USA > Massachusetts > Suffolk County > Winthrop > Town of Winthrop : Record of Deaths 1946 > Part 63
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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 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 teu 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 aud 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 practicc:
(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 forum 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 by recognized disease, and those of persons found dead.
Statement of Cause of Death .- Cause of death means the disease, or complication which causes death, not the mode of dying, e. g., heart failure, asphyxia, asthenia, etc. As principal cause name the disease causing death. As related causes, name earlier morbid conditions, if any, related to the principal cause and any important complication of the principal cause.
Statement of Occupation .- Precise statement of occupation is very im- portant, so that the relative healthfulness of various pursuits can be known. Make some entry in this section for every person aged 10 years or over. If the occupation had been given up or changed on account of the disease causing death, report the usual occupation prior to illness. If the deceased had retired from business, report the usual occupation prior to retirement. Children not gainfully employed may be returned as at school or at home. For a woman whose only occupation was that of home housework, write housework. For a person engaged in domestic service for wages, how- ever, designate the occupation by the appropriate terms, as housekeeper- private family, cook-hotel, etc. For a person who had no occupation whatever write none.
SPACE FOR ADDITIONAL INFORMATION
DATE OF ENTERING MILITARY SERVICE
DATE OF DISCHARGE RANK, RATING
ORGANIZATION AND OUTFIT
SERVICE NUMBER
}
PLACE OF DEATH
Suffolk ( County) Winthrop (City or Town) 125 Cliff are
The Commontoralth of Massaelpisetts OFFICE OF THE SECRETARY DIVISION OF VITAL STATISTICS STANDARD CERTIFICATE OF DEATH
1946 To be filed for burial permit with Board of Health or its Agent.
Registered No.
( It death occurred in a hospital or Institution, give ita NAME instead of street aud nuniber)
2 FULL NAME
georgia
Exclus Malony
( If deceased is e married, widowed or divorced woman, give also maiden name.)
(a) Residence. No.
37 Dechaux
St.
Pesca
(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 22 yre.
mos.
days.
PERSONAL AND STATISTICAL PARTICULARS
3 SEX
Fernale
4 COLOR OR RACEJ
nleite
5 SINGLE
( write the word)
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 if alive years
IF STILLBORN. enter that fact here.
8
AGE
73
Years
Months
Days
If less than 1 day
Hours
Minutes
Usual
9 Occupation :
Boolekuper
Industry
10 or Business :
Edward F. Marchaut G.
11 Social Security No.
022-03-8997
Somerville
PARENTS
14 BIRTHPLACE OF
FATHER (City)
(State or country )
Ireland
15 MAIDEN NAME
OF MOTHER
georgianna Parker
16 BIRTHPLACE OF
MOTHER (City)
(State or country)
aure
17 Mrs. grace B. Du Cetto Relation, If any
( Address)
32 Hledhau Str Auage mars.
I HEREBY CERTIFY thata satisfactory standard certificate of death was filed with me BEFORE the burial) oftransit permis was Issued;
Signaturefof Board of Health or other)
....
(Official Designation CHO (Date of Teque of Permet) 9/19/116
MEDICAL CERTIFICATE OF DEATH
18 DATE OF
DEATH
Sept.
182
( Month)
(Day)
(Year)
19 | HEREBY CERTIFY,
That I attended deosased from
March 4, 1946.
toSept. 18
1946
1 last saw h.Rox ......... alive on
sept 18: 1946, death is said to
have occurred on the date stated above, at.
3:45 A.m.
Immediate cause of death ....
4
Heart failure
IMPORTANT 6 Mas
Due to arterioschematic least devient with Compective failure- Banti's Due to Syndrome with Centuries a phageal varices + 11 Hourly . Other conditions ... rie nephritis -
( 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 ony way related to oooupation of deceased ? NO
If so, specify ..
('Signed)
andrew Calmo
.....
. M. D.
(Address) gy Beach st. Mentre Do Diet 18 1946
Carérett Mais
21
Woodlawn emeliny
I'lece of Burial, Cremation or Removal.
DATE OF BURIAL
September
(City or Town)
20
1946
22 NAME OF
Codice m. Marconi
FUNERAL DIRECTOR
ADDRESS
305 Beach St, Oferece, Mars
Received and Aled SEP 191945
...... .19
( Registrar)
IMPORTANT
Physician Cuderline the cause to which death should be charged sta- tistically.
......
....
JOOM-6 - 2-42-8855
1
No.
St.
PHYSICIAN - IMPORTANT
(Was deceased a
U. S. War Veteran,
if so speolty WAR)
...
1946
Duration
12 BIRTHPLACE (City)
(State or country)
maso.
13 NAME OF
FATHER
William F. Malony
EXTRACTS FROM THE LAWS OF THE COMMONWEALTH OF MASSACHUSETTS GOVERNING THE
RETURN OF CERTIFICATES OF DEATH
A physicien or registered hospital medical offiosr shall forthwith, after the death of a person whoin he has attended during his last illness, at the request of an undertaker or other authorized person or of any meniber of the faniily of the deceased, furnisb for registration a standard certificate of death, stating to the best of his knowledge and belief the naille of the deceased, his supposed age, the disease of which he died. defined as re- quired by section one. wlirre 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, Clap. 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 l'iited 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 saine. For neglect to comply with any provision of this section, sucb physician or officer shall forfeit ten dollars. For the purposes of thia 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, he deemed to have taken place hetween February fourteenth, eighteen hundred and ninety. eiglit and July fourth, nineteen hundred and two, and the Mexi- can border service of nineteen hundred aud sixteen and nineteen bundred and seventeen. G. L. Chap. 46, Sec. 10.
No undertaker or other person shall bury or otherwise dispose of a buman 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 ita 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 otber person shall exhume a human body and remove it from a town. from one cenietery to another, or from one grave or tomb other than the receiving tonib to another In the same cemetery, until he has received a permit from the board of health or its agent aforewaid 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 facta required by law to be returned and recorded, which shall be accompanied. in case of an original Internient, by a satisfactory certificate of the attending physician, if any, as required by law. ot in lieu thereof a certificate as liereinafter 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 pbysl. cian who is a member of the board of bealth, or employed by it or by the aelectmen for the purpose, shall upon application make the certificate re- quired of the attending physician. If death is caused by violence, the medl- cal examiner ehall 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 desth made as above provided and in the possession of tbe 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, unlesa 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. sucb recital shall appear upon the permit. The board of health, or its agent, upon receipt of such statenient and certificate, shall forthwith countersign it and transmilt it to the clerk of the town for registration. The person to whom the permit is so givet and the physiciau certifying the cause of death shall thereafter furnish for registration any other nece eary information which can be obtained as to the deceased, or aa to the manner of cause of the death, which the clerk or registrar uray require .- Cbap. 114. Sec. 46. G. L., (Tercentenary Edition).
No undertaker or other person shall bury a human body or the ashes thereof which have been brought Into the conintonwealth until he has re- ceived a permit so to do front the board of health or its agent apminted to issue such permits, or if there is no such hoard, front the clerk of the town where the body is to be buried or the funeral is to he held, or from a person apointed to have the care of the cemetery or burial ground in which ibe Interment is made .... Cbap. 114. Sec. 46. G. L., (Tercentenary Editiou).
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 lils county the body of such a person, he shall forthwith go to the place where the bauxly lies and take charge of the same; ... - General Laws, Chap. 38, Sec. 6.
RULES OF PRACTICE
The fulfillment of the purpose of these lawa calls for the observance of the following rules of practice :
(1) Attending physicians will certify to such deatha only aa those of persona to whom they have given bedside care during a last illness from disease unrelated to any form of injury.
(2) Board of Hsalth physlolana will certify to such deatha only as those of persons who, though disahled by recognized disease unrelated to any form of injury, have died without recent medical attendance or whose pbyel- cian is ahsent from home when the certificate of death is needed.
(3) Msdloal Exeminars 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 deaths following abortion, but also deaths from diseasa resulting from injury or Infeotlon related to occupation, the sudden deaths of persons not disabled by rsoognized 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 fallure, asphyxia, asthenla, etc. Aa principal cause name the disease caualng 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 la very Im- portant. so that the relative healthfulness of various pursuits can he known. Make some eutry In this section for every person aged 10 years or over. If the occupation had been given up or changed on account of the dixcase causing death, report the usual occupation prior to illness. If the deceased bød retired from businesa, report the usual occupation prior to retirement. Children not gainfully employed may he returned aa at school or at hoine. For a woman whose only occupatiou was that of home housework, write housework. For a person engaged in domestic service for wages, however, designate the occupation hy the appropriate terma, as housekeeper-private fantily, cook-hotel, etc. For a person who had no occupation whatever write none.
SPACE FOR ADDITIONAL INFORMATION
1
10/10/46
1
1 PLACE OF DEATH
T Suffolk. (County)
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.
172
§ (If death occurred in a hospital or institution, { St. f give its NAME instead of street and number)
PHYSICIAN - IMPORTANT (Was deceased a U. S. War Veteran, if so specify WAR) mass.
(If nonresident, give city or town and State)
In this community
yrs.
mos.
days.
PERSONAL AND STATISTICAL PARTICULARS
3 SEX make
4
COLOR OR RACE
White
5 SINGLE (write the word)
MARRIED
WIDOWED
or DIVORCED
Kingle
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
IF STILLBORN, enter that fact here.
XX
8 AGE Years
Months
Days
If less than 1 day 50 Minutes
Usual
9 Occupation:
Industry
10 or Business :.
1/0€
11 Social Security No.
12 BIRTHPLACE (City)
(State or Country)
Winthrop, mais
13 NAME OF
FATHER
Daniel R marella
14 BIRTHPLACE OF
FATHER (City)
(State or Country)
Boston
15 MAIDEN NAME
OF MOTHER
anna A. Twarjan
16 BIRTHPLACE OF
MOTHER (City).
(State or Country)
merchant
17 Informant (Address! 6.4 luarel
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 \ Board of Health or Health Which 9/23/46 (Official Designation) (Date of Issue of Permit)
MEDICAL CERTIFICATE OF DEATH
18 DATE OF DEATH Sent. (Month)
19.
1944 (Ycar)
19 I HEREBY CERTIFY, Segot 19.
That I attended deceased from
, 19 46, to Sept- 19,
19
49.
I last saw halive on
Sept 19, 19 /7, death is said to
have occurred on the date stated above, at
9:30 P.m.
Immediate cause of death
Due to 5 mg pormaturity
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? If so, specify
(Signed). (Address) / 2 Shils An
Date 9/20 joks
21
Place of Burial, Cremation or Removal.
(City or Town)
DATE OF BURIAL
23 Sept
1946.
22 NAME OF
FUNERAL DIRECTOR
ADDRESS
59 Sa. Mangun St
Received and Filed
OCT 2 1945
19
(Registrar)
X
Duration IMPORTANT
IMPORTANT
Physician Underline the cause to which death should be charged sta- tistically.
لهبية
. M. D.
Boston
Daniel R Mereka ( Relation if an
1.H.
100m-9-44-14955
2 FULL NAME
(If deceased is a married, widowed or divorced woman, give also maiden name.)
(a) Residence. No ..
(Usual place of abode)
628 Boulevard
St.
Length of stay: In hospital or institution
(Before death)
(Specify whether) 50 mins
years
months days
19 (Day)
convers per hospital If deceased was a U. S. War Veteran, G. L. Chap. 46, Section 10, requires physicians to insert a recital to that effect. PARENTS
301 A
(City or Town) Nathrop Come with Hospital No. Baby Boy Masella
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 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 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 forty-aix, but 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 forth with 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.
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