USA > Massachusetts > Suffolk County > Winthrop > Town of Winthrop : Record of Deaths 1944 > Part 51
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Statement of Cause of Death .- Cause of death means the disease. or complication which causes death, not the mode of dying, e. g., heart failure, asphyxia, asthenia, ctc. 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 he 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 busi- ness, 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 had no occupation whatever write none.
SPACE FOR ADDITIONAL INFORMATION
1 A
If deceased was a U. S. War Veteran, G. L., Chap. 46, Sec. 10, requires physicians to insert a recital to that effect. PARENTS
50m-(e)-3-43-11574
was filled with me BEFORE the burial or transit pefmit was issued: I HEREBY CERTIFY that a satisfactory standard certificate of death Mais- Childress
(Signature of Agent of Board of Health or other) Leatthe office 8/9/44
(Official Designation) (Date of Issue of/Permit)
18 DATE OF
DEATH
(Month)
(Day)
(Year)
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 delbonne
8
AGE
Years.
Months.
Days
If less than 1 day Hours ... Minutes
Usual
9 Occupation :
Industry 10 or Business:
11 Social Security No.
12 BIRTHPLACE (City) Nathrop
(State or country)
13 NAME OF
FATHER
Joseph Liraco
14 BIRTHPLACE OF
FATHER (City)
(State or country)
Italy
15 MAIDEN NAME
OF MOTHER
1. Mary DE Vito
16 BIRTHPLACE OF
MOTHER (City)
(State or country)
Italy
20 Was disease or injury in any way related to occupation of deceased?
If so, specify (4) Dostanza
M. D.
(Signed)
238 Maverik SE 8180044
(Address)
21 St. Michael
Place of Burial, Cremation or Removal. (City or Town) DATE OF BURIAL August
10 1944
22 NAME OF
FUNERAL DIRECTOR
Sally Papino
ADDRESS
9 Chelsea Str & Bostore
Received and filed
111-10 1944
(Registrar)
per hospital
PERSONAL AND STATISTICAL PARTICULARS
MEDICAL CERTIFICATE OF DEATH
3 SEX
Male Rete
4 COLOR OR RACE
5 SINGLE
(write the word)
Jungle
MARRIED
WIDOWED
19 FREREBY CERTIFY, That I attended deceased from
19
44
to. Chey 8,
I last saw h
alive on
., 19 __ ... , death is said to have occurred on the date stated above, at 11: 40 a.M.
Immediate cause of death
Due to.
Due to
Other conditions.
(Include pregnancy within 3 months of death)
Major findings:
Of operations
Date of.
Of autopsy
What test confirmed diagnosis?
IMPORTANT Physician Underline the cause to which death should be charged sta- tistically.
17 Joseph Liraco Relation, if any (Address 320 Princeton St. Sposten
)
The Commonfocalih 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 Agente - 2
Registrar's No.
§ (If death occurred in a hospital or institution, ¿ give its NAME instead of street and number) PHYSICIAN-IMPORTANT
2 FULL NAME
(If deceased is a married, yidowed or divorced woman, give also maiden name
(a) Residence. No. 320 Princeton 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
yrs.
mos.
days.
PLACE OF DEATH
Suffer
{County)
1
Mithrof Community Hospital No.
St.
Baby Boy Tirado
(Was deceased a U. S. War Veteran, if so specify WAR)
El Postou
8,1944
Duration MPORTANT
19
BOSTON NUTIHILD 9/9/44
EXTRACTS FROM THE LAWS OF THE COMMONWEALTH OF MASSACHUSETTS GOVERNING THE RETURN OF CERTIFICATES OF DEATH
A physician or registered hospital incdical officer shall fortliwith, after the death of a person whom lie 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 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, Cbap. 46, Scc. 9.
A physician or officer furnishing a certificate of death as required by tbe 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 sball 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 sball 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 tbc China relief expedition and the Philippine insurrection, which sball, 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 tbe Mexican border service of nineteen hundred and sixteen and nine- teen bundred and seventeen. G. L. Cbap. 46, Sec. 10.
No undertaker or other person shall bury or otherwise disposc of a human body in a town, or remove therefrom a human 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 the clerk of the town where the person died; and no undertaker or other person sball 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 sueb 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 accompanicd, in case of an original interment, by a satisfactory certificate of the attending physician, if any, as required by law, or in lieu tbereof 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 wbo 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 tbe 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 wbich it was removed within thirty six hours after such reinoval, 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 scetion ten of chapter forty-six, that the deecased 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 thercafter 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).
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 perinits, or if there is no such board, from the clerk of the town where the body is to be buried or the funeral is to be held, or from a person appointed to have the care of the cemetery or burial ground in which the interment is made. . . . Chap. 114, Sec. 46, G. L., (Tercentenary Edition).
Medical examiners shall make examination upon the view of the dead bodies of only such persons as are supposed to have died by violence. If a medical examiner has notice that there is within his county the body of such a person, he shall forthwith go to the place where the body lies and take ebarge of the same; . . . - General Laws, Chap. 38, Sec. 6.
RULES OF PRACTICE
The fulfillment of the purpose of these laws calls for the observance of the following rules of practice:
(1) Attending 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, bave died witbout recent medical attendance or whose phy- sician 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 indirectly by traumatism (including resulting septiecmia), 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 tbe discase, or complication which causes death, not the mode of dying, e. g., beart failure, aspbyxia, asthenia, etc. As principal cause namc the disease causing death. As related causes, name earlier morbid conditions, if any, related to the principal cause and any important complication of the principal cause.
Statement of Occupation .- Precise statement of occupation is very im- portant, so that the relative bealthfulness 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 liome housework, write housework. For a person engaged in domestic service for wages, how- ever, designate the occupation by the appropriate terms, as housekeeper- private family, cook-hotel, ete. For a person who had no occupation whatever writc none.
SPACE FOR ADDITIONAL INFORMATION
-301 A
extracts from the laws on back of certificate. If deceased was a U. S. War Veteran, G. L. Chap. 46, Seotlon 10, requires physiolans to insert a recital to that effect.
100M-G - 2-42-8855
PLACE OF DEATH
Suffolk ( County)
Winthrop
(City or Town) No. 19 Bellevue Ave .. Winthrop
The Commontoralth of Massarinisetts 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.
S ( If death occurred In a hospital or Institution, St. { give Its NAME instead of street aud number)
PHYSICIAN - IMPORTANT
2 FULL NAME Louis M. Donovan
( If deceased Is a married, widowed or divorced woman, give also maiden name.)
(a) Residence. No. 19 Bellevue Aye Winthrop
(Usual place of abode)
(If nonresident, give clty or town and State)
Length of stay: In Ansoltal or Institution (Before death)
none
years
months
days.
In this community
35 yrs. -
mos.
- days.
PERSONAL AND STATISTICAL PARTICULARS
MEDICAL CERTIFICATE OF DEATH
3 SEX
4 COLOR OR RACE
5 SINGLE
( write the word)
MARRIED
WIDOWED
male
white
DIVORCED married
a If married,
HUSBAND of
(Give maiden name of wife in full)
(or) WIFE of
( Husband's name In full)
56
years
> IF STILLBORN. enter that fact here.
8 AGE 59. Years 9 Months 2.9 .... Days
If less than 1 day Hours .Minutes
Usual
9 Occupation :
Lieutenant,Police
Industry 10 or Business :
Winthrop .... Police .... Departmente to.
11 Social Security No.
none
Other conditions.
22000
( Include pregnancy within 3 months of death)
Major findings :
Of operations
14 BIRTHPLACE OF
FATHER (City)
(State or country)
Ireland
15 MAIDEN NAME
OF MOTHER
Annie O'Donnell
16 BIRTHPLACE OF
MOTHER (City)
(State or country)
Scotland
(Address)
Winthrop
Dat fez 10 1944
17 Informant ( Address)
Mrg Alice M. Donovan Relation, "wife DATE OF BURIAL August 12 1944 19
19 Bellevue Ave .. Winthrop
I HEREBY CERTIFY that a satisfactory standard certificate of death was filed with me BEFORE the arial or transit permit was Issued ? your Children of
(Signature of Agent of Board of health or other)
Healthe Office 8/11/48
(Official Designation) ( Date of Issue of Permit)
18 DATE OF
DEATH
Conquest
9
Exonth)
(Day)
1944 (Year)
19 I HEREBY CERTIFY,
That I attended deosased from
Leplandey 15 1943
to
Ceny 9,
1944
I last saw h .............. alive on
Lucy 8, 194/4, de
h Is said to
have occurred on the date stated above, at.
9.00A
m.
Immediate cause of death.
Coramany Thrombosis
IMPORTANT Sudde
8 years
IMPORTANT Physician Umlerline the cause to which death should be charged sta- tistically.
200
..
21
Winthrop ...
Winthrop
Place of Burial, Cremation or Removal.
(City or Town)
22 NAME OF
FUNERAL DIRECTOR
Richard esterobay
ADDRESS
East Boston
Received and Aled
AUG 15 1011
19
( Registrar)
Duration
Due to Chronic /dypeclemens
heart duecare
'2 BIRTHPLACE (City)
(Siate or country)
Massachusetts
13 NAME OF
FATHER
Timothy Donovan
Date of
Of autopsy.
What test confirmed dlagnosla ? CliniCA/ Signs
20 Was disease or injury in any way related to oooupation of deceased ?
If so, specify
Daniel/Orrun
(Signed)
M. D.
Fast Boston
PARENTS
6 Age of husband or wife if alive
MIce mand Nelson
St.
(Was deceased a
U. S. War Veteran,
if so specify WAR).
no
(Specify whether)
1
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 whoin he has attemled during his last illness, at the request of an undertaker or other authorized person or of any member of the family 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, his supposed age, the disease of which he died. defined as re- quired by section one. wlirre ssme was contracteil. the duration of his last illness, when last seen alive by the physician or officer and the date of bia death ... Ceu. Laws, Chiap. 16, Sec. 9.
A physician or officer furnishing a certificate of desth 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 I'nited States in any war in which it has been engaged, insert in the certificate a recital to thai effect. speci- fying the war, and shall also certify in such certificate both the primary and the secondary or iinmediate cause of death as nearly as he can state the saine. For neglect to comply with suy provision of this section, such physician or officer shall forfeit ten dollars. For the purposes ol this sec- tion and of sections forty-five, forty-six and forty-seven of said chapter one bundred and fourteen, the word "war" shall inclitde the China relief ex- pedition and the Philippine insurrection, which shall, for said purposea, he deencd 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 sixtcen and nineteen bundred and seventeen. G. L. Chap. 16, Sec. 10.
No undertaker or other person shall bury or otherwise dispose of a buman body in a town, or remove therefrom a human budy which has not been buried, until he has received a permit from the board of health, or ita ageut appointed to issue such permits, or if there is uo such board, from the clerk of the town where the person died; and no undertaker or otber 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 tonib to another In the same cemetery, until he has received a permit from the board of health or its agent aforexaid 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 sucb board, agent or clerk, as the case may be, a satisfactory written statement containing the facts required by law to be returned anul 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, o1 in lieu thereof a certifcsie as hiereinafter 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 ia a member of the board of bealth, or employed by it or by the selectinen for the purpose, shall upon application make the certificate re- quired of the attending physician. If death is caused by violence, tbe medl- cal examiner shall make such certificate. if such a permit for the removal of a human body. not previously interred, froin oue town to another within the commonwealth cannot be obtained early enough for the purpose, tbe certificate of death made as above provided and in the possession of the undertaker desiring to make such removal slisli constitute a permit for such removal; provided, that such body sball 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 t'nited States in any war In which It has heen engaged. sucb 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 lece+ sary information which can be obtained as to the deceased. or us to the matter or canse ol the death, which the clerk or registrar uiay require .- Cbap. 114. Sec. 45. G. L., ( Tercentenary Edition ).
No undertaker or other person shall bury a hunian body or the ashes thereof which have been brought Into the coninionwealth until he has re- ceived a permit so to do from the board of health or its agent appointed to issue such perinits, or if there is no such board, front the clerk of the town where the body is to be buried or the funeral is to he held, or from a person apointed to have the care of the cemetery or burial gromut in which the interment is made. ... Cbap. 114. Sec. 46. G. 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 by violence. If a medical examiner has notice that there is within his county the hody of such a person, he shall forthwith go to the place where the body iies and take charge of the same; ... - General Laws, Chap. 38, Sec. 6.
RULES OF PRACTICE
The fulfillment of the purpose of these laws calls for the observance of the following rules of practice :
(1) Attending phyalciana will certify to sucb deatha only aa 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 phyalolana will certify to such deaths only aa those of persons who, though disshled by recognized disease unrelated to any form of injury. have died without recent medical attemlance or whose phyaf- cian is absent from home when the certificate of death is needed.
(3) Medloal Examiners will investigate and certify to all deatha sup- posably due to Injury. These include not only deaths canzed directly or in- directly by traumatism (including resulting septicemia), and by the action of chemical (drugs or poisons), thermal, or electrical agents, all deaths following abortion, but also deaths from diseasa resulting from injury or Infeotlon related to oooupation, the sudden deatha of peraons not disablad by recognized disease, and those of persons found dead.
Statement of Cause of Death .- Cause of deathi meana the disease, or complication which causes death. not the mode of dying. e. g., heart failure, asphyxia, astbenia, etc. Aa principal cause name the disease causing death. Aa related causes, name earlier morbid conditions, if any, related to the principal cause and any important complication of the principal cause.
Statement of Oooupation .- Precise statement of occupation ia very im- portant, so that the relative bealthfulness of various pursuits can be known. Make some entry in this section for every persou aged 10 yeara or over. if the occupation had been given up or changed ou account of the disease causing death, report the usual occupation prior to Illness. If the deceased hsd retired from businesa, report the usual occupation prior to retirement. Children not gainfully employed may be returned aa at school or at boine. For a woman whoae only occupation waa that of bonie bousework. write bousework. For a person engaged in domestic service for wages, however, designate the occupation by the appropriate terma, aa housekeeper-private family, cook- hotel, etc. For a person who had no occupation whatever write none.
SPACE FOR ADDITIONAL INFORMATION
I A
DOSTON NOTIFIED
9/9/14
The Commonwealth of Massachusetts OFFICE OF THE SECRETARY DIVISION OF VITAL STATISTICS STANDARD CERTIFICATE OF DEATH
To be filled for burial permit with Board of Health or its Agent,
Registrar's No.
2 FULL NAME
Streeton Myoleo Volea
(If deceased is a married, widowed or divorced woman, give also maiden name.)
(a)
Residence. No.
43 Fliet
(Usual place of ahode)
St. Boston
(If nonresident, give city or town and Statc)
Length of stay: In hospital or Institution
(Before death)
(Specify whether)
years
months
days.
In this community
yTS:
mics.
days.
PERSONAL AND STATISTICAL PARTICULARS
MEDICAL CERTIFICATE OF DEATH
3 SEX
4 COLOR QR RACE
W
5 SINGLE .
(write the word)
MARRIED
WIDOWED
or DIVORCED
18 DATE OF
DEATH
august
9
Gionth)
(Way)
(Year)
19 I HEREBY CERTIFY,
That I attended deceased from
1944
august 9, 1944, to
august 9
-- ,
I last saw h
alive on
., 19
death is said to
have occurred on the date stated above, at.
5:55 ar
Immediate cause of death
Stillborn
Duration IMPORTANT
8
AGE
Years.
Months.
Days
If less than 1 day
Hours.
Minutes
Usual
9 Occupation :
Industry
10 or Business:
Duc to.
11 Social Security No.
12 BIRTHPLACE (City)
(State or country)
Winthing Community
Other conditions
(Include pregnancy within 3 months of death)
13 NAME OF
FATHER
Stephen Molea
Stefano intoler
14 BIRTHPLACE OF:
FATHER (City)
(State or country)
15 MAIDEN NAME
OF MOTHER
Marie Scalafani.
16 BIRTHPLACE OF
MOTHER (City)
Boston Mais
(State or country)
4.8.2
17 Stephan volea Relation, if any Father
Informant two (Address) 42 let SE Boston
was filed with me BEFORE the bugial or transit permit was issued: I HEREBY CERTIFY that a satisfactory standard certificate of death Wie D. Childress
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