USA > Massachusetts > Suffolk County > Winthrop > Town of Winthrop : Record of Deaths 1935 > Part 44
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KACTS FROM THE LAWS OF THE COMMONWEALTH OF M SACHUSETTS GOVERNING 1-42
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, 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., (Tercentenary Edition.)
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., (Tercentenary Edition.)
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.
.
ORM R-303 B
Suffolk County)
thing, 6/7/35 The Commonwealth of Massachusetts OFFICE OF THE SECRETARY DIVISION OF VITAL STATISTICS MEDICAL EXAMINER'S CERTIFICATE OF DEATH
19,99
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
J' rancesco Cocca-
(If deceased is a married, widowed or divorced woman, give also maiden name.)
(a) Residence. No. (Usual place of abode)
159 Collage, E.B.
.. St., ..............
.. Ward,
(If nonresident give city or town and state)
days.
PERSONAL AND STATISTICAL PARTICULARS
4 COLOR OR RACE
3 SEX
Male White
5 SINGLE
MARRIED
WIDOWED
Or DIVORCED
(write the word)
married
5a Il married, widowed, or divorced /remonto
HUSBAND of maria
(Give maiden name of wife in full)
(or) WIFE of
(Husband's name in full)
6 IF STILLBORN, enter that fact here.
7
AGE 40 Years. -Months .. Days
If less than 1 day
............ Hours.
Minutes
OCCUPATION
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. .....
Laborer
10 Date deceased last worked at 11 Total time (years) spent in this
this occupation (month and -1935 year) Thor H
12 BIRTHPLACE (City) (State or country)
Italy
13 NAME OF
antonio Bocca
FATHER
14 BIRTHPLACE OF
FATHER (City)
Italy
(State or country]
15 MAIDEN NAME
OF MOTHER
Diadora Palumbo
16 BIRTHPLACE OF MOTHER (City) (State or countty) Italy
17
Maria Cocco (write)
(Address) 159 Cottage FR. 843 Meu
Informant
I HEREBY CERTIFY that a sansfactory standard certificate of death was filed with me BEFORE the burial or transit permit was issued:
ADRIAN. E ... CRAMPTON 1376
(Signature of Agent of Board of Health or other) MAY 3 1 1935
(Date of Issue of Permit)
MEDICAL CERTIFICATE OF DEATH
18 DATE OF DEATH may
(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.)
Drowning Inder
Circumstances unknown-
( dound afloat un lide water)
(See reverse side for description for unknown person)
20 IN WHAT CITY OR TOWN
WAS INJURY SUSTAINED?
., M. D.
Date 301, 1937
21 PLACE OF BURIAL,
CREMATION OR REMOVAL
St. Michael Boston
(Cemetery)
1-
DATE OF BURIAL ...
(City or town) 19 35
22 NAME OF
UNDERTAKER
Patry Papiro
ADDRESS
9 Chelsea St, EBoston
Received and filed.
JUN 4 1935
.19
(Registrar)
N. B .- WRITE PLAINLY, WITH UNFADING BLACK INK-THIS IS A PERMANENT RECORD. Every item of MARGIN RESERVED FOR BINDING
of Death. See reverse side for extracts from the laws relative to the return of certificates of death. DEATH in plain terms, so that it may be properly classified under the International Classification of Causes information should be carefully supplied. MEDICAL EXAMINERS should state CAUSE AND MANNER OF
Boston
1
(City or Town) PLACE OF DEATH No. der at Writerp- St., ..
..... Ward
(If U. S. War Veteran, specify WAR)
Length of residence in city or town where death occurred yrs.
days. How long in U. S., if of foreign birth? yra.
1935
PARENTS
5m-2-'30. No. 7997-c
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 regis- tration 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 con- tracted, 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 under- taker or other person shall exhume a human body and remove it from a town, from one cemetery to another, or from one grave or tomb other than the receiving tomb to another in the same cemetery, until he has received a permit from the board of health or its agent aforesaid or from the clerk of the town where the body is buried. No such permit shall be issued until there shall have been delivered to such board, agent or clerk, as the case may be, a satisfactory written statement containing the 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 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.
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 cemetery or burial ground in which the interment is made .. ..- Chap. 114, Sec. 46, 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. If a medical examiner has notice that there is within his county the body of such a person, he shall forthwith go to the place where the body lies and take charge of the same ;...- General 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; other- wise a description as full as may be, with the cause and manner of death. -General Laws, Chap. 38, Sec. 7.
.. The medical examiner certifies the cause and manner of death to the best of his knowledge and belief.
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 Health physicians will certify to such deaths only as those of persons who, though disabled by recognized disease unrelated to any form of injury, have died without 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 injury or infection related to occupation, the sudden deaths of persons not disabled by recognized disease, and those of persons found dead.
STATEMENT OF CAUSE OF DEATH
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 maxner, 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, homicidal." "Asphyxiation by suspension, suicidal." "Syncope while under the influence of ether administered as a surgical anæsthetic." "Fracture of the skull with associated internal injury sustained under circumstances unknown."
If disease or injury was related to occupation, specify. If investigation shows the death to have been due to disease, specify: (1) Under cause, its known or presumable nature; and (2) under manner, indicate the circumstances leading to medico-legal inquiry. For example: "Hemorr- hage spontaneous, of the brain (basal ganglia) (found dead in bed)." "Heart disease, presumably coronary sclerosis. (Sudden death.)"
DESCRIPTION (for unknown person)
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 Examiner, has first been obtained .- General Laws, Chap. 38, Sec. 14.
THIS CERTIFICATE CONSTITUTES SUCH PERMIT
ORM R-302
MARGIN RESERVED FOR BINDING
N. B .- WRITE PLAINLY, WITH UNFADING INK-THIS IS A PERMANENT RECORD. Everyitem 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
important.
A TRUE COPY.
ATTEST:
Hilda Ofedition Quirks
(Registrar of city or town where death occurred)
DATE FILED
May 9
19.35
MEDICAL CERTIFICATE OF DEATH
18 DATE OF DEATH May 6 1935
(Month)
(Day)
(Year)
19 I HEREBY CERTIFY, That I attended deceased from
Ma y
6
1935 ,to .
May
6
35
I last saw h .... im alive on.
May
6 19 .. 35., death is said to have occurred on the date stated above, at ... 1 ... 4.5P.m. The principal cause of death and related causes of importance in order of onset were as follows:
Dateofonset
prematurity (6 mos )
Contributory causes of importance not related to principal cause:
Name of operation
Date of
What test confirmed diagnosis?
Was there an autopsy ?.. no.
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
5/6/ 1935
21 .PLACE OF BURIAL,
DATE OF BURIAL
May
8
19.3
22 NAME OF
UNDERTAKER
M.Stanetsky
ADDRESS
Boston
Received and filed.
1935 ...
.19.
35
(Registrar of City or Town where deceased resided)
1
PLACE OF DEATH
SUFFOLK
(County) BOSTON
(City or Town)
No. Mass ... MemorialHospital
St.,
Ward
BOSTON
(City or town making return)
Registered No.
4402
(If death occurred in a hospital or institution,
give its NAME instead of street and number)
2 FULL NAME
(If deceased is a married, widowed or divorced woman, give also maiden name.)
(a)
Residence.
No.
(Usual place of abode)
187 Shore Drive
St.,
Ward,
Winthrop
(If nonresident, give city or town and state)
Length of residence in city or town where death occurred
yTs.
■0%.
days. How long in U. S., if of foreign birth?
yra.
mos.
days.
PERSONAL AND STATISTICAL PARTICULARS
3 SEX
4 COLOR OR RACE
(write the word)
M
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 AGE Years Months
Days
If less than 1 day
6
.Hours
Minutes
OCCUPATION
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
11 Total time (years)
spent in this
occupation.
12 BIRTHPLACE (City)
(State or country)
Boston
13 NAME OF
FATHER
edward A Greenstein
PARENTS
14 BIRTHPLACE OF
FATHER (City)
(State or country)
Russia
15 MAIDEN NAME
OF MOTHER
Sally Cohen
16 BIRTHPLACE OF MOTHER (City) (State or country)
East Boston
17 Mother
Informant
(Address)
50m-9-'31. No. 3385-g
Greenstein
(L U. S.
104
War Veteran,
specify WAR)
5 SINGLE
MARRIED
WIDOWED
or DIVORCED
single
19
CREMATION OR REMOVAL
Beth Joseph Woburn
(Cemetery)
(City or town)
35
this occupation (month and
year)
The Commonwealth of Massachusetts OFFICE OF THE SECRETARY DIVISION OF VITAL STATISTICS STANDARD CERTIFICATE OF DEATH
ORM R-302
MARGIN RESERVED FOR BINDING
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
ssex
(County)
1
Đạn yers ....
The Commonwealth of Massachusetts OFFICE OF THE SECRETARY DIVISION OF VITAL STATISTICS STANDARD CERTIFICATE OF DEATH
Dam ers
(City or town making return)
Registered No
(If death occurred in a hospital or institution,
Ward give its NAME instead of street and number)
2 FULL NAME a divorced woman, give also maiden name.)
(a) Residence. No ..
(Usual place of abode)
147 Court Ra
St.,
Wardinthron
HPnonresident, give city or town and state)
Length of residence in city or town where death occurred
Jrs.
mos.
days. How long in U. S., if of foreign birth?
yrs.
mes.
days.
MEDICAL CERTIFICATE OF DEATH
18 DATE OF
DEATH
Mey
.... 19:35
(Day)
(Year)
19 I HEREBY CERTIFY, That I attended deceased from
Apr.
19mg.05., to
19
May
7
35
[ last saw+h
alive on
May
7
35
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
Inanition
5/1/25
"Acute cardiac dialatation 5/7/35
Contributory causes of importance not related to principal cause:
Involution Melancholia
5/1/35
Name of operation
Date of
What test confirmed diagnosis ?. 4ptcal
Was there an autopsy ?.
20 Was disease or injury in any way related to occupation of deceased? If so, specify
(Signed)
no
M. D.
(Address)
Leo Maletz
Date
19
DSH
5/10/35
21 PLACE OF BURIAL,
CREMATION OR REMOVAL
Winthropetery)
Win thro pwn)
DATE OF BURIAL
Ma.y ...
.19.35 .. .. 19.
22 NAME OF
UNDERTAKER
Richard H. White
ADDRESS
Winthrop
Received and filed MAY 27 1036
.19
DATE FILED
19
(write the word)
male
whit
5 SINGLE
MARRIED
WIDOWED
er DIVORCED married
5a If married, widowed, er divorced
HUSBAND of
Dorothy Anderson
(Give maiden name of wife in full)
(or) WIFE of
(Husband's name in full)
6 IF STILLBORN, enter that fact here.
7 AGE 54 ... Years Months Days
If less than 1 day
Hours
Minutes
OCCUPATION |
8 Trade, profession, or particular kind of work done, as spinner, sawyer, bookkeeper, etc.
Merohant
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)
(State or country)
Maine
13 NAME OF
FATHER
Perley Cardner
PARENTS
14 BIRTHPLACE OF
FATHER (City)
(State or country)
Ma ino
15 MAIDEN NAME
OF MOTHER
Rosette Moves
16 BIRTHPLACE OF
MOTHER (City)
(State or country)
Halve
17
Informant
M.K .. MoPhillips
(Address)
A TRUE COPY.
ATTEST:
(Registrar of city br towh where death occurred) 5/11/35
important.
50m-9-'31. No. 3385-₪
(City of Town)
Danvers State Hospital
St.,
(L U. S. War Veteran,
specify WAR)
PERSONAL AND STATISTICAL PARTICULARS
3 SEX
4 COLOR OR RACE
this occupation (month and
year) ..
19.
death is said
(Registrar of City or Town where deceased resided)
RM R-301 A
Every item of
1
PLACE OF DEATH
Suffolk
Wunty) Winthrop
(City or Town) 138 main
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.
100
(If death occurred in a hospital or institution, give its NAME instead of street and number)
2 FULL NAME
Thomas
Markey
(If deceased is a married, widowed or divorced woman, give also maiden name.)
(a) Residence.
No.
138 main
.. St.
Ward,
(Usual place of abode)
Length of residence in city or town where death occurred
25 JTE.
mos.
days.
How long in U. S., if of foreign birth?
yrs.
MOS.
days.
PERSONAL AND STATISTICAL PARTICULARS
MEDICAL CERTIFICATE OF DEATH
18 DATE OF
DEATH
(Month)
(Day)
That I attended deceased from
1933
I last saw h
....... . dive on
F , 1935, death is said
to have occurred on the date stated above, at. A m.
The principal cause of death and related causes of importance in order of onset were as follows:
Date of Onset IMPORTANT
5/7/35
What test confirmed diagnosis?
Was there an autopsy?
L
20 Was disease or injury in any way related to occupation of deceased? So, specify Druhy
(Signed) (Address) Funkt
Date 1/8 19
Holy Cross, Malden
(City or town)
DATE OF BURIAL
man
10
1935
22 NAME OF
UNDERTAKER
Frederick H Tape 145 main st, Winthrop.
ADDRESS
Received and filed 19
MAY 11 192
(Official Designation) (Date of Issue of Permit)
(write the word) 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.
AGE
7 V2 Years. Months Days
If less than 1 day Hours. .Minutes
OCCUPATION
8 Trade, profession, or particular kind of work done, as spinner, sawyer, bookkeeper, etc .....
Plumber
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 year)
1923
11 Total time (years) spent in this 20 40
12 BIRTHPLACE (City)
8. Boston
(State or country)
13 NAME OF
FATHER
Patrick J.
14 BIRTHPLACE OF
FATHER (City)
Ireland
(State or country)
15 MAIDEN NAME OF MOTHER Cecilia Tirrell
16 BIRTHPLACE OF MOTHER (City) (State or country) Ireland
17 mary Markey, Sister Informant (Address) 138 main de winthrop
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 Ascentof Board of Health or other) may 9/35
No. 9321-a 00m-9-'33. N. B .- WRITE PLAINLY WITH UNFADING BLACK INK-THIS IS A PERMANENT RECCOD. PARENTS
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
No.
St., ..
Ward
(If Ų. S.
War Veteran,
specify WAR)
(If nonresident, give city or town and state)
3 SEX
male
4 COLOR OR RACE
White
5 SINGLE
MARRIED
WIDOWED
or DIVORCED
8 1935 (Year)
19 I HEREBY CERTIFY, 19.d.J, to.
Contributory causes of importance not related to principal cause:
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