Town of Winthrop : Record of Deaths 1941, Part 12

Author: Winthrop (Mass.)
Publication date: 1941
Publisher:
Number of Pages: 546


USA > Massachusetts > Suffolk County > Winthrop > Town of Winthrop : Record of Deaths 1941 > Part 12


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).


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No undertaker or other person shall bury a human body or the ashes thereof which have been hrought 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 hoard, from tlie clerk of the town where the hody is to be huricd 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 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 hedside 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 hy recognized disease unrelated to any form of injury, have died without recent medical attendance or whose physician is ahsent from home when the certificate of death is needed.


(3) Medical Examiners will investigate and certify to all deaths supposahly due to injury. These include not only deaths caused directly or indirectly hy traumatism (including resulting septicemia), and by the action of chemical (drugs or poisons), thermal. or electrical agents, and deaths following ahortion, hut also deaths from disease resulting from injury or infection related to occupation, the sudden deaths of persons not disabled hy 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 mode of dying, e. g., heart failure, asphyxia, asthenia, etc. As principal cause name the disease causing death. As related causes, name earlier morhid conditions, 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 husiness, report the usual occupation prior to retirement. Children not gainfully employed may he 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


ORM R-302


WRITE PLAINLY, WITH UNFADING BLACK INK - THIS IS A PERMANENT RECORD


after the close of the month in which the death occurred. (Sce Chap. 46, Sec. 12, G. L.) Copies of returns of deaths which occurred in your city or town in case the deceased resided in another city or town at the time


PLACE OF DEATH


Suffolk. (County)


The Commonwealth of Massachusetts OFFICE OF THE SECRETARY DIVISION OF VITAL STATISTICS COPY OF CERTIFICATE OF DEATH


Chelsea


(City or town making return)


Registered No


.....


84


33


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


2 FULL NAME


Frank .... J ....... Vong


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


84 CottageAve


.....


St.


Winthrop Mass.


(If nonresident, give city or town and state)


months


da254


In this community


yrs.


Inos.


days.


PERSONAL AND STATISTICAL PARTICULARS MEDICAL CERTIFICATE OF DEATH


4 COLOR OR RACE 5 SINGLE


white


MARRIED


WIDOWED


or DIVORCED


(write the word)


married


5a lf married, widowed, or divorced HUSBAND of


(Give maiden name of wife in Fuir)


(Husband's name in full)


6 Age of husband or wife if alive.


56


years


7 IF STILLBORN, enter that fact here.


8


AGE


5.7.Years.


0


Months.


15.Days


If less than 1 day


Hours


Minutes


Usual


9 Occupation:


Engineer


11 Social Security No.


12 BIRTHPLACE (City)


Provincetown


Hass


13 NAME OF


FATHER


Emmanuel P.


14 BIRTHPLACE OF


FATHER (City)


(State or country)


Azores


15 MAIDEN NAME


OF MOTHER


Caroline Perry


16 BIRTHPLACE OF


MOTHER (City)


(State or country)


17 Portugal


Relation, if any


Informant.


Hospital Records(


A TRUE COPY.


ATTEST:


(Registrar of city or town where death wecured) Clerk


DATE FILED


0 Feb. 6.


19 41


18 DATE OF


DEATH


Falmary 6,11,941


(Year)


19 | HEREBY CERTIFY.


Jan.13 19 4,00


That I attended deceased from


TaoIntosh


"Feb ....... 6 ..... , 19 ...... 4 I last saw h .....?..... alive on ........................ , 19 .... 47death is said to have occurred on the date stated above, at ........ 40A.m. Duration Immediate cause of death .. .Bronoho-pneumonia


Due to .. Soptioomia(strontococcus. vinidans.) Due to ...... Bilateralpyelonephritis


·2 ...... w]


Other conditions


Chronto ... cystitis


(Include pregnancy within 3 months of death)


PHYSICIAN


Major findings :


Of operations


non@


Date of.


Underline the cause to which death should be charged sta-


Of autopsy ........ 00.0.007-0.


What test confirmed diagnosis ?... clinical, lab.


tistically.


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


li so, specify no


(Signed)


(Address)


Lewis .... Glazer


. M. D.


21 PLACE OF BURIAROId Home


2 /6


41


DATE OF BURIAL


22 NAME OF


Fob. 8, 1941


FUNERAL DIRECTOR


C.R.Bennison


ADDRESS


Received and filed. 170 wint. rop St., Winthro 19.41


(Registrar of City or Town where deceased residod)


1


1


Chelsea (City or Town)


No. Soldiers! HomeHospital


St. 1


(If U. S.


War Veteran,


specify WAR)


World


(a) Residence. No .......


(Usual place of abode)


Length of stay: In hospital or institution.


hospital


years


(Specify whether)


3 SEX


male


(or) WIFE of


Industry


10 or Business:


PARENTS


(Address)


50m-10-'39. No. 8427-f


of death should be transmitted on Form R-302 to the clerk of the city or town in which the dcccased resided as soon as possible


(State or country)


5 ... das


2 ... wk


Date


19


CREMATION OR REMOVE


Kontubarn Cargari dove


Creatory


19


「1


RM R-301 A


100m-2-'40-D-729-a N. B .- WRITE PLAINLY, WITH UNFADING BLACK INK-THIS IS A PERMANENT RECORD. Every item of PARENTS


PLACE OF DEATH


Sufflok (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, 34


Registered No


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


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


St


(If nonresident, give city or town and state)


years


months


days.


In this community I7


yrs.


mos.


days.


MEDICAL CERTIFICATE OF DEATH


18 DATE OF


DEATH


February


7


(Month)


(Day)


(Year)


19 I HEREBY CERTIFY, That I attended deceased from January 24, 1941, to February 6 1941


I last saw h I'M alive on


Zebran, 4, 194, death is said to


have occurred on the date stated above, at. 12:20 Am.


Immediate cause of death.


Cerebral accident


Due to. Ayertencion


Due to generalized arena-


Other conditions. (Include pregnancy within 3 months of death)


IMPORTANT


PHYSICIAN


Major findings: Of operations.


Date of


Of autopsy


What test confirmed diagnosis? "Civica"


..........


Underline the cause to which death should be charged sta- tistically.


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


pecifi tando Murray


M. D.


(Address)


Winthrop IMais Date 2/7/


1941


21 ... Waterside


Marble head


Place of Burial, Cremation or Removal.


Feb. 9


(City or Town)


DATE OF BURIAL


22 NAME OF


FUNERAL DIRECTOR.,


Howard & Reynolds


ADDRESS


Health Oficer 2/8/4/


(Official Designation) (Date of Issue of Permit)


(write the word).


Widowed


.years


If less than I day Hours Minutes


Caroline O Boynton


Relation, if any


Daughter


I HEREBY CERTIFY that a satisfactory standard certificate of death was filed with me BEFORE the burial or transit permit was issued: Wm. D. Children


(Signature of Agent of Board of Health or other)


Received and filed.


19


(Registrar)


1


Winthrop


(City or Town)


2 FULL NAME.


Herbert Colley


(a) Residence. No ..


5 ... Loring Rd ..


(Usual place of abode)


Length of stay: In hospital or institution.


(Specify whether)


PERSONAL AND STATISTICAL PARTICULARS


3 SEX


Male


4 COLOR OR RACE


White


5 SINGLE


MARRIED


WIDOWED


or DIVORCED


5a If married, widowed, or divorced


HUSBAND of


Helen Snow


(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


AGE 85


Years


9 .... Months.


I6


Days


Usual


9 Occupation :


Sole Cutter


Industry


1I Social Security No.


12 BIRTHPLACE (City)


Portland


(State or country)


Maine


13 NAME OF


FATHER


Lewis C Colley


14 BIRTHPLACE OF


FATHER (City)


Portland


(State or country)


Maine


15 MAIDEN NAME


OF MOTHER


16 BIRTHPLACE OF


Hallowell


MOTHER (City) ...


(State or country)


Maine


17


Informant


Mrs. Edward Bagley


(Address)


5 Loring Rd.


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


10 or Business:


Leather Sole Factory


No .. 5 Loring Rd. Winthrop Mass


St.


(If U. S.


War Veteran,


specify WAR)


1941


Duration IMPORTANT


2 wks Mcare


(Signed):


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 registration a standard certificate of death, stating to the best of his knowledge and helief the name of the deceased, his supposed age. the disease of which he died, lefinded as required by section one, where same was contracted, the luration 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 hury or otherwise dispose of a human body in a town, or remove therefrom a human hody 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. rom the clerk of the town where the person died; and no undertaker or other person shall exhume a human hody and remove it from a town, from ne cemetery to another, or from one grave or tomh other than the receiv- ng tomb to another in the same cemetery, until he has received a permit rom the board of health or its agent aforesaid or from the clerk of the own where the body is buried. No such permit shall be issued until here shall have been delivered to such hoard, agent or clerk, as the case nay be, a satisfactory written statement containing the facts required hy aw to he returned and recorded, which shall be accompanied, in case of an riginal interment, hy a satisfactory certificate of the attending physician. f 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, is certificate cannot he obtained early enough for the purpose, or is in- ufficient, a physician who is a member of the board of health, or em- loyed by it or by the selectmen for the purpose, shall upon application nake the certificate required of the attending physician. If death is caused y violence, the medical examiner shall make such certificate. If such a ermit for the removal of a human body, not previously interred, from ne town to another within the commonwealth cannot be obtained early nough for the purpose, the certificate of death made as above provided nd in the possession of the undertaker desiring to make such removal hall constitute a permit for such removal; provided, that such body shall e returned to the town from which it was removed within thirty-six ours after such removal, unless a permit in the usual forni for the re- noval of such body has been sooner obtained hereunder. If the death ertificate contains a recital, as required by section ten of chapter forty- ix, that the deceased served in the army, navy or marine corps of the Jnited States in any war in which it has been engaged, such recital shall ppear upon the permit. The board of health, or its agent, upon receipt of uch statement and certificate, shall forthwith countersign it and transmit tto the clerk of the town for registration. The person to whom the permit s so given and the physician certifying the cause of death shall thereafter urnish for registration any other necessary information which can be btained 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).


No undertaker or other person shall hury a human body or the ashes thereof which have been brought into the commonwealth until he has received a permit so to do froin 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 hody is to he 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 observance of the following rules of practice:


(1) Attending physicians will certify to such deaths only as tliose 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 hy 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 .- 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.


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 business, 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


RM R-301 A


PLACE OF DEATH


(County) Minthook Mais [City or Pown)


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, 35


Registered No.


§ (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.)


124 Falcon


St


Ex Barton


(If nonresident, give cify or town and state)


(Specify whether)


PERSONAL AND STATISTICAL PARTICULARS


MEDICAL CERTIFICATE OF DEATH


18 DATE OF


DEATH.


Feh 11, 1949


(Month)/


(Day)


(Year)


19


I HEREBY CERTIFY.


2/11/41, 19


.. ,


to


2/11/49


19


That I attended deceased from


I last saw h ..


alive on


19 death is said to


have occurred on the date stated above, at ... Immediate cause of death.


m.


Duration IMPORTANT


Due to


Due to.


Other conditions.


(Include pregnancy within 3 months of death)


IMPORTANT


PHYSICIAN


Underline the cause to which death should be charged sta- tistically.


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


If so, specify ...


(Signed)


(8) 238 Manausk Drik 1/294


It. Muchacti Wollen


21


Place of Burial, Cremati ver Removal. DATE OF BURIAL ....... (City or Town) 19.


22 NAME OF FUNERAL DIRECTOR Stance Cette


ADDRESS OF rede.


....


Received and filed


19


1


(Official Designation) (Date of Issue of Permit) /


(write the word)


Sa If married, widowed, or divorced


HUSBAND of


(Give maiden name of wife in full)


(Husband's name in full)


6 Age of husband or wife if alive. 7 IF STILLBORN, enter that fact her stelllonger 8


AGE .. Years Monthe. Days!


If less than 1 day Hours Minutes


11 Social Security No ........


12 BIRTHPLACE (City).


(State or country)


theWinterop Mart


13 NAME OF


FATHER


Partono Tedesche


14 BIRTHPLACE OF FATHER (City) (State or country) 2) Dottore Mall


15 MAIDEN NAME


OF MOTHER


Helen Ganciarullo


16 BIRTHPLACE OF MOTHER (City) ........ (State or country) Doctor, Mas


Relation, if any


17 Factory lederchy's Fully)


I HEREBY CERTIFY that a satisfactory standard certificate of death was filled with me BEFORE the burial er transit permit was issued: Www. D. Club dress 2 (Signature of Agent of Board of Health or other) Healthe Officer 2/13/41


Major findings: Of operations.


Date of


...


Of autopsy.


What test confirmed diagnosis ?.


1 3 SEX Female (or) WIFE of Usual 9 Occupation :.. PARENTS (Address) 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 100m-2 -* 40-D-729-8 N. B .- WRITE PLAINLY, WITH UNFADING BLACK INK-THIS IS A PERMANENT RECORD. Every item of Industry 10 or Business:


T VORE NOTIFIED


No ...


Took Community


...... St.


But Tedeschi.


(If U. S.


War Veteran,


specify WAR)


(a) Residence. ] (Usual place of abode) Length of stay: In hospital or institution Hospital


years


months


days.


In this community


yrs.


mos.


days.


4 COLOR OR RACE


white


5 SINGLE


MARRIED


WIDOWED


or DIVORCED


(Registrar)


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 registration a standard certificate of death, stating to the hest of his knowledge and helief the name of the deceased, his supposed age, the disease of which he died, lefinded as required hy section one. where same was contracted, the luration of his last illness, when last seen alive hy 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 hody which has hot heen 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, rom the clerk of the town where the person died; and no undertaker or other person shall exhume a human hody and remove it from a town, from ne cemetery to another, or from one grave or toinh other than the receiv- ng tomb to another in the same cemetery, until he has received a permit rom the board of health or its agent aforesaid or from the clerk of the own where the body is buried. No such perinit shall he issued until here shall have been delivered to such hoard, agent or clerk, as the case nay be. a satisfactory written statement containing the facts required hy aw to he returned and recorded, which shall he accompanied, in case of an original interment, hy a satisfactory certificate of the attending physician, f 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, is certificate cannot he obtained early enough for the purpose, or is in- ufficient, a physician who is a member of the hoard of health, or em- loyed by it or hy the selectmen for the purpose, shall upon application nake the certificate required of the attending physician. If death is caused y violence, the medical examiner shall make such certificate. If such a ermit for the removal of a human hody, not previously interred, from ne town to another within the commonwealth cannot he obtained early nough for the purpose, the certificate of death made as above provided nd in the possession of the undertaker desiring to make such removal hall constitute a permit for such removal; provided, that such hody 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 re- noval of such body has heen sooner obtained hereunder. If the death certificate contains a recital, as required hy section ten of chapter forty- ix, 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 ppear upon the permit. The board of health, or its agent, upon receipt of uch statement and certificate, shall forthwith countersign it and transmit t to the clerk of the town for registration. The person to whom the permit s so given and the physician certifying the cause of death shall thereafter urnish for registration any other necessary information which can be htained 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).


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 hoard 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 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 hedside 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 disahled 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 supposahly due to injury. These include not only deaths caused directly or indirectly hy traumatism (including resulting septicemia), and by the action of chemical (drugs or poisons), thermal, or electrical agents, and deaths following ahortion, hut 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 .- 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.


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 heen given up or changed on account of the disease causing death, report the usual occupation prior to illness. If the deceased had retired from husiness, report the usual occupation prior to retirement. Children not gainfully employed may he 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 hy the appropriate terms, as housekeeper-private family, cook-hotel, etc. For a person who had no occupation whatever write none.




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