USA > Massachusetts > Suffolk County > Winthrop > Town of Winthrop : Record of Deaths 1949 > Part 32
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(If deceased is a married, widowed or divorced woman, give also maiden name.)
(a) Residence. No. 297 Bowdoin Street
St.
(Usual place of abode)
(If nonresident, give city or town and State)
Length of stay: In place of death ...... years ............ months.
days. In place of residence.
.years
.months
.days.
MEDICAL CERTIFICATE OF DEATH
PERSONAL AND STATISTICAL PARTICULARS
8 SEX
female white
9 COLOR OR RACE
10 SINGLE
(write the word)
MARRIED
WIDOWED
or DIVORCED
widowed
4 I HEREBY CERTIFY,
July 10.
1936
That
July 16
to
alive on July 116 1949 de
1099 d to
have occurred on the date stated above. at /A: .. m. INTERVAL BE- TWEEN ONSET AND DEATH
DISEASE OR CONDITION
DIRECTLY LEADING
TO DEATH (a)
nutral Stenosis
mitnl
12
2 years AGE 83 Years.
.4
.Months
24 Days
If under 24 hours
Hours
Minutes
ANTE
Clinic Blomember
CEDENT (b) ..
CAUSES
repairitis
är
Due To Mertensoclerosis
(c) ..
OTHER
SIGNIFICANT
CONDITIONS
Uremia
48 hus
17 NAME OF FATHER Amaza Goodrich
18 BIRTHPLACE OF
FATHER (City)
Test Newfield
(State or country)
Maine
19 MAIDEN NAME
OF MOTHER
Therza Reed
20 BIRTHPLACE OF
7/18 1944
MOTHER (City)
West Newfield
(State or country)
Maine
21 Informant Seymour Colby
7 NAME OF
FUNERAL DIRECTOR.
alfred 3 March
ADDRESS
174 Winthrop St, Winthrop, Mass.
Received and filed.
JUL 19 1949
.19
(Registrar)
PARENTS
100M-(D)-10-48-24888
6
Winthrop Cemetery , Winthrop Mass. Place of Burial or Cremation (City or Town)
DATE OF BURIAL
July 18,1949
19/
(Address)
297 Bowdoin Street
I HEREBY CERTIFY that a satisfactory standard certificate of death was filed with me BEFORE the burial or transit permit was issued: Watter &. Bakery.
(Signature of Agent of Board of Health of other)
Health yeffect (Official Designation)
7/8/49
(Date of Issue of Permit)
TRUCTIONS FOR L CERTIFICATE
n giving OF DEATH not enter e than one e for each , (b) and (c)
s does not mean e of dying, such Failure. asthenia, eans the disease. lications which eath.
bid conditions; iving rise to the use (a) stating lerlying cause
ditions contrib- he death but not the disease or causing death.
Major findings:
Of operations
none
Date of operation une
Was autopsy performed? 200
What test confirmed diagnosis clinical + laborate
2 yra. 3 yra
13 Usual
Occupation :
housework
(Kind of work done during most of working life)
14 Industry
or Business:
own .. home
15 Social Security No ..
none
West. Newfield
16 BIRTHPLACE (City)
(State or country)
Maine
5 Was disease or injury in any way related to occupation of deceased ?...
If so, specify ....
(Signed) JarobJ. Obamaou.Q
(Address) 562 Gamiley et Date
M.
To be filed for burial permit with Board of Health or its Agent.
PHYSICIAN - IMPORTANT
(Was deceased a
U. S. War Veteran,
NO
[if so specify WAR)
3 DATE OF
DEATH
July 16,1949
(Month)
(Day)
(Year)
I attended, deceased from
10a If married, widowed, or divorced
HUSBAND of ..
(Give maiden name of wife in full)
(or) WIFE of
Frank P.W. Colby
(Husband's name in full)
11 IF STILLBORN, enter that fact here.
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 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 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, specifying the war, and shall also certify in such certificate both the primary and the secondary or imme- diate 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 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 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 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 registra- tion. 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 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 persons 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 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 follow- ing 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 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 dead.
Statement of Cause of Death .- Physicians: see explanatory instructions on face side of standard certificate of death.
Statement of Occupation .- Precise statement of occupation is very import- ant, 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 occupa- tion had been given up or changed, or if the deceased had retired from business, report the kind of work done during most of working life even if retired. 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 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-301A 1
PLACE OF DEATH
Suffolk 0 XCounty)
(City of 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.
Registered No. 103
J(If death occurred in a hospital or institution. St. [ give its NAME instead of street and number)
NAME Jahn menino
(If deceased is a married, widowed or divorced woman, give also maiden name.)
PHYSICIAN - IMPORTANT (Was deceased a U. S. War Veteran. if so specify WAR) 720
(If nonresident, give city or town and State)
Length of stay: In place of death years months .. 2 . days. In place of residence .. ... ... years . .months .days.
MEDICAL CERTIFICATE OF DEATH
PERSONAL AND STATISTICAL PARTICULARS
3 DATE OF
DEATH
July (Morty)
21
1949 (Year)
8 SEX
male
9 COLOR OR RACE
white
10 SINGLE MARRIED (write the word) WIDOWED or DIVORCED Wanted.
4 I HEREBY CERTIFY,
That I attended deceased from
to July 21
1949
I last saw h Are alive on July 221, 1949, death is said to
have occurred on the date stated above. at 2:00 P.m.
INTERVAL BE-
(Husband's name in full)
TWEEN ONSET AND DEATH 11 IF STILLBORN, enter that fact here.
21 months 12 AGES .Years Months .. Days
If under 24 hours
Hours ...
Minutes
13 Usual Occupation : CENA
(Kind of work done during most of working life)
14 Industry
or Business: where ..
15 Social Security No. .
16 BIRTHPLACE (City)
(State or country)
Italy
17 NAME OF FATHER antonio amarino
18 BIRTHPLACE OF FATHER (City) (State or country)
Italy
19 MAIDEN NAME OF MOTHER Colonia Pizzo
20 BIRTHPLACE OF MOTHER (City) (State or country)
Italy
00
a
Place of Burial or Cremation
(City or Town)
DATE OF BURIAL July 25, 1949
7 NAME OF
FUNERAL DIRECTOR ..
OR Vincent Papino
ADDRESS 9 Chelsea St. E. B. mars
Received and filed 19
JUL 2.6 1949
(Registrar)
5 days
Major findings:
Of operations
none
Was autopsy performed? ko
Date of operation
What test confirmed diagnosis? Cliccalt faberatory
5 Was disease or injury in any way related to occupation of deceased ?. If so, specky .... . (Signed) d) Maurice Traunstein M. D. (Address) 562 Chiley St. WintheDate July 21 1949
PARENTS
21 Informant Inlovethe Cimarent (Address) 25 Bellaria Care. iallado
I HEREBY CERTIFY that a satisfactory standard certificate of death was filed with me BEFORE the burial or transit permit was issued: Watter & Krakers (Signature of Agent of Board of Health or other) realthe Officer 7/25/49
(Official Designation) (Date of Issue of Permit)'
TRUCTIONS FOR L CERTIFICATE
giving : OF DEATH not enter e than one e for each . (b) and (c)
s does not mean e of dying, such failure, asthenia. eans the disease, lications which ath.
bid conditions. iving rise to the use (a) stating erlying cause
ditions contrib- he death but not the disease or causing death.
100M-(D)-10-48-24688
No.
2 FULL NAME
(a) Residence.
No.
(Usual place of abode)
25 Belleview Tive Winchup
10a If married, widowed, or divorced HUSBAND of mbonietta nico Letta
(Give maiden name of wife in full)
(or) WIFE of
DISEASE OR CONDITION
DIRECTLY LEADING
TO DEATH
(a) Multiple Myeloma.
ANTE Due To CEDENT (b) CAUSES
Due To (c)
OTHER SIGNIFICANT CONDITIONS
Bronchopneumonia
November 28
19 47 ..
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 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 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, specifying the war, and shall also certify in such certificate both the primary and the secondary or imme- diate 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 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 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 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 registra- tion. 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 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 persons 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 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 follow- ing 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 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 dead.
Statement of Cause of Death .- Physicians: see explanatory instructions on face side of standard certificate of death.
Statement of Occupation .- Precise statement of occupation is very import- ant, 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 occupa- tion had been given up or changed, or if the deceased had retired from business, report the kind of work done during most of working life even if retired. 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 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
1
PLACE OF DEATH Suffolle win throp (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.
Registered No. 104
12/ Court Road No.
J(If death occurred in a hospital or institution. St. \ give its NAME instead of street and number)
David X Mahoney 2 FULL NAME.
(If deceased is a married, widowed or divorced woman, give algo maiden name.)
(a) Residence. No. 121 Court Road
(Usual place of abode)
1
Length of stay: In place of death . years. 1 / months. days. In place of residence .. years /
months
.. days.
MEDICAL CERTIFICATE OF DEATH
PERSONAL AND STATISTICAL PARTICULARS
3 DATE OF
DEATH
Judy 23
(Month)
(Day)
(Year)
1944
8 SEX
Male
9 COLOR OR RACE white
10 SINGLE
MARRIED
WIDOWED
or DIVORCED
(write the word)
E Single
4 I HEREBY CERTIFY,
Sept
19 18
to.
July 22
1949
That
attended deceased from
I last saw him alive on July
22, 19 49, death is said to
10a If married, widowed, or divorced HUSBAND of .. (Give maiden name of wife in full)
(or) WIFE of
(Husband's name in full)
11 IF STILLBORN, enter that fact here.
12
AGE
Years
Months
Days
If under 24 hours
.Hours .. . Minutes'
13 Usual
Occupation :
Retired Boiler Maker (Kind of work done during most of working life)
14 Industry
or Business:
U.S. Harry
15 Social Security No.
More
16 BIRTHPLACE (City)
(State or country)
casa.
17 NAME OF
FATHER
Roger Mahoney
PARENTS
18 BIRTHPLACE OF FATHER (City) (State or country)
Ireland
19 MAIDEN NAME
OF MOTHER
Mary Keefe
20 BIRTHPLACE OF MOTHER (City) (State or country)
Ireland
David R. O'Brien
21 Informant (Address) 121 Court Rd., Winthrop
7 NAME OF
FUNERAL DIRECTOR.,.
Tolu 6. Kelly
ADDRESS
286 Meridian St, E.B.
Received and filed. JUL 26 1949 19
(Registrar)
INTERVAL BE- TWEEN ONSET AND DEATH
DISEASE OR CONDITION
DIRECTLY LEADING
TO DEATH (a)
heart disease
.
ANTE
Due To
CEDENT (b)
CAUSES
generalized
Due To
(c)
Senility
OTHER SIGNIFICANT CONDITIONS
Major findings:
Of operations.
Date of operation
Was autopsy performed?
What test confirmed diagnosis?
.5 Was disease or injury in any way related to occupation of deceased? no
If so, specify Gilgame,
(Signed)
(Address) 200 Washing h[ Date 7/23
19 49.
M. D.
6
Italy Gros
Place of Buffal or Cremation (City or Town)
DATE OF BURIAL
25,
1949
Walden
100M-(D)-10-46-24650
M R-301A 1
RUCTIONS FOR . CERTIFICATE
giving OF DEATH ot enter than one for each (b) and (c)
does not mean of dying, such ilure. asthenia, ans the disease, ications which ath.
id conditions. ving rise to the se (a) stating rlying cause
itions contrib- e death but not the disease or causing death.
PHYSICIAN - IMPORTANT ( Was deceased a Spanish American U. S. War Veteran. ( if so specify WAR) . world war 1
Winthrop
St.
(If nonresident, gire city or town and State)
have occurred on the date stated above, at
9.1.
m.
3 yrs
87
East Boston
I HEREBY CERTIFY that a satisfactory standard certificate of death was filed with me BEFORE the burial or transit permit was issued: Walter & Bakker (Signature of Nggnt of Board of Health or other) Thealite officer 7/25/49
(Official Designation) (Date of Issue of Permit)
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 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.
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