USA > Massachusetts > Suffolk County > Winthrop > Town of Winthrop : Record of Deaths 1956 > Part 54
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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 electricalagents, and deaths following abortion, but also deaths from disease resulting from injury or infection related to occupation, the sudden deaths of persons not disabled by recognized disease, and those of persons found dead.
Statement of Cause of Death .- Physicians: see explanatory instructions on face side of standard certificate of death.
Statement of Occupation .- Precise statement of occupation is very import- ant, so that the relative healthfulness of various pursuits can be known. Make some entry in this section for every person aged 10 years or over. If the occupa- tion had been given up or changed, or if the deceased had retired from business, report the kind of work done during most of working life even if retired. Children not gainfully employed may be returned as at school or at home. For a woman whose only occupation was that of home housework, write housework. For a person engaged in domestic service for wages, however, designate the occupation by the appropriate terms, as housekeeper-private family, cook-hotel, etc. For a person who had no occupation whatever write none.
SPACE FOR ADDITIONAL INFORMATION
DATE OF ENTERING MILITARY SERVICE
DATE OF DISCHARGE RANK, RATING. .
ORGANIZATION AND OUTFIT
SERVICE NUMBER
R-302 1
PLACE OF DEATH
Millesrx (County) Cambridge
(City or Town)
The Commonwealth of Massachusetts EDWARD J. CRONIN SECRETARY OF THE COMMONWEALTH DIVISION OF VITAL STATISTICS COPY OF CERTIFICATE OF DEATH
Caridra (City or Town making this return)
1149 45
$(If death occurred in a hospital or institution, St. { give its NAME instead of street and numher)
2 FULL NAME
(If deceased is a married, widowed or divorced woman, give also maiden name.)
125 Winthrop 3.
St
"inthrop,
as's
(a) Residence. No .... (Usual place of abode)
(If nonresident, give city or town and State)
Length of stay: In place of death .........
.. years.
6
23
months
.days. In place of residence.
.......... years.
months.
... days.
MEDICAL CERTIFICATE OF DEATH
3 DATE OF
August 6, 1956
DEATH
(Month)
(Day)
(Year)
4 I HEREBY CERTIFY,
an. 9
50
Aux. 6
That, I attended deceased from
I last saw h ..
halve on
6
150
death is said to
5:50P
have occurred on the date stated ahove, at
.m.
DEATH WAS CAUSED BY: IMMEDIATE CAUSE
(a) Carcinoma of prostato
Due To (1))
OTHER
SIGNIFICANT
CONDITIONS
Generalized Arterio-
sclerosis
Was autopsy performed?
What test confirmed diagnosis?
NO
5 Was disease or injury in any way related to occupation of deceased ?. If so, specify
(Signed)
George B. Smithy
(Address) Holy Ghost Hosp
8/7
19
6 Tinthrop Winthrop
Place of Burial or Cremation August 9, 1955 19
(City, or Town)
DATE OF BURIAL
7 NAME OF
FUNERAL, DIRECTOR
Ernest Caggiano
ADDRESS 147 inthoop St., inthrop
Received and filed. SEP. 1900 19
(Registrar of City or Town where deceased resided)
PERSONAL AND STATISTICAL PARTICULARS
8 SEX
Male
9 COLOR
.. hite
10 SINGLE
(write the word)
MARRIED
WIDOWED
or DIVORCED
Married
10a If married, widowed, or divorced.
HUSBAND of Margaret
Leonard
(Give maiden name of wife in full)
(or) WIFE of ...
(Husband's name in full)
11 IF STILLBORN, enter that fact here.
12
AGE 84
Years
1. Months.
Days
If under 24 hours
Hours ........ Minutes
13 Usual
Judge
Occupation :
(Kind of work done during most of working life)
14 Industry
or Business
E. S. District Court
15 Social Security No ..
16 BIRTHPLACE (City) ...
(State or country)
Mass
17 NAME OF
FATHER
Charles J.Brown
18 BIRTHPLACE OF
Holland
FATHER (City). (State or country)
19 MAIDEN NAME
Margaret Glynn
M. D. OF MOTHER
20 BIRTHPLACE OF
Ireland
MOTHER (City)
(State or country)
21 Arthu - Brown
Informant.
(Address)
375 Harvard St., Cand.
A TRUE COPY
Frederick H. Burke
ATTEST:
(Registrar of City or Town where death occurred)
DATE FILED
August 7, 1956
.19
(c) resided as soon as possible, after the close of the month in which the death occurred. (See Chap. 46, Sec. 12, G. I .. ) at the time of death should be transmitted on Form R-302 to the clerk of the city or town in which the deceased Copies of returns of deaths which occurred in your city or town in case the deceased resided in another city or town Due To
in
50M.11-55-916145
No.
Holy Ghost Hosital
Charles J. Brown
Registered No.
(Was deceased a
U. S. War Veteran,
if so - specify WAR)
19
to ...
19. 55
INTERVAL BETWEEN ONSET AND DEATH
Date.
PARENTS
b. roston
SEP-5
Y
PLACE OF DEATH
Suffolk (County )
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.
1.46
2 FULL NAME
Howard T Murray
(If deceased is a married, widowed or divorced woman, give also maiden name.)
90 Terrace Ave.
St
(If nonresident, give city or town and State)
Length of stay: In place of death
... years ..
months.
.. days. In place of residence.
45
.years
months.
.. days.
MEDICAL CERTIFICATE OF DEATH
3 DATE OF
Guy
7
1956
DEATH
(Month)
(Day)
(Year)
4 I HEREBY CERTIFY
That I attended deceased from
N
to ...
Guy 7
19
I last saw hj Malive on
944
6, 1924, death is said to
have occurred on the date stated above, at
6:30 A.
m.
DEATH WAS CAUSED BY: IMMEDIATE CAUSE
(a)
Bronchopneumonia
Terminal)
Due To
Carcinoma 9
- (b)
Due To (c)
OTHER
SIGNIFICANT
CONDITIONS
Was autopsy performed?
200
What test confirmed diagnosis ?.
ymp
5 Was disease or injury in any way related to occupation of deceased? Me
If so, specify.
(Signed)
M. D. (Address) 194 Maskin Las Date 8-8 1926
Winthrop
Winthrop
Place of Burial or Cremation DATE OF BURIAL
(City or Town)
Aug.9
7 NAME OF
FUNERAL DIRECTOR
ADDRESS Winthrop mass
Received and filed. AUG g 1956 19
(Registrar)
PERSONAL AND STATISTICAL PARTICULARS
8 SEX
Male
9 COLOR
White
10 SINGLE
(write the word)
MARRIED
WIDOWED
or DIVORCED Married
10a If married, widowed, or divorced
Evalina Knox
HUSBAND of ..
(Give maiden name of wife in full)
(or) WIFE of
(Husband's name in full)
11 IF STILLBORN, enter that fact here.
12
66
11
21
AGE
Years.
... Months ..
.Days"
If under 24 hours
Hours ........ Minutes
13 Usual
Occupation :
Superintendent
(Kind of work done during most of working life)
14 Industry
15 Social Security No.
028-10-2572
16 BIRTHPLACE (City)
Cambridge
(State or country)
Mass.
17 NAME OF FATHER William C Murray
18 BIRTHPLACE OF
FATHER (City)
DARTMOUTH
(State or country ) NOVA SCOTIA
Adelaide
19 MAIDEN NAME
OF MOTHER
Adellaid Welch
20 BIRTHPLACE OF
MOTHER (City)
(State or country)
Mass.
21 Evalina Murray
19.56
Informant.
(Address)
90 Terrace Ave. Winthrop
I HEREBY CERTIFY that a satisfactory standard certificate of death was filed with me BEFORE the burial or transit permit was issued: Taller A Haberf. (Signature of Agent /of Board of Health or other)
Realthe Office 8/9/56
(Official Designationy
(Date of Issue of Permit)
ICTIONS OR CERTIFICATE giving OF DEATH t enter han one for each b) and (c)
Does not mean of dying, eart failure, tc. It means , or compli- hich caused
is, if any, ve rise to ause (a), he under- iuse last.
ons contrib- cath but not the terminal dition given
Chapter 137, 954, requires s to print or cause or death on tificates.
100M· 11-55-916145
No.
90 Terrace Ave .
$(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 ..
(Usual place of abode)
34
INTERVAL BETWEEN ONSET AND DEATH
2 days
6
1 yr
or Business:
Lumber Mill
PARENTS
Cambridge
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 fdisabled by recognized disease unrelated to any form of injury, have died without recent medical attendance or whose physician is absent from home when the certificate of death is needed.
(3) Medical Examiners will investigate and certify to all deaths supposably due to injury. These include not only deaths caused directly or indirectly by traumatism (including resulting septicemia), and by the action of chemical (drugs or poisons) thermal, or electrical agents, and deaths following abortion, but also deaths from disease resulting from injury or infection related to occupation, the sudden deaths of persons not disabled by recognized disease, and those of persons found dead.
Statement of Cause of Death .- Physicians: see explanatory instructions on face side of standard certificate of death.
Statement of Occupation .- Precise statement of occupation is very import- ant, so that the relative healthfulness of various pursuits can be known. Make some entry in this section for every person aged 10 years or over. If the occupa- tion had been given up or changed, or if the deceased had retired from business, report the kind of work done during most of working life even if retired. Children not gainfully employed may be returned as at school or at home. For a woman whose only occupation was that of home housework, write housework. For a person engaged in domestic service for wages, however, designate the occupation by the appropriate terms, as housekeeper-private family, cook-hotel, etc. For a person who had no occupation whatever write none.
SPACE FOR ADDITIONAL INFORMATION
DATE OF ENTERING MILITARY SERVICE
DATE OF DISCHARGE RANK, RATING. ORGANIZATION AND OUTFIT
SERVICE NUMBER
........
R-301A 1
ACTIONS OR CERTIFICATE
giving
OF DEATH it enter han one for each b) and (c)
Des not mean of dying, cart failure, tc. It means > , or compli- hich caused
is, if any, ive rise to ause (a), the under- ause last.
ons contrib- cath but not the terminal dition given
Chapter 137, 954, requires is to print or cause or
f death on rtificates.
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
Registered No.
147
140 Highland Ave. Mountos Vale (I) death occurred in a hospital or institution, ₹
St. { give its NAME instead of street and number) No.
Albert Dudley Loehr
(If deceased is a married, widowed or divorced woman, give also maiden name.)
(a) Residence. No.
483 Shirley St.
St
30
(If nonresident, give city or town and State)
Length of stay: In place of death ............ years ..
months.
days. In place of residence.
...... years.
months.
.. days.
MEDICAL CERTIFICATE OF DEATH
3 DATE OF
DEATH
AUGUST
9
1756
(Month)
(Day)
(Year)
4 I HEREBY CERTIFY,
That I attended deceased from
MAR-24, 19559. to.
AUGUST 9,
1956
I last saw h.f.Malive on
AUGUST 9, 1956 death is said to
have occurred on the date stated above, at 10:30 Pm.
DEATH WAS CAUSED BY: IMMEDIATE CAUSE
(a) CARCINOMATOSIS
INTERVAL BETWEEN ONSET AND DEATH
16mo
16mg
PERSONAL AND STATISTICAL PARTICULARS
8 SEX
Male
9 COLOR
White
10 SINGLE
(write the word)
MARRIED
WIDOWED
Divorce
or DIVORCED
10a If married, widowed, or divorced
Unable to obtain
HUSBAND of.
(Give maiden name of wife in full)
(or) WIFE of
(Husband's name in full)
11 IF STILLBORN, enter that fact here.
12
62
9
11
If under 24 hours
Hours ........ Minutes
13 Usual
Store Keeper
Occupation :
(Kind of work done during most of working life)
14 Industry
Gen. Electric Co.
or Business:
15 Social Security No ..
16 BIRTHPLACE (City).
(State or country)
Mass.
17 NAME OF
FATHER
Julius E Loehr
18 BIRTHPLACE OF
FATHER (City)
Sommerville
(State or country)
Mass.
19 MAIDEN NAME OF MOTHER Anna Orrall
20 BIRTHPLACE OF MOTHER (City). (State or country)
Roslindale
Mass.
21 Mabelle Harney
Informant. (Address) 46 Bartlett Park Way
I HEREBY CERTIFY that a satisfactory standard certificate of death was filed with me BEFORE the burial or transit permit was issued: Walter &. I Jaker f (Signattire of Agent of Board of Health or other)
8/13/56
(Official Designation)
(Date of Issue of/Permit>
VE.
Due To CARCINOMA OF (b)
PROSTATE
Due To (c)
OTHER
CHRONIC MYOCARDITIS 4 M
SIGNIFICANT
CONDITIONS
Was autopsy performed? 100 What test confirmed diagnosis? XRAYS-
5 Was disease or injury in any way related to occupation of deceased? NO If so, specify
G.n. Caplan M. D.
(Signed) 19MERMAID AUF WINTHROP MASS
Date ..
9-10- 956
6 Swampscott
Swampscott
Place of Burial or Cremation
(City or Town)
DATE OF BURIAL
Aug.
13
19.
7 NAME OF
Klawards Rumules
FUNERAL DIRECTOR Minibuss molas.
ADDRESS
Received and filed. LANG 13 1965 19
(Registrar)
56
100M-11-55.916145
2 FULL NAME
PHYSICIAN - IMPORTANT
(Was deceased a
U. S. War Veteran,
if so specify WAR)
(Usual place of abode)
1
To be filed for burial permit with Board of Health or its Agent.
PARENTS
Revere
AGE
Years.
Months.
.. Days®
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
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