USA > Massachusetts > Suffolk County > Winthrop > Town of Winthrop : Record of Deaths 1959 > Part 26
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PACE FOR ADDITIONAL INFORMATION
DATE OF ENTERING MILITARY SERVICE
DATE OF DISCHARGE
ANK, RATING ORGANIZATION AND OUTFIT
ERVICE NUMBER
-301A 1
TIONS
ITIFICATE ing DEATH enter a one each and (c)
not mean of
dying, t failure, It means of compli- 4
caused
if any, rise to (a), under- last.
contrib. but not terminal on given
pter 137, requires »print or ause or
eath on
ates.
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.
No. Winthrop Convalescent
[(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
(a) Residence. No. 94 Homer St. East Boston
(Usual place of abode)
St
(If nonresident, give city or town and State)
Length of stay: In place of death.
3 years.
months
days. In place of residence.
5
years
months.
days.
MEDICAL CERTIFICATE OF DEATH
3 DATE OF
DEATH
May
(Month) (Day)
19
1959
(Year)
8 SEX F
9 COLOR
White
10 SINGLE
(write the word)
MARRIED
WIDOWEDWidowed
or DIVORCED
10a If married, widowed, or divorced
HUSBAND of
(Give maiden name of wife in full)
(or) WIFE of.
Charles Coleman
(Husband's name in full)
11 IF STILLBORN, enter that fact here.
12
AGE 84 Years
4 Months
15ays
If under 24 hours
.Hours ...... Minutes
13 Usual
Occupation :
Propriator
(Kind of work done during most of working life)
14 Industry
or Business:
Variety Store
15 Social Security No .. None
Bath
16 BIRTHPLACE (City)
(State or country)
Maine
17 NAME OF
FATHER
Francis King
18 BIRTHPLACE OF
FATHER (City)
(State or country)
Canada
19 MAIDEN NAME
OF MOTHER
U to L
20 BIRTHPLACE OF
MOTHER (City)
(State or country)
Canada
21
Informant Mr.s. Margaret Hoff
/
(Address)
94 Homer St. East Boston
7 NAME OF
FUNERAL DIRECTOR
Richard C. Kirby
ADDRESS
917 Bennington St. E. Boston
Received and filed MAY 20 1959 19
(Registrar)
5mm
Due To (c)
OTHER
SIGNIFICANT
CONDITIONS
Was autopsy performed?
0
What test confirmed diagnosis? 0
5 Was disease or injury in any way related to occupation of deceased ?
If so, specify ...
(Signed).
Fred o' Regan
, M. D.
113 Pleasant St. Galleraf 5/19
(Address)
159
Hardings Crossing
6
Brunswick.Me ..
Place of Burial or Cremation
(City or Town)
DATE OF BURIAL
May
.22
19.59
SOM-3-56-917573
4 I HEREBY CERTIFY,
That I attended deceased from
57
to,
May 18
19
59
last saw her alive on
5/18
7, 1917, death is said to
have occurred on the date stated above, at
16.45 Am.
DEATH WAS CAUSED BY: IMMEDIATE CAUSE
BRONCHO-PNEUMONIA
(a)
INTERVAL
BETWEEN
ONSET AND
DEATH
4 DAYS
Due To APTERIO-SCLEROTIC
(b)
HEART DISEASE
PERSONAL AND STATISTICAL PARTICULARS
PARENTS
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 of other)
Health Officer
5/19/59
(Official Designation) (Date of Issue of Permit)
Registered No.
82
2 FULL NAME Clara Coleman (King)
(If deceased is a married, widowed or divorced woman, give also maiden name.)
x -59
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 ath of a person whom he has attended during his last illness, at the request an undertaker or other authorized person or of any member of the family of e deceased. furnish for registration a standard certificate of death. stating to the st of his knowledge and belief the name of the deceased, his supposed age, the ease of which he died. defined as required by section one, where same was ntracted, the duration of his last illness, when last seen alive by the physician 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 eceding section or by section forty-five of chapter one hundred and four- en, shall. if the deceased, to the best of his knowledge and belief, served in the my, navy or marine corps of the United States in any war in which it has been gaged, insert in the certificate a recital to that effect, specifying the war, and all also certify in such certificate both the primary and the secondary or imme- ate cause of death as nearly as he can state the same. For neglect to comply th any provision of this section, such physician or officer, shall forfeit ten dollars. r the purposes of this section and of sections forty-five. forty-six and forty-seven said chapter one hundred and fourteen, the word "war" shall include the China ief expedition and the Philippine insurrection, which shall. for said purposes, be emed to have taken place between February fourteenth, eighteen hundred and nety-eight and July fourth, nineteen hundred and two. and the Mexican border vice of nineteen hundred and sixteen and nineteen hundred and seventeen. L. Chap. 46, Sec. 10.
No undertaker or other person shall bury or otherwise dispose of a human body a town, or remove therefrom a human body which has not been buried, until he s received a permit from the board of health, or its agent appointed to issue ch permits, or if there is no such board, from the clerk of the town where the rson died; and no undertaker or other person shall exhume a human body and move it from a town, from one cemetery to another, or from one grave or tomb her than the receiving tomb to another in the same cemetery, until he has ceived a permit from the board of health or its agent aforesaid or from the clerk the town where the body is buried. No such permit shall be issued until there all have been delivered to such board, agent or clerk, as the case may be, satisfactory written statement containing the facts required by law to be turned and recorded, which shall be accompanied. in case of an original inter- ent, by a satisfactory certificate of the attending physician. if any, as required by w. or in lieu thereof a certificate as hereinafter provided. If there is no attending lysician, or if, for sufficient reasons, his certificate cannot be obtained early ough for the purpose, or is insufficient, a physician who is a member of the board health, or employed by it or by the selectmen for the purpose, shall upon plication make the certificate required of the attending physician. If death is used by violence, the medical examiner shall make such certificate. If such a ermit for the removal of a human body, not previously interred, from one town another within the commonwealth cannot be obtained early enough for the rpose. the certificate of death made as above provided and in the possession of e undertaker desiring to make such removal shall constitute a permit for such moval; provided, that such body shall be returned to the town from which it was moved within thirty-six hours after such removal, unless a permit in the usual rm 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 ar 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. D., 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 withoutrecent 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 domestie 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.
xxxxxxxxveMount's Convalescergive its NAME instead of street and number) No.
Home
2 FULL NAME
Margaret M . Flanagan
(If deceased is a married, widowed or divorced woman, give also maiden name.)
453 Shirley St.
St
(If nonresident, give city or town and State)
Length of stay: In place of death.
......
... years.
2
.months
days. In place of residenceO.
.years
months ............ days.
MEDICAL CERTIFICATE OF DEATH
3 DATE OF
DEATH
may
19
1959
(Month)
(Day)
(Year)
4 I HEREBY CERTIFY,
1944
to ..
may 10
39
I last saw her .. alive on
May
10
, 1959, death is said to
have occurred on the date stated above, at
12:30 P
.. m.
DEATH WAS CAUSED BY: IMMEDIATE CAUSE
(a) cerebro vascular accident
INTERVAL BETWEEN ONSET AND DEATH
Due To
Senility+arteriosclerosis
(b)
Due To (c)
OTHER SIGNIFICANT CONDITIONS
Was autopsy performed?
no
What test confirmed diagnosis ?...
5 Was disease or injury in any way related to occupation of deceased? ND. If so, specify
(Signed).
HoBSrenfield
M. D.
(Address)
447 Shirley
Date
5 -19
1939
Winthrop
Winthrop
Place of Burial or Cremation (City or Town)
DATE OF BURIAL
May 22 195.9.
7 NAME OF
FUNERAL DIRECTOR
Arthur J. O'Maley
Winthrop. Mass
ADDRESS
Received and filed MAY 2-0- 1959 19
(Registrar)
PERSONAL AND STATISTICAL PARTICULARS
8 SEX
1
9 COLOR
White
10 SINGLE
MARRIED
WIDOWED
or DIVAfamr ied
10a If married, widowed, or divorced
HUSBAND of.
(Give maiden name of wife in full)
(or) WIFE of.
John .W. Flanagan
(Husband's name in full)
11 IF STILLBORN, enter that fact here.
12
77
1 hour
AGE
Years
Months.
.Days
If under 24 hours
Hours ........ Minutes
13 Usual
Occupation :
Housewife
14 Industry
or Business:
Own Home
15 Social Security No .....
16 BIRTHPLACE (City)
(State or country)
Boston
Mass.
17 NAME OF
FATHER
John Mooney
PARENTS
18 BIRTHPLACE OF
FATHER (City) (State or country)
Ireland
19 MAIDEN NAME
OF MOTHER
Sarah McDonald
20 BIRTHPLACE OF
MOTHER (City).
(State or country)
Ireland
JohnW.Flanagan
I HEREBY CERTIFY that a satisfactory standard certificate of death was filed with me BEFORE the burial or transit permit was issued:
(Signature )of Agent of Board of Health or other)
Thealth Officer 5/20/59
(Official Designation )
(Date of Issue of Permit)
1.B.V
RTIFICATE ing DEATH enter n one · each and (c)
not mean of dying, t failure, It means or compli- h caused
if any, rise to € (a), under- e last.
Es contrib- h but not , terminal . tion given
apter 137, , requires o print or cause death on
cates.
6
100M-11-55-916145
-301A 1
IONS
(a) Residence. No.
(Usual place of abode)
PHYSICIAN - IMPORTANT
(Was deceased a
U. S. War Veteran,
if so specify WAR)
Mooney
Registered No.
If death occurred in a hospital or institution,,
(write the word)
Female
That I attended deceased from
(Kind of work done during most of working life)
21
Informant
(Address)
453 Shirley St.
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 ath of a person whom he has attended during his last illness, at the request an undertaker or other authorized person or of any member of the family of deceased. furnish for registration a standard certificate of death, stating to the st of his knowledge and belief the name of the deceased, his supposed age, the ease of which he died. defined as required by section one, where same was ntracted, the duration of his last illness, when last seen alive by the physician 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 eceding section or by section forty-five of chapter one hundred and four- 'n, shall. if the deceased, to the best of his knowledge and belief, served in the my, navy or marine corps of the United States in any war in which it has been gaged. insert in the certificate a recital to that effect, specifying the war, and all also certify in such certificate both the primary and the secondary or imme- te cause of death as nearly as he can state the same. For neglect to comply th any provision of this section, such physician or officer, shall forfeit ten dollars. r the purposes of this section and of sections forty-five, forty-six and forty-seven said chapter one hundred and fourteen, the word "war" shall include the China ief expedition and the Philippine insurrection, which shall. for said purposes, be emed to have taken place between February fourteenth, eighteen hundred and ety-eight and July fourth, nineteen hundred and two. and the Mexican border vice of nineteen hundred and sixteen and nineteen hundred and seventeen. L. Chap. 46. Sec. 10.
No undertaker or other person shall bury or otherwise dispose of a human body a town, or remove therefrom a human body which has not been buried, until he s received a permit from the board of health, or its agent appointed to issue ch permits, or if there is no such board, from the clerk of the town where the rson died; and no undertaker or other person shall exhume a human body and move it from a town, from one cemetery to another, or from one grave or tomb her than the receiving tomb to another in the same cemetery, until he has ceived a permit from the board of health or its agent aforesaid or from the clerk the town where the body is buried. No such permit shall be issued until there all have been delivered to such board, agent or clerk, as the case may be, satisfactory written statement containing the facts required by law to be turned and recorded, which shall be accompanied, in case of an original inter- ent, by a satisfactory certificate of the attending physician, if any, as required by w, or in lieu thereof a certificate as hereinafter provided. If there is no attending ysician, or if, for sufficient reasons, his certificate cannot be obtained early ough for the purpose, or is insufficient, a physician who is a member of the board health, or employed by it or by the selectmen for the purpose, shall upon plication make the certificate required of the attending physician. If death is used by violence, the medical examiner shall make such certificate. If such a ermit for the removal of a human body, not previously interred, from one town another within the commonwealth cannot be obtained early enough for the arpose, the certificate of death made as above provided and in the possession of e undertaker desiring to make such removal shall constitute a permit for such moval; provided, that such body shall be returned to the town from which it was moved within thirty-six hours after such removal, unless a permit in the usual rm 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. o., 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.
Chạp. 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 practica;".
(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 physiclans 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 Examiner 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 filled for burial permit with Board of Health or its Agent.
No. 15 Villa Avenue
2 FULL NAME
Arthur Eugene Griffin
(If deceased is a married, widowed or divorced woman, give also maiden name.)
(a) Residence.
No.
15 Villa Avenue
St
(If nonresident, give city or town and State)
Length of stay: In place of death
81years.
.months.
.. days. In place of residence
81years.
months.
........ days.
MEDICAL CERTIFICATE OF DEATH
3 DATE OF
DEATH
May
21
1959
(Month)
(Day)
(Year)
4 I HEREBY CERTIFY,
That I attended deceased from
19
to
19
I last saw h __...
.alive on
19
death is said to
have occurred on the date stated above, at
11:30H.m.
DEATH WAS CAUSED BY: IMMEDIATE CAUSE (a) . Presumably due to
INTERVAL BETWEEN ONSET AND DEATH
Due
Fonatural causes.
- (b)
Due To
Board of Health
(c)
Town of Winthrop
OTHER
SIGNIFICANT
CONDITIONS
Was autopsy performed?
What test confirmed diagnosis?
5 Was disease or injury in any way related to occupation of deceased ?
If so, specify ..
(Address)
6
Winthrop Cemetery Winthrop, Mass Place of Burial or Cremation (City or Town)
DATE OF BURIAL May 25 1959 19
7 NAME OF
FUNERAL DIRECTOR
asked BB. March
ADDRESS
174 Winthrop St. Winthrop
Received and filed MAY 2% 1959 19
(Registrar)
PERSONAL AND STATISTICAL PARTICULARS
8 SEX
9 COLOR
10 SINGLE
(write the word)
MARRIED
WIDOWED
or DIVORCED
married
10a If married, widowed, or divorced
HUSBAND of
Louise Isabell Ingalls
Give maiden name of wife might
(or) WIFE of
(Husband's name in full)
11 IF STILLBORN, enter that fact here.
12
AGE81 Years. 2 ...
.Months 9 Days
If under 24 hours
Hours _....
Minutes
13 Usual
Occupation: retired electrical engineer
(Kind of work done during most of working life)
14 Industry
or Business:
Boston Edison Co.
15 Social Security No.
16 BIRTHPLACE (City)
(State or country)
Massachusetts
17 NAME OF
FATHER
Sydney Haskill Griffin
18 BIRTHPLACE OF
19 MAIDEN NAME
FATHER (City)
Gloucester
(State or country)
Massachusetts
PARENTS
. D.
OF MOTHER
Mary Priscilla Ryder
20 BIRTHPLACE OF
MOTHER (City)
Chatham
(State or country)
Massachusetts
C 21 Informant Mrs. Arthur E. Griffin (Address) 15 Villa Ave. Winthrop Mass. I HEREBY CERTIFY that a satisfactory standard certificate of death was filed with me BEFORE the burial or transit permit was issued:
Mass Halkla . Sereantes Signature of Agent of Board of Health or other)
Health Glicer
5/22/59
(Official Designation)
(Date of Issue of Permit)
V.B.V
CTIONS R RTIFICATE ring DEATH enter in one r each and (c)
not mean of dying, rt failure, It means of compli- ch caused
1 if any, rise to Use
(a). under- last.
o contrib- th but not e terminal Ction given
Capter 137, requires so print or cause leath on cates.
50M-1-58-921876
₹-301A 1
Registered No.
[(If death occurred in a hospital or institution, St. Įgive its NAME instead of street and number)
PHYSICIAN - IMPORTANT
(Was deceased a
U. S. War Veteran,
if so specify WAR)
NO.
(Usual place of abode)
male
white
Winthrop
(Signed)
Winthrop, Mas Date 5/22/1959
EXTRACTS FROM THE LAWS OF THE COMMONWEALTH OF MASSACHUSETTS GOVERNING THE
RETURN OF CERTIFICATES OF DEATH
physician or registered hospital medical officer shall forthwith, after the th of a person whom he has attended during his last illness, at the request n undertaker or other authorized person or of any member of the family of deceased. furnish for registration a standard certificate of death. stating to the t of his knowledge and belief the name of the deceased, his supposed age, the case of which he died, defined as required by section one, where same was tracted. the duration of his last illness, when last seen alive by the physician officer and the date of his death. . . Gen. Laws, Chap. 46, Sec. 9.
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