Town of Winthrop : Record of Deaths 1952, Part 31

Author: Winthrop (Mass.)
Publication date: 1952
Publisher:
Number of Pages: 572

USA > Massachusetts > Suffolk County > Winthrop > Town of Winthrop : Record of Deaths 1952 > Part 31

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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 hundred and ninety-eight and July fourth, nincteen 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. as amended by Chap. 48. Acts of 1927 and Chap. 414, Acts of 1931.

No undertaker or other person 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 he 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 madc ......... Chap. 114, Sec. 46. G. L., as amended.

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.

The medical examiner certifics the cause and manner of death to the best of his knowledge and belief.

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

Medical Examiners in certifying to a death will state the cause and manner thereof, and will specify: (1) Under cause the nature of an injury and of its consequences; and (2) under manner the mode of its production together with the circumstances when these are known. For example: "Compound fracture of the femur with ensuing septicemia (gas bacillus) caused by a steam railway accident.""Pistol shot wound of the chest with associated hemorrhage, hom- icidal." "Asphyxiation by suspension, suicidal." "Syncope while under the influence of ether administered as a surgical anaesthetic." "Fracture of the skull with associated internal injury sustained under circumstances unknown."

If disease or injury was related to occupation, specify. If investigation shows the death to have been due to disease, specify: (1)Under cause its known or presumable nature; and (2) under manner, indicate the circumstances leading to medico-legal inquiry. For example: "Hemorrhage spontancous of the brain (basal ganglia) (found dead in bed)." "Heart disease, presumably coronary sclerosis. (Sudden death.)"

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.

Registered No.

No. Winthrop Community Hospital

J (If death occurred in a hospital or institution,

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

Clara R (Moody) Natale

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

114 Pleasant St

St.

(If nonresident, give city or town and State)

Length of stay: In place of death

years

months

.days.

In place of residence

.years

months

.days.

MEDICAL CERTIFICATE OF DEATH

PERSONAL AND STATISTICAL PARTICULARS

8 SEX

9 COLOR OR RACE

10 SINGLE

(write the word)

Female

White

MARRIED

WIDOWED

or DIVORCEDWidow

10a If married, widowed, or divorced

HUSBAND of

(Give maiden name of wife in full)

(or) WIFE of

William P. Natale

(Husband's name in full)

11 IF STILLBORN, enter that fact here.

5 days

AGE

Years

Months

Days

If under 24 hours

Hours .. .. Minutes

13 Usual

Housewife

Occupation :

(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)

Mass

17 NAME OF

FATHER

William H Moody

18 BIRTHPLACE OF

FATHER (City)

Boston

(State or country)

Mass

19 MAIDEN NAME

OF MOTHER

Diantha Robie

20 BIRTHPLACE OF

april 3,

.1952

MOTHER (City)

Goffstown

(State or country)

New Hampshire

21 William Natale Informant 114 Pleasant St Winthrop

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

Healthe Prices 4 4/02

(Official Designation) (Date of Issue of Permit)

IONS

TIFICATE ng DEATH nter i one each nd (c)

not mean ing, such asthenia, e disease. ns which

nditions. ise to the ) stating g cause

contrib- h but not isease or ng death.

50m-(b)-11-49-900,560

Winthrop

Place of Burial or Cremation

(City or Town)

DATE OF BURIAL

April

.1952

7 NAME OF

FUNERAL DIRECTOR.

Howard S Payroll

ADDRESS

Received and filed APR 4 1952

(Registrar)

1952

(Year)

(Day)

1952

4 I HEREBY CERTIFY,

That I attended deceased from

Money 2.6 1962

I last saw her alive on. april 2, 100% death is said to have occurred on the date stated above, at $30.00 m. INTERVAL BE- TWEEN ONSET AND DEATH

DISEASE OR CONDITION

Hemorrhage

DIRECTLY LEADING Cerebral Man

TO DEATH (a)

ANTE

Due Te Samilo Arteriosclerosis

CEDENT (b)

CAUSES

Due To (c)

OTHER

SIGNIFICANT

CONDITIONS

Chronic Myocarditis

Major findings:

Of operations.

Date of operation

none Was autopsy performed? 200

What test confirmed diagnosis ?.

Clinical Jigen

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

If so, specify.

(Signed)

(Address)

M. D.

PARENTS

(Address)

PHYSICIAN - IMPORTANT

(Was deceased a

U. S. War Veteran,

if so specify WAR)

(a) Residence.

No.

(Usual place of abode)

3 DATE OF

DEATH

Garip (Month)

2 FULL NAME

-301A 1

Boston

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, 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.

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

R-306

winthrop copy Read SEPT. 16, 1902 information should be carefully supplied. AGE should be stated EXACTLY. See reverse side for affidavit. PARENTS

20m-(a)-6-'40-3181

(Signature of Agent of Board of Health or other)

(Official Designation)

(Date of Issue of Permit)

MEDICAL CERTIFICATE OF DEATH

18 DATE OF

DEATH

April 4,

1952

(Month)

(Day)

(Year)

19 I HEREBY CERTIFY, That I attended deceased from

-, 19.

_, to

I last saw h

alive on

, death is said

to have occurred on the date stated above, at m.

Duration

Immediate cause of death

ruptured dissecting aneurysm

Banta hypertensive arteriosclerotic

Due to

ht disease

Other conditions

(Include pregnancy within 3 months of death)

Major findings:

Of operations

Date of

Physician Underline the cause to which death

Of autopsy

should be charged sta-

What test confirmed diagnosis ?. autopsy

tistically.

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

If so, specify

(Signed).

MW O'connell

M. D.

(Address)

Date 19

21 Hol: Cross

Mallen

(City or Town) Place 'of Burial, Cremation or Removal. DATE OF BURIAL 4/4/52 19

22 NAME OF FUNERAL DIRECTOR ADDRESS C H Treanor

Received and Aled April, & 1952

/52

PLACE OF DEATH

Suffolk (County)

Boston

(City or Town)

The Commonwealth of Massachusetts OFFICE OF THE SECRETARY DIVISION OF VITAL STATISTICS AFFIDAVIT AND CORRECTION OF A RECORD OF DEATH

#106

Boston

(City or town making return)

Registered No.

3243 884

§ (If death occurred in a hospital or institution,

( give its NAME instead of street and number)

2 FULL NAME

JAMES F. BARKER

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

specify WAR)

(a) Residence. No.

125 Pleasant St, WinthrStp

Ward,

(If nonresident give city or town and state)

Length of stay: In hospital or institution

years

months

days.

In this community

yrs.

mos.

days.

(Specify whether)

PERSONAL AND STATISTICAL PARTICULARS

3 SEX male

4 COLOR OR RACE| 5 SINGLE

(write the word)

MARRIED

WIDOWED (

or DIVORCEMarried

5a If married, widowed, or divorced HUSBAND of (Give maiden name of wife in full)

(or) WIFE of

(Husband's name in full)

6 Age of husband or wife if alive.

years

7 IF STILLBORN, enter that fact here.

8 69

AGE

Years

Months

Days

If less than 1 day Hours Minutes

Usual

9 Occupation:

Industry

10 or Business:

supervisor .

11 Social Security No.

12 BIRTHPLACE (City)

Boston, Mass.

(State or country)

13 NAME OF

FATHER

Frank

Barker

14 BIRTHPLACE OF

FATHER (City)

(State or country)

Portland, Maine

15 MAIDEN NAME

OF MOTHER

Minera Hayes

16 BIRTHPLACE OF

MOTHER (City)

(State or country)

Boston, Mass.

17 Informant (Address)

Relation, if any

I HEREBY CERTIFY that a satisfactory standard certificate of death was filed with me BEFORE the burial or transit permit was issued:

No. Boston City Hosp

St.,

Ward

(If U. S. War Veteran,

(Usual place of abode)

white

Lucy Castina

A TRUE COPY ATTEST.

arles & In (Registra)

DEPOSITION RECEIVED

WRITE LEGIBLY WITH DURABLE BLACK INK

11.12

CLERK

County of ...

........

Suffolk

The undersigned, being duly sworn, depose and go record relating to the death

of ... James Barker .in the ........... i.t.y ...... of .. , (Give name of decedent exactly as recorded on the original record) town (City or (Name of city or town) Boston SEP15,902

does not fully and correctly state all the facts relating to said death, and that the true statement of

facts omitted or incorrectly stated in said record has been supplied by

her

on the

(Him or her)

form of certificate on the other side of this blank.

SIGNATURE

RESIDENCE

(City or town, street and number, if any)

Relation to decedent, if any

...... ..........

125 Pleasant St Winthrop

......

... w.ifa

FURTHER, The written evidence submitted to substantiate the affidavit was:

........... registration card from Winthrop filed for correct address ... birthrecord 5644/1882

Date, ....... S.e.pt ........ 1.Q. ....... 1-952.

Then personally appeared before me the person whose signature appear above and made oath

that the statements subscribed to by ..

her

are true.

Name

Mary Manning NP

Official designation

(City or town clerk or assistant clerk)

MARGI

IGIN RESERVED FOR BI

IDING

The Commonwealth of Massachusetts

ss. :

OFFICE A

NIN

Lucy Barker

PLACE OF DEATH

1 Suffolk ... "County) Winthrop 1 (City or Town)

st 5/7/52

The Commonwealth of Massachusetts EDWARD J. CRONIN SECRETARY OF THE COMMONWEALTH DIVISION OF VITAL STATISTICS STANDARD

To be filed for burial ·permit with Board of Health or its Agent.

Mourits Convalescent Home

Operesa Gaviotto Cracotte

(If deceased is a married, widowed or divorced woman, give also maiden name.) 1072 Saratoga St

St.

East Boston

(If nonresident, give city or town and State)

Length of stay: In place of death .years. 11 months. 7 days. In place of residence years .. months ... days.

MEDICAL CERTIFICATE OF DEATH

PERSONAL AND STATISTICAL PARTICULARS

(8 $EX

temale thite

9 COLOR OR RACE

10 SINGLE

MARRIED

WIDOWED

(write the word) Aveclowed,

(or) WIFE of. 10a If married, widowed, or divorced HUSBAND of ..... (Give maiden pathe of wife we fully Prospero raviolto (Husband's name in full)

11 IF STILLBORN, enter that fact here.

.Years

Months ...

Days

AGE

At home Housewife

13 Usual

Occupation:

(Kind of work done during most of working Life)

14 Industry

or Business:

Cun Home

15 Social Security No.

16 BIRTHPLACE (City)

(State or country)

maso

17 NAME OF

FATHER

N. K.

Brisolisi

18 BIRTHPLACE OF FATHER (City) (State or country)

Italy

19 MAIDEN NAME

OF MOTHER

Not

Known

20 BIRTHPLACE OF MOTHER (City) (State or country)

Italy

21 Informant many De marchi

(Address) 1072 Saratoga St. 6. Bescom

I HEREBY CERTIFY that a satisfactory standard certificate of death was filed with me BEFORE the burial or transit permit was issued: Malter S Bakery (Signature of Agent of Board of Health or othery Healthe Oficer 4/9/12

Received and filed. 19

APR .9 ......... 1952

(Registrar)

PARENTS

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

If so, specify

(Signed)

Charles & Cataldi

(Address)

48 Byron vit. 6.3 Date & auml

1951

M. D.

6 Calvary

Beston

Place of Burial off Cremation

april 10

(City or Town)

DATE OF BURIAL.

7 NAME OF

FUNERAL DIRECTOR:

ADDRESS

East Sestou

Frederiche Magnati

50M (B). 1-51 903586

01A

ICATE

ATH er one ch (c)

i mean g. such thenia, disease, which

itions, to the stating cause

ontrib- but not ase or death.

OTHER SIGNIFICANT CONDITIONS

Major findings:

Of operations.

Date of operation.

Was autopsy performed ?.

What test confirmed diagnosis?

That I attended deceased froml

4 I HEREBY CERTIFY, april 19

...

to ..

I last saw ho alive on apr 2. 1952 death is said to

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Town of Winthrop : Record of Deaths 1952, Part 31

Author: Winthrop (Mass.) Publication date: 1952 Publisher: Number of Pages: 572

Author: Winthrop (Mass.)
Publication date: 1952
Publisher:
Number of Pages: 572