USA > Massachusetts > Suffolk County > Winthrop > Town of Winthrop : Record of Deaths 1950 > Part 42
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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 chemical, thermal or electrical agents or following abortion, or from discases 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 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 occupz- 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
Suffol k (County)
RM R-301A 1 &Winthrop (City or Town)
125 Cliff Ave. No.
f(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)
125 Cliff Ave. (a) Residence. No. (Usual place of abode)
St. .
(If nonresident, give city or town and State)
Length of stay: In place of death. 3 years months days. In place of residence years
months
.days.
MEDICAL CERTIFICATE OF DEATH
3 DATE OF
DEATH
July
Month)
29
(Day)
1950 (Year)
8 SEX
9 COLOR OR RACE
10 SINGLE
MARRIED
WIDOWED
or DIVORCED Widow
Female
White
4 I HEREBY CERTIFY,
Jane
1949
to
I last saw her . alive on
have occurred on the date stated above, at
5 A. m.
INTERVAL BE- TWEEN ONSET AND DEATH 3 yrs.
11 IF STILLBORN, enter that fact here.
12
AGE 83
Years
.Months
Days
If under 24 hours
Hours .
Minutes
13 Usual
Occupation :
Housewife
(Kind of work done during most of working life)
14 Industry
or Business :.
At Home
15 Social Security No.
None
16 BIRTHPLACE (City)
(State or country)
New foundland
17 NAME OF
FATHER
Dennis O'Neil
18 BIRTHPLACE OF FATHER (City) (State or country) Newfoundland
19 MAIDEN NAME OF MOTHER Margaret
20 BIRTHPLACE OF
MOTHER (City)
(State or country)
Newfoundland
21 Informant
Records nursing home
19 50 (Address) 125 Cliff Ave, Winthrop
I HEREBY CERTIFY that a satisfactory standard certificate of death was filed with me BEFORE the burial, or fransit permit was issued: Watter A. Kaker (Signature of Agent of Board of Health or other)
Greatthe Officer (Official Designation) (Date of Issue of Permit)
7/31/50
AUG 1 1950
(Registrar)
PARENTS
M. D.
Date filip 29 19 56
6
Winthrop
Winthrop
Place of Burial or Cremation/ (City or Town)
DATE OF BURIAL
Aug 1
7 NAME OF FUNERAL DIRECTORY ...
Forward STJunedo
ADDRESS Canthos mais
Received and filed 19
The Commonwealth of Massachusetts EDWARD J. CRONIN SECRETARY OF THE COMMONWEALTH DIVISION OF VITAL STATISTICS STANDARD CERTIFICATE OF DEATH
To be filed for burial permit with Board of Heaith or its Agent.
127
STRUCTIONS FOR AL CERTIFICATE
In giving E OF DEATH not enter re than one se for each ), (b) and (c)
his does not mean de af dying. such t failure, asthenia, means the disease, aplications which death.
orbid canditians. giving rise to the ause (a) staling nderlying cause
ndilians contrib- the death but not ta the disease or on causing death.
:50M (B)-12-49-900722
(b)
Due To
Trend 2 brain.
Due To (c)
OTHER SIGNIFICANT CONDITIONS
Major findings:
Of operations
none
Date of operation
Was autopsy performed? 20
What test confirmed diagnosi
Bipay mars. gen. Hory 21 July 194
5 Was disease or injury in any way related to occupation of deceased?
If so, specify
(Signed)
25. Sturgis It
(Address)
That I attended deceased from July 29 1900
July 28
1050
., death is said to
10a If married, widowed, or divorced
HUSBAND of
Linery Rivers
(Give maiden name of wife in full)
(or) WIFE of
(Husband's name in full)
DISEASE OR CONDITION
DIRECTLY LEADING
TO DEATH
(a) Endo carcinoma f.
with METASTAS modith
velata
ANTE CEDENT CAUSES
PERSONAL AND STATISTICAL PARTICULARS
(write the word)
2 FULL NAME.
Anastasia (O'Neil) Rivers (If deceased is a married, widowed or divorced woman, give also maiden name.)
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 are, the discase 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 permut. 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 o. 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 chemical, thermal or electrical agents or following abortion, or from diseases resulting from injury or infection relating to occupation. or suddenly when not clisabled 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 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
RM R-302 1
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 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 WRITE PLAINLY, WITH UNFADING BLACK INK - THIS IS A PERMANENT RECORD
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
6509
(City or town making return)
Registered No.
6509
Beth Israel Hospital No.
j(If death occurred in a hospital or institution, St. [ give its NAME instead of street and number)
2 FULL NAME
(If deceased is a married, widowed or divorced woman, give also maiden name.)
394 Shirley
Winthrop Mass.
(a) Residence. No. (Usual place of abode)
(If nonresident, give city or town and State)
Length of stay: In place of death.
.. years.
.months.
1
days. In place of residence.
.. years.
.months ..
... days.
MEDICAL CERTIFICATE OF DEATH
PERSONAL AND STATISTICAL PARTICULARS
3 DATE OF
DEATH
July 30/50
(Month)
(Day)
(Year)
4 I HEREBY CERTIFY.
That I attended deceased from
19.
July 30
50
19
to
July 30
50
I last saw h
im
alive on
July
30 19 ..... 5, death is said to
(or) WIFE of
(Husband's name in full)
DISEASE OR CONDITION DIRECTLY LEADING TO DEATH (a) Prematurity
TWEEN ONSET AND DEATH 1 Day
11 IF STILLBORN, enter that fact here.
12
AGE
Years
1
Months
Days
If under 24 hours
Hours ..
Minutes
13 Usual
Occupation :
(Kind of work done during most of working life)
14 Industry or Business:
15 Social Security No.
16 BIRTHPLACE (City).
(State or country)
Boston .Mass.
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? If so, specify. Hyman Alford
(Signed)
(Address)
Newton Mass
.Date ....
7-30 19 50
6
Place of Burial or Cremation (City or Town)
DATE OF BURIAL
July 31/50
19
21
Informant
(Address)
Dr Bernard Brass
A TRUE COPY
Py harles
ATTEST:
(Registrar of City or Town where death occurred) August 2/50
DATE FILED
19
(Registrar of City or Town where deceased resided)
PARENTS
17 NAME OF
FATHER
Bernard Brass
18 BIRTHPLACE OF
FATHER (City).
(State or country)
Chelsea Mass.
19 MAIDEN NAME
OF MOTHER
Pearl Hochman
20 BIRTHPLACE OF
MOTHER (City)
(State or country)
Russia
7 NAME OF
FUNERAL DIRECTOR
H J Torf
ADDRESS
Chelsea Mass.
Received and filed
AUG
195
19
.
Baby Boy Brass #}
(Was deceased a
U. S. War Veteran,
if so specify WAR)
128
8 SEX
M
9 COLOR OR RACE
W
10 SINGLE
MARRIED
WIDOWED
or DIVORCED
(write the word)
Single
10a If married, widowed, or divorced
HUSBAND of
(Give maiden name of wife in full)
have occurred on the date stated above, at
7:18P
m.
INTERVAL BE-
ANTE
Due To
CEDENT (b)
CAUSES
Due To (c)
25m-(b)-11-49-900,475'
Beth Israel Cem-Everett Mass.
M. D
St.
RECEIVED
AUG -1/1950 AM
RM R-302 1
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 WRITE PLAINLY, WITH UNFADING BLACK INK - THIS IS A PERMANENT RECORD
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
25m-(b)-11-49-900,475
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
Bar
Boston
(City or town making return)"
Registered No.
6503
129
Boston Floating Hospital
ยท
J(If death occurred in a hospital or institution,
St. [ give its NAME instead of street and number)
2 FULL NAME.
(If deceased is a married, widowed or divorced woman, give also maiden name.)
26 Tileston St
St.
(If nonresident, give city or town and State)
Length of stay: In place of death ...... years.
13 Hrs dago Milss of residence.
.. years.
.. months
.days.
MEDICAL CERTIFICATE OF DEATH
PERSONAL AND STATISTICAL PARTICULARS
3 DATE OF
DEATH
July 30/50
(Month)
(Day)
(Year)
4 I HEREBY CERTIFY,
July 29
50
19
...
to
July 30
19
19.
death is said to
have occurred on the date stated above, at
6;40A
m
INTERVAL BE-
10a If married, widowed, or divorced
HUSBAND of
(Give maiden name of wife in full)
(or) WIFE of.
(Husband's name in full)
DISEASE OR CONDITION
DIRECTLY LEADING
TO DEATH (a)
Congenital heart disease
TWEEN ONSET AND DEATH
11 IF STILLBORN, enter that fact here.
12
AGE
Years
2
Months.
Days
If under 24 hours
Hours.
Minutes
13 Usual
Occupation :
(Kind of work done during most of working life)
14 Industry or Business:
15 Social Security No ....
16 BIRTHPLACE (City).
(State or country)
Winthrop Mass.
OTHER
SIGNIFICANT
CONDITIONS
Major findings:
Of operations
Date of operation
Was autopsy performed ?.
Yes
What test confirmed diagnosis ?.
autopsy.
5 Was disease or injury in any way related to occupation of deceased?
If so, specify.
C James Gormley
(Signed)
(Address) Boston Mass .. ... Date
7-30 19 50
6
Place of Burial or Cremation (City or Town)
DATE OF BURIAL
July 31/50
19
21
Informant
(Address)
A R Famiglietti Father
7 NAME OF
FUNERAL DIRECTOR
R C Kirby
ADDRESS.
East Boston Mass.
Received and filed.
AUG 7
.. 1950
19
(Registrar of City or Town where deceased resided)
PARENTS
18 BIRTHPLACE OF
East Boston Mass.
FATHER (City)
(State or country)
19 MAIDEN NAME
OF MOTHER
Frances Stabile
20 BIRTHPLACE OF
MOTHER (City)
(State or country)
Bronx New York
A TRUE COPY
Charles H Macke
ATTEST: ..!
(Registrar of City or Town where death occurred) August 2/50
DATE FILED
........ ........ .. 19.
(write the word)
8 SEX
M
9 COLOR OR RACE
10 SINGLE
MARRIED
WIDOWED
or DIVORCED
Single
I last saw h.
imalive on
July 30
50
Since
Birth
ANTE
Due To
CEDENT (b)
CAUSES
Due To (c)
That I
attended deceased from
50
Winthrop Mass.
(Was deceased a
U. S. War Veteran,
if so specify WAR)
(a) Residence. No. (Usual place of abode)
Baby Boy Famiglietti
No.
M.
Holy Cross-Maiden Mass
17 NAME OF
FATHER
Alfred R Famiglietti
RECEIVE*
1
AUG -* /1950 AM
ORM R-302
1
E OF DEATH
(County)
The Commonwealth of Massachusetts OFFICE OF THE SECRETARY DIVISION OF VITAL STATISTICS
COPY OF CERTIFICATE OF DEATH
1.30
Registered No.
New York State Department of Health DIVISION OF VITAL STATISTICS CERTIFICATE OF DEATH
19198 6
1. PLACE OF DEATH: STATE OF NEW YORK 2. COUNTY Warren
b. TOWN
LENGTH OF AY IN TOWN, OR VILLAGE
C. CITY OR VILLAGE
8 mmply
d. CITY OR VILLAGE . Winthrop
NO Is residence withto its corporate Limite? IES
d. NAME OF (If not in hospital or in Litution, the street address or HOSPITAL OR INSTITUTION Westerhout lavet Just
4. DATE
(Month))
(Day)
(Year)
J. NAME OF DECEASED (Type or Print)
Mary Flarene TODD Barry
OF DEATH
March 2
1950
5. 8EX 6. COLOR OR RACE
7. SINGLE, MARRIED, WIDOWED, DIVORCEO TACH married
Husband (or) Wife
en Homes Barry
9. DATE OF BIRTH 10. AGE Years Months 10
Days
IF UNDEN 24 HRS. Hours
Min.
11. BI| THPLACE (State or foreign country) Haucon . 4 13b. KINO OF BUSINESS OR INDUSTRY
12. CITIZEN DF COUNTNY?
5/2/1914 3.5
O
13a. USUAL OCCUPATION (Give, kind of work done during most of working life, even if Petina Housewifes retired)
home
16. MOTHER'S MAIDEN NAME
lyx Cady
hours Minutes
19.
I
DISEASE ON CONOITION OINECTLY LEADING TO DEATH
Tuberculosis A lunga condenan
(This does not mean the mode of dying, e.g., heart failure, asthenia, etc. It means the disease, injury or complication which caused death.)
(A)_ QUE TO
ANTECEDENT CAUSES DISEASES OR CONDITIONS, if any, giving rise to the above cause (A) stating the UNOENLYING CONOITION last.
(B). QUE TO
(C).
II
OTHEN SIGNIFICANT CONDITIONS contribut- Ing to the death, but not related to the disease or condition causing it.
002
21. AUTOPSY?
20a. DATE OF OPERATION
20b. MAJOR FINDINGS OF OPERATION
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