USA > Massachusetts > Suffolk County > Winthrop > Town of Winthrop : Record of Deaths 1945 > Part 33
Note: The text from this book was generated using artificial intelligence so there may be some errors. The full pages can be found on Archive.org (link on the Part 1 page).
Part 1 | Part 2 | Part 3 | Part 4 | Part 5 | Part 6 | Part 7 | Part 8 | Part 9 | Part 10 | Part 11 | Part 12 | Part 13 | Part 14 | Part 15 | Part 16 | Part 17 | Part 18 | Part 19 | Part 20 | Part 21 | Part 22 | Part 23 | Part 24 | Part 25 | Part 26 | Part 27 | Part 28 | Part 29 | Part 30 | Part 31 | Part 32 | Part 33 | Part 34 | Part 35 | Part 36 | Part 37 | Part 38 | Part 39 | Part 40 | Part 41 | Part 42 | Part 43 | Part 44 | Part 45 | Part 46 | Part 47 | Part 48 | Part 49 | Part 50 | Part 51 | Part 52 | Part 53 | Part 54 | Part 55 | Part 56 | Part 57 | Part 58 | Part 59 | Part 60 | Part 61 | Part 62 | Part 63 | Part 64 | Part 65 | Part 66 | Part 67 | Part 68 | Part 69 | Part 70 | Part 71 | Part 72 | Part 73 | Part 74 | Part 75 | Part 76 | Part 77 | Part 78 | Part 79 | Part 80 | Part 81 | Part 82 | Part 83 | Part 84 | Part 85 | Part 86
FATHER
Emanuel Larson
Major findings:
Of operations.
none
Of autopsy
none
What test confirmed diagnosis clinicalx
IMPORTANT Physician Underlinc the cause to which dcath should bc charged sta- tistically.
20 Was disease or injury in any way related to occupation of dicceased?
100
If so, specify
(Signed Jacoby
05562 Hurley St
Date 5/12-19
21
Winthrop
Winthrop.
Place of Burial, Cremation or Removal.
DATE OF BURIAL ... My 11 1945
(City or Town) .. 19
was filed with me BEFORE the burial or transit permit was issued: I HEREBY CERTIFY that a satisfactory standard certificate of death
Signature of Agent of Board ofHealth or other) Health Officer 5/11/12
(Official Designation) (Date of Issue of Permit)
18 DATE OF
DEATH
May 8
19.45
(Month)
(Day)
(Year)
HEREBY CERTIFY,
That I attended deceased from
19
December 20 19 43
to
may
8
1045
I last saw h.V ___ alive on.
may 81
., 19 42, death is said to
Due
augua Pectoris
2 mos
Due to.
Congestive failure
Confectie 0
Imo
none
Other conditions.
(Include pregnancy within 3 months of death)
14 BIRTHPLACE OF
FATHER (City)
(State or country)
Sweden
15 MAIDEN NAME
OF MOTHER
Kristana Sunbeck
16 BIRTHPLACE OF
MOTHER (City)
(State or country)
Sweden
Relation, if any (Son
17 Informant. Pontus Larson (Address) 29 Plummer Ave, Winthrop
If deceased was a U. S. War Veteran, G. L., Chap. 46, Sec. 10, requires physicians to insert a recital to that effect. PARENTS
50m-(e)-3-43-11574
22 NAME OF
FUNERAL DIRECTOR.
ADDRESS
147 Winthrop St. Winthrop
19
Received and filed. MAY 1 5 1945
(Registrar)
M. D.
Date of
7 IF STILLBORN, enter that fact here.
The Commonwealth of Massachusetts OFFICE OF THE SECRETARY DIVISION OF VITAL STATISTICS STANDARD CERTIFICATE OF DEATH
2 FULL NAME Carl E. Larson (If deceased is a married, widowed or divorced woman, give also maiden name.)
(Usual place of abode)
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 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 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, fromn 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 licalth 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 heen 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 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 selcetmen 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 hody, 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 lias 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 ohtained 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 lias 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. . . . Chiap. 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 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 front disease unrelated to any form of injury.
(2) Board of Health physicians will certify to such deathis only as those of persons who, though disabled by recognized discase 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 traumatismn (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 .- Precisc statement of occupation is very in- 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 husiness, 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, ctc. For a person who had no occupation whatever write none.
SPACE FOR ADDITIONAL INFORMATION
R-303-A
PLACE OF DEATH r
Suffolk (County) Wintrong (City or Town) 9 Just3ich Burg No.
The Commonturalth of Massachusetts OFFICE OF THE SECRETARY DIVISION OF VITAL STATISTICS MEDICAL EXAMINER'S CERTIFICATE OF DEATH
To be filed for burial permit with Board of Health or its Agent.
Registered No.
98.
St. § ( If death occurred in a hospital or institution, give its NAME instead of street and number)
2 FULL NAME
Edward
(If deceased is a married, widowed or divorced woman, give also maiden name.)
(a) Residence. No.
27 Window
Singer.1) St.
(Usual place of abode)
(If nonresident, give city or town and State)
Length of stay: In hospital or Institution ..
(Before death)
(Specify whether)
years
months
days.
In this community
yrs.
mos.
days.
PERSONAL AND STATISTICAL PARTICULARS
MEDICAL CERTIFICATE OF DEATH
1940-
( Month)
(Day)
(Year)
19 | HEREBY CERTIFY that I have Investigated the death of the person above-named and that the CAUSE AND MANNER thereof are as follows: (If an injury was involved, state fully.) Enrussie conjugan with realtant
cerchiof concussion
20 Accident, suicide, or homlolde (specify)
Date of oooúrrenoe ........
19.
Where did
Injury ooour? bi
(City or town and State)
Did Injury poour In or about home, on farm, In Industrial place, or In publlo
place?
Manner of
Injury
Nature of Injury
While at work?
Was there an autopsy ?.
21 Was disease or Injury in any way related to ocoupation of deceased ?
If so, specify
with
(Signed)
Boston
M. D.
(Address)
Date ..
May K1945
22
Place of Barial, Cremation or Removal.
(City or Town)
5
DATE OF BURIAL
May 13
23 NAME OF
FUNERAL DIRECTOR
WIP Canbus
ADDRESS
question mark
Reoelved and filed
19
MAY ..... 1.5 ..... 1945
(Registrar)
su Illat it may De properly classified under the International Classification of Causes of Death. See reverse side for
extracts from the laws relative to the return of certificates of death.
If deceased was a U. S. War Veteran, G. L. Chap. 46, Section 10, requires physicians to Insert a reoltal to that effect
50m (g)-1-41-4667
I HEREBY CERTIFY that a satisfactory standard certificate of death was filed with mu BEFORE the burial or transit permit was Issued : WAT-X-Childress (Signature of Agentof Board of Health or other)
Health Much 5/12/45
(Official Designation) (Date of Issue of Permit)
5 SINGLE
(write the word)
MARRIED
WIDOWED
or DIVORCED
Windows
widowed, or divorce S queres
(or) WIFE of
(Husband's name in full)
years
7 IF STILLBORN, enter that faot here.
8
74
AGE
Years
Months .............. Days
-
If less than 1 day
Hours.
Minutes
Usual
9 Occupation :
Retired
Industry
10 or Business :
Berlin Fireman
11 Social Security No ..... nome
12 BIRTHPLACE (City)
(State or country)
East Boston mars
13 NAME OF
FATHER
Michael Ryan
PARENTS
14 BIRTHPLACE OF
FATHER (City)
Sortand
(State or country)
15 MAIDEN NAMEZ
OF MOTHER
Thenget Handy
16 BIRTHPLACE OF
MOTHER (City)
(State or country)
17 Dennis & Susan
( Address)
6/7/45
1
PHYSICIAN-IMPORTANT
(Was deceased a
U. S. War Veteran,
If so specify WAR)
allison mas
58 If married,
HUSBAND of
( Give(maiden name of wife in full)
6 Age of husband or wife If allve .
3 SEX
4 COLOR OR RACEJ
male white
18 DATE OF
DEATH
May
11
(Specify type of place) 1
EXTRACTS FROM THE LAWS OF THE COMMONWEALTH OF MASSACHUSETTS GOVERNING THE RETURN OF CERTIFICATES OF DEATH
A physician or registered hospital medical officer shall forthwith, after the death of a person whom he has attended during his last illness, at the request of an undertaker or other authorized person or of any meinher 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 required hy 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. 16, 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 inneiliate case 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 ex- pedition and the Philippine insurrection, which shall, for said purposes, he deemed to have taken place between February fourteenth, eighteen hundred and ninety-eight and July fourth, nineteen hundred and two, and the Mexi- can bonler service of nineteen hundred and sixteen and nincteen hundred and seventeen. G. L. Chap. 16, Sec. 10.
No undertaker or other person shall hury 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 & perinit 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 front one grave or tomh other than the receiving tonib to another in the saine 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 he 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 attewuling physician. If death is caused by violence, the medical examiner shall make such certificate. If such a permit for the removal of a human hody, not previously interred, from one town to all- other within the commonwealth cannot be obtained early enough for the purpose, the certificate of death made as above provided and in the pos- session of the undertaker desiring to make such removal shall constitute a permit for such removal; proviiled, that such body shall he returned to the town from which it was removed within thirty-six hours after such re- inoval, unless a permit in the usual form for the removal of such hody 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 armiv. 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, sball forthwith countersign it and transmit it to the clerk of the town for regis- tration. The person to whom the permit is so given and the physician cer- tifying the cause of death shall thereafter furnish for registration any other necessary 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 re- quire .- Chap. 114, Sec. 45, G. L., (Tercentenary Edition).
No undertaker or other person shall bury a human hody or the ashes thereof which have been brought into the commonwealth until lie lias 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 he held, or from a per- son appointed to have the care of the cemetery or burial ground in which the interment is made. .. . Chap. 114, Sec. 46, G. L., (Tercentenary Edi- tion).
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 notiee 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 sanie ;... - General Laws, Chap. 38, Sec. 6.
. lle shall in all cases certify to the town clerk or registrar in the place where the deceased died his name and residence, if known; otherwise a description as full as may be, with the cause and manner of death .-- General Laws, Chap. 38, Sec. 7.
... The medical examiner certifies the cause and manner of death to the best of his knowledge and belief.
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 discase unrelated to any form of injury.
(2) Board of Health physicians will certify to such deaths only as those of persons who, though disabled hy recognized disease unrelated to any forin of injury, have died without recent meilical attendance or whose physi- cian is absent from home wlieu 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 resulting septicemia), and hy 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
Medical Examiners in certifying to a death will state the cause and manner thereof, and will specify: (1) Under cause, the nature of an injury and of its consequences; and (2) under manner, the mode of its production together with the circumstances when these are known. For example : "Com- pound fracture of the femur with ensuing septicemia (gas bacillus) caused hy a steam railway accident." "Pistol shot wound of the chest with asso- ciated hemorrhage, homicidal." "Asphyxiation hy suspension, suicidal." "Syncope while under the influence of ether administered as a surgical anaesthetic." "Fracture of the skull with associated internal injury sus- tained under circumstances unknown."
If disease or injury was related to occupation, specify, If investigation shows the death to have been due to disease, specify: (1) Under cause its known or presumahle nature; and (2) under manner, indicate the circum- stances leading to medico-legal inquiry. For example : "llenorrhage spon- taneous of the brain (basal ganglia) (found dead in bed)." "lleart disease, presumably coronary sclerosis. (Sudden death. )"
DESCRIPTION (for unknown person)
NOTICE TO UNDERTAKERS: No embalming fluid, or any substitute therefor, shall be injected into the body of any person supposed to have met his death by violence, until a permit, signed by the Medical Examiner, has first been obtained .- General Laws, Chap. 38, Sec. 14.
THIS CERTIFICATE CONSTITUTES SUCH PERMIT
R-301 A
per hoop. 6/18/45 extracts from the laws on back of certificate. If deceased was a U. S. War Veteran, G. L. Chap. 46, Seotlon 10, requires physiolans to insert a recital to that effeot. PARENTS
100M-6 -2-42-8855
I HEREBY CERTIFY that a satisfactory standard certificate of deeth was filed with me BEFORE the burial or tranelt parmit was Issued :
.
(Signature of Agent of Board of Uftth or other)
5/15/45
(Dmicisi Dealgnation) ( Date of Toque of Permft)
MEDICAL CERTIFICATE OF DEATH
3 SEX
4 COLOR OR RACE
Zunale White
5 SINGLE
(write the word)
MARRIED
WIDOWED
or DIVORCED
married
Sa If married, widowed, or divorced HUSBAND of
(or) WIFE of
charles
maiden name of wife in full)
messura
( Husband's name in fuii)
6 Age of husband or wife if allve
56 years
IF STILLBORN. enter that fect here.
8 AGE47 Years - Monthe Days -
If less than 1 day
Hours.
Minutes
Usual
9 Occupetion :
House wife
Industry
10 or Business :
11 Social Security No.
Caltanisetta
12 BIRTHPLACE (City)
( Siate or country)
Italy
13 NAME OF
FATHER
Baldassaro augusta
14 BIRTHPLACE OF
FATHER (Clty)
(State or country)
0 Trapani
1 Trapani
Italy
15 MAIDEN NAME
OF MOTHER
Rosa Geraci
16 BIRTHPLACE OF
MOTHER (City)
( State or country)
Italy
caltanisetta
17 charles mezzenas Hat Informent (Address) 263 chelsea It Cast Boston mat
DATE OF BURIAL may 16
1945
22 NAME OF
FUNERAL DIRECTOR.
Pennacchio & Sons.
ADDRESS
5980 margin St. Boston
Received and fled
1
"I"5" 1945
19
( Registrar)
Duration 7 IMPORTANT
Due to
Due to
Other conditions.
anasarca-
( Include pregnancy within 3 months of death)
IMPORTANT
Physician
Underline the cause to which death should be charged sta- tistically.
20 Wes disease or injury in any way related to oooupation of daceesed ?. 200
If so, speolfy.
(Signad)
a I Caplan
. M. D.
(Address) ( 86Procctin IT Ch Date 5-15-
19 ..... >~
Oak grove cemetery medford may
Place of Burial, Cremation or Removal.
(City or Tosen)
Mejor findinga:
Of operations
Date of
Of autopsy
Whet test confirmed dlegnosis ?
18 DATE OF
DEATH
May
12
1945
(Month)
(Day)
(Year)
19 i HEREBY CERTIFY, That I attendad deceased from
L
94/5. 10
mary 12.
19 Y)
I last saw her
allva on
ma
12
19.9 .. ), death Is sald to
have occurred on the data stated above, at 9.15 ... m.
Immedlate causa of death
Cart Box
PHYSICIAN - IMPORTANT
(Was decaasad a
U. S. War Veteran,
If so spacify WAR)
on 2
(Usual place of abode)
(If nonresident, give city or town and State)
Length of stay: In hospital or Institution
(Before death)
(Specify whether)
yeare
months
7
deys.
In this community
yrs.
mos.
days.
PERSONAL AND STATISTICAL PARTICULARS
{ { If death occurred in a hospital or institution, St. { give its NAME instead of street and number)
Catena Messina
2 FULL NAME
theo DOROS NOTIFIED.
5
6/7/4
The Commonforalth 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.
1
PLACE OF DEATH
Suffolk (County)
(City or Town) Winthrop Community Hospital No.
Registared No.
99. ....
(If deceased is a married, widowed, or divorced woman, give also maiden name.)
(a) Residenca. No.
263 chelsea
St.
uvafunportant. See instructions and
21
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 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 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 ssme was contracted. the duration of his last illnesa, when last seen alive by the physician or officer aud the date of hia death .. . Gen. Laws, Chap. 46, Sec. 9.
Need help finding more records? Try our genealogical records directory which has more than 1 million sources to help you more easily locate the available records.