USA > Massachusetts > Suffolk County > Winthrop > Town of Winthrop : Record of Deaths 1944 > Part 73
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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- tecn, 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 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 fourtb, 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 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 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 ioriy-six, that the deceased served in the army, navy or marine corps of the United States in any war in which it has heen engaged, such recital shall appear upon the permit. The 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 perinit 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 funcral 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 dicd 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; . . . - Gencral 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 wbo, thoughi disabled by recognized disease unrelated to any form of injury, have died without 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 cr indirectly by traumatism (including resulting septicemia), 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 the disease, or complication which causes death, not the mode of dying, c. 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 .- Precisc 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 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, how- ever, 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
R-301 A
COSTUL, NOTIFIED 12/9/44
Suffolk
(County)
Winthrop
(City of Town) Winthrop
Community Hosp.
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 its Agent.
Registered No.
220.
( If death occurred in a hospital or institution, St. ¿ give its NAME instead of street and ouniber)
PHYSICIAN - IMPORTANT
(Was deceased a
U. S. War Veteran, IO
if so specify WAR).
( If deceased is a married, widowed or divorced woman, give also maiden name.)
431 Bennington
(a) Residence, No.
(Usual place of abode)
Hosp.
Length of stay: In hospital or institution
(Before death)
(Specify whether)
years
7
months
days.
In this community 49
yrs.
mos.
dayı.
PERSONAL AND STATISTICAL PARTICULARS
MEDICAL CERTIFICATE OF DEATH
3 SEX
Male
4 COLOR OR RACEİ
White
5 SINGLE
( write the word)
MARRIED
WIDOWED
or DIVORCED
Married
5a If married, widowed, or divorc HUSBAND of
Nora Schofield
(Give maiden name of wife in full)
(or) WIFE of
( Husband's name in full)
70
years
7 IF STILLBORN. enter that fact here.
8
AGE
Years
Months
Days
If less than 1 day Hours ..... Minutes
Usual
9 Occupation :
Laborer
Industry
10 or Business :
Retired
11 Social Security No.
None
'2 BIRTHPLACE ( City)
(Siate or country)
Italy
13 NAME OF
FATHER
Anthony Dellazoppa
14 BIRTHPLACE OF
FATHER (City)
(State or country)
Italy
15 MAIDEN NAME
OF MOTHER
Domenica Pini
16 BIRTHPLACE OF
MOTHER (City)
(State or country)
Italy
17 Nora Dellazoppa
inthe it any
Informant
( Address)
431 Bennington St. (6
I HEREBY CERTIFY that a satisfactory standard certificate of death was filed with me BEFORE the bucial of transit permit was Issued ? Wmuss. Children
(Signature of Agent of Board of Health or other) The althe Office 11/4/44 (Official Designation) (Date of Issue of Permity
18 DATE OF
DEATH
November
4
1944
(Year)
(Day)
()fonth)
19 | HEREBY CERTIFY,
10/1
19 ...
44.
That I attended deosased from
to
11/3
19
44
I last saw h.A.
.. allve on ..
11/3
19 94, death is said to
have occurred on the date stated above,
a
1.30 A
n.
Immediate cause of death
IMPORTANT
Chromis Myocarditis
2yrs
2Je
Other conditions. ...
( Include pregnancy within 3 months of death)
Major findings:
Of operations
Date of
Of autopsy
What test confirmed diagnosis ?.
0
20 Was disease or injury in any way related to oooupation of deceased ? If so, specify.
(Signed)
M. D.
(Address)
page
21
Holy
Cross
Place of Burial, Cremation or Removal.
DATE OF BURIAL
NOV.
6,
(City or Town) 44
19
....
22 NAME OF
Richard C.Kirby
FUNERAL DIRECTOR
ADDRESS
Boston
19
Received and fled NOV 7 1914
(Registrar)
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 recitai to that effeot. PARENTS
100M-€ -2-42-8855
1
PLACE OF DEATH
No.
2 FULL NAME.
Louis Dellazoppa
St.
(If nonresident, give city or town and State)
Duration
Due to
IMPORTANT Physician Underline the cause to u hich death should be charged sta. tistically.
6 Age of husband or wife if alive
72
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 attetled during his last illness, at the request of an undertaker or other authorizeil person or of ans meniber 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 same was coutrecteil, the duration of his last Ilinese, when last seen slive by the physician 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 bundred and four- teen, shall, if the deceased. to the best of his knowledge and belief, aerved in the eriny. usvy or marine corps of the I'nited States in any war in which il has been engaged. insert in the certificate a recital to that elect, speci- fying the war, and shall also certify in such certificate both the primary and the secondary or iinmedliste ceuse of death as nearly as he can state the saine. 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 humired and fourteen. the word "war" shall include the China relief ex- pedition and the Philippine insurrection, which shall, for said purposes, he deemed to have taken place hetween February fourteenth, eighteen hundred and ninety-eight and July fourth, nineteen hundred and two, and the Mexi- can border service of nineteen hundred aud sixtcen and nineteen bundred and seventeen. G. L. Chap. 46, Sec. 10.
No undertaker or other person shall bury or otherwise dispose of a humau 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 permita, 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 buman body and remove it from a town. from one cenietery to suother, 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 boily is buried. No such permit shall he issued untii there shall have been delivered to sucb board, agent or clerk. as the case thay be, a satisfactory written atatenient 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 ettending physician, if any, sa required by law. ot 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 physl- cian who is a member of the board of health, or employed by it or by the selectinen for the purpose, shall upon application niake the certificate re- quired of the attending physician. If death is caused by violence. tbe medl- cal examiner chali 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 tbe undertaker desiring to make such removai shall constitute a permit for such removal; provided, thet such body shall be returned to the town from which It was removed within thirty-six hours after such removal, unless a permil in the usual form for the removal of such hody has heen sooner obtalned 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 corpa of the United States in any war In which It has heen engaged. sucb recital shall appear upon the permit. The board of health, or ins agent. upon receipt of such statement and certificate, shall forthwith countersign it and transmit it to the clock 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 bece+ sary information which can be obtained es to the deceased, or as to the manber or canse of the desth, which the clerk or registrar may require .- Chap. 114. Sec. 45. G. L., (Tercentenary Edition ).
No undertaker or other person shall bury . hunian body or the ashes thereof which have been brought Into the commonwealth until he has re- cerved a permit so to do from the hoard of health or its sgent appointed to issue such permits, 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 tbe care of the cemetery or burial ground in which the interment is made. ... Cbap. 114. Sec. 46. G. L., (Tercentenary Edition).
Medicel examiners shall make examination upon The view of The dead bodies of only such persons as sre supposed to have died by violence. If . medical examiner has notice that there is within his county the hody of such a person, he shall forthwith go 10 the place where the luxly liea aud take charge of the same; ... - General Laws, Chap. 38, Sec. 6.
RULES OF PRACTICE
The fulfillment of the purpose of these laws calle for the observance of the following rules of practice :
(1) Attending physicians will certify to such deaths 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 physlolans will certify to such deathe 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 pbsaf- cian is absent from home when the certificate of death ie needed.
(3) 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 resuiting septicemia), and hy the action of chemical (drugs or poisons), thermal, or electrical agents, and deatbs following abortion, but also deaths from diseass resulting from Injury or .. infeotlon related to occupation, the sudden deaths of persons not disabled hy recognized disease, and those of persons found dead.
Statement of Cause of Death .- Cause of deathı means the disease, or complication which causes death. not the mode of dying, e. g., heart failure, asphyxia, astbenla, etc. As principal cause name the disease caualug death. As related causea, name earlier morbid conilitions, if any, related to the principal cause and any important complication of the principal cause.
Statement of Ocoupatlon .- 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 he returned aa at school or at boine. For a woman wbose only occupatiou was that of home bousework, write bousework. 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 bad no occupation whatever write none.
SPACE FOR ADDITIONAL INFORMATION
A
Suffolk
(County) Winthrop
(City or Town)
No. 66 WaldemarAve.
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.
221
§ (If death occurred in a hospital or institution, St. { give its NAME instead of street and number) PHYSICIAN-IMPORTANT
2 FULL NAME Ann Tarone
(If deceased is a married, widowed or divorced woman, give also maiden name.)
(a) Residence. No.
66 Waldemar ave
St.
(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.
PERSONAL AND STATISTICAL PARTICULARS
MEDICAL CERTIFICATE OF DEATH
1444
(Month)
(Day)
(Year)
19 I HEREBY CERTIFY,
19
I last saw h
Analive on
W. , 1944, death is said to
have occurred on the date stated above, at.
2
Immediate cause of death.
Duration IMPORTANT
6 Age of husband or wife if alive.
years
7 IF STILLBORN, enter that fact here.
8
63
AGE
Years.
Months.
Days
If less than 1 day
Hours ..
Minutes
Usual
9 Occupation:
Beautician
Industry
10 or Business:
Beauty Parpor
11 Social Security No.
Boston
12 BIRTHPLACE (City)
(State or country)
Mass
13 NAME OF
FATHER
James Tarone
14 BIRTHPLACE OF
FATHER (City)
(State or country)
Scotland
15 MAIDEN NAME
OF MOTHER
Catherine Swift
16 BIRTHPLACE OF
MOTHER (City)
(State or country)
Ireland
17 Catherine
Tarone
Informant.
(Address)
66 Waldemar Ave ".
was filed with me BEFORE the burial or transit permit was issued: I HEREBY CERTIFY that a satisfactory standard certificate of death ym. D. Childresset
(Signature of Agent of Board of Health or other)
Health Office 11/6/44
(Official Designation) (Date of Issue of Permit)
21
Place of Burial, Cremation or Removal.
(City of Town)
DATE OF BURIAL
Nov. /7 1944
19,
22 NAME OF
FUNERAL DIRECTOR
ADDRESS
Winthrop
Received and filed. NOV 7 1944
19
(Registrar)
-
IMPORTANT Physician Underline the cause to which death should be charged sta- tistically.
Other conditions.
(Include pregnancy within 3 months of death)
Major findings:
Of operations
Date of
Of autopsy.
What test confirmed diagnosis?
20 Was disease or injury in any way related to occupation of deceased? If so, specify.
(Signed)
., M. D. (diess) haha SUBc /-5- 1944
50m-(e)-3-43-11574
. If deceased was a U. S. War Veteran, G. L., Chap. 46, Sec. 10, requires physicians to insert a recital to that effect. PARENTS
3 SEX
Female
White
4 COLOR OR RACE
5 SINGLE
(write the word)
MARRIED
WIDOWED
or DIVORCED Single.
5a If married, widowed, or divorced
HUSBAND of
(Give maiden name of wife in full)
(or) WIFE of
(Husband's name in full)
18 DATE OF
DEATH
(Was deceased a
U. S. War Veteran,
if so specify WAR)
(Usual place of abode)
IC
4
That I attended deceased from www.4 1944
Due to.
Due to.
1
PLACE OF DEATH
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 undertal:er or other authorized person or of any member of the family of the deccascd, furnish for registration1 a standard certificate of death, stating to the best of his knowledge and belicf the name of the deceased, his supposed age, the disease of which he died, defined as re- quired by sectiou onc, 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, 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 fourtecn, 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, nincteen 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 onc 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 accompanicd, 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
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