USA > Massachusetts > Suffolk County > Winthrop > Town of Winthrop : Record of Deaths 1944 > Part 22
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FATHER (City)
(State or country)
Unable to obtain
15 MAIDEN NAME
OF MOTHER
Augusta Macomber
16 BIRTHPLACE OF
MOTHER (City)
(State or country)
Unable to obtain
17
Relation, if any
Informant
Mrs.Grace Mew
( ...
... niece
( Address)109 Mt. Vernon A.e., Melrose
A TRUE COPY. raymond H. Kreenkaw.
ATTEST:
(Registrar of city or town where death occurred)
DATE FILED
March 24. . 1944
19
MEDICAL CERTIFICATE OF DEATH
18 DATE OF
March 22, 1944
DEATH
(Month)
(Day)
(Year)
19 | HEREBY CERTIFY that I have Investigated the death of the person above-named and that the CAUSE AND MANNER thereof are as follows: (If an injury was involved, state fully.) Diabetes Mellitus (Diabetic Coma) Sudden Death
20 Accident, sulolde, or homicide (specify)
Natural Causes
Date of ooourrenoe
19
Where did Injury oocur ?
(City or town and State)
Did Injury occur In or about the home, on farm, In Industrial place, or In publio place?
Manner of
injury
Nature of
Injury
While at work?
Was there an autopsy ?.
no
21 Was disease or Injury In any way related to occupation of deceased ?......... no
If so, speolfy.
(Signed)
Ira W. Richardson
M. D.
(Address)
Wakefield, Mass
Date ...
3.1.23.19.44
22
Winthrop
Winthrop Mass.
Place of Burial, Cremation or Removal.
(City or Town)
DATE OF BURIAL
March 25, 1944
19
23 NAME OF
FUNERAL DIRECTOR
Charles .. R ..... Bennison.
ADDRESS
inthrop, "ass.
Reoelved and filed
MAX 25 19
19
(Registrar of City or Town where deceased resided)
resided in another city or town at the time of death should be made forthwith and transmitted on Form R-305 to the clerk
of the city or town in which the deceased resided as soon as possible after the close of the month in which the death
occurred. (See Chap. 46, Sec. 12, G. L.)
25m (h)-1-41-4667
PLACE OF DEATH
1
Female
White
10 hours
(If U. S.
War Veteran,
specify WAR)
..
(Specify type of place)
1 R-301
Suffolk
(County)
Winthrop
(City or Town)
The Commonwealth of Massachusetts OFFICE OF THE SECRETARY DIVISION OF VITAL STATISTICS STANDARD CERTIFICATE OF DEATH
(City or town making return)
64
Registered No.
(If death occurred in a hospital or institution, Winthrop Community Hospital Winthrop Mass No
give its NAME instead of street and number)
PFagan 9
2 FULL NAME
Catherine McGrath
(If deceased is a married, widowed or divorced woman, give also maiden name.)
(a) Residence. No.
54 .. Lincoln ... Street
St.
(If nonresident, give city or town and state)
(Usual place of abode)
.ength of stay : In hospital or institution
(Specify whether)
years
months
IO
days.
In this communitye
yrs.
mos.
days.
PERSONAL AND STATISTICAL PARTICULARS
4 COLOR OR RACE
White
5 SINGLE
MARRIED
WIDOWED
or DIVORCED
(write the word)
Widowed
5a If married, widowed, or divorced
HUSBAND of
(Give maiden name of wife in, full)
(or) WIFE of
James F. McGrath
(Husband's name in full)
6 Age of husband or wife if alive. years 7 IF STILLBORN, enter that fact here.
8 AGE6.O. Yearz Months Days
If less than I day
Hours.
Minutes
9 Occupation :..
Domestic
Hospital
10 or Business:
026 -12- 6211
II Social Security No.
(State or country)
12 BIRTHPLACE (City)
County .... Meath
Ireland
13 NAME OF
FATHER
Cannot be learned
14 BIRTHPLACE OF
FATHER (City)
(State or country)
Ireland®
15 MAIDEN NAME
OF MOTHER
Cannot be learned
16 BIRTHPLACE OF
MOTHER (City)
(State or country)
Ireland
Informant.
Leo Daly
Relation, if any
(Address)
TO Main St Shrewsbury
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 Health or other) Health Office 3/24/44
/Official Designation) (Date of Issue of Permit)
MEDICAL CERTIFICATE OF DEATH
18 DATE OF
DEATH
March
23
1944
(Month)
(Day)
(Year)
19 | HEREBY CERTIFY. That I attended deceased from
march 13
19.44, to March 23
1944
I last saw h.l.d .... alive on ..
March 22, 1944, death is said
Duration
to have occurred on the date stated above, at 315 4 m.
Immediate cause of death,.
.......
Uremia
10 days ...
Due to
Coronary heart
Decy 1943
liscare
Due to
Other conditions
(Include pregnancy within 3 months of death)
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 or injury in any way related to occupation of deceased ?
Mr
If so, specify ....
Frank 7 Sandlu
(Signed)
M. D.
(Address) 56 Stanley Te Parece Date 3 23 1944
21 Winthrop, Winthropun Place of Burial, Cremation or Remeras DATE OF BURIAL SO malis
22 NAME OF
FUNERAL DIRECTOR
Winthrop
ADDRESS
Received and filea.
MAR 27 1944
19
A TRUE COPY ATTEST: (Registrar)
AGE should be stated EXACTLY. PHYSICIANS should state
information should be carefully supplied.
200m-10-'39. No. 8427-d
1 PLACE OF DEATH 3 SEX Female Usual PARENTS 17 CAUSE OF DEATH in plain terms, so that it may be properly classified. Exact statement of OCCUPATION Industry is very important. See instructions and extracts from the laws on back of certificate.
(If U. S.
War Veteran.
specify WAR)
EXTRACTS FROM THE LAWS OF THE COMMONWEALTH OF MASSACHUSETTS
GOVERNING THE
RETURN OF CERTIFICATES OF DEATH
A physician or registered bospital medical officer shali forthwith, after the death of a person wbom he bas attended during his last illness, at the request of an undertaker or other authorized person or of any member of the family of the deceased, furnish for regis- tration a standard certificate of death, stating to the hest of his 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 his last iliness, 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 otherwisc 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 sueh perinits, or if there is no such hoard, from 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 one cemetery to another, or from one grave or tomh other than the receiving tomh 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 huried. No such permit shall be issued until there shall have been de- livered to such board, agent or clerk, as the case may be, a satisfac- tory written statement containing the facts required hy law to be returned and recorded, which shall be accompanied, in case of an original interment, hy a satisfactory certificate of the attending physician, if any, as required by law, or in lieu thereof a certificate as hereinafter provided. If there is no attending physician, or if, for sufficient reasons, his certificate cannot be obtained early enough for the purpose, or is insufficient, a physician who is a member of the board of health, or employed hy it or by the selectmen for the pur- pose, shall upon application make the certificate required of the at- tending physician. If death is caused hy violence, the medical exam- incr shall make such certificate. If such a perinit for the removal of a human hody, not previously interred, from one town to another within the commonwealth cannot he obtained early enough for the purpose, the certificate of death made as ahove provided and in the possession of the undertaker desiring to make such a removal shail 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 hody has hcen sooner ohtained hereunder. If the death certificate contains a recital, as required hy 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 hoard 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 fur- nish for registration any other necessary information which can be
ohtained 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 thercof which have been brought into the commonwealth until he has received a permit so to do from the board of health or its agent appointed to issue such permits, or if there is no such board, from the clerk of the town where the body is to he buried or the funeral is to he held, or from a person appointed to have the care of the cemetery or hurial ground in which the interment is made .... Chap. 114, Sec. 46, G. L., (Tercentenary Edition.)
RULES OF PRACTICE
The fulfillment of the purpose of these laws calls for the observ- ance of the following rules of practice :
(1) Attending physicians will certify to such deaths only as those of persons to whom they have given hedside care during a last ill- ness from disease unrelated to any form of injury.
(2) Board of Health physicians will certify to such deaths only as those of persons who, though disabled hy recognized disease un- related 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 Examinera will investigate and certify to all deaths suppomably due to injury. These include not only deaths caused directly or indirectly by traumatism (including resulting septice- mia), and hy the action of chemical (drugs or poisons), thermal, or electrical agents, and deaths following abortion, hut also deaths from disease resulting from injury or infection related to occupa- tion, the sudden deaths of persons not disabled by recognized disease, and those of persons found dond.
Statement of Cause of Death .- Cause of death means the disease, or complication which causes death, not the mode of dying, e. g., beart failure, asphyxia, asthenia, etc. As principal cause name the disease causing death. As related causes, name earlier morhid con- ditions, if any, related to the principal cause and any important complication of the principal cause.
Statement of Occupation .- Precise statement of occupation is very important, so that the relative healthfulness of various pursuits can be known. Make some entry in this section for every person aged 10 years or over. If the occupation had been given up or changed on account of the disease causing death, report the usual occupation prior to illness. If the deceased had retired from husi- ness, 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.
SPACE FOR ADDITIONAL INFORMATION
2-303-A
1
No. PLACE OF DEATH Sulfula (County) Nuthrob (City or Town) Unutterof Community Hospital
The Commonfocalth of Massachusetts OFFICE OF THE SECRETARY DIVISION OF VITAL STATISTICS MEDICAL EXAMINER'S CERTIFICATE OF DEATH
To be filed for burial permit with Board of Health or its Agent.
Registered No.
65-
St. § ( If death occurred in a hospital or institution, { give its NAME instead of street and number)
marion Laconte 40 CONTE
2 FULL NAME
(If deceased is a married, widowed or divorced woman, give also maiden name.)
227 Saratoga St. 2. Bartinst.
(a) Residence. No.
(Usual place of abode)
Length of stay: In hospital or Institution.
(Before death)
(Specify whether)
years
months
days.
(If nonresident, give city or town and State)
In this community /
yrs.
mos. days.
PERSONAL AND STATISTICAL PARTICULARS
3 SEX
4 COLOR OR RACE|
Female Mute
5 SINGLE
(write the word)
MARRIED
WIDOWED
Married
5a if marrled, widowed, or divoroed
HUSBAND of
(or) WIFE of
auto Give maiden name of wegtutte
(Husband's name in full)
6 Age of husband or wife-if alive 58 years
7 IF STILLBORN, enter that faot here.
8 AGE 55 Years Months. Days
If less than 1 day Hours. ...... ... Minutes
Usual
9 Occupation :
House work
Industry
10 or Business :
at home
11 Social Security No. zane
12 BIRTHPLACE (City)
(State or country)
13 NAME OF
FATHER
Michele Lombardi
PARENTS
15 MAIDEN NAME~
Pasqualina Genuario
OF MOTHER
16 BIRTHPLACE OF
MOTHER (City)
(State or country)
, Italy
17 Qutorno do Corte
Informan
227 Saratoga St, ER, husband
I HEREBY CERTIFY that a satisfactory standard certificate of death was filed with me BEFORE the burial or transit permit was issued:
(Signature of Agent of Board of Health op other)
Health officer 3/27/44
/ (Official Designation) (Date of Issue of Permit)
V
19 | HEREBY CERTIFY that I have Investigated the death of the person above-named and that the CAUSE AND MANNER thereof are as follows: (If an injury was involved, state fully.) Janicolas whele under the Influence 1 provocaune Spinal anaes thesia Firen as a Surgical anaesthesia
20 Accident, suloide, or homlolde (specify).
accidental
Date of ooourrenoe
march-24-
1944
Where did
Winthrop
Injury ooour ?
(City or town and State)
Did injury ooour In or about home, on farm, In Industrial place, or In publlo
place?
Itostmetal
(Specify type of place)
injury
Conheces / hiver
Manner of
Nature of
Injury
While at work ?.
Was there an autopsy ?.
no
21 Was disease or Injury In any way related to occupation of deceased ?.
If so, specify.
Am buckley und
M. D.
(Signed)
(Address)
200 24-1944
22 If Michal
Boston
Place of Burial, Cremation or Removal
(City of Town)
23 NAME OF
FUNERAL DIRECTOR
ADDR
A Chebea St & Boston
19
Received and filed
MAR 31 1944
(Registrar)
extracts from the laws relative to the return of certificates of death. If deceased was a U. S. War Veteran, G. L. Chap. 46, Section 10, requires physicians to Insert a recital to that effect
50m (g)-1-41-4667
MEDICAL CERTIFICATE OF DEATH
18 DATE OF
DEATH
(Month)
march- 24-1944
(Day)
(Year)
14 BIRTHPLACE OF
FATHER (City)
2
(State or country)Haly
Relation, if any
DATE OF BURIAL March
28
PHYSICIAN-IMPORTANT . (Was deceased a U. S. War Veteran, If so specify WAR)
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 wbom 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, 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.
A physician or officer furnishing a certificate of death as required hy the preceding section or by section forty-five of chapter one hundred and four- teen, shall, if the deceased, to the hest 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 hetween 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 hody in a town, or remove therefrom a human hody which has not been huried, 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 from a town, from one cemetery to another, or from one grave or tomh other than the receiving tomh 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 hoard, agent or clerk, as the case may he, a satisfactory written statement containing the facts required by law to he 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 he 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 hy the selectmen for the purpose, shall upon application make the certificate re- quired 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 hody, not previously interred, from one town to an- other within the commonwealth cannot be obtained early enough for the purpose, the certificate of death made as above provided and in the pos- session of the undertaker desiring to make such removal shall constitute a permit for such removal; provided, that such body shall he returned to the town from which it was removed within thirty-six hours after such re- moval, unless a permit in the usual form for the removal of such body has heen 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 heen engaged, such recital shall appear upon the permit. The hoard of health, or its agent, upon receipt of such statement and certificate, shall forthwith countersign it and transmit it to the clerk of the towu for regla- tration. The person to whom the permit is so given and the physician cer- tifying the cause of death shall thereafter furnish for registration any other necessary information which can be obtained as to the deceaerl, or as to the manner or cause of the death, which the clerk or registrar may re- quire .- Chap. 114, Scc. 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 re- ceived a permit so to do from the board of health or its agent appointed to issue sucb 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 per- son appointed to have the care of the cemetery or burial ground in which the interment is made .... Chap. 114, Sec. 46, G. L., (Tercentenary Edi- tion).
Medical examiners shall make examination upon the view of the dead hodies of only such persons as are supposed to have died by violence. If a medical examiner has notice that there is within his county the body of such a person, he shall forthwith go to the place where the body lies and take charge of the same; ... - General Laws, Chap. 38, Sec. 6.
.. He shall in all cases certify to the town clerk or registrar in the place where the deceased died his name and residence, if known; otherwise a description as full as may be, with the cause and manner of death .- General Laws, Chap. 38, Sec. 7.
... The medical examiner certifies the cause and manner of death to the hest 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 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
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 sua- taincd under circumstances unknown."
If disease or injury was related to occupation, specify. If investigation shows the death to have been 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 : "Hemorrbage spon- taneous of the brain (basal ganglia) (found dead in hed)." "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
01 A
1
PLACE OF DEATH
Suffolk (County) Winthrop No.
.....
The Commonforalth of Massachusetts OFFICE OF THE SECRETARY DIVISION OF VITAL STATISTICS STANDARD CERTIFICATE OF DEATH
To be filed for burial permit with Board of Health or its Agent.
Registered No.
( If death occurred in a hospital or institution,
give Its NAME instead of street aud nuniber) PHYSICIAN - IMPORTANT
2 FULL NAME.
(If deceased is a married, widowed or divorced woman, give also maiden name.)
(a) Residence. No.
105 St. Andrew Road
. St. East Bits 1200"
(Usual place of abode)
Hospital
years
Length of stay : In hospital or Institution
(Refnre death)
(Specify whether)
PERSONAL AND STATISTICAL PARTICULARS
MEDICAL CERTIFICATE OF DEATH
3 SEX
Female White
5 SINGLE
( write the word)
MARRIED
WIDOWED Widowed
or DIVORCED
5a If married, widowed, or divorced
HUSBAND of
(or) WIFE of
Antoine maiden name of ficalehet
( Husband's name in full)
6 Age of husband or wife if alive deceased years
> IF STILLBORN. enter that fact here.
8 AGE 72 Years Months Days
If less than 1 day
Hours.
Minutes
Usual
9 Occupation :
House work
Industry
10 or Business :
own home
11 Social Security No.
none
12 BIRTHPLACE (City)
( Siale or country)
Italy
13 NAME OF
FATHER
Dominic Tuauro
14 BIRTHPLACE OF
FATHER (City)
(State or country)
Italy
15 MAIDEN NAME
OF MOTHER
Ellen if theoracle
16 BIRTHPLACE OF
MOTHER (City)
(State or country)
Italy
17 Helen M. Stasio adwegliter
Informant
( Address)
105 St. Andrew Rd, E. BJ
I HEREBY CERTIFY that a satisfactory standard oartifioate of death was filed with me BEFORE the burial or transit permit was Issued: Nau .D. Children Signature of Agent of Board of Health of other)
Healthe Officer 3/29/44 ( Date of Issue ot Permit)
(Official Designation)
18 DATE OF
DEATH
Marche
28,
( Month)
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