USA > Massachusetts > Suffolk County > Winthrop > Town of Winthrop : Record of Deaths 1945 > Part 9
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by section ten of chapter forty-aix, that the deceased served in the army, navy or marine corps of the [ulted States lo 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 registratiun. The person to whom the permit is so given and the physician certifying the cause of death shall thereafter furnish for registration any other ices sary information which can be obtained as tu the deceased. ur as to the mswier ot canse 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 hunian body or the ashea thereuf which have been brought Into the commonwealth until he has re- ceived a permit so to do from the board of health ur its spent appointed to issue such permits, or if there is no such hoard, from the clerk of the town where the body is to be buried 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 ia made. .. . Chap. 114. Sec. 16. 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 hy violence. If a medical examiner has notice that there is within hils county the hody of such a person, he shall forthwith go to the place where the hody lies aud take charge of the same; ... - General Lawa, Chap. 38, Sec. 6.
RULES OF PRACTICE
The fulfillment of the purpose of these lawa calla for the observance of the following rulea of practice :
(1) Attending phyalcians will certify to such deatha only aa 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 phyalolana will certify to such deaths only aa those of persons who, thuugh disahled by recognized disease unrelated to any form of injury. have died without recent medical attendance or whose phyaf- cian ia ahsent from home when the certificate of death ia needed.
(3) Medloal Examiners will investigate and certify to all deaths sup- posably due to Injury. These include not only deaths caused directly ui in- directly by traumatism (including resulting septicemia), and by the action of clientical (drugs or poisons), thermal, or electrical agents, and deaths following abortion, hut also deaths from diseasa resulting from injury or Infeotlon related to oooupatlon, the sudden deaths of persona not disabled by recognized disease, and those of persons found dead.
Statement of Cause of Death .- Cause of death meana the dlaease, or complication which causea death, not the mode of lying, e. g., heart failure, asphyxia, asthenia, etc. Aa principal cause name the disease caualug death. As related causes, name earlier morbid conditiona, if any, related to the principal cause and any important complication of the principal cause.
Statement of Occupation .- Precise statement of occupation ia very im- portant, so that the relative healthfulness of various pursuits can be known. Make some entry in thia aection for every person aged 10 years or over. If the occupation had been given up or changed on account of the discase causing death, report the usual occupation prior to Illuese. If the deceased had retired from business, report the usual occupation prior to retirement. Children not gainfully employed may be returned aa at school or at hurne. For a woman whose only occupatiou was that of home huusework, write housework. For a person engaged in domestic service for wages, however, designate the occupation by the appropriate terma, aa housekeeper-private family, cook-hotel, etc. For a person who had no occupation whatever write none.
SPACE FOR ADDITIONAL INFORMATION
RM R-301 JK
2/10 PLACE OF DEATH 3 SEX (per hospital 218145 Usual 9 Occupation: Informant. information should be carefully supplied. AGE should be stated EXACTLY. PHYSICIANS should state is very important. See instructions and extracts from the laws on back of.certificate. CAUSE OF DEATH in plain terms, so that it may be properly classified. Exact statement of OCCUPATION Industry 10 or Business:
Suffolk (County)
NNG 1945
The Commonwealth of Massachusetts OFFICE OF THE SECRETARY DIVISION OF VITAL STATISTICS STANDARD CERTIFICATE OF DEATH
(City or town making return)
Registered No.
§ (If death occurred in a hospital or institution,
St. { give its NAME instead of street and number)
2 FULL NAME
Male Taton
(If deceased is a married, widowed or divorced woman, give also maiden name.)
(a) Residence.
No ...
110 Hermon St 182 Webster
(Usual place of abode)
ength of stay: In hospital or institution
(Specify whether)
2 hrs.
years
months
days.
In this community
yrs.
mos.
days.
PERSONAL AND STATISTICAL PARTICULARS
4 COLOR OR RACE
(write the word)
Male White
5 SINGLE
MARRIED
WIDOWED
or DIVORCED
Single
Sa 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 il alive years
7 IF STILLEORN, enter that fact here.
8 AGE .. Years ...... Months. .. Days
If less than I day
Hours. 2.Q ... Minutes
II Social Security No.
12 BIRTHPLACE (City)
winthrop
(State or country)
Massachusetts
13 NAME OF
FATHER
Walter B. Taton
14 BIRTHPLACE OF
Baltimore Sesentir
FATHER (City)
(State or country)
Maryland
Panno
15 MAIDEN NAME
OF MOTHER
Mary J Roan
16 BIRTHPLACE OF
East Boston
MOTHER (City)
(State or country)
Massachusetts
17 Daniel Roan
Relation, if
Grandfather
(Address)
182 Webster St E. Boston
I HEREBY CERTIFY that a satisfactory standard certificate of death was filed with me BEFORE the burial or transit permit was issued:
What. Childress.
(Signature of Agent of Board of Henkh (or other)
Hearthe Offecct 2/5/45 (Official Designation) (Date of Issue of Permit)
MEDICAL CERTIFICATE OF DEATH
18 DATE OF
DEATH
Jem. 31 1945
(Month)
(Day)
(Year)
1 Jan 31,
A HEREBY CERTIFY . That I attended deceased from
1945
I last saw him .... alive on .......
to have occurred on the date stated above, at 1/ Cm. Immediate cause of death ...
Duration
Due to 5 months
Due to
Other conditions
(Include pregnancy within 3 months of death)
Major findings :
Of operations
PHYSICIAN Underline the cause to which death
Of autopsy ..
What test confirmed diagnosis ?
clinical
should be charged sta- tistically.
20 Was discase or injury In any way related to occupation of deceased ?
If so, specify.
P. 5 Dating
M. D.
(Address).
Date
1/31/4195
21
Winthrop./Sith
Winthrop
45
....
Place of Burial, Cremation e Bemgalny City or Town)
DATE OF BURIAL
19
22 NAME OF
FUNERAL DIRECTOR
ADDRESS
Winthrop Massachusetts
"Received and filed .....
19
A TRUE COPY ATTEST:
(Registrar)
(If U. S. War Veteran. specity WAR)
St.
Cand Boston mas.
(If nonresident, give city or town and state)
en .
3
19/45, to.
Jan 31 /4, 19
... , death is said
(Signed)
235 Showerich Str
Date of.
N. B .- WRITE PLAINLY, WITH UNFADING BLACK INK-THIS IS A PERMANENT RECORD. Every item of PARENTSY/C 200m-10-'39. No. 8427-d
No.
Winthrop (City or Town) Winthrop Community Hospital
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 deccascd, furnish for regis- tration 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 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, Scc. 9.
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 sueh 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 such permit shall be issued until there shall have been dc- livered to such board, agent or clerk, as the case may be, a satisfac- tory 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 physician who is a member of the board of health, or employed by it or by the selectmen for the pur- pose, shall upon application make the certificate required of the at- tending physician. If death is caused by violence, the medical exam- iner 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 a 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 fur- nish 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 require .- Chap. 114, Sec. 45, G. L., (Tercentenary Edition.)
No undertaker or other person shall bury a human body or the ashes thercof which have been brought into the commonwealth until he has received 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, Scc. 46, G. L., (Tercentenary Edition.)
RULES OF PRACTICE
The fulfillment of the purpose of these laws calls for the observ- ance 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 ill- ness from disease unrelated to any form of injury.
(2) Board of Ilealth physicians will certify to such deaths only as those of persons who, though disabled by recognized disease un- related to any form of injury, have died without recent medical attendance or whose physician is absent from home when the certificate of death is needed.
(3) Medical Examiners will investigate and certify to all deaths supposably due to injury. These inelude not only deaths caused directly or indirectly by traumatism (including resulting septice- mia), 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 occupa- tion, 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 con- ditions, if any, related to the principal cause and any important complication of the principal cause.
Statement of Occupation .- Precise statement of occupation is very important, 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 busi- ness, 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, however, 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 Suffolk (County) Winthrop 1 (City or Town) Waschen 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. 28
Registered No.
St & (If death occurred in a hospital or institution, '{ give its NAME instead of street and number)
- Viner
Joseph S. Vinciguerra
(If deceased to - married, widowed or divorced woman give also maiden name.)
34 Linchest Rd.
(a) Residence. No.
(Usual place of abode) Fineweerson
Length of stay: In hospital or Institution A
(Before death)
(Specify whether)
-
years
months 3,
deys.
In this community"
mos.
days.
PERSONAL AND STATISTICAL PARTICULARS
3 SEX
4 COLOR OR RACE
w.
5 SINGLE
MARRIED
WIDOWED
or DIVORCED
( write the word)
Sangle
Sa 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 aliva years
7 IF STILLBORN, enter that fact hera.
8 AGE 41 Years 9 Months 29 Days
If less then 1 dey
Hours
Minutes
Usual
9 Occupation :
Electivain
/industry
Stani Electrical Company
11 Social Security No.
12 BIRTHPLACE (City)
(Siate or country)
Italy
13 NAME OF
FATHER
Floriana Vacoizuna
14 BIRTHPLACE OF
FATHER (Clty)
(State or country)
Staly
Panza
15 MAIDEN NAME OF MOTHER Francoaring Banza ancuisine
16 BIRTHPLACE OF
MOTHER (City)
(State or country)
Italy
17 Informen ( Address ) 3 4 com end of me
I HEREBY CERTIFY that a satisfactory standard cartiffoata of death was Aled with me BEFORE the buffal or transit permit was larued:
(Signature of Agent of Board of Health of other)
health Officer 2/1/45
(Omelal Designation) ( Date of Inque of Permit) /
MEDICAL CERTIFICATE OF DEATH
18 DATE OF
DEATH
( Month)
(Day)
1545.
(Year)
19 HEREBY CERTIFY, Sgot 19
Thet I attended deceased from
1944
to
Ja
31
19 45
I last saw h I'm alive on.
1/31
1943. death Is sald to
have oocurred on tha date stated above, at ... ] ___.... 3D ........ m. Immediate oeuse of death
Duration
Uremia
Que to
Hypertension (malignant)
Hypertensive Heart
Due to ..
Coronary 1 hombro
Diabetes mellitus
Other conditions.
( Include pregnancy within 8 monthe of death)
IMPORTANT
Physician Underline the cause to which death should be charged sca. tistically.
20 Was diseese or injury in any way ralated to oooupation of daoaesed ? If so, spaolfy
( Signed)
D. D. Potito
. M. D.
( Address)
7 Contrat dy E.B. Date 2/1
19 45.
Place of Burial, Cremation or Removal. Comme( City, or Toyn) OATE OF BURIAL ..
45 19.
22 NAME OF
FUNERAL DIRECTOR
Kannein
ADDRESS
215 Mousse. Basta -....
Racaived and Alad
19
( Registrar)
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 reoital to that offoot. PARENTS
100m(i)-1.44.13634
PLACE OF DEATH
melden I\G 1945
2 FULL NAME.
PHYSICIAN - IMPORTANT
(Was deceased a
U. S. War Veteran,
if so specify WAR).
st.
Malden, Man
(IT nonresident, give elty or town and State)
31
IMPORTANT 4 days 2 years, 2.11 1 year 2 (years
Major findings: Of operations
Date of
Of eutopsy
Whet test confirmed diagnosis ?
21
Relatlon, If any
iguerra
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 belicf the name of the deceased, his supposed age, the disease of which he died, defined as re- quired by section one, where saine 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, 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 ariny, navy or inarine corps of the United States in any war in which it has been engaged, insert in the certificate a recital to that effect, speci- fying the war, and shall also certify in such certificate both the primary and the secondary or immediate cause of death as nearly as he can state the same. For neglect to comply with any provision of this section, sucb 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 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 110 undertaker or other person shall exhume a human body and remove it from a town, from one cemetery to another, or from one grave or tomb other than the receiving tomb to another in the same cemetery, until he has received a permit from the board of health or its agent aforesaid or from the clerk of the town where the body is buried. No such permit shall be issued until there shall have been delivered to such board, agent or clerk, as the case may be, a satisfactory written statement containing the facts required by law to be returned and recorded, which shall be accompanied, in case of an original interment, by a satisfactory certificate of the attending physician, if any, as required by law, or in lieu thereof a certificate as hereinafter provided. If there is no attending physician, or if, for sufficient reasons, his certificate cannot be obtained early enough for the purpose, or is insufficient, a physi- cian who is a member of the board of health, or employed by it or by the selectmen for the purpose, shall upon application make the certificate re- quired of the attending physician. If death is caused by violence, the medi- cal examiner shall make such certificate. If such a permit for the removal of a human body, not previously interred, from one town to another within the commonwealth cannot be obtained early enough for the purpose, the certificate of death made as above provided and in the possession of the undertaker desiring to make such removal shall constitute a permit for such removal; provided, that such body shall be returned to the town from which it was removed within thirty-six hours after such removal, unless a permit in the usual form for the removal of such body has been sooner obtained hereunder. If the death certificate contains a recital, as required
by section ten of chapter orty-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 forını 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 cause and any important complication of the principal cause.
Statement of Occupation .- Precise statement of occupation is very im- portant, so that the relative healthfulness of various pursuits can be known. Make some entry in this section for every person aged 10 years or over. If the occupation had been given up or changed on account of the disease causing death, report the usual occupation prior to illness. If the deceased had retired from business, report the usual occupation prior to retirement. Children not gainfully employed may be returned as at school or at home. For a woman whose only occupation was that of home housework, write housework. For a person engaged in domestic service for wages, how- ever, designate the occupation by the appropriate terms, as housekeeper- private family, cook-hotel, etc. For a person who had no occupation whatever write none.
SPACE FOR ADDITIONAL INFORMATION
RM R-302
1
Everett
(City or Town)
No. Whidden Hospital
The Commonwealth of Massachusetts OFFICE OF THE SECRETARY DIVISION OF VITAL STATISTICS COPY OF CERTIFICATE OF DEATH
EVERETT (City or town making return)
29
(If death occurred in a hospital or institution, St. give its NAME instead of street and number)
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