USA > Massachusetts > Suffolk County > Winthrop > Town of Winthrop : Record of Deaths 1948 > Part 80
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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 bad 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
+
PLACE OF DEATH
- County) 1 Suffolk Winthrop (City or Town)
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.
228
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)
Length of stay: In hospital or institution
(Before death)
(Specify whether)
years
months days.
In this community
yrs.
mos.
days.
PERSONAL AND STATISTICAL PARTICULARS
3 SEX
4 COLOR OR RACE
Legale white
5 SINGLE
MARRIED
WIDOWED
or DIVORCES
(write the word)
fredown
5a If married, widowed or divorced HUSBAND of .
(or) WIFE of
(Give maiden name of wife in full)
Bartolomeo Miranda
(Husband's name in full)
6 Age of husband or wife if alive. years
7 IF STILLBORN, enter that fact here.
8
AGE 14 Years
Months
Days
If less than 1 day
Hours
Minutes
Usual 9 Occupation:
retired
Industry 10 or Business:
at home
11 Social Security No. une
12 BIRTHPLACE (City)
(State or Country)
9 July
13 NAME OF FATHER Giovanni /B Vicolia
PARENTS
14 BIRTHPLACE OF
FATHER (City)
(State or Country)
Italy
15 MAIDEN NAME
OF MOTHER of Autumn
16 BIRTHPLACE OF
MOTHER (City)
(State or Country)
Italy
17 вжеща (Address)
20 Wilshere ST Unulles
I HEREBY CERTIFY that a satisfactory standard certificate of death was filed with me BEFORE the 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)
11/29/48
nov
MEDICAL CERTIFICATE OF DEATH 27 1948
(Day)
(Ycar)
19
I HEREBY CERTIFY,
That I attended deceased from
tio 26
19 45. 10 9/02-27
, 19
I last saw h.L_ alive on
nov- 2, 19h, death is said to
have occurred on the date stated above, at
20
...
p.m.
Immediate cause of death
Saule Pulmon Eden
Due to
(right hemiplegia)
Due to , per conte
Other conditions !!.
(Include pregnancy within 3 months of death)
Major findings: Of operations
Date of
Of autopsy
What test confirmed diagnosis?
Duration
IMPORTANT
Vor2/48 3-Jus
--
IMPORTANT
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, specify
(Signed)
M. D.
(Address) Ly aware
Date 12527
1945
Waitturbo
Wantten (City/or Town)
DATE OF BURIAL
navv 39/48
19
22 NAME OF
FUNERAL DIRECTOR
Salvatore Rocco
ADDRESS
319 Bray Evett
Received and Filed DEC 3 ..... 1948
(Registrar)
X
R-301 A
DeLA Hf paif this, so that it may be properly classifica. Laact stattfiicait of vyytt ise is very important. If deceased was a U. S. War Veteran, G. L. Chap. 46, Section 10, requires physicians to insert a recital to that effect. See instructions and extracts from the laws on back of certificate.
20 Wilshire ST No.
Isabella Miranda
2 FULL NAME
(If deceased is a married, widowed or divorced woman, give also maiden
(a) Residence. No. (Usual place of abode)
20 Wilshire ST . St.
St. 3 (Acolia)
100M-7-46-19068
Relacion in de Place of Burial, Cremation or Removal.
<21
18 DATE OF
DEATH
(Month)
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 bis 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 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 heen 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. Cbap. 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 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 tomh 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 hoard, agent or clerk, as the case may he, 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 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, 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 he obtained early enough for the purpose, tbe 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 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 bas been sooner obtained hereunder. 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, 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 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 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 such deaths only as those of persons who, though disabled by recognized disease unrelated to any forin 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, 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
+
M R-302
Essex
(County)
Danvers
CERTIFICATE OF DEATH
Registered No.
S (If death occurred in a hospital or institution, give its NAME instead of street and number)
2 FULL NAME
Caroline 1. Gallagher (Warren)
(If deceased ie a married, widowed or divorced woman, give aleo maiden name.)
(a) Residenoo. No.
104 Highland St .....
Winthrop, Mass.
(Usual place of abode)
(If nonresident, give city or town and State)
Length of stay: In hospital or institution.
(Before death)
4
years
6 months
0 days.
In this community
yrs.
moe.
days.
PERSONAL AND STATISTICAL PARTICULAR8
MEDICAL CERTIFICATE OF DEATH
3 SEX
Female
4 COLOR OR RACE|
White
5 SINGLE
(write the word)
Widowed
MARRIED
WIDOWED
or DIVORCED
5a If married, widowed, or divorced
HUSBAND of
(Give maiden name of wife in full)
(or) WIFE of
Joseph Gallagher
(Husband's name in fully
6 Age of husband or wife If allve years
7 IF STILLBORN, enter that faot here.
8
81
AGE
Years
9
Months
17 Days
If less than 1 day .. Hours. .Minutes
Usual
9 Ocoupation :
Unable to work
Industry 10 or Business :
11 Social Security No ..
None
12 BIRTHPLACE (City)
(State or country)
Mass.
13 NAME OF
FATHER
Charles Warren
PARENTS
14 BIRTHPLACE OF
FATHER (City)
(State or country)
laine
15 MAIDEN NAME
OF MOTHER
Mary Connolly
16 BIRTHPLACE OF
MOTHER (City)
(State or country)
Ireland
17 Mary K. McPhillips
Relation, if any
Informant
(Address)
Hathorne, Mass.
A TRUE COPY.
ATTEST :
(Registrar of city or town where death occurred)
DATE FILED Dec. 1 19. 48
18 DATE OF
DEATH
November
29
1948
(Month)
(Day)
(Year)
19 | HEREBY CERTIFY, Sen.
That I attended deceased from
19.
44
to
Nov. 29
19
48
I last saw h ...... @ ...... alive on ...
NOV
29
19/1.8., death is said to
m.
have occurred on the date stated above, at 6:53p.
Duration
Immediate cause of death. Bronchopneumonia
4 days
Due to
Due to.
Other conditions.
(Include pregnancy within 3 monthe of death)
Physician
Major findings :
Of operations
Date of
should be charged sta- tistically.
What test confirmed diagnosis?
Autopsy
20 Was disease or injury In any way related to oooupation of deceased ?
If so, speolfy
Julius W. Fryer
M. D.
(Address)
Hathorne, Mass. Date
11/30 48
21 PLACE OF BURIAL,
St. Paul's Cem. Arlington
CREMATION OR REMOVAL ..
(Cemetery )
(City or Town)
DATE OF BURIAL
Dec. 2
1948
22 NAME OF
F. E. Flaherty
FUNERAL DIRECTOR
ADDRESS
Somerville, Mass
Received and flied. DEC 8 1948
19
(Registrar of City or Town where deceased resided)
50m-(b) ·6-44-14607
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
1
PLACE OF DEATH
(City or Town)
The Commonwealth of Massachusetts OFFICE OF THE SECRETARY DIVISION OF VITAL STATISTICS COPY OF
Danvers
(City or town making return)
229
No.
Danvers State Hospital, Hathorne, Masst.
(If U. S.
War Veteran,
specify WAR)
(Specify whether)
Charlestown.
Underline the catee to which death
Of autopsy
(Signed)
I R-301 A
Suffolk (County)
The Commonwealth of Massachusetts OFFICE OF THE SECRETARY DIVISION OF VITAL STATISTICS STANDARD CERTIFICATE OF DEATH
230 TO BE FILED FOR BURIAL PERMIT WITH BOARD OF HEALTH Registered No .. OR ITS AGENT.
St. " (If death occurred in a hospital or institution, { give its NAME instead of street and number)
2 FULL NAME
Sylvester J. O'connor
(if deceased is a married, widowed or divorced woman, give also maiden name. )
(Was deceased a
U. S. WPAYSHEMANN
if so specify WAR
-
IMPORTANT
...
(a) Residence. No.
(Usual place of abode)
Length of stay: In hospital or Institution
(Before death)
(Specify whether)
years
months
days.
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 DIVORCEMarried
Doolan
5a If married, widowed or divorcer
HUSBAND of
(Give maiden name of wife in full)
(or) WIFE of
(Husband's name in ful!)
75
years
7 IF STILLBORN, enter that fact here.
8
AGE
.77
Years
Months
Days
If less than 1 day
Hours
Minutes
Usual
9 Occupation:
Retired
Industry
10 or Business:
Printer
11 Social Security No ...
015 -- 05 -- 9590
12 BIRTHPLACE (City)
South Boston
(State or Country)
Mass
13 NAME OF
FATHER
Thomas O'connor
PARENTS
14 BIRTHPLACE OF
FATHER (City).
(State or Country)
Ireland
15 MAIDEN NAME
OF MOTHER
Ann Doyle
16 BIRTHPLACE OF
MOTHER (City)
(State or Country)
Ireland
17
Informant.
Mary L. O'Connor
(Rifioff any)
(Address)
166 Grand View
Ave
I HEREBY CERTIFY that a satisfactory standard certificate of death was filed with me BEFORE the buriapor transit permit was issued : Malle
(Signature of Agent of Board of Health or other ) ( Health officer (Official Designation) (Date of Issue of Permit)
12/1/48
MEDICAL CERTIFICATE OF DEATH
18 DATE OF
DEATH.
(Month)
(Day)
(Year)
19
I IIEREBY CERTIFY,
That I attended deceased from
19
19
to
I last saw h ..
.alive on
, 19 ........ , death is said to
have occurred on the date stated above, at
4. 15 Pm
.m.
Duration
Immediate cause of death.
IMPORTANT
Due to
Due to
antonio palacio
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.
(Signed)
(Address) ..
,M. D.
11/30 19 48
21. MIinthrop Place of Burial, Cremation of Removal. DATE OF BURIAL Dec 201944 (City or Town)
22 NAME OF
FUNERAL DIRECTOR
ADDRESS
Winthrop
Received and Filed
D.E.C. 3 1948
(Registrar)
1
100M-10-47-22153
See instructions and extracts from the laws on back of certificate. DEATH in plain terms, so that it may be properly classified. Exact statement of OCCUPATION is very important.
1
PLACE OF DEATH
Winthrop
(City or Town)
-
No. 10.6. Grand .... ViewAve
106 Grand
View
Ave
St.
(If nonresident, give city or town and State)
6
2%
1948
6 Age of husband or wife if alive ..
If deceased was a U. S. War Veteran, G. L. Chap. 46, Section 10, requires physicians to insert a recital to that effect.
Physician
the cause to which deatlt should be charged sta- tistically.
Winthron
-
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 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 fourtcen, 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 Juiy 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 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 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 certincate 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 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 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 thercof 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 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 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.
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