USA > Massachusetts > Suffolk County > Winthrop > Town of Winthrop : Record of Deaths 1945 > Part 17
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(State or country)
Dorchester Mass.
13 NAME OF
FATHER
Joseph " Mann
Usual
9 Occupation :
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
4.2
5a If married, widowed, or divorced]ba J Manchester
(If U. S.
War Veteran,
speolfy WAR)
Winthrop
(City or Town)
No. Peter ... Bent .... Brigham Hospital
DATE OF BURIAL
-301 A
+
extracts from the laws on back of certificate. If deceased was a U. S. War Veteran, Q. L. Chap. 46, Section 10, requires physiolans to Insert a reoltal to that effect. ( per host. 3/5/45
100m(1)-1.44.13634
.. .
(Signature of Agents of Board nt fhealth or other)/ Health Michiel
3/3/45
( Date of Inque of Permit)
MEDICAL CERTIFICATE OF DEATH
3 SEX
Male
4 COLOR OR RACEĮ
white
5 SINGLE
MARRIED
WIDOWED
or DIVORCEU
( write the word)
Single
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 ative
years
7 IF STILLBORN, enter that fect here.
g AGE Yeers .
Months .......... Days
if less than 1 day Hours / ...... Minutes
Usual
9 Occupation :
Industry
10 or Business :
11 Social Security No.
12 BIRTHPLACE (City)
( Siale or country )
Winthrop
Mass.
13 NAME OF
FATHER
Joseph Grillo
Mejor findIngs:
Of operations
Date of
Of autopsy
Whet test confirmed dlegnosls?
IMPORTANT
Physician
Underline the cause to which death should be charged sta. tistically.
20 Was disease or injuly in any way related to occupation of deceased ? if so, spaoify
¿ Signed)
238 Mavacul Date.
. M. D.
3/28/45-
21 37 Michaels, Boston
Place of Burial, Cremation or Removei.
(City or Town)
DATE OF BURIAL.
March
5,
1945
22 NAME OF
FUNERAL DIRECTOR
John G. Kelly
ADDRESS
11 Meridian St, E. Boss.
Received and Aled
MAR 5
1945
19
(Official Designation)
18 DATE OF
DEATH
Peh 24/45
( Month )
(Day)
(Year)
19 | HEREBY CERTIFY, Thet i attended deceased from Fch 27 19 Fel 27 1945
45.
to .
im .alive on.
Feh
27
1945, death is said to
have occurred on the date stated above, at
m.
Duration
Immediate ceuse of death
Premiure Birth
Premature
IMPORTANT
Due to (5/2 Months
Due to
Other conditions.
( Include pregnancy within 8 months of death)
14 BIRTHPLACE OF
FATHER (City)
East Boston
(State or country)
mass.
15 MAIDEN NAME
OF MOTHER
Lucy Moratta
16 BIRTHPLACE OF
MOTHER (City)
(State or country )
mass.
East Boston
17 Informent
Joseph Guillo Printing, if any (Address) 16 Summer que, Medford
PARENTS
PLACE OF DEATH
Suffolk
The Commonwealth of Massachusetts OFFICE OF THE SECRETARY DIVISION OF VITAL STATISTICS STANDARD CERTIFICATE OF DEATH
To be filed for burial permit with Board of Health or its Agent.
Registered No. 48
-
r
No. Tuate
2 FULL NAME
.( If deceased is a married, widowed or divorced
16 Summer
Are.
woman, give also maiden name.)
(a) Residence. No.
(Usual place of abode)
Hos.
years
months
„days.
In this community
yrs.
mos."
1. 1 days.
1 hr 15 min.
PHYSICIAN - IMPORTANT (Was deceased a U. S. War Veteran, if so specify WAR) no
Medford
1
(If nonresident, give city or town and State)
Length of stay: In hospital or Institution
( Before death)
(Specify whether)
PERSONAL AND STATISTICAL PARTICULARS
Grillo
(If death occurred in a hospital or institution, give its NAME instead of street and number)
County) Winthrop (City of Town) Winthrop Community Hospital s
1
I HEREBY CERTIFY that a satisfactory, standard certificate of death was Aled with me BEFORE theburial ør transit permit was issued :
(Address)
( Registrar)
EXTRACTS FROM THE LAWS OF THE COMMONWEALTH OF MASSACHUSETTS GOVERNING THE RETURN OF CERTIFICATES OF DEATH
A physician or registered hospital medical officer shall forthwith, after the death of a person whom he has attended during his last illness, at the request of an undertaker or other authorized person or of any 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, 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 inarine 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 tbis sec- tion and of sections forty-five, forty-six and forty-seven of said chapter one hundred and fourteen, the word "war" shall include the China relief expedition and the Philippine insurrection, which shall, for said purposes, be deemed to have taken place between February fourteenth, eighteen hundred and ninety-eight and July fourth, nineteen hundred and two, and the Mexican border service of nineteen hundred and sixteen and nine- teen hundred and seventeen. G. L. Chap. 46, Sec. 10.
No undertaker or other person shall bury or otherwise dispose of a human body in a town, or remove therefrom a human body which has not been buried, until he has received a permit from the board of bealth, 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 110 undertaker or other person shall exhume a human body and remove it from a town, from one cemetery to another, or from one grave or tomb other than the receiving tomb to another in the same cemetery, until he has received a permit from the board of health or its agent aforesaid or from the clerk of the town where the body is buried. No such permit shall be issued until there shall have been delivered to such board, agent or clerk, as the case may be, a satisfactory written statement containing the facts required by law to be returned and recorded, which shall be accompanied, in case of an original interment, by a satisfactory certificate of the attending physician, if any, as required by law, or in lieu thereof a certificate as hereinafter provided. If there is no attending physician, or if, for sufficient reasons, his certificate cannot be obtained early enough for the purpose, or is insufficient, a physi- cian who is a member of the board of health, or employed by it or by the selectmen for the purpose, shall upon application make the certificate re- quired of the attending physician. If death is caused by violence, the medi- cal examiner shall make such certificate. If such a permit for the removal of a human body, not previously interred, from one town to another within the commonwealth cannot be obtained early enough for the purpose, the certificate of death made as above provided and in the possession of the undertaker desiring to make such removal shall constitute a permit for such removal; provided, that such body shall be returned to the town from which it was removed within thirty-six hours after such removal, unless a permit in the usual form for the removal of such body has been sooner obtained hereunder. If the death certificate contains a recital, as required
by section ten of chapter forty-six, that the deceased served in the 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 tbe 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).
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 bis 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.
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 beld, 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 observance of the following rules of practice:
(1) Attending physicians will certify to such deaths only as those of persons to whom they have given bedside care during a last illness from disease unrelated to any form of injury.
(2) Board of Health physicians will certify to such deaths only as those of persons who, though disabled by recognized disease unrelated to any form of injury, have died without recent medical attendance or whose phy- sician is absent from home wben 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 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, 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 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
RM R-302
NORFOLK
The Commonturalth of Massachusetts OFFICE OF THE SECRETARY DIVISION OF VITAL STATISTICS COPY OF CERTIFICATE OF DEATH
BROOKLINE (City or town making return)
49
( If death occurred in a hospital or institution, St. ( give its NAME instead of street and number)
2 FULL NAME
Rebecca Kamm
(If deceased is a married, widowed or divorced woman, give also maiden name.)
(a) Residence. No.
19 Sagamore Avenue
St.
Winthrop,
Mass.
(If nonresident, give city or town and State)
Length of stay: In hospital or Institution.Nursing Home
(Before death)
(Specify whether)
years
months
5 days.
In this community
yrs.
mos.
days.
PERSONAL AND STATISTICAL PARTICULARS
3 SEX
Female
4 COLOR OR RACE|
White
5 SINGLE
(write the word)
MARRIED
WIDOWED
or DIVORCED
Widowed
5a If married, widowed, or divorced
HUSBAND of
(or) WIFE of
Henry Kamm
(Give maiden name of wife in full)
(Ilusband's name in full)
6 Age cf husband or wife if alive years
7 IF STILLBORN, enter that fact here.
8
AGE 74
Years
Months.
Days
If less than 1 day
Hours
Minutes
Usual
9 Occupation :
Housewife
-
Industry 10 or Business :
Il Social Security No. .
none
12 BIRTHPLACE (City)
(State or country)
Russia
13 NAME OF
FATHER
Eli W. Berlowitz
PARENTS
14 BIRTHPLACE OF
FATHER (City)
(State or country)
Russia
15 MAIDEN NAME
OF MOTHER
Freda Lurio
16 BIRTHPLACE OF
MOTHER (City)
(State or country)
Russia
17 Barnett Berry.
Relation, if any
( ... brother.
Informant
( Address)
99 Esmond St., Dorchester
A TRUE COPY
arthur & Shimmera
ATTEST :
(Registrar of cify/or town where death occurred)
DATE FILED
February 28
19
1.5
MEDICAL CERTIFICATE OF DEATH
18 DATE OF
DEATH
February
27
(Month)
(Day)
(Year)
19 | HEREBY CERTIFY,
That I attended deoeased from
January 25, 19 45, to February 23
19 45
I last saw h ... @r ........ alive on.
February .... 23 .. , 1945, death is said to
have occurred on the date stated above, at.
10:30 P.
Duration
Immediate cause of death Acute Coronary Occlusion
.ho.ur.s.
Due to ....
Coronary Artery Disease
2 yrs.
Due to.
Other conditions.
Chronic .... Congestive
(Include pregnancy within 3 months of death)
Heart .... Failure
2 yrs Physician
Major findings :
Of operations
Date of
Underline the cause to which death should be charged sta- tistically.
Of autopsy
What test confirmed diagnosis ?.
Clinical
no
20 Was disease or Injury In any way related to occupation of deceased ?
If so, speolfy
(Signed)
Elliot L. Scigall
M. D.
(Address)330 Brookline Ave
Boston
Date2 .. 28
.19
45
21 PLACE OF BURIAL,
CREMATION OR REMOVAL
.. Moses .... Mendelsohn,W.Roxb.
(Cemetery )
(City or Town)
DATE OF BURIAL
Fobruary .... 28
19 45.
22 NAME OF
FUNERAL DIRECTOR
Benjamin ............ Solomon
ADDRESS
Brookline
Rcoelved and filed 19
MAR .... 1 ... @ ... 1945.
(Registrar of City or Town where deceased resided)
50m (e)-1-41-4667
Copies of returns of deaths recorded during the previous month which oeeurred in your city or town in case the deceased of the city or town in which the deceased resided. (See Chap. 46, Sec. 12, G. L.) resided in another city or town at the time of death should be made forthwith and transmitted on Form R-302 to the clerk
-
1
PLACE OF DEATH
(County)
BROOKLINE
(City or Town)
No. Nannis Nursing Home
Registered No.
110
(Usual place of abode)
(If U. S.
War Veteran,
specify WAR)
no
1945
PLACE OF DEATH
Suffolk (County)
Winthrop
(City or Town)
No. 9 Marshall Street
The Commonwealth of Massachusetts OFFICE OF THE SECRETARY DIVISION OF VITAL STATISTICS STANDARD CERTIFICATE OF DEATH
To be filed for burial permit with Board of Health or its Agent.
50
St. § (If death occurred in a hospital or institution, give its NAME instead of street and number) PHYSICIAN-IMPORTANT (Was deceased a U. S. War Veteran, if so specify WAR)
(If deceased is a married, widowed or divorced woman, give also maiden name.)
(a)
Residence. No.
9 Marshall Street
(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
13yrs.
days.
PERSONAL AND STATISTICAL PARTICULARS
MEDICAL CERTIFICATE OF DEATH
3 SEX
Male
4 COLOR OR RACE
White
5 SINGLE
(write the word)
MARRIED
WIDOWED
or DIVORCED
Married
5a If married, widowed, er divorced
HUSBAND of
Sarah
MacInnis
(Give maiden name of wife in full)
(or) WIFE of
(Husband's name in full)
years
7 IF STILLBORN, enter that fact herc.
8
75
10
17
AGE
Years.
Months
Days
If less than 1 day
Hours ...
Minutes,
Usual
9 Occupation:
Stair Maker
Industry
10 or Business:
Contractor
11 Social Security No.
None
Ma bou
12 BIRTHPLACE (City)
(State or country)
Cape Breton
13 NAME OF
FATHER
Edward McQuarrie
Major findings:
Of operations.
Date of.
Of autopsy-
What test confirmed diagnosis? Algocal Cam
20 Was disease or injury in any way related to occupation of deceased ?2240
If so, specify_
(Signed).
Samme B. Haldbury, warQ.
M. D.
(Address) 270 Shelly St. Munthey Date Fel 28 1945
21
Mt .... Hope
Boston
Place of Burial, Cremation or Removal.
March
2
(City or Town)
DATE OF BURIAL
22 NAME OF
FUNERAL DIRECTOR
ADDRESS
Howard Saleynolds
Received and filed.
MAR E
1945
(Registrar)
from the laws on back of certificate.
50m·(e)-3-43-11574
was filed with me BEFORE the burial or transit permit was issued: I HEREBY CERTIFY that satisfactory standard certificate of death
(Signature of Agent of Board of Houth or other) Really Alice 145
(Official Designation) 0) (Date of Issue of Permit)
18 DATE OF
DEATH
Feb. 27,
(Month)
(Day)
1945
(Year)
19 Į HEREBY CERTIFY, That I attended deceased from
Jan. 15
37, to Feb. 26,
19
45
I last saw ham
alive on
Feb-261, 19 194, death is said to
have occurred on the date stated above, at
7A.M.
Immediate cause of death
Cerebral Hemorrhage
Duration IMPORTANT 2 days
8 yrs.
arteriosceltic Heart Disease
Duc to. sclero tu
Other conditions.
(Include pregnancy within 3 months of death)
IMPORTANT
Physician Underline the cause to which death should be charged sta- tistically.
14 BIRTHPLACE OF
FATHER (City)
(State or country)
Scotland i
15 MAIDEN NAME
OF MOTHER
Mary Bell McKay
16 BIRTHPLACE OF
MOTHER (City)
(State or country)
Scotland
17
Mary Smith
Daughter
Informant.
(Address) 9 Marshall St Winthrop
19 45
19
If deceased was a U. S. War Veteran, G. L., Chap. 46, Sec. 10, requires physicians to insert a recital to that effect. PARENTS
1
Registrar's No.
2 FULL NAME
John E McQuarrie
St.
6 Age of husband or wife if alive. 78
hypertensie and
EXTRACTS FROM THE LAWS OF THE COMMONWEALTH OF MASSACHUSETTS GOVERNING THE RETURN OF CERTIFICATES OF DEATH
A physician or registered hospital medical officer shall forthwith, after the death of a person whom he has attended during his last illness, at the request of an undertaker or other authorized person or of any 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 secu alive by the physician or officer and the date of his death ... Gen. Laws, Cbap. 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, scrved 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 be 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 decmed to have taken place between February fourteenth, eighteen hundred and ninety-eight and July fourth, nineteen hundred and two, and the Mexican border service of nineteen hundred and sixteen and ninc- teen hundred and seventecn. 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 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 board, from the clerk of the town where the person died; and no undertaker or other person shall exhumc 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 hody is buried. No such permit shall be issued until there shall have been delivered to such board, agent or clerk, as the case may be, a satisfactory written statement containing the facts required by law to be returned and recorded, which shall be accompanied, in case of an original interinent, 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 hy violence, the medi- cal examiner shall make such certificate. If such a permit for the removal of a human body, not previously interred, from one town to another within the commonwealth cannot be obtained early enough for the purpose. the certificate of death made as above provided and in the possession of the undertaker desiring to make such removal shall constitute a permit for such removal; provided, that such body shall be returned to the town from which it was removed within thirty-six hours after such removal, unless a permit in the usual form for the removal of such body has been sooner obtained hereunder. If the death certificate contains a recital, as required
by section ten of chapter forty-six, that the deceased served in the army, navy or marine corps of the United States in any war in which it has bech engaged, such recital shall appear upon the permit. The board of health, or its agent, upon receipt of such statement and certificate, shall fortbwith 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 neccs- sary information which can be obtained as to the deceased, or as to the inanner 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 huried 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 interinent is madc. . . . 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; .. . - Gencral Laws, Chap. 38, Sec. 6.
RULES OF PRACTICE
The fulfillment of the purpose of thesc laws calls for the observance of the following rules of practice:
(1) Attending physicians will certify to such deatbs 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 discasc 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 or indirectly by traumatism (including resulting septicemia), and by the action of chemical (drugs or poisons), thermal, or electrical agents, and deaths following ahortion, hut also deaths from discase 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 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 bad no occupation whatever write none.
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