Town of Winthrop : Record of Deaths 1956, Part 22

Author: Winthrop (Mass.)
Publication date: 1956
Publisher:
Number of Pages: 534

USA > Massachusetts > Suffolk County > Winthrop > Town of Winthrop : Record of Deaths 1956 > Part 22

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(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 DEE 27 1917

DATE OF DISCHARGE

Jan 7, 1919

RANK, RATING

ENT. PRIVATE de - Disch LowhT.

ORGANIZATION AND OUTFIT

M. S HARl. A. S. TERO

SERVICE NUMBER

2453481

.....

X - 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 burlal permit with Board of Health or its Agent.

No. 19 Elmwood Avenue

2 FULL NAME Della Stone Lincoln

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

(a) Residence. No ...... 19 ...... Elmwood Avenue St

(Usual place of abode)

(If nonresident, give city or town and State)

Length of stay: In place of death 7 .years. months. days. In place of residence. 7.years. „.months .. ... days.

MEDICAL CERTIFICATE OF DEATH

3 DATE OF

DEATH

March

1956

(Month)

(Day)

(Year)

4 I HEREBY CERTIFY,

Lenz 8

19.

to.

MAR 26

I last saw helalive on

MAR 25-

19 56 death is said to

have occurred on the date stated above, at

8 A

DEATH WAS CAUSED BY: IMMEDIATE CAUSE

CORONARY OCCLUSION

(a)

INTERVAL BETWEEN ONSET AND DEATH 1 hr.

2 yas.

Due To WITH CONGESTIVE

(c)

FAILURE

OTHER

CARCINOMA OF UTERUS.

SIG CONDITIONS

8MO.

Was autopsy performed?

What test confirmed diagnosis?

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

(Signed)

Anyrow n. Tung

M. D.

OF MOTHER

Abbie Julia Fowler

(Address) 22 PLEASANT ST

19 WINTHERate. 3/27 .56

Cremation Woodlawn Cemetery Everett, MasState or country) Place of Burial or Cremation (City or Town)

DATE OF BURIAL .. March 28.1956 ... 19

7 NAME OF

FUNERAL DIRECTOR

Lefred B. March

ADDRESS 774 Winthrop St. Winthrop,1

Received and filed MAR ZY 1305 19

(Registrar)

PERSONAL AND STATISTICAL PARTICULARS

8 SEX

9 COLOR

10 SINGLE

(write the word)

MARRIED widowed

WIDOWED

or DIVORCED

female

white

10a If married, widowed, or divorced

HUSBAND of ..

(Give maiden name of wife in full)

(or) WIFE of ..

Edward Haywood Lincoln

(Husband's name in full)

11 IF STILLBORN, enter that fact here.

AGE8.5 ... Years.

3 Months 22 Days

If under 24 hours

Hours ..

Minutes

13 Usual

retired proprietor

(Kind of work done during most of working life)

14 Industry

or Business dressmaking shop

15 Social Security No .....

none

16 BIRTHPLACE (City)

(State or country)

N.B.

17 NAME OF

FATHER

William Penn Stone

18 BIRTHPLACE OF

FATHER

(City) ..

P.en.o.b.s.quis

(State or country)

N.B.

19 MAIDEN NAME

20 BIRTHPLACE OF

MOTHER (City)

Norton

N.B.

21 Informant. Louise Pearson

(Address)

19 Elmwood Ave Winthrop

I HEREBY CERTIFY that a satisfactory standard certificate of death was filed with me BEFORE the burial or transit permit was issued: Tas.s. faute I Making. (Signature of Agent of Board of Health or other) Maithe Much 3/27/56,

(Official Designation)

(Date of Issue of Permit)

M R-301A 1

TRUCTIONS FOR L CERTIFICATE n giving , OF DEATH not enter e than one se for each , (b) and (c)

does not mean de of dying, heart failure, , etc. It means case, or compli- which caused

tions, if any, gave rise to cause (a), g the under- cause last.

ditions contrib- death but not to the terminal condition given

:- Chapter 137, f 1954, requires ians to print or the cause or of death on certificates.

100M.11-55-916145

ARTERIO-SCLEROTIC

(b)

HEART DISEASE

That I attended deceased from

19.

Occupation :

Gagetown

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)

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- te n, 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 clerk of the town where the body is to be buried or the funeral is to be held; or from a person appointed to have the care of the cemetery or burial ground in which the interment is made.

Chap. 114, Sec. 46, G. L., (Tercentenary Edition).

RULES OF PRACTICE

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

(1) Attending physicians will certify to such deaths only as those of persons to whom they have given bedside care during a last illness from disease unrelated to any form of injury.

(2) Board of Health physicians will certify to such 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.

SPACE FOR ADDITIONAL INFORMATION

DATE OF ENTERING MILITARY SERVICE DATE OF DISCHARGE RANK, RATING

ORGANIZATION AND OUTFIT

SERVICE NUMBER

.......

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,

Winthrop Community Hospital "(If death occurred in a hospital or institution, St. [ give its NAME instead of street and number) No.

2 FULL NAME. Edward A. Madden

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

81 Plummer Ave

St.

(If nonresident, give city or town and State)

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

40 years

.months

.days.

MEDICAL CERTIFICATE OF DEATH

3 DATE OF

DEATH

March 26, 1956

(Month)

(Day)

(Year)

4 I HEREBY CERTIFY,

That I attended deceased from

1/18/54.

march 26

1906

I last saw h

Im alive on

marche 26 1956

death is said to

have occurred on the date stated above, at

11.48P

INTERVAL BE-

TWEEN ONSET AND DEATH

DISEASE OR CONDITION

DIRECTLY LEADING

TO DEATH (a)

myocardial

infarct

ANTE

Due To

arteriosclerosis

CEDENT (b)

CAUSES

generalized

OTHER SIGNIFICANT CONDITIONS

congestive Failure

Major findings:

Of operations.

Date of operation

Was autopsy performed?

What test confirmed diagnosis?

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

(Signed).

oseple 4

M. D. (Address) 15K Was GeenLar Cok Date 3/27/1 1926

6 Vernon Grove Cemetery Milford

(Place of Burial or Cremation

(City or Town)

DATE OF BURIAL

March

156

7 NAME OF

FUNERAL DIRECTOR.

Arthur J. O'Maley

Winthrop, Mass.

ADDRESS

Received and filed

MAR 28 1956

(Registrar)

PERSONAL AND STATISTICAL PARTICULARS

8 SEX

Male

White

9 COLOR OR RACE

10 SINGLE

MARRIED

WIDOWED

or DIVORCEMarried

10a If married, widowed, or divorced

HUSBAND of

Leonora B. Boardnuan

(Give maiden name of wife in full)

(or) WIFE of.

(Husband's name in full)

11 IF STILLBORN, enter that fact here.

AGE

.. Years

Months

Days

If under 24 hours

Hours ..

Minutes

Occupation:

13 Usual

Retired Sineat Culler>

(Kind of work done during most of working life)

14 Industry

or Business:

Provision

15 Social Security No. .

015-05-7670

16 BIRTHPLACE (City)

(State or country)

Mass

17 NAME OF FATHER Amos L. Madden

18 BIRTHPLACE OF

FATHER (City)

Milford

(State or country)

Mass

19 MAIDEN NAME

OF MOTHER

L. Angeline Frink

20 BIRTHPLACE OF

MOTHER (City)

Medway

(State or country) Mass

21 Mr. George Patch

Informant (Address) Woodside Ave Winthroo

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

Walter & Wake 8,8 (Signature of Agent of Board of Health or other)

3/28/56

(Official Designation) (Date of Issue of Permit)

INSTRUCTIONS FOR ICAL CERTIFICATE

In giving JSE OF DEATH do not enter more than one ause for each (a), (b) and (c)

This does not mean node of dying, such art failure, asthenia. It means the disease. om plications which d death.

Morbid conditions, , giving rise to the cause (a) stating underlying cause

Conditions contrib- to the death but not d to the disease or tion causing death.

ote :- Chapter 137. s of 1954, requires sicians to print or the cause or causes death on death ificates.

50M-5-55-915025

ORM R-301A 1

Registered No.

PHYSICIAN - IMPORTANT

(Was deceased a

U. S. War Veteran,

if so specify WAR)

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

(write the word)

PARENTS

Hopkinton

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 seventecn. 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 clerk of the town where the body is to be buried or the funeral is to be held, or from a person appointed to have the care of the cemetery or burial ground in which the interment is made.

Chap. 114, Sec. 46, G. L., (Tercentenary Edition).

RULES OF PRACTICE

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

(1) Attending physicians will certify to such deaths only as those of persons to whom they have given bedside care during a last illness from disease unrelated to any form of injury.

(2) Board of Health physicians will certify to such deathsonly as those of persons who, though disabled by recognized disease unrelated to any form of injury, have died without recent medical attendance or whose physician is absent from home when the certificate of death is needed.

(3) Medical Examiners will investigate and certify to all deaths supposably due to injury. These include not only deaths caused directly or indirectly by traumatism (including resulting septicemia), and by the action of chemical (drugs or poisons) thermal, or electrical agents, and deaths following abortion, but also deaths from disease resulting from injury or infection related to occupation, the sudden deaths of persons not disabled by recognized disease, and those of persons found dead.

Statement of Cause of Death .- Physicians: see explanatory instructions on face side of standard certificate of death.

SPACE FOR ADDITIONAL INFORMATION

DATE OF ENTERING MILITARY SERVICE

MAR28

RECEIVEJ

DATE OF DISCHARGE

RANK, RATING

ORGANIZATION AND OUTFIT.

SERVICE NUMBER.

PLACE OF DEATH

Suffolk (County)

M R-301A 1 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.

Registered No. 55

$(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)

94 Brookfield Rd.

(If nonresident, give city or town and State)

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

5 .... years.

.months

.. days.

MEDICAL CERTIFICATE OF DEATH

3 DATE OF

DEATH

March

1956

(Month)

(Day)

(Year)

4 I HEREBY CERTIFY,

That I attended deceased from

mar. 27,

1956

mar 27

I last saw hay alive on

mar

27,1956

death is said to

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Town of Winthrop : Record of Deaths 1956, Part 22

Author: Winthrop (Mass.) Publication date: 1956 Publisher: Number of Pages: 534

Author: Winthrop (Mass.)
Publication date: 1956
Publisher:
Number of Pages: 534