetts EDWARD J. CRONIN SECRETARY OF THE COMMONWEALTH DIVISION OF VITAL STATISTICS STANDARD CERTIFICATE OF DEATH
To be filed for burial permit with Board of Health or its Agent.
38
511 Pleasant Street, Winthrop No.
Francis W. Perrault
(If deceased is a married, widowed or divorced woman, give also maiden name.)
511 Pleasant Street, Winthrop St
Length of stay: In place of death 15 .years. ... months. .days. In place of residence.
15years .months ........ .. days.
MEDICAL CERTIFICATE OF DEATH
3 DATE OF
March
DEATH
(Month)
6 1956 (Year)
(Day)
That I attended deceased from
49 March 6 1956
IAast saw h. malive on
March 6, 1956, death is said to
have occurred on the date stated above, at 1:25 Am.
DEATH WAS CAUSED BY: IMMEDIATE CAUSE Myocardial infarction (a)
Myocardial Infarction
Due To/ to Coronary occlusion. (b)
Coronary Occlusion
Due To (c)
OTHER
SIGNIFICANT / revious coronary
June 1949 CONDITIONS occlusion
Was autopsy performed?
no
What test confirmed diagnosis ?. clinical
5 Was disease or injury in any way related to occupation of deceased? MO If so, specify
(Signed) Arthur C. Murray I. D.
(Address) Winthrop Date Marco/ 1956
Winthrop Cemetery Winthrop 6
Place of Burial or Cremation (City or Town)
DATE OF BURIAL. March 8th 19
56
PERSONAL AND STATISTICAL PARTICULARS
8 SEX
Male
9 COLOR
White
MARRIED
WIDOWED
or DIVORCEDMarried
10a If married, widowed, or divorced
HUSBAND of.
Mary R .Sales
(Give maiden name of wife in full)
(or) WIFE of
(Husband's name in full)
11 IF STILLBORN, enter that fact here.
12
AGE ..
55%
4
Months.
.. Days®
If under 24 hours
Hours ........ Minutes
13 Usual
Installation man
Occupation
(Kind of work done during most of working life)
14 Industry
N.E. Telephone Co.
or Business
15 Social Security No
011-07-7085
Boston
16 BIRTHPLACE (City)
(State or country)
Mass.
17 NAME OF
FATHER
Peter Perrault
18 BIRTHPLACE OF
FATHER (City)
Arashat
(State or country)
Nova Scotia
19 MAIDEN NAME
OF MOTHER
Sarah J. Martell
20 BIRTHPLACE OF
MOTHER (City).
Arashat.
(State or country )
Nova Scotia
21 Informant Mrs. Mary R. Perrault-wife
511 Pleasant St., Winthrop
I HEREBY CERTIFY that a satisfactory standard certificate of death was filed with me BEFORE the burial or transit permit was issued :
(Signature of Agent of Board of Health or other}
Received and filed
MAR 6 1956 19
(Registrar)
PARENTS
Registered No.
$(If death occurred in a hospital or institution,,
St. { give its NAME instead of street and number)
PHYSICIAN - IMPORTANT
( Was deceased a
U. S. War Veteran,
if so specify WAR)
No
(a) Residence. N (Usual place of abode)
(If nonresident, give city or town and State)
Health Alicer
3/6/55
(Official Designation)/
(Date of Issue of Permit)
10 SINGLE
(write the word)
4 h
HEREBY CERTIFY, Sune 19. to ....
INTERVAL BETWEEN ONSET AND DEATH
3 hrs 2 hours 12 hrs 12 hours
100M-11-55-915145
7 NAME OF
FUNERAL DIRECTO Richard C. Kirby
ADDR 917 Bennington St., East Boston"Walter & Makers
2 FULL NAME
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 hy section forty-five of chapter one hundred and four- tern, 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 inelude 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. MAR -
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 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:
(i) 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 Heaith 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 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
...
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
To be filed for burial permit with Board of Health or its Agent.
26 March ave No. ... Harald g. Verdi 2 FULL NAME
$ (If death occurred in a hospital or institution.,
St. { give its NAME instead of street and number)
PHYSICIAN - IMPORTANT (Was deceased a U. S. War Veteran, if so specify WAR)
(If deceased is a married, widowed or divorced woman, give also maiden name.) 26 Marth ave St.
(a) Residence. No .. (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
38 .years months. .. days.
MEDICAL CERTIFICATE OF DEATH
3 DATE OF
DEATH
March
6
1956
(Year)
(Month)
(Day)
4 I HEREBY CERTIFY,
That I attended deceased from
Dec 12
1955.
to ...
March 6
1956
I last saw himalive on March 6, 1956, death is said to
have occurred on the date stated above, at 7:20 A. .. m.
DEATH WAS CAUSED BY: IMMEDIATE CAUSE
(a) Carcinomatosis
Due To (b)
Due To (c)
OTHER
SIGNIFICANT
CONDITIONS
Was autopsy performed?
no
What test confirmed diagnosis ? microscopic exam of ascitic Il
5 Was disease or injury in any way related to occupation of deceased ? no If so, specify ...
(Signed arthur C. Murray M. D. (Address) Winthrop Date 8 /March 1956
Minutos.
(City or Town)
DATE OF BURIAL.
7 NAME OF
FUNERAL DIRECTOR
Maurice W. Huby
ADDRESS Winthrop.
MARC 19
(Registrar)
PERSONAL AND STATISTICAL PARTICULARS
8 SEX Male White
9 COLOR
10 SINGLE
MARRIED
WIDOWED
or DIVORCED
(write the word)
Mand
10a If married, widowed, or divorced HUSBAND of Dorothy M Barker
(Give maiden name 'of wife in full)
(or) WIFE of
(Husband's name in full)
11 IF STILLBORN, enter that fact here.
12
AGE 53
Years
.......
QMonths ...
.Days®
If under 24 hours
Hours ........ Minutes
13 Usual
Occupation :
Supervisor
Kind of work done during most of working life)
14 Industry
or Business:
Electrical: PROTECT:"
15 Social Security No ..
16 BIRTHPLACE (City)
(State or country)
Halifax y 1.
17 NAME OF FATHER William I. Verdi
18 BIRTHPLACE OF
FATHER (City).
(State or country)
England.
19 MAIDEN NAME
OF MOTHER
NIE Mennie, Montgomery
20 BIRTHPLACE OF
MOTHER (City).
(State or country)
n.A.
21 Informant. (Address)
Dorothy M Verdi tack 26 northe que Wine
I HEREBY CERTIFY, that a satisfactory standard certificate of death was filed with me BEFORE the burial or transit permit was issued: Waltist. Jakez8 (Signature of Agent of Board of Health or other) Thatthe Office 3/8/56
(Official Designation)
(Date of Issue of Pernnt)
1,
UCTIONS OR CERTIFICATE giving OF DEATH t enter than one for each b) and (c)
oes not mean of dying, eart failure, tc. It means , or compli- hich caused
is, if any, ve rise to ause (a), the under- ause last.
ions contrib- cath but not the terminal ndition given
Chapter 137, 954, requires s to print or cause or f death on tificates.
.
100M-11-55-916145
6 Place of Burial or Cremation March 9
Received and filed.
INTERVAL BETWEEN ONSET AND DEATH 3 mo.
Registered No.
39
PARENT'S
023-07-6089
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.
Need help finding more records? Try our genealogical records directory which has more than 1 million sources to help you more easily locate the available records.