USA > Massachusetts > Suffolk County > Winthrop > Town of Winthrop : Record of Deaths 1944 > Part 19
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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 hia 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 deccased died his name and residence, if known; otherwise a description as full as may be, with the cause and manner 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 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), thernial, 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
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: "Com- pound fracture of the femur with ensuing septicemia (gas bacillus) caused by a steam railway accident." "Pistol shot wound of the chest with asso- ciated hemorrhage, homicidal." "Asphyxiation by suspension, suicidal." "Syncope while under the influence of ether administered as a surgical anaesthetic." "Fracture of the skull with associated internal injury sus- tained under circunstances unknown."
If disease or injury was related to occupation, specify. If investigation shows the death to liave beeu due to disease, specify: (1) Under cause its known or presumable nature; and (2) under manner, indicate the circum- stances leading to medico-legal inquiry. For example : "Hemorrhage spon- taneous 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
-301 A
PLACE OF DEATH
Suffolk (County)
Winthrop
(City or Town)
The Commonwealth of Massachusetts OFFICE OF THE SECRETARY DIVISION OF VITAL STATISTICS STANDARD
To be filed for burial permit with Board of Health or its Agent.
Registered No.
56
§ (If death occurred in a hospital or institution, { give its NAME instead of street and number)
2 FULL NAME
Carrie
Louise
Tewksbury
(If deceased is a married, widowed or divorced woman, give also maiden name.)
(a) Residence. I
15 Siren Street
St
(If nonresident, give city or town and state)
Length of stay: In hospital or institutionHos.pi.t.a.l
years
5
months
20 days.
In this community 1
yrs.
mos.
days.
(Specify whether)
PERSONAL AND STATISTICAL PARTICULARS
MEDICAL CERTIFICATE OF DEATH
3 SEX
Female
4 COLOR OR RACE
White
5 SINGLE
(write the word)
MARRIED
WIDOWED
or DIVORCED Single
5a If married, widowed, or divorced
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.
AGE
8
67
Years
2
Months
11 Days
If less than 1 day Hours.
9 Occupation :
Secretary
Industry
School
11 Social Security No.
None
12 BIRTHPLACE (City)
(State or country)
Mass.
13 NAME OF
FATHER
George H Tewksbury
14 BIRTHPLACE OF
FATHER (City)
Chelsea
(State or country)
Mass.
Of autopsy
What test confirmed diagnosis ?. 0
20 Was disease or injury in any way related to occupation of deceased? NO
If so, specify
(Signed)
wandel, Fra
M. D.
(Address) 200 WashimatinkDet Mar6 1944
Place of Burial, Cremation or Removal,
DATE OF BURIAL
March
7
(City or Town)
1544
22 NAME OF Howard Strinolds
FUNERAL DIRECTOR.
ADDRESS.
Winchop mas.
Received and filed
19
MAR 8 1944
(Registrar)
SAVVY VI DELLA IS plan tofind, 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.
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: Nuit Childrens ....
(Signature of Ageny of Board of Health or other) Health officer 3/4/44
... (Officlal Designation) (Date of Issue of Permit)
18 DATE OF
DEATH
March
(Month)
(Day)
(Year)
19 „I HEREBY CERTIFY
That I attended deceased from 4, 19 44
I last saw h ..... 2) .. /alive on. Mari, 24, 19 44 death is said to .m. have occurred on the date stated above, at 12.130 A Immediate cause of death.
Duration IMPORTANT
Ordomina CarcinomaTosis ......
MONTHS
Due to.
Other conditions.
(Include pregnancy within 3 months of death)
IMPORTANT
PHYSICIAN
Major findings: Of operations.
- Date of-
Underline the cause to which death should be charged sta- tistically.
15 MAIDEN NAME
OF MOTHER
Caroline F Kattau
16 BIRTHPLACE OF
MOTHER (City) ...
Boston
(State or country) Mass.
17 Florence Crosby Cousin
Relation, if any
21
Woodlawn
O Everett
Informant
(Address)
39 Cottage Pk. Rd. Winthrop
Minutes Due to
Usual
10 or Business :.
Boston
PARENTS
1
No
Winthrop Community Hospital
CERTIFICATE OF DEATH
St.
(If U. S.
War Veteran,
specify WAR)
(Usual place of abode)
1944
to ..
March
EXTRACTS FROM THE LAWS OF THE COMMONWEALTH OF MASSACHUSETTS GOVERNING THE
RETURN OF CERTIFICATES OF DEATH
A physician or registered hospitai medicai 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 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 otherwisc dispose of a buman body in a town, or remove therefrom a humau 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 tbe 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 perinit for such removal; provided, that such body shall be returned to the town from which it was removed within thirty-six hours after sucb 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 fromn 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 Heaith 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) Medicai 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 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 disabied by recognized disease, and those of persons found dead.
Statement of Cause of Death .- Cause of death means the disease, or complication wbich causes death, not the mode of dying, e. g., heart failure, asphyxia, asthenia, etc. As principal cause name the disease cansing 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 terins, as housekeeper -- private family, cook-hotel, etc. For a person who had no occupation whatever write none.
SPACE FOR ADDITIONAL INFORMATION
-301 A
Suffolk
(County) Winthrop
(City or Town)
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
57
S (If death occurred in a hospital or institution, St. ¿ give its NAME instead of street and number) -
(a) Residence. No.
(Usual place of abode)
Length of stay: In hospital or institution.
(Specify whether)
years
months
days.
In this community
15yrs.
inos. days.
PERSONAL AND STATISTICAL PARTICULARS
MEDICAL CERTIFICATE OF DEATH
18 DATE OF
DEATH.
mench
7 1944
(Month)
(Day)
(Year)
19
I HEREBY CERTIFY,
3
... , 19.4 4 to.
Mercila 4
19 44%
That I attended deceased from
I last saw halive on mench 4, 1944, death is said to have occurred on the date stated above, at > A m.
Immediate cause of death.
Duration IMPORTANT
Gronum
Due to
Due to.
Other conditions.
Dry Pleasing
3 days
(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 to occupation of deceased ?.
If so, specify.
Ey Jarin 7 Salerno
(Signed) ....
M. D.
(Address) 175 Pleasant St
Date.
1944
21 Woodlawn Everett
Place of Burial, Cremation or Renegarch
(Git") or Town)
44
DATE OF BURIAL
19
22 NAME OF
Forwarded Reynolds
ADDRESS
180 wentary- Thanks.
Rscsived and filed
19
(Registrar)
100m-2-'40-D-729-a
I HEREBY CERTIFY that a satisfactory standard certificate of dsath was filed with me BEFORE the burial of transit parmit was issued:
(Signature of Agent of Board of Health or other) He authe officer 3/9/44
/(Official Designation) (Date of Issue of Permit)
(write the word)
Marrie
Sa If married, widowed, or divorEllen E Duncan
HUSBAND of
(Give malden 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
50
10
Months
7
Days
If less than 1 day
Hours
.Minutsa
9 Occupation :
Wire
Worker
10 or Business:
11 Social Security No.
012-20 9656
12 BIRTHPLACE (City)
(State or country)
Mass
13 NAME OF
FATHER
Thomas ~ Bibbey
14 BIRTHPLACE OF
FATHER (City) ...
(State or country)
Mass.
Boston
15 MAIDEN NAME
OF MOTHER
Catherine Murphy
16 BIRTHPLACE OF MOTHER (City) .. (State or country) Ireland
17 Ellen E Bibbey
Relation, if any
Wife
Informant ...
(Address)
41 Lowell Rd. Winthrop
Major findings: Of operations.
Date of.
Of autopsy.
What test confirmed diagnosis?
1
3 SEX
Male
Usual
PARENTS
44444 AM Putas stanley of that is they be properly classifica. LAact Statement Of UUVOTATION
Industry
is very important. See instructions and extracts from the laws on back of certificate.
PLACE OF DEATH
41 Loweal Rd. No. William H Bibbey
2 FULL NAME
(If deceased is a married, widowed or divorced woman, give also maiden name.) 41 Lowell Rd.
St
(If nonresident, give city or town and state)
(If U. S. War Veteran, specify WAR)
4 COLOR OR RACE
White
5 SINGLE
MARRIED
WIDOWED
or DIVORCED
53
AGE
Years
Wire
Shop
Boston
1 day
....
-
EXTRACTS FROM THE LAWS OF THE COMMONWEALTH OF MASSACHUSETTS GOVERNING THE
RETURN OF CERTIFICATES OF DEATH
A physician or registered hospital medical officer shall fortbwith, after tbe deatb 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 bis knowledge and belief the name of the deceased, bis supposed age, the disease of which he died, defined as required by section one, where same was contracted, the duration of bis 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 sball bury or otherwise dispose of a human body in a town, or remove therefrom a buman body which bas 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 tbe 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 onc 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 sball 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, bis 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 tbe selectmen for the purpose, shall upon application make tbe certificate required of the attending physician. If death is caused by violence, the medical examiner shall make sucb certificate. If sucb 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 deatb 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, shall forthwitb countersign it and transmit it to the clerk of the town for registration. The person to whom the permit is so given and tbe physician certifying the cause of death shall thereafter furnish for registration any otber necessary information which can be obtained as to the deceased, or as to the manner or cause of the death, which tbe 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 tbe 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 Heaith 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 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 tbe mode of dying, e. g., heart failure, asphyxia, asthenia, etc. As principal cause name the disease causing deatb. As related causes, name earlier morbid conditions, if any, related to the principai cause and any important complication of tbe principal cause.
Statement of Occupation .- Precise statement of occupation is very important, so that tbe 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 bad retired from business, report tbe 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 wbo had no occupation whatever write none.
SPACE FOR ADDITIONAL INFORMATION
IR-301 |
PLACE OF DEATH PARENTS 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. information should be carefully supplied. AGE should be stated EXACTLY. PHYSICIANS should state Usual
200m-10-'39. No. 8427-d
6 Signat
Signature of Agent of art of Health_or other 3/10/44
(Official Designation)
(Date of Issue of Fermft) /
MEDICAL CERTIFICATE OF DEATH
8 DATE
DEATH
(Month)
8
(Day)
( Year),
19 | HEREBY CERTIFY. That I attended deceased from
19.
I last saw h ............ alive on
19.
... ,
death is said
to have occurred on the date stated above, a
6.05 Pm
Duration
Immediate cause of death ......
Due to !
Due to
11 Social Security Noweone
12 BIRTHPLACE (City)
(State or country)
Boston
13 NAME OF
FATHER
Carmine Colarusso
14 BIRTHPLACE OF
FATHER (City)
(State or country)
Italy
15 MAIDEN NAME
OF MOTHER
Margaret Elandrello
16 BIRTHPLACE OF
MOTHER (City)
(State or country)
Italy
17 Carmine Colarusso Rotation. Taller
Informant ...
(Address) 5 Gearl av. Wiriting
Major findings :
Of operations
Date of
Of autopsy
What test confirmed diagnosis ?
PHYSICIAN Underline the cause to which death should be charged sta- tistically.
20 Was disease er lajury la any way related to occupation of deceased ?
If so, specify ....
A mahoney
M. D.
(Signed)
4 Washington on Date 3-8-1944
21 Winthrop Cemetery Centro Place of Burial, Cremation or Removal DATE OF BURIAL.
(Lity or Top)- 1944
12
22 NAME OF
FUNERAL DIRECTOR
Taki Takino
ADDRESS
9 Chelsea St. 5 Boston
Received and filed. 19
A TRUE COPY ATTEST: WAR 14 1944
(Registrar) ×
War Veteran 22once specify WAR) ... ....... -
(If deceased is a married, widowed or divorced woman, give also maiden name.)
5 Pearl
(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
3 SEX
Male
4 COLOR OR RACE
Mite
5 SINGLE
MARRIED
WIDOWED
(write the word)
A
5a If married, widow/f & divorced HUSBAND of
Parker
(Give maiden name of wife in full)
(or) WIFE of.
(Husband's name in full)
6 Age of husband or wife if alive.
24
years
7 IF STILLBORN, enter that fact here.
AGE
28
Years
1
Months.
Days
If less than 1 day
Hours.
Minutes
9 Occupation:
Restaurant aioner
Industry
10 or Business:
The Commonwealth of Massachusetts OFFICE OF THE SECRETARY DIVISION OF VITAL STATISTICS STANDARD CERTIFICATE OF DEATH
(City or town making return)
...
No.
(County) Haithrop (City or Tann) .... 5 (fear av.
St. ¿
Registered No ...... (If death occurred in a hospital or institution, give its NAME instead of street and number)
(If U. S.
2 FULL NAME
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