USA > Massachusetts > Suffolk County > Winthrop > Town of Winthrop : Record of Deaths 1960 > Part 60
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I HEREBY CERTIFY that a satisfactory certificate of fetal death was filed with me BEFORE the burial or transit permit was issued : 7
tackh &.
(Signature of Agent of Board of Health or other) aAC 12/2.2/60
H.C.
(Official Designation )
(Date of Issue of Permit)
1
No. Winthrop Community Hospital
St.
2 NAME OF FETUS (if given)
Baby girl Higgins (mary)
15M-6-60-928241
In giving CAUSE OF ETAL DEATH do not enter more than one cause for each of (a), (b) and (c)
tal or maternal dition causing al death (do t use such ms as stillbirth prematurity.) tal and/or ma- nal conditions, ny, which gave se to above se (a), stating underlying ise last.
nditions of fetus mother which y have contrib- ed to fetal th, but, in so as is known, re not related cause given (a).
A TRUE COPY ATTEST :
MOTHER
RESIDENCE, NO. 117 Addison !!
CITY OR TOWN
à. Boston
STREET
STATE more
none
22 WEIGHT OF
5
Lb. )}
24 AUTOPSY
Yes
No
RECEIVED
FETAL DEATH
OF TOWA
OF
MiIN
CLERK
WIN
6
ROP. M
DEC 2 31960 AM
EXTRACTS OF CERTAIN SECTIONS OF CHAPTER 46 AS AMENDED OR ADDED BY CHAPTER 48, ACTS OF 1960.
Section 2A. "Examination of records and returns of illegitimate births, or abnormal sex births, or fetal deaths, . .. shall not be permitted except ... ".
Section 9A. When a child is born dead, after a period of gestation of not less than twenty weeks, and in the fetus there is no attempt at respiration, no action of heart and no movement of voluntary muscle, the physician or officer attending at the birth of such child shall forthwith furnish for registration, at the request of an undertaker or other authorized person or of any member of the family of the deceased, a certificate of fetal death on a form which shall be prepared by the secretary of state as required by section sixteen. Town clerks shall record certificates of fetal death in the town register of deaths in the same manner as a death certificate, but they shall not be required to record such certificates in the town register of births.
Section 12. ". .. No birth record of a child born out of wedlock or of a child of abnormal sex, and no record of fetal death shall so be transmitted to any other city or town."
Section 24. In any statement of births, deaths and fetal deaths printed by a town the name of an illegitimate child or of its parents or of the parents of a child born dead shall not be printed, but the word "illegitimate" or "fetal death" shall be used in place thereof. A town violating this section shall forfeit to the mother of such child not more than one hundred dollars.
PLACE OF DEATH
SUFFOLK (County) WINTHROP (City or Town) 66 WILSHIRE No. MARY KOUTROUBA
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.
272
S(If death occurred in a hospital or institution,
St. ( give its NAME instead of street and number)
PHYSICIAN - IMPORTANT
2 FULL NAME
(First Name) (If deceased is a married. widowed or divorced woman, give also maiden name.)
(Middle Name)
(Last Name)
{if so specify WAR)
No
(a) Residence. No.
(Usual place of abode)
66 WILSHIRE
St.
WINTHROP
( 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
DEC
23
1960
DEATH
(Year)
(Month)
(Day)
4 I HEREBY
CERTIFY
60
That I attended deceased , from
7/16
19
to ....
/2/23
19. 60
...... , death is said to
have occurred on the date stated above, at
12ºP
m.
INTERVAL
BETWEEN
ONSET AND
DEATH
DEATH WAS CAUSED BY : IMMEDIATE CAUSE
CEREBRAL VASCULAR
(a)
QUEIDENT C LEFT HEMIPLEGIA 2MO
Due To
(b)
ARTERIOSCLERUTIC
+
Due To
HYPERTENSIVE HEART DIS
(c)
OTHER
SIGNIFICANT
CONDITIONS
DECUBITUS ULCER
3 WKS
15 Social Security No. NONE
16 BIRTHPLACE (City)
(State or country)
GREECE
17 NAME OF
FATHER
JOHN CARACASIS
18 BIRTHPLACE OF
FATHER (City)
(State or country)
GREECE
19 MAIDEN NAME
OF MOTHER
ME PANAGIOTA TINGOS
20 BIRTHPLACE OF
MOTHER (City)
(State or country)
GREECE
BESSIE FORITSAS
21 Informant (5) 66 WILSHIRE ST. BOSTON
I HEREBY CERTIFY that a satisfactory standard certificate of death. was filed with me BEFORE the burial or transit pernil Was Kstedt Malche. Jerianne (Signature of Agent of et Adam of Health or other)
12/27/60
40
(Official Designation)
(Date of Issue of/Permit)
3
10a If married, widowed, or divorced
(Give maiden name of wife in full)
HUSBAND of
(or) WIFE of
ANGELO KOUTROUBA
(Husband's name in full)
11 IF STILLBORN, enter that fact here.
12
AGE ..
.Years
Months ...
Days
If under 24 hours
Hours.
.......
Minutes
13 Usual
Occupation :
HOUSE WIFE
(Kind of work done during most of working life)
14 Industry
or Business :
AT HOME
Was autopsy performed?
No.
What test confirmed diagnosis?
CLINICAL.
NO
5 Was disease or injury in any way related to occupation of deceased? If so, specify
(Signed)
Myson b. Kuiq
M. D
MYRONON. KING MY
(PRINT OR TYPE SIGNATURE)
(Address) 212 PLEASANT ST
WINTHE Date.
12/23 1960
WINTHROP CEM. WINTHROP, MASS
6
Place of Burial or Cremation
(City or Town)
DATE OF BURIAL
DEC. 27.
1960
7 NAME OF
Sifretay 6 Htaxistas
ADDRESS 6.42 Commonwealth stron news
19
Received and filed
DEC 27 1960
( Registrar)
0-928145
R-301A 1
'RUCTIONS FOR . CERTIFICATE
giving OF DEATH not enter : than one e for each (b) and (c)
loes nat mean de af dying, heart failure, etc. It means se, ar compli- which caused
ions, if any, gave rise ta cause (a), the under- cause last.
ditians contrib- death but nat a the terminal anditian given
:- Chapter 137, f 1954, requires ians to print or the cause or of death on certificates, and r 48, Acts of requires Physi- to print or type inder signature.
PARENTS
8 SEX
FEMALE
9 COLOR
WHITE
10 SINGLE
(write the word)
MARRIED
WIDOWERV/DOWLA
or DIVORCED
I last 'saw hEMalive on
12/23
2YRS
85.
X
[(Was deceased a
{U. S. War Veteran,
SPACE FOR ADDITIONAL INFORMATION
DATE OF ENTERING MILITARY SERVICE.
DATE OF DISCHARGE RANK, RATING
ORGANIZATION AND OUTFIT
SERVICE NUMBER. TON
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 Undse physis980sRM 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.
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.
2 FULL NAME Donoghue, Charles W.
(If deceased is a married, widowed or divorced woman, give also maiden name.)
(a) Residence. No. 69 Bellevue Ave ... , (Usual place of abode)
St.
(If nonresident, give city or town and State)
Length of stay : In place of death ..... ........ years .. .months. .days. In place of residence. 15
years .......... months ......... .. days.
MEDICAL CERTIFICATE OF DEATH
PERSONAL AND STATISTICAL PARTICULARS
8 SEX
M
9 COLOR
White
10 SINGLE
(write the word)
MARRIED
WIDOWED
or DIVORCERHarried
10a If married, widowed, or diverged Cakes
HUSBAND of
(Give maiden name of wife in full)
(or) WIFE of
(Husband's name in full)
11 IF STILLBORN, enter that fact here.
12 58 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 :
T.S. Government
15 Social Security No. None.
16 BIRTHPLACE (City)
(State or country)
wast Boston
17 NAME OF
FATHER
Charles C. Donoghue
18 BIRTHPLACE OF
FATHER (City)
(State or country)
19 MAIDEN NAME
M. D).
OF MOTHER
Bridget sullivan
20 BIRTHPLACE OF
MOTHER (City)
(State or country)
Informant +++
21
Ans Quella Donoghue
(Address) 69 Bellevue ave Anthrop
I HEREBY CERTIFY that a satisfactory standard certificate of death was filed with me BEFORE the burial or transit permit was issued: StayRE. Hereanne
(Signature of Agent of Roa
Board of Health or other)
12/07/608
Received and filed DEC 2 1960
(Registrar)
PARENTS
myron n. Kung
(Signed)
MYRON
NOKING M.D
(PRINT OR TYPE SIGNATURE)
(Address) 222 PLEASANT SI.
Date. 12/25 60
6
Holy Cross
walden
Place of Burial or Cremation
DATE OF BURIAL
Dec. 28.
(City or Town)
60
19
7 NAME OF
FUNERAL DIRECTOR
richard C. Kirby Inc.
ADDRESS 317 Bennington St. E. Boston
19
40 ,
(Official Designation)
(Date of Issue of Permis)
1-
4 HEREBY CERTIFY
AM DEC 25
19
60 to ..
That I attended deceased DEC 25 (3:08 AM) LO
I last saw h ........ alive on
19 death is said to
have occurred on the date stated above, at
m.
DEATH WAS CAUSED BY : IMMEDIATE CAUSE
ACUTE PULMONARY EDEMA
(a)
INTERVAL BETWEEN ONSET AND DEATH 1/ Hhes
2 M.O.
Due To (c)
OTHER
SIGNIFICANT
CONDITIONS
NONE
Was autopsy performed?
No
What test confirmed diagnosis ?
CLINICAL
5 Was disease or injury in any way related to occupation of deceased? No If so, specify
WINTHROP
25 1960
(Month)
(Day)
Year)
[(If death occurred in a hospital or institution, St. } give its NAME instead of street and number)
PHYSICIAN - IMPORTANT NO {(Was deceased a U. S. War Veteran, (if so specify WAR)
JURISDICTION
RM R-301A 1
NSTRUCTIONS FOR CAL CERTIFICATI In giving SE OF DEATH lo not enter ore than one use for each a), (b) and (c)
s does not mean mode of dying" as heart failure. ia, etc. It means isease, or compli- s which cause
DECLINED
ditions, if any, ch gave rise to ve cause (a), ing the under- g cause last.
onditions contrib- to death but not I to the terminal e condition given
MED EXAM - CALLY
:- Chapter 137 f 1954. requires cians to print or the cause or s of death on certificates, and er 48, Acts of / requires Physi- to print or type under signature. 1.5.
H-11-59-926662
No.
Winthrop Community Hosp.
Registered No.
3 DATE OF
DEATH
DEC
Due · HYPERTENSIVE HEART DIS. (b)
Imigrant Inspector
Last ..... Boston
Ireland
SPACE FOR ADDITIONAL INFORMATION
DATE OF ENTERING MILITARY SERVICE
DATE OF DISCHARGE
RECEIVED
RANK, RATING
JE TO !:
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 : of persons
(1) Attending physicians will certify to such delcion / font fase un- to whom they have given bedside care during a 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.
PLACE OF DEATH
Suffolk (County )
Winthrop (City or Town) 118 woodside Lve.
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. 270
[(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)
(a) Residence. No. 118 Woodside ave.
St.
(If nonresident, give city or town and State)
Length of stay : In place of death.
40
years.
months
.days. In place of residence.
40
years.
months ..
.days.
MEDICAL CERTIFICATE OF DEATH
3 DATE OF
DEATH
Dec.
26
1960
(Month)
(Day) ?
(Year)
4 L
HEREBY CERTIFY
59
to ....
Dec 26
1960
I ast saw halive on
12/26
19 60, death is said to
8A
have occurred on the date stated above, at
.. m.
DEATH WAS CAUSED BY: IMMEDIATE CAUSE
CEREBRAL HEMORRHAGE
(a)
Due
GENERALIZED i
(b) .... ARTEIO SCLEROSES
Due To (c)
OTHER SIGNIFICANT CONDITIONS
Was autopsy performed?
What test confirmed diagnosis ?
0
5 Was disease or injury in any way related to occupation of deceased ? .
If so, specify
6
(Signed) thedoRezcan M. D. OF MOTHER Katherine B. Leahy
FRED D'REGOAN (PRINT OR TYPE SIGNATURE)
11.00
(Address) 13 PLEASAND
Date 12/27 15 66
6
Holyhood
Brookline
Place of Burial or Cremation
DATE OF BURIAL
Dec.
29.
(City or Town)
60
7 NAME OF
FUNERAL DIRECTOR
richard C. Kirby Inc. 917 Bennington St .. Boston ADDRESS
19
(Registrar)
PERSONAL AND STATISTICAL PARTICULARS
8 SEX
9 COLOR
White
10 SINGLE
MARRIED
WIDOWED
or DIVORCED
(write the word)
lidowed
10a If married, widowed, or divorced
HUSBAND of
John sosein deary
(or) WIFE of
( Husband's name in full)
11 IF STILLBORN, enter that fact here.
12
AGE
75
Years
.. Months ..........
.Days
If under 24 hours
Hours ............
Minutes
13 Usual
Occupation :
Housewife
(Kind of work done during most of working life)
14 Industry
or Business :
At- Home
15 Social Security No.
Ilone
16 BIRTHPLACE (City)
(State or country)
Lass.
17 NAME OF
FATHER
Dennis J. Leahy
18 BIRTHPLACE OF
Boston
FATHER (City)
(State or country)
Mass.
19 MAIDEN NAME
20 BIRTHPLACE OF
Boston
MOTHER (City)
(State or country)
Mass.
21 Informant (Address) IIS woodside ave. winthrop
I HEREBY CERTIFY that a satisfactory standard certificate of death was filed with me BEFORE the burial or transit permit was issued: talkKE. fyranur
HO
(Signature of Agent of Board of Health or other)
CLft
12/27/60
(Date of Issue of Permit)
(Official Designation)
V. B. /
RUCTIONS FOR .. CERTIFICATE
giving OF DEATH not enter : than one for each (b) and (c)
does not mean le of dying, heart failure, etc. It means se, or compli- which caused
ons, if any, gave rise to cause (a), the under- cause last.
litions contrib- death but not o the terminal ondition given 11.5.
Chapter 137, 1954. requires ns to print or e cause or of death on rtificates, and 48, Acts of quires Physi- print or type der signature.
6-59-925686
1 R-301A 1
No.
2 FULL NAME
Helen L. Geary (Leahy)
(If deceased is a married, widowed or divorced woman, give also maiden name.)
( U'sual place of abode)
That I attended deceased from
INTERVAL
BETWEEN
ONSET AND
DEATH
4 hrs
5mg
-
PARENTS
Received and filed DEC 27 1960
Iirs. nuth Grimes
Boston
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 phyfinns 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)
No.
Mayflower Nursing Home 39 Grovers Ave
Chr 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.
280
[(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)
2 FULL NAMEMany ...... A ........ Sweeney ( Kelligrew )
(If deceased is a married, widowed or divorced woman, give also maiden name.)
(a) Residence. No. 63Temple.Ave ..
(Usual place of abode)
Length of stay: In place of death
2.years .. . . .. months.
.. days. In place of residence. 4 years months .. .days.
MEDICAL CERTIFICATE OF DEATH
PERSONAL AND STATISTICAL PARTICULARS
3 DATE OF
DEATH
DES
27
(Month)
(Day)
(Year)
4 I HEREBY CERTIFY
٢٠٠٠
19.5if
to .......
, 19
That I attended deceased from
I last saw h M alive on
12/17
...... , 19.4 ...... , death is said to
have occurred on the date stated above, at 19 2 7
INTERVAL
BETWEEN
ONSET AND
DEATH
10a If married, widowed, or divorced
HUSBAND of
(Give maiden name of wife in full)
(or) WIFE of
James Sweeney
(Husband's name in full)
11 IF STILLBORN, enter that fact here.
12
AGE36
Years
Months .......
.. Days
If under 24 hours
Hours.
Minutes
13 Usual
Occupation :
At-Home He ..
(Kind of work done during most of, working life)
14 Industry
or Business :
None Own He
15 Social Security No.
None ..
16 BIRTHPLACE (City)
(State or country)
Ireland
17 NAME OF
FATHER
Patrick Kelligrew
18 BIRTHPLACE OF
FATHER (City)
(State or country)
Ireland
19 MAIDEN NAME
OF MOTHER
Unable to Learn
20 BIRTHPLACE OF
MOTHER (City)
(State or country)
Ireland
Mary ........ Ormsby
21
Informant
(Address)
63 Temple StA. Winthrop
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 on Board of Health or other)
HO
12/29/60
(Official Designation)
(Date of Issue of Permr)
(Registrar)
PARENTS
(Signed)
multor
M. D.
Milton
EVINE
(PRINT OR TYPE SIGNATURE) (Address) 1543 No. St. Rd. Perrine Date 12
12 1960
6
Holy Cross Malden
Place of Burial or Cremation
(City or Town)
DATE OF BURIAL Dec 30, 1960 19.
7 NAME OF
FUNERAL DIRECTOR
Leslie W. Pike
ADDRESS 305Beach St Revere
Received and filed 12-29-60 19
8 SEX
Female
9 COLOR
White
10 SINGLE
(write the word)
MARRIED
WIDOWED Widowed
or DIVORCED
DEATH WAS CAUSED BY: IMMEDIATE CAUSE
(a)
Pulmonary 1 23%.
Denney ablessing Emphysema
Due To (b) ....
Contran
Due To
(c)
Coronaus - Grenadier
OTHER SIGNIFICANT CONDITIONS
Was autopsy performed?
What test confirmed diagnosis ?
5 Was disease or injury in any way related to occupation of deceased? Aw If so, specify
M R-301A 1
TRUCTIONS FOR L CERTIFICATE
giving OF DEATH not enter e than one e for each , (b) and (c)
does not mean de of dying, heart failure, etc. It means ase, or compli- which caused
ions, if any, gave rise to cause (a), the under- cause last.
ditions contrib- death but not o the terminal condition given
Chapter 137, 1954. requires ans to print or he cause or of death on ertificates, and 48, Acts of quires Physi- print or type der signature.
-6-59-925686
X
St.
(If nonresident, give city or town and State)
SPACE FOR ADDITIONAL INFORMATION
DATE OF ENTERING MILITARY SERVICE
DATE OF DISCHARGE RANK, RATING
ORGANIZATION AND OUTFIT
SERVICE NUMBER
11 1% CLERK
10.
NIW
5
6
VIA
THI
DEC 201960 AM
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.
PLACE OF DEATH
suffolk (County )
Winthrop (('ity or Town)
CERTIFICATE OF DEATH
Registered No.
281
[(If death occurred in a hospital or institution, St. ¿ give its NAME instead of street and number)
PHYSICIAN - IMPORTANT
2 FULL NAME.
Isidore E. Pothier
(If deceased is a married, widowed or divorced woman, give also maiden name.)
[if so specify WAR)
74 Prescott Street
St.
East Boston
(If nonresident, give city or town and State)
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