USA > Massachusetts > Suffolk County > Winthrop > Town of Winthrop : Record of Deaths 1951 > Part 73
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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 nundred 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 makc 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 fureral is to be held, or from a person appointed to have the care of the cemetery or burial ground in which the interment is made.
Chap. 114, Sec. 46, G. L., (Tercentenary Edition).
RULES OF PRACTICE
The fulfillment of the purpose of these laws calls for the observance of the follow- ing rules of practice:
(1) Attending physicians will certify to such deaths only as those of persons to whom they have given bedside care during a last illness from disease unrelated to any form of injury.
(2) Board of Health physicians will certify to such deaths only as those of persons who, though disabled by recognized disease unrelated to any form of injury, have died without recent medical attendance or whose physician is absent from home when the certificate of death is needed.
(3) Medical Examiners will investigate and certify to all deaths supposably due to injury. These include not only deaths caused directly or indirectly by traumatism (including resulting septicemia), and by the action of chemical (drugs or poisons) thermal, or electrical agents, and deaths following abortion, but also deaths from disease resulting from injury or infection related to occupation, the sudden deaths of persons not disabled by recognized disease, and those of persons found dead.
Statement of Cause of Death .- Physicians: see explanatory instructions on face side of standard certificate of death.
Statement of Occupation .- Precise statement of occupation is very import- ant, so that the relative healthfulness of various pursuits can be known. Make some entry in this section for every person aged 10 years or over. If the occupa- tion had been given up or changed, or if the deceased had retired from business, report the kind of work done during most of working life even if retired. Children not gainfully employed may be returned as at school or at home. For a woman whose only occupation was that of home housework, wrice 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. Fo- a person who had no occupation whatever write none.
SPACE FOR ADDITIONAL INFORMATION
DATE OF ENTERING MILITARY SERVICE DATE OF DISCHARGE RANK, RATING ORGANIZATION AND OUTFIT
SERVICE NUMBER
1
PLACE OF DEATH
(County)
Boston 10/2/5/
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. 202
St. [ give its NAME instead of street and number) No. Winthrop Community Hospital
2 FULL NAME Maria Nicoletta AddrisiGadinai (If deceased is a married, widowed or divorced woman, give also maiden name.)
(a) Residence. No.
1056 Bennington St. East Boston (Usual place of abode)
(If nonresident, give city or town and State)
Length of stay: In place of death. .
years.
months. 16 days. In place of residence. ..... .. years .months .days.
MEDICAL CERTIFICATE OF DEATH
PERSONAL AND STATISTICAL PARTICULARS
3 DATE OF
DEATH
Sentale
(Month)
16
1951
(Year)
(Day)
deceased from
51
I last saw be
alive on ...
Ant 16
1951
death is said to
1.30 P.
INTERVAL BE-
TWEEN ONSET AND DEATH
11 IF STILLBORN, enter that fact here.
12 AGE .65 Years.
Months.
Days
If under 24 hours
Hours.
Minutes
13 Usual
Occupation:
Home
1945 (Kind of work done during most of working life)
14 Industry or Business:
15 Social Security No.
16 BIRTHPLACE (City).
(State or country)
Italy
17 NAME OF
FATHER
Pasquale (Villani)
PARENTS
18 BIRTHPLACE OF
FATHER (City)
(State or country)
Italy
19 MAIDEN NAME
OF MOTHER
PalminaX
20 BIRTHPLACE OF MOTHER (City) (State or country)
Italy
6 . Place of Burial of StMicheals Cemetery (chyof? st HITIS Francesco Addrisi 21 Informant (Address) 1056 Bennington St. E. B.
DATE OF BURIAL Sept. 19, 1951 Boston
7 NAME OF
FUNERA
William E. Pepi
ADDRESS
971 Saratoga St. E.B.
Received and filed
SEP 2-6 1951
19
(Registrar)
I HEREBY CERTIFY that a satisfactory standard certificate of death was filed with me BEFORE the burial or transit permit was issued: Walter A. Bakery (Signature of Agent of Board of Health or othet)
The alle officer
(Official Designation)
(Date of Issue of Permit) /
9/19/57
TIONS R RTIFICATE
ing DEATH enter an one r each and (c)
s not mean lying, such e, asthenia, the disease. ons which
conditions, rise to the (a) stating ng cause
s contrib- ath but not disease or sing death.
OTHER SIGNIFICANT CONDITIONS
Major findings:
Of operations.
Date of operation.
Was autopsy performed ?.
What test confirmed diagnosis?
Electro cardique
5 Was disease or injury in any way related to occupation of deceased?
If so, specify
(Signed)
. M. D
. . 19.5.1
10a If married, widowed, or divorced
HUSBAND of.
(Give maiden name of wife in full)
(or) WIFE of.
Francesco Addrisi
(Husband's name in full)
DISEASE OR CONDITION
DIRECTLY LEADING
TO DEATH (a)
myocardial
Infarction
ANTE
CEDENT
CAUSES
Due To
Vialet 1, La
(b)
Due To
(c)
arterivida
?
SOM (A) 12 49.900722
R-301 1
(City or Town)
J(If death occurred in a hospital or institution,
9 COLOR OR RACE
8 SEX
Female
White
10 SINGLE
(write the word)
MARRIED
WIDOWED
DIVORCED Married
1
4 I HEREBY CERTIFY.
Cuz 31
51
19
That I attended
Det 16
to
19
have occurred on the date stated above, at. m.
(Was deceased a
U. S. War Veteran,
if so specify WAR)
A TRUE LOPY 1FHL. P
(Address) 62 man gate Date
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 leath 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 lisease of which he died, defined as required by section one, where same was ohtracted, the duration of his last illness, when last seen alive by the physician r ifficer 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 er 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 horder service of nineteen hundred and sixteen and nineteen hundred and seventeen. G. L. Chap. 46. Sec. 10.
No undertaker or other person shall bury or otherwise dispose of a human body in a town, or remove therefrom a human body which has not been buried, until he has received a permit from the board of health, or its agent appointed to issue such permits, or if there is no such board, from the clerk of the town where the person died; and no undertaker or other person shall exhume a human body and remove it from a town, from one cemetery to another, or from one grave or tomb other than the receiving tomb to another in the same cemetery, until he has received a permit from the board of health or its agent aforesaid or from the clerk of the town where the body is buried. No such permit shall be issued until there shall have been delivered to such board, agent or clerk, as the case may be. a satisfactory written statement containing the facts required by law to be returned and recorded, which shall be accompanied, in case of an original inter- ment, by a satisfactory certificate of the attending physician, if any, as required by law, or in lieu thereof a certificate as hereinafter provided. If there is no attending physician, or if, for sufficient reasons, his certificate cannot be obtained early enough for the purpose, or is insufficient, a physician who is a member of the board of health, or employed by it or by the selectmen for the purpose, shall upon application make the certificate required of the attending physician. If death is caused by violence, the medical examiner shall make such certificate. If such a permit for the removal of a human body, not previously interred, from one town to another within the commonwealth cannot be obtained early enough for the purpose, the certificate of death made as above provided and in the possession of the undertaker desiring to make such removal shall constitute a permit for such removal; provided, that such body shall be returned to the town from which it was removed within thirty-six hours after such removal, unless a permit in the usual form for the removal of such body has been sooner obtained hereunder. If the
death certificate contains a recital, as required by section ten of chapter forty-six. that the deceased served in the army, navy or marine corps of the United States in any war in which it has been engaged, such recital shall appear upon the permit. The board of health, or its agent, upon receipt of such statement and certificate. shall forthwith countersign it and transmit it to the clerk of the town for registra- tion. The person to whom the permit is so given and the physician certifying the cause of death shall thereafter furnish for registration any other necessary information which can be obtained as to the deceased, or as to the manner or cause of the death, which the clerk or registrar may require .- Chap. 114, Sec. 45, G. L., (Tercentenary Edition).
Medical examiners shall make examination upon the view of the dead bodies of only such persons as are supposed to have died by violence. If a medical examiner has notice that there is within his county the body of such a person, he shall forthwith go to the place where the body lies and take charge of the same; General Laws, Chap. 38, Sec. 6.
No undertaker or other persons shall bury a human body or the ashes thereof which have been brought into the commonwealth until he has received a permit so to do from the board of health or its agent appointed to issue such permits, or if there is no such board, from the clerk of the town where the body is to be buried or the funeral is to be held, or from a person appointed to have the care of the cemetery or burial ground in which the interment is made.
Chap. 114, Sec. 46, G. L., (Tercentenary Edition).
RULES OF PRACTICE
The fulfillment of the purpose of these laws calls for the observance of the follow- ing rules of practice:
(1) Attending physicians will certify to such deaths only as those of persons to whom they have given bedside care during a last illness from disease unrelated to any form of injury.
(2) Board of Health physicians will certify to such deaths only as those of persons who, though disabled by recognized disease unrelated to any form of injury, have died without recent medical attendance or whose physician is absent from home when the certificate of death is needed.
(3) Medical Examiners will investigate and certify to all deaths supposably due to injury. These include not only deaths caused directly or indirectly by traumatism (including resulting septicemia), and by the action of chemical (drugs or prisons) 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 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
R-302 1
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.
8284 3
[(If death occurred in a hospital or institution. St. [ give its NAME instead of street and number)
(If deceased is a married, widowed or divorced woman, give also maiden name.)
Lo Trident Ave.
St.
(If nonresident, give city or town and State)
Length of stay: In place of death ............ years ... ...... .. months. days. In place of residence. 40 ears
.months.
.days.
MEDICAL CERTIFICATE OF DEATH
PERSONAL AND STATISTICAL PARTICULARS
8 SEX
M
9 COLOR OR RACE
W
10 SINGLE
MARRIED
WIDOWED
or DIVORCED
(write the word)
Married
10a
, If married, widowed, or divorced
Sarah Hennock
HUSBAND of
(Give maiden name of wife in full)
(or) WIFE of
(Husband's name in full)
11 IF STILLBORN, enter that fact here.
12
AGE
76
Years
Months.
Days
If under 24 hours
.Hours.
Minutes
13 Usual
Occupation :.
Retired
(Kind of work done during most of working life)
14 Industry
or Business:
Tailor
15 Social Security No.
None
16 BIRTHPLACE (City).
(State or country)
Poland
17 NAME OF FATHER Abraham Berliner
PARENTS
18 BIRTHPLACE OF
FATHER (City) (State or country)
Poland
19 MAIDEN NAME
OF MOTHER
20 BIRTHPLACE OF
MOTHER (City)
(State or country)
Poland
Workmen's Circle West Roxbury
DATE OF BURIAL.
Sept/20/51
19
7 NAME OF
FUNERAL DIRECTOR
L Levine
Brookline Mass.
ADDRESS
Received and filed. OCT 8 1951
19
(Registrar of City or Town where death occurred) Sept. 24/51
DATE FILED
.19
.........
No.
2 FULL NAME
Harry Berliner
(a) Residence.
No.
(Usual place of abode)
3 DATE OF
Sept.20/51
DEATH
4 I HEREBY CERTIFY,
Sept. 19
19
I last saw h. im ..... alive on
Sept.
20
DISEASE OR CONDITION
DIRECTLY LEADING
TO DEATH (a)
Nonspecific
pneumonitis
ANTE
Due To
Chronic emphysema
CEDENT (b)
(c)
OTHER
SIGNIFICANT
CONDITIONS
Major findings:
Of operations.
Date of operation
None
What test confirmed diagnosisClinical
If so, specify ..
C L Clay
(Signed)
(Address) Mass. General. Ho spt
6
25M (E).6-50.902253
after the close of the month in which the death occurred. (See Chap. 46, Ser 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
CAUSES
pulmonary fibrosis
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
Due To
and bronchiectasis
(Month)
(Day)
(Year)
That I
attended deceased from
51
to
Sept ..
20
19
51
19
5 heath is said to
have occurred on the date stated above, at
8 AM
m.
INTERVAL BE-
TWEEN ONSET AND DEATH 5 Days
10 Yrs
Was autopsy performedto
5 Was disease or injury in any way related to occupation of deceased?
.Date ...
9-20
19.5.
Place of Burial or Cremation (City or Town)
21 Informant. (Address)
Sarah Berliner
A TRUE COPY
ATTEST arles 2. Mackie
(Registrar of City or Town where deceased resided)
Mass .. General Hospital
(Was deceased a
U. S. War Veteran,
if so specify WAR)
Winthrop Mass.
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, Ser 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)
The Commonwealth of Massachusetts EDWARD J. CRONIN SECRETARY OF THE COMMONWEALTH DIVISION OF VITAL STATISTICS COPY OF
CERTIFICATE OF DEATH
BOST
(City or town making return)
Registered No.
832404
J(If death occurred in a hospital or institution, St. [ give its NAME instead of street and number)
2 FULL NAME.
PATRICIA ELLEN MURRAY
(If deceased is a married, widowed or divorced woman, give also maiden name.)
53 CREST AVE
SX
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.
days. In place of residence.
.....
.. years.
months
.days.
46 HRS 10 MINS
PERSONAL AND STATISTICAL PARTICULARS
3 DATE OF
DEATH
SEPTEMBER 20, 1951
(Month)
(Day)
(Year)
8 SEX
FEMALE
9 COLOR OR RACE
WHITE
10 SINGLE
MARRIED
WIDOWED
or DIVORCED
SINGLE
4 I HEREBY CERTIFY,
SEPT
19.51
to
SEPT 20
19.
51
I last saw
h
ER
alive on
SEPT 20
... 19.5.1., death is said to
have occurred on the date stated above, at.10: 15 P
.m.
INTERVAL BE-
DISEASE OR CONDITION
DIRECTLY LEADING
TO DEATH (a)
A.T.ELECTASIS
TWEEN ONSET AND DEATH
2 DAYS
12
AGE.
Years
Months.
2
.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). .... WINTHROP .... MAS& (State or country)
17 NAME OF
FATHER
JAMES MURRAY
18 BIRTHPLACE OF FATHER (City) (State or country) BOSTON MASS
19 MAIDEN NAME
OF MOTHER
CATHERINE MASTERSON
20 BIRTHPLACE OF
MOTHER (City)
(State or country)
WINTHROP MASS
FATHER
21 Informant (Address)
A TRUE COPY
ATTEST:
Charles & Mackie
(Registrar of City or Town where death occurred)
Received and filed 19
OC & 1951
(Registrar of City or Town where deceased resided)
PARENTS
1
25M (E)·6-50.902253
6
Place of Burial or Cremation
WINTHROP MASS (City or Town)
DATE OF BURIAL.
SEPT 24
195 1l
7 NAME OF
FUNERAL DIRECTOR
JF O'MALEY
WINTHROP MASS
ADDRESS
Date. SEP 21 5P
19
(Address)
5 Was disease or injury in any way related to occupation of deceased? If so, specify. (Signed) E A MORTINER JR 300 LONGWOOD AVE
YES
Date of operation
What test confirmed diagnosis?
Was autopsy performed?
AUTOPSY
10a If married, widowed, or divorced
HUSBAND of
(Give maiden name of wife in full)
(or) WIFE of
(Husband's name in full)
11 IF STILLBORN, enter that fact here.
ANTE CEDENT (b) CAUSES
Due To PREMATURITY
Due To (c)
OTHER
SIGNIFICANT
CONDITIONS
Major findings:
Of operations
WINTHROP CEM
(City or Town)
No.
THE INFANT'S HOSPITAL
R-302 1
MEDICAL CERTIFICATE OF DEATH
(write the word)
That I attended deceased from
(Was deceased a
U. S. War Veteran,
(if so specify WAR)
DATE FILED
.
S.E.P.I .... 24
........... 19 .... 511
١
1
R-302 1
PLACE OF DEATH
(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.
8406
205.
f(If death occurred in a hospital or institution, St. [ give its NAME instead of street and number)
SINON MACDONALD
(If deceased is a married, widowed or divorced woman, give also maiden name.) Av
46 WASHINGTON ST.
St.
(If nonresident, give city or town and State)
2
Length of stay: In place of death
......
.years.
months.
.days. In place of residence.
.......... years.
months
.days.
MEDICAL CERTIFICATE OF DEATH
PERSONAL AND STATISTICAL PARTICULARS
8 SEX
MALE
9 COLOR OR RACE
WHITE
10 SINGLE
MARRIED
WIDOWED
or DIVORCED
WIDOWED
10a If married, widowed, or divorced
BERTHA DORION
HUSBAND of
(Give maiden name of wife in full)
(or) WIFE of.
(Husband's name in full)
DISEASE OR CONDITION
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