USA > Massachusetts > Suffolk County > Winthrop > Town of Winthrop : Record of Deaths 1945 > Part 23
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3 SEX
male
4 COLOR OR RACE|
white
5a If married, widowed, or divorced
6 Age of husband or wife if alive
7 IF STILLBORN, enter that fact here.
8
50
7
Months.
23
Days
AGE
Years
Usual
9 Occupation :
musician
Industry
10 or Business :
11 Social Security No ...
088-03-5363
12 BIRTHPLACE (City)
Beachmont
13 NAME OF
Martin P. Hines
FATHER
14 BIRTHPLACE OF
FATHER (City)
(State or country)
Newfoundland
15 MAIDEN NAME
OF MOTHER
Anna Newman
PARENTS
16 BIRTHPLACE OF
MOTHER (City)
(State or country)
17
Hospital records
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
Copies of returns of deaths recorded during the previous month which occurred in your city or town in case the deceased
(State or country)
Massachusetts
5 SINGLE
MARRIED
single
WIDOWED
or DIVORCED
HUSBAND of
(Give maiden name of wife in full)
(or) WIFE of
(Husband's name in full)
years
If less than 1 day Hours Minutes
50m (e)-1-41-4667
Newfoundland
Informant.
(Address) Westfield Staté- San.
Relation, if any (none
Registered No.
(If death occurred in a hospital or institution,
(If U. S. War Veteran, specify WAR)
22 NAME OF
FUNERAL DIRECTOR
Kirby Brothers
ADDRESS 21.0 ..... Winthrop .... S.t ......... Winthrop.,
Ma SS 19
Date.
3-24 19
45
Duration
-301 A
extracts from the laws on back of certificate. If deceased was a U. S. War Veteran, G. L. Chap. 46, Section 10, raquires physicians to insert a recital to that effect. PARENTS
100m(i)-1.44.13634
I HEREBY CERTIFY that a satisfactory standard oartificate of death was fled with me BEFORE the burial or transit parmit was Issued : "
(Signature of Agent of Board of Health hr other)
Health queek 9127/43
(Official Designation) ( Date of Inque of Permity
18 DATE OF
DEATH
March
25 1945
( Month)
(Day)
(Year)
19 | HEREBY CERTIFY,
That 1 attended daoaasad from
1/1
19
45
3/24
19
45
I last saw her
.. alive on
3124
194/5, daath Is sald to
hava occurred on the date statad abova, at.
2.15 A
m.
Duration
Immadlato oagse of death.
Pharmacy heart
Desrace
IMPORTANT
2 yr
Dua to
Due to
Other conditiona.
( Include pregnancy within 3 months of death)
Major findinga:
Of operations
Data of
Of autopsy
What test confirmed diagnosis?
20 Was disease or injury in ony way ralatad to oooupallon of deosasad ? If so, specify
( Signad )
670 Sacaton T FB Data 3/26 1945
21
Place of Burian Cremation or Removal.
(City or Town)
DATE OF BURIAL
mar 28 1945
22 NAME OF
FUNERAL DIRECTOR
Charles H. Treanor
ADDRESS
East Boston Man
Received and Aled
19
MAR 2 9 1945
( Registrar)
1
PLACE OF DEATH
SUSTOK ROWAND Suffolk (Chanty)
The Commonwealth of Massachusetts OFFICE OF THE SECRETARY DIVISION OF VITAL STATISTICS STANDARD
CERTIFICATE OF DEATH
Registered No.
( (If death occurred in a hospital or institution, St. [ give its NAME instead of street and number)
2 FULL NAME
( If deceased is a married, widowed or divorced 97 Byron
woman, give also maiden name.)
St.
mouths
2
days.
in this community
yra.
mos.
days.
PERSONAL AND STATISTICAL PARTICULARS
MEDICAL CERTIFICATE OF DEATH
3 SEX
4 COLOR OR RACE|
Female White
5 SINGLE
( write the word)
MARRIED
WIDOWED
Married
5a If married, widowed, or divoroed HUSBAND of
(or) WIFE of
alfred Cinco
( Husband's name in full)
6 Age of husband or wife if aliva 47
yaars
7 IF STILLBORN, enter that fact here.
8 AGE 45 ... Year! Months Dayı
If less than 1 day
Hours
Minutos
Usual
9 Occupation :
Housework
Industry
10 or Business :
Own Home
11 Social Security No.
12 BIRTHPLACE ( City)
( Siate or country )
"Boston Mass
13 NAME OF
FATHER
Patrick Mackey
14 BIRTHPLACE OF
FATHER (City)
(State or country)
Ireland
15 MAIDEN NAME
OF MOTHER
ME Catherine Crowley
16 BIRTHPLACE DF
MOTHER (City)
(State or country)
Ireland
alfred buyer Husband
17
Informant
( Address }
197 Byron fl
4/7/45
....... (City or Town) LLA Winthrop Helen M. Cuneo
Hospital
To be filed for burial permit with Board of Health or its Agent.
PHYSICIAN - IMPORTANT (Was deceased a U. S. War Veteran, urso specify/WAR)
East Boston ??
(If nonresident, give city or town and State)
no
(a) Rasidence. No.
(Usual place of abode)
Hospital.
Length of stay : In nnsottat or Institution
( Before death)
(Specify whether)
years
No.
+
IMPORTANT
Physician
Underline the cause to which death should be charged sta. tistically
. M. D.
muldin
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 hy 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 iu 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 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 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 tomh other than the receiving tomh 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 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).
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.
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 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 forin 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 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
-301
fullfach
(County)
1
(City or/Town)
State /11/45 "" the Commonwealth of Massachusetts OFFICE OF THE SECRETARY DIVISION OF VITAL STATISTICS
STANDARD CERTIFICATE OF DEATH
Registared No.
65
Imunuly Noches (If death occurred in a hospital or institution, 4 .. St. ( give its NAME instead of street and numher)
Michael A. Giannattasio, /III
2 FULL NAME
( If deceased is a married, widowed, or divorced woman, give also maiden name.)
(a) Residenca. No.
524
Loratora
......
St.
6. Boston
DIGOS
(If nonresident, give city or town and State)
Length of stay: In hospital or Institution
( Before death)
(Specify whether)
years
20 Trebate
In this community
yra.
mos.
days.
PERSONAL AND STATISTICAL PARTICULARS
MEDICAL CERTIFICATE OF DEATH
3 SEX
4 COLOR OR RACE|
5 SINGLE
(write the word)
MARRIED
WIDOWED
or DIVORCED
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
7 IF STILLBORN, enter that fact here. Stettin
8 AGE Years
Montha
Days
If less than 1 day
Hours 3. O. Minutas
Usual
9 Occupation :
Industry
10 or Business :
t1 Social Security No.
12 BIRTHPLACE (City)
( Siste or conutry)
mass)
13 NAME OF
FATHER
* Michiel Somsiellano
14 BIRTHPLACE DF
Esist
FATHER (City)
(State or country)
15 MAIDEN NAME
OF MOTHER
Mary Levra
Levra
16 BIRTHPLACE DF
MOTHER (Clty)
(State or country )
17 Informant ( Address)
5 14 faralago St. C. Da ficha
I HEREBY CERTIFY that a satisfactory, standard certificate of death was filled with me BEFORE the burial or transit permit was issued ?
(Signature of Agent of Board of Health or other)
4/4/42
(Date of Issue of Permit)
( Registrar) ...
1
Twin #1 per hosp. 4/5/45
Immediate oause of death. Trematientes
Due to
Due to
Other conditiona
( Include pregnancy within 3 months of death)
Major findings :
Df operations
Data of.
Of autopsy
What test confirmed diagnosis ?
IMPORTANT
Physician Underline the cause to which death should be charged st .. tistically.
20 Was disease or injury in any way related to oooupation of daoaased ?
If so, specify.
( Signed )
( Addrass)
56 Opentait Date 2/3
1985
21
It. Macht Cemetary (Dostar
Place of Burial, Cremation or Removel. DATE OF BURIAL. Cipal 5 y 1940 19 (City or Town)
22 NAME DF
FUNERAL DIRECTOR
6
belleane
1
ADDRESS
471
... ........
.......
Received and fled
TR 5 1945
....
19
le altre
.....
(Official Designation)
18 DATE OF
DEATH
march
( Month)
(Day)
1945 (Year)
19 }
HEREBY CERTIFY,
Checar. 25
19
That I attendad deoeasad from
3/25
19
I last saw h.
aliva on ...
3/25
19 , daath Is said to
have occurred on the date stated above, at.
905
m.
Duration
IMPORTANT
PARENTS
100m(:) . 1-44 13634
Birth extracts from the laws on back of certificate. If deceased was a U. S. War Veteran, Q. L. Chap. 46. Section 10, requires physicians to insert a recital to that effect. Name of Twin #1 per father 4/16/45 (Supplemental)>
Conesta
4/7/45
PLACE OF DEATH
No.
PHYSICIAN - IMPORTANT
(Was deceased a
U. S. War Veteran,
if so specify WAR).
(Usual place of abode)
months
days.
25
Lv/2. M. D.
Relation, If any
1 years
To be filed for burial permit with Board of Health or its Agent.
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 persou 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 marine corps of the United States in any war in which it has been engaged, insert iu 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 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 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 tomh 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 seleetmen 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 ien 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).
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 hody 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 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).
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 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 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
-301 A
Birth
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 recital to that effect. PARENTS
100m(:) -1-44.13634
17 Informant ( Address)
Huchally Je quewaltari Relation, 224 Saralage St. 8 87 allate)
I HEREBY CERTIFY that a satisfactory standard certificata of death was find with me BEFORE the burla) or [transit permit was Issued :
(Signature of Agrat of Board of Health or other) Health Officer 4.1+140
(Date of Inque of Permit)
Corrected Copy: Boate l'aith of Massachusetts Rec: 4/11/x5 OFFICE OF THE SECRETARY DIVISION OF VITAL STATISTICS
To be filed for burial permit County) STANDARD 1 (City/or Town) CERTIFICATE OF DEATH with Board of Health or its Agent. Registared No. ....... 66. No. Develop Community Hospital St. { (If death occurred in a hospital or institution, give its NAME instead of street and number) Frank Giannattasio PHYSICIAN - IMPORTANT {covas deceased a PLACE OF DEATH 2 FULL NAME .. U. S. War Veteran, ( If deceased is a married, widowed or divorced woman, give also maiden name.) 524 Lonalow St &Bayan if so specify WAR). Mochaad- Learn (a) Residence. No. St. (Usual place of abode) (If nonresident, give elty or town and State) Length of stay : In hospital or Institution ....... years . (Before death) months days. In this community yrs. mos. days. (Specify whether) 8 minuten PERSONAL AND STATISTICAL PARTICULARS MEDICAL CERTIFICATE OF DEATH 3 SEX 4 COLOR OR RACE| 5 SINGLE (write the word) 18 DATE OF 25- 1945 MARRIED (Day) WIDOWED ( Month) Cor DIVORCED DEATH (Year) 19 WHEREBY CERTIFY, That I attended deosased from 5a If married, widowed, or divorced HUSBAND of non 25 19 45 to 19 (or) WIFE of I last saw n / ha alive on guar 25 (Give maiden name of wife in full) 19 45, death Is ( Husband's name in full) have occurred on tha date stated above, at. 903 m. Duration 6 Age of husband or wife if aliva yaars Immediate cause of death. 7 IF STILLBORN, enter that fact here. prematurtes 8 AGE Years Montha Dayı If less than 1 day Hours 8 Minutes IMPORTANT Due to Usual 9 Occupetion : Industry Due to. 10 or Business : 11 Social Security No. 12 BIRTHPLACE (City) Other conditiona. ( Include pregnancy within 3 months of death) (Siste or country) IMPORTAN Gross 13 NAME OF Major findings : Of operations FATHER DE Mihave Learinaltacio Oata of Name of Twin #2 per father 4/16/45 (Supplemental} Twin #2 per-hosp. 4/5/45
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