Town of Winthrop : Record of Deaths 1952, Part 74

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

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No undertaker or other person shall bury or otherwise dispose of a human body a town. or remove therefrom a human body which has not been buried, until he as received a permit from the board of health, or its agent appointed to issue uch permits, or if there is no such board, from the clerk of the town where the erson died: and no undertaker or other person shall exhume a human body and emove it from a town, from one cemetery to another, or from one grave or tomb ther than the receiving tomb to another in the same cemetery, until he has eceived a permit from the board of health or its agent aforesaid or from the clerk f the town where the body is buried. No such permit shall be issued until there hall have been delivered to such board, agent or clerk, as the case may be. satisfactory written statement containing the facts required by law to be eturned and recorded, which shall be accompanied, in case of an original inter- hent, by a satisfactory certificate of the attending physician, if any, as required by w. 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 nough for the purpose, or is insufficient, a physician who is a member of the board f health, or employed by it or by the selectmen for the purpose, shall upon pplication make the certificate required of the attending physician. If death is

aused by violence, the medical examiner shall make such certificate. If such a ermit for the removal of a human body, not previously interred, from one town o 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 he undertaker desiring to make such removal shall constitute a permit for such emoval; provided, that such body shall be returned to the town from which it was emoved within thirty-six hours after such removal, unless a permit in the usual orm 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 certifieate, 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, Scc. 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 recognizahle disease, or when any person is found dcad. - General Laws, Chap. 38. Sec. 6., as amended by Chap. 632, Sec. 4, Acts of 194.5.

No undertaker or other persons shall bury a human body or the ashes thereof which have heen 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, fromthe 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 bari in which the interment is made.

Chap G. L., (Tercentenary Edition).

7012

11 12

ULES OF PRACTICE

Thefulfillment of the purpose of these laws calls for the observance of the follow- ing tules of practice

to whom

hysidans will certify to such deaths only as those of persons

h ar iven febsite care during a last illness from disease unrelated to áng (2) epDfriphysicians will certify to such deathsonly as those of injury. person in jury sabied by recognized disease unrelated to any form of jebent medical attendance or whose physician is absent from hon (3)

Me Cate of death is nceded. due to injury. Maminers will investigate and certify to all deaths supposably Include not only deaths caused directly or indirectly by traumatism (including resulting septicemia), and by the action of chemical (drugs weons) thermal, or electrical agents, and deaths following abortion, but delthatfrom disease resulting from injury or infection related to occupation. the sudden deathe of personsinot disabled by recognized disease, and those of also 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) Wilithrok (City or Towns 49 Atlantic No. ..

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.

220

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)

210

(a) Residence.

No.

(Usual place of abode)

(If nonresident, give city or town and State)

Length of stay: In place of death years

months.

days.

In place of residence

27 years

months

.. days.

MEDICAL CERTIFICATE OF DEATH

PERSONAL AND STATISTICAL PARTICULARS

3 DATE OF

DEATH

(Month)

(Day)

8 SEX

Female White

10 SINGLE

MARRIED

WIDOWED

or DIVORCED

(write the word) Married

4 I HEREBY CERTIFY,

That I attended deceased from

19 ... .

I last saw h. ..... alive on ..

19 ...... , death is said to

have occurred on the date stated above, at

4:15 A. m.

INTERVAL BE- TWEEN ONSET AND DEATH

11 IF STILLBORN, enter that fact here.

AGE

Years

Months

Days

If under 24 hours

Hours ... . Minutes

13 Usual

Occupation :.

House work

(Kind of work done during most of working life)

14 Industry

or Business:

Our home

15 Social Security No.

16 BIRTHPLACE (City)

(State or country)

Norway

17 NAME OF

FATHER

Christian Christiansen

18 BIRTHPLACE OF

FATHER (City)

(State or country)

Norway

19 MAIDEN NAME

OF MOTHER

Bertha Hausen

20 BIRTHPLACE OF

MOTHER (City)

(State or country)

norway

Informant

(Address)

Gabriel 24. 7 latch

49 Atlantic ST. Win

7 NAME OF

FUNERAL DIRECTOR

John C. Kelly

ADDRESS

286 Meridian St. E.B.

Received and filed OCT 14 .1952

.19

(Registrar)

sudden

ANTE

Due To

Presumably coronary

CEDENT

(b)

CAUSES

occlusion

(c)

To Generalized arteno-

sclerosis

years

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 so, specify chur C. Murray

(Signed) CK

(Address Winthrop Board of 1

& Health

M. D.

Date ROOF 1952

6 Woodlawn

Place of Burial or Cremanon

Everett (City of Town)

DATE OF BURIAL

October

15,

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

(Signature of Agent of Board of Health or other) atthe office 10/14/02

(Official Designation)

(Date of Issue of Permit)

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

-301A 1

IONS TIFICATE ng DEATH nter one each nd (c)

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

nditions, ise to the )

stating 3 cause

contrib- h but not isease or ng death.

PARENTS

10a If married, widowed, or divorced

HUSBAND of.

Gabriel M. Flater

(or) WIFE of .

(Husband's name in full)

DISEASE OR CONDITION

DIRECTLY I

TO DEATH

A natural causes

October

1952

(Year)

O Flater

2 FULL NAME

(If deceased is a married, widowed or divorced woman, give also maiden name.) 49 Atlantic St.

9 COLOR OR RACE

(Give maiden name of wife in full)

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-sevon' of said chapter one hundred and fourteen, the word "war" shall include the China relief expedition and the Philippine insurrection, which. shall, for said purposes, b deemed to have taken place between February fourteenth, eighteen hundred and ninety-eight and July fourth, nineteen hundred and two, and the Mexican bofden 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 cxaminers shall make cxamination 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 fachpayerhjem brought into the commonwealth until he has received a permit so to do frontthe 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 of the foural is to be held, or from a person appointed to have the care of the Orektal burial ground in which the interment is made.

6/114, Scc. 46, G. L., (Tercentenary Edition).

11.12

CILEA.

RULES OF PRACTICE

The fulfillment of the purpose of these laws calls for the observance of the follow- Ing rules of practho

(1) 2Attending 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 ..

Board of Health physicians will certify to such deathsonly as those of sont) who though disabled by recognized disease unrelated to any form of ane died without recent medical attendance or whose physician is absent bet when the certificate of death is needed.

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 Ofgods bf poisons) fermal, 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.

SPACE FOR ADDITIONAL INFORMATION

DATE OF ENTERING MILITARY SERVICE

DATE OF DISCHARGE

RANK, RATING ORGANIZATION AND OUTFIT SERVICE NUMBER

If deceased was a U. S. War Veteran, G.L. Chap. 46, Section 10, requires physicians to insert a recital to that effect.

25M (A).8-50-902 592

8 NAME OF FUNERAL DIRECTOR Maurice W Test

ADDRESS.

Received and filed. OCT 1 8 1953 ....

(Registrar)

PERSONAL AND STATISTICAL PARTICULARS

19 SEX

Fenol

10 COLOR OR RACE

11 SINGLE

MARRIED

WIDOWED

or DIVORCED

(write the word)

11a If married, widowed, or divorced HUSBAND of (Give maidenname of wife in full)

(or) WIFE of.

(Husband's name in full)

12 IF STILLBORN, enter that fact here.

AGE

25 Years

.. Months

.Days

If under 24 hours

Hours.

Minutes

14 Usual

Occupation:

(Kind of work done during most of working life)

15 Industry or Business:

16 Social Security No ... Mone 1

17 BIRTHPLACE (City)

(State or country)

18 NAME OF FATHER

Joseph M di Biase

19 BIRTHPLACE OF FATHER (City). (State or country)

/ Bastory

masa

20 MAIDEN NAME OF MOTHER Vier Smith

21 BIRTHPLACE OF

MOTHER (City) ..

(State or country)

22 Informant. (Address)

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

(Signature of Agent of Board of Health of other)

Theatthe Office 10Jo/52

(Official Designation)

(Date of Issue of Permit)

To be filed for burial pormit with Board of Heaith or its Agent.

Registered No.

221

f (If death occurred in a hospital or institution,

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

No ..

2 FULL NAME.

Joanne gau Di Biase

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

(a) Residence. No. 74 Bral St Winthrop

(Usual place of abode)

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 3 DATE OF DEATH Oct-13 - 1952 (Month) (Day) (Year) Stal wound theart 5 Accident, suicide, or homicide (specify) Horacecedal Date and hour of injury 0 ct-13- 19 52 Where did Winthrop Injury occur? (City or town and State) 6 Was disease or injury in any way related to occupation of deceased? If so, specifyn. - (Address) 7 Place of Burial, or Cremacion (City or Towy) DATE OF BURIAL ... ........... 19.5. of Death. Dos reverse side for extracts from the laws relative to the return of certincates of death. While at work? Was autopsy performed? yes

Did injury occur in or about home on farm, in industrial place, or in public place?

(Specify type of place) Manner gard to have been a talked ya man Injury (How did injury occur?) Nature of at Wundlend Oct-13-1952 Injury

...

PARENTS

(Signed)

M. D.

Mari

PLACE OF DEATH

× Salleck (County) 1 Winthrop (City or Town) Winthrop Community Hospital

The Commonwealth of Massachusetts EDWARD J. CRONIN SECRETARY OF THE COMMONWEALTH DIVISION OF VITAL STATISTICS MEDICAL EXAMINER'S CERTIFICATE OF DEATH

25 years

PHYSICIAN - IMPORTANT

(Was deceased a U. S. War Veteran, if so specify WAR)

4I HEREBY CERTIFY that I have investigated the death of the person above-named and that the CAUSE AND MANNER thereof are as follows: (If an injury was involved, state fully.) Internal& External Hemorrhage multiple Stab wounds.

Thomas

303 A

EXTRACTS FROM THE LAWS OF THE COMMONWEALTH OF MASSACHUSETTS GOVERNING THE RETURN OF CERTIFICATES OF DEATH

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 .The medical examiner certifies the cause and manner of death to the best of nis knowledge and belief. 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 RULES OF PRACTICE with any provision of this section, such physician or officer, shall forfeit ten dollars CCFlV For the purposes of this section and of sections forty-five, forty-six and forty-sever of said chapter one hundred and fourteen, the word "war" shall include the China The fulfillment of the purpose of these laws calls for the observance of the follow- ing rules of practice: relief expedition and the Philippine insurrection, which shall, for said purposes, be deemed to have taken place between February fourteenth, eighteen hundred and (1)) Attending physicians will certify to such deaths only as those of persons ninety-eight and July fourth, nineteen hundred and two, and the Mexican border \\ to whom they have given bedside care during a last illness from disease unrelated to any form of injury.

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 ber 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 physician, or if, for sufficient reasons, his certificate cannot be obtained eau 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.

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Town of Winthrop : Record of Deaths 1952, Part 74

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

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