USA > Massachusetts > Suffolk County > Winthrop > Town of Winthrop : Record of Deaths 1953 > Part 41
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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, Ses. 45. G. L., (Tercentenary Edition).
Medical examiners shall make examination upon the view of the dead bodies 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 body of such a person. he shall forthwith go to the place where the body lies and take charge of the same; . General Laws, Chap. 38, Sec. 6.
No undertaker or other persons shall bury a human body or the ashes thereof which have bach 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 perinits, 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. My, 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 harevived bedstde care during a last illness from disease unrelated to any formor injury . .
(2) Boarfor Health physicians will certify to such deaths only as those of persons who, though peabled 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 (puding resulting septicemia), and by the action of chemical (drugs or porsons) 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 DIVISION OF VITAL STATISTICS STANDARD CERTIFICATE OF DEATH winthrop
To be filed for burial permit with Board of Health or ite Agent.
Registered No.
131
Mayflower Nursing Home Carolina La maria
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)
NO
408 Hanover St
St.
Boston
(If nonresident, give city or town and State)
Length of stay: In place of death. years 3 .days. In place of residence .years months months .days.
MEDICAL CERTIFICATE OF DEATH
PERSONAL AND STATISTICAL PARTICULARS
3 DATE OF
DEATH
June (Month)
205/1953
(Year)
8 SEX
Female White
10 SINGLE
(write the'word)
MARRIED married
WIDOWED
or DIVORCED
41 HEREBY CERTIFY,
That I attended deceased from
June 18, 1953.
to
June 21.
19 33
last saw het alive on
genel 21, 1913, death is said to
10a If married, widowed, or divorced
HUSBAND of ..
(Give maiden name of wife in full)
(or) WIFE of
STEFANO
LAMARCA
(Husband's name in full)
11 IF STILLBORN, enter that fact here.
12
AGE.
66 Years
Months
Days
If under 24 hours
.Hours . . Minutes
13 Usual
Occupation :
at home
(Kind of work done during most of working life)
14 Industry
or Business :.
at home
15 Social Security No ..
None
16 BIRTHPLACE (City). (State or country)
ITALY
17 NAME OF
FATHER
PAUL
LAMONICA
18 BIRTHPLACE OF FATHER (City) (State or country)
ITALY
19 MAIDEN NAME
OF MOTHER
LAURETTA
MAURICE
20 BIRTHPLACE OF MOTHER (City) (State or country)
ITALY
21 STEFANO LA MARCA Informant (Address) 408 Hanover ST. Boston
I HEREBY CERTIFY that a satisfactory standard certificate of death was filed with me BEFORE the burial or transit permit was issued: Watter F. Baker
(Signature of Asbat & Board of Health or other)
Ho
June 23/53
(Official Designation)
(Date of Issue of Permit)
e
(Registrar)
.
ANTE CEDENT CAUSES
Due To (b) Asterio solerosis
1gr.
Due To (c)
OTHER SIGNIFICAX CONDITIONS
Brancales. Promoción
6 cups
Major findings:
Of operations.
Date of operation
Was autopsy performed?
What test confirmed diagnosis? Clinical
5 Was disease or injury in any way related to occupation of deceased? If so, Specify Cuales (Signed) 238 Share Nueve Withiny M. D. (Address) Whetherays When Date 6/21/1 1953
6 St. MICHAEL'S CEMETERY Place of Burial or Cremation (City or Town)
BOSTON
DATE OF BURIAL
JUNE 24
19 53
7 NAME OF
FUNERAL DIRECTOR
PENNACCHIO + SON INC.
ADDRESS
5% SO. MARGIN ST. BOSTON
Received and filed.
JUN 2 3 1953
19
50M-2-19-25666
M R-301A 1
TRUCTIONS FOR L CERTIFICATE
n giving OF DEATH not enter e than one se for each , (b) and (c)
's does not mean e of dying, such Failure, asthenia, cans the disease, lications which eath.
·bid conditions. iving rise to the use (a) stating lerlying cause
ditions contrib- he death but not the disease or causing death.
desica 6/2.5/53
2 FULL NAME.
(If deceased is a married, widowed or divorced woman, give also maiden name.)
(a) Residence. No. (Usual place of abode)
42
9 COLOR OR RACE
have occurred on the date stated above, at 6:45 Am.
DISEASE OR CONDITION
DIRECTLY LEADING
TO DEATH (a)
INTERVAL BE- TWEEN ONSET AND DEATH
PARENTS
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 suchi 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 inake examination upon the view of the dead bodies of persons as arc supposed to have died hy 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:1+4, Sec:46. G. L., (Tercentenary Edition).
TO!
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 WHysicians 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 regent medical attendance or whose physician is absent from home When the certificate of death is needed.
(3) / Medical/Bil miners will investigate and certify to all deaths supposably due to These include not only deaths caused directly or indirectly by traumatismin (m luding, resulting septicemia), and by the action of chemical (drugs orplikterthermal, ór 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.
JUN23 AM 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 occup :.- 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
'50M (B)-12-49.900722
6 ..
St . Paul's Cadlany arlington (City of Town)
DATE OF BURIAL.
June 25
1953
7 NAME OF
FUNERAL DIRECTORY
D. H. Graman & Son.
ADDRESS 378 Mass ave. arlington
Received and filed
JUN 2-3-1953
19
(Registrar)
8 SEX
Female
9 COLOR OR RACE
White
10 SINGLE
MARRIED
WIDOWED
or DIVORCED
Single
June 10
19 93
I last saw her alive on
flere 22, 1953, death is said to
have occurred on the date stated above, at 10:45#
m.
INTERVAL BE-
(or) WIFE of
10a If married, widowed, or divorced
HUSBAND of
(Give maiden name of wife in full)
(Husband's name in full)
11 IF STILLBORN, enter that fact here.
12
years
AGE
88 Years
Months
13
Days
If under 24 hours
Hours
Minutes
13 Usual
Occupation :
Mulliner
14 Industry
or Business:
Retail Millinery
15 Social Security No.
none.
16 BIRTHPLACE (City)
(State or country)
Cambridge Maso.
17 NAME OF
FATHER
Edward P. White
18 BIRTHPLACE OF
FATHER (City)
London
(State or country)
England
19 MAIDEN NAME
OF MOTHER
Catherine Dollard,
20 BIRTHPLACE OF
MOTHER (City)
(State or country)
Ireland
21 Edward P. White D, m. D. (botten)
Informant (Address) 72 Sargent St. Huittool
I HEREBY CERTIFY thata satisfactory standard certificate of death was filed with me BEFORE the furjal or transit permit was issued: Walter G. Itaker
(Signature of Agent of Board of Health of Other)
Healthe Office 6.23.53
(Official Designation)
(Date of Issue of Permit)
X
RUCTIONS FOR . CERTIFICATE
giving OF DEATH ot enter than one for each (b) and (c)
does not mean of dying, such ilure, asthenia. ans the disease, ications which 3th.
id conditions. ring rise to the se (a) stating rlying cause
itions contrib- e death but not the disease or causing death.
No. PLACE OF DEATH Suffolk (County)
6/25/53
The Commonwealth of Massachusetts EDWARD J. CRONIN SECRETARY OF THE COMMONWEALTH DIVISION OF VITAL STATISTICS
STANDARD
CERTIFICATE OF DEATH
Registered No.
J(If death occurred in a hospital or institution, St. [ give its NAME instead of street and number)
none PHYSICIAN - IMPORTANT (Was deceased a U. S. War Veteran, if so specify WAR)
arlington Mass.
(If nonresident0 give city or town and State)
10
days. In place of residence years months .days.
MEDICAL CERTIFICATE OF DEATH
PERSONAL AND STATISTICAL PARTICULARS
3 DATE OF
DEATH
June
23
1950
(Month)
(Day)
(Year)
4I HEREBY CERTIFY,
That I attended deceased from
to ..
June 23,
1993
Minosos dere
ANTE
Due To
artenoscering
CEDENT (b)
CAUSES
generalized
Due To (c)
yrs.
OTHER
SIGNIFICANT
CONDITIONS
Major findings:
Of operations.
Date of operation
Was autopsy performed?
What test confirmed diagnosis?
120
5 Was disease or injury in any way related to occupation of deceased?
If so, specify.
(Signed)ved Give
(Address) / 94 Lacerhang Lange Date 6-2-3-1953
agora M. D.
PARENTS
St. .
(a) Residence. No. (Usual place of abode)
Length of stay: In place of death years months. 1
12 Forests
(If deceased )s a married, widowed or divorced woman, give also maiden name.)
2 FULL NAME
M R-301A 1 Winthrop (City or Town) PerView y Washington line Elizabeth at. White
To be filed for burial permit with Board of Health or its Agent.
133
(write the word)
DISEASE OR CONDITION
DIRECTLY LEADING
TO DEATH (a)
Head freon
TWEEN ONSET AND DEATH
(Kind of work done during most of working life)
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, bet 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.
OF
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 carly 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 perinit 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 rernoval 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 perni't 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 perinit. 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 pernuit 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 un'il 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).
11 12 RULES OF PRACTICE
The fulfillinent 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 fotor 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 Ruin, have died without recent medical attendance or whose physician is absent ihate when the certificate of death is needed.
Medical Examiners will investigate and certify to all deaths supposably WITHit ! 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 deaths from disease resulting from injury or infection related to occupation, Jinak 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.
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