USA > Massachusetts > Suffolk County > Winthrop > Town of Winthrop : Record of Deaths 1952 > Part 64
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12
AGE. 70
Years
Months.
Days
If under 24 hours
.Hours.
Minutes
13 Usual
Occupation :
Retired- Laundry
Manager
(Kind of work done during most of working life)
14 Industry or Business:
15 Social Security No ..
022-07-5098
16 BIRTHPLACE (City)
(State or country)
Mass.
17 NAME OF
FATHERMichael
Solari
18 BIRTHPLACE OF
FATHER (City)
(State or country)
Italy
19 MAIDEN NAME
OF MOTHER
Mary Brickett
20 BIRTHPLACE OF MOTHER (City) (State or country) Italy
21
Mrs. Rose H. Solari
Informant
33 St. Andrew Rd. E. Boston
7 NAME OF
NERAL DIRECT
michael J. Forcella
ADDRESS
876 Winthrop Ave. Revere, Mass.
Received and filed.
SEP 3 1952
19
(Registrar)
5 yrs
Due To (c)
OTHER
SIGNIFICANT
CONDITIONS
Major findings:
Of operations.
Date of operation.
.Was autopsy performed?
What test confirmed diagnosis ?.
5 Was disease or injury in any way related to occupation of deceased ?. If so, specify MORRIS CLAYMAN
(Signed)
(Address)
6 Holy Cross CHESTNut Stalden
Place of Burial or Cremation
(City or Town)
DATE OF BURIAL ...
Sept. ... 4 .1950
19
I HEREBY CERTIFY that a satisfactory standard certificate of death was filed with me BEFORE the burial or transit permit was issued: Watter G. Baker
H.O
(Signature of Agent of Board of Health or other) Sept. 2/ 1952
(Official Designation)
(Date of Issue of Permit)'
301A 1
ONS FICATE
EATH ter one ach d (c)
ot mean ng, such sthenia .- disease, which
ditions. e to the stating cause
contrib- but not ease or g death.
50M-(D)-6-51-904917
Bas TO
2/52 9/12
M. D.
PARENTS
Boston
ANTE
Due To CEDENT (b) CAUSES
(write the word)
2 FULL NAME Louis M. Solari
(If deceased is a married, widowed or divorced woman, give also maiden name.)
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 sectio !. 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 personscas are supposed to have died by violence, or by the action of chemical, thermal dr 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 138/ SecAg., as amended by Chap. 632, Sec. 4, Acts of 1945.
of ther. persons shall bury a human body or the ashes thereof which hat. Mudr brought into the commonwealth until he has received a permit so to ab from the board
of health or its agent appointed to issue such permits, or i uf thereis no such board, from the clerk of the town where the body is to be buried eliterat is to be held or from a person appointed to have the care of the netery dibondl giout in which the interment is made. ee
Chap 114. Se. 49. G. L., (Tercentenary Edition).
5
. RULES OF PRACTICE C, purpose of these laws calls for the observance of the follow- ing rules 6/20 (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
SEBBof WeakAMphysicians will certify to such deathsonly as those of persons who, though disabled by recognized disease unrelated to any form of in jury, 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 BOSTONÍ
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.
7796 188
2 FULL NAME
ALYS DEMPSEY
(If deceased is a married, widowed or divorced woman, give also maiden name.)
183 Winthrop
St.
Winthrop, Mass
(If nonresident, give city or town and State)
Length of stay: In place of death
.. years.
.months
days. In place of residence 35. ... years.
months.
days.
MEDICAL CERTIFICATE OF DEATH
PERSONAL AND STATISTICAL PARTICULARS
3 DATE OF
DEATH
September
2.
1952
(Month)
(Day)
(Year)
8 SEX
F
9 COLOR OR RACE
W
10 SINGLE
(write the word)
MARRIED
WIDOWED
or DIVORCED
Single
4 I HEREBY CERTIFY,
That WCattended deceased from
8/10 19
to
9/2
19
5.2
N.
last saw h
.. e. Mlive on
9/2
1952. death is said to
have occurred on the date stated above. at 12:13.a .m.
INTERVAL BE- TWEEN ONSET AND DEATH
.(or) WIFE of
(Husband's name in full)
11 IF STILLBORN, enter that fact here.
12
AGE .56 Years
Months.
Days
If under 24 hours
Hours
Minutes
ANTE
CEDENT (b)
CAUSES
Due To Aplastic anaemia
Due To (c)
14 Industry
or Business:
Used .paper .... junk
15 Social Security No.
16 BIRTHPLACE (City).
(State or country)
Now Hartford,
Conn
17 NAME OF
FATHER
Peter J Dempsey
18 BIRTHPLACE OF
FATHER (City)
(State or country)
Conn.
19 MAIDEN NAME
OF MOTHER
Margaret Nolan
20 BIRTHPLACE OF
MOTHER (City)
New Haven
(State or country)
Conn.
Mrs. H. French
DATE OF BURIAL Sept ........ .4
19 .... 512
7 NAME OF
FUNERAL DIRECTOR
M .... Kirby
ADDRESS Winthrop, Mass.
Received and filed.
SEP 29 1952
19
A TRUE COPY
alles HI Machal
ATTEST:
(Registrar of City or Town where death occurred)
DATE FILED
Sept. 5,
.19 ..
52
(Registrar of City or Town where deceased resided)
PARENTS
5 Was disease or injury in any way related to occupation of deceased? If so, specify ..
(Signed)
(Address)
Date
9/2
.19.5.2
Winthrop 6 Winthrop Place of Burial or Cremation (City or Town)
M. D.
25m-(b)-11-49-900,475
of death should be transmitted on Form R-302 to the clerk of the city of town in which the deceased resided as soon as possible after the close of the month in which the death occurred. (See Chap. 46, Sec. 12, G. L.)
302
1
(City or Town)
No.
Mass General Hospital
J(If death occurred in a hospital or institution, St. [ give its NAME instead of street and number)
(Was deceased a
U. S. War Veteran,
if so specify WAR)
(a) Residence. No. (Usual place of abode)
10a If married, widowed, or divorced
HUSBAND of.
(Give maiden name of wife in full)
DISEASE OR CONDITION
DIRECTLY LEADINGerebral hemorrhage-8days
TO DEATH (a)
13 Usual
8wks.
Occupation:
Secretary
(Kind of work done during most of working life)
OTHER
SIGNIFICANT
CONDITIONS
Major findings:
Of operations.
Date of operation.
.Was autopsy performed ?.... No.
New Haven,
What test confirmed diagnosis ?.
Clinical
21
Informant.
(Address)
U
RECEIVED
TOWA
OFFICE OF
1 1,2 1
GLER
SEP29
AM
-
PLACE OF DEATH
Suffolk
(County) Winthrop
(City or Town) 106 Bellevue Ave,
The Commonwealth of Massachusetts OFFICE OF THE SECRETARY DIVISION OF VITAL STATISTICS STANDARD CERTIFICATE OF DEATH
C.
(City or town making return)
Registrar's No.
189
S (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)
(If deceased is a married, widowed or divorced woman, give also maiden name.)
106 Bellevue Ave.
St.
(If nonresident, give city or town and State)
Length of stay: In hospital or Institution
(Before death)
(Specify whether)
years
months
days.
In this community
mos.
days.
PERSONAL AND STATISTICAL PARTICULARS
MEDICAL CERTIFICATE OF DEATH
3 SEX
Male
4 COLOR OR RACE
White
5 SINGLE
(write the word)
MARRIED
WIDOWED
or DIVORCED
Single
18 DATE OF
DEATH
September
5
1952
(Month)
(Day)
(Year)
5a If married, widowed, or divorced HUSBAND of
(or) WIFE of
(Husband's name in full)
§ Age of husband or wife if alive ... years
7 IF STILLBORN, enter that fact here.
8
97
Years
6
Monthss
20
Dayı
If less than 1 day
Hours
Minutes
Usual
9 Occupation :
Retired
Industry
10 or Business:
Mechanical Engineer
11 Social Security No.
East Boston
12 BIRTHPLACE (City)
(State or country)
Mass
13 NAME OF
FATHER
William Beeching
14 BIRTHPLACE OF
FATHER (City)
(State or country)
Unable to obtain
15 MAIDEN NAME
OF MOTHER
Caroline
16 BIRTHPLACE OF
MOTHER (City)
(State or country)
Unable to obtain
17 Harold G Ray
Informant
(None
Relation, if any
(Address16 Cora St. Winthrop
I HEREBY CERTIFY that a satisfactory standard certificate of death was filed with me BEFORE the burial or transit permit was issued:
Ho
(Signature of(Agent of Board of Health or other) Left 7/1452
(Official Designatlon)
(Date of Issue of Permit)
Other conditions.
(Include pregnancy within 3 months of death)
Major findings:
Of operations
Date of
Of autopsy none
What test confirmed diagnosis?
IMPORTANT Physician Underline the cause to which death should be charged sta- tistically.
20 Was disease or injury in any way related to occupation of deceased?/220
If so, 8
Arthur @ murray
M. D.
(Signed)
Adrettenthrop Board of Here Selt 1952
21
Woodlawn
Everett
Place of Burial, Cremation or Removal.
(City or Town)
DATE OF BURIAL_
Sept
8
19 __ 52
22 NAME OF
FUNERA
Itrinul 5 Reynaldo
ADDRESS
Received and filed
SEP/ 10, 1952
_19
A TRUE COPY ATTEST:
(Registrar)
CV
19
(Give maiden name of wife in full)
I last saw h.
alive on
19 ___ , death is said to
have occurred on the date stated above,
at 9:30 P. M.
Immediate cause of death Natural Causes,
Duration
IMPORTANT
presumably
Due to Coronan Occlusion asterio-sclerotic Heart Disease years
2 hours
Due so Generalized arteriosclerosis
years
PARENTS
100m. (t) - 1-45-15510
No.
2 FULL NAME
William H Beeching
(a) Residence. No.
(Usual place of abode)
19 I HEREBY CERTIFY, That I attended deceased from
19
to
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 persou 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 helief the name of the deceased, his supposed age, the disease of which he died, defined as re- quired hy 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 hy 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 iu the certificate a recital to that effect, speci- fying the war, and shall also certify in such certificate both the primary and the secondary or immediate 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 sec tion 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 nine- teen hundred and seventeen. G. L. Chap. 46, Sec. 10.
No undertaker or other person shall bury or otherwise dispose of a human hody in a town, or remove therefrom a human body which has not been huried, 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 hoard, from the clerk of the town where the person died; and no undertaker or other person shall exhume a human hody 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 hoard 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 he, a satisfactory written statement containing the facts required by law to he returned and recorded, which shall be accompanied, in case of an original interment, 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 physi- cian who is a member of the board of health, or employed hy it or by the selectmen for the purpose, shall upon application make the certificate re- quired of the attending physician. If death is caused by violence, the medi- cal 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 hody shall he 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 ien vi 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 ageut, upon receipt of such statement and certificate, shall forthwith countersign it and transmit it to the clerk of the town for registration. The person to whom the permit is so given and the physician certifying the cause of death shall thereafter furnish for registration any other neces- sary information which can he obtained as to the deceased, or as to the manner or cause of the death, which the clerk or registi ar may require .- Chap. 114, Sec. 45, G. L., (Tercentenary Edition).
Medical examiners shall make examination upon the view of the dead hodies 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 hody of such a person, he shall forthwith go to the place where the hody lies and take charge of the same; .. . - General Laws, Chap. 38, Sec. 6.
undertaker or other person shall bury a human hody or the ashes thereof which have been brought into the commonwealth until he has re- ceived a permit so to do from the board of health or its agent appointed to isque 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 interinent is made. . .. Chap. 114, Sec. 46, G. L., (Tercentenary Edition).
RULES OF PRACTICE
The fumument of the purpose of these laws calls for the observance of the following rules of practice:
Attending physicians will certify to such deaths only as those of bersom top com they have given bedside care during a last illness from case wore Dated to any form of injury.
of Health physicians will certify to such deaths only as those of person Who, though disabled by recognized disease unrelated to any form of Miury, have died without recent medical attendance or whose phy- sician is absent from home wben the certificate of death is needed.
(3) Medical Examiners will investigate and certify to all deaths sup- 8:11 to injuff These include not only deaths caused directly or by traumatism (including resulting septicemia), and by the action of chemical (drugs or poisons), thermal, or electrical agents, and deaths following abortion, hut 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 .- Cause of death means the disease, or complication which causes death, not the mode of dying, e. g., heart failure, asphyxia, asthenia, etc. As principal cause name the disease causing death. As related causes, name earlier morbid conditions, if any, related to the principal cause and any important complication of the principal cause.
Statement of Occupation .- Precise statement of occupation is very im- portant, so that the relative healthfulness of various pursuits can he known. Make some entry in this section for every person aged 10 years or over. If the occupation had been given up or changed on account of the disease causing death, report the usual occupation prior to illness. If the deceased had retired from business, report the usual occupation prior to retirement. Children not gainfully employed may he 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, how- ever, 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
7
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
C
Boston
(City or town making return)
Registered No. 7848 90
1
J(If death occurred in a hospital or institution, St. [ give its NAME instead of street and number)
2 FULL NAME.
(If deceased is a married, widowed or divorced woman, give also maiden name.)
175 Main St
St.
(Was deceased a
U. S. War Veteran,
if so specify WAR)
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
days. In place of residence5.
... years
.months.
.. days.
MEDICAL CERTIFICATE OF DEATH
PERSONAL AND STATISTICAL PARTICULARS
3 DATE OF
DEATH
Sept.5/52
8 SEX
M
9 COLOR OR RACE
W
10 SINGLE
MARRIED
WIDOWED
or DIVORCED
(write the word) Married
(Month)
(Day)
(Year)
4 I HEREBY CERTIFY,
That I attended deceased from
Sept.5 19 ..... 52,
to.
Sept. 5
19
52
I last saw h ........
.. alive on
19.
death is said to
have occurred on the date stated above, at
8:07AM
INTERVAL BE- TWEEN ONSET AND DEATH
DISEASE OR CONDITION
DIRECTLY LEADING
TO DEATH (a)
Myocardial infarction
1 Hr
ANTE
Due To
Arteriosclerotic
CEDENT (b)
CAUSES
heart disease
3 Yrs
Due To (c)
OTHER
SIGNIFICANT
CONDITIONS
Major findings:
Of operations
No
Date of operation
Was autopsy performed ?.
Clinical
What test confirmed diagnosis ?.
5 Was disease or injury in any way related to occupation of deceased?
If so, specify ..
M W O' Connell
MED.
(Address).
Winthrop Cem-Winthrop Mass.
6
Place of Burial or Cremation (City or Town)
DATE OF BURIAL.
Sept. 8/52
19
7 NAME OF
FUNERAL DIRECTOR
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