Town of Winthrop : Record of Deaths 1947, Part 82

Author: Winthrop (Mass.)
Publication date: 1947
Publisher:
Number of Pages: 544


USA > Massachusetts > Suffolk County > Winthrop > Town of Winthrop : Record of Deaths 1947 > Part 82


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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, wben 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.


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 be 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 deatb 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 herennder. If the death certificate contains a recital, as required


by section ten of chapter forty-six, that the deceased served in the army, navy or marine corps of the United States in any war in which it has been engaged, such recital shall appear upon the permit. The board of health, or its ageut, 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 registar 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 buman body or the ashes thereof which have been brought into the commonwealth until he bas 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 interinent 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 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 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, aspbyxia, 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


ORM R-302


Suffolk


(County)


The Commonwealth of Massachusetts OFFICE OF THE SECRETARY DIVISION OF VITAL STATISTICS COPY OF


Boston


(City or town making return)


Registered No.


1069.6.1


(If death occurred in a hospital or institution,


St.


give its NAME instead of street and number)


2 FULL NAME


John Santarpio


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


(a) Residence. No.


187 Shore Drive


St.


(If nonresident, give city or town and State)


Length of stay : in hospital or Institution ..


(Before death)


(Specify whether)


years 1


months


10 days.


In this community


yrs.


mos.


days.


PERSONAL AND STATISTICAL PARTICULARS


MEDICAL CERTIFICATE OF DEATH


3 SEX


M


4 COLOR OR RACE!


5 SINGLE


(write the word)


Single


MARRIED


WIDOWED


or DIVORCED


18 DATE OF


DEATH


(Month)


Dec. 13/47


(Dsy)


(Year)


5a If married, widowed, or divoroed


HUSBAND of


(Give maiden name of wife in full)


(or) WIFE of


(Husband'a name in full)


6 Age of husband or wife if allve year


7 IF STILLBORN, enter that faot here.


8 AGE 41. Years Months Days


if less than 1 day .Hours. Minutes


Usual


9 Ocoupation :


Baker


Industry


10 or Business :


Retired


11 Soolal Seourity No.


None


12 BIRTHPLACE (City)


(State or country)


... Boston ... Mas.s.


13 NAME OF


FATHER


Frank Santarpio


14 BIRTHPLACE OF


FATHER (City)


(State or country)


Italy


15 MAIDEN NAME


OF MOTHER


Michelina Fierro


16 BIRTHPLACE OF


MOTHER (City)


(State or country)


Italy


17


Informant.


(Address)


Father ( Relation, if any


A TRUE COPY.


ATTEST :


(Registrar of city or town where death occurred)


Dec. 16/47


19


22 NAME OF


FUNERAL DIRECTOR


V Rapino


ADDRESS


Boston Mass ..


Reoelved and filed JAN 9 943


19


DATE FILED


Copies of returns of deaths recorded during the previous month which occurred in your city or town in case the deceased


of the city or town in which the deceased resided. (See Chap. 46, Sec. 12, G. L.)


PARENTS


50m- (b) .6.44-14607


resided in another city or town at the time of death should be made forthwith and transmitted on Form R-302 to the clerk


1


PLACE OF DEATH


No.


Boston (City or Town) Peter Bent Brigham Hospital


CERTIFICATE OF DEATH


(if U. S.


War Veteran,


speolfy WAR)


Winthrop Mass.


19 | HEREBY CERTIFY,


Nav 3/47


19


That I attended deceased from


to


Dec . 13


19 47


i last saw h ...


im


allve on Dec. 13 . 1947 death is said to


have ooourred on the date stated above, at


10 AM


m.


Durasion


Immediate cause of death .. Rheumatic heart disease


rs


Aortic insufficiency


Mitra: insufficiency


Yrs


Due to.


stenosis


Due to.


Other conditions.


Uremia


(Include pregnancy within 3 months of death)


Major findings :


Of operations


None


Date of


should be charged sta- tistically.


Of autopsy


Clinical


What test confirmed diagnosis?


20 Was disease or injury In any way related to oooupation of deceased ?.


If so, speolfy


N A Wilhelm


(Signed)


M. D.


(Address)


721 .Huntington ... A.V.A .. Date


12-139


47


21 PLACE OF BURIAL, Holy Cross-Malden Mass.


CREMATION OR REMOVAL.


(City or Town)


DATE OF BURIAL


(Cemetery)


Dec. 17/47


19


Terme Physician


Underline the cause to which death


(Registrar of City or Town where deceased resided)


WRITE PLAINLY, WITH UNFADING BLACK INK - THIS IS A PERMANENT RECORD


(Usual place of abode)


M R-301 A


+ Suffolk ... V(County) 1 Winthrop (City or Town a To Shore No. ..... Esther Cohen PLACE OF DEATH


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. 252


Registered No. st { {If death occurred in a hospital or institution. "{ give its NAME instead of street and number)


2 FULL NAME


( If deceased is a married, widowved or divorced 190 Shore com Five são maiden name.


(a) Residence. No. (Usual place of abode)


Length of stay: In hospital or Institution


(Before death)


( Specify whether)


yeera


minuths days.


In this community


21


mos.


dayı.


PERSONAL AND STATISTICAL PARTICULARS


MEDICAL CERTIFICATE OF DEATH


3 SEX


4 COLOR OR RACEI


Female White


5 SINGLE


MARRIED


WIDOWED


( write the word)


Sa if married, widowed, or divorced HUSBAND of


(or) WIFE of


( Hitsband's name In full)


6 Age nf husband or wife if alive years


7 IF STILLBORN, enter that fact here.


8 AGE Years Months Days


If less than 1 dey


Hours


Minutes


Usual


9 Ocoupelion :


Hausework


Industry


10 or Business :


11 Social Security No. . no 12 BIRTHPLACE (City) ( Siste or country) Quasia


PARENTS


14 BIRTHPLACE OF FATHER (Clty) ( State or country)


15 MAIDEN NAME


OF MOTHER


Sarah ( learned)


16 BIRTHPLACE OF MOTHER (City) (State pr country)


17 Sally Greenstein


Informant


(Address) (90) Shore 20


I HEREBY CERTIFY that a satisfactory standard certificata of death was fled with me BEFORE the Dyrlal or transit permit was Issued ?


(Signature of Agent of Board nf Health or other) Health Glicer


17/17/47


( Date of Issue of Permit)


18 DATE OF DEATH December 16


( Month)


( Day)


( Year)


19, 1 HEREBY CERTIFY,


, to


September 30


1945


December 16


Thet I attended dacaased from


i lest saw her


alive on


Dec- 16


19 9 7


death is said to


have occurred on tha date stated above, at


1245 P


m.


Duration


Immedlate cause of death Coronary thrombosis


IMPORTANT 16 hours


Due to arterio scherotic heart disease ? jeurs


Due to


generaliza arteriosclerosis


and Hypertension


anemia


Other conditions


( Include pregnancy within 3 months of death)


IMPORTANT


Mejor findings : Of operations


Date of.


Of autopsy


What test confirmed dlegnosis ?


1.


linical


Underline the cause 10 which death should he charged 4 .. tvically


20 Was disease or injury in any way, related to oooupallow of decreved ?


If so, spaoify.


( Signed)


. M. D.


gAddress).


238 Shore Drive


Winter by Date 12/16 1947


volum, mas


Place of Buffet, Cremation or Removal.


(City or Town)


DATE OF BURIAL.


December 17 1947


22 NAME OF FUNERAL DIRECTOR Sanjamin Dirnbach ADDRES


Recalved and Alad


DEC 22 1947


( Registrar)


19


(Official Designation)


100m.(g)-1-45-15510


If deceased was a U. S. War Veteran, Q. L. Chap. 46, Seotion 10, requires physicians to insert a recital to that effeot. extracts from the laws on back of certificate. terms, so that it may be properly classified. Exact statement of OCCUPATION is very important. See instructions and should be carefully supplied. ACE should be stated EXACTLY. PHYSICIANS should state CAUSE OF DEATH in plain


e


PHYSICIAN - IMPORTANT


(Was deceased a


U. S. War Veteran.


gif Ro specify W'AR)


Wenthra, Mass


St.


(If nonresident, give city or town and State)


1947


2 years


Physician


13 NAME OF


FATHER


Tenjamón Lebarita


Comment Le


Wenn. Jag


N


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 in the certificate a recital to that effect, speci- fying the war, and shall also certify in such certificate hoth 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 relicf expedition and the Philippine insurrection, which shall, for said purposes, be deemed to have taken place between February fourteenth, eighteen hundred and ninety-eight and July fourth, nineteen hundred and two, and the Mexican border service of nineteen hundred and sixteen and nine- teen hundred and seventeen. G. L. Chap. 46, Sec. 10.


No undertaker or other person shall bury or otherwise dispose of a human body in a town, or remove therefrom a human hody 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 tomh other than the receiving tomh to another in the same cemetery, until he has received a permit from the hoard 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 ohtained 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-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 hoard of health, or its agent, upon receipt of such statement and certificate, shall forthwith countersign it and transmit it to the clerk of the town for registration. The person to whom the permit is so given and the physician certifying the cause of death shall thereafter furnish for registration any other neces- sary information which can be obtained as to the deceased, or as to the manner or cause of the death, which the clerk or registrar may require .-- Chap. 114, Sec. 45, G. L., (Tercentenary Edition).


Medical examiners shall make examination upon the view of the dead bodies of only such persons as are supposed to have died by violence. If a medical examiner has notice that there is within his county the body of such a person, he shall forthwith go to the place where the body lies and take charge of the same; .. . - General Laws, Chap. 38, Sec. 6.


No undertaker or other person shall bury a human body or the ashes thereof which have been brought into the commonwealth until he has re- ceived a permit so to do from the board of health or its agent appointed to issue such permits, or if there is no such board, from the clerk of the town where the body is to be buried or the funeral is to be held, or 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 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 phy- sician is ahsent 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 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


R-301 A


Suffolk


Boston 1/7/48


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 ita Agent. 253


Registered No.


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


2 FULL NAME.


Jannie Rodoffale


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


(a) Residence


No.


L18 Samloga


St.


Ea.s.t .... Boston


(Usual place of abode)


5 days


years


months


days.


(If nonresident, give city or town and State)


In this community 45 yrs.


mos.


days.


PERSONAL AND STATISTICAL PARTICULARS


MEDICAL CERTIFICATE OF DEATH


3 SEX


4 COLOR OR RACE


White


5 SINGLE


( write the word)


MARRIED


WIDOWEO


or DIVORCEO


Widowed


Sa If married, widowed, of dixgreed -


HUSBANO of


(Give maiden name of wife in full)


(or) WIFE of


Giovanni Rodophele


( Husband's name in full)


6 Age of husband or wife if alive


years


7 IF STILLBORN, enter that fact here.


8 AGE .. . 63 Years Months Oays


If less than 1 day


Hours


Minutes


Usual


9 Occuootion : Housewife


Industry


10 or Business :


11 Social Security No.


12 BIRTHPLACE (City)


( Siste or country)


Italy.


13 NAME OF


FATHER


Gasparo Fiari


14 BIRTHPLACE OF


FATHER (Clty)


Italy


(State or country)


15 MAIOEN NAME


OF MOTHER


Angilina


x


(unable to obtain)


16 BIRTHPLACE OF


MOTHEP. (City)


Italy.


( State or country)


17 Joe Rodophele ( Relation, if any Son


Informant


(Address) 618 Saratora St. E. B


I HEREBY CERTIFY that a satisfactory standard certificats of death was Ales pith mo BEFORE the burial of tramit permit was Issued : Walter A. Lakers


(il mature of Agent of Board of Health or other) Treatthe Officer 12/22/4)


(Omdelal Designation) ( Date of theue of /Permit)


18 DATE OF


DEATH


Leu


19


1947


( Month)


(Day)


(Year)


19 | HEREBY CERTIFY,


That I attended doocased from


Dec. 2.


19.4), to


Dec. 19


.


19 27


i last saw h .. C .......... alive on


have occurred on the date stated above, at 1:20 Pm. Cill


Immediate osuse of death Conto Donating


Chemie chez oconditio


Due to


+ Aufent


1500 15.00


15 p


Other conditions.


( Include pregnancy within 3 months of death)


Major findings :


Of operations


Oate of


Of outopsy


What test confirmed diagnosis? Charmantfandard


IMPORTANT


Physician


Underline the cause to which death should be charged st .. tistically.


20 Was disease or injury in ony way related to occupation of deceased if so, spoolfy.


( Signed)


21


Talac




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