USA > Massachusetts > Suffolk County > Winthrop > Town of Winthrop : Record of Deaths 1943 > Part 4
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No undertaker or other person shall bury a human body 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 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 fromn a person appointed to have the care of the cenietery or burial ground in which the interment is made. . . . Chap. 114. Sec. 46, G. L., (Tercentenary Edition).
Medical examiners shall niake exammation upon the view 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.
RULES OF PRACTICE
The fulfillment of the purpose of these laws calls for the observance of the following rules of practice :
(1) Attending physiolans will certify to such deaths only as those of persons to whom they have given bedside care during a last illness from disease uurelated to any form of injury.
(2) Board of Health physiolans 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, and deaths following abortion, but also deathis 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 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 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 honte 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-301 A
BOSTON NOTH ILU 2.9.43
Suffolk (County)
Winthrop (City or Town) Winthrop Community Hospital
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. 9
Registered No.
St.
(If death occurred in a hospital or institution,
{ give its NAME instead of street and number)
2 FULL NAME
Rubina Parrella
(If deceased is a married, widowed or divorced woman, give also maiden name.)
201 Chelsea Street
St.
East Boston
(a) Residence. No.
(Usual place of abode)
Length of stay: In hospital or Institution ...
(Before death)
(Specify whether)
years
months
2
days.
In this community
44 yrs.
mos.
days.
PERSONAL AND STATISTICAL PARTICULARS
MEDICAL CERTIFICATE OF DEATH
18 DATE OF
DEATH
OF Lan
14.
1
(Month)
(Day)
1843
(Year)
19 | HEREBY CERTIFY,
That I attended deceased from
1943. to
14, 1943
i last saw her alive on Stan
, 19 43, death Is said to
6 Age of husband om wife if alive
62
years
7 IF STILLBORN, enter that fact here.
8
58
Years
-
Months ..
Days
-
If less than 1 day
Hours
Minutes
Usual
9 Occupation :
House work
at home
11 Social Security No. none.
12 BIRTHPLACE (City)
(State or country)
Italy
13 NAME OF
FATHER
Alfonso Di Mattia
Major findings :
Of operations
Date of
Of autopsy
What test confirmed diagnosis ?
IMPORTANT Physician Underilne the cause to which death should be charged st &- tistically.
20 Was disease or injury in any way related to oooupation of deceased ?........
If so, specify
a. n. Caplan
(Signed)
M. D.
(Address ) 86/ Mnceling St &B
Date 1/13
1943
21
Holy Cross
Nalden
Place of Burial, Cremation or Removal.
DATE OF BURIAL
January
(City or Town)
-18
1943
22 NAME OF
FUNERAL DIRECTOR
Laquo
ADDRESS 9 .... Chelsea Street Fast Boston
Received and filed
JAN 1 6 1543
19
( Registrar)
100m (d)-1-41-4667
I HEREBY CERTIFY that a satisfactory standard certificate of death was filed with me BEFORE the burial or transit permit was Issued : Www. D. Childrenx
(Signature of Agent of Board of Health or other)
Health Officer 1/16/43
(Official Designation) (Date of lamie of Permit)
have occurred on the date stated above, at 10:30 pm. Immediate cause of death crema -
Cardiac desafamado
Due to ..
Cucini pusocarduelis
Due to
Duration IMPORTANT 3days 3 days 6 rue 1 year 0
Other conditions.
(Include pregnancy within 3 months of death)
marked idence and Obesity
14 BIRTHPLACE OF
FATHER (City)
(State or country)
Italy
15 MAIDEN NAME
OF MOTHER
Giulia Galassi
16 BIRTHPLACE OF
MOTHER (City)
(State or country)
Italy
17 Pellegrino Parrella Huy Ba Heny (Address) 201 Chelsea St. East Boston,
1 No. 3 SEX (or) WIFE of AGE Informant If deceased was a U. S. War Veteran, G. L. Chap. 46, Section 10, requires physicians to insert a reoitai to that effect. PARENTS 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. should be carefully supplied. ACE should be stated EXACTLY. PHYSICIANS should state CAUSE OF DEATH in plain N. B .- WRITE PLAINLY, WITH UNFADING BLACK INK-THIS IS A PERMANENT RECORD. Every item of information Industry 10 or Business :
4 COLOR OR RACE
5 SINGLE
(write the word)
MARRIED
WIDOWED
or DIVORCEDMarried
Female White
5a If married, widowed, or divorced
HUSBAND of
PellegrIno drarrefrife in full)
(Husband's name in full)
PHYSICIAN - IMPORTANT
(Was deceased a
U. S. War Veteran,
if so specify WAR)
( If nonresident, give city or town and State)
PLACE OF DEATH
EXTRACTS FROM THE LAWS OF THE COMMONWEALTH OF MASSACHUSETTS GOVERNING THE
RETURN OF CERTIFICATES OF DEATH
A physiolan. or registered hospital medical officer shall forthwith, after the death of a person whom he has attended during his last illness, at tbe 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 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.
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 United 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 and 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 officer 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, be deemed to have taken place between February fourteenth, 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 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 front 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 insufficient, a physi- cian who is a member of the board of health, or employed by it or by the selectmen for the purpose, shall upon application make the certificate 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 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 bas been engaged, such recital shall appear upon the permit. The board of health, or its agent, upon receipt of sucb statement and certificate, sball 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 neces- sary information which can be obtained as to the deceased, or as to tbe manuer or cause of the death, which the clerk or registrar may require .- Chap. 114, Scc. 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 re- ceived 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).
Medical examiners shall make examination upon the view 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.
RULES OF PRACTICE
The fulfillinent 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 physiclans will certify to such deaths only as those of persons who, though disahled by recognized disease unrelated to auy 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, and deaths following abortion, but also deatlis 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 nieans 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 tbe principal cause and any important complication of the principal causc.
Statement of Ocoupation .- l'recise statement of occupation is very im- portant, so that the relative healthfulness of various pursuits can be kuown. 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 illuess. 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 bousework, write housework. For a person engaged in domestic service for wages, however, designate the occupation by the appropriate terms, as bousekeeper-private fainily, cook-hotel, etc. For a person who bad no occupation whatever write none.
SPACE FOR ADDITIONAL INFORMATION
RM R-301 S
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.
Registered No. 10
[ (If death occurred in a hospital or institution, { give its NAME instead of street and number)
2 FULL NAME
Hannah O 'Connor
(If deceased is a married, widowed or divorced woman, give also maiden name.)
56 Beal St.
St
(If nonresident, give city or town and state)
In this community
yrs.
mos.
I4
days.
PERSONAL AND STATISTICAL PARTICULARS
5 SINGLE
(write the word)
MARRIED
WIDOWED Widower
or DIVORCED
Sa If married, widowed, or divorced
HUSBAND of
Patr'flymaiden name pfcisin ful
(or) WIFE of
(Husband's name in full)
6 Age of husband or wife If alive ........... ared. .years
If less than 1 day
Hours.
Minutes
9 Occupation :
Variety Storekeeper
I.Y.
13 NAME OF
FATHER
Philip Cleary
14 BIRTHPLACE OF
FATHER (City)
S.t ....... Johns
(State or country)
liew Toundland
15 MAIDEN NAME
OF MOTHER
Mollie Williamson
16 BIRTHPLACE OF
MOTHER (City) ....
St. Johns
(State or country)
Ley Pound land
17
Mrs. Ruth Benson
Dau.
Relation, if any
(Address)
56 Beal St. Minthron
I HEREBY CERTIFY that a satisfactory standard certificate of death was ffled with me BEFORE the burial or transit permit was issued : Www. D. Chut drie (Signature of Agent of Board of Health or other)
Malthe
office:
1/18/43
(Official Designation) (Date of Issue of Permit)
MEDICAL CERTIFICATE OF DEATH
18 DATE OF
DEATH
Jan
(Month)
(Day)
(Year)
19 I HEREBY CERTIFY,
4 ., 1943, to.
15 19 43
m I last saw hun alive on Jan 15, 1943, death is said to have occurred on the date stated above, at 6:20 %. Immediate cause of death ....
Duration IMPORTANT
16 mes.
Due to.
Candia
Due to.
Other conditions.
(Include pregnancy within 3 months of death)
Major findings: Of operations
Date of.
Of autopsy.
What test confirmed diagnosis ?. -
Underline the cause to which death should be charged sta- tiatically.
20 Was disease or injury in any way related to occupation of deceased ?.
If so, specify ...........
(Signed)
thatSatnella
M. D.
(Address) 305 Chelzem St E.3 Date
Jan 121943
21.
Holy Cross Halden
Place of Burlal, Cremation or Removal.
(City or Town)
DATE OF BURIAL ...
19.45
22 NAME OF
FUNERAL DIRECTOR ...
Jan. 18
RCJuly
ADDRESS
Boatra
Received and filed ...
18
(Registrar)
6 1QM - A - 1-42 - 8511 N. B .- WRITE PLAINLY, WITH UNFADING BLACK INK-THIS IS A PERMANENT RECORD. Every item of PARENTS
Winthrop". 1 (City or Town) No 56 Beul St. 3 8EX Female 4 COLOR OR RACE White 7 IF STILLBORN. enter that fact here. - .Months Days AGE 68 Years Usual 10 or Business: cone 11 Social Security No .. 12 BIRTHPLACE (City) (State or country) Informant information should be carefully supplied. AGE should be stated EXACTLY. PHYSICIANS should state 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 Industry Variety Store
(a) Residence. No
(Usual place of abode)
Length of stay: In hospital or institution
None"
(Specify whether)
years
months
days.
St.
(If U. S.
War Veteran,
specify WAR)
15 1943
That I attended deceased from
IMPORTANT PHYSICIAN
001
autorella
ORM R-301 A
1 3 SEX Femalel AGE Usual 9 Occupation : PARENTS 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. ACE should be stated EXACTLY. PHYSICIANS should state CAUSE OF DEATH in plain N. B .- WRITE PLAINLY, WITH UNFADING BLACK INK-THIS IS A PERMANENT RECORD. Every item of information Industry 10 or Business :
PLACE OF DEATH
Suffolk (County)
Winthrop
(City or Town)
No. 38 Pleasant Park .... Road.
[ { If death occurred in a hospital or institution St. ¿give its NAME instead of street aud number;
2 FULL NAME
Lillian Alida Wilson
(If deceased is a married, widowed or divorced woman, give also maiden nanie.)
(a) Residence. No.
38 Pleasant Park Road
(Usual place of abode)
Length of stay: In hospital or Institution.
( Before death )
( Specify whether)
...
years
months
days.
In this community
yrs.
mos.
days.
PERSONAL AND STATISTICAL PARTICULARS
4 COLOR OR RACEI
White
5 SINGLE
(write the wurd)
MARRIED
WIDOWED
or DIVORCEDSingle
Sa If married, widowed, or divoroed
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 years
7 IF STILLBORN. enter that fact here.
8
60
Years
10
Months 11 Days
If less than 1 day Hours Minutes
At Home
Mome
None
11 Social Security No.
East Bogton
12 BIRTHPLACE (C'ity)
( State or country)
Mass.
13 NAME OF
FATHER
Charles Wilson
14 BIRTHPLACE OF
FATHER (City)
(State or country)
Norway
15 MAIDEN NAME
OF MOTHER
Emma C Anderson
16 BIRTHPLACE OF
MOTHER (City)
(State or country )
Sweeden
17 Charles Wilson
Brother
Informant .. ( Address) 38 Pleasant Park Road Winthrop
I HEREBY CERTIFY thet a sallsfactory standard certificate of death was filed with me BEFORE the burial or transit permit was Issued : a. D. Children
(Signature of Agent of Board of Health or other)
1/16/43
(Officlal Designation) (Date of Issue of Permit) /
18 DATE OF
DEATH
0
January
15
1047
Year)
(Month)
( Day)
19 | HEREBY CERTIFY,
how.1
19 ....... , to
January 15, 1943
I last saw het alive on
9am
15
, 19 43 death Is sald to
have occurred on the date stated above, at
9-30 A
.m.
Immediate cause of death.
Alisonis humyocarditis
Due to.
Due to.
Other conditions.
(Include pregnancy within 3 months of death)
IMPORTANT
Physician
Major findings :
Of operations
Date of
Of autopsy
What test confirmed diagnosis ?
Sthoseofa.
t'aderline ilie cause to which death -Iwould be charged sta- tistically.
20 was disease or injury in any way related to ocoupsion of deceased ? If so, specify ..... /.7 ........
(Signed)
(Address)
726 Saratoga 8
Jate Dan 15
M. D.
19.9.3 ..
21
winthrop
Wirthrop
l'lace of Burial, Cremation or Removal.
Gity or Town)
January
43
19
22 NAME OF
FUNERAL DIRECTOR
Browar
ADDRESS
Wiono Mass
Received and filed.
19
(Registrar)
100m (d) -1-41-4667
The Commontoralth 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.
11
Registered No.
PHYSICIAN - IMPORTANT
(Was deceased a
tão
U. S. War Veteran,
if so specify WAR)
St.
(If nonresident, give city or town and State)
42
MEDICAL CERTIFICATE OF DEATH
That I attended ieceased from
Duration
IMPORTANT 1941
DATE OF BURIAL
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 dean of a person whom he has attended during his last illness, at the request if 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 deerased, his supposed age, the disease of which he died, defined as re- quired 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 ... (en. 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, shal', if the deceased, to the best of his knowledge and belief, served in the arny. 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 var, and shall also certify in such certificate both the primary and the secondary or immediate cause of death as nearly as he cam state the saine. Foi neglect to comply with any provision of this section, such physician or oficer shall forfeit ten dollars. For the purposes of this sec- tion and of secions forty five, forty-six and forty-seven of said chapter one hundred and fourteen, the word "war" shall inelinde the China relief ex- pedition and the Philippine insurrection, which shall. for said purposes, he deemed to have taken place between February fourteenth, eighteen hundred and ninety-eight and July fourth, nineteen hundred and two, and the Mexi- can border servre of nineteen hundred and sixteen and nineteen hundred and seventeen. t. L. Chap. 46, Sec. 10.
No undertaker ir 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 tas received a perinit 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 exhuny 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 inthe 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 turied. 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 recored, which shall be accompanied. in case of an original interment, hy a saisfactory certificate of the attending physician, if any, as required by law. or in lieu thereof a certificate as hereinafter provided. If there is no attendng physician, or if, for sufficient reasons, his certificate cannot he obtained arly enough for the purpose, or is insufficient, a physi- cian who is a membr of the board of health, or employed by it or by the selectmen for the pupose, shall upon application make the certificate re- quired of the attending physician. If death is caused by violence, the medi- cal examiner shall mke such certificate. If such a permit for the removal of a human body, notpreviously interred, from one town to another within the commonwealth eamnot be obtained carly enough for the purpose, the certificate of death nudle as above provided and in the possession of the undertaker desiring to make such removal shall constitute a permit for such removal; provides 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 orin for the removal of such body has been sooner obtained hereunder. If he death certificate contains a recital, as required
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