USA > Massachusetts > Suffolk County > Winthrop > Town of Winthrop : Record of Deaths 1952 > Part 48
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14 Industry
or Business:
15 Social Security No.
16 BIRTHPLACE (City).
(State or country)
Lucca
Italy
OTHER
SIGNIFICANT
CONDITIONS
Major findings:
Of operations.
Date of operation
Was autopsy performed?
no
What test confirmed diagnosis?
5 Was disease or injury in any way related to occupation of deceased? No
If s
(Signed)
(Address Nuthrop Board of ba
M. D.
Jun 1952
old Calverty Cem.D
Place of Burial or Cremation
(City or Town) 21 1952
DATE OF BURIAL
7 NAME OF
FUNERAL DIRECTOR
WaterMAN ASONS
ADDRESS Boston
Received and filed 19
JUN 1.94952
(Registrar)
PARENTS
18 BIRTHPLACE OF FATHER (City) (State or country)
Italy
19 MAIDEN NAME
OF MOTHER
Carol
C.N.b.L.
20 BIRTHPLACE OF
MOTHER (City)
(State or country)
Henry J. TOsi
21 Informant (Address) 131 Hudson ST N.Y.
I HEREBY CERTIFY that a satisfactory standard certificate of death was filed with me BEFORE the burial of transit permit was issued: Walter A. lakers. (Signature of Agent of Board of Health or other)
Health Spicer 6/19/62
(Official Designation) (Date of Issue of Permit) /
SOM-(D)-6-51-904917
PLACE OF DEATH
2 FULL NAME
(a) Residence. No. (Usual place of abode)
Tine
(Month)
(Day)
(Year)
I last saw h ............
alive on
19
death is said to
have occurred on the date stated above, at
S.A.
m.
INTERVAL BE-
DISEASE OR CONDITION
DIRECTLY LEADING
TO DEATH
Matural causes
TWEEN ONSET AND DEATH
ANTE
Sudden heart failure
Due
CEDEN'T (b) CAUSES
Due
(c)
Arteriosclerotic Heart Disease
years
ontrib- but not ase or death.
NS ICATE ATH er one ch 1 (c)
mean g, such thenia lisease. which
itions, to the stating cause
221 Remore Street No.
PHYSICIAN - IMPORTANT
(Was deceased a
U. S. War Veteran,
( if so specify WAR)
NO
3 DATE OF
DEATH
AGE
Years
17 NAME OF
FATHER
Alexander BruNiNi
Italy
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 «leceased, 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 elerk, 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 he buried or the funeral is to he 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 supposahly 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
Registered No. 135
J(If death occurred in a hospital or institution.
St. Į give its NAME instead of street and number)
2 FULL NAME .. John Thornton Reed
(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)
12 Court Road (a) Residence. No. (Usual place of abode)
St.
(If nonresident, give city or town and State)
Length of stay: In place of death.
years.
18
months.
In place of reside
33. .. years.
.. months
.days.
MEDICAL CERTIFICATE OF DEATH
PERSONAL AND STATISTICAL PARTICULARS
3 DATE OF
DEATH
JUNE (Month)
23 (Day) /
1952. (Year)
4 1
HEREBY CERTIFY.
That I attended deceased from
to JeRE 23
1952
23 1952
death is said to
have occurred on the date stated above, at 9:50 A.m.
DISEASE OR CONDITION
DIRECTLY LEADING Cerebral Embolism
TO DEATH (a)
INTERVAL BE- TWEEN ONSET AND DEATH 28 kms.
11 IF STILLBORN. enter that fact here.
12
AGE 73
Years
8
Months
15 Days
If under 24 hours
.Hours . .. Minutes
13 Usual
Occupation:
Buyer
(Kind of work done during most of working life)
14 Industry
or Business:
Department store
15 Social Security No.
022-01-3806
16 BIRTHPLACE (City)
(State or country)
Mass
17 NAME OF
FATHER
John T Reed
18 BIRTHPLACE OF
FATHER (City)
Unable to obtain
(State or country)
19 MAIDEN NAME
OF MOTHER Caroline é. Houston
20 BIRTHPLACE OF
MOTHER (City)
(State or country)
Unable to obtain
21 Mabel Reed
Informant
(Address)
12 Court Rd. Winthrop, B
I HEREBY CERTIFY that a satisfactory standard certificate of death was filed with me BEFORE the burial or transit permit was issued: Walter M. Baker (Signature of Agent of Board of Health or other>
Chealth Officer 6/25/52
(Official Designation) (Date of Issue of Permit)
NS
FICATE
CATH er one ich d (c)
t mean g. such thenia. disease, which
itions. to the stating cause
contrib- but not case of death.
Those.
Major findings:
Of operations
none
20.
Date of operation.
.. Was autopsy performed?
Clinical + laboratory
What test confirmed diagnosis?
5 Was disease or injury in any way related to occupation of deceased? .
If so. spesify.
(Signed)
(Address) 562 Shitty St, Wrathich, Date the 23
6
Woodlawn Crematory
Place of Burial or Cremation
DATE OF BURIAL
June 25
VEverett
(City or Town)
52
7 NAME OF
FUNERAL DIRECTOR
Howard S Hunolds
maas.
ADDRESS
JUN 2 7/1952
Received and filed 19
(Registrar)
8 SEX
Male
9 COLOR OR RACE
White
10 SINGLE
MARRIED
WIDOWED
or DIVORCEMarrid
(write the word)
10a If married, widowed, or divorced
Mabel Thurston
HUSBAND of ..
(Give maiden name of wife in full)
(or) WIFE of
(Husband's name in full)
ANTE
Due To acute myocardial
CEDENT (b)
CAUSES
infarction
Due To (c)
OTHER
SIGNIFICANT
CONDITIONS
Maurice Transfer for
M. D.
.
19 ...
50M (B)-1-51 903586
1
No.
Winthrop Community Hospital
To be filed for burial permit with Board of Health or its Agent.
01A
PARENTS
Boston
19
last saw h.Awww. . alive on.
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 cominonwealth 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 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 made.
Chap. 114, Sec. 46, G. L., (Tercentenary Edition).
RULES OF PRACTICE
The fulfillment of the purpose of these laws calls for the observance of the follow- ing rules of practice:
(1) Attending physicians will certify to such deaths only as those of persons to whom they have given bedside care during a last illness from disease unrelated to any form of injury.
(2) Board of Health physicians will certify to such deathsonly as those of persons who, though disabled by recognized disease unrelated to any form of injury, have died without recent medical attendance or whose physician is absent from home when the certificate of death is needed.
(3) Medical Examiners will investigate and certify to all deaths supposably due to injury. These include not only deaths caused directly or indirectly by traumatism (including resulting septicemia), and by the action of chemical (drugs or poisons) thermal, or electrical agents, and deaths following abortion, but also deaths from disease resulting from injury or infection related to occupation, the sudden deaths of persons not disabled by recognized disease, and those of persons found dead.
Statement of Cause of Death .- Physicians: see explanatory instructions on face side of standard certificate of death.
Statement of Occupation .- Precise statement of occupation is very import- ant, so that the relative healthfulness of various pursuits can be known. Make some entry in this section for every person aged 10 years or over. If the occupa- tion had been given up or changed, or if the deceased had retired from business, report the kind of work 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.
1A
1
PLACE OF DEATH
Suffolk . County )
Boston
7/7/5
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.
136
CERTIFICATE OF DEATH
Registered No.
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)
East Boston
(If nonresident, give city or town and State)
Length of stay: In place of death. .years. 8 days. In place of residence .. months. .. years .months. ... . . .. days.
MEDICAL CERTIFICATE OF DEATH
PERSONAL AND STATISTICAL PARTICULARS
8 SEX
Male White
10 SINGLE MARRIED WIDOWED or DIVORCE
(write the word) Single
10a If married, widowed, or divorced HUSBAND of .. (Give maiden name of wife in full)
(or) WIFE of
(Husband's name in full)
INTERVAL BE- TWEEN ONSET AND DEATH 11 IF STILLBORN, enter that fact here.
12 AGE 35 .Years
.Months
.. Days
Division
Supervisor
(Kind of work done during most of working life)
14 Industry or Busines.
Boston Edison Co.
15 Social Security No.
16 BIRTHPLACE (City)
(State or country)
mass Oscar F. Bergstrom
18 BIRTHPLACE OF
Stockholm
FATHER (City) (State or country) Sweden
19 MAIDEN NAME OF MOTHER
annie young
20 BIRTHPLACE OF
Cape Breton
Informar (Add
MOTHER (City) (State or coantry) nova Scotia Segona Bergstory 56 Princeton St. C. Boston
I HEREBY CERTIFY that a satisfactory standard certificate of death was filed with me BEFORE the burial or transit permit was issued:
6. Bakara
H=C (Signature of Agent of Board of Health or ohy). 6/26
(Official Designation) (Date of Issue of Permit)
X
CATE
ATH r ne :h (c)
mean , such henia. sease, which
tions. to the laling cause
mirib- ul nol se or death.
OTHER SIGNIFICANT CONDITIONS
Rupleno appendicitis
Major findings: Of operations
Ruptura appendiceça
Date of operation. 6/17/52 Was autopsy performed? What test confirmed diagnosis ?. operation
1
n. H. Delwants 19 Pamela 829A Date 6/25 19 2
M. D
6 Woodlawn Place of Burial or Cremation
(City or Town)
DATE OF BURIAL.
June 28, 1952
7 NAME OF FUNERAL DIRECTOR Theclock Imaginado
ADDRESS
Task (Boston
Received and filed
JUN 27 1952 19.
(Registrar)
PARENTS
5 Was disease or injury in any way related to occupation of deceased ?. If so, specify .... (Signed) (Address)
Evereto
21
9 COLOK OR RACE
(Month) (Day)
(Year)
4 I HEREBY CERTIFY, 52
19
to
Javier 28
19
2
I last saw h ......... .. alive on
19
death is said to
have occurred on the date stated above, at .m.
DISEASE OR CONDITION
DIRECTLY LEADING
TO DEATH (a).
Touche - Primana
ANTE
Due chimie myocarditis
CEDENT (b) CAUSES
Due To (c)
5Days
50M (B)-1-51 903586
3 DATE OF
DEATH
Jums .
25.1952
Winthrop Community Hospital Harodel 2. Bergstrom 2 FULL NAME ...
(If deceased is a married, widowed or divorced woman give also maiden name.)
56 Princeton
St.
(a) Residence. No. (Usual place of abode)
That I attended deceased from
If under 24 hours Hours . Minutes
13 Usuai
Occupation :
East Boston
17 NAME OF
FATHER
Winthrop City or Town
IS
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 relicf expedition and the Philippine insurrection, which shall, for said purposes, be deemed to have taken place between February fourteenth, cighteen 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.
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