USA > Massachusetts > Suffolk County > Winthrop > Town of Winthrop : Record of Deaths 1944 > Part 6
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If so, specify.
M. D.
(Signad)
ViWasCompris Date 1-24-19-17
21
Calvary
Portland Me
Place of Burial, Cremation or Removal.
DATE OF BURIAL
(City or Town)
Jan
26
1944 19
22 NAME OF
FUNERAL DIRECTOR ...
ADDRESS
Winthrop
Reosived and flied.
JAN 2 6 1944
19
(Registrar)
100M-€ -2-42-8855:
extracts from the laws on back of certificate. terms, so that it may be properly classified. Exact statement of OCCUPATION is very important. See instructions and If deceased was a U. S. War Veteran, G. L. Chap. 46, Section 10, requires physicians to insert a recital to that effeot. 'PARENTS
PLACE OF DEATH
(Specify whether)
St.
(If nonresident, give city or town and State)
2
MEDICAL CERTIFICATE OF DEATH
23 1944 (Year)
.....
Dua to
antero palermo
. ..
EXTRACTS FROM THE LAWS OF THE COMMONWEALTH OF MASSACHUSETTS GOVERNING THE
RETURN OF CERTIFICATES OF DEATH
A physlolan or registered hospital medical officer shali forthwith, after the death of a person whoin he has attended during his last Illness, at the request of an undertaker or other authorized person or of ans meniber of tbe family of the deceased, furnish 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, 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, Chiap. 16, Sec. 9.
A' physician or officer furnishing a certificate of death as required by the preceding section or by section lorty-five of chapter one hundred and four- teen. slisil, 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 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 saine. For neglect to comply with any provision ol this section, such physician or officer shall forfeit ten dollars. For the purposes of thia sec- tion and of sections forty-five, lorty-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 purposea, he deemed to have taken place hetween February fourteenth, eigliteen hundred and ninety- eiglit and July fourth, nineteen hundred and two, and the Mexi- can border service of nineteen hundred aud sixtcen and nineteen hundred and seventeen. G. L. Chiap. 46, Sec. 10.
No undartakar or other parson shali hury or otherwise dispose of a buman 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 lasue 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 aud remove it froin a town. from one cenietery to 'another, or from one grave or tomb other than the receiving tonib to another In the same cemetery. until be has received a permit from the board of health or ita agent aforesaid or from the clerk of the town where the body is buried. No such permit ahall be Issued until there shall have been delivered to sucb board, agent or clerk, as the case inay he, a satisfactory written statement containing the facts required by law to be returned an recorded, which shall be accompanied. in case of an original internient, by a satisfactory certificate of the attending physician, if any, as required by law. 01 in lieu thereof a certificate 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 physi- cian who is a member of the board of health, or employed by It or by the selectinen for the purpose, shall upon application niske the certificate re- quired of the attending physician. If death is caused by violence. the medi- cal examluier ahall make such certificate. If such a permit for the removal of a liumsu body, not previously interred, froin 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 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 recitai, 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. upon receipt of such statement and certificate, shall forthwith countersign it and transmit It to the clerk of the town for registration. The jurson to whom the permit Is so given and the physician certifying the cause of death shall thereafter furnish for registration any other linces sary information which can be obtained as to the deceased, or as to the maler or cause of the death, which the clerk or registrar uiay require .- Chap. 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 commonwealth until he has re- ceived a permit so to do froni the board of health or its agent appluted to issue ruch permita, 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 he held, or from a person appointed to have the care of the cemetery or burial groutul in which the interment is made ... . Cbap. 114. Sec. 16. G. L., (Tercentenary Editiou).
Medical examiners shall make 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 lils county the body ol such a person, he shall forthwith go to the place where the lundly lies and take charge of the same; ...- General Laws, Chap. 38. Sec. 6.
RULES OF PRACTICE
The fulfillment of the purpose of these iawa calis for the observance of the following rules of practice :
(1) Attending physicians will certify to such deatha only an those of persons to whom they have given bedside care during a last lilness from disease unrelated to any form of injury.
(2) Board of Health physloians will certify to such deaths only aa those of persons who, though disabled hy recognized disease unrelated to any form of injury. have died without recent medical attendance or whose pbys- cian is ahsent 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 hy traumatism (including resulting septicemia), and by the action of chemical (drugs or poisons), thermal, or electrical agenta, and deaths following abortion, but also deaths from diseasa resulting from Injury or Infeotlon related to occupation, the sudden deaths of persons not disablad hy 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 dylng. e. g., heart failure, asphyxia, asthenia, etc. As principai 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 Oooupation .- Precise statement of occupation la 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 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 hsd retired from business, report the usual occupation prior to retirement. Children not gainfully employed may he returned as at school or at boine. For a woman whose only occupatiou was that of honie bousework, write bousework. For a person engaged in domestic service for wages, however, designate the occupation hy the appropriate terma, as housekeeper-private faniily cook-hotel, etc. For a person who had no occupation whatever write none.
SPACE FOR ADDITIONAL INFORMATION
M R-301 A
1
No.
2 FULL NAME
(a) Residence. No.
(Usual place of abode)
Length of stay: In hospital or institution.
(Before death)
(Specify whether)
PERSONAL AND STATISTICAL PARTICULARS
3 SEX
male
4 COLOR OR RACE
white
5 SINGLE
MARRIED
WIDOWED
or DIVORCED
(or) WIFE of
(Give maiden name of wife in full)
(Ilusband's name in full)
6 Age of husband or wife if alive
59
7 IF STILLBORN, enter that fact here.
8
65 Years
3
Months.
4
AGE
Days
Usual
Lumber dealer
9 Occupation :
10 or Business :
11 Social Security
022-09- 6126 A
12 BIRTHPLACE (City)
St. Johns
(State or country )
new Brunswick
13 NAME OF
FATHER
Luke Gillespie
14 BIRTHPLACE OF
FATHER (City)
StJohn
15 MAIDEN NAME
OF MOTHER
annie Garrett
17
Informant Mro Fred Gillespie
( Address)
If deceased was a U. S. War Veteran, G. L. Chap. 46, Section 10, requires physicians to Insert a recital to that effect.
PARENTS
extracts from the laws on back of certificate.
terms, so that it may be properly classified. Exact statement of OCCUPATION is very important. See instructions and
should be carefully supplied. AGE should be stated EXACTLY. PHYSICIANS should state CAUSE OF DEATH in plain
Industry
Lumber business
(write the word)
married
Sa If married, widowed, or divorced Lineal Burno
HUSBAND of
Trace Ru
years
If less than 1 day
Hours
Minutes
(State or country)
New Brunswick
16 BIRTHPLACE OF
MOTHER (City)
St. John
(State or country)
New Brunswick
16 Wilshire St Winthewife
I HEREBY CERTIFY that a satisfactory standard certificate of death was filed With me BEFORE theburial of transit permit was issued : Www.D. Childress
(Signature of Agent of Board of death or other)
/ health Offerte 1/25/X4
(Official Designation) (Date of Issue of Permit>
18 DATE OF
DEATH
(Day)
January 24
(Month)
1944
(Year)
That I attended deceased from
19
HEREBY CERTIFY,
19.513
to.
January 24,,
194%
I last saw him alive on An 24,, 1944, death Is said to
have occurred on the date stated above, at
7.05 Am.
Immediato cause of death.
Carcinoma of Brain
Duration
IMPORTANT
............ Gre ger
Due to.
Due to.
Other conditions
(Include pregnancy within 3 months of death)
Major findings :
Of operations.
22000
Dats
of
Of autopsy ...
B.C. Hospital INVESTIGATION
tistically.
20 Was disease or injury in any way related to occupation of deceased ?......... If so, specify
(Signed)
M. D.
(Address) Lamethop
Data .............
.19% ...
21 Winthrop Cemetery
Winthrop
Place of Burial, Cremation or Removal.
(City or Town)
Relatiou, if any
DATE OF BURIAL Jan 27,
19.4.4.
22 NAME OF
FUNERAL DIRECTOR
Chao R. Bennison
ADDRESS
Winthrop, Maso.
Received and filed
JAN 2 6 1944
......
19
( Registrar)
100m (d) -1-41-4667
PLACE OF DEATH
Suffolk (County) Winthrop (city 16 Wilshire 8/ monthent
The Commonturalth 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, St. į give its NAME instead of street and number)
Fred Gillespie
(If deceased is a married, widowed or divorced 16 wildfire St Wucht
woman, give also maiden name.)
PHYSICIAN - IMPORTANT (Was deceased a U. S. War Veteran, If so specify WAR)
(If nonresident, give city or town and State)
years months days.
in this community
38 yrs.
mos.
days.
MEDICAL CERTIFICATE OF DEATH
IMPORTANT Physician
Underline the cause to which death should be charged sta- What test confirmed diagnosis? Clinical Simms
EXTRACTS FROM THE LAWS OF THE COMMONWEALTH OF MASSACHUSETTS GOVERNING THE
RETURN OF CERTIFICATES OF DEATH
A physiolan 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 member of the family of the deceased, furnish for registration a atandard 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 hia 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, sla!l, 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, sucb 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 horder service of nineteen hundred and sixteen and nineteen bundred 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 exhunte 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 he issued until there shall have been delivered to such board, agent or clerk, as the case may be, 8 satisfactory written statement contaimng 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 conunonwealth 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 aection ten of chapter forty-six, that the deceased served in the army, navy or marine corps of the United States in any war in which it has been engaged, such recital shall appear upon the permit. The board of health, or its agent, upon receipt of such statement and certificate, shall forthwith countersign it and transmit it to the clerk of the town for registration. The person to whom the permit is so given and the physician certifying the cause of death shall thereafter furnish for registration any other 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 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 person appointed to have the care of the cenietery or burial ground in which the interment ia 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 lawa calls for the observance of tbe following rules of practice:
(1) Attending physicians will certify to such 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 physicians will certify to sucb 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 wliose 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 reaulting septicemia), and by the action of chemical (drugs or poisons), thermal, or electrical agents, and deaths following ahortion, but also deaths from disease resulting from injury or infection related to occupation, the sudden deaths of persons not disabled by recognized disease, and those of persons found dead.
Statement of Cause of Death .- Cause of death means the disease, or complication which causes death, not the mode of dying, e. g., heart 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 .- Precise statement of occupation is very im- portant, so that the relative healthfulness of various pursuits can be known. Make some entry in this section for every person aged 10 years or over. If the occupation had been given up or changed on account of the disease causing death, report the usual occupation prior to illness. If the deceased had retired from business, report the usual occupation prior to retirement. Children nut gainfully employed may be returned as at school or at home. For a woman whose only occupation was that of honte housework, write housework. For a person engaged in domestic service for wages, however, designate the occupation by the appropriate terms, aa housekeeper-private family, cook-hotel, etc. For a person who had no occupation whatever write none.
SPACE FOR ADDITIONAL INFORMATION
A R-301 A
Suffit
(County): ..........
(City, or Town) 004
River Frank. C. Guinasso asso.
The Commontoralil 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 ita Agent .: 15
Registered No. ( It death occurred in a hospital or institution, St. give Its NAME fustead of street aud nuniber)
2 FULL NAME
( If deceased is a married, widowed or divorced woman, give also maiden name.)
304 Pmer
Rd
St.
(If nonresident, give city or town and State)
Length of stay: In hospital or Institution
(Before death)
(Specify whether)
yeara
months days.
In this community
yrs.
mos.
days.
PERSONAL AND STATISTICAL PARTICULARS
3 SEX
4 COLOR OR RACE|
Whitel
5 SINGLE
( write the word)
Single
MARRIED
WIDOWED
or DIVORCED
5a If married, widowed, or divoroed HUSBAND of
(or) WIFE of
( Husband's name in full)
6 Age of husband or wife if alive years
> IF STILLBORN. enter that fact here.
8 AGE 66 Years Months Days
If less than 1 day Hours Minutes
Usual
9 Occupation :
Jus
Inspector.
Industry
10 or Business :
City of Bastin
11 Social Security No.
Bartin
*2 BIRTHPLACE (City)
(State or country)
musa
PARENTS
15 MAIDEN NAME
OF MOTHER
Pose Malatesta
16 BIRTHPLACE OF
MOTHER (City)
(State or country)
17 Louise BOH Pror RO Informant ( Address)
Relation, if any (vater.
I HEREBY CERTIFY that a satisfactory standard certificate of death was filed with me BEFORE the burial or transit dermit was lasued: Man Duldress
(Signature of Agentsof/Board of Health orfather) Health Officer 1/24/44
(Official Designation) (Date of Issue of Permit)
18 DATE OF
DEATH
January
25
1944
(Month)
(Day)
(Year) 1
19 I HEREBY CERTIFY,
That I attended deosased from
January 16, 1944
.............
to
January 25.
1944
I last saw h 119
allve on.
January 24, 19 4%, death is said to
have occurred on the date stated abova, at
8-45 Am
Duration
Immedlate oause of death.
IMPORTANT
Lorovar Thrombosis
... 8 days.
Due to
Dua to
Other conditions.
DiabETEN
( Include pregnancy within 3 months of death)
IMPORTANT
Major findIngs:
Of operations
Physician
L'uderline the cause to which death should be charged sta- tistically.
20 Was disease or injury in any way related to oooupation of deceasad? NO
if so, specify.
(Signad)
Edward
M. D.
(Address) 200 WashingtonData Som 2/19 H.
21
Place of Burial, Cremation or Removal.
DATE OF BURIAL
(City or Town) 44
19.
22 NAME OF
FUNERAL DIRECTOR.
m. A Curtis,
ADDRESS
333 Dudley At 1
Received and Aled 19
JAN 28 1944
(Registrar)
100M-€ - 2-42-8855
extracts from the laws on back of certificate. terms, so that it may be properly classified. Exact statement of OCCUPATION is very important. See instructions and
1
PLACE OF DEATH
No.
If deceased was a U. S. War Veteran, G. L. Chap. 46, Section 10, requires physicians to insert a reoltal to that effect. -
13 NAME OF
FATHER
Joseph Quinasso.
14 BIRTHPLACE OF
FATHER (City)
(State or country)
Italy
Date of.
Of autopsy.
What test confirmed diagnosis?
MEDICAL CERTIFICATE OF DEATH
PHYSICIAN - IMPORTANT
(Was deocasad a
U. S. War Veteran,
if so speolfy WAR)
(a) Residence. No.
(Usual place of abode)
(Give maiden name of wife in full)
EXTRACTS FROM THE LAWS OF THE COMMONWEALTH OF MASSACHUSETTS GOVERNING THE
RETURN OF CERTIFICATES OF DEATH
A physician or regiatered 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 authorizeil person or of ans meniber of the faniily 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, bis supposed age, the disease of which he died. defined as re- quired by section one. whirre same was contracted. the duration of his last illness, when last seen alive by the physician or officer and the date of his death ... Cen. 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 bundred and four- teen. shall, if the decessed. 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 that effect, speci- fying the war, and shall also certify in such certificate both the primary and the secondary or immeiliate cause of death as nearly 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 this aec- tion and of sections forty-five, forty-six and forty-seven of said chapter one humired and fourteen. the word "war" shall inclinle the China relief ex- pedition and the Philippine insurrection, which shall, for said purposea, he deented to have taken place hetwcen February fourteenth, eigliteen 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.
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