USA > Massachusetts > Suffolk County > Winthrop > Town of Winthrop : Record of Deaths 1945 > Part 80
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SPACE FOR ADDITIONAL INFORMATION
R-301 A
1
PLACE OF DEATH
Winthrop
(City of Town)
Winthrop Community Hospital
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.
241.
No. § (If death occurred in a hospital or institution, St. { give its NAME instead of street and number) r
2 FULL NAME Baby Boy Iozzo
( If deceased is . merried, widowed or divorced woman, give also meiden nome.)
(a) Residence. No. 153 Havre St. East Boston
(Usual place of abode)
Length of stey: In hosoltal or Institution.
(Before death)
(Specify whether)
yeore
months
days.
In this community
yrs.
mos.
daye.
PERSONAL AND STATISTICAL PARTICULARS
3 SEX
4 COLOR OR RACE)
5 SINGLE
( write the word)
MARRIED
WIDOWED
or DIVORCED
single
Sa If married, widowad, or divoroed HUSBAND of
(or) WIFE of
( Husband's name in full)
6 Age of husband or wife if alive
yaars
7 IF STILLBORN, enter that fact hera. Stillborn
8 AGE Years Months Days
If less than 1 day Hours Minutes
Usual
9 Ocouoation :
Industry
10 or Business :
11 Social Security No.
12 BIRTHPLACE (City)
(Siste or country)
Winthrop 72
13 NAME OF FATHER Joseph Iozzo
14 BIRTHPLACE OF
FATHER (Clty)
(State or country)
Boston
1
15 MAIDEN NAME
OF MOTHER
Mary Lo Conte
16 BIRTHPLACE OF
MOTHER (City)
(State or country)
Boston
(Address)
7 Central 89, Et Date 12/14 1945
21
St. Michael
Boston
Place of Burial, Cremation or Removal.
(City or Town)
19.4.5
I HEREBY CERTIFY that a satisfactory standard oartificate of daath was filed with me BEFORE the burial or transit permit was Issued :
D. Children
(Signature of Aceste Board of Health/ or other)
agent.
at
12/15/40
(Oficial Designation) ( Date of faque of Permit)
18 DATE OF
DEATH
14
1945
( Month)
(Day)
(Year)
19 | HEREBY CERTIFY,
Dec 14
1994.
to
19% .....
That I attendad deosased from
Dec 14
I last saw h.
........ alive on.
19
., daeth is said to
have occurred on the data stetad abova, at.
5: 25 A.
m.
Duration
Immediate oouse of death.
Stillbuch
Due to
Due to.
Other conditione
( Include pregnancy within 3 months of deeth)
Major findings :
Of oparations
Deta of
Of autopsy.
What test confirmed diagnosis ?
IMPORTANT
Physician
Underline the cause to which death should be charged stu- tistically
20 Was disease or injury in any way raletad to occupation of daoaased ?
if so, spoolfy.
(Signed)
D. D. Pulito
. M. D.
17 Informant ( Address)
Joseph Iozzo .. 153 Havre St. E. Boston.
fathe Inn, If ony DATE OF BURIAL Dec,. - 17
22 NAME OF
aty
FUNERAL DIRECTOR
ETafino
ADDRESS 9. Chelsea Street East Boston ..
Received and filled
DEC 1 3 194
19
( Registrar)
100m (g) 1 45.19510
extracts from the laws on back of certificate. terms, so that it may be properly classified. Exact statement of OCCUPATION is very important. See instructions and
If deceased was a U. S. War Veteran, G. L. Chap. 46, Section 10, requires physicians to insert a recital to that effeot. PARENTS
PHYSICIAN - IMPORTANT (Was deceased a U. S. War Veteran, df so specify WAR) 22
St.
EPostat so per
(if nonresident, give clty or town and State)
MEDICAL CERTIFICATE OF DEATH
male
white
(Give malden name of wife In full)
IMPORTANT
Registared No.
cuflook atow 6 (County) Mixtified
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 hest of his knowledge and helief the name of the deceased, his supposed age, the disease of which he died, defined as re- quired hy 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 hy section forty-five of chapter one hundred and four- teen, shall, if the deceased, to the best of his knowledge and helief, 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, he deemed to have taken place hetwecn 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 hody which has not heen 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 hoard, 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 tomh 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 hody is buried. No such permit shall he issued until there shall have heen delivered to such hoard, agent or clerk, as the case may he, a satisfactory written statement containing the facts required hy 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 hy it or hy 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 he obtained early enough for the purpose, the certificate of death made as ahove provided and in the possession of the undertaker desiring to make such removal shall constitute a permit for such removal; provided, that such hody shall he 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 heen 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 heen engaged, such recital shall appear upon the permit. The board of health, or its agent, upon receipt of such statement and certificate, shall forthwith countersign it and transmit it to the clerk of the town for registration. The person to whom the permit is so given and the physician certifying the cause of death shall thereafter furnish for registration any other neces- sary information which can he 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 hodies 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 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 hody is to he 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 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 hedside 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 hy recognized disease unrelated to any forin 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 hy the action of chemical (drugs or poisons), thermal, or electrical agents, and deaths following ahortion, hut also deaths from disease resulting from injury or infection related to occupation, the sudden deaths of persons not disabled hy recognized disease, and those of persons found dead.
Statement of Cause of Death .- Cause of 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 fainily, 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
R-301 A
PLACE OF DEATH
Suffolk. (County)
The Commontuealth 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. 242
Registered No. { {If death occurred in a hospital or institution, { give its NAME instead of street and numher)
(If deceased Is a married, widowed or divorced woman, give also maiden name.)
(a) Residence. No.
64 .... Buchanan
St.
St.
( If nonresident, give city or town and State)
months
days.
In this community
yra.
mos.
days.
MEDICAL CERTIFICATE OF DEATH
18 DATE OF
DEATH
D.e.c ..
15
1945
(Month)
(Day)
(Year)
19 | HEREBY CERTIFY.
That I attended deceased
from
19
45
December 15
45
19
I last saw h ..
in
alive on
December 15, 1945
death Is sald to
have occurred on tha date stated above,
/10
P
m.
Immediate cause of death.
Coronary Thrombosis
IMPORTANT / week
Due to
Coronary intery de sease
5 years
Due to
generalized arterio sclerose
310gr
Other conditions.
( Include pregnancy within 8 months of death)
Major findIngs: Of operations
Date of.
Of outopsy
What test confirmed diagnosis?
IMPORTANT
Physician
Underline the cause to which death should be charged sta- tistically.
20 Was disease or injury in any way]ralated to occupation of deceased ?
If so, spoolfy
(Signed)
(Address)
89 Crest Uve
Data
12=/6
.
19
M. D.
21
Woodlawn cemeteryEverett
Place of Burial, Cremation or Removal
(City or Town)
Retorts
Te any
DATE OF BURIAL ...
Dec. 18,1945.
19
22 NAME DF
FUNERAL DIRECTOR
alfred B. March
ADDRESS
174 Winthrop ..... St . Winthrop.
(Signature of Agent of Board of Health or Other)
Healthe Office 12/17/43
('Omcial Designation) ( Date of Issue of Pormit)!
5 SINGLE
( write the word)
MARRIED
WIDOWED
or DIVORCED Married.
Sa If married, widowed, or divorced Blanche Eva Leonard June 25
years
If less than 1 day
Hours
Minutes
100m-(g)-1-45-15510
I HEREBY CERTIFY that a satisfactory standard certificata of death was filed with me BEFORE the burjal op transit permit was Issued i
19
Received and fiad
DEVI- 1942.
( Registrar)
1
Winthrop.
......
(City or Town)
No.
64 Buchanan St.
r
2 FULL. NAME.
MosesPerry Stone
(Usual place of abode)
Length of stay: In hospital or Institution
-
( Before death)
( Specify whether)
PERSONAL AND STATISTICAL PARTICULARS
3 SEX
4 COLOR OR RACE!
Male.
White.
HUSBAND of
(or) WIFE of
(Give maiden name of wife In full)
( Husband's name In full)
6 Age of husband or wife if alive
59
7 IF STILLBORN, enter That fact here.
8
AGE 58 ... Years 4.
Months
4 Days
Usual
9 Ocoupetion :
Weigher
Industry
Wool business
10 or Business :
11 Social Security No.
020-12-1938
12 BIRTHPLACE (City)
Everett
(State or country)
Mass
14 BIRTHPLACE OF
FATHER (City)
E. Boston .....
(State or country)
Mass.
15 MAIDEN NAME
OF MOTHER
Fannie Sawyer.
PARENTS
16 BIRTHPLACE OF
MOTHER (City)
Unable to obtain.
(State or country)
17
Mrs M. P. Stone
Informant
(Address) 64 Buchanan St W.
If deceased was a U. S. War Veteran, G. L. Chap. 46, Section 10, requires physicians to insert a recital to that effeot.
extracts from the laws on back of certificate.
terms, W That it may of property classified. Exact statement of VeberAtion is very important. See instructions and
13 NAME OF
FATHER
Charles Edwin Stone.
years
St.
PHYSICIAN - IMPORTANT
(Was deceased a
U. S. War Veteran,
no
if so specify WAR)
45
...
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 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, wben last seen alive hy 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, 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 bundred and sixteen and nine- teen hundred and seventeen. G. L. Cbap. 46, Sec. 10.
No undertaker or other person shall bury or otherwise dispose of a human body in a town, or remove therefrom a human body which has not been buried, until he has received a permit from the board of health, or its agent appointed to issue such permits, or if there is no such board, from the clerk of the town where the person died; and no undertaker or other person shall exhume a human body and remove it from a town, from one cemetery. to another, or from one grave or tomb other than the receiving tomb to another in the same cemetery, until he has received a permit from the board of health or its agent, aforesaid or from the clerk of the town where the body Is buried. No suchr 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 tbe 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 sucb removal, unless a permit in the usual form for the removal of such body bas been sooner obtained bereunder. 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 he 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. Ifea 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 be 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 sucb 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, astbenia, etc. As principal cause name the disease causing death. As related causes, name earlier morbid conditions, if any, related to the principal canse 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 domesti · 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
R-301 A
1
PLACE OF DEATH
County))
Mentheo (City or Town 6200 To Surles It
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.
243
Registered No. § (If death occurred in a hospital or institution, St. { give its NAME instead of street and number)
Nechange . Me Jarigle
PHYSICIAN - IMPORTANT
(Was deceased a U. S. War Veteran, if so specify WAR) 200
(a) Residence. No.
(Usual place of abode)
-Length of stay: In hospital or Institution
( Before death)
( Specify whether)
years
months days.
(If nonresident, give city or town and State)
in this community 35 yra.
mos.
days.
PERSONAL AND STATISTICAL PARTICULARS
3 SEX
male
4 COLOR OR RACE!
White
5 SINGLE
( write the word)
MARRIED
WIDOWED afree
or DIVORCED
Verisure
Weed
(or) WIFE of
( Husband's name in full)
6 Age of husband or wife if olive 65 years
7 IF STILLBORN, enter that fact here.
8 AGE
63
Years
Months
Days
if less than 1 dey
Hours
Minutes
Usual
9 Occuoetlon :
petined Salesman
Industry
10 or Business :
Plumbing Supplies
11 Social Security No.
CNBC
12 BIRTHPLACE (City)
( Siste or country)
Philadelphia, Pa.
13 NAME OF
FATHER
Bernard Me Langle
14 BIRTHPLACE OF
FATHER (City)
Holand
(State or country)
15 MAIDEN NAME
OF MOTHER farce Robson
16 BIRTHPLACE OF
MOTHER
(City)
(State or country)
Holand
17 Geneviève Mr Gangle Bouclier
Informale ( Address)
tame
I HEREBY CERTIFY, that a satisfactory standard oartifiosta of death was fled with me BEFORE the Burist or transit parmit was Issued :
- (Signature of Agent of Board M nen Fwith or other) Halit officer (Official Designation)
18/21/45
(Date of Trque of Permit)
MEDICAL CERTIFICATE OF DEATH
18 DATE OF
DEATH
December 19
( Month)
(Day)
1945 (Year)
19 THEREBY CERTIFY,
Thet t attended deosased from
1945
Ło
Dec 19
1945
I last saw h ( m alive on
Nav 19, 1945, death Is said to
have occurred on tha dato stated above, at.
9.9.
m.
Immediato eguse of daath
Cerebral Hemorrhage
Due to
Chronic hypertension
Due to
Other conditions
( Include pregnancy within 3 months of death)
Mejor findIngs:
Of operations
Date of.
Of outopay
Whet test confirmed diegnosis ?.
Planica/ Jens
IMPORTANT
Physician Underline the cause to which death should be charged sta- tistically.
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