USA > Massachusetts > Suffolk County > Winthrop > Town of Winthrop : Record of Deaths 1955 > Part 1
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THOMAS GROOM & CO. INCORPORATED. STATIONERS, ((105 State Street) ) BOSTON.
TO DUPLICATE THIS BOOK SEND 5-6426 NOV
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https://archive.org/details/townofwinthropre 1955wint
PLACE OF DEATH
Suffolk (County)
.Winthrop
(City of 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.
1
Comm Hospital No. Winthrop Elizabeth DeLauretis Nee Fortini 2 FULL NAME.
(If deceased is a married, widowed or divorced woman, give also maiden name.)
85 Bowtoin 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 13
.years.
.months
days.
MEDICAL CERTIFICATE OF DEATH
PERSONAL AND STATISTICAL PARTICULARS
3 DATE OF
DEATH
Jan 1 1955
(Month)
(Day)
(Year)
Female
9 COLOR OR RACE
White
10 SINGLE
MARRIED
WIDOWED
Married
4 I HEREBY CERTIFY,
Jan 1
55
19
to.
Jan 1
I last saw h .. O.L ... alive on Jan 1
1955
death is said to
John DeLauretis
(or) WIFE of
(Husband's name in full)
DISEASE OR CONDITION
DIRECTLY LEADING
TO DEATH (a)
Cerebral
hemorrhage
8hrs
ANTE
Due To
Hypertension
CEDENT (b)
CAUSES
Due To (c) Chronic Nephritis
OTHER
SIGNIFICANT
CONDITIONS
Major findings:
Of operations.
Date of operation
-
Was autopsy performed?
No
What test confirmed diagnosis?
Clinical
No
(Signed). (Address) 342 HANOVERST B-STinte c/2/ 1955. M. D.
6 Holy Cross
Place of Burial or Cremation DATE OF BURIAL Jan 4 1955 19
7 NAME OF
DIRECTO Ernest P Caggiano
ADDRESS
147 Winthrop St Winthrop
Received and filed. JAN.3. 19
1955
(Registrar)
PARENTS
17 NAME OF FATHER Joseph Fortini
18 BIRTHPLACE OF
FATHER (City)
(State or country)
Italy
19 MAIDEN NAME
OF MOTHERMary Cuneo
20 BIRTHPLACE OF
MOTHER (City)
(State or country)
Mass
Boston
21 John DeLauretis Informant (Address) 85 Bowdoin St Winthrop Mass
I HEREBY CERTIFY that a satisfactory standard certificate of death was filed with me BEFORE the burial of transit permit was issued: Walter &. Baker . (Signature of Agent of Board of Health or other)
1/3/54
(Official Designation) (Date of Issue of Permit>
50M-3-54-911887
-301A -
'IONS TIFICATE ng DEATH nter n one each nd (c)
not mean ing, such asthenia, he disease, ns which
onditions. ise to the ) stating g cause
contrib- th but not isease or ng death.
apter 137. , requires to print or e or causes on death
5 Was disease or injury in any way related to occupation of deceased?
If so, specify.
Charles Valentin
5yrs
11 IF STILLBORN, enter that fact here.
12
AGE 52 Years
5
Months
.Days
If under 24 hours
.Hours .. . Minutes
13 Usual
Housewife
Occupation:
(Kind of work done during most of working life)
14 Industry
or Business:
at Home
15 Social Security No.
16 BIRTHPLACE (City)
(State or country)
Boston
Mass
(write the word)
That
I
attended deceased from
1955
10a If married, widowed, or divorced
HUSBAND of
(Give maiden name of wife in full)
have occurred on the date stated above, at
8.05.p .... m.
INTERVAL BE- TWEEN ONSET AND DEATH
8 SEX
J(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. (Usual place of abode)
Malden (City or Town)
Registered No.
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 ncarly 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 up n GERIN E. D VA The board of health, or its agent, upon receipt of such statement and certificate. shall forthwith countersign it and transmit it to the elerk of the town for registran tion. The person to whom the permit is so given and the physician rerffing the cause of death shall thereafter furnish for registration any other hed information which can be obtained as to the deceased, or as to the po cause of the death, which the clerk or registrar may require .- Chat 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 ayhen not disabled by recognizable disease, or when any person is found dead. Laws, Chap. 38, Sec. 6., as amended by Chap. 632, Sec. 4. Acts of, 45 6
-5
1
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). JAN-3
RULES OF PRACTICE
The fulfillment of the purpose of these laws calls for the observance of the follow- ing rules of practice:
(1) Attending physicians will certify to such deaths only as those of persons to whom they have given bedside care during a last illness from disease unrelated to any form of injury.
(2) Board of Health physicians will certify to such deaths only as those of persons who, though disabled by recognized disease unrelated to any form of injury, have died without recent medical attendance or whose physician is absent from home when the certificate of death is needed.
(3) Medical Examiners will investigate and certify to all deaths supposably due to injury. These include not only deaths caused directly or indirectly by traumatism (including resulting septicemia), and by the action of chemical (drugs or poisons) thermal, or electrical agents, and deaths following abortion, but also deaths from disease resulting from injury or infection related to occupation, the sudden deaths of persons not disabled by recognized disease, and those of persons found dead.
Statement of Cause of Death .- Physicians: see explanatory instructions on face side of standard certificate of death.
Statement of Occupation .- Precise statement of occupation is very import- ant, so that the relative healthfulness of various pursuits can be known. Make some entry in this section for every person aged 10 years or over. If the occupa- tion had been given up or changed, or if the deceased had retired from business, report the kind of work done during most of working life even if retired. Children not gainfully employed may be returned as at school or at home. For a woman whose only occupation was that of home housework, write housework. For a person engaged in domestic service for wages, however, designate the occupation by the appropriate terms, as housekeeper-private family, cook-hotel, etc. For a person who had no oceupation whatever write none.
SPACE FOR ADDITIONAL INFORMATION
DATE OF ENTERING MILITARY SERVICE
DATE OF DISCHARGE RANK, RATING
ORGANIZATION AND OUTFIT
SERVICE NUMBER
......
RM R-301 1
PLACE OF DEATH -
No.
Baby Boy Burns 2 FULL NAME ..
(If deceased is à married, widowed or divorced woman, give also maiden name.) 49 COTTAGE AVE
St.
(If nonresident, give city or town and State)
Length of stay: In place of death ......... .years. months 1 days. In place of residence. ... years .. months. days.
MEDICAL CERTIFICATE OF DEATH
PERSONAL AND STATISTICAL PARTICULARS
3 DATE OF DEATH January 2 1955 (Year)
8 SEX male
9 COLOR OR RACE
white
10 SINGLE
MARRIED
WIDOWED
or DIVORCED
(write the word)
(Month)
(Day)
4 I HEREBY CERTIFY,
That I attended deceased from
JAN 1
55
to
JAN
2
1955
JAN
2
1955
death is said to
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.
12 AGE Years. Months. .. Days
If under 24 hours
9 Hours 1.5 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) Winthrop, mass
17 NAME OF FATHER alfred Burns
18 BIRTHPLACE OF
FATHER (City).
Boston, Mass
(State or country)
19 MAIDEN NAME OF MOTHER Virginia R. Doyle
20 BIRTHPLACE OF
MOTHER (City)
GeorgeTown, mass
(State or country)
21 Informant./ ALFRED M. BURNS
(Address) 49 COTTAGE AVE WINTHROP
7 NAME OF
FUNERAL DIRECTOR
ADDRESS WINTHROP
Received and filed WAN 4 1955 19
(Registrar)
A TRUE COPY ATTEST:
9hrs.
Due To (c)
OTHER SIGNIFICANT CONDITIONS
Major findings:
Of operations
Date of operation
Was autopsy performed? YES.
What test confirmed diagnosis?
AUTOPSY
5 Was disease or injury in any way related to'occupation of deceased?
If so, specify.
(Signed)
(Address)IL PLEASANT ST. WINTIMI Date
M. D
1/2
1955
6 EVERGREEN Place of Burial or Cremation
BOSTON (City or Town)
DATE OF BURIAL. -JAN 4 1254
SOM (A-1-51 903586
X SUFFOLK (County) WINTHROP (City or Town) WINTHROP COM. HOSP §(If death occurred in a hospital or institution, St. ¿ give its NAME instead of street and number) (Was deceased a U. S. War Veteran, [ if so specify WAR)
The Commonwealth of Massachusetts EDWARD J. CRONIN SECRETARY OF THE COMMONWEALTH DIVISION OF VITAL STATISTICS STANDARD CERTIFICATE OF DEATH
(City or town making return)
2
Registered No.
STRUCTIONS FOR AL CERTIFICATE n giving E OF DEATH not enter re than one se for each , (b) and (c)
is does not mean e of dying, such failure, asthenia, neans the disease. plications which eath.
rbid conditions, giving rise to the use (a) stating derlying cause
ditions contrib- the death but not o the disease or causing death.
PARENTS
I HEREBY CERTIFY that a satisfactory standard certificate of death was files with me BEFORE the burial or transit permit was issued: Walter S. Maker (Signature of Agent of Board of Health or other)
Thatthe Office
1/4/55
(Official Designation)
(Date of Issue of Permit)
DISEASE OR CONDITION
ATELECTIONS
DIRECTLY LEADING
TO DEATH
(a) PRIMARY ATELECTASIS
ANTE CEDENT (b) CAUSES
Due To HYALINE DIS.
have occurred on the date stated above, at. 3 30 A m. INTERVAL BE- TWEEN ONSET AND DEATH 9 hrs.
I last saw h / M alive on
(a) Residence. No. (Usual place of abode)
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 nne hundred and four- teen, shail. 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 alsı certify in such certificate both the primary and the secondary or imme- diate cause of death as ncarly 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 ninetcen 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 nf chanter 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, nr 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 examniners shall make cxamination upon the view of the dead bodies of only such persons as are supposed to have died by violence. If a medical examiner has notice that there is within his county the body of such a person, he shall forthwith go to the place where the body lies and take charge of the samc; . General Laws, Chap. 38, Sec. 6.
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 perinit so to do from the boardof 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 inade.
Chap. 114 Sec. 46) O.C., (Tercentenary Edition). .
12 RULES OF PRACTICE
The fulfillinent of the purpose of these laws calls for the observance of the follow- ing rules of practice ?!
(1) Attending physicianswill 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 ininty ......
(2) Board of Health physicians will certify to such deathsonly 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's 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 ffor 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 Win (County) Boston (City or Town)
No.
2 FULL NAME. Teresa
Cutrone
(If deceased is a married, widowed or divorced woman, give also maiden name.)
176 Webster St
St.
E, Boston
(If nonresident, give city or town and State)
Length of stay: In place of death 2 years. .months. .days.
In place of residence ............ years ..
months
.days.
MEDICAL CERTIFICATE OF DEATH
PERSONAL AND STATISTICAL PARTICULARS
3 DATE OF
DEATH
Jan
( Month )
(Day)
7 1955
8 SEX
Female
9 COLOR OR RACE
White
(write the word)
10 SINGLE
MARRIED
WIDOWED
or DIVORCED
Wadlow
4 I HEREBY CERTIFY,
That I attended deceased from
200
1950, to .. JANY 19 SST
I last saw he P alive on JAN 6, 1955, death is said to
have occurred on the date stated above, at.
7:55
.. m.
INTERVAL BE-
TWEEN ONSET
AND DEATH
DISEASE OR CONDITION
DIRECTLY LEADING
TO DEATH (a)
ARTERIo -SleRoti
HEART DISEASE BRONCHO PREMONIA
ANTE
Due To
CEDENT (b)
CAUSES
Due To (c)
OTHER
SIGNIFICANT
CONDITIONS
Major findings:
Of operations
Date of operation
Was autopsy performed?
What test confirmed diagnosis ?.
5 Was disease or injury in any way related to occupation of deceased?
If so, specify
ECH Marin@ Salica
(Signed)
(Address) 241 Manauch V. Cad In Date Jan 7
M. D. 19.55
6 St michael Place of Burial or Cremation
Boston (City or Town)
DATE OF BURIAL.
Jan 10,
1955
19
7 NAME OF FUNERAL DIRECTOR Ves a. Langone Dr.
ADDRESS 58 merriman ST Boston
Received and filed JAN IU 1955 19
(Registrar)
11 IF STILLBORN, enter that fact here.
12
AGE .
80 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:
15 Social Security No.
none
16 BIRTHPLACE (City).
(State or country)
Italy
17 NAME OF
FATHER
Francesco Maquscalza
18 BIRTHPLACE OF FATHER (City) (State or country) 7
Italy
19 MAIDEN NAME
OF MOTHER '
Rose Pigune
20 BIRTHPLACE OF
MOTHER (City)
(State or country)
Italy
21 Tony De angeli
Informant.
(Address) 13 Meridian STE Boston
I HEREBY CERTIFY that a satisfactory standard certificate of death was filed with me BEFORE the burial or transit permit was issued: Vaxiie & frajery
(Signature of Agent of Board of Health or other)'
1/9/55
(Official Designation)
(Date of Issue of Permit)
X
M R-301A 1
RUCTIONS FOR . CERTIFICATE giving OF DEATH not enter than one for each (b) and (c)
does not mean of dying, such ilure, asthenia. ans the disease, ications which ath.
id conditions, ving rise to the se (a) stating rlying cause
itions contrib- e death but not the disease or causing death.
100M-10-53-910621
The Commonwealth of Massachusetts EDWARD J. CRONIN SECRETARY OF THE COMMONWEALTH DIVISION OF VITAL STATISTICS STANDARD CERTIFICATE OF DEATH
To be filed for burial pormit with Board of Health or its Agent.
3
Registered No.
Winthrop Conculesent Home
J(If death occurred in a hospital or institution,
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