Town of Winthrop : Record of Deaths 1957, Part 31

Author: Winthrop (Mass.)
Publication date: 1957
Publisher:
Number of Pages: 566


USA > Massachusetts > Suffolk County > Winthrop > Town of Winthrop : Record of Deaths 1957 > Part 31


Note: The text from this book was generated using artificial intelligence so there may be some errors. The full pages can be found on Archive.org (link on the Part 1 page).


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


(a) Residence. No ..


Beacon Villa


St


Winthrop


(Usual place of abode)


(If nonresident, give city or town and State)


Length of stay: In place of death


4


... years.


months.


.days. In place of residence


25


years


months ........


.days.


MEDICAL CERTIFICATE OF DEATH


3 DATE OF


DEATH


May


1


1957


(Month)


(Day)


(Year)


4 I HEREBY CERTIFY,


Aug


19


55


to.


That I attended deceased from


May


19.57


I last saw h.O.Lalive on


Apr


30


19 ....


57 death is said to


have occurred on the date stated above, at


8.15 A m.


DEATH WAS CAUSED BY: IMMEDIATE CAUSE


(a)


Cerebral Thrombosis


INTERVAL BETWEEN ONSET AND DEATH


11 IF STILLBORN, enter that fact here.


12


86


AGE


Years


-


.. Months ............ Days


If under 24 hours


.Hours ........ Minutes


13 Usual


Occupation :


Housewife


14 Industry


or Business :


At home


15 Social Security No ..... - -


16 BIRTHPLACE (City)


(State or country)


Sweden


17 NAME OF


FATHER


Francis Hagart


18 BIRTHPLACE OF


FATHER (City). (State or country) Sweden


19 MAIDEN NAME


OF MOTHER


Cannot be learned


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


21 W. B Tucker- Attorney


Informant.


(Address)


30 Federal St. Boston


A TRUE COPY


10


:


ATTEST:


(Registrar of City or Town where death occurred)


.Clerk


(Registrar of City or Town where deceased resided)


PERSONAL AND STATISTICAL PARTICULARS


8 SEX


female


9 COLOR


white


10 SINGLE


(write the word)


MARRIED


WIDOWED


widowed


or DIVORCED


10a If married, widowed, or divorced


HUSBAND of


(Give maiden name of wife in full)


(or) WIFE of


Charles 0. Baker


(Husband's name in full)


(Kind of work done during most of working life)


OTHER


Bronchopneumonia


7dys


CONDITIONS


Was autopsy performed ?.


no


What test confirmed diagnosis ?.


Phys ........ Exam


no


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


(Signed)


Peter H. Contompasis


M. D.


417 High St.


(Address).


.Medford


Date


5/1


19.


57


Mem. Park Cem, Grand Forks, N. D.


Place of Burial or Cremation


(City or Town)


DATE OF BURIAL May 6 1957 19


7 NAME OF


FUNERAL DIRECTOR


Conrad Z. Granath


ADDRESS 23 Forest St Medford


Received and filed.


WAY 6 1957


19


50M1. 11.55.916:45


Due To (b) 6 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 (c) resided as soon as possible, after the close of the month in which the death occurred. (See Chap. 46, Sec. 12, G. L.)


.302 1


No. Ring Nursing Home, 264 High


(Was deceased a


U. S. War Veteran,


if so specify WAR)


no


PARENTS


DATE FILED


May 3, 1957


19


X


RECEIVEO


OF TOW:


٠


كه


OFF


9


5


6


THROP


MAY -61957 AM


X Suffolk (County) Winthrop (City or Town)


Doston 6 -5-57


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


CERTIFICATE OF DEATH


Registered No.


95


$ (If death occurred in a hospital or institution,, Winthrop Convalescent Home No.


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


Ole Olsen 2 FULL NAME


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


(a) Residence.


No ..


206 Falcon


St


EAST


Boston


(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


PERSONAL AND STATISTICAL PARTICULARS


8 SEX


MAle


9 COLOR


White


10 SINGLE


(write the word)


MARRIED


WIDOWED MARRIED


or DIVORCED


10a If married,


HUSBAND of


MARGARET Bentsen


(or) WIFE of


(Husband's name in full)


11 IF STILLBORN, enter that fact here.


12


AGE.


74


Months.


Days®


Hours ........ Minutes


13 Usual


WATCHMAN


Occupation :


(Kind of work done during most of working life)


14 Industry


or Business:


SOCONY-VACUUM Oil Co.


15 Social Security No ..


Cnb!


16 BIRTHPLACE (City)


(State or country)


NORWAY


17 NAME OF


FATHER


Andrew Olsen


18 BIRTHPLACE OF


FATHER (City).


(State or country)


NORWAY


19 MAIDEN NAME


OF MOTHER


CAROL ANN -


20 BIRTHPLACE OF


MOTHER (City).


(State or country)


NORWAY


21 MARGARET Olsen


Informant


(Address) 206 Falcon St. East Boston


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


3/6/07


(Official Designation


(Date of Issue of Permit)


X


-


PARENTS


(Signe Fredo Regun M. D.


(Addr V13 Pleasantly Winther 5/6


1957


Woodlawn


Everett (City or Town)


Place of Burial or Cremation


DATE OF BURIAL


MAY 8 19 57


7 NAME OF FUNERAL DIRECT entrederich q. magrath ADDRESS East Boston


Received and filed. MAY 6- 1957 19


(Registrar)


INTERVAL BETWEEN ONSET AND DEATH 3DAYS


Due


· CARCINOMA 05


2yer


(h) LIVEL


Due To


(c)


OTHER SIGNIFICANT CONDITIONS


Was autopsy performed?


10


What test confirmed diagnosis ?.


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


6


100M . 11.55.916:45


PLACE OF DEATH


-301A 1


TIONS R ERTIFICATE


ving DEATH enter an one r each and (c)


s not mean of dying, rt failure, . It means or compli- ch caused


Y


DEATH WAS CAUSED BY: IMMEDIATE CAUSE


BRONCHO-PNEUMONIA


(a)


MAY


5


1957


(Year)


( Month)'


(Day)


4 I HEREBY CERTIFY,


That I attended deceased from


2/1


1957


to ......


3/4


195


5/4


195 / death is said to


(Give maiden name of wife in full)


I last saw h.k.Malive on


have occurred on the date stated above, at 3.30 A m.


if so specify WAR)


PHYSICIAN - IMPORTANT


(Was deceased a


U. S. War Veteran,


No


(Usual place of abode)


3 DATE OF


DEATH


, if any, e rise to ASC


(a), e under- se last. -


ns contrib. th but not he terminal ition given


hapter 137, 4, requIres to print or cause death on ficates.


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


If under 24 hours


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 service of nineteen hundred and sixteen and nineteen hundred and seventeen. G. L. Chap. 46, Sec. 10. 1-19


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 A person found dead,


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 Cor 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).


TOM 12


RULES OF PRACTICE


. Thefulfillment of the purpose of these laws calls for the observance of the follow-


(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 Inmary 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


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


ninety-eight and July fourth, nineteen hundred and two, and the Mexican bordering rules of practice:


[ R-301A 1


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.


-


Due To


senility


(c)


OTHER


SIGNIFICANT


CONDITIONS


hemiplegia-lett


Was autopsy performed?


' What test confirmed diagnosis?


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


M. D.


(Address). 194 Washingtonla Date 5-6 100-7


HOLY CROSS


MALDEN


6 Place of Burial or Cremation (City or Town)


DATE OF BURIAL. MAY S 1957


7 NAME OF


FUNERAL DIRECTOR


Maurice H- 1cibu


ADDRESS ZIGWINTHROP ST WINTHROP


Received and filed MAY_S. 1954 19


(Registrar)


PERSONAL AND STATISTICAL PARTICULARS


8 SEX


MALÉ


9 COLOR


WHITE


10 SINGLE


(write the word)


MARRIED


WIDOWED


or DIVORCED WIDOWED


10a If married, widowed, or divorced


HUSBAND of MAPI9


EHIGGINS


/(Give maiden name of wife in full)


(or) WIFE of


(Husband's name in full)


11 IF STILLBORN, enter that fact here.


12


AGE 77 Years


Months ..


.Days®


Hours ........ Minutes


13


Usual


CHEF


(Kind of work done during most of working life)


14 Industry


or Business :


RESTAURANT


15 Social Security No. 011-12-5295 A


16 BIRTHPLACE (City).


(State or country)


CANADA


17 NAME OF


FATHER


PETER ASON


18 BIRTHPLACE OF


FATHER (City)


(State or country)


CANADA


19 MAIDEN NAME


OF MOTHER


MARY WHITE


20 BIRTHPLACE OF


MOTHER (City).


(State or country)


CANADA


MA'S PHYLLIS M. JORDEN


21 Informant (Address) SCREED ST WINTHROP


1 HEREBY CERTIFY that a satisfactory standard certificate of death was filed with me DEFORE the burial or transit permit was issued: Hallo. Perrannes (Signafure of Aught of Board of /Ilealth or other)


5/7/57


(Official Designation ) (Date of Issue of Permit)


X


100M-11-05-916145


PLACE OF DEATH


X SUFFOLK (County) WINTHROP. (City Sydit's Couver UT) 10% HIGHLAND


Boston 6.557


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


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


90


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


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


25 DWIGHT ST


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


Length of stay: In place of death years 2 months


days. In place of residence.


68.ve


months.


... days.


MEDICAL CERTIFICATE OF DEATH


3 DATE OF


DEATH


nay


6


1957


(Month)


(Day)


(Year)


4 I HEREBY CERTIFY,


That I attended deceased from


1957


March 13


57


19.


to ...


may 6


I last saw h.l.)Zalive on


19 01, death is said to


have occurred on the date stated above, at


2:50 Pm.


DEATH WAS CAUSED BY: IMMEDIATE CAUSE


(a)


Cerebro vascular


accident.


INTERVAL BETWEEN ONSET AND DEATH


1/2 kg


Due To


Criteriosde 20815


(b)


generalized


gr


PARENTS


Home AVE


CERTIFICATE OF DEATH


Registered No.


2 FULL NAME


PHYSICIAN - IMPORTANT


(Was deceased a


U. S. War Veteran,


if so specify WAR).


St BOSTON


(If nonresident, give city or town and State)


Occupation :.


If under 24 hours


itions contrib- death but not o the terminal condition given


Chapter 137, 1954, requires ins to print or he cause or of death on ertificates.


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 ..


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 of 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


PLACE OF DEATH


Suffolk (County) Winthrop


(City or Town)


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


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


97


2 FULL NAME Everett Orris Newman


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




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