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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