USA > Massachusetts > Suffolk County > Winthrop > Town of Winthrop : Record of Deaths 1951 > Part 69
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SPACE FOR ADDITIONAL INFORMATION
DATE OF ENTERING MILITARY SERVICE DATE OF DISCHARGE RANK, RATING ORGANIZATION AND OUTFIT SERVICE NUMBER
1
R-301A 1
PLACE OF DEATH
Suffolk (County) Winthrop (City or Town) ( Atlantic St William E. Sobey 2 FULL NAME.
The Commonwealth of Massachusetts EDWARD J. CRONIN SECRETARY OF THE COMMONWEALTH DIVISION OF VITAL STATISTICS
STANDARD CERTIFICATE OF DEATH
Registered No. .. 190
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) WW-1
9 Atlantic St
St.
(If nonresident, give city or town and State)
Length of stay: In place of death years. .months. days. In place of residence2.5 years. months .days.
MEDICAL CERTIFICATE OF DEATH
PERSONAL AND STATISTICAL PARTICULARS
3 DATE OF
DEATH
August 28
1951
(Month)
(Day)
(Year)
8 SEX
Male
9 COLOR OR RACE
10 SINGLE
(write the word)
White
MARRIED
WIDOWED
or MORTEbed
august 27.
19-SI ...
to. .
august 28,
193ン
HUSBAND May.
MacDonald
I last saw here alive on.
august 2 , 1951, death is said to
have occurred on the date stated above, at 6:30 P.m.
INTERVAL BE-
TWEEN ONSET
AND DEATH
2 yrs.
ANTE Due To CEDENT (b) CAUSES
Due To
(c)
-
OTHER
SIGNIFICANT
none
CONDITIONS
Major findings:
Of operations.
none
Date of operation.
Was autopsy performed?
What test confirmed diagnosis?
Clinical + Laborator
5 Was discase or injury in any way related to occupation of deceased? Yo If so, sperify Maurice Trauist Er. W. M. D. M. D (Signed) (Address) 562 Chiley St. Winthrop Date Clus. 28, 195 Winthrop Winthrop 6 Place of Burial or Cremation (City or Town)
DATE OF BURIAL
August 31, 51
7 NAME OF
FUNERAL DIRECTOR.
ADDRESS
Winthrop Mass
Received and filed
AUG -3 1 1951 .19
(Registrar)
PARENTS
18 BIRTHPLACE OF
FATHER (City)
(State or country)
P.E.I
V
19 MAIDEN NAME
OF MOTHER
Harriet Pearson
20 BIRTHPLACE OF
MOTHER (City)
(State or countryp .E.I.
21 Informant (Address) Atlantic st. ".
I HEREBY CERTIFY that a satisfactory standard certificate of death was filed with me BEFORE the burial or transit permit was issued : Walter 5, Baker
(Signature of Akept @ Board of Health or other) H.O 1
Cinquet 29/10/
(Official Designation)
(Date of Issue of Permit)
10a If married, widowed, or divorced
(Give maiden name of wife in full)
(or) WIFE of
(Husband's name in full)
11 IF STILLBORN, enter that fact here.
12
AGE. 5.1 Years
Months
Days
If under 24 hours
Hours ...
Minutes
13 Usual
Machinast
Occupation.
(Kind of work done during most of working life)
14 Industry,
or Business: &A . R. R.
15 Social Security No ...
16 BIRTHPLACE (City).
(State or country)
Prince Edwards Island
17 NAME OF
FATHER
William
50m-(b)-11-49-920,560
CTIONS OR ERTIFICATE
iving F DEATH tenter han one or each ) and (c)
es not mean dying, such re, asthenia, s the disease, tions which
conditions. g rise to the (a) stating ing cause
ons contrib- eath but not disease or using death.
John it Omaley
To be filed for burial permit with Board of Health or its Agent.
--
(If deceased is a married, widowed or divorced woman, give also maiden name.)
(a) Residence. No. (Usual place of abode)
4 I HEREBY CERTIFY,
That I attended deceased from
DISEASE OR CONDITION
DIRECTLY LEADING
TO DEATH (a)
DIN Bilateral Pulmonary
Tuberculosis.
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 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, Scc. 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
December 8, 1917 at Boston July 2, 1919 Camp Devens
Private 1st Class
U. S. Army #776726
R-301 1
PLACE OF DEATH
SuFollo
(County)
Winthrop (City or Town)
The Commonwealth of Massachusetts EDWARD J. CRONIN SECRETARY OF THE COMMONWEALTH DIVISION OF VITAL STATISTICS STANDARD CERTIFICATE OF DEATH
(City or town making return)
Registered No. 191
St. \ give its NAME instead of street and number) No.
2 FULL NAME.
annie Goldberg Annie Goldberg (If deceased is a married, widowed or divorced woman, give also maiden name.) 237 Bever Bel Winthrop Warst.
(a) Residence.
(Usual place of abode)
(If nonresident, give city or town and State)
. days. "In place of residence 3. years .months .. days.
MEDICAL CERTIFICATE OF DEATH
PERSONAL AND STATISTICAL PARTICULARS
3 DATE OF
DEATH
august (Month)
29 (Day) /
1951 (Year)
SEX female
9 COLOR OR RACE white
10 SINGLE
MARRIED
WIDOW SUQueed
or DIVORCED
4 I HEREBY CERTIFY. august 28, 1951 to august 29 19 57
I last saw her alive on august 29, 1951, death is said to
have occurred on the date stated above, at. 11:00 P.m.
DISEASE OR CONDITION
DIRECTLY LEADING
TO DEATH (a)
Acute Coronary
Thrombosis
INTERVAL BE- TWEEN ONSET AND DEATH 2 days
11 IF STILLBORN, enter that fact here.
12 AGE 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) Russia
17 NAME OF FATHER Abraham Joseph Sucks
18 BIRTHPLACE OF FATHER (City) (State or country)
Russia
19 MAIDEN NAME
OF MOTHER
Dora Sacks C B
20 BIRTHPLACE OF MOTHER (City) (State or country)
Russia
6 TiPERCTh Is Rael of winthrop Place of Burial or Cremation (City br Town)
DATE OF BURIAL Queg 30 1951
7 NAME OF
FUNERAL DIRECTOR
Erinin L. Levine
ADDRESS 420 Harvard St. Brookline
Received and filed 19
AUG 3.1.1951
(Registrar)
IRLE COPY ATTL T
CTIONS R RTIFICATE
ving DEATH enter an one r each and (c)
es not mean dying, such re, asthenia .. the disease, ions which
conditions, rise to the (a) stating ing cause
ns contrib- eath but not disease or sing death.
acute porotyqual
OTHER SIGNIFICANT CONDITIONS fibrillation
Major findings:
Of operations.
no
Date of operation ..
What test confirmed diagnosis?
.Was autopsy performed ?. Clinical+ Laboratory No.
5 Was disease or injury in any way related to occupation of deceased? If so, specify a) Maurice Trannefire tv. M. D.
2562 Shively Stay With Date aug. 29, 1951
Everett
Israel J. Goldberg
21 Informant (Address) 237 RIVER Rd. Willway
I HEREBY CERTIFY that a satisfactory standard certificate of death was filed with me BEFORE the burial or transit permit was issued. Walter 6. Baker
1 ...
(Signature of facut of Board of Health or other)
HO .
aug 30, 1931
(Official Designation)
(Date of Issue of Pernu)
No
Length of stay: In place of death. .
... months ..........
5 hrs. 55 min
Winthrop Comm Hospitals
J(If death occurred in a hospital or institution,
(Was deceased a U. S. War Veteran, if so specify WAR>
(write the word)
10a If married, widowed, or divorced HUSBAND of.
(or) WIFE of.
(Give maiden name of wife in full) Israel J. Goldberg (Husband's name in full)
ANTE Due To CEDENT (b) CAUSES
Due To (c)
2 days
PARENTS
FOM (A) 12 49 900722
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 behef the name of the deceased, his supposed age, the cliscase 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 imine- 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, b. 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 pernuits, 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 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 deatlı.
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 oecupa- 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 oeeupation by the appropriate terms. as housekeeper-private family, cook-hotel, ete. 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-301 1
PLACE OF DEATH
(County)
Revere 10/9/01
The Commonwealth of Massachusetts EDWARD J. CRONIN SECRETARY OF THE COMMONWEALTH DIVISION OF VITAL STATISTICS STANDARD
(City or town making return)
Registered No.
192
J(If death occurred in a hospital or institution, St. [ give its NAME instead of street and number)
Di grégorio Baby Boy (male)
(If deceased is ) married, widowed or divorced woman, give also maiden name.)
(a) Residence. No. (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.
2/ min.
MEDICAL CERTIFICATE OF DEATH
PERSONAL AND STATISTICAL PARTICULARS
8 SEX
9 COLOR OR RACE
10 SINGLE
MARRIED
WIDOWED
or DIVORCED
(write the word)
10a If married, widowed, or divorced HUSBAND of
(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 7 /.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)
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
(Signed)
624 Bentien Date (x 2)
M. D.
(Address)
1951
6 mm
Place of Burial or Cremation
(City or Town)
DATE OF BURIAL ... 1951
7 NAME OF
Cincotti FUNERAL DIRECTOR Gian Cescotte 2. 116
ADDRESS
Received and filed 19
SEP 11 1951
(Registrar)
PARENTS
17 NAME OF FATHER
18 BIRTHPLACE OF FATHER (City) (State or country)
19 MAIDEN NAME OF MOTHER Engli Apaisiello
20 BIRTHPLACE OF MOTHER (City) (State or country)
21 Informant 2- (Address)
I HEREBY CERTIFY that a satisfactory standard certificate of death was filed with me BEFORE the burial or transit permit was issued: Watter 6. Baker
(Signature of Agent of The
H.O.
Health or other) Soft0 5/1951
(Official Designation) (Date of Issue of Permn)
A TRUE COPY ATTE T
augus (Month)
27 (Day)
1951 (Year)
That I attended deceased from|
19)/
I last saw ha ....... alive on.
death is said to
10.05.0
have occurred on the date stated above, at AZ r.m.
INTERVAL BE- TWEEN ONSET AND DEATH
10:05 PM.
montunity
1951
ANTE Due To CEDENT (b) CAUSES
Due To (c)
SOM (A)- 12 49 900722
UCTIONS OR CERTIFICATE
iving OF DEATH t enter han one For each b) and (c)
wes not mean f dying, such ure, asthenia, as the disease. ations which h.
conditions, ng rise to the (a) stating ying cause
ons contrib- death but not e disease or using death.
(City or Town)
CERTIFICATE OF DEATH
Caramelo 1/006
No.
2 FULL NAME
(Was deceased a U. S. War Veteran, if so specify WAR)
I Breve.
St.
3 DATE OF
DEATH
4 I HEREBY CERTIFY, Lin 21 19 51 to
(Give maiden name of wife in full)
DISEASE OR CONDITION
DIRECTLY LEADING
TO DEATH (a)
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