USA > Massachusetts > Suffolk County > Winthrop > Town of Winthrop : Record of Deaths 1958 > Part 1
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حمي
THOMAS GROOMSLD STATIONENN.
Nº
5-15493
Digitized by the Internet Archive in 2016 with funding from Boston Public Library
https://archive.org/details/townofwinthropre 1958wint
PLACE OF DEATH
Suffolk
(County) "inthron
(City or Town)
The Commonwealth of Massachusetts EDWARD J. CRONIN SECRETARY OF THE COMMONWEALTH DIVISION OF VITAL STATISTICS
STANDARD CERTIFICATE OF DEATH
To be filed for burial permit with Board of Health or its Agent.
1
f(If death occurred in a hospital or institution, St. [give its NAME instead of street and number)
2 FULL NAME
Berkeley "wolff
Mossman
(If deceased is a married, widowed or divorced woman, give also maiden name.)
5 Flora Rt.
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
January
2,
1958
(Month)
(Day)
(Year)
4 I HEREBY CERTIFY,
That I attended deceased from
March 8,
19 54
to
January 2,
19
58
I last saw himalive on
January 2, ., 1958 , death is said to
have occurred on the date stated above, at 4:35 _p.m.
DEATH WAS CAUSED BY : IMMEDIATE CAUSE
(a) acute myocardial infarction
INTERVAL
BETWEEN
ONSET AND
DEATH
2 hrs
PERSONAL AND STATISTICAL PARTICULARS
8 SEX a.l.e
9 COLOR
mite
10 SINGLE
MARRIED
WIDOWED
or DIVORCED
prried
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
75
6
1
If under 24 hours
Hours _.... Minutes
13 Usual
Occupation :
I vesti~ator
(Kind of work done during most of working life)
2 hrs
Due (c) arteriosclerotic heart disease
OTHER
SIGNIFICANT
CONDITIONS
Generalized arterioscler osis
5 yrs
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. Traunstein fr.
M. D.
(Address)
73 Bartlett Rd
Date
Jan. 3, 1958
Winthrop 52, Mass.
Everet. ass (City or Town)
6
Place of Burial or Cremation
F
L
DATE OF BURIAL
19
7 NAME OF
FUNERAL DIRECTOR
ron, 'ass.
ADDRESS
Received and filed JAN 6 1958 19
(Registrar)
PARENTS
18 BIRTHPLACE OF
FATHER (City)
(State or country)
Scotland
.
19 MAIDEN NAME
OF MOTHER
Geraldine
Wolf
20 BIRTHPLACE OF
MOTHER (City) ..
(State or country)
1
Ottawa
Canada
21
Informant
(Address)
Howard , tecnico I HEREBY CERTIFY that a satisfactory standard certificate of death
was filed with me BEFORE the hafial or transit permit was issued : Halkh Sercaune (Signature of Agent of Both of Health or other)
HO
Jan 6/58
(Official Designation) (Date of Issue of Permiy
E
H
8,
li- ed
6 .- ot al en
7, es or or
מ
SOM-5-56-917573
1
No.
5 Floyd St.
Registered No.
PHYSICIAN - IMPORTANT
(Was deceased a
U. S. War Veteran,
if so specify WAR)
(a) Residence. No.
(Usual place of abode)
50
50
3 yrs
15 Social Security No.
16 BIRTHPLACE (City)
(State or country)
17 NAME OF
FATHER
osman
O
Due To
(b)
arteriosclerotic thrombosis of
coronary artery
14 Industry
or Business:
Insurance
AGE
Years
Months
Days
(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 helief, 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-cight and July fourth, nineteen hundred and two, and the Mexican border service of nineteen hundred and sixteen and ninetcen hundred and seventecn. 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 hoard, 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 cemctery 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 he 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 byrecognized disease unrelated to any form of injury, have died without regent medica) 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 occupation whatever write none.
SPACE FOR ADDITIONAL INFORMATION
DATE OF ENTERING MILITARY SERVICE
DATE OF DISCHARGE RANK, RATING ORGANIZATION AND OUTFIT
SERVICE NUMBER
PLACE OF DEATH
Suffolk (County)
Winthrop
(City or Town)
CERTIFICATE OF DEATH
Registered No.
2
2 FULL NAME
Florence L. O'Connor
(Pritchard)
(If deceased is a married, widowed or divorced woman, give also maiden name.)
(a) Residence. No ..
(Usual place of abode)
139 Revere Street, Winthrop
St.
(If nonresident, give city or town and State)
Length of stay: In place of death. years. 2 months days. In place of residence 1.3 years. months __.... .days.
MEDICAL CERTIFICATE OF DEATH
3 DATE OF
DEATH
January 2 1958 (Year)
(Month)
(Day)
4 I HEREBY CERTIFY,
That I attended deceased from
Dec
1939, to.
Jan 2
19.58
I last saw hefalive on
Jan
2
19.5%, death is said to
have occurred on the date stated above, at
3:30 p.m.
DEATH WAS CAUSED BY: IMMEDIATE CAUSE
(a) uremia - UREMIA
Due To (b)
6 mos.
Due To (c) DUODENAL ULCER
OTHER
SIGNIFICANT
duodenal yhas
CONDITIONS
elonephritia
Was autopsy performed?
NO
What test confirmed diagnosis ?.
5 Was disease or injury in any way related to occupation of deceased ?
If so, specify
No
(Signed)
Shirley St
(Address)
20 Mars Date
1-2
19 5 2
Mt. Benedict Cemetery, Boston 6
Place of Burial or Cremation
(City or Town)
DATE OF BURIAL January 4th
19
58
7 NAME OF
FUNERAL DIRECTOR
Richard C. Kirby
ADDRESS917 Bennington St., E.Boston
0
19
(Registrar)
PARENTS
18 BIRTHPLACE OF
FATHER (City)
(State or country)
England
19 MAIDEN NAME
OF MOTHER
Catherine (CBL)
20 BIRTHPLACE OF
MOTHER (City)
(State or country)
CBL
21
Mrs. Emma F. O'Holloran-dau.
(Äddre
139 Revere St., 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 of Board of Health of other) Health Trick 1/7/58
(Official Designation) (Date of Issue of Permit)
VI
8 SEX
Female White
10 SINGLE
MARRIED
WIDOWED
or DIVORCED
Widowed
10a If married, widowed, or divorced
HUSBAND of
(Give maiden name of wife in full)
(or) WIFE of
William J. O'Connor
(Husband's name in full)
11 IF STILLBORN, enter that fact here.
12
AGE
77 Years.
9 Months ...
Days
If under 24 hours
-
Hours ..... Minutes
13 Usual
Occupation :
At home
(Kind of work done during most of working life)
14 Industry
or Business:
Housewife
15 Social Security No.
None
Boston
16 BIRTHPLACE (City)
(State or country)
Mass
17 NAME OF
FATHER
Joseph Pritchard
SOM-5-56-917573
[ R-301A 1
RUCTIONS FOR CERTIFICATE
giving
OF DEATH ot enter than one for each (b) and (c)
does not mean of dying, heart failure, etc. It means e. or compli- which caused
ns, if any, ave rise to cause
(a), the under- cause last.
ions contrib- - death but not the terminal ndition given
Chapter 137, 1954, requires as to print or e
cause or of death on rtificates.
The Commonwealth of Massachusetts EDWARD J. CRONIN SECRETARY OF THE COMMONWEALTH DIVISION OF VITAL STATISTICS
STANDARD
To be filed for burial permit with Board of Health or its Agent.
Winthrop Convalesant Home 142 Pleasant Street, Winthrop No.
[(If death occurred in a hospital or institution, St. [give its NAME instead of street and number)
PHYSICIAN - IMPORTANT
(Was deceased a
U. S. War Veteran,
if so specify WAR).
No
PERSONAL AND STATISTICAL PARTICULARS
9 COLOR
(write the word)
INTERVAL
BETWEEN
ONSET AND
DEATH
M. D.
Received and filed
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 elerk 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 faets 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 eannot 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 sooncr 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 eorps of the United States in any war in which it has been engaged, such reeital 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, See. 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 dierk of the town where the body is to be buried or the funeral is to be held, or from & person appointed to have the care of the cemetery or burial ground in which the intermenit is made.
Chap. 114, Sec/46.G. LI, (Tercentenary Edition).
RULES OF PRACTICE
The fulfillment of the purpose of these hayes calls for the observance of the follow- ing rules of practice:
(1) Attending physicians wiff 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 ferent 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 oceupation 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 ehanged, 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 oeeupation by the appropriate terms, as housekeeper-private family, eook-hotel, ete. 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
IR-301A 1
PLACE OF DEATH
Suffolk (County)
Winthrop (City or Town)
The Commonwealth of Massachusetts EDWARD J. CRONIN SECRETARY OF THE COMMONWEALTH DIVISION OF VITAL STATISTICS
STANDARD CERTIFICATE OF DEATH
To be filed for burial permit with Board of Health or its Agent.
3
[(If death occurred in a hospital or institution, St. [give its NAME instead of street and number) No. Winthrop Community Hospital
2 FULL NAME Baby Boy Orlandino
(If deceased is a married, widowed or divorced woman, give also maiden name.)
184 London St.
St
East Boston
(If nonresident, give eity 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
8 SEX
Male
9 COLOR
White
10 SINGLE
(write the word)
MARRIED
WIDOWED
or DIVORCED
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
4 Days
If under 24 hours
_Hours ....
Minutes
13 Usual
Occupation :
(Kind of work done during most of working life)
14 Industry
or Business :.
15 Social Security No.
Winthrop
16 BIRTHPLACE (City)
(State or country)
Mass.
17 NAME OF
FATHER
Edmund Orlandino
18 BIRTHPLACE OF
FATHER (City).
(State or country)
Italy
19 MAIDEN NAME
OF MOTHER
Margaret Viglione
20 BIRTHPLACE OF
Boston
MOTHER (City)
(State or country)
Mass.
21
Informant
Edmund Orlandino
(Address)
184 London 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:
(Signature of Agent of Board of Health /or other)
Kedette quedie 1/7/98
(Official Designation)
(Date of Issue of Permit)
SOM-5-56-917573
7 NAME OF
FUNERAL DIRECTOR
Frederic': J. Magrath
98 Havre St. E. Boston
ADDRESS
BAN 7 1958 19
(Registrar)
PARENTS
, M. D.
(A
(Signed) 30 tesspatuga freBorn
mars
1/5-1958
6
Holy Cross
Malden
Place of Burial or Cremation
(City or Town)
DATE OF BURIAL
January 7,
58
19
PHYSICIAN - IMPORTANT
(Was deceased a
U. S. War Veteran,
if so specify WAR)
(a) Residence.
No.
(Usual place of abode)
5
1958
(Year)
(Month)
(Day)
4 I HEREBY CERTIFY, That I attended deceased from VAN 1 19. 58 to JAN 5 1958
I last saw h' Malive on
JAN 5, 1958.
, death is said to
have occurred on the date stated above, at
1 PM
__ m.
DEATH WAS CAUSED BY: IMMEDIATE CAUSE
(a)
PREMATURITY
Due To (b)
Due To (c)
OTHER
SIGNIFICANT
CONDITIONS
AREleCTASiS.
Was autopsy performed? No What test confirmed diagnosis?
5 Was disease or injury in any way related to occupation of deceased No
If so, specify
INTERVAL
BETWEEN
ONSET AND
DEATH
ns, if any, ave rise to cause
(a), the under- cause last.
TUCTIONS FOR CERTIFICATE
giving
OF DEATH ot enter than one for each (b) and (c)
does not mean of dying, heart failure, tc. It means e. or compli- which caused
ions contrib -- death but not the terminal ndition given
Chapter 137, 954, requires as to print or cause or of death on tificates.
Received and filed
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