Town of Winthrop : Record of Deaths 1946, Part 42

Author: Winthrop (Mass.)
Publication date: 1946
Publisher:
Number of Pages: 526


USA > Massachusetts > Suffolk County > Winthrop > Town of Winthrop : Record of Deaths 1946 > Part 42


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Of autopsy.


What test confirmed diagnosis?


( Signa


my ocanditis (claronie)


That I attended deosasad from


MEDICAL CERTIFICATE OF DEATH


PHYSICIAN - IMPORTANT


(Was deceased a


U. S. War Veteran,


if so specify WAR)


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 army, navy or marine corps of the United States in any war in which it has been engaged, insert iu the certificate a recital to that effect, speci- fying the war, and shall also certify in such certificate both the primary and the secondary or immediate cause of death as nearly as he can state the same. For neglect to comply with any provision of this section, such physician or officer shall forfeit ten dollars. For the purposes of this sec- tion and of sections forty-five, forty-six and forty-seven of said chapter one hundred and fourteen, the word "war" shall include the China relief expedition and the Philippine insurrection, which shall, for said purposes, be deemed to have taken place between February fourteenth, eighteen hundred and ninety-eight and July fourth, nineteen hundred and two, and the Mexican border service of nineteen hundred and sixteen and nine- teen hundred and seventeen. G. L. Chap. 46, Sec. 10.


No undertaker or other person shall bury or otherwise dispose of a human body in a town, or remove therefrom a human body which has not been buried, until he has received a permit from the board of health, or its agent appointed to issue such permits, or if there is no such board, from the clerk of the town where the person died; and no undertaker or other person shall exhume a human body and remove it from a town, from one cemetery to another, or from one grave or 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- qnired 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 vi 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 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 forin of injury, have died without recent medical attendance or whose phy- sician is absent from home when the certificate of death is needed.


(3) Medical Examiners will investigate and certify to all deaths sup- posably due to injury. These include not only deaths caused directly or indirectly by traumatism (including resulting septicemia), and by the action of chemical (drugs or poisons), thermal, or electrical agents, and deaths following abortion, but also deaths from disease resulting from injury or infection related to occupation, the sudden deaths of persons not disabled by recognized disease, and those of persons found dead.


Statement of Cause of Death .- Cause of death means the disease, or complication which causes death, not the mode of dying, e. g., heart failure, asphyxia, asthenia, etc. As principal cause name the disease causing death. As related causes, name earlier morbid conditions, if any, related to the principal cause and any important complication of the principal cause.


Statement of Occupation .- Precise statement of occupation is very im- portant, so that the relative healthfulness of various pursuits can be known. Make some entry in this section for every person aged 10 years or over. If the occupation had been given up or changed on account of the disease causing death, report the usual occupation prior to illness. If the deceased had retired from business, report the usual occupation prior to retirement. Children not gainfully employed may be returned as at school or at home. For a woman whose only occupation was that of home housework, write housework. For a person engaged in domestic service for wages, how- ever, designate the occupation by the appropriate terms, as housekeeper- private family, cook-hotel, etc. For a person who had no occupation whatever write none.


SPACE FOR ADDITIONAL INFORMATION


ap. 1/9/96


1


PLACE OF DEATH


(County)


The Commonwealth 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 Heaith or its Agent.


Registered No.


114


St. 5 (If death occurred in a hospital or institution, give its NAME instead of street and number)


2 FULL NAME


(If deceased is a married, widowed or divorced woman, give also maiden name.)


47 Saratooy St. E.B.


St.


(If nonresident, give city or town and State)


38%


mos.


days.


PERSONAL AND STATISTICAL PARTICULARS


3 SEX


4 COLOR OR RACE


5 SINGLE


(write the word)


Male


White


MARRIED


WIDOWED


or DIVORCEDCarried


5a If married, widowed, or divorced


HUSBAND of


ConsigliaEsposito


(Give maiden name of wife in full)


(or) WIFE of


(Husband's name in full)


6 Age of Xosbankor wife if alive


49.


years


7 IF STILLBORN, enter that fact here.


AGE


8 54 Years Months. Days


If less than 1 day Hours Minutes


Usual


9 Occupation :


Foreman


Industry


Electrical Plant


10 or Business :


11 Social Security No. 024-01-4070


12 BIRTHPLACE (City)


(State or country)


Italy


13 NAME OF


FATHER


Celestino Principe


PARENTS


14 BIRTHPLACE OF


FATHER (City)


(State or country) Italy


'15 MAIDEN NAME


OF MOTHER


Maria Di Giacca


16 BIRTHPLACE OF


MOTHER (City)


(State or country)


"Italy


17 Informant. Consiglia Principe Rewpfejf any ( Address) 47 Saratoga 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 :


Signature of Agent of Board of Health or other)


Health Office 6/18/46


(Official Designation)


. (Date of Issue of Permft)


MEDICAL CERTIFICATE OF DEATH


18 DATE OF


DEATH


June


16


(Month)


(Day)


(Year)


19 1 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.)


Pulmonary embolus, following herniorshiphy 6-12-46.


20 Accident, suicide, or homicide (specify)


Date


Where did Injury occur?


(City or town and State)


Did injury ocour In or about home, on farm, In Industrial place, or In publlo


place ?


(Specify type of place)


Manner of Injury


Nature of Injury


Whlle at work?


.Was there an autopsy?


21 Was disease or injury in any way related to occupation of deceased?


If so, specify.


Said incurred at work (hermi))


(Signed)


richard ford


M. D.


(Address)


25 Shattuck St Date 6-16 1946


22


St.Michael


V


Boston


Place of Burial, Cremation or Removal.


(City or Town)


DATE OF BURIAL


June - 20


1946 ........


23 NAME OF


FUNERAL DIRECTOR.


Tahir


Dapino


ADDRESS


9 Chelsea Street East Boston.


Received and filed


JUN Z @ 1946


19


(Registrar)


ificatinn Af fancpe of Death International Claceitica en that it may ho nennorly classified under If deceased was a U. S. War Veteran, G. L. Chap. 46, Scotion 10, roquires physloians to Insert a reoltal to that effeot.


50m (g)-1-41-4667


pA rAverce cina ine


1303-A 1



(City or Town) Winthrop Community Hospital


No.


Albert Principe


PHYSICIAN - IMPORTANT


(Was deceased a


U. S. War Veteran,


If so specify WAR)


no


(a) Residence. No.


(Usual place of abode)


Length of stay: In hospital or Institution Hoes


(Before death)


(Specify whether)


- years


- months


days.


In this community


yrs.


1946


19


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 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, 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 ex- pedition 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 Mexi- can border service of nineteen hundred and sixteen and nineteen hundred and seventeen. G. L. Chap. 46, Sec. 10.


No undertaker or other person shall bury or otherwise dispose of a human body in a town, or remove therefrom a human body which has not been buried, until he has received a permit from the board of health, or its agent appointed to issue such permits, or if there is no such board, from the clerk of the town where the person died; and no undertaker or other person shall exhume a human body and remove it from a town, from one cemetery to another, or from one grave or 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 medical examiner shall make such certificate. If such a permit for the removal of a human body, not previously interred, from one town to an- 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; provided, that such body shall be returned to the town from which it was removed within thirty-six hours after such re- moval, 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, sucir reentar shaft appear upon the permit. Ine 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 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 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 froin 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 Edl 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 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.


... He shall in all cases certify to the town clerk or registrar in the place where the deceased dicd 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 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 physi cian 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 in directly by traumatism (including resulting septicemia), and by the action of chemical (drugs or poisons), thermal, or electrical agents, and death following abortion, hut also deaths from disease resulting from injury o infection related to oocupation, the sudden deaths of persons not disable 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 by a steam railway accident." "Pistol shot wound of the chest with asso ciated hemorrhage, homicidal." "Asphyxiation by suspension, suicidal.' "Syncope while under the influence of ether administered as a surgica 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 icause it known or presumable nature; and (2) under manner, indicate the circum stances leading to medico-legal inquiry. For example : "Ilemorrhage spon taneous of the brain (basal ganglia) (found dead in bed)." "Heart 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


1


-301 A


1


Winthrop


(City or Town)


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.


115


[ (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)


Revere


(If nonresident, give city or town and State)


Length of stay: In hospital or institution


(Before death)


(Specify whether)


PERSONAL AND STATISTICAL PARTICULARS


3 SEX


Female


4


COLOR OR RACE


White


5 SINGLE


(write the word)


18 DATE OF


DEATH


(Month)


(Day)


, 1946


I last saw/h & alive on


-17.1946, death is said to


have occurred on the date stated above. at


6:30 P.


m.


Immediate cause of death


Cardine mentaciency


Due to


Bronchial asthma


Due to


Other conditions (Include pregnancy within 3 months of death)


Major findings: Of operations


Date of


Of autopsy


What test confirmed diagnosis?


20 Was disease or injury in any way related to occupation of deceased? 200


If so, specify


Auto Mylogran


(Signed).


(Address)


670 Beach st5406 Date 6-17 1946


21 Puritan Lawn Memorial Park Pea body


Place of Burial, Cremation or Removal.


DATE OF BURIAL


June.


21,


19 46.


22 NAME OF


ECTOR Michael J. Forcella


FUNERAL DIRECTOR


ADDRESS LO No. Benett St., Boston


Received and Filed


JUN 2 @ 1946


19


(Registrar)


Duration IMPORTANT


6-17-45


70 years


IMPORTANT


Physician Underline the cause to which death should be charged sta- tistically.


15 MAIDEN NAME


OF MOTHER Alice M. Burke


16 BIRTHPLACE OF


MOTHER (City)


(State or Country)


Nova Scota


17 Informant Edward J. Tighe ( MuyBana ) (A 55 Payson St., Revere I HEREBY CERTIFY that a satisfactory standard certificate of death was filed with me BEFORE the burial of transit permit was issued:


Walters Baker (Signature of Agentk( Board of Health or other) Health Offices (Official Designation) (Date of Issue of Permit!


6/19/46


MEDICAL CERTIFICATE OF DEATH


170 1946


(Year)


MARRIED


WIDOWED


Or DIVORCEMarried


5a If married, widowed or divorced


HUSBAND of .


(Give maiden name of wife in full)


(or) WIFE of


Edward Joseph Tighe


(Husband's name in full)


6 Age of husband or wife if alive


62


years


7 IF STILLBORN, enter that fact here.


8 55


AGE


Years


Months


Days


If less than 1 day


Hours


Minutes


Usual


9 Occupation:


Housewife


Industry


10 or Business:


at home


11 Social Security No. None


Revere


12 BIRTHPLACE (City).


(State or Country)


Mass


13 NAME OF


FATHER John V. Fitzgerald


14 BIRTHPLACE OF


FATHER (City)


Chelsea


(State or Country)


Mass.


PARENTS


PLACE OF DEATH


Suffolk (County


2/10/ 46


Winthrop Community Hospital


No.


2 FULL NAME


Kathleen C. Tighe


(Fitzgerald )


(If deceased is a married. widowed or divorced woman, give also maiden name.)


(a) Residence. No.


55 Payson


(Usual place of abode)


St.


years


- months


8


days.


In this community


yrs.


mos.


days.


See instructions and extracts from the laws USER'Sflashed Hract statement of OCCUPATION Is very important If deceased was a U. S. War Veteran, G. L. Chap. 46, Section 10, requires physicians to insert a recital to that effect.


per harp. 1/9/88


100m-9-44-14955


May


20


, 1976


I HEREBY CERTIFY,


(attended deceased from


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 whoni he has attended during his last illness, at the request of an undertaker or other authorized person or of any member of the family of the deceased, furnish for registration a standard certificate of death, stating to the best of his knowledge and belief the name of the deceased, his supposed age, the disease of which he died, defined as re- quired by section one, where same was contracted, the duration of his last illness, when last seen alive by the physician or officer and the date of his death ... Gen. Laws, Chap. 46, Sec. 9.


A physician or officer furnishing a certificate of death as required by the preceding section or by section forty-five of chapter one hundred and four- teen, shall, if the deceased, to the best of his knowledge and belief, served in the army, navy or marine corps of the United States in any war in which it has been engaged, insert 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.




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