Town of Winthrop : Record of Deaths 1948, Part 47

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


USA > Massachusetts > Suffolk County > Winthrop > Town of Winthrop : Record of Deaths 1948 > Part 47


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133


Date of


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 meniber 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 required 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 fourteen, shall, if the deceased, to the best of his knowledge and belief, served in the army, navy or marine corps of the I'nited States in any war in which it has been engaged, insert in the certificate a recital to that effect. specifying 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 section 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 nineteen hundred and seventeen. G. L. Chap. 46, Sec. 10.


No undertaker or other person shall bury or otherwise dispose of a human body in a town, or remove therefrom a human body which has not been buried, until he has received a permit from the board of health, or its agent appointed to issue such permits, or if there is no such board, from the clerk of the town where the person died; and 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 fron: the board of health or its agent aforesaid or from the clerk of the town where the body is buried. No such perinit 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 inter- ment, 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 physician 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 required of the attending physician. If death is caused by violence, the medical examiner shall make such certificate. If such a permit for the removal of a human body, not previously interred, from one town to another within the commonwealth cannot be obtained early enough for the purpose, the certificate of death made as above provided and in the possession of the undertaker desiring to make such removal shall constitute a permit for such removal; provided, that such body shall be returned to the town from which it was removed within thirty-six hours after such removal, unless a permit in the usual form for the removal of such body has been sooner obtained hereunder. If the death certificate contains a recital, as required by section ten


of chapter forty-six, that the deceased served in the nrmy, navy or marine corps of the I'nited 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 necessary information which can be obtained as to the (leceased, or as to the manner or cause of the death, which the clerk or registrar may require .- Chap. 114. Sec. 45, G. I ... (Tercentenary Edition).


Medical examiners shnll make examination upon the view of the dead bodies of only such persons as are supposed to have died by violence. If a medienl 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 received a permit so to do from the board of health or its ngent 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 # 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 tosuch 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 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 de:d.


Statement of Cause of Death .- Cause of death menns 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 ini- 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, however, designate the occupation by the appropriate terins, 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


- PLACE OF DEATH -


Suffolk (County)


Winthrop


(City or Town)


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


CERTIFICATE OF DEATH


Registared No.


131


No. Winthrop Community Hospital


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


2 FULL NAME


Anna T Emery


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


(a) Residenca. No.


61 Marshall Street


St.


(If nonresident, give city or town and State)


Length of stay: In Anspital or Institution


Hosp.


yeara


months


12


days.


In this community 25


MOR.


days.


( Before death)


( Specify whether)


PERSONAL AND STATISTICAL PARTICULARS


MEDICAL CERTIFICATE OF DEATH


3 SEX


Female


4 COLOR OR RACE


White


5 SINGLE


( write the word)


MARRIED


WIDOWED


or DIVORCED Married


Sa If married, widowed, or divorced


HUSBAND of


(or) WIFE of


Emefirma Emery


( Husband's name In full)


58


years


7 IF STILLBORN, enter that fact here.


8


AGE


59 Years


3


Months


5 Days


If less than 1 day


Hours


Minutes


Usual


9 Ocoupation:


Housewife


Industry


Own Home


10 or Business :


11 Social Security No.


None


12 BIRTHPLACE (City)


( Sinte or country)


Boston


Masg.


PARENTS


14 BIRTHPLACE OF


FATHER (Clty)


(State or country)


Sweeden


15 MAIDEN NAME


OF MOTHER


Katheren Nold


16 BIRTHPLACE OF


MOTHER (City)


(State or country)


Pennsylvania


20 Was disease or injury f any way related to gooupallon of deceased ...


If so, specify ..


John J Williams


( Signed )


(Address)


1429 gercon Date ly/3 1948


21


winthrop


winthrop


Place of Burial, Cremation or Removal. (City or Toyn)


DATE OF BURIAL


July


15


.848 1


I HEREBY CERTIFY that a satisfactory standard certificata of death was filed with me. BEFORE the burial or transit permit was Issued :


Walter & Makers


(Signature of Agent of Board of Health or other) 7/14/48


( Official Designation) (Date of Issue of Permit)


18 DATE OF


DEATH


July


( Month)


13. 1948


(Day)


(Year)


WHEREBY CERTIFY, That attended deceased from


19 Oct 15 19. 42 Chilly 13 19


I last saw h


en alive on


July 12.1948 death Is said to


have occurred on tha date stated above, 1255 $ m.


Immediate gause of, depth., adenocarcinoma of


IMPORTANT


Due to Corpus Uteri with


recurrence in bag- Dual raul and Matas taxes in server and sping Other Conditions.


( Include pregnancy within 3 months of death)


IMPORTANT


of operations Adenocarcinoma 05


Physician


Corpus Ulteri


Date of/


· Mor/1948


What Mléchoseoffic + X-ray


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


22 NAME OF


FUNERAL DIRECTOR


ADDRESS


Reoalved and Alad. JUL -1-5-1948 19


( Registrar)


terms, so that it may be properly classified. Exact statement of OCCUPATION is very important. See instructions and


extracts from the laws on back of certificate.


If deceased was a U. S. War Veteran, Q. L. Chap. 46, Section 10, requires physiolans to insert a reoltal to that effect.


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


17 Emerald Emery Informant ( Address) 61 Marshall St Winthrop


Hus Belatior, If any


To be filed for burial permit with Board of Health or its Agent.


PHYSICIAN - IMPORTANT


(Was deceased a


U. S. War Veteran,


if so specify WAR)


(Usual place of abode)


lle in full )


6 Age of husband or wife if alive


--


Duration


13 NAME OF


FATHER


Charles Steinauer


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 helief the name of the deceased, his supposed age, the disease of which he died, defined as re- quired hy 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 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, he deemed to have takeu place hetwecn 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 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 he issued until there shall have been delivered to such hoard, agent or clerk, as the case may he, a satisfactory written statement containing the facts required by law to he returned and recorded, which shall he 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 he 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 hy 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 hody shall he 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 herennder. If the death certificate contains a recital, as required


by section teu of chapter forty-six, that the deceased served in the army, navy or marine corps of the United States in any war in which it has been engaged, such recital shall appear upon the permit. The board of health, or its agent, upon receipt of such statement and certificate, shall forthwith countersign it 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 he 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 hodies 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 hody 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 hody is to be buried or the funeral is to he 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 ohservance 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 hy 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 hy traumatism (including resulting septicemia), and by the action of chemical (drugs or poisons), thermal, or electrical agents, and deaths following ahortion, hut also deaths from disease resulting from injury or infection related to occupation, the sudden deaths of persons not disabled hy 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 he 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 hy 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


M R-302


1


PLACE OF DEATH


SUFFOLK BOSTON


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


BOSTON


(City or town making return)


135


) (If death occurred in a hospital or institution,


St.


give its NAME instead of street and number)


2 FULL NAME


Etta Perosino


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


188 Woodside Ave


St.


Winthrop .... Mas.s


(If nonresident, give city or town and State)


Length of stay : In hospital or Institution ..


(Before death)


(Specify whether)


years


2 months


days.


In this community


yrs.


2


moş.


days.


PERSONAL AND STATISTICAL PARTICULARS


MEDICAL CERTIFICATE OF DEATH


3 SEX


Female


4 COLOR OR RACE


White


5 SINGLE


(write the word)


MARRIED


WIDOWED


or DIVORCED arried


(Month)


(Day)


(Year)


19 | HEREB


Mar


12


X CERTIFY,


That | attended deceased from


19


48


to.


July 13


19 ..


4.8.


I last saw h ...... @T .... alive on.


m.


July .... 13


..... , 19 ... 48 death Is sald to


have occurred on the date stated above, at 6:00 P


Immediate cause of death


Reticulum


1 yr


7 IF STILLBORN, enter that faot here.


8 AGE 26 Years. Months. Days


If less than 1 day


Hours.


Minutes


Usual


9 Occupation:


Floor lady


Industry


Lamp factory


10 or Business :


015 12 9134


11 Social Security No ..


12 BIRTHPLACE (City)


(State or country)


Mass


13 NAME OF


FATHER


Saverio Mustone


PARENTS


14 BIRTHPLACE OF


FATHER (City)


(State or country) Italy


15 MAIDEN NAME


OF MOTHER


Mary Capozzi


16 BIRTHPLACE OF


MOTHER (City)


(State or country) Italy


17 Vincent Perosino


Relation dreng


Informant


(Address)


188 woodside (ve Winthrop


A TRUE Michael Manning


ATTEST :


(Registrar of cits os town where death occurred)


DATE FILED July 19 1948


19


21 PLACE OF BURIAL,


CREMATION OR REMOVALHoly Cross Malden


(Cemetery)


(City or Town)


DATE OF BURIAL


July 16


1948


19


22 NAME OF


FUNERAL DIRECTOR


Clancy Di Pietro


ADDRESS


Last Boston


Received and fiied


JUL 26 1948


19


(Registrar of City or Town where deceased resided)


Physician


Major findings :


Of operations


Date of


Underline the cause to which death should he charged sta- tistically.


Of autopsy


above


What test confirmed diagnosis?


Autopsy.


No


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


If so, specify.


He Isenberg


(Signed)


M. D.


(Address)


B ..... I .... H.


Date


7/13 1948


25M-(f)-11-42 10746


. of the city or town in which the deceased resided. (See Chap. 46, Sec. 12, G. L.) resided in another city or town at the time of death should be made forthwith and transmitted on Form R-802 to the clerk Copies of returns of deaths recorded during the previous month which occurred in your city or town in case the deceased


(or) WIFE of


(Husband's name in full)


Duration


years cell sarcoma


Due to.


Due to


Other conditions


(Include pregnancy within 3 months of death)


Last Boston


18 DATE OF


DEATH


July 13 1948


(If U. S.


War Veteran,


speolfy WAR)


NO


(a) Residence. No.


(Usual place of abode)


No.


(C'ity or Town)


Beth


Israel Hospital


Registered No.


.. 63.04


5a If married, widowed, or divoroed


HUSBAND of


Vince five maiden name of wife in full)


6 Age of husband or wife if alive


27


1 R-301 A


PLACE OF DEATH No.


(County) Winthrop (City or Town)


·Breton 8/6/48


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 its Agent.


Registered No.


136


§ (If death occurred 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 ..


(Usual place of abode)


Length of stay: In hospital or institution.


(Specify whether)


years


months


4 days.


In this community


yrs.


mos.


days.


PERSONAL AND STATISTICAL PARTICULARS


MEDICAL CERTIFICATE OF DEATH


4 COLOR OR RACE


5 SINGLE


(write the word)


MARRIED /


WIDOWED


or DIVORGED


5a If married, widowed, or divorced HUSBAND 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.


8 AGELO 8 Years Months .Days


If less than I day Hours. Minutes


10 or Business:


Il Social Security No.


12 BIRTHPLACE (City)


(State or country)


13 NAME OF


FATHER


Marianna Castillo


14 BIRTHPLACE OF


FATHER (City)


(State or country)


15 MAIDEN NAME


OF MOTHER


Inaring


16 BIRTHPLACE OF


MOTHER (City).


(State or country)


17 Henry sacco Relation, if any


Informant (Address) 4. Quevation Le Port Bester


I HEREBY CERTIFY that a satisfactory standard certificate of death was filed with me BEFORE the buriel or transit permit was issued: Walter & Bakers. (Signature of Agent of Board of Health or other) /health office. 7/15/48 (Official Designation) (Date of Issue of Permit) /


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


If so, spe


Oluples Liburuau M. D.


(Signed).


(Address) 26 Wane Way Que Date 7/2/1948


21 Firmy Gross Ppealden


Place of Burial, Cremation or Removal. (City or Town)


DATE OF BURIAL


22 NAME OF


1.) ADDRESS


Received and filed.


JUL 1 5 1948


19


(Registrar)


Y


-


18 DATE OF DEATH (July


13


1948 (Year)


19 HEREBY CERTIFY July


That I attended deceased from


I last saw halive on 13 July 19 40 death is said to


have occurred on the date stated above, at ... 15:00A.m.


Casebre СКемоннаде Hypostatic Pneumonia Dueto Typeraustin yes, anterio sclerosis Due to


Duration IMPORTANT 2 days.


13 yrs.


Other conditions ..


Diabetes Mellitus


(Include pregnancy within 3 months of death)


Major findings: Of operations.


Date of.


Of autopsy.


What test confirmed diagnosis ?.


20 grs. IMPORTANT


PHYSICIAN


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


100m-2-'40-D-729-a




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