USA > Massachusetts > Suffolk County > Winthrop > Town of Winthrop : Record of Deaths 1940 > Part 14
Note: The text from this book was generated using artificial intelligence so there may be some errors. The full pages can be found on Archive.org (link on the Part 1 page).
Part 1 | Part 2 | Part 3 | Part 4 | Part 5 | Part 6 | Part 7 | Part 8 | Part 9 | Part 10 | Part 11 | Part 12 | Part 13 | Part 14 | Part 15 | Part 16 | Part 17 | Part 18 | Part 19 | Part 20 | Part 21 | Part 22 | Part 23 | Part 24 | Part 25 | Part 26 | Part 27 | Part 28 | Part 29 | Part 30 | Part 31 | Part 32 | Part 33 | Part 34 | Part 35 | Part 36 | Part 37 | Part 38 | Part 39 | Part 40 | Part 41 | Part 42 | Part 43 | Part 44 | Part 45 | Part 46 | Part 47 | Part 48 | Part 49 | Part 50 | Part 51 | Part 52 | Part 53 | Part 54 | Part 55 | Part 56 | Part 57 | Part 58 | Part 59 | Part 60 | Part 61 | Part 62 | Part 63 | Part 64 | Part 65 | Part 66 | Part 67 | Part 68 | Part 69 | Part 70
Statement of Cause of Death .- Cause of death means the disease, or complication which causes death, not the mnode of dying, e. g., heart failure, asphyxia, asthenia, etc. As principal cause name the disease causing death. As related causes, name earlier morbid con- ditions, if any, related to the principal cause and any important complication of the principal cause.
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 usual occupation prior to illness. If the deceased had retired from busi- ness, report the usual 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. 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.
SPACE FOR ADDITIONAL INFORMATION
2-303 B
PLACE OF DEATH No.
Suffolk. (County)
(City or Tom) 6) Beacons. -2
The Commonwealth of Massachusetts OFFICE OF THE SECRETARY DIVISION OF VITAL STATISTICS MEDICAL EXAMINER'S CERTIFICATE OF DEATH
To be filed for burial permit with Board of Health or its Agent.
Registered No. 42
Edward facultar
(If deceased is a married, widowed or divorced woman, give also maiden name.)
25 Shore atrive
(a) Residence. No ... (Usual place of abode) Length of stay: In hospital or institution (Specify whether)
years
months
days.
In this community
yrs.
mos.
days.
PERSONAL AND STATISTICAL PARTICULARS
4 COLOR OR RACE| 5 SINGLE
MARRIED
WIDOWED
or DIVORCED
(write the word)
Single
(Give maiden name of wife in full)
(Husband's name in full)
6 Age of husband or wife if alive. Years
lf less than 1 day
Hours.
Minutes
Industry
apartment vonal
11 Social Security No ....
016-18-0292
EBación
13 NAME OF
amaziah Hamilton
15 MAIDEN NAME
OF MOTHER
nellie & murray
Italifan
(State or country)
nova scotia
5m-10.'39. No. 8427-j
1 HEREBY CERTIFY that a satisfactory standard certificate of death was filed with me BEFORE the burial or transit permit was issued: Www.D. Childress (Signature of Agent of Board of Health of other) Health Spaces, 2/27/40 (Official Designation) (Date of Issue of Permit)
MEDICAL CERTIFICATE OF DEATH
18 DATE OF
DEATH.
Liebe 25, 1940
(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.)
Gente Endian Factual
I have teallafeed creddeuly
Was there an autopsy?
(See reverse side for description for unknown person)
20 Where did
injury occur ?.
(City or town and State)
21 Was disease or Injury In any way related to occupation of deceased?
If so, specify ...
M. D.
(Signed)
avrillugo
Date 2006 1940
Place of Burial, Cromatico er Removal.
(City or Town)
DATE OF BURIAL
xii- 25
1940
23 NAME OF
FUNERAL DIRECTOR
ADDRESS
EBéton
Received and filed 19
(Registrar)
17
Muro Vielen in Cartland
Relation, If any
22
Holy Cross
Malden
(Inter (Address) 35 anfield Rd Winthrop
2 FULL NAME 3 SEX male White 5a If married, widowed, or divorced HUSBAND of (or) WIFE of 7 IF STILLBORN, enter that fact here. 8 56 AGE Years. Months Days Usual Janitor 9 Occupation: 10 or Business: 12 BIRTHPLACE (City) (State or country) maso FATHER 14 BIRTHPLACE OF FATHER (City) IS BIRTHPLACE OF PARENTS MOTHER (City) Informant. information should be carefully supplied. MEDICAL EXAMINERS should state CAUSE AND MANNER OF ' 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 N. D .- WRIL PLAINLY, WAR ONFADING DLACA INA -TITIS DA LLAMANLITT ALVOAV. AGY 4 OF (State or country) maine
§ (If death occurred in a hospital or institution, Gt. { give its NAME instead of street and number)
(If U. S. War Veteran, specify WAR)
St.
(If nonresident, give city or town and state)
EXTRACTS FROM THE LAWS OF THE COMMONWEALTH OF MASSACHUSETTS GOVERNING THE
RETURN OF CERTIFICATES OF DEATH
A physician or registered hospital medical officer shall forthwith. 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 na:ne 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. Laus, Chap. 16. 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 icceived 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 de- livered to such board, agent or clerk, as the case may be, a satisfac- tory 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 pur- pose, shall upon application make the certificate required of the at- tending physician. If death is caused by violence, the medical exam- iner 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 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 removal shall constitute a permit for such removal ; 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 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 thercafter 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, See. 45, G. L., as amended.
No undertaker or other person shall bury a human body or the ashes thercof 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 burled or the funeral is to be held, or from a person appointed to have the cure 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 vlew 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 ; otherwise a description as full as may be, with the cause and man- ner 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 fulfillment of the purpose of these laws calls for the observ- ance 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 ill- ness 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 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 supposabiy due to Injury. These include not only deaths caused directly or Indirectly by traumatism (including resulting septice- mia), 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 relaled lo occupa. tion, the sudden deaths of persons not disabled by recognized disease, and those of persons found dead.
STATEMENT OF CAUSE OF DEATHI
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 manner, 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 ac- cident." "Pistol shot wound of the chest with associated hemor- rhage, homicidal." "Asphyxiation by suspension, suicidal." "Syn- cope while under the influence of ether administered as a surgical anaesthetic." "Fracture of the skull with associated internal injury sustained under circumstances unknown."
If disease or injury was related to occupation, specify. If Inves- tigation shows the death to have been due to discase, specify : (1) Under cause, its known or presumable nature; and (2) under man- ner, indicate the circumstances leading to medico-legal inquiry. For cxample: "Hemorrhage 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
R-301 A
PLACE OF DEATH!
Suffolk (County) winthrop (City or Town)
No. 39 Growers avenue
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 .......... 13
(If death occurred in a hospital or institution, give its NAME instead of street and number)
(If U. S. War Veteran, specify WAR)
(If deceased is a married, widowed or divorced woman, give also maiden name.)
29 Shirley Street
.... St.
years
months
days.
(Specify whether)
PERSONAL AND STATISTICAL PARTICULARS
5 SINGLE
MARRIED
WIDOWED
or DIVORCED
(write the word)
.Vid owed
5a If married, widowed, or digred ja Mazzella HUSBAND of
(Give maiden name of wife in full)
(Husband's name in full)
Years
If less than 1 day
Hours.
Minutes
1I Social Security No.
027-07-4577
Unable to obtain Deminico
14 BIRTHPLACE OF
Unable to obtain
15 MAIDEN NAME
OF MOTHER
Unable to obtain
Unable to obt in
17 Informant. RobertH.DeMinico ( ....... son (Address) 21 Avon St Cambridge Lass
Relation, if any
100m-10-'39. No. 8427-e
I HEREBY CERTIFY that a satisfactory standard certificate of death was filed with me BEFORE the huhial or transit permit was issued: Man. S. Nul dress & (Signature of Agent of Board of Health or other) Health officer 2/27/40
(Official Designation) (Date of Issue of Permit)
MEDICAL CERTIFICATE OF DEATH
18 DATE OF
DEATH
February
26
1940
(Month)
(Day)
(Year)
That I attended deceased from
Feliway 5 19.70 t
n.
I last saw h .!......... alive on ...
February 1719 40, death is said
to have occurred on the date stated above, at 3:209;
Duration
INFORSA
Immediate cause of death ....
acute Coronary Thrombosis
2 hours
...
-
3 mos. .............
Due to
Other conditions
(Include pregnancy within 3 months of death)
Major findings :
Of operations
none
Date of.
Of autopsy
What test confirmed diagnosis? Clinicalx
laboratory no
20 Was disease or lajury lo any way related to occopation of deceased? If so, specify
(Signed)
Jacob.
abramo
7.8
...
3) 562 Hurley ST
Date.
2/26 940.
21
Winthrop
Worthcop. mars vinthr
Place of Burial, Crematigmo
pr Removal 28 (City or Town)
DATE OF BURIAL
19.40
22 NAME OF
FUNERAL DIRECTOR
Charles R. Bennison
ADDRESS
inthrop Mass
Received and filed
19 ......
(Registrar)
muformation should be carefully supplied.
- 3 SEX [ale 8 AGE AGE should be stated EXACTLY. PHYSICIANS should state (or) WIFE of
(a) Residence. No.
(Usual place of abode)
Length of stay: In hospital or institution.
4 COLOR OR RACE
Thite
6 Age of husband or wife if alive
7 IF STILLBORN, enter that fact here.
60
Years.
11
Months ..
30 Days
Usual
9 Occupation:
Inventor
10 or Business:
12 BIRTHPLACE (City)
(State or country)
Italy
13 NAME OF
FATHER
FATHER (City)
(State or country)
PARENTS
16 BIRTHPLACE OF
MOTHER (City)
(State or country)
CAUSE OF DEATH in plain terms, so that it may be properly classified. Exact statement of OCCUPATION
Industry
Shoe Machinery
is very important. See instructions and extracts from the laws on back of certificate.
St.
2 FULL NAMECharles Attlie
De minico
(If nonresident, give city or town and state)
In this community 20yrs.
mos.
days.
9 I HEREBY CERTIFY muay 26 ..... to ... r
19 20
Due to
Auquia Pectoris
PHYSICIAN Underline the cause to which death should be charged sta- tistically.
M. D.
EXTRACTS FROM THE LAWS OF THE COMMONWEALTH OF MASSACHUSETTS GOVERNING THE
RETURN OF CERTIFICATES OF DEATH
A physician or registered hospital medical officer shall forthwith, 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 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 tbc person died ; and no undertaker or other person sball 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 de- livered to such board, agent or clerk, as the case may be, a satisfac- tory 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 pur- pose, shall upon application make the certificate required of the at- tending physician. If death is caused by violence, the medical exam- iner 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 commonwealth cannot be obtained early enough for the purpose, the certificate of death made as above provided and in tbe possession of the undertaker desiring to make such removal shall constitute a permit for such removal ; 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 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 physiclan certifying the cause of death shall thereafter fur- nish 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, Sco. 45, G. L., (Tercentenary Edition.)
No undertaker or other person shall bury a human body or the asbes 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 bave the eare 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 observ- ance 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 ill- ness 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 medieal 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 septice- mia), 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 occupa- tion, the sudden deaths of persons not disabled by recognized disease, and those of persons found dead.
Statement of Cause of Death .- Cause of death means the disease, or complication which causes death, not the mnode of dying, e. g., heart failure, asphyxia, asthenia, etc. As principal cause name the disease causing death. As reiated causes, name earlier inorbid con- ditions, if any, related to the principal cause and any important complication of the principal cause.
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 usual occupation prior to Illness. If the deceased had retired from busi- ness, report the usual 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. For a person engaged in domestle service for wages. however, designate the occupation by the appropriate terms, as housekeeper- private family, cook-hotel, ete. For a person who had no occupation whatever write none.
SPACE FOR ADDITIONAL INFORMATION
R-301 All
PLACE OF DEATH
Suffolk (County)
Winthrop
(City or Town)
No.
915 Shirley 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, give its NAME instead of street and number)
2 FULL NAME
PatrickM ....... G.1.1.1.001y.
(If deceased is a married, widowed or divorced woman, give also maiden name.)
(If U. S.
War Veteran,
specify WAR)
915 Shirley St
.....
.St.
(If nonresident, give city or town and state)
years
months
days.
In this community 30yrs.
mos.
days.
PERSONAL AND STATISTICAL PARTICULARS
3 SEX
Male
4 COLOR OR RACE
Thite
5 SINGLE
MARRIED
WIDOWED
or DIVORCED
(write the word)
Widowed
Sa If married, widowed, on divorced noghue HUSBAND of
(Give maiden name of wife in full)
(or) WIFE of
(Husband's name in full)
6 Age of husband or wife if alive. 7 IF STILLBORN, enter that fact here.
8 76
AGE
Years
Months
Days
Hours
Minutes
Usual
9 Occupation:
Plumber
Industry
Retired
10 or Business:
1I Social Security No.
12 BIRTHPLACE (City)
(State or country)
Scotland
13 NAME OF
FATHER
Michael
14 BIRTHPLACE OF
FATHER (City)
(State or country)
Ireland
15 MAIDEN NAME
OF MOTHER
Bridget Moque
16 BIRTHPLACE OF
MOTHER (City)
(State or country)
Ireland
......
........
17
Informant
Mrs Samuel Baker
Relation, if any daughter
(Address) 915 Shirley St
Pintaron
I HEREBY CERTIFY that a satisfactory standard certificate of death was filed with me BEFORE the burial or transit permit was issued:
Childrens
(Signature of Agent of Board of Health of other
Whatthe Officer 2/27/40
(Official Designation)
18 DATE OF
DEATH
(Month)
(Day)
1940 (Year)
I last saw h .. Cnalive on
tuk 2.6
19 .. 0 death is said
Duration IMPORTANT 2
3
Due to
Due to
Other conditions
(Include pregnancy within 3 months of death)
Major findings : Of operations
Of autopsy
What test confirmed diagnosis ?
PHYSICIAN Underline the cause to which death should be charged sta- tistically.
20 Was disease or injury in any way related to occupation of deceased?
If so, specify
(Signed)
4 Umarm Date 2017 19.
M. D ..
(Address)
21
St
Joseph's
Boston
....
Place of Burial, Cremation or Removal (City of Town)
DATE OF BURIAL
os John F. OMaley
FUNERAL DIRECTOR
22 NAME OF
ADDRESS
Winthrop Massachusetts
Recoived and filed.
19
(Registrar) 1
100m-10-'39. No. 8427-e
CAUSE OF DEATH in plain terms, so that it may be properly classified. Exact statement of OCCUPATION is very important. See instructions and extracts from the laws on back of certificate.
PARENTS
If less than I day
years
MEDICAL CERTIFICATE OF DEATH
26
That I attended deceased, from
19 I HEREBY CERTIFY. 70-1 19.70, to tv 26 19 40 m. to have occurred on the date stated above, at 1.150 Immediate cause of death ...............
Date of ..
.......
19
40
1
(a) Residence. No.
(Usual place of abode)
Length of stay: In hospital or institution ...
(Specify whether)
St. 1
EXTRACTS FROM THE LAWS OF THE COMMONWEALTH OF MASSACHUSETTS GOVERNING THE
RETURN OF CERTIFICATES OF DEATH
A physician or registered hospital medical officer shall forthwith, 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 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.
Need help finding more records? Try our genealogical records directory which has more than 1 million sources to help you more easily locate the available records.