USA > Massachusetts > Suffolk County > Winthrop > Town of Winthrop : Record of Deaths 1960 > Part 20
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UCTIONS :OR CERTIFICATE
giving OF DEATH ot enter than one for each b) and (c)
es not mean of dying, reart failure, tc. It means or compli- hich caused
ns, if any, ive rise to ause (a), sthe under- ause last.
u ions contrib- eath but not t the terminal udition given
.Chapter 137, 54. requires is to print or caus
cause or death on e ificates, and r$8, Acts of elires Physi- o'rint or type ner signature.
1 59-925686
8 SEX
FEMALE
9 COLOR
WHITE
10 SINGLE
(write the word)
MARRIED
WIDOWED
OF DIVORCEDMARRIED.
10a If married, widowed, or divorced
HUSBAND of
(or) WIFE of
MICHAEL
(Give maiden name of wife in full)
WHITE
(Husband's name in full)
13 Usual
Occupation :
....
(Kind of work done during most of working life)
14 Industry
or Business :
RETALE GROCERY
15 Social Security No.
029-09-4599
WINTHROPC
MASS
16 BIRTHPLACE (City) (State or country)
17 NAME OF
FATHER
LETUCE LAVOIE
CLEARLY
5mos
19
Registered No.
PHYSICIAN - IMPORTANT [(Was deceased a
{ U. S. War Veteran, [if so specify WAR)
NO
PORTLAND
MICHAEL WHITE.
R-301A -
SPACE FOR ADDITIONAL INFORMATION
DATE OF ENTERING MILITARY SERVICE
DATE OF DISCHARGE
RANK, RATING
ORGANIZATION AND OUTFIT
SERVICE NUMBER
.
RULES OF PRACTICE
The fulfillment of the purpose of these laws calls for the observance of the() following 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 un- related 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-$6 : 00 !! 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 occu- pation, 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 impor - tant, 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. Chil- dren 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.
R-301A 1
SIUCTIONS FOR I CERTIFICATE
I giving IOF DEATH
oot enter r than one for each )(b) and (c)
es not mean Mig of dying, sheart failure, aetc. It means see, or compli- which caused
lims, if any, have rise to e cause (a), n the under- ause last.
» tions contrib- trieath but not the terminal ndition given
: Chapter 137, f 954. requires cins to print or 1: cause or sf death on ctificates, and e 48, Acts of ruires Physi- t print or type u er signature.
M-59-925686
PLACE OF DEATH
Suffolk (County)
Winthrop
(City or Town)
The Commonwealth of Massachusetts JOSEPH D WARD SECRETARY OF THE COMMONWEALTH DIVISION OF VITAL STATISTICS
STANDARD CERTIFICATE OF DEATH
Registered No.
86
S(If death occurred in a hospital or institution, St. Į give its NAME instead of street and number)
PHYSICIAN - IMPORTANT [(Was deceased a { U. S. War Veteran, No
{if so specify WAR)
(If deceased is a married, widowed or divorced woman, give also maiden name.) 93 Trenton Street
St. East. Boston
(If nonresident, give city or town and State)
months.
days.
MEDICAL CERTIFICATE OF DEATH
PERSONAL AND STATISTICAL PARTICULARS
8 SEX
Female
9 COLOR
White
10 SINGLE
(write the word)
3 DATE OF
DEATH
April
15.
1960
(Year)
4 I
HEREBY CERTIFY,
That I attended deceased from
19.60
Algorit, 15, 60
19
10a If married, widowed, or divorced HUSBAND of (Give maiden name of wife in full)
(Husband's name in full)
If under 24 hours Hours .......... Minutes
13 Usual
Occupation :
(Kind of work done during most of working life)
14 Industry
or Business:
Court House, Boston
15 Social Security Nonone
16 BIRTHPLACE (City)
East .... Boston
(State or country)
Mass
17 NAME OF
FATHER
William J. Flynn
18 BIRTHPLACE OF
FATHER (City)
Boston
(State or country)
Mass
19 MAIDEN NAME
OF MOTHER
Katherine Welth
20 BIRTHPLACE OF
MOTHER (City)
Boston
(State or country)
Mass
21
Informant
Mrs. Alice H. Greer sister
(Addre ) Trenton St. E. Boston
I HEREBY , CERTIFY that a satisfactory standard certificate of death was filed with me BEFORE the burial or transit permit was issued: Tralpe = Pereauns
(Signature of Agent of Board of Health of other)
4/16/60
(Official Designation)
(Registrar)
PARENTS
(PRINT OR TYPE SIGNATURE) 4/15/65
(Address) Date.
6
Holy Cross Cemetery, Malden
Place of Burial or Cremation
(City or Town)
19 DATE OF BURIAL April 18th 60
7 NAME OF
Richard C. Kirby, Inc.
ADDRESS / Bennington St., E. Boston
Received and filed APR-18-1960 19
17v.
Due To Chronic Nephritis.
(c)
14V.
OTHER SIGNIFICANT CONDITIONS
NOVE
no
Was autopsy performed?
What test confirmed diagnosis ?
5 Was disease or injury in any way related to occupation of deceased? If so, specify
(Signed)
Fromp. H. Schumanty M. D.
19 Priscatou St 2DBostra
to ...!!
I last saw h & alive on
April 15
1960
(or) WIFE of
7 30p., death is said to
have occurred on the date stated above, at
INTERVAL
BETWEEN
DEATH WAS CAUSED BY: IMMEDIATE CAUSE
Acute Pulmonary Edina
ONSET AND
DEATH
11 IF STILLBORN, enter that fact here.
1 Way
AGE.8.0.
ears ...
2 ..... Months .... 14 Days
(a)
Due To Chronic Myocarditis
(b) ...
1 000
No.
Winthrop Community Hospital
To be filed for burial permit with Board of Health or its Agent.
2 FULL NAME Katherine Flynn
(a) Residence. No. (Usual place of abode)
Length of stay: In place of death. years. 3. months 14days. In place of residence. 40.years.
(Month)
(Day)
MARRIED
WIDOWED
or DIVORCED ingle
(Date of Issue of Permit)
Secretary
SPACE FOR ADDITIONAL INFORMATION
DATE OF ENTERING MILITARY SERVICE.
DATE OF DISCHARGE RANK, RATING
ORGANIZATION AND OUTFIT
SERVICE NUMBER.
RULES OF PRACTICE 6
The fulfillment of the purpose of these laws calls for the observance of the following 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 un- related 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 occu- pation, 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 impor- tant, 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. Chil- dren 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.
X
PLACE OF DEATH
Suffolk (County)
Winthrop
(City or Town)
44 Cliff Ave ..
The Commonwealth of Massachusetts JOSEPH D. WARD 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.
87
§(If death occurred in a hospital or institution, St. { give its NAME instead of street and number)
2 FULL NAME
Arthur Roberts Torrey, Jr.
(If deceased is a married, widowed or divorced woman, give also maiden name.)
{if so specify WAR)
44 Cliff Ave., Winthrop
St.
(If nonresident, give city or town and State)
Length of stay: In place of death ....... 5 .. years.
.......
.months.
days. In place of residence ... ] ... 5 ... years ...
......
... months.
.days.
MEDICAL CERTIFICATE OF DEATH
3 DATE OF
DEATH
april
17
1960
(Year)
(Month)
(Day)
4 I HEREBY CERTIFY,
That I attended deceased from
19 ...
19-
I last saw h ........ alive on
19 ......
death is said to
have occurred on the date stated above, at
4 P.
... m.
DEATH WAS CAUSED BY : IMMEDIATE CAUSE
Natural Causes
(a)
INTERVAL
BETWEEN
ONSET AND
DEATH
11 IF STILLBORN, enter that fact here.
12
AGE60
Years ..
6 Months.
.9 ... Days
If under 24 hours
Hours ..
Minutes
13 Usual
Occupation :
Assembler
(Kind of work done during most of working life)
14 Industry
Little Brown Co.
or Business :
15 Social Security No.
028-01-6192
16 BIRTHPLACE (City)
(State or country)
Boston, Mass.
17 NAME OF
FATHER
Arthur Torrey, Sr,
18 BIRTHPLACE OF
FATHER (City)
(State or country)
Mass.
19 MAIDEN NAME
OF MOTHER
Gertrude Trowbridge
20 BIRTHPLACE OF
MOTHER (City)
(State or country)
Mildred Torrey
21
Informant
(Address)
14 Cliff Ave.
I HEREBY CERTIFY that a/satisfactory standard certificate of death was filed with me BEFORE the burial .or transit permit was issued:
FUNERAL DIRECTOR
Paul D. Wentworth
ADDRESS 30 Prospect St Val
Received and filed
APR 18 1960
19
(Registrar)
PARENTS
Date. 4/18 19 60
6
Vernon Grove
Milford
Place of Burial or Cremation
(City or Town)
DATE OF BURIAL
April 20
19
60
7 NAME OF
CINSE PITIFULAL
Winthrop
No.
ITRUCTIONS FOR IL CERTIFICATE
1 giving OF DEATH not enter ure than one le for each 1, (b) and (c)
does not mean de of dying, heart failure, & etc. It means Bise, or compli- u which caused
Mions, if any, ic gave rise to cause (a), the under- cause last.
auditions contrib- death but not do the terminal econdition given
e Chapter 137, o1954. requires cns to print or e cause or sof death on tificates, and 48, Acts of quires Physi- print or type der signature.
m. S.
(Signature of Agent of Board of Health or other)
Healthe Officer
4/18/60
(Official Designation)
(Date of Issue of Permit) /
-
MARRIED
WIDOWED
or DIVORCED
10a If married, widowed, or divorced,
HUSBAND of
Mildred.
"imba.1.1
(Give maiden name of wife in full)
(or) WIFE of
(Husband's name in full)
Due To
Presumably Coronary Occlusion
(b)
Sudden
Due To Arteriosclerotic Heart Disease
(c)
15 yrs
OTHER
SIGNIFICANT
CONDITIONS
None
Was autopsy performed?
No
What test confirmed diagnosis? Post-Mortem Judgement
5 Was disease or injury in any way related to occupation of deceased? No
If so, specify.
Arthur C. Murray
(SignedY
. D.
Arthur C. Murray
BoaPUNTOR THEFaSICHTURE)
(Address)
PERSONAL AND STATISTICAL PARTICULARS
8 SEX
M
9 COLOR
White
10 SINGLE
(write the word)
Married
PHYSICIAN - IMPORTANT
(Was deceased a
U. S. War Veteran,
(a) Residence. No.
(Usual place of abode)
0111-59-926662
160
M R-301A 1
Cambridge
Cambridge
SPACE FOR ADDITIONAL INFORMATION
DATE OF ENTERING MILITARY SERVICE.
DATE OF DISCHARGE
RANK, RATING
ORGANIZATION AND OUTFIT
SERVICE NUMBER
RULES OF PRACTICE
The fulfillment of the purpose of these laws calls for the observancefof the 1 01900 ( following 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 un- related 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 occu- pation, 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 impor- tant, 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. Chil- dren 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.
t
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
Registered No.
88
Alice M., . O'Brien; .
(If deceased is a married, widowed or divorced woman, give also maiden name.)
(a) Residence. No.
I07 Faywood Ave
East Boston.
Mass.
St.
(If nonresident, give city or town and State)
Length of stay: In place of death
years.
months
days. In place of residence years.
.months.
days.
MEDICAL CERTIFICATE OF DEATH
3 DATE OF
DEATH
APRIL
18
60
(Year)
(Month) (Day)
4 I HEREBY CERTIFY,
That I attended deceased from
an 2
1960, to.
APRIL 19
1968
I yast saw htLalive on
APRIL 17, 1960, death is said to
have occurred on the date stated above, at 7300 m.
DEATH WAS CAUSED BY: IMMEDIATE CAUSE
(a)
INTRA ABDOMINAL
CARCINOMAE METASTASIS
Due To (b)
Due To (c)
OTHER
SIGNIFICANT
CONDITIONS
1
Was autopsy performed?
No
What test confirmed diagnosis ?.
BIOPSY
5 Was disease or injury in any way related to occupation of deceased? No If so. specify Charles J Cataldo
(Signed)
Charles J. Cataldo
(Address) 48BYRONSTE.B Date APRIL 18 1960
6 Holy Cross
Malden
Place of Burial or Cremation
DATE OF BURIAL
April
E']y or Town) 60 19
7 NAME OF
FUNERAL DIRECTOR Frederick J. Magrath
ADDRESS East Boston
Received and filed.
APR 20 1960
19
(Registrar)
PERSONAL AND STATISTICAL PARTICULARS
8 SEX
9 COLOR
10 SINGLE
(write the word)
female
white
MARRIED
WIDOWED
or DIVOREEDried
10a If married, widowed, or divorced
HUSBAND of
(Give maiden name of wife in full)
(or) WIFE of.
Richard T. O'Brien
(Husband's name in full)
11 IF STILLBORN, enter that fact here.
12
61
AGE
Years.
Months
Days
If under 24 hours
Hours ___ Minutes
13 Usual
Occupation :
houseworkwife
(Kind of work done during most of working life)
14 Industry
or Business: own home
15 Social Security No ...
NONE
16 BIRTHPLACE (City) East Loston, Mass. (State or country)
17 NAME OF
FATHER
John Breen
18 BIRTHPLACE OF
FATHER (City).
East Boston, Masss
(State or country)
19 MAIDEN NAME
OF MOTHER
Lillian Smith
20 BIRTHPLACE OF MOTHER (City). (State or country) Nova Scotia
21 Richard T. O'Brien Informant (Address, 107 Faywood Ave. E. Boston
I HEREBY CERTIFY that a satisfactory standard certificate of death was filled with me BEFORE the burial or transit permit was issued:
(Signature of Agent of Board of Healthor/other) Cheblete Officer 4/20/60
(Official Designation) (Date of Issue of Permit) X
RIR-301A 1
S'UCTIONS FOR A CERTIFICATE
Isgiving - EOF DEATH
it enter nthan one 13 for each ), b) and (c)
s pes not mean of dying, 's heart failure, a. tc. It means a', or compli- which caused
it is, if any, live rise to ause (a), g the under- ause last.
id ons contrib- o'eath but not the terminal ndition given
: Chapter 137, f 954, requires chis to print or cause or f death on c tificates.
50M-1-58-921876
To be filed for burial permit with Board of Health or its Agent.
No.
Winthrop Commmunity Hospital
[(If death occurred in a hospital or institution,
St. [give its NAME instead of street and number)
PHYSICIAN - IMPORTANT -
2 FULL NAME
(Was deceased a
U. S. War Veteran,
no
if so specify WAR)
(Usual place of abode)
INTERVAL
BETWEEN
ONSET ANO
DEATH
-
PARENTS
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 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 derk 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 law's 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. 6r electricahagents, 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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