Town of Winthrop : Record of Deaths 1938, Part 29

Author: Winthrop (Mass.)
Publication date: 1938
Publisher:
Number of Pages: 522


USA > Massachusetts > Suffolk County > Winthrop > Town of Winthrop : Record of Deaths 1938 > Part 29


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BROOKLINE (City or town making return)


Registered No.


176


(If death occurred in a hospital or institution,


...... Ward give its NAME instead of street and number)


2 FULL NAME


CLARA L. GIARLA


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


(a)


Residence.


No.


41 UPLAND ROAD


St.,


.......


Ward,


WINTHROP, MASS.


(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.


mos. days.


PERSONAL AND STATISTICAL PARTICULARS


MEDICAL CERTIFICATE OF DEATH


18 DATE OF


DEATH


April


19


1938


(Month)


(Day)


(Year)


19 I HEREBY CERTIFY, That I attended deceased from


February


19.38


to


19


April


38


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


April .... 19.


19 ... 38., death is said


to have occurred on the date stated above, at .. 9.35Pm. The principal canse of death and related causes of importance in order of onset were as follows: Anuria


Dateof onset 4/17/38


Contributory causes of importance not related to principal cause: Calculus pyonephrosis


?


Bilateral


Pernicious anaemia


?


Name of operation


Date of.


What test confirmed diagnosis?


Was there an autopsy?


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


If so, specify.


Herbert H. Howard


(Signed)


M. D.


(Address)


270 Comm. Av.Boston


Date


4/20


.19 38


21 PLACE OF BURIAL,


CREMATION OR REMOVAL


Holy Cross,


Malden


(Cemetery)


(City or town)


April 21,


19.38


22 NAME OF


UNDERTAKER


MichaelJ. Porcella


ADDRESS


Boston


Received and filed


MAY 5


...... 1938


19


1Desetem at Citu no Town where deceased resided)


1


BROOKLINE


No.


3 SEX


Female


4 COLOR OR RACE


White


5a If married, widowed, or divorced


HUSBAND of


6 IF STILLBORN, enter that fact here.


7


AGE


48


9 Industry or business in which


work was done, as silk mill,


saw mill, bank, etc.


12 BIRTHPLACE (City)


(State or country)


FATHER


14 BIRTHPLACE OF


FATHER (City)


PARENTS


16 BIRTHPLACE OF


MOTHER (City)


(State or country)


Italy


Informant


tion should be carefully supplied. AGE should be stated EXACTLY. PHYSICIANS should state CAUSE


OF DEATH in plain terms, so that it may be properly classified. Exact statement of OCCUPATION is very


OCCUPATIONI


ATTEST:


important.


DATE FILED


50m-9-'31. No. 3385.₪


N. B .- WRITE PLAINLY, WITH UNFADING INK-THIS IS A PERMANENT RECORD. Every item of informa-


(State or country)


Italy


5 SINGLE


MARRIED


WIDOWED


or DIVORCED


(write the word)


Married


(or) WIFE of


Giabri


(Give maiden name of wife in full)


(Husband's name in full)


If less than 1 day


Years Months Days


.Hours


.Minutes


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


this occupation (month and Feb. 1938


year)


28


Revere, Mass.


13 NAME OF


Charles A. Dondero


15 MAIDEN NAME


OF MOTHER


Mary Dondero (ok)


17 Giabriel Giarla (Husband) DATE OF BURIAL


(Address)


41 Upland Road, Winthrop


A TRUE COPY.


arthur J. Shimmers


(Registrar of city of town where death occurred)


April .20,


19 .. 38


St.,


65


(If U. S.


War Veteran,


specify WAR)


(If nonresident, give city or town and state)


10 Date deceased last worked at


11 Total time (years)


spent in this


occupation


R R-301A


..... -- tion should be carefully supplied. Age should be stated EXACTLY. PHYSICIANS should state CAUSE OF DEATH --


1 1 8 SEX male (or) WIFE of AGE .Years OCCUPATION (State or country) (State or country) OF MOTHER PARENTS 16 BIRTHPLACE OF MOTHER (City) (State or country) Informant important. See instructions and extracts from the laws on back of certificate. in plain terms, so that it may be properly classified. Date of onset and exact statement of OCCUPATION are very saw mill, bank, etc.


PLACE OF DEATH '


Suffolk (County) Winthrop (City or Town) 59 Park ave


Broof the Commonwealth of Massachusetts OFFICE OF THE SECRETARY 15/9/ 3 DIVISION OF VITAL STATISTICS STANDARD


CERTIFICATE OF DEATH


To be filed for burial permit with Board of Health or its Agent.


Registered No.


66


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


2 FULL NAME


Joseph


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


166 Tappan St Brookline


Ward,


(If nonresident, give city or town and state)


Length of residence in city or town where death occurred


years


months 27 days.


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


months


days.


PERSONAL AND STATISTICAL PARTICULARS


MEDICAL CERTIFICATE OF DEATHI


18 DATE OF


DEATH


April


21


1938


6a If married, widowed, er divorced Annie Williams HUSBAND of (Give maiden name of wife in full)


(Husband's name in full)


6 IF STILLBORN, enter that fact here.


7


88


6


Months


Days


If less than 1 day


Hours


Minutes


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


Roofer


9 Industry or business in which


work was done, as silk mill.


Own Business


10 Date deceased last worked at


this occupation (month and


year)


192 511 Total time (years)


spent in this


occupation


60


12 BIRTHPLACE (City)


Newton Mass


13 NAME OF


FATHER


John Farquhar


14 BIRTHPLACE OF


FATHER (City)


Scotland


15 MAIDEN NAME


Ellen Webber


unknown Me.


17 Grace F.Leavitt Daughter DATE OF BURIAL


(Address)


168 Tappan St Brookline


I HEREBY CERTIFY that a satisfactory standard certificate of death was Hilod with me BEFORE the burial or transit permit was Issued: Www. D. Children of (Signature of Agent of Board of Healthfor other)


4/22/38


(Official Designation) ( Date of Issue of Permit )


19 I HEREBY


CERTIFY


That I attended deceased from


Apri


4


19.3 .... , to.


April- 21, 1938


I last saw h & M alive on


April . 19-


1938, death is said


to have occurred on the date stated above, at 10. A.m. The principal cause of death and related causes of importance in order of onset were as follows: Dato of Oneet IMPORTANT ArTerio. Sclerosis -


4 calles.


Contributory causes of Importance not related to principal cause:


Broncho- PNEUMONIA


Apr. 18


Name of operation


What test confirmed diagnosis?


Date of


Was there an autopsy?/VO


20 Was disease or Injury in any way related to occupation of deceased?


If so, specify.


Edward Tranger


(Signed)


M. D.


(Address)


200 Wish list Are Date Her 2/1974


21 walnut Hills/ Brookline


Place of Burial, Creination or Remova


April 23 1938


Town)


22 NAME OF


UNDERTAKER


DS. Waterman


S.m.g


ADDRESS


Boston


Received and filed .. .19


APR 2 7193


(Registrar)


(If U. S.


Wa


War Veteran


specify WAR)


(a) Residence.


No.


(Usual place of abode)


4 COLOR OR RACE


white


5 SINGLE


MARRIED


WIDOWED


or DIVORCED


(write the word)


widowed


(Month)


(Day)


(Year)


100m 11 '36. No 9080 F


St.,.


Farquhar


Statement of occupation. - l'recisc statement of occupation is very important, so that the relative healthfulness of various pur- suits 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 bus- iness, report the occupation prior to retirement. Children not gainfully employed may be returned as AT SCHOOL OF 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 whatever 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 partic. ular kind of work donc and return that, as SPINNER, WEAVER, etc.


In stating the industry or husiness, avoid the use of such gen- eral terms as "store," "factory." "mill," etc. State the particular kind of store, factory, mill, etc., as GROCERY STORE, SOAP FACTORY, COTTON MILL, ctc.


Distinguish carefully the different kinds of engincers by stating the full descriptive titles, as CIVIL ENGINEER, MECHANICAL ENGIN- EER, 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. . \s 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 causc, 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


1921


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.


A physician or registered


with, alter 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 hest of his knowledge and belief the name of the deceased, his sup- posed 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 hoard of health or its agent aforesaid or from the clerk of the town where the hody is buried. No such permit shall bc issued until there shall have been delivered to such board, agent or clerk. as the casc may be. a satisfactory written statement con- taining the facts required by law to he returned and recorded, which shall be accompanied. in case of an original interment. by a satisfactory certificate of the attending physician, if any, as re. ouired by law, or in lieu thereof a certificate as hereinafter pro. vided. If there is no attending physician, or if, for sufficient rea- sons, his certificate cannot he obtained early enough for the pur- pose, or is insufficient, a physician who is a member of the hoard of health. or employed by it or by the selectmen for the purpose. shall upon application make the certificate required of the attend- ing 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 an- other within the commonwealth 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 a removal shall constitute a permit for such removal; provided, that such bodv shall be returned to the town from which it was re- moved within thirty-six hours after such removal, unless a permit in the usual form for the removal of such hody has been sooner obtained hereunder. 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 ap. pear upon the permit. The board of health, or its agent, upon receipt of such statement and certificate, shall forthwith counter- sign it and transmit it to the clerk of the town for registration. The person to whom the permit is so given and the physician cer- tifying 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. (TER- CENTENARY 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 reccived 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 huried 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. (TERCENTENARY EDITION.)


RULES OF PRACTICE


The fulfillment of the purpose of these laws calls for the ob- servance 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 septi- cemia), 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.


RI R-301A


tion should be carefully supplied. Age should be stated EXACTLY. PHYSICIANS should state CAUSE OF DEATH ...


... ..


100m 11 '36. No. 9080 F


1 Winthrop (City or Town) 8 SEX 4 COLOR OR RACE White Female (or) WIFE of 6 IF STILLBORN, enter that fact here. 7 8 Trade, profession, or particular kind of work done, as spinner, sawyer, bookkeeper, etc. 10 Date deceased last worked at this occupation (month and OCCUPATION year) 14 BIRTHPLACE OF FATHER (City) ... PARENTS Informant important. See instructions and extracts from the laws on back of certificate. in plain terms, so that it may be properly classified. Date of onset and exact statement of OCCUPATION are very (State or country) Maine


PLACE OF DEATH


Suffolk (County)


No. 21 Paine St.


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, St., Ward \ give its NAME instead of street and number)


2 FULL NAME


Mary E. Carroll


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


(a) Residence.


No21 Paine St.


(Usual place of abode)


Length of residence in city or town where death occurred 41 years


months


days.


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


years


months


days.


PERSONAL AND STATISTICAL PARTICULARS


(write the word)


5 SINGLE


MARRIED


WIDOWED


or DIVORCED


Single


5a If married, widowed, or divorced


HUSBAND of


(Give maiden name of wife in full)


(Husband's name in full)


AGE 5.9 Years. Months Days


If less than 1 day Hours. Minutes


Saleslady


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


11 Total time (years)


Jan 1938


spent in this


occupation.


24


12 BIRTHPLACE (City).


Lewiston,


13 NAME OF


FATHER


Patrick Carroll


(State or country) Ireland


15 MAIDEN NAME


OF MOTHER


Mary Bulger


16 BIRTHPLACE OF


MOTHER (City)


(State or country)


Ireland


17 Mr ................ Carmo.]]


Relation, if any (brother .......


(Address)


21 Paine St.


Winthrop


I HEREBY .CERTIFY that a satisfactory standard certificate of death was filed with me BEFORE the burial or transit permit was Issued: com 5 Children


(Signature of Agent of Board of Healthfor other


april 21/38


(Official Designation) (Date of Issue of Permit)


MEDICAL CERTIFICATE OF DEATH


18 DATE OF


DEATH


april


21


1938


(Month)


(Day) /


(Year)


19 HEREBY CERTIFR. That | attended deceased from


19 58 to anal 21


19 38


I last saw b. en alive on april 17/ 19.3.8 death is sald to have occurred on the date stated above, at 12 m. The principal cause of death and related causes of Importance in order of onset were as follows:


Date of Onset IMPORTANT ...


conran thambing


Contributory causes of Importance not related to principal cause:


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


(Signed)


108 Menteand Date 4/20


.. 19 ....


35


21 Winthrop ... Winthrop


l'lace of Burial, Creination or Removal.


(City or Town)


DATE OF BURUE.April251938


19


22 NAME OF


UNDERTAKER


ADDRESS 1642 Commonwealth Ave. Boston


Received and filed .... .......


19


(Registrar)


(If U. S.


War Veteran


specify WAR)


St.,


Ward,


(If nonresident, give city of town and state)


M. D./


(Address)


....


Statement of occupation. - Precise statement of occupation is very important, so that the relative healthfulness of various pur- suits 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 bus- iness, report the occupation prior to retirement. Children not gainfully employed may be returned as AT SCHOOL OF 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 whatever 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 partic- ular kind of work donc and return that, as SPINNER, WEAVER, etc.


In stating the industry or husiness. avoid the use of such gen- eral terms as "store," "factory," "mill," etc. State the particular kind of store, factory, mill, etc., as GROCERY STORE, SOAP FACTORY, COTTON MILL. ctc.


Distinguish carefully the different kinds of engineers by stating the full descriptive titles, as CIVIL ENGINEER, MECHANICAL ENGIN- EER, 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 causc, 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 nepbritis ....


1921


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 catise may appear in either first, second, or third position. The principal cause in the above example happens to be the second cause given.


A physician or registered hospital medical officer shall torth- with, alter 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 sup- posed 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 hoard 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 therc shall have been delivered to such board, agent or clerk, as the casc may hc. a satisfactory written statement con- taining 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 re. quired by law, or in lieu thereof a certificate as hereinafter pro- vided. If there is no attending physician, or if, for sufficient rea. sous, his certificate cannot he obtained early enough for the pur- pose. 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 attend- ing physician. If death is caused hy 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 an- other within the commonwealth 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 a removal shall constitute a permit for such removal: provided, that such body shall be returned to the town from which it was re- moved 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 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 ap- pear upon the permit. The board of health, or its agent, upon receipt of such statement and certificate, shall forthwith counter. sign it and transmit it to the clerk of the town for registration. The person to whom the permit is so given and the physician cer- tifying 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. (TER- CENTENARY EDITION.)




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