USA > Massachusetts > Suffolk County > Winthrop > Town of Winthrop : Record of Deaths 1944 > Part 28
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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 vlolence. 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.
. Ile 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 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 actlon 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 thercof, 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 & surgical anaesthetic." "Fracture of the skull with associated internal injury sus- tained 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 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
M R-305
PLACE OF DEATH
I SUFFOLK ) BOSTON
(City or Town) enroute to Mass. Gen. Hospital
Che Commonturalth of Massachusetts OFFICE OF THE SECRETARY COPY OF MEDICAL EXAMINER'S CERTIFICATE OF DEATH
BOSTON
(City or town making return) 85
Registared No.
3713
¿ (If death occurred in a hospital or institution, ¿ give its NAME instead of street and number)
(If deceased is a married, widowed or divorced woman, give also maiden name.)
6 Central St.
St.
Winthrop
(If nonresident, give city or town and State)
months days.
In this community
yrs.
mos.
days.
(Specify whether)
MEDICAL CERTIFICATE OF DEATH
18 DATE OF
DEATH
April 15 1944
(Month)
(Day)
(Year)
19 | HEREBY CERTIFY that I have Investigated the death of tha person above-named and that the CAUSE AND MANNER theraof ara as follows: (If an injury was involved, state fully.) Acute meningitis Recent measlan
20 Acoldent, sulolde, or homlolda (specify) Data of ocourrenoa 19
Where did Injury ocour ?
(City or town and State)
Did Injury oocur In or about tha home, on farm, In Industriai place, or In publio place? (Specify type of place)
Manner of
Died en route to hospital
Injury
Nature of
Injury
While at work?
.Was thera an autopsy ?..... no
21 Was disease or Injury In any way related to occupation of deceased ?
If so, spacify.
(Signed)
W.J .. Briokley
M. D.
(Address)
Boston Mass.
Data.
4/16/44
22 Holy Cross. .... Malden Mass. Place Of Burial, Cremation pr Removal. (City or Town)
Relation, if any
DATE OF BURIAL
4/18/44
19
23 NAME OF
F. J.
Magrath
FUNERAL DIRECTOR Boston, Mass"
ADDRESS
Received and filed. MAY 1 0-1944 19
(Registrar of City or Town where deceased resided)
( Registrar)
=
1
=
5 SINGLE
(write the word)
MARRIED
WIDOWED
or DIVORCED
Single
(Give maiden name of wife in full)
6 Age of husband or wife If allva yaars
If less than 1 day Hours. .Minutes
15 MAIDEN NAME
OF MOTHER
Flora E. Dunbar
16 BIRTHPLACE OF
MOTHER (City)
(State or country)
E. Boston, Mass.
17 Informant (Address)
Father
A TRUE COPY.
ATTEST :
(Registrar of city or town where death qccorred)
19
DATE FILED
4/20/44
years
PERSONAL AND STATISTICAL PARTICULARS
No.
Joanne E. Ford
2 FULL NAME
(a) Residenoa. No.
(Usual place of abode)
Length of stay: In hospital or Institution
(Before death)
3 SEX
F
4 COLOR OR RACE|
W
5a If married, widowed, or divorced
HUSBAND of
(or) WIFE of
(Husband's name in full)
7 IF STILLBORN, enter that faot here.
8
AGE
Years
7
Months.
23
.Days
Usual
9 Occupation :
Industry
10 or Business :
11 Social Security No.
12 BIRTHPLACE (City)
(State or country)
Winthrop, Mass.
13 NAME OF
FATHER
Gerald R. Ford
14 BIRTHPLACE OF
FATHER (City)
PARENTS
occurred. (See Chap. 46, Sec. 12, G. L.)
of the city or town in which the deceased resided as soon as possible after the close of the month in which the death
resided in another city or town at the time of death should be made forthwith and transmitted on Form R-305 to the clerk
Copies of Tętems of deathis recorded during the previous month which becalled thi your city of town In case die utęcastu
(State or country)
E.Boston, Ma88.
25m (h)-1-41-4667
1
(If U. S.
War Veteran,
speolfy WAR)
R-301
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.
If deceased was a U. S. War Veteran, G. L. Chap. 46, Section 10, requires physicians to Insert a recital to that effeot.
PARENTS
14 BIRTHPLACE OF
FATHER (City)
(State or country)
Italy
15 MAIDEN NAME
OF MOTHER
Schraffa Camaro
16 BIRTHPLACE OF
MOTHER (City)
(State or country)
Italy
17 Informant Mrs. Louise Spinazzola Wifeny (Address) 23 Lancaster Ave. Revere
I HEREBY CERTIFY that a satisfactory standard certificate of death was filed with me BEFORE the burial or tramit permit was issued : Uma Childin
(Signature of Agent of Board of Health or other)
april 18/44
(Official Designation) (Date of Issue of Permit)
.....
St.
Revere
(If nonresident, give city or town and State)
In this community1 5
yrs.
mos.
days.
PERSONAL AND STATISTICAL PARTICULARS
3 SEX
4 COLOR OR RACE|
5 SINGLE
(write the word)
MARRIED
WIDOWED
or DIVORCEDMarried
Male
-
White
5a If married, widowed, 05 divorced anninio
HUSBAND of
(Give maiden name of wife in full)
(or) WIFE of
(Ilusband's name in full)
6 Age of husband or wife if alive 43
years
7 IF STILLBORN, enter that fact here.
8
53
Years
Months.
Days
If less than 1 day
Hours
.Minutes
Usual
9 Occupation:
Carpenter
Industry
10 or Business :
Outside
11 Social Security No.
026-09-5567
12 BIRTHPLACE (City)
(State or country)
Italy
13 NAME OF
FATHEAntonio Spinazzola
Major findings:
Of operations
Carcinia of lives
Capul 19 /come of
Of autopsy
What test confirmed diagnosis? Champsom
Underline the cause to which death should be charged sta- Istically.
20 Was disease or injury in any way related to occupation of deceased ?.
If so, specify
Esebyla
(Signed)
M. D.
.198 ..
21
.S.t .. Michael
Boston
Place of Burial, Cremation or Removal.
(City or Town)
DATE OF BURIALApril 19 1944
19
22 NAME OF
Michael Cascella
ADDRES} O ... No .. Benett ..... St ... , Boston
Received and filed
APR- 20 1924
19
(Registrar)
1
PLACE OF DEATH
Suffolk (County)
Kánthrop
(City or Town)
LEVERE NOTE 5/10/14
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.
86
" (If death occurred in a hospital or institution,
St. [ give its NAME instead of street and number)
PHYSICIAN - IMPORTANT
2 FULL NAME .. Fred SPINAZZOLA
(If deceased is a married, widowed or divorced woman, give also maiden name.)
(a) Residence. No. 23 Lancaster Ave .. (Usual place of abode)
Length of stay: In hospital or Institution
( Before death)
(Specify whether)
years
months
days.
MEDICAL CERTIFICATE OF DEATH
18 DATE OF
DEATH
april
17
1944
(Month)
(Day)
(Year)
19 | HEREBY CERTIFY,
Mar 2
1944,
to.
That I attended deceased from
19850
...........
last saw h
.. allve on
april 16
death Is sald to
have occurred on the date stated above, at
5/5
m
Immediate cause of death.
5:184
IMPORTANT
>
>
Due to.
Due to ...
Other conditions.
(Include pregnancy within 3 months of death)
IMPORTANT
Physician
(Add
gel 19 Bomthe Date 3/12
100m (d) -1-41-4667
No.
WinthropCommunity Hospital
Registered No.
(Was deceased a
U. S. War Veteran,
If so specify WAR)
Duration
AGE
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 inember 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 physiciau or officer and the date of bis 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 deeined 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 sixteeu 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 fromn one grave or tomb 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 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 reasous, 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 inake such certificate. If such a permit for the removal of a human boily, not previously interred. from one town to another within the conunouwealth 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 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 aerved 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 certitying 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 the manter 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 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 hody 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).
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 fulfillment of the purpose of these laws calls for the obaervance 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, through disahled by recognized disease unrelated to auy forni of injury, have died without recent medical attetulance or whose pbysi- 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 inelude not only deaths eaused directly or in- directly by traumatism (including resulting septicemia). and by the action of che.nickl ( drugs or poisons), thermal. or electrical agents, and deaths following abortion, but also deaths from disease resulting from injury or infection felated 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., licart 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 .-- i'mreise statement of occupation is very im- portant, so that the relative licalthfulness of varions 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 bad no occupation whatever write none.
SPACE FOR ADDITIONAL INFORMATION
. A
Suffolk
(County) Winthrop
(City or Town) × 37 Belcher St.
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.
87
St. S (If death occurred in a hospital or institution, '{ give its NAME instead of street and number) PHYSICIAN-IMPORTANT
2 FULL NAME.
David C. Gillespie
(If deceased is a married, widowed or divorced woman, give also maiden name.)
(a)
Residence. No.
37 Belcher St
St.
(Usual place of abode)
(If nonresident, give city or town and State)
Length of stay: In hospital or Institution.
(Before death)
(Specify whether)
years
months
days.
In this community O
yrs.
mos.
days.
PERSONAL AND STATISTICAL PARTICULARS
MEDICAL CERTIFICATE OF DEATH
3 SEX Male
4 COLOR OR RACE
White
5 SINGLE
(write the word)
MARRIED
WIDOWED
or DIVORCED
Married
18 DATE OF
DEATH
23
144 (Year)
(Month)
(Day)
5a If married, wide
HUSBAND of
(Give maiden name of wife in full)
Ellen A. Murphy
(or) WIFE of
(Husband's name in full)
have occurred on the date stated above, at.
M.
6 Age of husband or wife if alive.
years
7 IF STILLBORN, enter that fact here.
8
AGE78
Years
Months.
Days
If less than 1 day
Hours
Minutes
Usual
9 Occupation:
Retired
Industry
10 or Business:
Plumber
11 Social Security No.
12 BIRTHPLACE (City)
Boston
(State or country)
Magg
13 NAME OF
FATHER
Garret Gillespie
14 BIRTHPLACE OF
FATHER (City)
(State or country)
Scotland
15 MAIDEN NAME
OF MOTHER
Hanna Fleming
16 BIRTHPLACE OF
MOTHER (City)
(State or country)
Ireland
(Address)
Date 4124
21
Winthrop Winthrop
Place of Burial, Cremation or Removal
(City or Town)
19
DATE OF BURIAL April 26 1944
Lohus HO Marey
winthrop
22 NAME OF
FUNERAL DIRECTOR
ADDRESS
Received and filed.
MAY-2-1944
19
(Registrar)
50m-(e)-3-43-11574
was filed with me BEFORE the burial or transit permit was issued: I HEREBY CERTIFY that a satisfactory standard certificate of death Www. D. Children
(Signature of Agent of Board of Health or other) Health officer 14/04/44
(Official Designation) (Date of Issue of Permity
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)
M. D.
17 Rachel Donahue Daugh'ta
Info (Address) 37 Belgher St
If deceased was a U. S. War Veteran, G. L., Chap. 46, Sec. 10, requires physicians to insert a recital to that effect. PARENTS
Duration IMPORTANT
Immediate cause of death
Due to.
antino velem
Due to.
19 I HEREBY CERTIFY,
That I attended deceased from
19 YY, to
afinal 23
19450
I last saw h.
alive on.
mai/ 23, 9%
death is said to
84
1
PLACE OF DEATH
Registrar's No.
(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 registercd 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 deccased, 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 scen 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, iusert 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 expedition 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 Mexican border service of nineteen hundred and sixteen and nine- teen 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 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 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 armny, 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 healthı, 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 neces- sary 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).
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