Town of Winthrop : Record of Deaths 1934, Part 2

Author: Winthrop (Mass.)
Publication date: 1934
Publisher:
Number of Pages: 500

USA > Massachusetts > Suffolk County > Winthrop > Town of Winthrop : Record of Deaths 1934 > Part 2

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Ada

Laws

(If deceased is a married, widowed or divorced woman, give also maiden name.)

(a)

Residence. No ..

(Usual place of abode)

9 ... Tewksbury ..

.St.,.

Ward,

Winthrop

(If nonresident, give city or town and state)

Length of residence in city or town where death occurred

yra.

mos.

days.

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

yrs.

mos. days.

PERSONAL AND STATISTICAL PARTICULARS

3 SEX

4 COLOR OR RACE

5 SINGLE

MARRIED

WIDOWED

OF DIVORCED

(write the word)

married

5a If married, widowed, or divorced HUSBAND of

(Give maiden name of wife in full)

(or) WIFE of

William B.Laws

(Husband's name in full)

6 IF STILLBORN, enter that fact here.

7 AGE 49 Years Months Days

If less than 1 day

.Hours.

Minutes

OCCUPATIONI

8 Trade, profession, or particular kind of work done, as spinner, sawyer, bookkeeper, etc.

housewife

9 Industry or business in which work was done, as silk mill, saw mill, bank, etc.

10 Date deceased last worked at

this occupation (month and

уеаг)

11 Total time (years) spent in this occupation

12 BIRTHPLACE (City)

(State or country)

Maine

13 NAME OF

FATHER

Eugene R Lewis

14 BIRTHPLACE OF

FATHER (City)

Bridgeport

(State or country) Conn

15 MAIDEN NAME

OF MOTHER

Jennie Spear

16 BIRTHPLACE OF

MOTHER (City)

(State or country)

Maine

17 Informant (Address)

Mrs Harry Lewis

A TRUE "COPY.

ATTEST:

(Registrar of city down where death occurred

DATE FILED

Jan

19 34

MEDICAL CERTIFICATE OF DEATH

18 DATE OF

DEATH

Jan 1

(Month)

(Day)

1934 (Year)

19 I HEREBY CERTIFY, That I attended deceased from

Dec

2.5

,1933 to

Jan

19.34.

1 last saw h ... @r ... alive on ......

Jan

1 ...... , 19.34., death is said

to have occurred on the date stated above, at.4.1.5P .m. The principal cause of death and related causes of importance in order of onset were as follows: Dateofonset .primary .. carcinoma ... of ... gall bladder. ... and. . ducta .. with generalizedabdominal met- astases, also .. liver., lung, pleura, thoracic duc and all.regional ... lymph nodes

Contributory causes of importance not related to principal cause:

Name of operation

Date of

What test confirmed diagnosis?

autopsyWas there an autopsy? YO.S

20 Was disease or injury in any way related to occupation of deceased? If so, specify

(Signed)

C ... A ... Powell

M. D.

(Address)

Boston

Date

1/2 .19.34

21 PLACE OF BURIAL,

CREMATION OR REMOVAL

Winthrop

(Cemetery)

City of town)

DATE OF BURIAL

Jan

19.34.

22 NAME OF

UNDERTAKER

C R Bennison

ADDRESS.

Winthrop

Received and filed

FEB - 19

(Registrar of City or Town where deceased resided)

important.

50m-2-'30, No. 7997-d

N. B .- WRITE PLAINLY, WITH UNFADING INK-THIS IS A PERMANENT RECORD. Every item of informa- OF DEATH in plain terms, so that it may be properly classified. Exact statement of OCCUPATION is very tion should be carefully supplied. AGE should be stated EXACTLY. PHYSICIANS should state CAUSE

PLACE OF DEATH

No. Mass .. Memorial .. Hospital

.. St.,

Ward

(If U. S.

War Veteran,

specify WAR)

MARGIN RESERVED FOR BINDING

PARENTS

ORM R-301

Suffolk (County)

The Commonwealth of Massachusetts OFFICE OF THE SECRETARY DIVISION OF VITAL STATISTICS STANDARD CERTIFICATE OF DEATH

(City or town making return)

Registered No.

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

2 FULL NAME

William & Klint

(If deceased is a married, widowed or divorced woman, give also maiden name.)

St.,

Ward,

Worcester

(If nonresident, give city or town and state)

Length of residence in city or town where death occurred yTs.

mos.

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

yTs.

mos.

days.

PERSONAL AND STATISTICAL PARTICULARS

5 SINGLE

(write the word)

MARRIED

WIDOWED

or DIVORCED

Wichowed

5a If married, widowed, or divorced

HUSBAND of

Harreist Lancette plint

(Give maiden name of wife in full)

(Husband's name in full)

Years L.Q. Months Days

If less than 1 day

.Hours

Minutes

Duggist

Store Retired

11 Total time (years) spent in this occupation . 40

Canaan

13 NAME OF

FATHER

Edwin& Flint

Canaân n. V.

Frances E. Bristol

Canaîn

(State or country)

n. Y.

17 mis Elizabeth Flint

Informant

(Address)

no authbio Mass

I HEREBY CERTIFY that a satisfactory standard certificate of death was filed with me BEFORE the burial or transit permit was issued: Www. D. Culdress (Signature of Agent of Board of Health or other)

Health Fraiche 1/4/34 (Official Designation) (Date of Issue of Permit)

MEDICAL CERTIFICATE OF DEATH

18 DATE OF

DEATH

Jan

1934

(Year)

(Month)

(Day)

I HEREBY CERTIFY, That I attended deceased from

Dec 31

,1923

1934

I last saw h ... ........ alive on.

1934, death is said

to have occurred on the date stated above, at.

6:30 Am.

The principal cause of death and related causes of importance in order of onset were as follows:

Dateofonset

auqua

De 31 :1933

Contributory causes of importance not related to principal cause:

1930

Name of operation

none.

Date of.

What test confirmed diagnosis? Personal Best Was there an autopsy? Wo

20 Was disease or injury in any way related to occupation of deceased? La.

If so, specify.

(Signed)

, M. D.

(Address) Wastrong mars

Date Jam 3 193%

21 PLACE OF BURIAL,

CREMATION OR REMOVAL

Hope

Worcester

(Cemetery)

(City or town)

193.3.

22 NAME OF

UNDERTAKER-

Richard 16 White

ADDRESS

Winthrop

Received and filed

JAN 8

1034

A TRUE COPY, ATTEST: (Registrar)

MARGIN RESERVED FOR BINDING

Winthrop 1 (City or Town) No. 39 drivin 3 SEX Male 4 COLOR OR RACE White uddeen Charge 1/15/34 (or) WIFE of 6 IF STILLBORN, enter that fact here. 7 72 AGE 8 Trade, profession, or particular kind of work done, as spinner, sawyer, bookkeeper, etc. 9 Industry or business in which work was done, as silk mill, saw mill, bank, etc. 10 Date deceased last worked at this occupation, (month and OCCUPATION| year) 1929 14 BIRTHPLACE OF FATHER (City) (State or country) 15 MAIDEN NAME OF MOTHER PARENTS 16 BIRTHPLACE OF MOTHER (City) 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 N. B .- WRITE PLAINLY, WITH UNFADING BLACK INK-THIS IS A PERMANENT RECORD. Every item of 12 BIRTHPLACE (City) (State or country) n.Y. 200M-11-'29. No. 7180-a

PLACE OF DEATH

St.

.Ward

(If U. S.

War Veteran,

specify WAR)

39 from

(a) Residence. ]

14Charmontst

(Usual place of abode)

DATE OF BURIAL

Jan.

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, soup 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 wholesule 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, injury, or complication which causes death, not the mode of dying, e. g., heart failure, asphyxia, asthenia, etc. As principal cause name the disease or injury 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 contri- butory causes of importance not related to principal cause, name other important diseases or injuries.

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

1921

Cerebral hemorrhage

July 5, 1927

Contributory causes of importance not related to principal cause: Fracture of arm

Automobile accident

May 3, 1927

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. Sec. 46, G. L., as amended.

State cause for which surgical operation was undertaken.

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 following diseases, without explanation, as the sole cause of death : Abortion, cellulitis, childbirth, convulsions, hemorrhage, gangrene, gastritis, erysipelas, meningitis, mis- carriage, necrosis, peritonitis, phlebitis, pyemia, septicemia, tetanus.

FRM R-301 A

PLACE OF DEATH

chffolk County)

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)

(If U. S.

War Veteran,

specify, WAR)

.St., ...

Ward,

Winthrop. Mall

(If nonresident, give cay or town and state)

mos.

days.

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

yrs.

mos.

days.

MEDICAL CERTIFICATE OF DEATH

18 DATE OF

DEATH

Jan,

₹

(Month)

(Day)

1934 (Year)

19)

I HEREBY CERTIFY, That I attended deceased from

January 2

19 3.97 to.

19 35

I last saw hoek .... alive on

death is said

to have occurred on the date stated above, at. m. The principal cause of death and related causes of importance in order of onset were as follows: Prematura Date of Onset IMPORTANT

Contributory causes of importance not related to principal cause:

Name of operation

Date of.

Was there an autopsy?

20 Was disease or injury in any way related to occupation of deceased? If so, specify. Blou to Daynu (Signed) M. D.

like and Date 2 193 4

21 PLACE OF BURIAL,

CREMATION OR REMOVAL

I Michael- Boston

(Cemetery)

(City or town)

DATE OF BURIAL gan- 19.36

22 NAME OF

Angelo Jannini

UNDERTAKER

ADDRESS 215 worth It, Boston

Received and filed JAN .034

(Registrar)

MARGIN RESERVED FUK BINDING

1 2 FULL NAME. (a) Residence. No .. 352 Shirley (Usual place of abode) Length of residence in city or town where death occurred yrs. PERSONAL AND STATISTICAL PARTICULARS 3 SEX 4 COLOR OR RACE White 5 SINGLE MARRIED WIDOWED - or DIVORCED Male 5a If married, widowed, or divorced HUSBAND of (Give maiden name of wife in full) (or) WIFE of (Husband's name in full) 7 AGE Years Months Days If less than 1 day 8 Trade, profession, or particular kind of work done, as spinner, sawyer, bookkeeper, etc .. 9 Industry or business in which work was done, as silk mill, saw mill, bank, etc .. 10 Date deceased last worked at this occupation (month and OCCUPATION year) (State or country) 13 NAME OF FATHER Pietro Maiolino (State or country) 15 MAIDEN NAME OF MOTHER Mora Melluso PARENTS (State or country) Italy (Signature of Agent of Board of Health or other) Health full (Official Designation) (Date of Issue of Peymit) 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-0-'33. No. 9321-a N. B .- WRITE PLAINLY, WITH UNFADING BLACK INK-THIS IS A PERMANENT RECORD. Every item of 12 BIRTHPLACE (City) Winthrop- Mass u.f. d.

(write the word)

6 IF STILLBORN, enter that fact here. Stillhorn Premature

Hours. .Minutes

11 Total time (years) spent in this occupation.

14 BIRTHPLACE OF FATHER (City) August Prov. Piragua Test confirmed diagnosis? Italy

16 BIRTHPLACE OF MOTHER (City) Augusta Prov. DiragusaAd

17 Pietro maiolino/ Father

(Address) 397 ShirleyHt, Winthrop

I HEREBY CERTIFY that a satisfactory standard certificate of death was filed with me BEFORE the burial, or transit permit was issued:

1/3/34

St., ...

.Ward

{

Winthrop . Man (City or Fowh) Shirley Stillborn Maialino

(If deceased is a married, widowed or divorced woman, give also maiden name.)

Revised United States Standard Certificate of Death

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

Chronic interstitial nephritis

1021

Cerebral hemorrhage

July 5. 1027

Contributory causes of importance not related to principal cause:

EXTRACTS FROM THE LAWS OF THE COMMONWEALTH OF MASSACHUSETTS GOVERNING THE

RETURN OF CERTIFICATES OF DEATH

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, from 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 appcar 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.

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.

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Town of Winthrop : Record of Deaths 1934, Part 2

Author: Winthrop (Mass.) Publication date: 1934 Publisher: Number of Pages: 500

Author: Winthrop (Mass.)
Publication date: 1934
Publisher:
Number of Pages: 500