Town of Winthrop : Record of Deaths 1922-1924, Part 146

Author: Winthrop (Mass.)
Publication date: 1922
Publisher:
Number of Pages: 1202

USA > Massachusetts > Suffolk County > Winthrop > Town of Winthrop : Record of Deaths 1922-1924 > Part 146

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shall forthwith go to the place where the body lies and take charge of the same. . . . Gen. Laws, Chap. 38, Sec. 6.

. He shall in all cases certify to the town clerk or regis- trar in the place where the deceased died his name and resi- dence, if known; otherwise a description as full as may be, with the cause and manner of death. - General Laws, Chap. 38, Sec. 7.

RULES OF PRACTICE

The fulfilment 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 discasc unrelated to any form of injury.

(2) Board of Health physicians will certify to such dcaths only as those of persons who, though disabled by recognized disease unrelated to any form of injury, have dicd 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 in- jury 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

Medical Examiners in certifying to a death will state the cause and manner thereof, and will specify: (1) Under cause, the nature of an injury and of its consequences; and (2) under manner, the mode of its production together with the circumstances when these are known. For example: "Compound fracture of the femur with ensuing septicemia (gas bacillus) caused by a steam railway accident." "Pistol shot wound of the chest with associated hemorrhage, homi- cidal." "Asphyxiation by suspension, suicidal." "Syn- cope while under the influence of ether administered as a surgical anæsthetic." "Fracture of the skull with associated internal injury sustained under circumstances unknown."

If investigation shows the death to have been due to dis- ease, specify: (1) Under cause, its known or presumable nature; and (2) under manner, indicate the circumstances leading to medico-legal inquiry. For example: "Hemorrhage spontancous, of the brain (basal ganglia) (found dead in bed)." "Heart disease, presumably coronary sclerosis. (Sudden death.)"

DESCRIPTION (for unknown person)

Jan 15, 1924

NOTICE TO UNDERTAKERS: No embalming fluid, or any substitute therefor, shall be injected into the body of any person supposed to have met his death by violence, until a permit, signed by the Medical Exarainer, has first been obtained. - General Laws, Chap. 38, Sect. 14.

THIS CERTIFICATE CONSTITUTES SUCH PERMIT

M R-301

OFFICE OF THE SECRETARY DIVISION OF VITAL STATISTICS

The Commmuralth of Massachusetts

STANDARD CERTIFICATE OF DEATH

Winther Man (City or town)

1 PLACE OF DEATH

County

Suffolk

State

Massachusetts

Registered No

St., Ward

(If death occurred in a hospital or institution, give its NAME instead of street and number)

2 FULL NAME

Stillforn Batti

(If in the Army or Navy of the United States, give rank, organization, etc.)

(a) Residence.

No ..

239 Llare Lerine

St.,

Ward. .

Winch

( If non-resident give city or town and State )

(Usual place of abode)

Length of residence in city or town where death occurred

years

months

days. How long in U. S., if of foreign birth ? years

months days

PERSONAL AND STATISTICAL PARTICULARS

3 SEX

4 COLOR OR RACE

5 SINGLE, MARRIED, WIDOWED, OR

DIVORCED ( write the word)

5a If married, widowed, or divorced

HUSBAND of

(or) WIFE of

6 AGE Years

Months

Days

If LESS than

1 day ......... brs.

or ........ min.

If STILLBORN, enter that fact bere

7 OCCUPATION OF DECEASED (a) Trade, profession, or particular kind of work (b) Name of employer

8 BIRTHPLACE (City)

Winting, mass

(State or country

9 NAME OF FATHER

andrea Batti

10 BIRTHPLACE OF FATHER (City) Italy

(State or country )

11 MAIDEN NAME OF MOTHER

Grazia masculina

12 BIRTHPLACE OF MOTHER (City) (State or country)

Italy

13 andrea Batti

Informant

(Address)

239 Houding, Winthing

Filed

Jan 29. 1924

(Month) (Day) ( Year)

REGISTRAR

MEDICAL CERTIFICATE OF DEATH

15 DATE OF DEATH Law

(Month)

( Day)

1924

(Year)

16 I HEREBY CERTIFY, That I attended deceased from Jan 16,19 24 ... , to

that I last saw h .. ==== alive on 19.

and that death occurred, on the date stated above, at ...

2 a. m.

The CAUSE OF DEATH was as follows :

Still Kich

(duration)

.... yrs.

mos. ds.

CONTRIBUTORY (SECONDARY)

(duration) yrs

mos. ............ ds.

17 Where was disease contracted if not at place of death ? ·FOR ·· · WHAT.2.

Did an operation precede death?

Date of

Was there an autopsy ?

What test confirmed diagnosis?

(Signed)

Cesidio 4 Juares, M.D.

Date

295 Naccover 44 (Address) Jaw 16- 19x1 ...

(Month)

(Day)

( Year)

18 PLACE OF BURIAL, CREMATION, OR REMOVAL

ST. Michaela Cemetery

(Cemetery) (City or town)

DATE OF BURIAL

Jan. 19 19

192

19 UNDERTAKER angelo Jannini

ADDRESS,

215.

Boston man

Permit

Official position Wealth Officer of permil.

Date of issue 1/19/24

No .. 674

N. B .- WRITE PLAINLY, WITH UNFADING BLACK INK -THIS IS A PERMANENT RECORD. Every item of information instructions and extracts from the laws on back of certificate. in plain terms, so that it may be properly classified. Exact statement of OCCUPATION is very important. See should be carefully supplied. AGE should be stated EXACTLY. PHYSICIANS should state CAUSE OF DEATH

-XXM.

0,000.3567.

20 I HEREBY CERTIFY that a satisfactory stan- dard certificate of death was filed with me BEFORE the burial or transit permit was issued H. C. Daniele

........

PARENTS

% À Guarues.

City or Town ..

Winthrop

No.

239 Shore Urin

16th

male

REVISED UNITED STATES STANDARD CERTIFICATE OF DEATH

LApproved by U. S. Census and American Public Health Association

, Statement of occupation. - Precise statement of occupation is very iniportant, so that the relative healthfulness of various pursuits can be known. The question applies to each and every person, irrespective of age. For many occupations a single word or term on the first line will be sufficient, e. g., Farmer or Planter, Physician, Compositor, Architect, Locomotive engineer, Civilengineer, Stationary fireman, etc. But in many cases, especially in industrial employments, it is necessary to know (a) the kind of work and also (b) the nature of the business or industry, and therefore an additional line is provided for the latter statement; it should be used only when needed. As examples: (a) Spinner, (b) Cotton mill; (a) Salesman, (b) Grocery; (a) Foreman, (b) Automobile factory. The material worked on may form part of the second statement. Never return "Laborer," "Foreman," "Manager," "Dealer," etc., without more precise specification, as Day laborer, Farm laborer, Laborer - Coal mine, etc. Women at home, who are engaged in the duties of the house- hold only (not paid Housekeepers who receive a definite salary), may be entered as Housewife, Housework, or At home, and children, not gainfully employcd, as At school or At home. Care should be taken to report spc- cifically the occupations of persons engaged in domestie service for wages, as Servant, Cook, Housemaid, etc. If the occupation has been changed or given up on account of the DISEASE CAUSING DEATH, statc occupation at beginning of illness. If retired from business, that fact may be indicated thus: Farmer (retired, 6 yrs.). For persons who have no occupation whatever, write None.

Statement of cause of death. - Name, first, the DISEASE CAUSING DEATIL (the primary affection with respect to time and causation), using always the same accepted term for tho same disease. Examples: Cere- brospinal fever (the only definite synonym is "Epidemic cerebrospinal meningitis"); Diphtheria (avoid use of "Croup"); Typhoid fever (never report "Typhoid pneumonia"); Lobar pneumonia; Bronchopneumonia ("Pneumonia," unqualified. is indefinite); Tuberculosis of lungs, men- inges, peritoneum, etc., Carcinoma, Sarcoma, etc., of .. .. (name origin; "Cancer" is Icss definite; avoid use of "Tumor" for malignant neoplasms); Measles; Whooping cough; Chronic valvular heart disease; Chronic interstitial nephritis, ete. The contributory (secondary or inter- current) affection need not be stated unless important. Example: Measles (discase causing death), 29 ds .; Bronchopneumonia (secondary), 10 de. Never report mere symptoins or terminal conditions, such as "Asthenia," "Anemia" (merely symptomatic), "Atrophy," "Col- lapsc,""Coma,""Convulsions,""Debility" ("Congenital,""Senile," etc.), "Dropsy,""Exhaustion,""Heart failure,""Hemorrhage,"'"Ina- nition," "Marasmus," "Old age," "Shock," "Uremia,""Weakness," etc., when a definite disease can be ascertained as the cause. Always qualifv all diseases resulting from childbirth or miscarriage, as "PUER- PERAL septicemia," "PUERPERAL peritonitis," etc.

State cause for which surgical operation was undertaken.

(Recommendations on statement of cause of death approved by Com- mittee on Nomenclature of the American Medical Association.)

Bronchopneumonia: If primary cause, write the word "pri- mary" ; if secondary, give primary cause.

Certificates will be returned for additional information which give any of the following diseases, without explanation, as the sole cause of death: Abortion, cellulitis, childbirth, convulsions, hemorrhage, gangrene, gastritis, erysipelas, meningitis, miscar- riage, necrosis, peritonitis, phiebitis, pyemia, septicemia, tetanus.

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 undertakeror other authorized person or of any member of the family of the deccascd, furnish for registration a standard certificate of death, stating to the best of his knowledge and belief the name of the deccased, his supposed age, the disease of which he died, defined as re- quired by section one, where same was contracted, the duration of his last illness, when last. secn alive by the physician or officer and the date of his death. . ..- Gen. Laws, Chap. 46, Sec. 9.

No undertaker or other person shall bury a human body .. . until he has received a permit from the board of health or its agent .. . or . . from the clerk of the town where the person died; . . . No such permit shall be issued until there shali have been delivered to such board, agent or clerk ... a satisfactory written statement containing the facts required by law to be returned and recorded, which shall be accompanied, in case of an original interment, by a satisfactory certi- ficate 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 physi- cian 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 shali make such certi- ficate. . .. The person to whom the permit is so given and the physi- cian 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. - Gen. Laws, Chap. 114, Scc. 45.

Medical examiners shall make examination upon the view of the dead bodies of only such persons as are supposed to have died by violence. - Gen. Laws, Chap. 38, Sec. 6.

. .. He shall in all cases certify to the town clerk or registrar in the place where the deccased died his naine and residence, if known; other- wise a description as full as may be, with the cause and manner of death. -Gen. Laws, Chap. 38, Sec. 7.

RULES OF PRACTICE

The fulfilment 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 unrelated to any form of injury.

(2) Board of Heaith 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 sup- posably 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.

M R-301

OFFICE OF THE SECRETARY DIVISION OF VITAL STATISTICS

The Commonwealth of Massachusetts

STANDARD CERTIFICATE OF DEATH

Wirthrifo (City or town)

1 PLACE OF DEATH

County

Suffolk.

State mars

Registered No.

_St., _Ward

(If death occurred in a hospital or institution, give its NAME instead of street and number)

2 FULL NAME

shanna. V. Casse

(If in the Army or Navy of the United States, give rank, organization, etc.)

(a) Residence. Nø.

(Usual place of abode)

10, Rear. Putnam.

Ward.

(If non-resident give city or town and state)

Length of residence in city or town where death occurrad

years

months

days.

How long in U. S., if of foreign birth?

years

months days

PERSONAL AND STATISTICAL PARTICULARS

3 SEX

Jemals White

4 COLOR OR RACE

SINGLE, MARRIEO, WIOOWED, DR

DIVORCED (write the word)

Single

5a If married, widowed or divorced

HUSBAND of

(or) WIFE of

6 AGE

Years

Months

Days

If LESS than 1 day, ___ hrs. or __ min.

If STILLBORN, enter that fact høre

7 OCCUPATION OF DECEASED

(a) Trade, profession, or

particular kind of work

My Home

Winther

8 BIRTHPLACE (City)

(State or country)

mass

9 NAME OF

FATHER

Thomas F.

10 BIRTHPLACE OF

FATHER (City)

É. aston

(State or country)

mars

11 MAIDEN NAME

OF MOTHER

12 BIRTHPLACE OF

MOTHER (City)

(State or country)

13 Noes J. M. Casseus,

(Address)

90 Rear Pretnam At.

Filed Jan. 29 1934

(Month) (Day) (Year)

REGISTRAR

MEDICAL CERTIFICATE OF DEATH

1424

15 DATE OF DEATH

(Month)

(Day)

(Year)

I HEREBY CERTIFY, That I attended deceased from

Supr 14

1922,

that I last saw h.

alive on

and that death occurred, on the date stated above, at

5.154 m.

The CAUSE OF DEATH was as follows:

(duration)

_yrs.

mos.

ds.

CONTRIBUTORY

(SECONDARY)

(duration)

_yrs.

.mos ..

17 Where was disease contracted

if not at place of death?

Did an operation precede death?

Date of

Was there an autopsy?

Phancal Stommelo

What test confirmed diagnosis?

.. M. 0.

(Address)

Data

(Month)

(Day)

(Year)

18 PLACE OF BURIAL, CREMATION OR REMOVAL

Holy Cross

Maldey

DATE OF BURIAL jan. 19,1944

(Cemetery)

(City or town)

19 UNDERTAKER

John F. maley.

ADDRESS

Winthro,

20 | HEREBY CERTIFY that a satisfactory stan- dard certificate of death was filed with ma BEFORE the burial or transit permit was issued A. C. Daniele

Official position wealth offices of permit.

Date of issue ( 1/18/24

Permit NO.

$673

-100 000

PARENTS Informant 14 N. B .- WRITE PLAINLY, WITH UNFADING BLACK INK- THIS IS A PERMANENT RECORD. Every item of information instructions and extracts from the laws on back of certificate. in plain terms, so that it may be properly classified. Exact statement of OCCUPATION is very important. See should be carefully supplied. AGE should be stated EXACTLY. PHYSICIANS should state CAUSE OF DEATH (b) Name of employer

Belfast

4. Mekan

1924

, 1924

City or Town

No. 10, Car, Tutnam

REVISED UNITED STATES STANDARD CERTIFICATE OF DEATH

(Approved by U. S. Census and American Public Health Association)

Statement of occupation .- Precise statement of occupation is very important, so that the relative healthfulness of various pursuits can be known. The question applies to each and every person, irre- apective of age. For many occupations a single word or term on the first line will he sufficient, e. g., Farmer or Planter, Physician, Com- positor, Architect, Locomotive engineer, Civil engineer, Stationary fire- man, etc. But in many cases, especially in industrial employ ments, it is necessary to know (a) the kind of work and also (b) the nature of the business or industry, and therefore an additional line is provided for the latter statement; it should be used only when needed. As examples: (a) Spinner, (b) Cotton mill; (a) Salesman, (b) Grocery; (a) Foreman, (b) Automobile factory. The material worked on may form part of the second statement. Never return "Lahorer," "Fore- man," "Manager," "Dealer," etc., without more precise specification, as Day laborer, Farm laborer, Laborer-Coal mine, etc. Women at home, who are engaged in the duties of the housshold only (not paid Housekeepers who receive a definite salary), may he entered as House- wife, Housework, or At home, and children, not gainfully employed, as At school or At home. Care should be taken to report specifically the occupations of persons engaged in domestic service for wages, as Servant, Cook, Housemaid, etc. If the occupation has heen changed or given up on account of the DISEASE CAUSING DEATH, state occupa- tion at beginning of illness. If retired from husiness, that fact may be indicated thus: Farmer (retired, 6 yrs.). For persons who have no occupation whatever, write None.

Statement of cause of death .- Name, first, the DISEASE CAUSING DEATH (the primary affection with respect to time and causation), using always the same acceptsd term for the same disease. Exam- ples: Cerebrospinal fever (the only definits synonym is "Epidemic cerebrospinal meningitis"); Diphtheria (avoid use of "Croup"); Typhoid fever (never report "Typhoid pneumonia"); Lobar pneu- monia; Bronchopneumonia ("Pneumonia," unqualifisd, is indefinite); Tuberculosis of lungs, meninges, peritoneum, etc., Carcinoma, Sarcoma, stc., of . . (name origin; "Cancer" is less definite; avoid use of "Tumor" for malignant neoplasms); Measles; Whooping cough; Chronic valvular heart disease; Chronic interstitial nephritis, etc. The contributory (secondary or intercurrent) affection need not be stated unless important. Example: Measles (disease causing death), 29 ds .; Bronchopneumonia (secondary), 10 ds. Never report mere symptoms or terminal conditions, such as "Asthenia," "Anemia" (merely symptomatic), "Atrophy," "Collapse," "Coma," "Convul- sions," "Debility" ("Congenital," "Senile," etc.), "Dropsy," "Ex- haustion," "Heart failure," "Hemorrhage," "Inanition," "Maras- mus," "Old age," "Shock," "Uremia,". "Weakness," etc., when a definite disease can he ascertained as the cause. Always qualify all diseases resulting from childhirth or miscarriage, as "PUERPERAL septicemia," "PUERPERAL peritonitis," etc.

State cause for which surgicai operation was undertaken.

(Recommendations on statement of cause of death approved by Com- mittee on Nomenclature of the American Medical Association.)

Bronchopneumonia: If primary cause, write the word "primary"; if secondary, give primary cause.

Certificates will be returned for additional information which give any of the foliowing diseases, without explanation, as the soie cause of death: Abortion, celiuiitis, childbirth, convulsions, hemorrhage, gangrene, gastritis, erysipeias, meningitis, miscarriage, necrosis, peritonitis, phiebitis, pyemia, septicemia, tetanus.

EXTRACTS FROM THE LAWS OF THE COMMONWEALTH OF MASSACHUSETTS GOVERNING THE RETURN OF CERTIFICATES OF DEATH

A physician or registered hospital medical officer shall forth- with, 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 registra- tion a standard certificate of death, stating to the best of his knowl- edge and helief the nams of the deceased, his supposed age, the disease of which he disd, defined as required by section one, where same was contracted, the duration of his last illness, when last seen alive hy the physician or officer and the date of his death ....- Gen. Laws, Chap. 46, Sec. 9.

No undertaker or other person shall bury a human body. . . until he has received a permit from the board of health or its agent. .. or ... from the clerk of the town where the person died ;. . . No such permit shall be issued until there shaii have been delivered to such board, agent or cierk. .. a satisfactory written statement con- taining the facts required by iaw to be returned and recorded, which shall bs accompanied, in case of an original interment, 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 pur- pose, or is insufficient, a physician who is a member of the board of heaith, or employed by it or by the selectmen for the purpose, shali upon application make the certificate required of the attending physician. If death is caused by violence, the medical examiner shail make such certificate. .. 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 obtainsd as to the deceased, or as to the mannsr or caugs of the death, which the clerk or registrar may re- quire .- Gen. Laws, Chap. 114, Sec. 45.

Medicai examiners shall make examination upon the view of ths dead bodies of only such persons as are supposed to have died hy violence .- Gen. Laws, Chap. 38, Sec. 6.

. .. He shall in all cases certify to the town clerk or registrar in the place where the deceased died his name and residence, if known; otherwise a description as full as may he, with the cause and manner of death .- Gen. Laws, Chap. 38, Sec. 7.

RULES OF PRACTICE

The fulfilment of the purpose of these laws calls for the ohservance of the following rules of practice:

(1) Attending physicians will certify to such deaths only as those of persons to whom they have given hedside care during a last illness from disease unrelated to any form of injury.

(2) Board of Heaith Physicians will certify to such deaths only as those of persons who, though disabled by recognized disease unre- lated to any form of injury, have died without recent medical at- tendance or whose physician is ahsent from home when the certificate of death is needed.

(3) Medicai examiners will investigate and certify to all deaths supposabiy 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 ahortion, 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.

County

Pinellas

STATE BOARD OF HEALTH OF FLORIDA BUREAU OF VITAL STATISTICS

Permit No.

29I

Precinct (Write name, not number) or

Inc. Town

City. or St. Petersburg F

Full namJames .... Edward ... Young

Disease causing Death

Dante Panciatiti

; Age ... 7.6

Sex.

.Male; Color .. White

Sex ..

Date of death Jan ... I8th ... I.924 19.

Removal to

Boston Mass

via Atlantic Coast Line

Undertaker

Wilhelm Undertaking. Co

Address St. Petersburg Fla

A Certificate of Death having been filed in my office in accordance with the Laws of Morida, I hereby authorize the 'removal and burial of the body of said deceased person as stated above.

Dated Jan 2Ist 1924 192. Registrar's Signature

Burial Permits must be delivered by the undertaker to the sexton or other persons in charge of the burial ground or cemetery where burial takes place. When the body is to be shipped to a distant point, requiring the service of a common carrier, in addition to the Removal Permit, the body must be accompanied by a Transit Label as required by the State Board of Health. For full par- ticulars see Rules and Regulations governing the transportation of dead bodies. Sexton's Signature 192.

Date of Interment

This permit must be indorsed by the sexton and returned to the Local Registrar of his district within ten days. If there is no sexton or person in charge of burial ground, the undertaker or person acting as such, shall sign same as sexton. giving date of interment. Write across face of permit the words, "No person in charge," and return to Local Registrar of the district in which interment is made within ten days.

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Town of Winthrop : Record of Deaths 1922-1924, Part 146

Author: Winthrop (Mass.) Publication date: 1922 Publisher: Number of Pages: 1202

Author: Winthrop (Mass.)
Publication date: 1922
Publisher:
Number of Pages: 1202