USA > Massachusetts > Suffolk County > Winthrop > Town of Winthrop : Record of Deaths 1933 > Part 20
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MARRIED
WIDOWED
or DIVORCED
Wid
5a If married, widowed, or divorced HUSBAND of
Angelina Severino
(Give maiden name of wife in full)
(or) WIFE of
(Husband's name in full)
6 IF STILLBORN, enter that fact here.
7 AGE 28 Years Months
Days
If less than 1 day
Hours
Minutes
8 Trade, profession, or particular kind of work done, as spinner, sawyer, bookkeeper, etc.
OCCUPATION
9 Industry or business in which
work was done, as silk mill,
saw mill, bank, etc.
storekeeper
10 Date deceased last worked at this occupation (month and year)
11 Total time (years)
Feb 1933
spent in this occupation 12
12 BIRTHPLACE (City)
(State or country)
Italy
13 NAME OF
FATHER
Frank Biancardi
PARENTSE
14 BIRTHPLACE OF
FATHER (City)
(State or country)
Italy
15 MAIDEN NAME
OF MOTHER
Marie DiMartino
16 BIRTHPLACE OF
MOTHER (City)
(State or country)
Italy
17
Informant
Frank Biancardi
(Address)
winthrop
A TRUE COPY.
ATTEST:
DATE FILED
Feb (28
1.933.
MEDICAL CERTIFICATE OF DEATH
18 DATE OF DEATH Feb
(Month)
(Day)
(Year)
19 | HEREBY CERTIFY that I have investigated the death of the person above-named and that the CAUSE AND MANNER thereof are as follows: (If an injury was involved, state fully)
bullet wound of the head homicidal
20 If death was due to external causes (VIOLENCE) fill in the following :
Accident,
Suicide or
Homicide ?
Where did
injury occur ?
Manner of
Injury.
......
Nature of
Injury.
21 Was disease or injury in any way related to occupation of deceased? If so, specify.
(Signed)
G B. Magrath
M. D.
(Address)
Boston
Date2/24/.19 33
22 PLACE OF BURIAL,
CREMATION OR REMOVAL
Holy Cross
(Cemetery)
Maldon
(City or town)
DATE OF BURIAL
Feb
27
19.33
23 NAME OF
UNDERTAKER
R S Caggiano
ADDRESS
East Boston
MAR 7
1933
Received and filed 19
(Registrar of City or Town where deceased resided)
.... .. ..
25m-2-'30. No. 7997-e
1
St.
Ward
(If U. S.
War Veteran,
specify WAR)
47
(Usual place of abode)
22
1933
Date of injury
19
(City or town and State)
IM R-301A
OCCUPATIONI is very important. See instructions and extracts from the laws on back of certificate. CAUSE OF DEATH in plain terms, so that it may be properly classified. Exact statement of OCCUPATION information should be carefully supplied. AGE should be stated EXACTLY. PHYSICIANS should state 100m-9-'30. No. 9954. N. B .- WRITE PLAINLY, WITH UNFADING BLACK INK-THIS IS A PERMANENT RECORD. Every item of PARENTS
PLACE OF DEATH
(County)
(City or Towa) 17 Luther St No ...
The Commonwealth of Massachusetts OFFICE OF THE SECRETARY DIVISION OF VITAL STATISTICS STANDARD CERTIFICATE OF DEATH
To be filed for burial permit with Board of Health or its Agent.
Registered No.
(If death occurred in a hospital or institution, give its NAME instead of street and number)
2 FULL NAME
Samuel Messenger
(If deceased is a married, widowed or divorced Woman, give also maiden name.)
(a)
Residence.
No
(Usual place of abode)
Length of residence in city or town where death occurred
Deuttio 18
.St.,.
..........
Ward,
(If nonresident, give city or town and state)
days.
How long in U. S., if of foreign birth? 30 yra.
mos.
days.
PERSONAL AND STATISTICAL PARTICULARS
3 SEX Male
4 COLOR OR RACE
White
5 SINGLE
MARRIED
WIDOWED
or DIVORCED
(write the word)
manuel
5a If married, widowed, or divorced
HUSBAND of
(or) WIFE of
(Giye maiden
(Husband's name in full)
6 IF STILLBORN, enter that fact here
AGE.
7 34 .. Years .Months Days
If less than 1 day Hours. Minutes
8 Trade, profession, or particular kind of work done, as spinner, sawyer, bookkeeper, etc ...
er. Aloving Picture
9 Industry or business in which
work was done, as silk mill,
saw mill, bank, etc.
Character
10 Date deceased last worked at
this occupation (month and
year) .
Jay 1932
11 Total time (years) spent in this occupation.
15m
12 BIRTHPLACE (City)
Slucia
(State or country) aussia
13 NAME OF
FATHER
Nathan
Messenger
14 BIRTHPLACE OF
FATHER (City)
(State or country) austria
15 MAIDEN NAME
OF MOTHER
Maria Reach
16 BIRTHPLACE OF
MOTHER (City)
stacia.
(State or country)
17 May Messong Informant (Address) 17 toutles to Cultury
I HEREBY CERTIFY that a satisfactory standard certificate of death was filed with me BEFORE the burial or transit permit was issued: Nm. D. Children
(Signature of Agent of Board of Health or other) Wealth officer 2/24/33
(Official Designation) (Date of Issue of Permit)
MEDICAL CERTIFICATE OF DEATH
18 DATE OF
February
24
1933
DEATH
(Month)
(Day)
(Year)
19 I HEREBY CERTIFY,, That I attended deceased from
January 10
29 to February 24
,19.3.3
I last saw h ...... . alive on
Feb. 24
19.3.3, death is said
to have occurred on the date stated above, at 1:00am. The principal cause of death and related causes of importance in order of onset were as follows: Mitral Stenosis
Date of Onset 1925
Contributory causes of importance not related to principal cause:
acute Cardiac Dilatation
1933
Name of operation
What test confirmed diagnosis? Clinical
200
Date of.
Was there an autopsy?
no
20 Was disease or injury in any way related to occupation of deceased? If so, specify ...
(Signed)
(Address) 16L Shulen
Date ..
2/24/193
y., M. D.
21 PLACE OF BURIAL,
CREMATION OR REMOVAL
Tb. 24
Reth Jacob. Hobar
Cemetery)
(City or town)
19 33
DATE OF BURIAL
22 NAME OF
Louis Spiller
UNDERTAKER
ADDRESS
3 Varchar ave, Lecz
Received and filed
FEB 2-8 19.33
19
(Registrar)
--
(If U. S. War Veteran,
specify WAR)
9 yrs.
mos.
St.,
.Ward
1
Revised United States Standard Certificate of Death
Statement of occupation .- Precise statement of occupation is very important, 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 occupation had been given up or changed on account of the disease causing death, report the occupation prior to illness. If the deceased had retired from business, report the occupation prior to retirement. 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 in answer to Question 8 and own home in answer to Question 9. 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 what- ever write none.
To be complete, an occupation return must state:
8 .- The trade, profession, or particular kind of work done.
9 .- The industry or business in which the work was done.
10 .- The month and year the deceased last worked at the occupation.
11 .- The number of years the deceased followed the occupation.
In stating the occupation, avoid the use of such indefinite terms as "employee." "worker," "operative," etc. Find out the parti- cular kind of work done and return that, as spinner, weaver, etc.
In stating the industry or business, avoid the use of such general terms as "store," "factory. " 'mill," etc. State the particular kind of store, factory, mill, etc., as grocery store, soap factory, cotton mill, etc.
Distinguish carefully the different kinds of engineers by stating the full descriptive titles, as civil engineer, mechanical engineer, mining engineer, stationary engineer, etc. Avoid the term "laborer" when a more precise statement of the occupation can be secured. Do not use the word "mechanic, " but give the exact occupation, as carpenter. painter, machinist, etc. Distinguish carefully between retail merchants and wholesale merchants. A person who sells goods should be called a salesman and not a clerk.
Statement of cause of death .- Cause of death means the disease, or complication which causes death, not the mode of dying, e. g., heart failure, asphyxia, asthenia, etc. As principal cause name the disease causing death. As related causes, name earlier morbid conditions, if any, related to the principal cause and any important complication of the principal cause. Under contributory causes of importance not related to principal cause, name other important diseases.
Example
The principal cause of death and related causes of importance in order of onset were as follows: Arteriosclerosis
Date of onset
1915
Chronic interstitial nephritis
1021
Cerebral hemorrhage
July 5, 1927
Contributory causes of importance not related to principal cause:
In a group of causes containing the principal cause and related causes, the causes should be given in the order of onset, so that in a group of three causes the principal cause may appear in either first, second, or third position. The principal cause in the above example · happens to be the second cause given.
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 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.
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 satis- factory 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 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 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 state- ment and certificate, shall forthwith countersign it and transmit it to the clerk of the town for registration. 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., as amended.
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 deceased died his name and residence, if known; otherwise a description as full as may be, with the cause and manner of death .- Gen. Laws, Chap. 38, Sec. 7.
No undertaker or other person 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 ceme- tery or burial ground in which the interment is made .... Chap. 114, Scc. 46, G. L. as amended.
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 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 un- related to any form of injury, have died without recent medical attend- ance 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.
M R-301 A
OCCUPATION 75m-5-'32. No. 5469 N. B .- WRITE PLAINLY, WITH UNFADING BLACK INK-THIS IS A PERMANENT RECORD. Every item of PARENTS
PLACE OF DEATH
Suffolk county) Winthrop (City or Town) 59 Winthrop No. Walter It Moyes
The Commonwealth of Massachusetts OFFICE OF THE SECRETARY DIVISION OF VITAL STATISTICS STANDARD CERTIFICATE OF DEATH
To be filed for burial permit with Board of Health or its Agent.
Registered No ...
49
(If death occurred in a hospital or institution,
give its NAME instead of street and number)
(If U. S. War Veteran,
specify WAR)
(a)
Residence. No
59 Winthrop
St.,
Ward,
(If nonresident, give city or town and state)
mos.
days.
PERSONAL AND STATISTICAL PARTICULARS
4 COLOR OR RACE
White
5 SINGLE
MARRIED
WIDOWED
or DIVORCED
(write the word)
Married
5a If marri
HUSBAND of
Charlotte E Horton
(Give maiden name of wife in full)
(Husband's name in full)
6 IF STILLBORN, enter that fact here.
2
Years
Months
Days
If less than 1 day
Hours
Minutes
8 Trade, profession, or particular Kind of work done, as spinner Petired Gateman sawyer, bookkeeper, etc.
9 Industry or business in which Ferry Defit. work was done, as silk mille . City of Boston
10 Date deceased last worked at
11 Total time (years)
spent in thise
occupation Sess
this occupation (month and/ 430
year) ..
Boston
12 BIRTHPLACE (City)
(State or country)
Ayaes.
13 NAME OF
FATHER
George E, Hoyes
Brookfield
ME Anna Brooks
16 BIRTHPLACE OF
MOTHER (City)
Wilmington nr. 1.
(State or country)
17 George Ep. hayes
Informant (Address) 37 Falcon St, East Boston
I HEREBY CERTIFY that a satisfactory standard certificate of death was filed with me BEFORE the burial or fransit permit was issued:
(Signature of Agent of Board of Health or other) 2/24/33 Health Juicer
(Official Designation)
(Date of Issue of Permit)
MEDICAL CERTIFICATE OF DEATH
18 DATE OF
DEATH
Feb
(Month)
(Day)
19
I HEREBY CERTIFY, That I attended deceased from
Fet
23
I last saw h AM alive on ...
Feb
25
19
death is said
to have occurred on the date stated above, at 100 . m.
The principal cause of death and related causes of importance in order of onset were as follows:
Date of Onset IMPORTANT
auricular fibrillation Candean decompensation Ft 24
Contributory causes of importance not related to principal cause:
nous
Name of operation
What test confirmed diagnosis?
Date of
Was there an autopsy?
20 Was disease or injury in any way related to occupation of deceased?
If so, specify.
Tout Cohen
M. D.
(Signed)
(Address) 17 Central Sy
Date 2/27/
1933
21 PLACE OF BURIAL,
CREMATION OR REMOVAL
Jahnwood Cost Bridge water
DATE OF BURIAL
Feb 200
Cemetery)
(City or town)
19
22 NAME OF
UNDERTAKER
David H. Dooley
ADDRESS / 35 Loudou St, Es. Bratov.
Received and filed
FEB 28 1933
19
(Registrar)
1 2 FULL NAME 31 SEX Male (or) WIFE of 7 AGE 14 BIRTHPLACE OF FATHER (City) (State or country) 15 MAIDEN NAME OF MOTHER is very important. See instructions and extracts from the laws on back of certificate. CAUSE OF DEATH in plain terms, so that it may be properly classified. Exact statement of OCCUPATION information should be carefully supplied. AGE should be stated EXACTLY. PHYSICIANS should state saw mill, bank, etc.
St.,
Ward
(If deceased is a married, widowed or divorced woman, give also maiden name.)
(Usual place of abode)
Length of residence in city or town where death occurred
yrs.
6
mos.
days.
How long in U. S., if of foreign birth?
yrs.
25
1433
(Year)
1933 Feb 25 to 19 33
33 .,
.......
Revised United States Standard Certificate of Death
Statement of occupation .- Precise statement of occupation fè very important, 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 occupation had been given up or changed on account of the disease causing death, report the occupation prior to illness. If the deceased had retired from business, report the occupation prior to retirement. 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 in answer to Question 8 and own home in answer to Question 9. 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 what- ever write none.
To be complete, an occupation return must state:
8 .- The trade, profession, or particular kind of work done.
9 .- The industry or business in which the work was done.
10 .- The month and year the deceased last worked at the occupation.
11 .- The number of years the deceased followed the occupation.
In stating the occupation, avoid the use of such indefinite terms as "employee," "worker," "operative," etc. Find out the parti- cular kind of work done and return that, as spinner. weaver, etc.
In stating the industry or business, avoid the use of such general terms as "store," "factory." "mill," etc. State the particular kind of store, factory, mill, etc., as grocery store, soap factory, cotton mill, etc.
Distinguish carefully the different kinds of engineers by stating the full descriptive titles, as civil engineer, mechanical engineer, mining engineer, stationary engineer, etc. Avoid the term "laborer" when a more precise statement of the occupation can be secured. Do not use the word "mechanic, " but give the exact occupation, as carpenter. painter, machinist, etc. Distinguish carefully between retail merchants and wholesale merchants. A person who sells goods should be called a salesman and not a clerk.
Statement of cause of death .- Cause of death means the disease, or complication which causes death, not the mode of dying, e. g., heart failure, asphyxia, asthenia, etc. As principal cause name the disease causing death. As related causes, name earlier morbid conditions, if any, related to the principal cause and any important complication of the principal cause. Under contributory causes of importance not related to principal cause, name other important diseases.
Example
The principal cause of death and related causes of importance in order of onset were as follows:
Date of onset
Arteriosclerosis ....
1915
Chronic interstitial nephritis
1021
Cerebral hemorrhage
July 5, 1927
Contributory causes of importance not related to principal cause:
In a group of causes containing the principal cause and related causes, the causes should be given in the order of onset, so that in a group of three causes the principal cause may appear in either first, second, or third position. The principal cause in the above example happens to be the second cause given. .
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 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.
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 satis- factory 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 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, trom one town to another within the common- wealth 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 re- moval; 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 re- quired 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 registration. 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., as amended by Chap. 48, Acts of 1927 and Chap. 414, Acts of 1931.
-
i
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 deceased died his name and residence, if known; otherwise a description as full as may be, with the cause and manner of death .- Gen. Laws, Chap. 38, Sec. 7.
No undertaker or other person 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 ceme- tery or burial ground in which the interment is made .. .. Chap. 114. Sec. 46, G. L. as amended.
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 unrelated to any form of injury.
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