Town of Winthrop : Record of Deaths 1939, Part 91

Author: Winthrop (Mass.)
Publication date: 1939
Publisher:
Number of Pages: 560

USA > Massachusetts > Suffolk County > Winthrop > Town of Winthrop : Record of Deaths 1939 > Part 91

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GOVERNING THE

RETURN OF CERTIFICATES OF DEATH

A physician or registered hospital medical officer shall forth- with, alter the death of a person whom he has attended during hin 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 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 bc. 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- 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 hy 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 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 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 I'nited States in any war in which it has heen 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. (Tra- 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 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 he buried or the funeral is to he 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 fulfillinent 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 deathy 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. .

THE

in plain terms, so that it may be properly classified. Date of onset and exact statement of OCCUPATION are very in.portant. See instructions and extracts from the laws on back of certificate.

100m-9. 37. No. 1859-h.

I HEREBY CERTIFY that a satisfactory standard certificate of death was filed with me BEFORE the bayjet or transit permit was issued; Como, Children (Signature of Agent of Board of Health or other)

140

(Official Designation)

Mat .16/39

(Date of Issue of Permit)

MEDICAL CERTIFICATE OF DEATH

3 SEX

Jale

4 COLOR OR RACE

White

5 SINGLE

MARRIED

WIDOWED

or DIVORCED

Single

18 DATE OF

DEATH

November

7039

(Month)

(Day)

(Year)

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

Years ...

4 .. Months

5 Days

if less than 1 day

.. Hours

.Minutes

OCCUPATION

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

.with .. Metastases .. all ... lobes ... of ... both lungs .. and ... left ... femur

Tay,1939

Unknown Contributory causes of importance not related to principal cause: Fracture, simple, complete, spontan- .@ous, ... neck .. of ... left ... femur

Oct.14/

3.9

Name of operation.

.. None

Date of

What test confirmed diagnosis ?.

Was there an autopsy ?.._.. Q

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

If so, specify

(Signed)

M. D.

(Address) ....

I. Inwood, Ist LU. Date .

. C.

ort Jen'S, 6.60

Mit Benedict Boston Mans

21. l'lace of Burial, Cremation or Removal. (City of Town)

22 NAME OF

FUNERAL DIRECTOR

Daniel I. Shea

ADDRESS 2193 Washington St., Jamaica Plain,

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

A TRUE COPY ATTEST .

(Registrar)

PLACE OF DEATH

Suffolk

(County)

"'inthrop

(City"or Town)

No ... Station.Hospital, .. Fort ... Sanks,

.St.,

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

(City or town making ietur, )

Registered No.

230

Ward ( give its NAME instead of street and number)

2 FULL NAME

Patrick .. J .... Finneran

(If U. S.

War V

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

specify WAR)

(a) Residence.

No.

31 Tffley Road

(Usual place of abode)

St.,

Ward, .. Jamaica Plain, Pass.

(If nonresident, give city or town and state)

Length of residence in city oc town where death occurred

years

months

days.

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

years

months days.

19 I HEREBY CERTIFY, That I attended deceased from

November ... 2

1939 .. , h.November ... 16 ....... , 19 .. 39

I last saw him ...

.. alive on November ... 16

19,3.9 .. , death is sald

to have occurred on the date stated above, at. 4:55P.m.

The principal cause of death and related causes of Importance in order of onset

were as follows:

Dato of Onset

Sarcoma.,Osteogenic.,left.tibia

10 Date deceased last worked at

11 Total time (years)

this occupation , (month and

spent in this

occupation ....

year)

February .... 24 ..... 1939.

12 BIRTHPLACE (City)

Unknown

(State or country)

Mass

NewHampshire

13 NAME OF

FATHER

Patrick Q.

Unknown

14 BIRTHPLACE OF

FATHER (City)

.....

.Unknown

(State or country)

Unknown

Bartin Masa

15 MAIDEN NAME

OF MOTHER

Hary Murphy

TInkn

16 BIRTHPLACE OF

MOTHER (City)

Unknown

(State or country) Unknown Grelaud.

Informant . ... Derichvar, StagHoon tanks, Mass.

17 31. Uppley Rd

Hather Suma

Relation, if any

DATE OF BURIAL

Nov 20 (20) 1939

19.

PARENTS

8 Trada, profession, or particular

kind of work done, as spinner,

sawyer, bookkeeper, etc ..........

CCC

(write the word)

f (If death occurred in a hospital or institution,

PERSONAL AND STATISTICAL PARTICULARS

301

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 done and return that, as SPINNER, WEAVER, etc.

In stating the industry or business. 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, etc.

Distinguish carefully the different kinds of engineers by stating the full descriptive titles, as CIVIL ENGINEER, MECHANICAL ENGIN- KER, MINING ENGINEER, STATIONARY ENGINEER, etc. Avoid the term "laborer" when a more precise statement of the occupation can be secured. Do not use the word "mechanic," but give the exact occupation, as CARPENTER, PAINTER, MACHINIST, etc. Distinguish carefully between RETAIL MERCHANTS AND WHOLESALE MERCHANTS. A person who sells goods should be called a SALESMAN and not a CLERK.

Statement of Cause of Death. - Cause of death means the disease, or complication which causes death, NOT the mode of dying, E. G., heart failure, asphyxia, asthenia, etc. As principal cause name the disease causing death. As related causes, name earlier morbid conditions, if any, related to the principal cause and any important complication of the principal cause. Under contributory causes of importance not related to principal cause, name other important diseases.

Example

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

Date of Onset

1915

Chronic interstitial nephritis

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 he 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 ahove example happens to be the second cause given.

RETURN OF CERTIFICATES OF DEATH

A physician or registered hospital medical officer shall forth- with, arter 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 there shall nave been delivered to such board, agent or clerk, as the case may bc, a satisfactory written statement con- taining the facts required by law to be returned and recorded. which shall he accompanied, in case of an original interment, by a satisfactory certificate of the attending physician, if any, as re- quired hy 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 be 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 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 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 hoard 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.

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. (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.

(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.

-301A

Winthrop

(City or Town)

No.

44 Quincy Ave.

St.,

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

2 FULL NAME

Eugenia Geraldine ( Piccardo ) Terrile

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

(a) Residence.

No.

44 Quincy Ave.

St.,

Ward,

(If nonresident, give city or town and statc)

Length of residence in city or town where death occurred

years

months

days.

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

years

months

day.

PERSONAL AND STATISTICAL PARTICULARS

MEDICAL CERTIFICATE OF DEATH

3 SEX

Female

4 COLOR OR RACE

White

5 SINGLE

(write the word)

MARRIED

WIDOWED

OF DIVORCED Married

18 DATE OF

DEATH

Vov.

1939

(Month)

(Day)

(Year)

6a If married, widowed, or divorced

HUSBAND of

Peter (Give maiden name of wife in full)

(or) WIFE of

Terrine

(Husband's name in full)

6 IF STILLBORN, enter that fact here.

AGE

Years.

Months

Days

If less than 1 dey

.Hours.

Minutes

8 Trade, profession, or particular

kind of work done, as spinner,

Housewife

sawyer, bookkeeper, etc ....

9 Industry or business In which

work was done, as silk mill,

saw mill, bank, etc.

Omm .... Home

10 Date deceased last worked at

11 Total time (years)

spent in this

this occupation, Imonth and 1939.

year)

occupation

12 BIRTHPLACE (City)

Philadelphia

(State or country)

Pennsylvania

13 NAME OF

FATHER

Bartholomew Piccardo

14 BIRTHPLACE OF

FATHER (City)

Genoa

(State or country)

Italy

15 MAIDEN NAME

OF MOTHER

Josephine Ratto

16 BIRTHPLACE OF

MOTHER (City)

(State or country)

Italy

17 Darien Terrile

Relation, if any

son

Informant

(Address)

19 Wheelock St Winthrop

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

(Signature of Kent of Board of Health or other )

The alter thick

11/20/39

(Official Designation) (Date of Issue of Permit)

19 I HEREBY CERTIFY. That i attended deceased from

May

1967 ., to ..

Nov 15

1939

I last saw h.S.v ...... alive on.

Nov

1939

death Is said

to have occurred on the date stated above, at 7 /4 m. The principal cause of death and related causes of Importance la order of onset were as follows:

Date of Onset IMPORTANT

Ang win

May 13

1936

Contribatory causes of Importance not related to principal cause: Chronic

Nov 8 1934

Name of operation.

11me

Date of

What test confirmed diagnosis? Cbsanation.Was there an autopsy? No

20 Was disease or Injury in any way related to occupation of deceased? No

If so, specify.

· Pay mont B Parker

anke

M. D.

(Signed)

(Address) Writtenop Mars

.......

Date UN 19 1939

21 Winthrop Winthrop

Place of Burial, Cremation or Removal.

(City or Town)

1979

DATE OF BURIAL November, 21

22 NAME OF

John Umaley

FUNERAL DIRECTOR .......

ADDRESS

winthrop Massachusetts

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

(Registrar)

OCCUPATION 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 PARENTS

100m-9-'37. No. 1859-1.

PLACE OF DEATH

Suffolk

(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.

231

Registered No.

(If U. S.

War Veteran

specify WAR)

(Usual place of abode)

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 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 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 "einployee," "worker," "operative," etc. Find out the partic- ular kind of work done and return that, as SPINNER, WEAVER, etc.

In stating the industry or business, avoid the use of such gen- eral ternis 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 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.

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 ne britis

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.

RETURN OF CERTIFICATES OF DEATH

A physician or registered hospital medical officer shall forth- 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.

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Town of Winthrop : Record of Deaths 1939, Part 91

Author: Winthrop (Mass.) Publication date: 1939 Publisher: Number of Pages: 560

Author: Winthrop (Mass.)
Publication date: 1939
Publisher:
Number of Pages: 560