Town of Winthrop : Record of Deaths 1956, Part 4

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

USA > Massachusetts > Suffolk County > Winthrop > Town of Winthrop : Record of Deaths 1956 > Part 4

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(Official Designation)

(Date of Issue of Permit)

10a If married, widowed, or divorced HUSBAND of

(or) WIFE of

James Hanton

(Husband's name in full)

DISEASE OR CONDITION

DIRECTLY LEADING

TO DEATH (a)

anterioraterosi

ANTE CEDENT (b) CAUSES

Due To Senility

1953

Due To (c)

OTHER

SIGNIFICANT

CONDITIONS

NONe

Major findings: Of operations. NUNa

Date of operation.

.. Was autopsy performed?

What test confirmed diagnosis?

SteThescope

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

If so, specify.

(Signed)

(Address).

Blemmy Date

6 Holy brass

maldin (City or Town)

Place of Burial or Cremation

DATE OF BURIAL

Jan 17

1956

7 NAME OF

FUNERAL DIRECTOR.

Charles H . Treamer

ADDRESS

East Boston

Received and filed. JAN 16 19 19

(Registrar)

PARENTS

50M-5-55-915025

NSTRUCTIONS FOR ICAL CERTIFICATE

In giving SE OF DEATH lo not enter ore than one use for each a), (b) and (c)

This does not mean ode of dying, such ri failure, asthenia, means the disease. m plications which l death.

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

onditions contrib- o the death but not to the disease or on causing death.

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

2 FULL NAME

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

Length of stay: In place of death years

(Day)

That I attended deceased from

Jon 14

I last saw her .alive on 250A. m.

'St. [ give its NAME instead of street and number)

no PHYSICIAN - IMPORTANT (Was deceased a U. S. War Veteran. if so specify WAR)

Registered No.

(write the word)

(Give maiden name of wife in full)

1953

treland

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, 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) thermaly of electrical agents, and deaths following abortion, but also deaths from disenseresulting 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

IM R-301A 1

PLACE OF DEATH

X Suffalle (County) Winthrop (City or Town) 259 Bowdown

20-2-8

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. Ernestine Katherine Paithel 2 FULL NAME ..

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

127 Orange

chelsea

St. .

(If nonresident, give city or town and State)

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

54 ves

years

.. months

.. days.

MEDICAL CERTIFICATE OF DEATH

PERSONAL AND STATISTICAL PARTICULARS

8 SEX

Female White

10 SINGLE

MARRIED

WIDOWED

or DIVORCED

(write the word) Widow

10a If married, widowed, or divorced

HUSBAND of.

(or) WIFE of

Tobias J. Raithel

(Husband's name in full)

11 IF STILLBORN, enter that fact here.

12 AGE 71 Chimaria

Months

Days

If under 24 hours

Hours ... ...

Minutes

13 Usual

Occupation :

House Wife

(Kind of work done during most of working life)

14 Industry

or Business:

at home

15 Social Security No.

020-24-6430

16 BIRTHPLACE (City)

(State or country)

Fitchburg Mass

17 NAME OF

FATHER

Christopher Fiedler

Major findings:

Of operations

none

Date of operation none Was autopsy performed? no

What test confirmed diagnosis?

5 Was disease or injury in my way related to occupation of deceased? no If so, specif arthur (Signed) Winthrop Board of Health. D (Address).

Jan 1956

6 Woodlawn

Place of Burial or Cremation

(City or Town)

DATE OF BURIAL I Jan. 18 1056

7 NAME OF FUNERAL DIRECTOR 118 Broadway Chelsea ADDRESS

Received and filed JAN 17 1956 19

(Registrar)

PARENTS

18 BIRTHPLACE OF FATHER (City) (State or country)

germany

19 MAIDEN NAME OF MOTHER Margaret Hohberger

20 BIRTHPLACE OF MOTHER (City) (State of country) Germany

Cuthur Raithet

21 Informant. (Address) 218 Webster Que Chelsea

I HEREBY CERTIFY that a satisfactory standard certificate of death was filed with me BEFORE the burial or transit permit was issued: Walters Wake- (Signature of Agent of Board of Health or other)

1/8/56

(Official Designation)

(Date of Issue of Permit)

3 DATE OF

DEATH

January

1956

(Year)

(Month)

(Day)

That I attended deceased from

· 19

19 ..

I last saw h ..... ..... alive on

19.

death is said to

have occurred on the date stated above, at

6: 30 p.m.

INTERVAL BE- TWEEN ONSET AND DEATH

DISEASE OR CONDITION

DIRECTLY LEADING

TO DEATH (a)

Natural Causes

ANTE CEDENT (b) CAUSES

Due To Arteriosclerotic Heart Disease

Due To Generalized - (c)

Arteriosclerosis

OTHER SIGNIFICANT CONDITIONS

100M-10-53-910621

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

PHYSICIAN - IMPORTANT

(Was deceased a

U. S. War Veteran,

if so specify WAR)

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

9 COLOR OR RACE

Registered No.

STRUCTIONS FOR AL CERTIFICATE n giving E OF DEATH not enter 'e than one se for each , (b) and (c)

is does not mean e of dying, such failure, asthenia, reans the disease. lications which eath.

bid conditions. iving rise to the use (a) stating derlying cause

ditions contrib- the death but not o the disease or causing death.

(Give maiden name of wife in full)

4 I HEREBY CERTIFY.

EXTRACTS FROM THE LAWS OF THE COMMONWEALTH OF MASSACHUSETTS GOVERNING THE

RETURN OF CERTIFICATES OF DEATH

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 E : V : 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 upbh 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.

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- Aing,rules of practice:

i ! (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 1.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 façe 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

ORM R-303 A 1

N. B. - WRITE PLAINLY, WITH UNFADING BLACK INK-THIS IS A PERMANENT RECORD. Every item of MARGIN RESERVED FOR BINDING

If deceased was a U. S. War Veteran, G.L. Chap. 46, Section 10, requires physicians to insert a recital to that effect. 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 stato CAUSE AND MANNER OF

50M-10-53-910621

X PLACE OF DEATH

Su Hlk (County) Winthrop (City or TownD) 26 Sturgis St. 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 pormit with Board of Health or its Agent.

Registered No. ...

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

2 FULL NAME.

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

26 Sturgis St. Winthrop

St.

(If nonresident, ; e city or town and State)

Length of stay: In place of death. 5 .. months. days. In place of residence. ...... 5 months days.

MEDICAL CERTIFICATE OF DEATH

3 DATE OF DEATH Jan .

15- 1956

9 SEX Female

10 COLOR OR RACE

colored

11 SINGLE

MARRIED

WIDOWED

or DIVORCED

single

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.

AGE.

Years

Months.

15 Days

If under 24 hours

Hours.

Minutes

14 Usual

Occupation:

(Kind of work done during most of working life)

15 Industry

or Business:

16 Social Security No.

Corpus Christi

17 BIRTHPLACE (City)

(State or country)

Texas

18 NAME OF

FATHER

Samuel C.Houston

19 BIRTHPLACE OF FATHER (City) (State or country)

Bastrop, Texas.

20 MAIDEN NAME OF MOTHER Eva Nay Green

21 BIRTHPLACE OF

MOTHER (City)

Corpus Christi

(State or country)

Texas

Informant

Samuel ... c.Houston

(Address)

26 turgie st. Winthrop

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

(Signature of Agent of Board of Health or other)

Thealth Officer 1/18/56

(Official Designation) (Date of Issue of Permit)

(write the word)

(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.) asphyxiation due To romitus in plans my

5 Accident, suicide, or homicide (specify) acudenTal

Date and hour of injury ..

9 am-15-

1956

Where did

Winthrop

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

Found dead in her vil

(Specify type of place)

Injury

(How did injury occur?)

Nature of Injury

While at work?

Was autopsy performed?

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

If so, specify Man Brackley

(Signed)

M. D.

(Address)

JOKE - 15- 2056

Smithville 7 Texas Place of Burial, or Cremation. (Gity or Town)

DATE OF BURIAL

....... 195

8 NAME OF Rogers Funeral Home

FUNERAL DIRECTOR ADDRESS.380Cambridge.st.Cambridge

Received and filed. MAN IG b 19

(Registrar)

PERSONAL AND STATISTICAL PARTICULARS

PHYSICIAN - IMPORTANT (Was deceased a U. S. War Veteran, { if so specify WAR) no

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

Marlene A. Houston

.......

PARENTS

EXTRACTS FROM THE LAWS OF THE COMMONWEALTH OF MASSACHUSETTS GOVERNING THE

RETURN OF CERTIFICATES OF DEATH

A physician or officer furnishing a certificate of death as required by the preceding section or by section forty-five of chapter one hundred and four- teen, shall, if the deceased, to the best of his knowledge and belief, served in the army. navy or marine corps of the United States in any war in which it has been engaged, insert in the certificate a recital to that effect, specifying the war, and shall also certify in such certificate both the primary and the secondary or imme- diate cause of death as nearly as he can state the same. For neglect to comply with any provision of this section, such physician or officer, shall forfeit ten dollars. For the purposes of this section and of sections forty-five, forty-six and forty-seven of said chapter one hundred and fourteen, the word "war" shall include the China relief expedition and the Philippine insurrection, which shall, for said purposes, be deemed to have taken place between February fourteenth, eighteen hundred and ninety-eight and July fourth, nineteen hundred and two, and the Mexican border service of nineteen hundred and sixteen and nineteen hundred and seventeen. G. L. Chap. 46. Sec. 10.

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Town of Winthrop : Record of Deaths 1956, Part 4

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

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