Town of Winthrop : Record of Deaths 1950, Part 26

Author: Winthrop (Mass.)
Publication date: 1950
Publisher:
Number of Pages: 532


USA > Massachusetts > Suffolk County > Winthrop > Town of Winthrop : Record of Deaths 1950 > Part 26


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7 (Official Designation)


(Date of Issue of Permit)


L


NSTRUCTIONS FOR CAL CERTIFICATE


In giving SE OF DEATH lo not enter ore than one use for each a), (b) and (c)


This does not mean ode of dying. such ri failure, asthenia, means the disease. mplications which death.


forbid conditions. , giving rise to the cause (a) stating nderlying cause


onditions contrib- o the death but not to the disease or on causing death.


PARENTS


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


If so, specify.


(Signed)


(Address) 4 Underyho mur I


7. M. D. Date 5-12-1952


6


Winthrop


:


Place of Burial or Cremation


Winthrop


(City or Towff)


DATE OF BURIAL


May


24


19 50


7 NAME OF


Howard Sprynolds


ADDRESS Menthuis mars.


Received and filed


MAY 2 5 1950


19


(Registrar)


1950 (Year)


4 I HEREBY


CERTIFY, 1968. to


That I attended deceased! from


19 ₫


I last saw h


& alive on


Za IN death is said to


have occurred on the date stated above, at


5A. m.


DISEASE OR CONDITION DIRECTLY LEADING TO DEATH (a)


ANTE CEDENT (b) . . CAUSES


Due To


arturo sclerosis


Due To (c)


OTHER


SIGNIFICANT


CONDITIONS


Pagets descrive


Major findings:


Of operations.


Date of operation


Was autopsy performed?


What test confirmed diagnosis?


21 (Day)


3 DATE OF DEATH


(Month)


Female


White


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


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


RM R-301A 1


,50M (B)- 12-49-900722


Detroit


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 are, 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 hy 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 eause 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 hody 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 of cause of the death, which the clerk or registrar may require .- Chap. 114, Sec. 4.5. G. L. (Tercentenary Edition).


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.


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 fron 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 dore 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


ORM R-302 1


WRITE PLAINLY, WITH UNFADING BLACK INK - THIS IS A PERMANENT RECORD


Copies of returns of deaths which occurred in your city or town in case the deceased resided in another city or town at the time after the close of the month in which the death occurred. (See Chap. 46, Sec. 12, G. L.) of death should be transmitted on Form R-302 to the clerk of the city or town in which the deceased resided as soon as possible


PLACE OF DEATH


Suffolk


(County)


Boston


(City or Town)


The Commonwealth of Massachusetts EDWARD J. CRONIN SECRETARY OF THE COMMONWEALTH DIVISION OF VITAL STATISTICS COPY OF CERTIFICATE OF DEATH


Boston


(City or town making return)


Registered No.


4430


2 FULL NAME


Warren A Wilson


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


88 Cliff St


St.


Winthrop Mass.


(If nonresident, give city or town and State)


Length of stay: In place of death


2.2years.


6


months


4


days. In place of residence.


.years.


.months


days.


MEDICAL CERTIFICATE OF DEATH


PERSONAL AND STATISTICAL PARTICULARS


3 DATE OF


DEATH


(Month)


(Day)


(Year)


4 I HEREBY CERTIFY.


Feb. 3


34


19


to


19


19 50


19


death is said to


have occurred on the date stated above, at


2;25₽


m.


DISEASE OR CONDITION DIRECTLY LEADING


TO DEATH (a)


Arterio sclerotic


heart disease


INTERVAL BE- TWEEN ONSET AND DEATH Years


11 IF STILLBORN. enter that fact here.


12


93


AGE


Years


0


Months


15


Days


If under 24 hours


Hours


Minutes


13 Usual


Occupation:


Hospt Attendant


(Kind of work done during most of working life)


14 Industry


or Business:


Unknown


15 Social Security No.


None


16 BIRTHPLACE (City)


(State or country)


Boston Mass.


17 NAME OF


FATHER


James L Wilson


18 BIRTHPLACE OF


FATHER (City)


(State or country)


Vermont


19 MAIDEN NAME


OF MOTHER


Christina E Hayden


20 BIRTHPLACE OF


MOTHER (City)


(State or country)


Quincy Mass.


6 Mt.Wollaston Cem-Quincy Mass. Place of Burial or Cremation (City or Town)


DATE OF BURIAL


May 23/50


19


7 NAME OF


FUNERAL DIRECTOR


A B Marsh


ADDRESS.


Winthrop Mass


Received and filed.


MAY 2 9 1950


19


(Registrar of City or Town where deceased resided)


8 SEX


M


9 COLOR OR RACE


W


10 SINGLE


MARRIED


WIDOWED


of DIVORCED


(write the word)


Single


10a If married, widowed, or divorced


HUSBAND of.


(Give maiden name of wife in full)


(or) WIFE of


(Husband's name in full)


ANTE


Due To


CEDENT (b)


CAUSES


Due To (c)


OTHER SIGNIFICANT CONDITIONS


Major findings:


Of operations.



Date of operation


Was autopsy performed?


What test confirmed diagnoclinical)


PARENTS


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


If so, specify.


James V Sacchetti


M. D.


(Signed).


(Address)


Long Island Hosptte.


5-21 .... 19 ..... 50


21


Informant


(Address)


Long Island Hospt


A TRUE COPY


Parles & Mackie.


ATTEST:


(Registrar of City or Town where death occurred)


May 24/50


DATE FILED


.. 19 ....


25m-(b)-11-49-900,475


No.


Long Island Hospt


J(If death occurred in a hospital or institution,


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


.


(Was deceased a


U. S. War Veteran,


if sq specify WAR)


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


May 21/50


That I


attended deceased


from


May 21


50


I last saw


h


alive on.


May 21


im


RM R-301A 1


WINTHROP (City or Town) PLACE OF DEATH SUFFOLK Chelsea (County)


6/7/5


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


STANDARD CERTIFICATE OF DEATH


Registered No. 31


J(If death occurred in a hospital or institution, WINTHROP COMMUNITY HOSPITAL St. ( give its NAME instead of street and number) No.


2 FULL NAME HANS H.TANGARA


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


(a) Residence. No. 15 LIBRARY ST CHELSEA (Usual place of abode)


St.


(If nonresident, give city or town and State)


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


1 days. In place of residence 2 5 ... years. months .. days.


MEDICAL CERTIFICATE OF DEATH


PERSONAL AND STATISTICAL PARTICULARS


3 DATE OF


DEATH


May 22


(Monthy


(Day)


1950


(Year)


4 I HEREBY CERTIFY.


Filmmany 27/500. may 22 ,50


I last saw h AM alive on May 22, 1950 death is said to


have occurred on the date stated above, at SP: .m. INTERVAL BE- TWEEN ONSET AND DEATH 11 IF STILLBORN. enter that fact here.


DISEASE OR CONDITION


DIRE


Chronic lymphatic


TO DEATH (a)


leukemia


ty mos


ANTE


Due To


CEDENT (b)


CAUSES


Due To (c)


OTHER


SIGNIFICANT


CONDITIONS


Uremia


2 hrs.


Of perations. Low-Jau 1947-


no Date of operation an.1947. Was autopsy performed? linical blood&


What test confirmed diagnosis ?..


5 Was disease or injury in any way related to occupation of deceased? If s Jacob J. abrams m.W (Signe


(Addres) 562 Ollentay Stobrushing.


6 PURITANLAWN MEMORIAL PARK /72/50 Place of Burial or Cremation (City of THATBODY


DATE OF BURIAL MAY 24, 1956


7 NAME OF


Wendell M. Dykeman


ADDRESS 236 any are Childa


19


Received and filed MAY 2 5 1950


(Registrar)


8 SEX


9 COLOR OR RACE


(write the word)


MALE WHITE


10 SINGLE


MARRIED


WIDOWED


or DIVORCED MARRIED


10a If married, widowed, or divorced


HUSBAND of PAULINE B. NIELSON


(Give maiden name of wife in full)


(or) WIFE of


(Husband's name in full)


12


3 yrs


AGE 64 Years


Months


.Days


If under 24 hours


Hours ..


.. Minutes*


Occupation :


RETIRER ROOFER.


(Kind of work done during most of working life)


14 Industry


or Business:


OWN BUSINESS


15 Social Security No. NONE


16 BIRTHPLACE (City)


(State or country)


DENMARK


17 NAME OF


FATHER


HANS TANGARD


18 BIRTHPLACE OF


FATHER (City)


(State or country)


DENMARK


19 MAIDEN NAME


OF MOTHER


ANNA NIELSON


20 BIRTHPLACE OF


MOTHER (City) (State or country) DENMARK


21 Informant MRS. PAULINE TANGARD (Address) 15LIBRARY ST CHELSEA


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


Health Officer (Official Designation)


5/23/50


(Date of Issue of Permit)


ISTRUCTIONS FOR AL CERTIFICATE


In giving SE OF DEATH o not enter re than one use for each ), (b) and (c)


his does not mean de of dying, such failure, asthenia. means the disease, plications which death.


orbid conditions. giving rise to the ause (a) stating underlying cause


nditions contrib- the death but not to the disease or on causing death.


50M-2-49-25666


Bone mangali a


PARENTS


-


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)


That I attended deceased from


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 make examination upon the view of the dead bodies of persons as are supposed to have died by violence, or by the action of cheinical, 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.


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


X


PLACE OF DEATH


Suffolk (County)


Winthrop (City or Town)


No.


142 Pleasant


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


PHYSICIAN - IMPORTANT


2 FULL NAME


Angelo Faro


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


352 Shirley


St.


(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


May, 23


(Monthy (Day)


19 50 (Year)


8 SEX


Male


9 COLOR OR RACE


White


10 SINGLE (write the word) MARRIED WIDOWED or DIVORCED Married


4THEREBY CERTIFY,


That I attended deceased from


23


19 50


to


may 23


1938


I last saw h. ... alive on


thay 27, 19.20 death is said to


10a If married, widowed, or divorced.


HUSBAND of


Ventura


Intagliata


(or) WIFE of


(Husband's name in full)


DISEASE OR CONDITION


DIRECTLY LEADVE leral Hearmiching


TO DEATH (a)


TWEEN ONSET AND DEATH 11 IF STILLBORN, enter that fact here.


12 AGEZZ.Years


Months


.Days


If under 24 hours


Hours


Minutes


13 Usual


Occupation:


Laborer-Retired


(Kind of work done during most of working life)


14 Industry or Business :.


15 Social Security No ...


022-16-7873


16 BIRTHPLACE (City)


(State or country)


Italy


17 NAME OF


FATHER


Sebastiano Noe (Foster father)


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?


If so, spe


(Signed).


(Address) (2) Saratoga St Date Les de 2 1970




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