USA > Massachusetts > Suffolk County > Winthrop > Town of Winthrop : Record of Deaths 1944 > Part 31
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Suffolk ) (county) Winthrop No.
......
The Commontoralth of Massachusetts OFFICE OF THE SECRETARY DIVISION OF VITAL STATISTICS STANDARD CERTIFICATE OF DEATH
To be filed tor burial permit with Board of Health or its Agent. 95
Registered No. § (If death occurred in a hospital or Institution, ( give its NAME instead of street aud number)
PHYSICIAN - IMPORTANT
(Was deceased a
U. S. War Veteran,
if so specify WAR)
Ist work war
(a) Residence. No.
(Usual place of abode)
152 Somerset are
Length of stay: In hospital or Institution
(Before death)
(Specify whether)
years
months
days.
In this community
15 yrs. -
mon.
days.
PERSONAL AND STATISTICAL PARTICULARS
3 SEX
4 COLOR OR RACE
male White
5 SINGLE
MARRIED
WIDOWED
( write the word)
Married
HUSBAND of
Ever il divorced Lagamasino
(or) WIFE of
(Gie maiden name of wife in full)
( Husband's name in full)
6 Age of husband or wife if alive
41
years
> IF STILLBORN. onter that fact here.
8
AGE 5 2 Years
Months
Days
If less than 1 day
Hours
Minutes
Usual
9 Occupation :
Retired
Industry
10 or Business :
Restaurant Owner
11 Social Security No. none
12 BIRTHPLACE (City)
(Siale or country)
Cast Boston Mass
13 NAME OF
FATHER
John Ratto
14 BIRTHPLACE OF
FATHER (City)
Genova
(State or country)
15 MAIDEN NAME
OF MOTHER
anna Lavesso
16 BIRTHPLACE OF
MOTHER (City)
(State or country)
Senva
Italy
17 Emily Ratto
Informant
( Address)
1 2 frommail are willthey
I HEREBY CERTIFY that a satisfactory standard certificate of death was filed with me BEFORE the burial or transit permit was issued: um Dlechildren (Signature of Ageit & Board of Health or other) May 3/44
..... (Official Designation) (Date of Issue of! Permit)
18 DATE OF
DEATH
may.
3.
1944
(Year)
( Jfonth
(Day)
19 I HEREBY CERTIFY.
sau 1
. to
19
XX
.....
Cast saw h
alive on.
may 3
19XV
...... death is said to
have occurred on the date stated above/ at
830
.m.
Immediate oause of death
Venta Palma Educa
Due to
Coronary Garrulocus
1 hr. .......
Due to
Chrome Hyperkucin
Other conditions.
( Inciude pregnancy within 3 months of death)
Major findings : Of operations
Date of
Of autopsy
What test confirmed diagnosis?
20 Was disease or jury in any way related to oooupation of deceased ? ....
If so, specify ...
(Signed) ( ..
(Address)
19 Cuenta Sr. E.P
Date 5/3
, M. D.
21
Holy Cross
Place of Byfial, Creniation or Removal.
DATE OF BURIAL ..
May 6
Charles. Tresnon
19 .. 54
22 NAME OF
FUNERAL DIRECTOR
ADDRESS
East Boston
19
Received and Aled
HAY;
1944
( Registrar) X
100M-6 - 2-42-8855
If deceased was a U. S. War Veteran, G. L. Chap. 46. Seotlon 10, requires physicians to Insert a recital to that effeot. termos, wy filet te may be properly ciasalice. baget statement of deveration is very important. Dee instructions and . extracts from the laws on back of certificate.
1
(City or Town) 152 Somerset ave
St.
Frank L. Batto
2 FULL NAME
( If deceased is a married widowed on divorced woman, give also maiden name.)
St.
(If nonresident, give city or town and State)
That I attended deosased from
...
Duration IMPORTANT 1 kr.
...... IMPORTANT
Physician Underline the cause to which death should be charged sta- tisticatiy.
Italia
PARENTS
MEDICAL CERTIFICATE OF DEATH
-
EXTRACTS FROM THE LAWS OF THE COMMONWEALTH OF MASSACHUSETTS GOVERNING THE
RETURN OF CERTIFICATES OF DEATH
A physician or registared hospital madioal officer shali forthwith, after the death of a person whoin he has attended during his last illness, at the request of sn undertaker or other authorizeil person or of sns member of tbe faniily of the deceased, furnisb for registration a standard certifcate of death, stating to the best of his knowledge and belief the name of the deceased, l,is 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 ariny, navy or marine corps of the I'nited States in aus 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 iinmediate cause of death as early as he can state the saine. For neglect to comply with any provision of this section, such physician or officer shall forfeit ten dollars. For the purposes of thia sec- tion and of sections forty-Ave, forty-six and forty-seven of said chapter one bunilred and fourteen, the word "war" shall include the China relief ex- pedition and the Philippine insurrection, which shall, for said purposes, he deenied 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 bundred and seventeen. C. L. Chiap. 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 ita agent appointed to issue such permits, or if there is uo such board, from the clerk of the town where the person dled; and no undertaker or otber pervon shall exhume a buman body and remove it froin 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 be 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 ahall he issued until there shall have been delivered to sucb 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 pbysi- cian who is a member of the board of health, or employed by It or by the selectmen for the purpose, shall upon application niake 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, froin one town to another within the commonwealth cannot be obtained early enough for the purpose, tbe certificate of desth 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 wbich It was removed within thirty-six hours after such removal, unless a permit in the usual form for the removal of such hody 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. sucb recital shall appear upon the permit. The board of health, or its agent. upain receipt of such statenient and certificate, shall forthwith countersigo 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 nece+ 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 .- Cbap. 114. Sec. 45, G. L., ( Tercentenary Editlou).
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 perniit so to do from the board of health or its agent appointed to issue such permita, or if there is no such hoard, from the clerk of the town where the body is to be buried or the funeral is to he held, or from a person appointed to have the care of the cemetery or burial ground in which the interment is made .... Cbap. 114. Sec. 46. C. L., (Tercentenary Editiou).
Medical examiners shall mske examination upon the view of the dead bodies of ouly such persons as are supposed to have died hy 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 aud take charge of the same; ... - General Laws, Chsp. 38, Sec. 6.
RULES OF PRACTICE
The fulfillment of the purpose of these laws calls for the observance of the following rules of practice :
(1) Attending physicians will certify to such deaths only as those of persons to whom they have given bedside care during a last illness from disease unrelated to any form of injury.
(2) Board of Health physiolans wili certify to such deaths only as those of persons who, though disahled by recognized disease unrelated to any form of injury. have died without recent medical attendance or whose pbyet- cian is absent from home when the certificate of death is needed.
(8) Medloal 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 sgents, all deaths following abortion, but also deaths from disease resulting from injury or Infection ralated 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 deathi meana the disease, or complication which causes desth. not the moile of dylug, e. g., heart failure, aspbyxia, asthenia, etc. As principal cause name the disease causing death, As related causes, name earlier morbid conditions, If suy, related to the principal cause and any important complication of tbe principai cause.
Statement of Occupation .- Precise statement of occupation la very im- portant, so that the relative healthfuiness of various pursuits can be known. Make some entry in this section for every pervou 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 businesa, report the usual occupation prior to retirement. Children not gainfully employed may be returned an at school or at hoine. For a woman whose only occupatiou waa that of home bousework, write bousework. For a person engaged in domestic service for wages, however, designate the occupation hy the appropriate terma, as housekeeper-private family, cook-hotel, etc. For a person who had no occupation whatever write none.
SPACE FOR ADDITIONAL INFORMATION
RM R-301
Sulfalle. (County)
(Cityor Town)
The Commonwealth of Massachusetts OFFICE OF THE SECRETARY DIVISION OF VITAL STATISTICS STANDARD CERTIFICATE OF DEATH Thank
(City or town making return)
Registered No
96
§ (If death occurred in a hospital or institution, St. { give its NAME instead of street and number) PHYSICIAN-IMPORTANT (Was deceased a U. S. War Veteran? If so. (specify WAR)na
(a) Residence. No ......
(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
3 days.
In this community
13 yrs.
mos.
days.
PERSONAL AND STATISTICAL PARTICULARS
4 COLOR OR RACE
5 SINGLE
MARRIED
WIDOWED
or DIVORCED
(write the word) married
Sa If married, wiewed, or divorced . Taylor HUSBAND of chance (Glve malden name of wife in full)
6 Age of husband or wife if alive.
7 IF STILLBORN, enter that fact here.
ÅG
37
Years
Months.
Days
If less than 1 day
Hours.
Minutes Due to.
Usual
9 Ocoupation 1 ..
aviation mechanic
Industry
Castane Cuiline
11 Social Security No.
CNBC
12 BIRTHPLACE (City) ...
(State or country)
Somerville mais
13 NAME OF
FATHER
alex Docherty
14 BIRTHPLACE OF
FATHER (City) .....
(State or country)
Maine
18 MAIDEN NAME
OF MOTHER
Margaret Ladner
16 BIRTHPLACE OF
MOTHER (City).
(State or country)
Maine
Relation. If any
Informant
(Address)
33 Quinie so Wechilary
I HEREBY CERTIFY that a satisfactory standard certificate of death wag ffled with me BEFORE the burial or transit permit was issued: Win. . Childress (Signature of Agent of Board of Health or other)
Health Officer 5/8/44
(Official Designation) (Date of Issue of Permit)
MEDICAL CERTIFICATE OF DEATH
18 DATE OF
DEATH
Mau-
5
19 44
(Month)
(Day)
(Year)
19
I HEREBY CERTIFY.
Abri, 27, 1944 to
Mai.
5
1944
I last saw h ...... ].r.p.alive on.
1
M21 5 1944, death is said to
have occurred on the date stated above, at - 2-30 p.
.. m.
Immediate cause of death.
CHRONIC
Endocarditis
Duration Important 1/ 4/1.
ChraNie
Myocarditis
c
Due to
Other conditions
(Include pregnancy within 3 months of death)
Major findings: Of operations.
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?
If so, specify Land. fransger
M. D.
(Signed)
(9) 200 Wasthaton Ave Date May] 1044
(Addre
21 ...
Place of Burial Cremation or Removal.
DATE OF BURIAL
May 8
1944
22 NAME OF
FUNERAL DIRECTOR ...
ADR/50 Wenthogy No Winchamp
Received and filed.
MAY 11 1944
19
A TRUE COPY ATTEST:
(Registrar)
100m (h)-1-41-4695
PLACE OF DEATH
Calças 71
" ............. Nochestes
(If deceased is a married, widowed or divorced woman, give also maiden name.)
2 FULL NAME.C
... 1 No ... 3 8EX Male (or) WIFE of PARENTS 17 If deceased was a U. S. War Veteran, G. L., Chap. 46, Sec. 10, requires physician to insert a recital to that effect. See instructions and extracts from the laws on back of certificate. DEATH in plain terms, so that it may be properly classified. Exact statement of OCCUPATION is very important. 10 or Business :.
mation should be carefully supplied. AGE should be stated EXACTLY. PHYSICIANS should state CAUSE OF N. B .- WRITE PLAINLY, WITH UNFADING BLACK INK-THIS IS A PERMANENT RECORD. Every item of infor-
{City or Town)
Important
Date of
That I attended deceased from
(Husband's name In full)
36
.years
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 hla last iliness, at the request of an undertaker or other authorized person or of any member of the famlly of the deceased, furnish for registration a standard certificate of death, stating to the hest of hls knowledge and hellef the name of the deceased, hls supposed age, the disease of which he died, defined as required hy sectlon one, where same was contracted, the duration of his last illness, when last seen ailve hy the physician or officer and the date of his death . . . Gen. Lows, Chap. 46, Sec. 9.
A physician or officer furnishing a certificate of death as required hy the preceding sectlon or hy section forty-five of chapter one hundred and fourteen, shall, if the deceased, to the best of his knowledge and helief, 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, specifying 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 pro- vision of this section, such physician or officer shall forfeit ten dollars. For the purposes of this section 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, he deemed to have taken place between February fourteenth, eighteen hundred and ninety-eight and July fourth, nineteen hundred and two, and the Mexican horder service of nineteen hundred and sixteen and nineteen hundred and seventeen .- General Laws, Chap. 46, Sec. 10.
No undertaker or other person shall hury or otherwise dispose of a human hody in a town, or remove therefrom a human body which has not heen 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 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 receiv- ing tomh to another in the same cemetery, untli he has received a permit from the hoard of health or its agent aforesaid or from the clerk of the town where the hody is buried. No such permit shall be issued untli there shall have heen delivered to such hoard, agent or cierk, as the case may he, a satisfactory written statement containing the facts required hy law to he returned and recorded, which shall he 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 physlclan, or if, for sufficient reasons, his certificate cannot he obtained early enough for the purpose, or is in- sufficient, a physician who is a member of the hoard of health, or em- ployed hy It or hy the selectmen for the purpose, shail upon application make the certificate required of the attending physician. If death is caused hy 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 another within the commonwealth cannot he 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 hody ahali he 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- movai of such hody has heen 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 shail 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 he obtained as to the deceased, or as to the manner or cause of the death, which the cierk or registrar may require .- Chap. 114, Sec. 45, G. L., (Tercentenary Edition).
Medical examiners shail make examination upon the vlew of the dead hodies of only such persons as are supposed to have died hy 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 iles and take charge of the same; . . . - General Laws, Chap. 38, Sec. 6.
No undertaker or other person shall hury a human hody or the ashes thereof which have heen brought into the commonwealth until he has received a permit so to do from the hoard of health or its agent appointed to issue such permits, or if there is no such hoard, from the cierk of the town where the hody is to he huried or the funeral is to he heid, 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 ohservance 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 Illness from disease unrelated to any form of injury.
(2) Board of Health physicians wiil certify to such deaths only as those of persons who, though disabled hy recognized disease unrelated to any form of Injury, have died without recent medical attendance or whose physician is 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 hy traumatism (including resulting septicemia), and hy the actlon 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 occupation, the sudden deaths of persons not disahled by recognized discase, 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 faliure, asphyxia, asthenia, etc. As principal cause name the disease causing death. As related causes, name earlier morhid conditions, if any, related to the principal cause and any important complication of the principal cause.
Statement of Occupation .- Precise statement of occupation is very Important, so that the relative healthfulness of various pursuits can he known. Make some entry in this section for every person aged 10 years or over. If the occupation had heen given up or changed on account of the disease causing death, report the usual occupation prior to iliness. If the deceased had retired from business, 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
R-301 A
PLACE OF DEATH
Suffolk (County)
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.
Registered No.
97
( If death occurred in a hospital or institution, St. { give its NAME Instead of street aud number)
2 FULL NAME
Oscar
ITZ KOWITZ.
( If decesscd Is a married, widowed or divorced woman, give also maiden name.)
(a) Residenca. No.
10 mentedoryde! Nevada St.
(Usual place of abode)
(If nonresident, give city or town and State)
Length of stay: In hospital or Institution
( Before death)
(Specify whether)
yesra
months
days.
in this community GU yrs.
mos.
days.
PERSONAL AND STATISTICAL PARTICULARS
3 SEX
male
4 COLOR OR RACEI
white
5 SINGLE
MARRIED
WIDOWED
or DIVORCED
( write the word)
single
5a If married, widowed, or divorced HUSBAND of
(or) WIFE of
( Husband's name In full)
6 Age of husband or wife if alive yaars
9 IF STILLBORN. enter that fact here.
8
AGE
47
Years
Months
Days
....
If less than 1 day
Hours
Minutes
Usual
9 Occupation :
Cool
Industry
10 or Business :
Sauce
selling
11 Social Security No.
none
Everett
13 NAME OF
FATHER
Bernard Stacouch
14 BIRTHPLACE OF
FATHER (City)
(State or country)
15 MAIDEN NAME
OF MOTHER
Burth Hardisk
16 BIRTHPLACE OF
MOTHER (City)
(State or country) Fannie
Russia
17 Informant ( Address )
Lenne Lang
Relation, if Any
I HEREBY CERTIFY that a sat Get satisfactory standard oartifioate of death was filed with me BEFORE the burial or transit permit was issued : non o lebulareso (Signature of Agent of Board of Health or other H.O att may 5/44
(Official Designation) (Date of Issue of Permit)
MEDICAL CERTIFICATE OF DEATH
18 DATE OF
DEATH
May
5
1944
(Month)
(Day)
(Year )
19
WHEREBY CERTIFY,
January3
19 44
Mal
That I attended deosesed from
5
19
X4
I last saw h mmm alive on
19 kj/2, daath is said to
have occurred on the date stated above, at 10.30 A.m.
Immedlate cause of death
Carcinoma di left lung
Duration IMPORTANT
6 mos
Due to
Due to
Other conditions.
( Include pregnancy within 3 months of death)
Major findings :
Of operations
Biopsy = Carcino1772
Date of.
Of autopsy
What test confirmed dlegnosis ?
Biob64
IMPORTANT
Physician Underline the cause to which death should be charged sta- tistically.
20 Was disease or injury in any way related to oooupation of deceased ? IVA
If so, spacify ..........
(Signed),
Elward 1, tranger
M. D. 5. 19.54
(Address) 279
non cemeri
Date
l'lace of Burial, Cremation or Removal.
DATE OF BURIAL V/7
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