USA > Massachusetts > Suffolk County > Winthrop > Town of Winthrop : Record of Deaths 1957 > Part 58
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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 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, of 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.
SEP -61957 AM
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
........
X
PLACE OF DEATH
Suffolk (County)
"inthron (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 burlal permit with Board of Health or its Agent.
15
Winthrop Com unity Hospital No ..
Annie F. Murphy
2 FULL NAME
(If deceased is a married, widowed or divorced woman, give also maiden name.)
318 Plescont St.
(a) Residence. No .... (Usual place of abode)
(If nonresident, give city or town and State)
Length of stay: In place of death ............ years. months 2 days. In place of residence years. .months .... .. days.
MEDICAL CERTIFICATE OF DEATH
PERSONAL AND STATISTICAL PARTICULARS
8 SEX
female
9 COLOR
whito
10 SINGLE
(write the word)
MARRIED
WIDOWED
or DIVORCESingle
10a If married, widowed, or divorced 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
Years
Months ..
Days
If under 24 hours
Hours ......
... Minutes
13 Usual
laundry worker
Occupation :
(Kind of work done during most of working life)
14 Industry
or Business :.
Harbor View Laundry
15 Social Security No .....
16 BIRTHPLACE (City).
St.
John-
(State or country)
erfoundland
17 NAME OF
FATHER
John F. Murphy
PARENTS
18 BIRTHPLACE OF
FATHER (City)
(State or country)
Newfoundland
19 MAIDEN NAME
OF MOTHER
Nora Whalen
20 BIRTHPLACE OF MOTHER (City). (State or country)
Newfoundland
21 Mer" Martin
Informant
(Address) 378 Pleasant St. CO. Vermouth
1 HEREBY CERTIFY that a satisfactory standard certificate of death was filed with me BEFORE the burial ortransit permit was issued :
Sercanne (Signatiffe of Agent of Board of Health or other)
HO.
Cette
Seff 6/57
(Official Designation )
(Date of Issue of Permits
X
ONS
TIFICATE
ng DEATH nter . one each nd (c)
not mean : dying, failure, It means · compli- . caused
>
DEATH
WAS CAUSED
IMMEDIATE
Acute Pulmonary
PAUSE
INTERVAL BETWEEN ONSET AND DEATH 2 Days
Due To
Chronic Myocarditis
- (b)
3 yrs
Due To
(c)
5 yrs
OTHER SIGNIFICANT CONDITIONS
two
Was autopsy performed?
What test confirmed diagnosis ?.
5 Was disease or injury in any way related to occupation of deceased? Ho If so, specify
(Signed)
Sconti It Schwanty
(Address)
M. D. 17 Princeton St. E. B.O/F 57 .Date ...
6 Holy Cross Place of Burial or Cremation Sent. 7 (City or Town)
57 19.
DATE OF BURIAL
7 NAME OF FUNERAL DIRECTOR Frederick- J. Norrath East Borton
ADDRESS
Received and filed.
SEP 6 - 195/ 19
(Registrar)
5.
7057
(Month)
(Day)
(Year)
HEREBY, CERTIFY
4 August !
57
Sept 5.
19
57
I last sam h2V
.. alive on
Sept 5
1957
death is said to
3 30 P.
have occurred on the date stated above, at m.
3 DATE OF
DEATH
Sent.
5 IVEynook
Ja
301A 1
Registered No.
§(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)
South Weymouth
S
That I attended deceased from
(a)
Hypertension.
100M.11.55-916145
if any, rise to : (a), under- last.
contrib- but not terminal on given
pter 137, requires print or ause or leath on cates.
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., (Tereentenary Edition).
RULES OF PRACTICE
The fulfillment of the puspors of these lawscalls for the observance of the follow- ing rules of practice: SEP
(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 Heaith physicians will certify to such deaths only as those of persons who, though disabled by recognized disease unrelated to any form of injury, have died without recent medical attendance or whose physician is absent from home when the certificate of death is needed.
(3) Medical Examiners will investigate and certify to all deaths supposably due to injury. These include not only deaths caused directly or indirectly by traumatism (including resulting septicemia), and by the action of chemical (drugs or poisons) thermal, or electrical agents, and deaths following abortion, but also deaths from disease resulting from injury or infection related to occupation, the sudden deaths of persons not disabled by recognized disease, and those of persons found dead.
Statement of Cause of Death .- Physicians: see explanatory instructions on 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
Hampden
(County)
Chester
(City or Town)
No. Middlefield
The Commonwealth of Massachusetts EDWARD J. CRONIN SECRETARY OF THE COMMONWEALTH DIVISION OF VITAL STATISTICS COPY OF CERTIFICATE OF DEATH
Chester
(City or Town making this return)
Registered No.
10 176
§ (If death occurred in a hospital or institution, St. ¿ give its NAME instead of street and number)
2 FULL NAME
Gilbert A. Sprague
(If deceased is a married, widowed or divorced woman, give also maiden name.)
(a) Residence. No.
45 Chester Ave.
St
inthrop Nass.
(If nonresident, give city or town and State)
Length of stay: In place of death ........... years.
2
months
.days. In place of residence,
10
ears
months ..
.. days.
MEDICAL CERTIFICATE OF DEATH
3 DATE OF
DEATH
September 9
(Day)
1957
(Year)
4 I HEREBY CERTIFY,
That I attended deceased from
July 27
19
57
to.
Sept
29
1957
I last saw h.h.MGlive on
Sept 9
1957, death is said to
have occurred on the date stated above, at
11/10a.m.
INTERVAL BETWEEN ONSET AND DEATH
13 Hrs.
lyr
OTHER
Coronary Artery
CONDITIONS
heart disease
3 yrs.
What test confirmed diagnosis ?.
clinical course
5 Was disease or injury in any way related to occupation of deceased ?... NO If so, specify
(Signed) Milton L. Lowell M. D.
(Address)
Chester _as.S.Date ..
9/10/
1957
Winthrop Cemetery Winthrop
Place of Burial or Cremation (City or Town)
DATE OF BURIAL.
September 13
19 ... 5 ..
ADDRESS
SEP 13 1957 19 ... 5.7
(Registrar of City or Town where deceased resided)
PERSONAL AND STATISTICAL PARTICULARS
8 SEX
M
9 COLOR
Thite
10 SINGLE
(write the word)
MARRIED
WIDOWED
or DIVORCED
married
10a If married, widowed, or diyessd e Barrett
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
AGE 68 Years 8 Months.
Days
If under 24 hours
Hours ...
.. Minutes
13 Usual
Occupation
Custodian(ret.)
(Kind of work done during most of working life)
14 Industry
or Business :
Summer Camp (Girlscout)
15 Social Security No ...
none
16 BIRTHPLACE (City)
New ..... Britian
(State or country)
Conn.
17 NAME OF
FATHER
Gilbert Sprague
PARENTS
18 BIRTHPLACE OF
Unknown
FATHER (City)
(State or country)
England
19 MAIDEN NAME
OF MOTHER
Unknown
20 BIRTIIPLACE OF
MOTHER (City):
(State or country)
Unknown
England
21
Informant ..
(Address)
#0 Chester Ave, , Winthrop. Ma
A TRUE COPY
ATTEST :
Lydia Hallock
( Registrar of City or Town where death occurred)
DATE FILED
Sept 11,
57
Y
50ME .11 55.916145
X
302 1
(Usual place of abode) (Month) Due To (b) Hypertension Due To (c) SIGNIFICANT 6 7 NAME OF FUNERAL DIRECTOR resided as soon as possible, after the close of the month in which the death occurred. (See Chap. 46. Sec. 12. G. L.) at the time of death should be transmitted on Form R.302 to the clerk of the city or town in which the deccased Copies of returns of deaths which occurred in your city or town in case the deceased resided in another city or town Was autopsy performed? no
DEATH WAS CAUSED BY: IMMEDIATE CAUSE
(a)
Pontine Hemorrhage
Received and filed
rs. Catherine A. Femino
(Was deceased a
U. S. War Veteran,
if so specify WAR)
RECEIVED
OF
TOWA
OFFICE
CLERK
1/1
6
P
SEP 1 31957 AM
X
NON PLACE OF DEATH
Suffolk (County)
Vinthron (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.
Winthrop Community Hospital
No SADIE.
2 FULL NAME. Ruth
( Berger ) Hollander
(If deceased is a married, widowed or divorced woman, give also maiden name.)
235 Washington Ave.
St.
40
(If nonresident, give city or town and State)
Length of stay: In place of death years. months 16 days. In place of residence. _.... years months ....._. days.
MEDICAL CERTIFICATE OF DEATH
3 DATE OF
Sept
DEATH
(Month) (Day)
11 1957 (Year)
8 SEX Female
9 COLOR
White
10 SINGLE
(write the word)
MARRIED
WIDOWED
or DIVORCED
Widowed
10a If married, widowed, or divorced
HUSBAND of
(Give maiden name of wife in full)
Irving Hollander
(or) WIFE of
(Husband's name in full)
11 IF STILLBORN, enter that fact here.
12
76
AGE
Years
3
Months
.. Days
10
If under 24 hours
.Hours ......
Minutes
13 Usual
Occupation :
Housewife
(Kind of work done during most of working life)
14 Industry
or Business:
At home
15 Social Security No.
Tone
16 BIRTHPLACE (City)
(State or country)
England
17 NAME OF
FATHER
Morris Berger
18 BIRTHPLACE OF
FATHER (City)
(State or country)
England
19 MAIDEN NAME
OF MOTHER
Yankowitch
20 BIRTHPLACE OF MOTHER (City) (State or country)
Unable to obtain
21
Informant
William Hollander
(Address)
235 Washington Ave.
I HEREBY CERTIFY that a satisfactors) standard certificate of death was filed with me BEFORE the burial of transit permit was issued: Ralph Suriname
(Signature of Agent of toasd of Health or other)
HO.
(Official Designation)
(Date of Issue of Permit) 15
57
ONS
IFICATE
g DEATH ter one each nd (c)
ot mean dying, failure, It means compli- caused
any, ise to (a). under- last.
-
Due To (b)
Due To (c)
OTHER
SIGNIFICANT
Cancer Colon, postoper
1 1/2 yrs
CONDITIONSative status. Cancer of Iva 3 yr's
Was autopsy performed?
No
What test confirmed diagnosis Clinical, Pathological.
5 Was disease or injury in any way related to occupation of deceased ?No- If so, specify.
(Signed).
Charles Liberman,
M. D.
(Address Wintherap, Mass Date Sept. 11
6
Place of Burial or Cremation
DATE OF BURIAL
Sept
(City or Town) J4
1957
7 NAME OF
FUNERAL DIRECTOR
Sawards Pugnitil
ADDRESS
max
Received and filed SEP 13 195 19
(Registrar)
PARENTS
Registered No.
[(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)
4 I HEREBY CERTIFY, That I attended deceased from April 1956 to Sept. 11 957
I last saw he Yalive on Sept. VI, 19 5 death is said to have occurred on the date stated above, at 9:30 P.m. INTERVAL BETWEEN ONSET AND (a) Cancer of Cecum DEATH 2 mos
DEATH WAS CAUSED BY: IMMEDIATE CAUSE
SOM-5-56-917573
301A 1
tontrib .. but not terminal given
ter 137, equires print or case or Cath on des.
Woodlawn Crematory
Everett
1957
PERSONAL AND STATISTICAL PARTICULARS
Leeds
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 font teen, shall, if the deceased, to the best of his knowledge and belief, served in the Vit there is no such board, from the clerk of the town where the body is to be buried
army, navy or marine corps of the United States in any war in which ithas been engaged, insert in the certificate a recital to that effect, specifying the week shall also certify in such certificate both the primary and the secondary gr diate cause of death as nearly as he can state the same. For neglect 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 sait purposes, be dcemed 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' se G. L. Chap. 46, Sec. 10.
WIN
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
RECEIVELaws, 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 ip,to do from the board of health or its agent appointed to issue such permits, or 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.
Map. 114, Sec. 46, G. L., (Tercentenary Edition).
ERK
RULES OF PRACTICE
THe fulfilment of the purpose of these laws calls for the observance of the follow- ne rules of practice:
6 to 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 bomna when the certificate of death is needed.
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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