USA > Massachusetts > Suffolk County > Winthrop > Town of Winthrop : Record of Deaths 1934 > Part 9
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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.
.
.
2M R-302
Essex
(County)
Danvers
(City or Town) Inntors State Hornitel
The Commonwealth of Massachusetts OFFICE OF THE SECRETARY DIVISION OF VITAL STATISTICS STANDARD CERTIFICATE OF DEATH
Danmer, (City or town making return)
Registered No. 22
(If death occurred in a hospital or institution,
Ward
give its NAME instead of street and number)
2 FULL NAME
Peter J. Moran
(If deceased is a married, widowed or divorced woman, give also maiden name.)
(a)
Residence. No
6 Irmin
.St.,.
........
Ward,
(If nonresident, give city or town and state)
mos. days.
PERSONAL AND STATISTICAL PARTICULARS
8 SEX
male
4 COLOR OR RACE
white
5 SINGLE
MARRIED
WIDOWED
or DIVORCED Single
5a If married, widowed, or divorced HUSBAND of
(Give maiden name of wife in full)
(or) WIFE of
(Husband's name in full)
6 IF STILLBORN, enter that fact here.
7 29
AGE Years Months Days
If less than 1 day
Hours
Minutes
8 Trade, profession, or particular kind of work done, as spinner, sawyer, bookkeeper, etc ...
Drug Clerk
9 Industry or business in which work was done, as silk mill, saw mill, bank, etc.
10 Date deceased last worked at
11 Total time (years)
spent in this
occupation
12 BIRTHPLACE (City)
Anecbury
(State or country)
13 NAME OF
FATHER
Peter J. Moran
14 BIRTHPLACE OF
FATHER (City)
Ireland
(State or country)
15 MAIDEN NAME
OF MOTHER
Mary Monahan
16 BIRTHPLACE OF
MOTHER (City)
(State or country)
Ireland
17 Gertrude F. Smith,
Informant
(Address)
Hathorne
A TRUE COPY.
ATTEST:
(Registrar of city of town where death occurred)
DATE FILED
2/5/34
19
MEDICAL CERTIFICATE OF DEATH
DEATH
(Month)
(Day)
(Year)
19 I HEREBY CERTIFY, That I attended deceased from
Jan ...... 1.7.,
19.34, to ... J.a ................ 2.6 ............ , 1934-
I last saw h ......... alive on
Jan ...... 26 , 193.2 ... , 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:
Dateofonset
Contributory causes of importance not related to principal cause:
.Chr .... myocarditis:
1/1931
.. Exhaustion due to neitat
disease
1/11/34
Name of operation
Date of
What test confirmed diagnosis@.1.i.n.
Was there an autopsy'
20 Was disease or injury in any way related to occupation of deceased?
If so, specify.
(Signed)
M. D.
(Address)
Colaion Gamaon
Date :....
19
21 PLACE OF BURIAL,
CREMATION OR REMOVE. JOSeni'S A
(Cemetery)
(City or town)
DATE OF BURIAL
Jan. 21, 121
19
22 NAME OF
UNDERTAKER
Joseph ' Donnell
ADDRESS.
Ahesbury
Received and filed
FEB 0
-1934
19
"Registrar of City or Town where deceased resided)
PARENTS important. 50m-2-'30. No. 7997- ' 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 OCCUPATION|
1
PLACE OF DEATH
No ..
St.,
(If U. S. War Veteran, specify WAR)
(Usual place of abode)
Length of residence in city or town where death occurred
yrs.
mos.
days.
How long in U. S., if of foreign birth?
yrs.
(write the word)
this occupation (month and
year)
18 DATE OF
Jan. 26, 1934.
M R-301
PLACE OF DEATH
Suffolk V (County) Winthrop (City or Towd) 125 main
The Commonwealth of Massachusetts OFFICE OF THE SECRETARY DIVISION OF VITAL STATISTICS STANDARD CERTIFICATE OF DEATH
WINTHROE (City or town maki:ta
Registered No.
(If death occurred in a hospital or institution,
give its NAME instead of street and number)
Rose 9 Lavori
(If deceased is a married, widowed or divorced woman, give also maiden name.)
specify WAR)
(a) Residence.
No.
125 main
.. St., ..
Ward,
(If nonresident, give city or town and state)
mos.
days.
How long in U. S., if of foreign birth?
yrs.
mos.
days.
PERSONAL AND STATISTICAL PARTICULARS
(write the word)
widow
If less than 1 day Hours Minutes
Housework
at Home
11 Total time (years)
Dec/33 spent in this occupation Hoyen
Bernard Murphy
15 MAIDEN NAME
OF MOTHER
Mary Matthews
16 BIRTHPLACE OF
MOTHER (City)
(State or country)
Ireland
Informant (Address) 125 main it, wint ih
I HEREBY CERTIFY that a satisfactory standard certificate of death was filed with me BEFORE the burial or fransit permit was issued: Was D. Nuldress (Signature of Agent of Board of Health or othery 01/ 29/34 (Date of Issue of Permit)
MEDICAL CERTIFICATE OF DEATH
18 DATE OF
DEATH
Jani
27
(Month)
(Day)
(Year)
19 HEREBY CERTIFYY, That I attended deceased from Hitaulaun 20 1934 to ... I last saw halive on June 21 death is said
1934
1.201
i m.
to have occurred on the date stated above, at.
The principal cause of death and related causes of importance in order of onset were as follows: Date of Onset 7 Chronia Laplantéis
Contributory causes of importance not related to principal cause: arteriosclerosis 7
Name of operation
more
What test confirmed diagnosis? Urmalupo
.. Was there an autopsy? .
20 Was disease or injury in any way related to occupation of deceased?
If so, specify
(Signed)
gunde guter
M. D.
(Address).
Date 35 1934
21 PLACE OF BURIAL,
CREMATION OR REMOVAL
Joly Cross, melden (Cemetery)
DATE OF BURIAL Van
(City or town)
19 34
22 NAME OF
Wederick H Take
UNDERTAKER
ADDRESS
140 main it, chesh.
19
Received and filed.
JAN 2.9.1934
A TRUE COPY, ATTEST: (Registrar)
1 No 2 FULL NAME (Usual place of abode) Length of residence in city or town where death occurred. 35 3 SEX 4 COLOR OR RACE White Female 5 SINGLE MARRIED WIDOWED or DIVORCED 5a If married, widowed, or divorced HUSBAND of Le tre maiden name (or) WIFE of (Husband's name in full) 6 IF STILLBORN, enter that fact here. 7 6360 AGE Years Months Days 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) Portland 13 NAME OF FATHER 14 BIRTHPLACE OF FATHER (City) Ireland (State or country) PARENTS 17 Marie Laurie 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 is very important. See instructions and extracts from the laws on back of certificate. (Official Designation) N. B .- WRITE PLAINLY, WITH UNFADING BLACK INK-THIS IS A PERMANENT RECORD. Every item of 12 BIRTHPLACE (City) (State or country) maine 100m-12-'32. No. 7070-h
St., .........
.....
Ward
(If U. S. War Veteran,
1934
Date of
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 san 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 enset
-
1015
Chronic interstitial nephritis
1921
Cerebral hemorrhage
July 3, 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
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 sarne 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, physician. shall upon application make the certificate required of the attending 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 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.
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.
(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.
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.
1
-
IM R-302
Suffolk
(County)
(City or Town) U.S.Naval Hospital
The Commonwealth of Massachusetts OFFICE OF THE SECRETARY DIVISION OF VITAL STATISTICS STANDARD CERTIFICATE OF DEATH
(City or town making return)
Registered No.
50
(If death occurred in a hospital or institution, give its NAME instead of street and number)
2 FULL NAME
John Mccarthy
(If deceased is a married, widowed or divorced woman, give also maiden name.)
88 Main
St.,
.......
Ward,
Winthrop Mass
(If nonresident, give city or town and state)
Length of residence in city or town where death occurred
yrs.
mos.
days. How long in U. S., if of foreign birth?
yrs.
mos. dayı.
PERSONAL AND STATISTICAL PARTICULARS
MEDICAL CERTIFICATE OF DEATH
18 DATE OF
DEATH
Jan.27,1934
(Month)
(Day)
(Year)
12/157
HEREBY CERTIFY,
That I attended deceased from
Jan. 27
19
34
I last saw h
alive on
11/287
34
death is said
to have occurred on the date stated above, at
2.30
a .m.
The principal cause of death and related causes of importance in order of
HEMof Phage esophageal varices days
Myocarditis chr. 1934 Cirrhosis liver hypertrophis 1930 Arteriosclerosis general 1928
Contributory causes of importance not related to principal cause:
none
Name of operation
What test confirmed diagnosis?
Was there an autopsy?
no
20 Was disease or injury in any way related to occupation of deceased?
If so, specifyJ .B.Helm,Comdr. (MC) USN
(Signed)
USH Hosp. Chelsea
1/27
O
(Address)
Date
19
21 PLACE OF BURIAL,
Winthrop
Winthrop
CREMATION OR REMOVAL
Jan . 29(cengay
DATE OF BURIAL
22 NAME OF
John F.O'Maley
UNDERTAKER inthrop, Mass.
ADDRESS
Received and filed
19
FEB 5
19.3.4
(Registrar of City or Town where deceased resided)
---
8 Trade, profession, or particular kind of work done, as spinner, sawyer, bookkeeper, etc ...
Retired navy
10/20/1982
Total time (years spent in this _30 occupation
12 BIRTHPLACE (City)
(State or country)
Ireland
John McCarthy
14 BIRTHPLACE OF
FATHER (City)
Ireland
Johanna Mahoney
16 BIRTHPLACE OF
MOTHER (City)
Ireland
17 Mrs. John Leary Informant .. 88 Main st.Winthrop (Address)
A TRUE COPY.
Teachand G. Poker
ATTEST:
(Registrar of City erook where death occurred)
DATE FILED Jan . 28,1934
19
5 SINGLE
MARRIED
WIDOWED
er DIVORCED
(write the word)
widowed
(Give maiden name of wife in full)
(Husband's name in full)
6 IF STILLBORN, enter that fact here.
14
Months Days
If less than 1 day
Hours
Minutes
Chelse a 1 No. 3 SEX male 4 COLOR OR RACE white 5a If married, widowed, or divorced HUSBAND of (or) WIFE of 7 68 ars AGE Years 10 Date deceased last worked. OCCUPATION year) 13 NAME OF FATHER (State or country) 15 MAIDEN NAME OF MOTHER PARENTS (State or country) important. 50m-2-'30. No. 7997-đ 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 9 Industry or business in which work was done, as silk mill, saw mill, bank, etc.
PLACE OF DEATH
St.,
....... .Ward
(a)
Residence.
No.
(Usual place of abode)
(If U. S.
War Veteran,
specify WAR)
World
(City or town)
19
no
clin. symp
toms Date of
.m.
M R-301 A
Chiffolt 0 7 (County)
Winthron. Mas (City or Town) Winthrop i
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. 25
1 (If death occurred in a hospital or institution, give its NAME instead of street and number)
Pasquale Ferullo
(I deceased is a married, widowed or divorced woman, give also maiden name.)
71 Chevere
......
.. St., .............
Ward,
Winthron- mass
(If nonresident, give city or town and state)
days.
How long in U. S., if of foreign birth? 44 yrs.
mos.
days.
PERSONAL AND STATISTICAL PARTICULARS
3 SEX Male white
5 SINGLE
MARRIED
WIDOWED
or DIVORCED
(write the word)
Married
5a If married, widowed, or divorced HUSBAND of Emília Marotta
(Give maiden name of wife in full)
(Husband's name in full)
6 IF STILLBORN, enter that fact here.
AGE ... 68 Years .Months Days
If less than 1 day
....
Hours
Minutes
8 Trade, profession, or particular kind of work done, as spinner, Gor sawyer, bookkeeper, etc.
10 Date deceased last worked at
11 Total time (years)
spent in this
occupation.
this occupation (month and
year)
Chiusano S. Domenico
12 BIRTHPLACE (City) (State or country) Prov. Avellino - Italy
13 NAME OF
FATHER
giuseppe Fernilo
14 BIRTHPLACE OF FATHER (City). Gliusano S. Domenico (State or o hov. Avellino- Italy
15 MAIDEN NAME OF MOTHER Carmela De Marco
16 BIRTHPLACE OF MOTHER (City) Chiusano Di Domenico (State or Prov. Avellino, Italy
17 Emilia Ferullo- Italy
Informant (Address) everest w: 2
I HEREBY CERTIFY that a satisfactory standard certificate of death was filed with me BEFORE the burial or transit permit was issued:
Childress
(Signature of Agent of Board of Health or other)
The ath Juicer (Official Designation) (Date of Issue of Permit) 1/29/34
MEDICAL CERTIFICATE OF DEATH
1934
(Year)
19 HEREBY CERTIFY, That I attended deceased from I
January
9
1934,
Summary 28
1934
1 last saw h MMM alive opfer 1934 death is said to have occurred on the date stated above, at ......... 1.am.
The principal cause of death and related causes of importance in order of onset were as follows: Cerebral Hemorrhage Date of Onşet
1/9/34
Contributory causes of importance not related to principal cause: arteriosclerosis
1933
Chronic Sueteratitel Lulantes 1933
Urenna
1/24/34
Name of operation
none
Date of.
What test confirmed diagnosis
is El
lunca x
Was there an autopsy? no
no
20 Was disease or injury in any way related to occupation of deceased? If so, specify.
(Signed) (Address) Jor Hawley ST. Date. 1/2.8/34
CREMATION OR REMOVAL May rose Melden
(Cemetery)
(City or town)
DATE OF BURIAL
gan
318
22 NAME OF
Angelo Casini
,
UNDERTAKER
ADDRESS
215 worth it, Crouton
Received and filed.
JAN 29-1934
19
(Registrar)
N. B .- WRITE PLAINLY, WITH UNFADING BLACK INK-THIS IS A PERMANENT RECORD. Every item of
1 2 FULL NAME .. 4 COLOR OR RACE (or) WIFE of 7 OCCUPATION PARENTS Information should be carefully supplied. AGE should be stated EXACTLY. PHYSICIANS should state 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 9 Industry or business in which work was done, as silk mill, saw mill, bank, etc ..
100m-9-'33. No. 9321-a'
PLACE OF DEATH
Ward Hospital
(If U. S. War Veteran, specify WAR)
(a) Residence. No .... (Usual place of abode) Length of residence in city or town where death occurred
yrs.
mos.
18 DATE OF
DEATH
gan- 28
(Day)
(Month)
... , M. D.
21 PLACE OF BURIAL,
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.
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