Town of Winthrop : Record of Deaths 1949, Part 57

Author: Winthrop (Mass.)
Publication date: 1949
Publisher:
Number of Pages: 456

USA > Massachusetts > Suffolk County > Winthrop > Town of Winthrop : Record of Deaths 1949 > Part 57

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OF MOTHER

Jusqua Begnuolo

20 BIRTHPLACE OF MOTHER (City) (State or country)

21 Pourvar /junta

(Address)

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

(Signature of Agent of Board of Health or other)

Health Chuck

11/18/48

(Official Designation) (Date of Issue of Permit)

TRUCTIONS FOR IL 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, - seans the disease, lications which eath.

bid conditions, iving rise to the use (a) stating derlying cause

ditions contrib- the death but not o the disease or causing death.

M R-301A 1 Wintherp (City or Town)

Registered No.

J(If death occurred in a hospital or institution,

St. į give its NAME instead of street and number)

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

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

50M-2-19-25666

BOSTON

4 /2 /s.

youseinfe

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 shallexhume 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 makc examination upon the view of the dead bodies of persons as are supposed to have dicd by violence, or by the action of chemical, thermal or electrical agents or following abortion, or from diseases resulting from injury or infection relating to occupation, or suddenly when not disabled by recognizable discase, or when any person is found dead. - General Laws, Char, 38, Sec. 6., as amended by Chap. 632, Sec. 4. Acts of 1945.

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 deathsonly 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

PLACE OF DEATH

Winthrop (City or Town)

The Commonwealth of Massachusetts EDWARD J. CRONIN, SECRETARY DIVISION OF VITAL STATISTICS

STANDARD CERTIFICATE OF DEATH

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

186

2 FULL NAME.

Maria Penta

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

(a) Residence. No. 645 Bennington St.

St. East .Boston

(Usual place of abode)

(If nonresident, give city or town and State)

Length of stay: In place of death years. months B

days. In place of residence

.years

.months

. . days.

MEDICAL CERTIFICATE OF DEATH

PERSONAL AND STATISTICAL PARTICULARS

3 DATE OF

DEATH

now.

(Month)

(Day)

1949

(Year)

8 SEX

Female

White

MARRIED

WIDOWED

or DIVORCED Widowed

4 I HEREBY CERTIFY,

200 4

19 1949

2018

I last saw ho V alive on

19 47 death is said to

have occurred on the date stated above, at 10: 4OP

INTERVAL BE-

TWEEN ONSET

AND DEATH

DISEASE OR CONDITION

DIRECTLY LEADING

TO DEATH (a)

Pneumonia

Imo.

AGE.75

Years

Months

Days

If under 24 hours

Hours .. .. Minutes

13 Usual

Occupation:

House wife

14 Industry

or Business:

At Home

15 Social Security No ... . none

16 BIRTHPLACE (City)

(State or country)

Italy

17 NAME OF

FATHER

Angelo Casoli

18 BIRTHPLACE OF

FATHER (City)

Italy

(State or country)

19 MAIDEN NAME

OF MOTHER

Angelina (Unknown)

20 BIRTHPLACE OF

Italy

21 Pasquale Penta . (son)

Informant. (Address) 44 Playstead Rd. Newton

I HEREBY CERTIFY that a satisfactory standard certificate of death was filed with me BEFORE the burial or transit permit was issued: Walter 6. Bater.

(Signature of Agent of Board of Health or other)

H.O.

nor, 21/1949

(Official Designation)

(Date of Issue of Permit)

(Registrar)

about 10 years

Due To (c)

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? Wo

If so, specify,

D. D. Pout

M. D.

(Signed)

(Address) 17a Bemmuy t 18 28 Date 11/19 19.VG MOTHER (City) (State or country)

Holy ... Cross

Malden

Place of Burial or Cremation (City or Town).

DATE OF BURIAL

Nov. 22

7 NAME OF

FUNERAL DIRECTOR

ADDRESS

9 Chelsea St. East Boston

Received and filed.

NOV.2.5.1949

50M-2-19-25666

M R-301A 1

TRUCTIONS FOR L CERTIFICATE giving OF DEATH not enter than one e for each (b) and (c)

does not mean of dying, such ailure, asthenia, eans the disease. lications which ath.

bid conditions. ving rise to the se (a) stating erlying cause

ditions contrib- he death but not the disease or causing death.

Sufolk (County) Boston 14/8/49

No. Winthrop Community Hospital

J(If death occurred in a hospital or institution,

St. [ give its NAME instead of street and number)

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

9 COLOR OR RACE

10 SINGLE

(write the word)

10a If married, widowed, or divorced

HUSBAND of

(Give maiden name of wife in full)

(or) WIFE of

Michael .. Penta

(Husband's name in full)

11 IF STILLBORN, enter that fact here.

Due To

artenovelerotic wat

ANTE

CEDENT (b)

CAUSES

diriare

That I attended deceased from

(Kind of work done during most of working life)

PARENTS

Registered No.

EXTRACTS FROM THE LAWS OF THE COMMONWEALTH OF MASSACHUSETTS GOVERNING THE

RETURN OF CERTIFICATES OF DEATH

A physician or registered hospital medical officer shall forthwith, after the death of a 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

Medical examiners shall make examination upon the view of the dead bodies of persons as are supposed to have died by violence, or by the action of chemical, thermal or electrical agents or following abortion, or from diseases resulting from injury or infection relating to occupation, or suddenly when not disabled by recognizable disease, or when any person is found dead. . - General Laws, Chap. 38, Sec. 6., as amended by Chap. 632, Sec. 4. Acts of 1945.

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 occup :- 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

A R-303 A 1

PLACE OF DEATH

Suffolk County) Winthrop (City or Town)

The Commonwealth of Massachusetts OFFICE OF THE SECRETARY DIVISION OF VITAL STATISTICS MEDICAL EXAMINER'S CERTIFICATE OF DEATH

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

Registered No.

18?

42 Largaril Lt. No.

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

Elizabeth Mc Cartney

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

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

42 Sargent St, Winthrop man

(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

3 DATE OF

DEATH

November 19 1949 (Month) (Day) (Year)

9 SEX

Female

White

11 SINGLE

MARRIED

WIDOWED

or DIVORCED Widow

11a If married, widowed, or divorced

HUSBAND of.

(Give maiden name of wife in full)

(or) WIFE of

Charles I McCartney

(Husband's name in full)

12 IF STILLBORN, enter that fact here.

AGE

Years

Months

.Days

If under 24 hours

Hours ........ Minutes

14 Usual

Occupation:

Housewife

(Kind of work done during most of working life)

15 Industry

or Business:

Own Home

16 Social Security No ...

None

Boston

17 BIRTHPLACE (City)

(State or country)

Mass

18 NAME OF

FATHER

John Tracy

19 BIRTHPLACE OF

FATHER (City)

(State or country)

New Hampshire

20 MAIDEN NAME

OF MOTHER

Catherine

******

21 BIRTHPLACE OF

MOTHER (City)

(State or country)

Maine

Elizabeth E McCartney

(Address) 12 E Mowry St. Chester Pa.

Informant7

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

Health Alice

(Official Designation)

(Date of Issue of Permit) /

11/23/49

Every itam of

of Death. See reverse sida for axtracts from the laws raiativa to the raturn of certificatas of daath. DEATH In piain terms, so that it may be properly classified undar the International Classification of Causes information should be carefully suppiled. MEDICAL EXAMINERS should stata CAUSE AND MANNER OF N. B. - WRITE PLAINLY, WITH UNFADING BLACK INK-THIS IS A PERMANENT RECORD.

7 If deceased was a U. S. War Veteran, G.L. Chap. 46. Section 10, requires physicians to insert a recital to that effect. place?

50m-(g)-10-48-24658

Woodlawn

Everett.

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

DATE OF BURIAL

NOV. 22

1949.

8 NAME OF FUNERAL DIRECTOR

Sawang S Plus noteto

ADDRESS Vanénão Mais

Received and filed.

NOV 25+0%

(Registrar)

PARENTS

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

If so, specify

(Signedy.

M. D.

(A dress) 25 Shattuck St Date 11/19/1949

(Specify type of place)

Manner of

Injury

(How did injury occur?)

Nature of

Injury

While at work?

Was autopsy performed?

Quese Generalized arteriosclerosis

5 Accident, suicide, or homicide (specify).

Date and hour of injury

Where did Injury occur? (City or town and State)

Did injury occur in or about home, on farm, in industrial place, or in public

10 COLOR OR RACE

(write the word)

4 I HEREBY CERTIFY that I have investigated the death of the person above-named and that the CAUSE AND MANNER thereof are as follows: (If an injury was involved, state fully.)

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

2 FULL NAME

EXTRACTS FROM THE LAWS OF THE COMMONWEALTH OF MASSACHUSETTS GOVERNING THE

RETURN OF CERTIFICATES OF DEATH

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.

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Town of Winthrop : Record of Deaths 1949, Part 57

Author: Winthrop (Mass.) Publication date: 1949 Publisher: Number of Pages: 456

Author: Winthrop (Mass.)
Publication date: 1949
Publisher:
Number of Pages: 456