USA > Massachusetts > Suffolk County > Winthrop > Town of Winthrop : Record of Deaths 1960 > Part 29
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If disease or injury was related to occupation, specify. If investigation shows the death to have been due to disease, specify: (1) Under cause its known or presumable nature; and (2) under manner, indicate the circumstances leading to medico-legal inquiry. For example: "Hemorrhage spontaneous of the brain (basal ganglia) (found dead in bed)." "Heart disease, presumably coronary sclerosis. (Sudden death.)"
..
4:568
X 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
To be filed for burial permit with Board of Health or its Agent.
131
WINTHROPCOMMUNITY HOSPITALS {If death occurred in a hospital or institution No.
give its NAM
2 FULL NAME
Wright Baby Girl
(If deceased is a married, widowed or divorced woman, give also maiden name.)
lif so specify WAR)
22 HARVARD ST. WINTHROP 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
JUNE
9
1960
(Month)
(Day) /
(Year)
4 I HEREBY CERTIFY , That I attended deceased from
chine 9
19.60
to ULIKE 9
1960
I last saw hÉ .... alive on
Stillborn
. 19
death is said to
have occurred on the date stated above, at
8:27 A, m.
DEATH WAS CAUSED BY : IMMEDIATE CAUSE
(a)
Still born,
Due To
Strangulation-vifra-
(b)
utérine.
Due To
Cord around neck
(c)
OTHER
SIGNIFICANT
CONDITIONS
Was autopsy performed?
NO.
What test confirmed diagnosis ?
Clinical
5 Was disease or injury in any way related to occupation of deceased? o If so, specify
M. TRAUNSTEIN RIM.D
(PRINT OR TYPE SIGNATURE)
(Address) 75 BARTLETT Rd.
June 9 1, 60
6 WOODLAWN EVERETT Place of Burial or Cremation- (City or Town)
DATE OF BURIAL JUNEIO
7 NAME OF
FREDERICK / MAGRATTA
FUNERAL DIRECTOR
ADDRESS LAST BOSTON
Received and filed JUN-1-0-1960 19.
(Registrar)
8 SEX
9 COLOR
FEMALE WHITE
10 SINGLE
MARRIED
WIDOWED
or DIVORCED
(write the word)
10a If married, widowed, or divorced
HUSBAND of
(Give maiden name of wife in full)
(or) WIFE of
(Husband's name in full)
11 IF STILLBORN, enter that fact here.
STILLBORN
If under 24 hours
12
AGE
Years .............. Months ..
......
Days
Hours.
Minutes
13 Usual
Occupation :
(Kind of work done during most of working life)
14 Industry
or Business :
15 Social Security No.
16 BIRTHPLACE (City)
(State or country)
MASS
17 NAME OF
FATHER
RONALD RWRIGHT
18 BIRTHPLACE OF
FATHER (City)
FAST BOSTON
(State or country)
MASS
19 MAIDEN NAME
(Signed)
Mi Travelfaire
for.
M. D.
OF MOTHER
CONSTANCE PERRIN
20 BIRTHPLACE OF
MOTHER (City)
(State or country)
ITA555
RONALD & WRIGHT
21 Informant (Address) 22 HARLARUST WINTHROP
I IIEREBY 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)
(Official Designation)
(Date of Issue of Permit)
X
R-301A 1
CTIONS R
ERTIFICATE
ving
DEATH enter an one r each and (c)
not mean of dying, ut failure, It means or compli- ch caused
if any, rise to se (a), under- last.
se is contrib- dth but not ne terminal Ation given
apter 137, . requires o print or cause or death on cates, and Acts of es Physi- out or type de ignature.
6 925686
Registered No.
PHYSICIAN - IMPORTANT [(Was deceased a U. S. War Veteran,
(a) Residence. No. (Usual place of abode)
INTERVAL
BETWEEN
ONSET AND
DEATH
PERSONAL AND STATISTICAL PARTICULARS
WINTHROP
PARENTS
MEDFORD
-
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 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.
RECE 097
OF TOD
11.12
?
L.
-
LERK
6
THRO
JUN 1 01960 /M
X PLACE OF DEATH
Suffolk (County)
KAVEKK 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.
132
[(If death occurred in a hospital or institution,
St. (give its NAME instead of street and number)
No.
Winthrop Community Hospital
2 FULL NAME
Cronin, Michael J.
(If deceased is a married, widowed or divorced woman, give also maiden name.)
(a) Residence. No. ...
16 Bellevue Ave.
St.
(If nonresident, give city or town and State)
Length of stay: In place of death.
years
1
months
days. In place of residence/ 9
years
months ._....
days.
MEDICAL CERTIFICATE OF DEATH
3 DATE OF
DEATH
(Month)
10
(Day)
(Year)
4 I HEREBY CERTIFY,
That I attended deceased from
FEB
1955
to.
JUNE 10
1960
I last saw hizsalive on
guardando 1960
, death is said to
have occurred on the date stated above, at
310 A. m.
DEATH WAS CAUSED BY: IMMEDIATE CAUSE
(a)
UREMIA .-
Due To OBSTRUCTION BUTH URETERS (b)
Due To ADENOCARCINOMA OF RECTUM (c)
1/4 YRS.
WITH METASTASIS.
OTHER
SIGNIFICANT
CONDITIONS
GENERAL ARTERIOSCLEROSIS
5YRS.
Was autopsy performed+
NE
What test confirmed diagnosis?
PREVIOUS OPERATION
5 Was disease or injury in any way related to occupation of deceased NO If so, specify
(Signed)
Myron n. fag
, M. D.
(Address)
222 PHEASANT ST . WITHthe Bare 6/10
6 Winthrop Winthrop
Place of Burial or Cremation (City or Town)
DATE OF BURIAL
June 13
1960
7 NAME OF
FUNERAL DIRECT
N. Vincent Murray
ADDRESS
Raven
Wan
Received and filed
JUN 13 1960
19
(Registrar)
PERSONAL AND STATISTICAL PARTICULARS
8 SEX
Mali
9 COLOR
what
10 SINGLE
(write the word)
MARRIED
WIDOWED
or DIVORCED
10a If married,
HUSBAND of
Widowed, or divorcedA Connor
(Give maiden name of wife in full)
(or) WIFE of
(Husband's name in full)
11 IF STILLBORN, enter that fact here.
12
AGE7 4 Years
Months _....
Days
If under 24 hours
Hours ..... Minutes
13 Usual
Occupation :
Expressman
(Kind of work done during most of working life)
14 Industry
or Business:
15 Social Security No. 033-26-3799
16 BIRTHPLACE (City)
(State or country)
Rever mass
17 NAME OF
FATHER
Michael Crouin
PARENTS
18 BIRTHPLACE OF
FATHER (City)
(State or country)
Ireland
19 MAIDEN NAME
OF MOTHER
Margaret Horgan
20 BIRTHPLACE OF
MOTHER (City)
(State or country)
Ireland
21 Azley A. Crown
Informant
(Address)
16 Bellerue de Winthrop
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)
6/13/10
(Official Designation)
(Date of Issue of Permit)
V.B.V
TIONS
CITIFICATE
ging DEATH enter tin one 1 each ¿ and (c)
not mean of dying, At failure, & It means or compli- & caused
if any, rise to (a). under- last.
o contrib- len but not 1
terminal nsion given
Chter 137, 5 requires print or S luse or bath on ifites.
50M-11-56-918978
-301A 1
4-60-
PHYSICIAN - IMPORTANT
(Was deceased a
U. S. War Veteran,
if so specify WAR)
no
(Usual place of abode)
INTERVAL
BETWEEN
DNSET AND
DEATH
25 Keys.
25 DAYS
To be filed for burial permit with Board of Health or its Agent.
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 clerk of the town where the body is to be buried or the funeral is to he 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, ete. 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
(City or Town)
No. 91 Sargent
Street
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.
133
[(If death occurred in a hospital or institution, St. (give its NAME instead of street and number)
2 FULL NAME
Mary Florence (Watts) Evans
(If deceased is a married, widowed or divorced woman, give also maiden name.)
91 Sargent Street
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
PERSONAL AND STATISTICAL PARTICULARS
3 DATE OF
DEATH
June
11
1960
(Month)
(Day)
(Year)
8 SEX
Female
9 COLOR
White
10 SINGLE
MARRIED
WIDOWED
Widow
or DIVORCED
4 I HEREBY CERTIFY,
That I attended deceased from
June 20,
19.
59
to
June 11,
19.60
I last saw helalive on
June 10, 19 60
death is said to
have occurred on the date stated above, at
7:30 a.m.
DEATH WAS CAUSED BY: IMMEDIATE CAUSE
Cerebral hemorrhage
INTERVAL
BETWEEN
ONSET AND
DEATH
1 hr.
11 IF STILLBORN, enter that fact here.
12
Years
AGE89
3
Months
23Days
If under 24 hours
Hours ...... Minutes
13 Usual
Occupation :
Teacher
(Kind of work done during most of working life)
14 Industry
or Business:
Private School
15 Social Security No.
011-28-9226
16 BIRTHPLACE (City) New York City
(State or country)
New York
OTHER
SIGNIFICANT
CONDITIONS
Was autopsy performed?
no
What test confirmed diagnosis ?.
Clinical & laboratory
5 Was disease or injury in any way related to occupation of deceased ?NO If so, specify
(Signed)
In. Trangtrin
(Address).
M. Traunsteina
73 Bartlott Ha
Date June 1.1 19 60 Everett
6
Woodlawn Crematory
Place of Burial or Cremation
DATE OF BURIAL
(City or Town)
June
13
19 60
7 NAME OF
FUNERAL DIRECTOR
Howard S Reynolds
ADDRESS
Winthrop
Mass
Received and filed
JUN 13 1960
19
(Registrar)
PARENTS
17 NAME OF
FATHER
Charles Watts
18 BIRTHPLACE OfInable to obtain
FATHER (City)
(State or country)
19 MAIDEN NAME
OF MOTHER
Mary Ann Adams
20 BIRTHPLACE OF
MOTHER (City)
(State or country)
Unable to obtain
21 Amy F Addison
(Address)
91 Sargent St. Winthrop, Mass.
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)
13/60
(Official Designation)
(Date of Issue of Permit)
CTIONS R ERTIFICATE
ving DEATH
u enter an one r each ( and (c)
dis not mean e of dying. Tart failure. e It means se or compli- uch caused
n if any, rise to c 5€ (a), : under- cise last.
- (b)
Due To
Cerebral arteriosclerosis,
severe
1 yr.
(c)
Due To
Generalized arteriosclerosis
2 yrs.
10a If married, widowed, or divorced
HUSBAND of
(Give maiden name of wife in full)
Charles A Evans
(or) WIFE of
(Husband's name in full)
(a)
PLACE OF DEATH
R-301A 1
is contrib- d. h but not e terminal ontion given
Capter 137, 19, requires Ato print or e cause or of death on rt cates.
50M-1-58-921876
PHYSICIAN - IMPORTANT
(Was deceased a
U. S. War Veteran,
if so specify WAR)
(a) Residence. No.
(Usual place of abode)
47
47
M. D.
, M. D.
(write the word)
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.
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