Town of Winthrop : Record of Deaths 1948, Part 13

Author: Winthrop (Mass.)
Publication date: 1948
Publisher:
Number of Pages: 524


USA > Massachusetts > Suffolk County > Winthrop > Town of Winthrop : Record of Deaths 1948 > Part 13


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SPACE FOR ADDITIONAL INFORMATION


DATE OF ENTERING MILITARY SERVICE


DATE OF DISCHARGE


RANK, RATING


ORGANIZATION AND OUTFIT


SERVICE NUMBER


R-301 A


See instructions and 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 effect. PARENTS


PLACE OF DEATH


County) 1 Suffollo Winthrop 3


Boston 9/4


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.


31


Registered No.


-


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


PHYSICIAN- IMPORTANT


(Was deceased a U. S. War Veteran, if so specify WAR)


(If nonresident, give city or town and State)


In this community


yrs.


mos,


days.


PERSONAL AND STATISTICAL PARTICULARS


3 SEX Male


4


COLOR OR RACE


White


5 SINGLE (write the word)


MARRIED


WIDOWED


or DIVORCED


Single


5a If married, widowed or divorced HUSBAND of (or) WIFE of


(Give maiden name of wife in full)


(Husband's name in full)


6 Age of husband or wife if alive


years


7 IF STILLBORN, enter that fact here.


If less than 1 day


8 AGE Years Months Days Hours 35 Minutes


Usual 9 Occupation:


Industry 10 or Business:


11 Social Security No.


12 BIRTHPLACE (City) (State or Country)


Winthrop,


muss


13 NAME OF


FATHER


Joseph anthony Bognami


Boston


14 BIRTHPLACE OF FATHER (City) (State or Country)


Man


15 MAIDEN NAME


OF MOTHER


Tereza Uliano


16 BIRTHPLACE OF MOTHER (City). (State or Country)


Boston Mars


17 Joseph R Boguand ( Relation if any


Informant (Address) 687 Bennington & Cn


I HEREBY CERTIFY that a satisfactory standard certificate of death was filed with me BEFORE the burial gr transit permit was issued: Walter it Walker (Signature of Agent of Board of Health or other) Health Officer


"(Official Designation) (Date of Issue of Permit)


18 DATE OF DEATH Fab. 25- 1948


(Mont 2 6


(Day)


(Year)


19 I HEREBY CERTIFY, That I attended deceased from


Fab . 25 , 19


2/9, to trh. 26


19 8 8


I last saw h alive on Fab. 26 1549 4 death is said to 1 a. m.


have occurred on the dale stated above, at


Duration


IMPORTANT


Immediate cause of death Premature


5 months 4 days


Due to


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 Charen Melonion (Signed) 305 Hanno V ErBer Dat (Address)


. M. D


Twan 3 1948


Woodlawn


Everett (City of Town)


DATE OF BURIAL 1945


22 NAME OF FUNERAL DIRECTOR Scaramella Funeral Lerince


ADDRESS 39 Cleans St EastKvotero


19


Received and Filed 3/3/48


MAR 4


1943


(Registrar)


X


2 FULL NAME


Baby Boy


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


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


68) Bennington . St.


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


(Specify whether)


years


1 hs


months


days.


35 min


MEDICAL CERTIFICATE OF DEATH


1


IMPORTANT


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


21 Place of Burial, Cremation or Removal. Mai 3


100M-7-46-19068


(City or Towny


Wintherof Community Hospital St. No.


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 persou 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 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 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 hody 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 ol 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 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 hody lies and take charge of the same; . .. - General Laws, Chap. 38, Sec. 6.


No undertaker or other person shall bury a human body or the ashes thereof which have been brought into the commonwealth until he has re- ceived a permit so to do from the board of bealth or its agent appointed to issue such permits, or if there is no such board, from the elerk of the town where the body is to be buried or the funeral is to be held, or from a person appointed to have the care of the cemetery or burial ground in which the interment is made. . .. Chap. 114, Sec. 46, G. L., (Tercentenary Edition).


RULES OF PRACTICE


The fulfillment of the purpose of these laws calls for the observance of the following rules of practice:


(1) Attending physicians will certify to such deaths only as those of persons to whom they have given hedside care during a last illness from disease unrelated to any form of injury.


(2) Board of Health physicians will certify to such deaths only as those of persons who, though disabled 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 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.


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


R-301 A


extracts from the laws on back of certificate. Terms, so thar ir may be properly classified. Exact statement of OCCUPATION is very important. See instructions and If deceased was a U. S. War Veteran, G. L. Chap. 46, Seotlon 10, requires physicians to insert a recital to that effeot.


1


PLACE OF DEATH


Suffolk (County)


Winthrop


-


No.


(City or Town)


97 Circuit Rd.


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.


32


Laura (Woodbury ) Close


2 FULL NAME


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


(a) Residence. No.


97 arecent Road.


St.


(Usual place of abode)


( If nonresident, give city or town and State)


Length of stay: In hospital or Institution


( Before death)


( Specify whether)


years


months days.


In this community


mos.


dayı.


PERSONAL AND STATISTICAL PARTICULARS


3 SEX


-


4 COLOR OR RACE


5 SINGLE


( write the word)


MARRIED


WIDOWED


or DIVORCED Widow


5a If married, widowed, or divoroed


HUSBAND of


(or) WIFE of


SamueGive gaidenrams af wife In full)


( Husband's name in full)


6 Age of husband or wife if alive years


7 IF STILLBORN, enter that fact here.


8


AGE


74


Years


0


22


Days


If less than 1 day


Hours


Minutes


Usual


9 Occupetion :


Housewife


Industry


At Home


10 or Business :


11 Social Security No.


None


12 BIRTHPLACE (City)


Aylesford


(State or country)


Nova Scotia


13 NAME OF


FATHER


William Woodbury


PARENTS


14 BIRTHPLACE OF


FATHER (City)


(State or country)


Novia Scotia


15 MAIDEN NAME


OF MOTHER


Margaret Neilly


16 BIRTHPLACE OF


MOTHER (City)


(State or country)


Unable to obtain


17


In faw


Informant ..


Natalee Gilberet Daugiipefeny


(Address) 106 Circuit Rd".


21 Woodlawn


Everett


Place of Burial, Cremation or Removal.


(City or Town)


March


1


1548


DATE OF BURIAL.


22 NAME OF


Lowand 50 Ermulds


FUNERAL DIRECTOR .....


ADDRESS


Unchus make.


....


(Official Designation)


( Date of Issue of Permit)


MEDICAL CERTIFICATE OF DEATH


18 DATE OF


DEATH ...


Tele.


26


1948


( Month)


(Day)


(Year)


19 | HEREBY CERTIFY,


That I attended deosased from


19


1947, ko


84.26


I last saw h ... & ......... alive on


Feb. 2 6


19 48, death is said to


48


have occurred on the date stated above, at


m


Duration


Immediate cause of death. Broncho pneumonia


IMPORTANT


....


..............


1 dag


Dua to chelnovoscelor accident.


Due to.


gemenbizal


years


Other conditions


(Include pregnancy within 3 months of death)


IMPORTANT


Major findings:


Of operations


Date of


Of autopsy


What test confirmed diagnosis ?.


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


20 Was disease or injury in any way related to occupation of deceased ?


If so, spoolfy ...


(Sig


(Address) 376 Summer Stile 8 Date 2/26


M. D.


I HEREBY CERTIFY that a satisfactory standard certificate of death was filled with me BEFORE the burial or transit permit was Issued : Walter


(Signature of Agent of Board of Health or other) We allthe officer 3/1/48


Received and fled. MAR 1-1943 19


( Registrar)


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


Registered No.


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


lose


PHYSICIAN - IMPORTANT


(Was deceased a


U. S. War Veteran,


if so specify WAR)


27 yrs.


Female


White


Months


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 persou 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 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 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 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 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 sucb 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- eian wbo 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, tbe 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 sball 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 bereunder. 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, sucb recital sball 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 shall bury a human 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 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 sucb deaths only as those of persons who, though disabled by recognized disease unrelated to any forin of injury, bave 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, 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-botel, 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


PLACE OF DEATH


SUFFOLK (County)


1 WINTHROP (City or Town) KIRKPATRICK REST HOME


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 Health3. or its Agent.


Registered No.


33


(If death occurred in a hospital or institution, 1


give its NAME instead of street and number)


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


(If nonresident, give city or town and State)


In this community


yrs.


F mos.


days.


PERSONAL AND STATISTICAL PARTICULARS


3 SEX


4


COLOR OR RACE


5 SINGLE


(write the word)


MARRIED


WIDOWED


or DIVORCED


SINGLE


5a If married, widowed or divorced


HUSBAND ot ..


(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 tact here.


8


AGE 93


Years


Months


Days


If less than 1 day


Hours


Minutes


Usual 9 Occupation:


AT HOME


Industry


10 or Business:


"


11 Social Security No.


12 BIRTHPLACE (City)


BELFAST


(State or Country) IRELAND


13 NAME OF FATHER HUGHCORRIGAN


14 BIRTHPLACE OF


FATHER (City)


(State or Country)


IRELAND


15 MAIDEN NAME


OF MOTHER


MARY BURNS


16 BIRTHPLACE OF


MOTHER (City)


(State or Country)


SCOTLAND


BEVERLY(


Relation, if any )


NIELE


17 31 PRATTAVIS Informant LILLIAN M. BOYD (Address) HO STATERST MALDEN


I HEREBY CERTIFY that a satisfactory standard certificate of death was filed with me BEFOREthe burial or transit permit was issued: Walter


(Signature of Agent of Board of Health or other) Health officer (Official Designation) (Date of Issue of/Permit)


3/1/48


18 DATE OF


DEATH


February 29/


1948


(Ycar)


(Month


19


I HEREBY CERTIFY,


That I attended deceased from


Feb. 25


. 19/2 . to


Fieb 29


, 19


I last saw h Or alive on


Feb 28


. 19 %, death is said to


have occurred on the date stated above, at


6.30 A


m.


Immediate causo of death


Chronic Myocarditis


IMPORTANT


Due to


Due to


Other conditions


(Include pregnancy within 3 months of death)


Major findings:


Of operations


20000


Date of


Of autopsy


Clinical Signs


What test confirmed diagnosis?


20 Was disease or injury in any way related to occupation of deceased? 720


It so, specity


...


. M. D.


(Signed)


Winthrop mais Date Fact 29 1948


(Address)


WYOMINGCEMETERY


Place of Burial, Cremation or Removal.


(City or Town)


MELROSE


DATE OF BURIAL MARCH 22


1948


22 NAME OF


Wendell M. Dyhuman


FUNERAL DIRECTOR




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