USA > Massachusetts > Suffolk County > Winthrop > Town of Winthrop : Record of Deaths 1957 > Part 87
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A. I. CROLL CO.
15 Social Security No. Nowe
16 BIRTHPLACE (City)
(State or country)
IRELAND
17 NAME OF
FATHER
DAVID
Mc CARTHY
18 BIRTHPLACE OF
FATHER (City).
(State or country)
IRELAND
19 MAIDEN NAME
OF MOTHER
(?)
Hayes
20 BIRTHPLACE OF
MOTHER (City)
(State or country)
IRELAND
21 Rev. CHARLES MCCARTHY Informant (Address) ST JAMES Rectory ARLINGTON
I HEREBY CERTIFY that a satisfactory standard certificate of death was filed with me BEFORE the burial or transit permit was issued : faith Cleanly (Signature of Agent of Board of Health or other) Malthe Precis 12/13/57
(Official Designation)
(Date of Issue of Permit)
50M-5-57-920345
301A 1
ONS
IFICATE
ng DEATH ter one each nd (c)
not mean dying, failure, It means compli- caused
if any, rise to (a), under- last.
contrib- but not terminal on given
pter 137, requires print or ause Or eatb on ates.
PARENTS
Received and filled
NO
(Address 547 SinleySt MOSS
1957
DEATH WAS CAUSED BY: IMMEDIATE CAUSE
(a)
Hemorrhage
30
(If nonresident, give city or town and State)
Registered No.
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 thall 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 0
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 diffing 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 nf Pnh deaths caused directly or indirectly by traumatism (including resulting Is na) 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
CTIONS OR ERTIFICATE Iving F DEATH enter an one or each ) and (c)
es not mean of dying, art failure, . It means or compli- ich caused
, if any, ue rise to use ( a ) . he under- use last.
ns contrib -- ath but not the terminal dition given
Chapter 137, 54, requires s to print or cause or death on
ificates.
PLACE OF DEATH
SUFFOLK (County)
Winthrop
(City or Town) 264 246 Shirley St., Winthrop
The Commonwealth of Massachusetts EDWARD J. CRONIN SECRETARY OF THE COMMONWEALTH DIVISION OF VITAL STATISTICS STANDARD CERTIFICATE OF DEATH
To be filled for burial permit with Board of Health or its Agent.
No.
2 FULL NAME
Robert P. Lindgren
(If deceased is a married, widowed or divorced woman, give also maiden name.) 64 St. 246 Shirley Street Winthrop
(a) Residence. No. (Usual place of abode)
(If nonresident, give city or town and State)
Length of stay: In place of death 20 year
months.
days. In place of residence20
years
months_
. days.
MEDICAL CERTIFICATE OF DEATH
3 DATE OF
DEATH
12
14
1957
(Month)
(Day)
(Year)
4 I HEREBY CERTIFY,
NOV4
49
19.
DEC 14
to ......
57 19
I last saw h Walive on
DEC 14
, 195%
, death is said to
have occurred on the date stated above, at
10=P.
.m.
DEATH WAS CAUSED BY: IMMEDIATE CAUSE
CARDIAC ASTHMA
(a)
RHEUMATIC AND
Du
ARTERIO-SCLEROTIC
-
(b)
HEART DISEASE
Due To
(c)
CARCINOMA OF TONGUE
6MO
OTHER
SIGNIFICANT
CONDITIONS
DUODENAL ÜLLER
3 YRS.
Was autopsy performed?
No
What test confirmed diagnosis?
BIOPSY
5 Was disease or injury in any way related to occupation of deceased ?
If so, specify .....
NO
(Signed)
, M. D.
(Address) 2222PLEASANT STOD
12/16/05/
Fairview Cemetery, Hyde Park, Mass. 6
Place of Burial or Cremation
(City_or Town)
DATE OF BURIAL
December 17, 1957,
19
7 NAME OF
FUNERAL DIRECTOR.John G. Molloy
ADDRESS
1126 Washington St., Dorchester
Received and filed DEC 18 1957 19
(Registrar)
PERSONAL AND STATISTICAL PARTICULARS
8 SEX Male
9 COLOR
White
10 SINGLE
(write the word)
MARRIED Widowed
WIDOWED
or DIVORCED
10a If married, widowed, or divorced
HUSBAND of
Rose Ellen Fox
(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.
3 Months
15 Days
If under 24 hours
Hours ...... Minutes
13 Usual
Occupation :
(Kind of work done during most of working life)
14 Industry
or Business:
Retired
15 Social Security No.
027-14-4329
16 BIRTHPLACE (City)
(State or country)
Hyde Park
17 NAME OF
FATHER
Swan J. Lindgren
PARENTS
18 BIRTHPLACE OF
FATHER (City)
(State or country)
Stockholm, Sweden
19 MAIDEN NAME
OF MOTHER
Ellen (not known)
20 BIRTHPLACE OF
MOTHER (City)
(State or country)
Sweden
21 Mr. Chester P. Lindgren
Informant
(Address)
40 Rustlewood St. , Milton, Mass.
I HEREBY CERTIFY that a satisfactory standard certificate of death was filed with me BEFORE the burial or transit permit was issued : pakke ) e ceause of (Signature of Agent of Board of Health or other) Lebutle Cartucce 12/17/5 1st -
(Official Designation)
C (Date of Issue of Permit)
Registered No.
255
[(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)NO
That I attended deceased from
INTERVAL BETWEEN ONSET AND DEATH 1/219
Carpenter
2 YRS.
SOM-5-57-920345
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 hest 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 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 -
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.
256
383 Pleasant Street No
[(If death occurred in a hospital or institution, St. (give its NAME instead of street and number)
2 FULL NAME marcoret ( Jackson) Armitstead
(If deceased is a married, widowed or divorced woman, give also maiden name.)
Boston
Street
St.
Middleton, Lass.
(Usual place of abode)
Length of stay: In place of death.
.......... years
months
22
days. In place of residence
years.
months.
days.
MEDICAL CERTIFICATE OF DEATH
3 DATE OF
DEATH
December 19, 1957
(Month)
(Day)
(Year)
4 I HEREBY CERTIFY,
That I attended deceased from
Dec. 2,
1957, to December 12
1957
I last saw heralive on
December 17, 1957, death is said to
have occurred on the date stated above, at
4.30 a m.
INTERVAL BETWEEN ONSET AND DEATH
4 .708
12
AGE
74
Years.
?
Months
6
Days
If under 24 hours
.Hours ... Minutes
13 Usual
Occupation :
housewife
(Kind of work done during most of working life)
14 Industry
or Business:
Own 2020
15 Social Security No .... Pone
16 BIRTHPLACE (City)
(State or country)
En tand
17 NAME OF
FATHER
Thomas Jac goul
18 BIRTHPLACE OF
FATHER (City).
(State or country)
En land
19 MAIDEN NAME
OF MOTHER
Lararet Nart
20 BIRTHPLACE OF
MOTHER (City)
(State or country)
21 Stanley Ar itstead
Informant
(Address)
Tos Pleasant St.
intron
I HEREBY CERTIFY that a satisfactory standard certificate of death wasfiled with me BEFORE the burial or transit permit was issued :
(Signature of Agent of Board of Health ay other)
(Official Designation)
(Date of Issue of Permit) 12/18/57
ONS
IFICATE
ng DEATH ter . one each nd (c)
not mean :
dying, failure, It means · compli- caused
if any, rise to (a). under- last.
(b)
Due To
testesis to lunge.
?
Due To (c)
OTHER
SIGNIFICANT
CONDITIONS
Diabetes
4 yrs
Was autopsy performed ?.. 12
What test confirmed diagnosis?
X-ray
5 Was disease or injury in any way related to occupation of deceased ?. no ..
If so, specify ..
(Signed).
(Address)
M. D. Revert Hlas Date 12/14 19:07
Puritan Laun Lenk. Par Peabody (City or Town) Dec .
Place of Burial or Cremation
DATE OF BURIAL
19
7
7 NAME OF
FUNERAL DIRECTOR
Forward 5 Jurnaldo
ADDRESS Winkrogs mado.
Received and filed BSC 19 1957 19
(Registrar)
PERSONAL AND STATISTICAL PARTICULARS
9 COLOR
8 SEX
Female White
10 SINGLE
MARRIED
WIDOWED
or DIVORCEDHarried
(write the word)
10a If married, widowed, or divorced
HUSBAND of
(Give maiden name of wife in full)
(or) WIFE of
George !
Ar itstead
(Husband's name in full)
11 IF STILLBORN, enter that fact here.
PARENTS
SOM-5-56-917573
301A 1
contrib- but not terminal on given
pter 137, requires print or ause or eath on ates.
6
Middleton 1-4-58
LOMETERT
Registered No.
PHYSICIAN - IMPORTANT
(Was deceased a
U. S. War Veteran,
if so specify WAR)
(a) Residence. No ..
(If nonresident, give city or town and State)
5
DEATH WAS CAUSED BY: IMMEDIATE CAUSE
(a)
Cancer of the richt breast
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 belicf 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 ninetcen 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 madc 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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