Town of Winthrop : Record of Deaths 1946, Part 58

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


USA > Massachusetts > Suffolk County > Winthrop > Town of Winthrop : Record of Deaths 1946 > Part 58


Note: The text from this book was generated using artificial intelligence so there may be some errors. The full pages can be found on Archive.org (link on the Part 1 page).


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.. Days


If less than I day


.Hours.


Minutes


Usual


9 Occupation:


Upholsterer


Industry


10 or Business:


Furniture


II Social Security No.


has lost card


Boston


12 BIRTHPLACE (City)


(State or country)


Mass


13 NAME OF


FATHER


James Gates


14 BIRTHPLACE OF


FATHER (City)


Durham


(State or country)


England


15 MAIDEN NAME


OF MOTHER


Elizabeth Matthews


16 BIRTHPLACE OF


MOTHER (City)


(State or country)


Lancashire,


17


Informant ..


Alice B. McCavan


(Address)


73 Moseley St.


Dorchester


ATTEST:


(Registrar of city or town where death occurred)


DATE FILED


.Aug. 22, 1946


19


MEDICAL CERTIFICATE OF DEATH


18 DATE OF


DEATH ..


August 21 1946


(Month)


(Day)


(Year)


19 I 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.) Heart disease, presumably


Coronary Sclerosis ( found dead.


in bed. )


20 Accident, suicide, or homicide (specify).


Date of occurrence ...... 19


Where did


Injury occur?


(City or town and State)


Did injury occur in or about the home, on farm, in industrial place, or in public place ? (Specify type of place)


Manner of


Injury


Nature of Injury


While at work?


No


Was there an autopsy ?..


No


21 Was discase or injury la any way related to occupation of deceased ?.


No


If so, specily


(Signed)


Geo. D .. Dalton


M. D.


(Address)


Quincy.


Date


8/2119 46


22 Mt. Hope Cem.


Boston , ..... Mass ..


Place of Burial, Cremation or Removal.


(City or Town)


Relation, starr


DATE OF BURIAL


Aug. 23, 1946


19


23 NAME OF


FUNERAL DIRECTOR


John .... W ...... Baldyza


A TRUE COPY.


Hattiemann


Thomas


ADDRESS


So. Boston


Received and filed


SEP - 51945


19


(Registrar of City or Town where deceased resided)


Quincy. (City or towu making return)


156


Registered No


572


(If death occurred in a hospital or institution,


........... give its NAME instead of street and number)


2 FULL NAME


John A. Gates


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


208 Cliff Ave. ..


......


Winthrop, Mass.


(a) Residence. No ...


(Usual place of abode)


Length of stay: In hospital or institution


(Specify whether)


years


months


days.


(If nonresident, give city or town and state)


In this community


yrs.


mos.


days.


PERSONAL AND STATISTICAL PARTICULARS


3 SEX


Male


white


4 COLOR OR RACE 5 SINGLE


MARRIED


WIDOWED


or DIVORCED


(write the word)


widowed


5a If married, widowod, or divorcedRogeanna Egan


HUSBAND of


(Give maiden name of wife in full)


(or) WIFE of


(Husband's name in full)


G Age of husband or wife if alive.


Years


PLACE OF DEATH No


Norfolk (County)


Quincy (City or Town)


The Commonwealth of Massachusetts OFFICE OF THE SECRETARY COPY OF MEDICAL EXAMINER'S CERTIFICATE OF DEATH


40 Harriet .Av.e .......


St.


(If U. S.


War Veteran,


specify WAR)


7 IF STILLBORN, enter that fact here.


England


301 A


1 Suffolk (County Winthro (City or Towa · Winthrop PLACE OF DEATH BABY GIRL


2 FULL NAME


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


(a) Residence.


No.


(Usual place of abode)


Length of stay: In hospital or institution (Before death)


Thep


(Specify whether)


years


= months


days.


In this community


yrs.


mos.


days.


PERSONAL AND STATISTICAL PARTICULARS


3 SEX F


4 COLOR OR RACE


White


5 SINGLE (write the word)


MARRIED


WIDOWED


OF DIVORCED


Single


5a 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 alive


years


7 IF STILLBORN, enter that fact here.


8


AGE


Years


Months


Days


If less than 1 day Hours 30 Minutes


Usual


9 Occupation:


Industry 10 or Business:


11 Social Security No ..


12 BIRTHPLACE (City)


(State or Country)


Winthrop, Mass


13 NAME OF


FATHER


Harry Tuskman


14 BIRTHPLACE OF


FATHER (City)


(State or Country)


Worcester, Muss.


15 MAIDEN NAME


OF MOTHER


Daris Kientzman


16 BIRTHPLACE OF


MOTHER (City)


(State or Country)


Chelsea, Mass.


Samuel Mentzman David father


17 Informant (Address 86 Sagamme die, Withrye I HEREBY CERTIFY that a satisfactory standard certificate of death was filed withy me BEFORE the burial or fransit permit was issued: Walter & Baker (Sighnature of Agent of Board of Health of-oth.)


Health officer Official Designation) TDate of Issue of Permit)


8/21/46


MEDICAL CERTIFICATE OF DEATH


18 DATE OF


DEATH


aug


21, 1946


(Year)


(Month)


(Day)


19


I HEREBY CERTIFY,


That I attended deceased from


Cmq 21


, 19


×6,10


aug 21


. 19


×6


I last sauch Calive on


ang 21 /19 ×6 death is said to


A.


m.


have occurred on the date stated above. at


Duration


IMPORTANT


6 sua Barn até 4:30 4M. 8/21/46


Due to


Due to


Other conditions


(Include pregnancy within 3 months of death)


Major findings:


Of operations


Date of.


7


Of autopsy


What test confirmed diagnosis?


20 Was disease or injury in any way related to occupation of deceased? If so, specity


(Signed)


(Address) 0% comm AVE Dusty


Date


8/21


19 46


Workingmen Circle West Roxbury


Place of Burial//Cremation or Removal.


(City or Town)


.


1926


22 NAME OF


FUNERAL DIRECTOR


Benjamin Bünbach


ADDRESS


10 Washington St. Durch.


19


Received and Filed AUG 2 1 1946


(Registrar)


IMPORTANT


Physician


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


100m-9-44-14955


notified 9/12/46


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.


157


Community Hospitals ..


§ (If death occurred in a hospital or institution, { give its NAME instead of street and number)


INSHMAN


PHYSICIAN - IMPORTANT


(Was deceased a


U. S. War Veteran,


if so specify WAR)


8 Keningtan Rd x


Warenfür (If nonresident, give city or town and State)


If deceased was a U. S. War Veteran, G. L. Chap. 46, Section 10, requires physicians to insert a recital to that effect. PARENTS


21


DATE OF BURIAL


8-22


...


, M. D.


Immediate cause of death


Prematurity


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 helief 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 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 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, 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, he 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 acventeen. 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 been buried, until he has received a perinit 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 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 he issued until there shall have been delivered to such hoard, agent or clerk, as the case may he, a satisfactory written statement containing the facts required by law to he returned and recorded, which shall be accompanied, in case of an original interment, 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 hy 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 he 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 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 hody has been sooner obtained hereunder. If the death certificate contains a recital, as required


by section ten ui chapter lolly.gia, tual 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 hy violence. If a medical examiner has notice that there is within his county the hody 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 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 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 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 hy 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 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 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 he known. Make some entry in this section for every person aged 10 years or over. If the occupation had heen 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. 1


SPACE FOR ADDITIONAL INFORMATION


301 A


1


(City or Town) No Centrole comp


Community Hospita


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. 158


2 FULL NAME De Precio


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


416 Saratoga. St.


(a) Residence.


No.


(Usual place of abode)


Length of stay: In hospital or institution


(Before death)


1


(Specify whether)


years


months


days.


In this community


yrs.


mos.


days.


PERSONAL AND STATISTICAL PARTICULARS


3 SEX


female


4


COLOR OR RAGE


Mute


MARRIED


WIDOWED


or DIVORCED


5 SINGLE


(wpite the word)


fugle


5a If married, widowed or divorced 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


years


7 IF STILLBORN, enter that fact here Chielbow


8


AGE


Years


Months


Days


If less than 1 day Hours Minutes


Usual 9 Occupation:


Industry 10 or Business:


11 Social Security No.


12 BIRTHPLACE (City)


(State or Country))


13 NAME OF


FATHER


Sudalph Patrizio


14 BIRTHPLACE OF


FATHER (City)


(State or Country)


Haly


15 MAIDEN NAME


MOTHER Harquel Licardi


16 BIRTHPLACE OF


MOTHER (City)


(State or Country)


mars


17 Informant (Address' 16 Jacatora fl I HEREBY CERTIFY that a satisfactory standard certificate of death was filed with me BEFORE the burial or transit permit was issued: Walter Baker (Signature of Ageet of Beard of Health or other)


Healthe (Official Designation)


(Date of Issue of Peribit) 8/26/46


MEDICAL CERTIFICATE OF DEATH


18 DATE OF


DEATH


aug 23


[(Month)


(Day)


1946 (Ycar)


19


I HEREBY CERTIFY.


That I attended deceased from


, 19


, to


19


I last saw h alive on , 19 , death is said to


have occurred on the date stated above. at


m,


macerated


let


Duration


Immediate cause of death


Stillhorn macurated fita.


IMPORTANT


Due to


Primature Rupture of


Manchanes.


Due to


Other conditions (Include pregnancy within 3 months of death)


Major findings: Of operations


Date of


Of autopsy


What test confirmed diagnosis?


Chemine Exam


20 Was disease or injury in any way related to occupation of deceased? If so, specify


(Signed)


(Address)


318 Comments on Date Cruz 231946


21 th Michael


Place of Burial, Cremation or Removal. (City or Town)


DATE OF BURIAL


Que.


26,


19 76


22 NAME OF FUNERAL DIRECTOR Asbest Scaramella


ADDRESS


3) Orleans AV., East Breton


Received and Filed


19


SEP


3


1946


(Registrar)


If deceased was a U. S. War Veteran, G. L. Chap. 46, Section 10, requires physicians to insert a recital to that effect. PARENTS


100m-9-44-14955


PLACE OF DEATH Jufalles (County)


Brator notifise 9/12/46


Baby Girl;


St. § (If death occurred in a hospital or institution, 1 give its NAME instead of street and number)


PHYSICIAN - IMPORTANT ( Was deceased a U. S. War Veteran, if so specify WARI


(If nonresident, give city of town and State)


IMPORTANT


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


.. , M. D.


Feston


Relation, if any)


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 othcer 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 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 relief expedition and the Philippine insurrection, which shall, for said purposes, he deemed to have taken place between February fourteenth, eighteen hundred and ninety-eight and July fourth, nineteen hundred and two, and the 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 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 permita, 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 hody 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 ionty-six, lust Loc ucceased 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 hy 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 hoard, 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 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 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 deathis 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 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 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 heen 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


If deceased was a U. S. War Veteran, G. L. Chap. 46, Section 10, requires physicians to insert a recital to that effect. PARENTS


100m-9-44-14955


17 Informant (Address 4 Wordside Pack Wanthy


I HEREBY CERTIFY that a satisfactory standard certificate of death was filed with me BEFORE the burial or transit permit was issued: Valter & Baker (Signature of Agent of Board of Health or other)




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