USA > Massachusetts > Suffolk County > Winthrop > Town of Winthrop : Record of Deaths 1941 > Part 74
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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 from the board of health or its agent appointed to issue such permits, or if there is no such hoard, from the clerk of the town where the hody 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 observance of the following rules of practice:
(1) Attending physicians will certify to such deaths only as those of persons to whom they have given bedside care during a last illness from disease unrelated to any form of injury.
(2) Board of Health physicians will certify to such deaths only as those of persons who, though disabled 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 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 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 iilness. 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
1 R-301 A
1 3,SEX PARENTS is very important. See instructions and extracts from the laws on back of certificate. CAUSE OF DEATH in plain terms, so that it may be properly classified. Exact statement of OCCUPATION information should be carefully supplied. AGE should be stated EXACTLY. PHYSICIANS should state Industry
100m-2-'40-D-729-a
I HEREBY CERTIFY that a satisfactory standard certificate of death was filed with me BEFORE the burial or transit permit was issued: Www.D. Children (Signature of Agent of Board of Heartit or other)
1 Leather Officer 11/19/41
(Official Designation) (Date of Issue of Permit)
MEDICAL CERTIFICATE OF DEATH
18 DATE OF
DEATH.
nov
18
(Month)
(Day)
(Year)
19 . I HEREBY CERTIFY 12 1941, to nov. 18, 19 41
2.38 I last saw her .alive on 18 - 194, death is said to have occurred on the date stated above, at .. Immediate cause of death.
Duration
IMPORTANT
Due to
Toxemia 07
Due to
Memin
5 days
Other conditions ..
(Include pregnancy within 3 months of death)
IMPORTANT PHYSICIAN
Major findings:
Of operations ...
-
Date of
Of autopsy.
What test confirmed diagnosis ?.
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)
22 shirly Am Date 11/19
(Address).
Holy Cross
malden
Place of Burial, Crematiomor Removal. (City or Town)
DATE OF BURIAL.
mor
2%
19.4/
22 NAME OF FUNERAL DIRECTOR, Loopha Cardio
ADDRE
450/ Cambridgelt Comb
Received and filed
NOV 2 1 1941
19.
(Registrar)
To be filed for burial permit with Board of Health or its Agent.
Registered No.
223
(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.)
7
Caster
Que
St ....
Genève
(If nonresident, give city or town and state)
hospital
- years
+ months
5
days.
In this community
2
yrs. - mos.
5 days.
PERSONAL AND STATISTICAL PARTICULARS
4 COLOR OR RACE
Female White
5 SINGLE
(write the word)
MARRIED
WIDOWED married
or DIVORCED
5a If married, widowed, or divorced HUSBAND of ...
(or) WIFE of ....
James
(Give maiden name of wif, in full)
Castaldo
(Husband's name in full)
6 Age of husband or wife if alive.
41
years
7 IF STILLBORN, enter that fact here.
8
29
Years
.Months
Days
If less than 1 day
.Hours.
Minutes
Usual
9 Occupation :....
housework
10 or Business :.
own
home
11 Social Security No.
12 BIRTHPLACE (City)
new york cara.
(State or country)
13 NAME OF
FATHER
Talph Destafano
14 BIRTHPLACE OF
FATHER (City
....
(State or country)
Italy
15 MAIDEN NAME
OF MOTHER
Mary allecci
16 BIRTHPLACE OF
MOTHER (City).
(State or country)
Italy
17 Relation, if any James Castaldo husband)
(Address) 7 Eastern que Almere
The Commonwealth of Massachusetts OFFICE OF THE SECRETARY DIVISION OF VITAL STATISTICS STANDARD
CERTIFICATE OF DEATH
Winthrop Community. No.
Many Castaldo
Hospitals
PLACE OF DEATH
Suffolk (County) Mintha (City or Town)
DEG
(a) Residence. No ....
(Usual place of abode)
Length of stay: In hospital or institution
(Specify whether)
(If U. S.
War Veteran,
specify WAR)
1941
That I attended deceased from
M. D.
.19 ... /
21. ......
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 belief the name of the deceased, his supposed age, the disease of which he died, definded 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 receiv- ing tomb to another in the same cemetery, until he has received a permit from the board of health or its agent aforesaid or from the clerk of the town where the body is buried. No such permit shall be issued until there shall have been delivered to such board, agent or clerk, as the case may be, a satisfactory written statement containing the facts required by law to be returned and recorded, which shall be accompanied, in case of an original interment, by a satisfactory certificate of the attending physician, if any, as required by law, or in lieu thereof a certificate as hereinafter provided. If there is no attending physician, or if, for sufficient reasons, his certificate cannot be obtained early enough for the purpose, or is in- sufficient, a physician who is a member of the board of health, or em- ployed by it or by the selectmen for the purpose, shall upon application make the certificate required of the attending physician. If death is caused by violence, the medical examiner shall make such certificate. If such a permit for the removal of a human body, not previously interred, from one town to another within the 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 re- moval 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 thereafter furnish for registration any other necessary information which can be obtained as to the deceased, or as to the manner or cause of the death, which the clerk or registrar may require .- Chap. 114, Sec. 45, G. L., (Tercentenary Edition).
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 observance of the following rules of practice:
(1) Attending physicians will certify to such deaths only as those of persons to whom they have given bedside care during a last illness from disease unrelated to any form of injury.
(2) Board of Health physicians will certify to such deaths only as those of persons who, though disabled by recognized disease unrelated to any form of injury, have died without recent medical attendance or whose physician is absent from home when the certificate of death is needed.
(3) Medical Examiners will investigate and certify to all deaths supposabiy due to injury. These include not only deaths caused directly or indirectly by traumatism (including resulting septicemia), and by the action of chemical (drugs or poisons), thermal, or electrical agents, and deaths following abortion, but also deaths from disease resulting from injury or infection related to occupation, the sudden deaths of persons not disabled by recognized disease, and those of persons found dead.
Statement of Cause of Death .- 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
R-301 A
PLACE OF DEATH
Suffolk (County)
(City or Town) 60 Quincy Ave
The Commontoralth of Massachusetts OFFICE OF THE SECRETARY DIVISION OF VITAL STATISTICS STANDARD CERTIFICATE OF DEATH
To be filed for burlal permit with Board of Health or its Agent.
221
Registered No. [ { If death occurred in a hospital nr Institution, St. [ give its NAME instead of street and number)
Catherine ( Boylan ) Grady
(If deceased is a married, widowed or divorced woman, give also maiden name.)
St.
(If nonresident, give city or town and State)
Length of stay : In hospital or institution.
-
years
months
days.
In this community
40
yrs.
mos. -
days.
( Specify whether)
PERSONAL AND STATISTICAL PARTICULARS
MEDICAL CERTIFICATE OF DEATH
18 DATE OF
DEATH
November
18
( Month)
(Day)
(Year)
19 | HEREBY CERTIFY,
December
1936
to
Nov. 18
1941
i last saw heralive on
nov.
18, 1941, death is said to
have occurred on the date stated above, at
11:15 P.
m.
Immediate cause of death
DA
Pulmonar edema
Due to ........
Congestive Heart Failure
Due to 2
Rheumatic Heart Disease
40 não
Other conditions
(Include pregnancy within 3 months of death)
Major findings :
Of operations ..........
none
Date of.
Of autopsy .....
none
What test confirmed diagnosis ?
clinical
IMPORTANT Physician Underline Ure cause to which death should be charged sta- listically.
20 was disease or injury in any way related to occupation of deceased ?.... )1.0.
If so, specify ............
(Signed )
(Address) AN integral fincas Date pfiff
19 46.
21
Winthrop / Kinanro"
l'lace of Burial, Cremation or Removal.
DATE OF BURIAL
21/1
14
oh HO males
Received and filed NOV 2 1 1941
19
(Official Designation) V
(Date of Issue of Vermit)/
(Registrar)
100m (d)-1-41-4667
1
Winthrop
No.
2 FULL NAME
60 Quincy Ave
(a) Residence. No.
(Usual place of abode)
( Before death)
3 SEX
Female
4 COLOR OR RACEJ
Thite
(or) WIFE of
( linshand's name in full)
7 IF STILLBORN. enter that fact here.
8 63
AGE
Years
- Months.
-
Days
Usual
9 Occupation :
Housewife
Industry
O -- n Home
10 or Business:
11 Social Security No.
12 BIRTHPLACE (City)
Boston
13 NAME OF
FATHERtephen Boylan
14 BIRTHPLACE OF
FATHER (City)
Boston
(State or country)
PARENTS
16 BIRTHPLACE OF
MOTHER (City)
(State or country)
17
Miss G. Grady
Informant ...
If deceased was a U. S. War Veteran, G. L. Chap. 46, Section 10, requires physicians to Insert a recital to that effect.
extracts from the laws on back of certificate.
terms, so that it may be properly classified. Exact statement of OCCUPATION is very important. See instructions and
should be carefully supplied. AGE should be stated EXACTLY. PISICIAND should state CAUSE OF DEATH In plain
(State or country)
Mass
5 SINGLE
(write the word)
MARRIED
WIDOWEDLA
or DIVORCED OWed
Sa If married, widowed, or divorced
HUSBAND of
J(Give Ingiden name of avitel in full )
6 Age of husband or wife if alive years
If less than 1 day Hours. .Minutes
Mass
15 MAIDEN NAME
OF MOTHER
Catherine Macaulay
F. E. Island
( Adlilress)
60 Quincy Ave
(
Relation franyer
1 HEREBY CERTIFY that a satisfactory standard certificate of death was filed with me BEFORE the burial or transit permit was Issued:
Childrenkg.
(Signature of Agent of Board of Health or other) Whatthe Officer 11/19/41
PHYSICIAN - IMPORTANT
(Was deceased a
U. S. War Veteran,
if so specify WAR)
1941
That I attended deceased from
Duration IMPORTANT
36 hrs
1 yr.
22 NAME OF
FUNERAL DIRECTOR
ADDRESS
Winthroo
(City, or Towu)
9 $1.61
gibi
$9 & bEXTRACTS FROM THE LAWS OF THE 50 COMMONWEALTH OF MASSACHUSETTS
1E 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 belief the name of the deceased, his supposed age, the disease of which he died. defined as re- quired by seetion one. wlirre 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.
A physician or officer furnishing a certificate of death as required by the preceding section or by section forty five of chapter one hundred and four- teen, shall, if the deceased, to the best of his knowledge and belief, served in the army, navy or marine corps of the I'nited States in any war in which it has been engaged. insert in the certificate a recital to that effect, speci- fying the war, and shall also certify in such certificate both the primary ail the secondary or immediate cause of death as nearly as he can state the same. For neglect to comply with any provision of this section, such physician or offieer shall forfeit ten dollars. For the purposes of this sec- tion and of sections forty-five, forty-six and forty-seven of said chapter one hundred and fourteen. the word "war" shall include the China relief ex- pedition and the Philippine insurrection, which shall, for said purposes. he deemed to have taken place between February fourtecuth, eighteen hundred and ninety. eight and July fourth, nineteen hundred and two, and the Mexi- can border service of nineteen hundred and sixteen and nineteen hundred and seventeen. G. L. Chap. 46, Sec. 10.
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 hody and remove it fromn a town, from one cemetery to another, or from one grave or tomnh 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 he issued until there shall have been delivered to such board, agent or clerk, as the case may be, a satisfactory written statement containing the facts required by law to he returned and recorded, which shall be accompanied, in case of an original internient, by a satisfactory certificate of the attending physician, if any, as required by law. ot in lieu thereof a certificate as hereinafter provided. If there is no attending physician, or if, for sufficient reasons, his certificate cannot he obtained early enough for the purpose, or is insufficient, a physi- cian 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 re- quired of the attending physician. If death is caused by violence, the medi- cal examiner shall make such certificate. If such a permit for the removal of a human body, not previously interred, from one town to another within the commonwealtht cannot be obtained carly 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 snch 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 nsual 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 I'nited States in any war in which it has heen engaged, such recital shall appear upon the permit. The board of health, or its agent. upon receipt of such statement and certificate, shall furthwith counter-ign it and transmit it to the clerk of the town for registration. The person to whom the pernut is so given and the physician certifying the canse of death shall thereafter furnish for registration any other neces- sary information which can be obtained as to the drecased, 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 hody or the ashes thereof which have been brought into the commonwealth until he has re- ceived a permit so to do from the board of health or its agem appointed to issue such permits, or if there is no such hoard, from the clerk of the town where the body 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).
Medical examiners shall make examination upon the view of the dead bodies of only sneh persons as are supposed to have died by violence. If a medical examiner has notice that there is within his county the hody of such a person, he shall forthwith go to the place where the body lies and take charge of the same; ... - General Laws, Clap. 38, Sec. 6.
RULES OF PRACTICE
The fulfillment of the purpose of these laws calls for the observance of the following rules of practice :
(1) Attending physicians will certify to such deaths only as those of persons to whom they have given bedside care during a last illness from disease unrelated to any form of injury.
(2) Board of Health physicians will certify to such deaths only as those of persons who, though disabled by recognized disease unrelated to any form of injury, have died without recent medical attendance or whose physi- cian is absent from home when the certificate of death is needed.
(3) Medical Examiners will investigate and certify to all deaths sup- posably due to injury. These include not only deaths caused directly or in- directly by traumatism (including resulting septicemia), and by the action of chemical ( drugs or poisons), thermal, or electrical agents, aml 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.
Stalement 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, naine 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 im- portant, 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 discase 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 fanrily, cook-hotel, etc. For a person who had no occupation whatever write tione.
SPACE FOR ADDITIONAL INFORMATION
...
...
. . .
M R-301 A
Suffolk
No. 319 Bowdoin St.,
Winthrop
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.
225
§ (If death occurred in a hospital or institution, St. [ give its NAME instead of street and number)
Margaret Lowther Sherman At.
(If deceased is a married, widowed or divorced woman, give also maiden name.)
(a) Residence, No. 319 Bowdoin St.
(Usual place of abode)
Length of stay: In hospital or institution
(Specify whether)
PERSONAL AND STATISTICAL PARTICULARS
4 COLOR OR RACE
White
5 SINGLE
MARRIED
WIDOWED
or DIVORCED
(write the word)
DEATH
Widowed
5a If married, widowed, or divorced HUSBAND of
(Give maiden name of wife in full)
(or) WIFE of.
Millard A. Sherman
(Husband's name in full)
years
7 IF STILLBORN. enter that fact here.
1
Days
If less than 1 day
Hours
Minutes
9 Occupation :
Housewife
Boston
Mass.
13 NAME OF FATHER Andrew Lowther
14 BIRTHPLACE OF
FATHER (City)
(State or country)
Ireland
15 MAIDEN NAME
OF MOTHER
Isabella Crowell
15 BIRTHPLACE OF
MOTHER (City) ....
(State or country)
Nova Scotia
17 Mary T. Thayer
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