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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