USA > Massachusetts > Suffolk County > Winthrop > Town of Winthrop : Record of Deaths 1945 > Part 52
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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 morhid 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 he 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 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 hy 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 Suffalla XCounty Winthrop QVITENT 1 (City or Town) 85 Winthrop No. William & Greenfield PLACE OF DEATH
The Commonwealth of Massachusetts OFFICE OF THE SECRETARY DIVISION OF VITAL STATISTICS
STANDARD CERTIFICATE OF DEATH
Registered No. 51 1
{ (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 woman, give also maiden name.)
(a) Residence. No.
85 Winthrop
(Usual place of abode)
Length of stay: In hospital or Institution
(Before death)
(Specify whether)
-
years
months days.
In this community 25 Jrs.
mos.
days.
PERSONAL AND STATISTICAL PARTICULARS
MEDICAL CERTIFICATE OF DEATH
3 SEX
male/ White
4 COLOR OR RACE
5 SINGLE
MARRIED
WIDOWED
( write the word) Widowed
Sa If married, widowed, or divorced Susan HUSBAND of
(Give maiden name of wife in full)
(or) WIFE of
( Husband's name in full)
6 Age of husband or wife if olive years
7 IF STILLBORN, enter that fect here.
8 93 AGE Yeers Months ...... Days
If less then 1 dey Hours Minutes
Usual
9 Occupetion :
Retired Meal Cookies
Industry
10 or Business :
Meat Packing to
11 Social Security No.
12 BIRTHPLACE (Cily)
( State or country)
Nova Scotia
PARENTS
100m(i).1.44.13634
I HEREBY CERTIFY that a satisfactory standard oartiffoata of death was fled with me BEFORE the burial or transit permit was Issued : William 8, Childress
(Signature of Agent of Board of Health nr other) agent- aug, 13/45
(Omdela) Designation) ( Data) Inouse of Permit)
18 DATE OF
DEATH
august
10
( Month )
(Day)
( Year)
19 | HEREBY CERTIFY,
Thet I attended deosased from
Green
Cung 10
C
1945, to.
Cung. 10
19.45-
i last saw h .............. alive on
10
19.55, death is said to
have occurred on the date stated above, at.
9.30 P.
m.
Duration Immediate oause of death
IMPORTANT
Cerebral. Heinmarchage
10 dante to generalized autres Sclerosis 10 years
Due to
Other conditiona.
( Include pregoancy within 3 months of death)
Mejor findings:
Of operations
Date of.
Of eutopsy
What test confirmed diagnosis?
20
1
clinical
IMPORTANT
Physician Underline the cause to which death should be charged sta- tistically.
20 Was disease or injury in any way related to occupation of deosesed ? 200.
If so, spsoify
( Signed)
(Address)
Winthrop was Date 8/12
.
M. D.
19 MS.
21
Place of Burial, Cremation or Removal.
(City or Town)
DATE OF BURIAL
Away 13
19.9:0
22 NAME OF
FUNERAL
Charles Jd, Treamor
ADORESS
Ecdl Boston
19
Received and Alad.
JUL 1 4 1943
(Registrar)
extracts from the laws on back of certificate. If deceased was a U. S. War Veteran, G. L. Chap. 46, Seotion 10, requires physicians to insert a reoital to that offoot.
13 NAME OF UL,
FATHER
14 BIRTHPLACE OF
FATHER (City)
...
(State or country)
Undanown
15 MAIDEN NAME
OF MOTHER
21
16 BIRTHPLACE OF
MOTHER (City)
(State or country)
17 Informent ( Address)
Gertrude Greenfield Darin Daten
To be filed for burial permit with Board of Health or its Agent
PHYSICIAN . IMPORTANT
(Was deceased a
U. S. War Veteran,
if so specify WAR)
St.
(If nonresident, give city or town and State)
19:45
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 ariny, 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 hetween 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 hody and remove it from a town, from one cemetery to another, or from one grave or tomb other than the receiving tomh to another in the same cemetery, until he has received a permit from the hoard 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 he, & satisfactory written statement containing the facts required hy 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 auch 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, tuat 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 aud 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 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
R-301 A
extracts from the laws on back of certificate. if deceesed was a U. S. War Veteran, G. L. Chap. 46, Section 10, requires physiolans to Insert a recital to that effeot. PARENTS per hosp. 8/24/xs-
100m-(g)-1.45.15510
I HEREBY CERTIFY that a satisfactory standard certificala of death was fled with me BEFORE the burig or transit permit was larued : Www-D. Children (Signature of Agent of Board of Health by other) 7/0 8/11/45
thatthe (Omcial Designation) ( Date of Issue of Permit)
MEDICAL CERTIFICATE OF DEATH
3 SEX
Male
4 COLOR OR RACE|
White
5 SINGLE
( write the word)
MARRIED
WIDOWED
or DIVORCED
Single
5a If married, widowad, or divorced
HUSBAND of
(Give maiden name of wife In full)
(or) WIFE of
( Husband's name in full)
6 Age of husbend or wife if aliva years
7 IF STILLBORN, enter that fact hera.
11
8 AGE Years Months Days
than Hours Minutes
Usual
9 Ocouoation :
none
Industry
10 or Business :
none
11 Social Security No.
none
Winthrop
12 BIRTHPLACE (City)
( State or country)
Mass
13 NAME OF
FATHER
Rocco Scorzello
14 BIRTHPLACE OF
FATHER (Clty)
East Boston
(State or country)
Mass.
15 MAIDEN NAME
OF MOTHER
Gwenth Skinner
16 BIRTHPLACE OF
Ashland
MOTHER (City)
(State or country)
Maine
17 Informant : Rocco Scorzello FatHetany (Address) 227 Trenton St. East Boston
21St. Michaels Cemetery, Boston
Place of Burial, Crematinn or Removal.
(City or Town)
DATE OF BURIAL ... August 11 19.55 Catis Boston
22 NAME OF
FUNERAL DIRECTOR Richard C. Kirby/
ADDRES
17 Bennington St ..... East ..
19
( Registrar)
1
PLACE OF DEATH
Suffolk (County)
Winthrop
(City or Town)
Boston 912/45
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.
2
ยง (If death occurred in a hospital or institution, St. [ give its NAME instead of street and number)
PHYSICIAN - IMPORTANT
(Was deceased a
U. S. War Veteran,
if so specify WAR).
No
(a) Residenca. No.
.227 ... Trenton
......
st. East .... Boston
(If nonresident, give city or town and State)
years months / days. .
11 hrs. 32 min.
18 DATE OF
DEATH
10 - 1945
( }fonth)
(Day)
(Year)
19 |HEREBY CERTIFY,
Cura 10
1945
to
Ci 10
19
45
I last saw h.(f ...
man alive on
Quy 10 19 45 death is said to
have occurred on the date stated above, at. 1p. m.
Immadiate oause of death. Congenital fenumonitor
IMPORTANT
....
1 day
Due to
Due to
Other conditions.
( include pregnancy within 8 mouths of death)
Major findings: Df operations
Data of
Of autopsy.
What test confirmed diagnosis?
autopay.
IMPORTANT Physician Underline the cause to which death should be charged sta- tistically.
20 Was diseasa or injury in any way related to occupation of deosased ?......... If so, specify.
(Signed)
Charco
(Address)
305 Have Sn 2/3
Data aux 11 1945
. M. D.
No. Winthrop Community Hospital
2 FULL NAME-Male Scorzello (If deceased Is a married, widowed or divorced woman, give also maiden name.)
(Usual place of abode)
Length of stay: In nocoital or Institution Hospital
( Before death)
( Specify whether)
In this community .
yra.
mos. days.
PERSONAL AND STATISTICAL PARTICULARS
Raoelved and flad JUL 1.4 1945-
That I attendad daoeased from
Duration
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 attendcd 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 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 relicf 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 horder service of nineteen hundred and sixteen and nine- teen hundred and seventeen. G. L. Chap. 46, Sec. 10.
No undertaker or other person shall hury or otherwise dispose of a human hody 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 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 interment, hy 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 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 hody has heen sooner obtained hereunder. If the death certificate contains a recital, as required
by section ten or 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 hury 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 he 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
DATE OF ENTERING MILITARY SERVICE
DATE OF DISCHARGE RANK, RATING
ORGANIZATION AND' OUTFIT
SERVICE NUMBER
RM R-302
2 FULL NAME
Joseph 2. Monaghan
(a) Residence. No.
178 Herneon
(Usual place of abode)
Length of stay : In hospital or Institution ....
ves
7
3 SEX
Male
4 COLOR OR RACE|
white
WIDOWED
or DIVORCED
(or) WIFE of
(Husband's name in full)
6 Age of husband or wife if alive
7 IF STILLBORN, enter that fact here.
8
AGE
83
Years
5
Months
21Days
Usual
9 Occupation :
Labourer
Industry
10 or Business :
11 Social Security No.
12 BIRTHPLACE (City)
London
(State or country)
England
13 NAME OF
14 BIRTHPLACE OF
FATHER (City)
Lewcastle
(State or country)
england
OF MOTHER
PARENTS
16 BIRTHPLACE OF
London
MOTHER (City)
(State or country)
england
WRITE PLAINET, WITT UNPAVINTO BLACK INK THIS IS A PERMANENT RECORD
FATHER
Joseph Monaghan
5 SINGLE
(write the word)
DEATH
MARRIED
widowed
5a If married, widowed, or divorced
HUSBAND of
(Give maiden name of witt n Imped
If less than 1 day
Hours.
Minutes
15 MAIDEN NAME
Elizabeth Hutchinson
17 Informantecords ... Lonson ... state Hospital (Address) falmer MESS.
A TRUE COPY.
nu Sanction.
ATTEST :
(Registrar of city or town where death occurred)
DATE FILED
Aug. Iu.
.. 19 ..
45
MEDICAL CERTIFICATE OF DEATH
18 DATE OF
August
14.
1945
(Month)
(Day)
(Year)
19 | HEREBY CERTIFY,
That I attended deceased from
sept.1
50
to
Ang ....... 1.4.,, 19.45 ..
I last saw h
im alive on
14
19.4.5, death Is sald to
have occurred on the date stated above,
12:45 F.
m
years
Immediate cause of death
Epilepsy
Due to
Due to
Other conditions.
(Include pregnancy within 3 months of death)
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