USA > Massachusetts > Suffolk County > Winthrop > Town of Winthrop : Record of Deaths 1958 > Part 71
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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) 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. 199
St. [give its NAME instead of street and number)
No.
Winthrop Community Hospital
2 FULL NAME Marie Tirrell Reilly
(If deceased is a married, widowed or divorced woman, give also maiden name.)
11 Bellevue Ave.
St.
(If nonresident, give city or town and State)
Length of stay: In place of death
years months days. In place of residence
... years.
4 months
days.
MEDICAL CERTIFICATE OF DEATH
3 DATE OF
DEATH
October
7
1958
(Year)
(Month)
(Day)
4 I HEREBY CERTIFY,
That I attended deceased from
July
5
157
to
October
7
19.58
I last saw heralive on
October 6 158 , death is said to
have occurred on the date stated above, at
9:30 an.
DEATH WAS CAUSED BY: IMMEDIATE CAUSE
(a)
Cancer Metastatic- Carcinoma
of
Lungs
Due To
(b)
Carcinoma of Breast
Due To (c)
OTHER
SIGNIFICANT
CONDITIONS
None
Was autopsy performed?
No
What test confirmed diagnosis? Pathological Examinatio and X-Rays
5 Was disease or injury in any way related to occupation of deceased ?
If so, specify).
No
(Signcd) M. D. 27 Bennington St., Date. Oct.9 19 58
(Address). Revere 51, Mass. WINTHROP
6 WINTHROP Place of Burial or Cremation (City or Town)
DATE OF BURIAL OCT. 16 1950
7 NAME OF
FUNERAL DIRECTOR
Maaskee211 tuber
ADDRESS
HOW IWEHROPST WINTHROP
Received and filed VDL 10 1958 19
(Registrar)
PERSONAL AND STATISTICAL PARTICULARS
8 SEX
9 COLOR
FEMALE
WHITE
10 SINGLE
(write the word)
MARRIED
WIDOWED
or DIVORCED
MARRIED
10a If married, widowed, or divorced
HUSBAND of
(Give maiden name of wife in full)
FRANCIS
D
REILLY.
(or) WIFE of
(Husband's name in full)
11 IF STILLBORN, enter that fact here.
12
AGE4 Years
Months.
Days
If under 24 hours
Hours ..
Minutes
13 Usual
OPERATOR
Occupation :
(Kind of work done during most of working life)
14 Industry
or Business:
NIE TELYTEL
15 Social Security No.
WINTHROP.
MASS
16 BIRTHPLACE (City)
(State or country)
17 NAME OF
FATHER
HENRY E TIRRELL
18 BIRTHPLACE OF
FATHER (City)
BOSTON
(State or country)
MAIS
19 MAIDEN NAME
OF MOTHER
ALICE T. HARRINGTON
20 BIRTHPLACE OF
SOMERVILLE
MOTHER (City)
(State or country)
MASS
21
FRANCIS D REILLY.
Informant
(Address)
11 BELLEVUE AUF WINTEROF
I HEREBY CERTIFY that a satisfactory standard certificate of death was fled with me BEFORE the burial or transit permit was issued :
(Signature of Agent of Board of Health or other)
Thialtu Hacer
(Official Designation)
(Date of Issue of Permit)
CTIONS OR ERTIFICATE Iving F DEATH enter an one or each ) and (c)
es not mean of dying, art failure, c. It means or compli- ich caused
, if any, le rise to use ( a ) . he under- use last.
ns contrib- ath but not he terminal lition given
hapter 137, 4, requires to print or cause Or death on
icates.
PARENTS
f(If death occurred in a hospital or institution,
PHYSICIAN - IMPORTANT
(Was deceased a
U. S. War Veteran,
if so specify WAR).
NO
(a) Residence. No. (Usual place of abode)
INTERVAL
BETWEEN
ONSET AND
DEATH
1 yr.
4 yrs
JOM-3-36-917579
R-301A 1
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-cight 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 casc 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
To be filed for burial permit with Board of Health or its Agent.
200
WINTHROP CONU. HOME PLEASAN ST St
Foran
(If deceased is a married, widowed or divorced woman, give also maiden name.)
(a) Residence. No ...
78 BANKS ST
St
(If nonresident, give city or town and State)
Length of stay: In place of death
years.
months
days. In place of residence 17 years
.. months.
days.
MEDICAL CERTIFICATE OF DEATH
3 DATE OF
DEATH
Och
14
1958 (Year)
(Day)
4 I HEREBY CERTIFY
qub.19
1952
to
Oct. 14
19 .-
That I attended deceased from
I last saw hL/halive on
04/ 12
19 57, death is said to
have occurred on the date stated above, at
4:2055
INTERVAL BETWEEN DNSET AND DEATH
11 IF STILLBORN, enter that fact here.
12
AGE 9/1 Years
.Months
Days
If under 24 hours
Hours ...._ Minutes
13 Usual
Occupation :
(Kind of work done during most of working life)
14 Industry
or Business:
DEPT. STORE
15 Social Security No. UNKNOWN
16 BIRTHPLACE (City)
(State or country)
IRELAND
OTHER
SIGNIFICANT
CONDITIONS
Was autopsy performed?
NC
What test confirmed diagnosis?
no
5 Was disease or injury in any way related to occupation of deceased ?.
If so, specify ...
(Signed)
freeph Stregone
M. D.
(Address) 94 W ustanto ToDate 10-14
ST. MARY'S NEW BURY PORT
Place of Burial or Cremation
(City or Town)
DATE OF BURIAL 4 Get: 19,1958 19
7 NAME OF
FUNERAL DIRECTOR
MAURICE KIRBY
ADDRESS
210 Winthrop ST
L.C.T. 15. 1958
Received and fled
(Registrar)
PERSONAL AND STATISTICAL PARTICULARS
8 SEX
MALE
9 COLOR
WHITE
10 SINGLE
(write the word)
MARRIED
WIDOWEDY WIDOWEL
or DIVORCED
10a If married, widowed, or divorced
HUSBAND of
ANNE
READY
(Give maiden name of wife in full)
(or) WIFE of.
(Husband's name in full)
DEATH WAS CAUSED BY: IMMEDIATE CAUSE
(a)
myocardial
Heart Disease
Due To
arterio geleruses
(b)
generalized
Due To'
(c)
17 NAME OF
FATHER
DANIEL FORAN
18 BIRTHPLACE OF
FATHER (City)
IRELAND
(State or country)
19 MAIDEN NAME
OF MOTHER
MARIA COFFEY
20 BIRTHPLACE OF
MOTHER (City)
(State or country)
IRELAND
21 MARGARET COFFIN Informant (Address) 23 BANK'S ST NINTH ROS
I HEREBY CERTIFY that a satisfactory standard certificate of death was fried with me BEFORE the burial or transit permit was issued : Halle . Jereaming.A (Signature of Agent of Board of Health or other) Theater Office (Official Designation) (Date of Issue of l'ermit ) /
10/10/58
R-301A 1
CTIONS R ERTIFICATE ving F DEATH , enter an one or each ) and (c)
es not mean of dying, art failure, :. It means or compli- ich caused
, if any, re rise to (a). ie under- use last.
us contrib- - > ith but not he terminal 'ition given
bapter 137, 14, requires to print or cause or death on ricates.
X
6
SOM-3-36-917373
2 FULL NAME michael
CERTIFICATE OF DEATH
Registered No.
[(If death occurred in a hospital or institution,
PHYSICIAN - IMPORTANT
¿cWas deceased a
U. S. War Veteran,
(if so specify WAR)
NO
(Usual place of abode)
PARENTS
SALESMAN (Month) 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 dicd, 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 ninctcen hundred and seventecn. 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 casc 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 X Suffolk (County) Winthrop PENSE FATICA The Commonwealth of Massachusetts EDWARD J. CRONIN SECRETARY OF THE COMMONWEALTH DIVISION OF VITAL STATISTICS STANDARD CERTIFICATE OF DEATH Registered No. 201 Mayflower Nursing Home No. John Kimball 2 FULL NAME. (If deceased is a married, widowed or divorced woman, give also maiden name.) (a) Residence. No ... 25 T Wharf (Usual place of abode) Length of stay: In place of death ............ years. months 19 2 24 days. In place of residenc years months. ... days. MEDICAL CERTIFICATE OF DEATH 3 DATE OF DEATH Oct. 15 1958 (Month) (Day) (Year) 4 I HEREBY CERTIFY, That I attended deceased from Sept 10 1958 to .. Oct 12 I last saw himlive on Oct 12 19.58, death is said to have occurred on the date stated above, at 10 A ... m. DEATH WAS CAUSED BY: IMMEDIATE CAUSE Ventricular flutter (a) INTERVAL BETWEEN DNSET AND DEATH Due To (b) myocardial disease Due To (c) OTHER SIGNIFICANT CONDITIONS complete heart block Was autopsy performed? What test confirmed diagnosis ?. - 5 Was disease or injury in any way related to occupation of deceased? No. If so, specify (Signed) HoBlinenfield M. D. (Address 447 Shirley St WA urno Bate Oct is 19 Woodlawn Crematory, Everett Place of Burial or Cremation (City or Town) DATE OF BURIAL Oct. 17, 1958 7 NAME OF FUNERAL DIRECTOR Ernest P. Caggiano ADDRESS 147 Winthrop St., Winthrop Received and filed. 16:054 19 (Registrar) PERSONAL AND STATISTICAL PARTICULARS 8 SEX male 9 COLOR white 10 SINGLE (write the word) MARRIED WIDOWED or DIVORCED marrie 10a If married, widowed, or HUSBAND of Maria Chase Grey (Give maiden name of wife in full) (or) WIFE of (Husband's name in full) 11 IF STILLBORN, enter that fact here. 12 80 1 .Months. 25 Days Hours ........ Minutes 13 Usual Broker Occupation : (Kind of work done during most of working life) 14 Industry or Business Cotton & Wool 15 Social Security No .. 16 BIRTHPLACE (City). (State or country) New York 17 NAME OF FATHER Walter B. Kimball 18 BIRTHPLACE OF FATHER (City) (State or country) Mass. Boxford 19 MAIDEN NAME OF MOTHER Josephine Fischer 20 BIRTIIPLACE OF Unknown MOTHER (City) (State or country) New York 21 Mrs. Maria Grey Kimball Informant. 25 T Wharf, Boston Need help finding more records? Try our genealogical records directory which has more than 1 million sources to help you more easily locate the available records.