Town of Winthrop : Record of Deaths 1956, Part 47

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


USA > Massachusetts > Suffolk County > Winthrop > Town of Winthrop : Record of Deaths 1956 > Part 47


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(Signed)


Ralph P. McCarthy


M. D.


Injury


(How did injury occur?)


Nature of


Injury


While at work?


Was autopsy performed?


No


5 Accident, suicide, or homicide (specify)


Date and hour of injury


19


Where did


Injury occur?


(City or town and State)


Did injury occur in or about home, on farm, in industrial place, or in public place?


Manner of


(Specify type of place)


(write the word)


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


No.


Danvers State Hospital, Hathorne,


Mary D. Sheehan


JUL19 AM 6 2


X


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


Registered No.


122


((If death occurred in a hospital or institution,, St. { give its NAME instead of street and number) No .. Tyler B Lippincott


2 FULL NAME


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


98 Somerset Ave.


St


(If nonresident, give city or town and State)


Length of stay: In place of death ............ years.


months


5


30


days. In place of residence


.... years.


months.


.........


.. days.


MEDICAL CERTIFICATE OF DEATH


3 DATE OF


DEATH


July


4


1956


(Month)


(Day)


(Year)


FeBEREBY CERTIFY


Julya


5


That I attended deceased from 56 ....


I last saw h ........


alive on


July


3


.. , death is said to


1956


4:00A 1


have occurred on the date stated above, at


INTERVAL BETWEEN ONSET AND 1 DEATH.


11 IF STILLBORN, enter that fact here.


12


Days'


AGE


82 Years


8


Months.


24 Days"


If under 24 hours


Hours ........ Minutes


Pressman


13 Usual


Occupation :


(Kind of work done during most of working life)


14 Industry


or Business:


Newspaper


15 Social Security No ...


029-05-5502


Philadelphia


16 BIRTHPLACE (City).


(State or country)


Penn.


17 NAME OF


FATHER


Henry 1 Lippincott


18 BIRTHPLACE OF


FATHER (City)


Philadelphia


(State or country)


Penn.


19 MAIDEN NAME


OF MOTHER


Mary R Powers


20 BIRTHPLACE OF


MOTHER (City)


Philadelphia


(State or country)


Penn.


21 Laura Lippincott


Informant.


(Address)


98 Somerset Ave, Winthrop


I HEREBY CERTIFY that a satisfactory standard certificate of death was filed with me BEFORE the burial of transit permit was issued: Walter &. Hakes (Signature of Agentof Board of Health or other)


Health officer


7/6/56


(Official Designation)


(Date of Issue of Permit)


Vil


"UCTIONS FOR CERTIFICATE


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


does not mean of dying, steart failure, artc. It means e, or compli- which caused


ians, if any, ave rise to cause (a), the under- ause last.


cions contrib- leath but not the terminal ndition given


8 Chapter 137, 1954, requires ens to print or e cause or of death on rtificates.


PARENTS


PERSONAL AND STATISTICAL PARTICULARS


8 SEX


Male


9 COLOR


White


10 SINGLE


(write the word)


MARRIED


WIDOWED


or DIVORCEparried


10a If married, widowed, or divorced


19


HUSBAND of ....


Laura Storrie


(Give maiden name of wife in full)


(or) WIFE of


(Husband's name in full)


DEATH WAS CAUSED BY: IMMEDIATE CAUSE


(a)


Cirrhosis of Liver


Due To (h)


Due To (c)


OTHER


Uremia


SIGNIFICANT


CONDITIONS


Was autopsy performed?


Nego


& Clinical


What test confirmed diagnosis ?


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


(Signed).


M. D.


(Address) 98 Somerset Ave


Date July 5 1956


Woodlawn Crematory


6


Everett


Place of Burial or Cremation


(City or Town)


DATE OF BURIAL


July 6


19.5.6


7 NAME OF


FUNERAL DIRECTOR


ADDRESS.


/1955 19


Received and filed.


(Registrar)


1 Week


100M. 11-55-916145


R-301A 1


PLACE OF DEATH


Winthrop Community Hospital


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


PHYSICIAN - IMPORTANT


(Was deceased a


U. S. War Veteran,


if so specify WAR)


(a) Residence. No.


(Usual place of ahode)


19


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 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 traumatisme! (including resulting septicemia), and by the action of chemical (drugs or poisons) thermal, or electrical agents, and deaths following abortion, but also deaths from-disease resulting from injury or infection related to occupation, the sudden deaths of persons not disabled by recognized disease, and those of persons found dead.


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


Statement of Occupation .- Precise statement of occupation is very import- ant, so that the relative healthfulness of various pursuits can be known. Make some entry in this section for every person aged 10 years or over. If the occupa- tion had been given up or changed, or if the deceased had retired from business, report the kind of work done during most of working life even if retired. Children not gainfully employed may be returned as at school or at home. For a woman whose only occupation was that of home housework, write housework. For a person engaged in domestic service for wages, however, designate the occupation by the appropriate terms, as housekeeper-private family, cook-hotel, etc. For a person who had no occupation whatever write none.


SPACE FOR ADDITIONAL INFORMATION


DATE OF ENTERING MILITARY SERVICE


DATE OF DISCHARGE RANK, RATING


.....


ORGANIZATION AND OUTFIT


SERVICE NUMBER


......


M R-301A 1


PLACE OF DEATH


+ SuggolK (County) Winthrop (City or Town) - Moy flan ave


Chelsea 8.7.5€


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


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


Registered No.


123


1(If death occurred in a hospital or institution, St. [ give its NAME instead of street and number) No. CipthuR PHYSICIAN - IMPORTANT


2 FULL NAME


(If deceased is a married, widowed or divorced woman, give also maiden name.) 8 Franklin St.


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


Length of stay: In place of death ...... years.


months. 3 days.


In place of residence.


7 years


months .. days.


MEDICAL CERTIFICATE OF DEATH


PERSONAL AND STATISTICAL PARTICULARS


3 DATE OF


DEATH


July (Month)


4 1956 (Year)


8 SEX


Wiele


9 COLOR, OR RACE


White


10 SINGLE


MARRIED


WIDOWED


or DIVORCED


Silverman


(write the word) MatRical


4 I HEREBY CERTIFY, July 2 19 56 to 1954 July 7, 105, death is said to


I last saw halive on.


have occurred on the date stated above, at 3: Yop.m.


INTERVAL BE- TWEEN ONSET


11 IF STILLBORN, enter that fact here.


12


AGE


42


Months


Days


If under 24 hours Hours Minutes


13 Usual


Occupation:


Carpenter


(Kind of work done during most of working life)


14 Industry or Business:


15 Social Security No.


Chelsea


VilaSS


17 NAME OF FATHER


Myck Rather


Major findings:


Of operations.


Date of operation


Was autopsy performed ?.


What test confirmed diagnosis ?. Clinical


5 Was disease or injury in any way related to occupation of deceased? Let If so, (Signed) M. D. (Address)


Date 1/4/


19 .. 5.


ME Lebonan Workmans CircleWestRox Place of Burial or Cremation


DATE OF BURIAL July 5 19:54


Samuel Levine


ADDRESS


7 NAME OF FUNERAL DIRECTOR. 394 Washington St, Doch


Received and filed. JUL 5 1956


19


(Registrar)


PARENTS


19 MAIDEN NAME OF MOTHER annie Maltzinan


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


Russia


21 Informant rReida Rather


(Address) 5 Franklinst Chelsea


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


Health Officer Official Designation


(Date of Issue of Permity


7/5/06 X


TRUCTIONS FOR CL CERTIFICATE


giving OF DEATH


(not enter es than one te for each (b) and (c)


: does not mean 0: of dying, such Philure, asthenia, cans the disease, lications which Math.


f bid conditions. ving rise to the case (a) stating werlying cause


alitions contrib- che death but not the disease or it causing death.


100M-10-53-910621


PARKINSONS


ANTE


CEDENT (b)


CAUSES


Due To


PPA!


J


Due To SYNDROME


(c)


OTHER


SIGNIFICANT


CONDITIONS


5yrs,


10a If married, widowed, or divorced HUSBAND of FREIda


(Give maiden name of wife in full)


(or) WIFE of


(Husband's name in full)


DISEASE OR CONDITION BRONCHESPNEUMONIA AND DEATH DIRECTLY LEADING TO DEATH (a) Brondiop. cumonia 3 days


(Day)


That I attended deceased from


(Was deceased a


U. S. War Veteran,


if so specify WAR)


VLO


Chelsea


St. (If nonresident, give city or town and State)


Ratvier


16 BIRTHPLACE (City)


(State or country)


18 BIRTHPLACE OR FATHER (City) (State or country) Russia


EXTRACTS FROM THE LAWS OF THE COMMONWEALTH OF MASSACHUSETTS GOVERNING THE


RETURN OF CERTIFICATES OF DEATH


A physician or registered hospital medical officer shall forthwith, after the death of a person whom he has attended during his last illness, at the'request of an undertaker or other authorized person or of any member of the family of the deceased. furnish for registration a standard certificate of death, stating to the best of his knowledge and belief the name of the deceased, his supposed age, the disease of which he died, defined as required by section one, where same was contracted, the duration of his last illness, when last seen alive by the physician or officer and the date of his death. . . Gen. Laws, Chap. 46, Sec. 9.


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


No undertaker or other person shall bury or otherwise dispose of a human body in a town, or remove therefrom a human body which has not been buried, until he has received a permit from the board of health, or its agent appointed to issue such permits, or if there is no such board, from the clerk of the town where the person died; and no undertaker or other person shall exhume a human body and remove it from a town, from one cemetery to another, or from one grave or tomb other than the receiving tomb to another in the same cemetery, until he has received a permit from the board of health or its agent aforesaid or from the clerk of the town where the body is buried. No such permit shall be issued until there shall have been delivered to such board, agent or clerk, as the case may be. a satisfactory written statement containing the facts required by law to be returned and recorded, which shall be accompanied, in case of an original inter- ment, by a satisfactory certificate of the attending physician, if any, as required by law, or in lieu thereof a certificate as hereinafter provided. If there is no attending physician, or if, for sufficient reasons, his certificate cannot be obtained early enough for the purpose, or is insufficient, a physician who is a member of the board of health, or employed by it or by the selectmen for the purpose, shall upon application make the certificate required of the attending physician. If death is caused by violence, the medical examiner shall make such certificate. If such a permit for the removal of a human body, not previously interred, from one town to another within the commonwealth cannot be obtained early enough for the purpose, the certificate of death made as above provided and in the possession of the undertaker desiring to make such removal shall constitute a permit for such removal; provided, that such body shall be returned to the town from which it was removed within thirty-six hours after such removal, unless a permit in the usual form for the removal of such body has been sooner obtained hereunder. If the


death certificate contains a recital, as required by, section ten of chapter forty-six. that the deceased served in the army, navy or marine corps of the United States in any war in which it has been engaged, such recital shall appear upon the permit. The board of health, or its agent, upon receipt of such statement and certificate. shall forthwith countersign it and transmit it to the clerk of the town for registra- tion. The person to whom the permit is so given and the physician certifying the cause of death shall thereafter furnish for registration any other necessary information which can 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 derk 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. f \


(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


FH


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


....


El- 7/7


STUCTIONS FOR CERTIFICATE


li giving JOF DEATH o ot enter than one al for each )(b) and (c)


does not mean Hof dying, such ilure, asthenia, ins the disease, ni cations which th.


raid conditions. , Ting rise to the cake (a) stating werlying cause


om tions contrib- aje death but not Ithe disease or ioncausing death.


ot - Chapter 137. 1954, requires skins to print or cause or causes 4th on death in:tes.


50M-5-55-915025


7 NAME OF


asifríes S. Voscella


FUNERAL DIRECTOR


876 Sanstrop De Wevere


Received and filed JUL -. 9.1956 19


(Registrar)


PERSONAL AND STATISTICAL PARTICULARS


8 SEX


Male


9 COLOR OR RACE


White


10 SINGLE


MARRIED


WIDOWED


or DIVORCED


(write the word)


Widowed


4 I HEREBY CERTIFY,


That I attended deceased from


Cinq 1


54


19


to


Jay 6


19


50


I last saw h Ven alive on


July 6 ). 1956 death is said to


have occurred on the date stated above) at. 1040am.


INTERVAL BE-


TWEEN ONSET ANO DEATH


11 IF STILLBORN, enter that fact here.


12


71


Years


7


Months 10 Days


If under 24 hours


Hours . ... Minutes


13 Usual


Occupation: Retired- Ciler


(Kind of work done during most of working life)


14 Industry or Business:


15 Social Security No.


012-18-8415


16 BIRTHPLACE (City)


(State or country)


ENGLAND


17 NAME OF


FATHER


George Bullock


18 BIRTHPLACE OF


FATHER (City)


(State or country)


ENGLAND


19 MAIDEN NAME


OF MOTHER


Lydia Brough


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


21 Henry Bullock


(Address) 63 Glen BURN Rd, Arlington


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


(Signature of Agent of Board of Health or other) Thhealth effects 7/9/56


(Official Designation) (Date of Issue of Permit)


I R-301A 1 WINThrop (City or Town) No. WINThro Py 14 ConvalesCENT Home LEASAUF Bullock -


CERTIFICATE OF DEATH


Registered No.


124


J(If death occurred in a hospital or institution,


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


2 FULL NAME .. HAROLD


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


17 ORCHARD


St.


Revere


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


(If nonresident, give city or town and State)


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


15 days. In place of residence 20 years. months. .days.


MEDICAL CERTIFICATE OF DEATH


3 DATE OF


DEATH


July


(Month)


1


6


(Day)


1956


(Year)


3 days


ANTE


Due To


CEDENT (b)


CAUSES


Due To (c)


OTHER


SIGNIFICANT


DIABETES




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