USA > Massachusetts > Suffolk County > Winthrop > Town of Winthrop : Record of Deaths 1952 > Part 20
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MOTHER (City)
(State or country)
basseta Italy
21 Mro Iris antonella
Informant
(Ad
OF Real St
Withney
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
(SignatureoffAgent of Board of Health or other)
4.O. march 3,
32
(Official Designation)
(Date of Issue of Permis
3 DATE OF DEATH Feb
(Month)
29 (Day)
1952 (Year)
4 I HEREBY CERTIFY, 2/27. 1952 to
That I attended deceased from
2/29
19
52
2/29, 19% ? death is said to
have occurred on the date stated above, at 4.20 Pm.
INTERVAL BE- TWEEN ONSET AND DEATH
20ay
ANTE
Due To
Rheumatic
CEDENT (b)
CAUSES
Heart Ducase
Due To (c) ..
OTHER SIGNIFICANT CONDITIONS
Major findings:
Of operations.
Date of operation.
.Was autopsy performed?
no
What test confirmed diagnosis?
no
5 Was disease or injury in any way related to occupation of deceased?
If so, specify.
2/29
(Signed)
(Address) 670 Saratoga SPA Date
Fred Ofthegan
M. D.
6. Holy Cross Place of Burial or Cremation
DATE OF BURIAL .. .
Man 3
1952
7 NAME OF
Ernest Playguano ADDRESS/ 47 Wwwilleros Of Writing
Received and filed
19
105:
(Registrar)
PARENTS
+50M (B)-12-49-900722
ONS IFICATE
EATH ter one ach d (c)
ol mean ng, such sthenia. disease, s which
ditions. e to the stating cause
contrib- but not ease or g death.
301A 1
Winthrop Comm. No.
2 FULL NAME
PHYSICIAN - IMPORTANT (Was deceased a U. S. War Veteran, 200 if so specify WAR)
(a) Residence. No. (Usual place of abode)
I last saw h m alive on
DISEASE OR CONDITION DIRECTLY LEADING TO DEATH (a) Loben Pneumonia
4 years
Malder (City or Town)
Jauresi
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 hest 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 hest of his knowledge and belief, served in the army, navy or marine corps of the United States in any war in which it has heen 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 hetwecn 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 cxhume 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 centetery, 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, hy 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 hy it or hy the selectmen for the purpose, shall upon application make the certificate required of the attending physician. If death is caused hy violence, the medical examiner shall make such certificate. If such a permit for the removal of a human hody, 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 certifcate 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. 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 ahortion, 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 hody 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 ohservance 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 husiness, 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
-301A 1
Winthrop (City or Town) PLACE OF DEATH Suffolk- County)
The Commonwealth of Massachusetts EDWARD J. CRONIN SECRETARY OF THE COMMONWEALTH DIVISION OF VITAL STATISTICS
STANDARD CERTIFICATE OF DEATH
Wirthyok Community Hospital No.
[(If death occurred in a hospital or institution, St. } give its NAME instead of street and number)
John J Chase 2 FULL NAME
PHYSICIAN - IMPORTANT (Was deceased a U. S. War Veteran, no if so specify WAR)
Revere Main
Uf 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 MARCH
DEATH
3
1952
(Month)
(Day)
(Year)
4 I HEREBY CERTIFY,
That I attended deceased from
MARCH 2
19
52
to
MARCH 3.
1952
I last saw h&M alive on MARCH 3 1952 death is said to
have occurred on the date stated above, at
1.30A
m.
DISEASE OR CONDITION DIRECTLY LEADING TO DEATH (a) MYOCARDIAL INSUFFICIENCY
ANTE CEDENT CAUSES
Due To CORONARY OCCLUSION
(b)
(c) GENERALIZED ARTERIOSCLEROSIS
-
OTHER
SIGNIFICANT
CONDITIONS
RT. SCROTAL HERNIA
Major findings:
Of operations
Date of operation
Was autopsy performed?
NO
What test confirmed diagnosis ?.
CLINICAL OBSERVATION
5 Was disease or injury in any way related to occupation of deceased? NO If so, specify proto Mujegraik (Signed)
M. D.
(Address) 620 BeachST Kyalle Data May3, 1952
Mt Pleasant Hace of Burial or Cremation March 5 DATE OF BURIAL.
arlington (Cityfor Town)
7 NAME OF FUNERAL DIRECTOR
ADDR 262 Beach St RevereJ
Received and filed
19
(Registrar)
48 HRS
13 Usual Occupation:
Linotype operator (Kind of work done during most of working life)
14 Industry or Business:
Boston american
15 Social Security No. ..
031-16-6020
16 BIRTHPLACE (City) .. (State or country) Prace D'e Chien
17 NAME OF FATHER Cicero C. Chase
18 BIRTHPLACE OF FATHER (City) (State or country)
Praie De Chien
19 MAIDEN NAME OF MOTHER FeliciteM. Chervier
20 BIRTHPLACE OF MOTHER (City) (State or country)
Prace DeChien
W sopconsei
Mis Mabel Chase;
21
Informant
(Address)
The Chamberlow No severe
I HEREBY CERTIFY that a satisfactory standard certificate of death was filed with me BEFORE the burial or transit permit was issued: Walter S. Baker (Signature of Ageht of Board of Health or other) Thatthe Office 3/3/52
(Official Designation)
(Date of Issue of Permit)
7
TIONS TIFICATE ng DEATH nter n one each and (c)
not mean ying, such . asthenia, he disease, ns which
onditions, rise to the 1) staling cause
s contrib- th but not disease or ing death.
50m-(b)-11-49-900,560
8 SEX
Male White
9 COLORORACE
write the word) Manuel
10a If married, winohdd, or divergent HUSBAND of .. Mabel of
10 SINGLE MARRIED WIDOWED or DIVORCED Scott
(Give maiden name of wife in full)
(or) WIFE of.
(Husband's name in full)
11 IF STILLBORN, enter that fact here.
Months
Days
If under 24 hours
Hours
Minutes
INTERVAL BE- TWEEN ONSET AND DEATH 24HRS 12 AG 84% Years
St.
To be filed for burial permit with Board of Health or its Agent.
56
Registered No.
(If (deceased is a married. widowed or divorced woman, give also maiden name.) 16 Chamberlain Que
(a) Residence. No. (Usual place of abode)
Vincent Auray
1
PARENTS
SENILITY
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 arrny, 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 funcral 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. 1 ... (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
PLACE OF DEATH
Suffolk (County)
Winthrop (City or Town)
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 Health or its Agent.
5.7
Registered No.
J(If death occurred in a hospital or institution, St. [ give its NAME instead of street and number)
2 FULL NAME Lillian.S. Duffy
(If deceased is a married, widowed or divorced woman, give also maiden name.)
PHYSICIAN - IMPORTANT
(Was deceased a
U. S. War Veteran,
( if so specify WAR)
(a) Residence. No. . 100A .Summit Avenue St. (Usual place of abode) Length of stay: In place of death ... 1 7years .. __. months. days. In place of residence 2.3 .years .months .. .. . days.
(If nonresident, give city or town and State)
MEDICAL CERTIFICATE OF DEATH
PERSONAL AND STATISTICAL PARTICULARS
8 SEX
-
9 COLOR OR RACE
10 SINGLE
MARRIED
WIDOWED
or DIVORCED
Single
4 I HEREBY CERTIFY,
That I attended deceased from
19 3.
to ..
march 3,
1952
I last saw h.@ .... alive on Karel 3, 1952 death is said to
have occurred on the date stated above, at /130 P. m.
DISEASE OR CONDITION
DIRECTLY LEADING
TO DEATH
Coronary Thrombin
INTERVAL BE- TWEEN ONSET AND DEATH 1 day
11 IF STILLBORN, enter that fact here.
12
83
AGE
Years
Months
Days
If under 24 hours
Hours
Minutes
13 Usual
Occupation:
At Home
(Kind of work done during most of working life)
14 Industry
or Business:
15 Social Security No.
Brooklyn
16 BIRTHPLACE (City).
(State or country)
New York
17 NAME OF
FATHER
Thomas R. Duffy
18 BIRTHPLACE OF
FATHER (City) Providence
(State or country)
Rhode Island
19 MAIDEN NAME
OF MOTHER
Mary J Doherty
20 BIRTHPLACE OF
6 Holyhood Place of Burial or Cremation
Brookline Mass. (City of Town)
DATE OF BURIAL
March 5 52
7 NAME OF
FUNERAL DIRECTOR Jihu
John t. O maley
ADDRESS
Winthrop Massachusetts
Received and filed 19
MAR 6-1952
(Registrar)
PARENTS
5 Was disease or injury in any way related to occupation of deceased? . co
lindex Liberman
M. D.
.Date .. 3/3. 1952 MOTHER (City) Boston
(State or country) Massachusetts
21 Inf Mrs Albert Wright (Address) 100A Summit Ave Winthrop
I HEREBY CERTIFY that a satisfactory standard certificate of death was filed with me BEFORE the burial or transit permit was issued:
Watter & Kaker. (Signature of Agent of Board of Health or oth other >
Health Oficer 3 4552
(Official Designation) (Date of Issue of Permit)
SOM (B)-1-51 903566
301A 1
ONS FICATE g EATH ter one ach d (c)
ot mean ng, such asthenia, disease, s which
ditions, se to the stating cause
Due To
ANTE CEDENT CAUSES Coronary Cutemy Heart Ding
5 yrs
(c)
10 grs
OTHER SIGNIFICANT CONDITIONS
Major findings:
Of operations ..
Date of operation.
Was autopsy performed?
What test confirmed diagnosis?
(Day)
3
1952
(Year)
Female
White
10a If married, widowed, or divorced
HUSBAND of ..
(Give maiden name of wife in full)
(or) WIFE of
(Husband's name in full)
(write the word)
3 DATE OF
DEATH
(Month)
No. . 100A SummitAvenue
(Sig (Address) 26 Wane Way Cure.
contrib- but not sease or g death.
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-cight and July fourth, nineteen hundred and two, and the Mexican border service of nineteen hundred and sixteen and nineteen hundred and seventeen. G. L. Chap. 46. Sec. 10.
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