USA > Massachusetts > Suffolk County > Winthrop > Town of Winthrop : Record of Deaths 1947 > Part 48
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Medical examiners shall make examination upon the view of the dead bodies of only such persons as are supposed to have died by violence. .- GEN. LAWS, CHAP. 38, SEC. 6.
.... He shall in all cases certify to the town clerk or registrar in the place where the deceased died his name and residence, if known: otherwise a description as full as may be, with the cause and manner of death .- GEN. LAWS, CHAP. 38, SEC. 7.
No undertaker or other person shall bury a human body or the ashes thereof 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 huried or the funeral is to be held, or fromn 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 ob- servance 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 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 include not only deaths caused directly or indirectly by traumatism (including resulting septi- cemia), and hy 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.
SOUSA
ENLISTED
8/2/1897 DISCHARGED
4/11/1903
MESS ATTENDANT
WAR RECORD
R-302
1
PLACE OF DEATH
Middlesex (County)
Cambridge
(City or Town)
No. Holy Ghost Hospital
The Commonwealth of Massachusetts OFFICE OF THE SECRETARY DIVISION OF VITAL STATISTICS COPY OF CERTIFICATE OF DEATH
Cambridge (City or town making return)
Registered No.
1066 .44
(If death occurred in a hospital or institution, give its NAME instead of street and number)
2 FULL NAME
John Connelly,
(If deceased is a married, widowed or divorced woman, give also maiden name.)
(a) Residence.
No.
51 Bowdoin Street
St.
Winthrop, Mass
(Usual place of abode)
(If nonresident, give city or town and State)
Length of stay: In hospital or Institution.
Hospital 1
years
months
"days.
In this community
yrs.
40
mos.
days.
PERSONAL AND STATISTICAL PARTICULARS
MEDICAL CERTIFICATE OF DEATH
3 SEX
Male
4 COLOR OR RACE!
White
5 SINGLE
(write the word)
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 .. 7.8. Years
6 Months 14 Days
If less than 1 day Hours .. .Minutes
Usual
9 Occupation :
Laborer - Water Department
Industry
10 or Business:
Town of Winthrop
11 Soolal Security No .....
None
12 BIRTHPLACE (City)
(State or country)
Galway, Ireland
13 NAME OF
FATHER
Andrew Connelly,
14 BIRTHPLACE OF
Galway, Ireland
FATHER (City)
(State or country)
15 MAIDEN NAME
OF MOTHER
Catherine Burke
16 BIRTHPLACE OF
MOTHER (City)
(State or country)
Galway, Ireland
17 Miss Agnes J. Nestor, Relation, If any Niece Informant (Address) 51 Bowdoin St., Winthrop, Mass.
A TRUE COPY.
ATTEST :
Frederick H. Burke
(Registrar of city or town where death occurred)
DATE FILED
July ... 15., .... 1947
19
18 DATE OF
DEATH
July.
( Month)
(Day)
14,
(Year)
.. 1947
19, I HEREBY CERTIFY,
July 15,
1946
That ! attended deceased from
to
July 14
1947.
i last saw h.
im ... allve on
July ..... 14 ......... , 1947 .. , death is said to
have occurred on the date stated above, at
9:30 A.
Duration
Immedlate cause of death.
Coronary Thrombosis
with Myocardial
About
Due to.
Infarction and Mural
2 Wks
thrombosis
Due to
Other conditionsHypostatic pneumonia
.. Ab.₺
Physteltkk
(Include pregnancy within 3 months of death)
Generalized Arteriosclerosis
Major findings:
Of operations
Date of.
should be
charged sta- tistically.
What test confirmed diagnosis ?. 20 Was disease or Injury In any way related to occupation of deceased ?... No ..
if so, spoolfy
(Signed)
F.L. Landrigan,
M. D.
(Address Holy Ghost Hosp. Camb Date 7/14/1947
21 PLACE OF BURIAL,
CREMATION OR REMOVALWinthropCem ...... Winthrop
(Cemetery )
(City or Town)
DATE OF BURIAL
July 17 , ... 1947
19
22 NAME OF
FUNERAL DIRECTOR
Richard ... C. Kirby,
ADDRESS
Boston, Mas.s.
Received and filed.
JUL 181947
... 19
(Reglatrar of City or Town where deceased resldled)
Underline the cause to which death
Of autopsy
Above
PARENTS
50m- (b) .6-44.14607
(Before death)
(Specify whether)
St.
(If U. S.
War Veteran,
specify WAR)
No
MARRIED
WIDOWED
or DIVORCED
-301 A
Suffolk
8/6/47
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.
1.45 ...
1
§ (If death occurred in a hospital or institution, give its NAME instead of street and number)
antonio Bucalacche
2 FULL NAME
( If deceased is a married, widowed or divorced woman, give also maiden name.)
(a) Residence. No.
1105 Saratoga St.
St.
East Boston
(Usual place of abode)
Jabajutat
years
months
4.
days.
In this community
yrs.
mos.
days.
PERSONAL AND STATISTICAL PARTICULARS
3 SEX
M
4 COLOR OR RACE
W
5 SINGLE
MARRIED
WIDOWED
or DIVORCED
( write the word)
married
HUSBAND of
(or) WIFE of
(Che maiden name of wife in himty
( Husband's name in full)
6 Age of husband or wife if allva
7 IF STILLBORN, enter that fact here.
8 64 Y Years Months
If lees than 1 day
Hours
Minutes
Usual
9 Occupation :
Fish - Dealer
Industry
10 or Business :
Wholesale.
tl Social Security No.
010-03-6732
12 BIRTHPLACE (City)
(State or country)
"Perfumo, Italy
13 NAME OF
Francesco Busalacchi
14 BIRTHPLACE OF
FATHER (Clty)
(State or country)
lesmo, tata.
15 MAIDEN NAME
OF MOTHER
Pietra Tarantino
16 BIRTHPLACE OF
MOTHEP. (City)
(State or country)
Gerlesmo, Stalo
.......
17 Informant (Address Llo5 danatog)
I HEREBY CERTIFY that a satisfactory, standerd certificata of death was Wled with me BEFORE the buper or transit permit was Issued : Walter A.1 Jakerox
(ilenature of front of Board of Health of other)
Health Muuu 1/22/47
"( Omelal Designation) ( Date of Issue 'of Permis)
18 DATE OF DEATH July 20 1947
( Month )
( Day)
(Year)
19 I HEREBY CERTIFY.
That 1 attended deceased from July 13, 1947, to July 20 1947 last sawh / alive on July 19, 1967 death is said to have occurred on tha date stated above, at ...... 5/20Am.
yaarsi Immediate cause of death Trichin
Trichinosis
Quanto
Bronchop
como
Due to
y nt. Cung.
4 days.
Other conditions.
( Include pregnancy within 3 months of death)
IMPORTANT
Physician
Underline the cause to which death should be charged st.1. tistically.
20 Was disease or injury in any way related to occupation of deceased? 200 If so, spaoify
( Signed)
DD. Poate
... . M. D.
(Address) > Central 89, 20 Date 1/20
4.7
21
Place of Burial. Cremationfor Rohoval.
(City or Town)
:47
19
BURIAL July 23
....
....
22 NAME OF
FUNERAL DIRECTOR
Michael J. 6
ADDRESS
978 Sanaloge 80-6
19 .......
( Registrar)
100m. (g) . 1.45. 15510
PLACE OF DEATH
1
(County) Menthol
Latino community Hospital No.
Registered No.
PHYSICIAN - IMPORTANT (Was deceased a U. S. War Veteran, if so specify WAR)
(if nonresident, give city or town and State)
Length of stay: In hospital or Institution
( Before death)
(Specify/whether)
MEDICAL CERTIFICATE OF DEATH
Duration
IMPORTANT
7 days.
Major findings : Of operations
Date of
Of autopsy
What test confirmed diagnosis?
Received and flad
JUL-231947
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 recital to that effeot. PARENTS
64
Dayı
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 saine 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 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.
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 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 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, tbe certificate of death made as above provided and in the possession of the undertaker desiring to make such removal shall constitute a permit for auch 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, tuat 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 sball 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 suchi board, from the clerk of the town where the body is to be buried or the funeral is to be held, or from a person appointed to have the care of the cemetery or burial ground in which the interment is made. . .. Chap. 114, Sec. 46, G. L., (Tercentenary Edition).
RULES OF PRACTICE
The fulfillment of the purpose of these laws calls for the observance of the following rules of practice:
(1) Attending physicians will certify to sucb deaths only as those of persons to whom they have given bedside care during a last illness from disease unrelated to any form of injury.
(2) Board of Health physicians will certify to such deaths only as those of persons who, though disabled by recognized disease unrelated to any forin of injury, have died without recent medical attendance or whose phy. sician is absent from home wben the certificate of death is needed.
(3) Medical Examiners will investigate and certify to all deaths sup- posably due to injury. These include not only deaths caused directly or indirectly by traumatism (including resulting septicemia), and 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 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 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
X
[ R-301 A
1
PLACE OF DEATH
Suffolk (County) Winthrop (City or Town)
No.
29 Atlantic St
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.
146
st. § (If death oeeurred 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.)
(a) Residence. No. 29 Atlantic St.
(Usual place of abode)
Length of stay: In hospital or institution
(Before death)
(Specify whether)
years
months
days.
In this community yrs.
mos.
days.
PERSONAL AND STATISTICAL PARTICULARS
3 SEX
4
COLOR OR RACE
5 SINGLE
(write the word)
MARRIED
WIDOWED
or DIVORCED
Single
Female White
5a If married, widowed or divorced
HUSBAND of ..
(Give maiden name of wife in full)
(or) WIFE of
(Husband's name in fut!)
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
Minutes
Usual
9 Occupation:
Clerk
Industry
10 or Business:
General Electric Co
11 Social Security No ..
12 BIRTHPLACE (City)
(State or Country)
England
13 NAME OF FATHER Peter Foulkes
PARENTS
14 BIRTHPLACE OF FATHER (City) (State or Country) England
15 MAIDEN NAME OF MOTHER Sarah Bonney
16 BIRTHPLACE OF MOTHER (City) (State or Country) England
17 Thomas Foulkes Brothery )
Informant (Address, 29 Atlantic St Winthrop
I HEREBY CERTIFY that a satisfactory standard certificate of death was filed with me BEFORE the burial Ar transit permit' was issued: Waller & Bally (Signature of Agent of Board of Herith or other) ʻ
Health Officer (Official Designatiom (Date of Issue of Perint
7/08/47
MEDICAL CERTIFICATE OF DEATH
18 DATE OF DEATH July 20
(Month)
(Day)
1947
(Ycar)
19 HEREBY CERTIFY,
That I attended deceased from
salt,
. 19
€6.10
July 20
1947
I last saw h
alive on
have occurred on the date stated above. at
Immediate cause of death 8:4.
Due to
antero vilunas
Other conditions (Inelude pregnaney 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
& (Address)
21
Winthrop
Winthrop
Place of Burial, Cremation or Removal.
(City or Town)
DATE OF BURIAL July 23 1947.
22 NAME OF
FUNERAL DIRECTOR
John Et O'malley
ADDRESS
Winthrop Mass
Received and Filed JUL 231947
19
( Registrar)
100m-0-44-14955
See instructions and extracts from the laws on back of certificate. DEATH in plain terms, so that it may be properly classified. Exact statement of OCCUPATION is very important. If deceased was e U. S. Wer Veteran, G. L. Chap. 46, Section 10, requires physicians to insert a recitel to that effect.
Jessie E. Foulkes
PHYSICIAN - IMPORTANT (Was deceased a U. S. War Veteran. if-so specify WAR)
St.
(If nonresident, give city or town and State)
35
18.1947 m.
death is said to
Duration IMPORTANT
Due to
IMPORTANT
Physician Underline the cause to which death should be charged sta- tistically.
(Signed)
(s) Y Loshay ton Con Date 2026-1977
. M. D.
65
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 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, be 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 bury or otherwise dispose of a human hody in a town, or remove therefrom a human body which has not heen 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 hoard, 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 hody 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, 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 hy 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 he obtained early enough for the purpose, the certificate of death made as ahove provided and in the possession of the undertaker desiring to make such removal shall constitute a permit for such removal; provided, that such 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 heen sooner obtained hereunder. If the death certificate contains a recital, as required
by section teu of chapter ionty-six, tuat 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 ohtained 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 hury a human hody 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).
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