USA > Massachusetts > Suffolk County > Winthrop > Town of Winthrop : Record of Deaths 1956 > Part 40
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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 otherpersonk 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 orits 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. (Dercentenary Edition).
RULES.DE 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 bedeide care during a last illness from disease unrelated to any form of injury,
(2) Board of Health physicians wiH 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 Examineri 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) thermen of electrical agents, and deaths following abortion, but also deaths from disease faulting from injury or infection related to occupation. the sudden deaths of persons hot 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
20-2-7 bullock (County) Winthrop (City or Town)
No.
2 FULL NAME
(If deceased is a married, widowed or divorced woman, give also maiden name.)
822 Lasatoga (a) Residence. No ..... (Usual place of abode)
Length of stay: In place of death ............ years. months. 6 days. In place of residence/S Je months. .. days.
PERSONAL AND STATISTICAL PARTICULARS
8 SEX
7.
9 COLOR
20
10 SINGLE
MARRIED ¿
WIDOWED
Pegarried
10a If married, widowed, or divorced HUSBAND of ........
(or) WIFE of.
(Give maiden name of wife y full)
amedel La Croix
(Husband's name in full)
11 IF STILLBORN, enter that fact here.
12
62
Years
.. Months.
Days'
If under 24 hours
Hours .......
.Minutes
13 Usual
Occupation :
Housework( HoursmitE>
(Kind of work done during most of working life)
14 Industry
or Business :
0 um Home
15 Social Security No ....
16 BIRTHPLACE (City)
(State or country)
East Boston Mass
17 NAME OF
FATHER
Frederick Taylor
18 BIRTHPLACE OF
FATHER (City)
(State or country)
mass
19 MAIDEN NAME
OF MOTHER
Eleanor Johnston
20 BIRTHPLACE OF
MOTHER (City)
(State or country)
-Canada
21 amedee, La Crois
Informant.
(Address) 222 Danalogo Il E Basta
I HEREBY CERTIFY that a satisfactory standard certificate of death was filed with me BEFORE the burial or transit permit was issued: Nawied Ttaker (Signature of Agent of Board of Health or other)
Theactor Such 5 / 22/36
(Official Designation )
VV
(Date of Issue of Permit)
X
MEDICAL CERTIFICATE OF DEATH
3 DATE OF
DEATH
may
20
1956
(Year)
(Month)
(Day)
4 I HEREBY CERTIFY,
That I attended deceased from
MARCH
1, 1956,
to.
MAY
1956
I last saw hERalive on
MAY
200
19
56
death is said to
3 60P
m.
have occurred on the date stated above, at
DEATH WAS CAUSED BY: IMMEDIATE CAUSE
MYOCARDIAL INFARCTION
(a)
Due To (b)
Due To
(c)
OTHER
SIGNIFICANT
POST OPERATIVE
CONDITION VENTRAL HERNIA
NO
Was autopsy performed?
What test confirmed diagnosis?
NONE
5 Was disease or injury in any way related to occupation of deceased? NO If so, specify ..
(Signed)
Charles J. Cataldo
M. D.
(Address)
48 BYRON D. BOSTONDate MAY 21
19. 50
6
Hola Gras Place of Burial or Cremation
DATE OF BURIAL
(City or Town)
Mars 23 1956
7 NAME OF
FUNERAL DIRECTOR
Bliss les A Treanor
ADDRESS
Received and filed MAY 23 1956 19
(Registrar)
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.
100
§(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,
no
if so specify WAR)
Gast Boston
St
(If nonresident, give city or town and State)
RUCTIONS FOR CERTIFICATE
giving OF DEATH ot enter than one for each (b) and (c)
does not mean e of dying, heart failure, etc. It means se, or compli- which caused
ons, if any, gave rise to cause (a), the under- cause last.
-
tions contrib- death but not the terminal ondition given
- Chapter 137, 1954, requires ans to print or he cause or of death on ertificates.
100M.11-55-916145
INTERVAL BETWEEN ONSET AND DEATH SUDDEN
PARENTS
Provincetown
Malden
Esof Boston
WinthropCommunity Hospital Stella M. La Croix
(write the word)
1
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- 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 beff Alne sus 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 ar'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.
Chạp. 114, Sec. 46, G. L., (Tercentenary Edition).
TOW
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: haye 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
............
1
:
×
PLACE OF DEATH
Suffolk (County)
Winthrop (City of 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.
101
Registered No.
j(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)
(a) Residence. No. 25 Summit Avenue. Winthrop 52 , Massachusetts
(If nonresident, give city or town and State)
(Usual place of abode) Length of stay: In place of death4.3 .years months days. In place of residence 4. O .... years. .months .days.
MEDICAL CERTIFICATE OF DEATH
PERSONAL AND STATISTICAL PARTICULARS
3 DATE OF
DEATH
May
21
1956 (Year)
8 SEX
Male
9 COLOR OR RACE
White
10 SINGLE
(write the word)
MARRIED
WIDOWED
or DIVORCEDWidowed
4 I HEREBY CERTIFY.
.April .. 6
19.56
to
May
.21
56
I last saw
h.
.. im ... alive on
May .... 21
19.56., death is said to
have occurred on the date stated above, at
6:00 Pm.
INTERVAL BE- TWEEN ONSET ANO DEATH
DISEASE OR CONDITION DIRECTLY LEADING TO DEATH (a) Coronary Heart Disease
1 mo
12
AGE.
84
Years
Months
Days
If under 24 hours
Hours
Minutes
ANTE
CEDENT (b)
CAUSES
Due To
Arteriosclerotic. Heart
Disease
Due To
(c)
Arteriosclerosis
over 6 yrs
OTHER
SIGNIFICANT
CONDITIONS
Major findings:
Of operations
No
Date of operation
Was autopsy performed ?...... No
What test confirmed diagnosis ?..
Electrocardigram
5 Was disease or injury in any way related to occupation of deceased ?.... no.
If so,
(Signed)
(Address)27 Bennington .St. , .. Date ... May .21 .19.56
M. D.
Revere 51, Mass, Holy Cross
(City or Town)"
DATE OF BURIAL.
May 24, 1955
19
Frank M Carr
7 NAME OF FUNERAL DIRECTOR ADDRESS. 79 Elm de Charlestown
Received and filed.
MAY 23 1956
19
(Registrar)
PARENTS
18 BIRTHPLACE OF
unknown
FATHER (City) (State or country)
19 MAIDEN NAME
OF MOTHER
Mary Denvir
20 BIRTHPLACE OF MOTHER (City) (State or country)
Charlestown Mass.
.... Malden 21 Informant Mrs Andre C. Jasse
(Address) 25 Sum it Avenue Wirthron
I HEREBY CERTIFY that a satisfactory standard certificate of death was filed with me BEFORE the burial or. transit permit was issued: Walter of theopera
(Signature of Agent of Board of Health or other)
5/23/16
(Official Designation)
(Date of Issue of Permit)
STRUCTIONS FOR AL CERTIFICATE In giving E CF DEATH not enter re than one se for each ), (b) and (c)
is does not mean de of dying, such failure, asthenia, means the disease, plications which death.
orbid conditions. giving rise to the ause (a) stating derlying cause
nditions contrib- the death but not to the disease or n causing death.
11.5.
50M-5-52-907046
RM R-301A 1
No. . 25 Su mit Ave Frederic
2 FULL NAME ..
J. Murphy
(If deceased is a married, widowed or divorced woman, give also maiden name.)
(Month)
(Day)
That I attended deceased from
10a If married, widowed, or divorced
HUSBAND of
Mabel .G .... Leonard
(Give maiden name of wife in full)
(or) WIFE of (Husband's name in full)
11 IF STILLBORN, enter that fact here.
13 Usual
Occupation:
Insurance
broker ...
(Kind of work done during most of working life)
Over 6 yrs
14 Industry
or Business :.
40 Brond St. Boston
15 Social Security No.
015-38-62524
16 BIRTHPLACE (City) .. Charlestown., ........ Ma.s.s .... (State or country)
17 NAME OF FATHER George A. Murphy
6 Place of Burial or Cremation
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 sectio! 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 'aken 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 eause 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. 6.32, 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 nosuch 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: 11. Sec. 46, G. L .. (Tercentenary Edition).
12 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 hedside 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.
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.
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