USA > Massachusetts > Suffolk County > Winthrop > Town of Winthrop : Record of Deaths 1953 > Part 43
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June 25 195.3 .19
7 NAME OF
FUNERAL DIRECTOR -Ernest-P. - Caggiano ADDRESS 197 Winthrop St. Winthrop
Received and filed
1 6 1953
19
(Registrar of City or Town where deceased resided)
PARENTS
19 MAIDEN NAME
OF MOTHER
Patricia Beatis
20 BIRTHPLACE OF
MOTHER (City)
Bright.on ...... l.a.s.s.
(State or country)
21
Informant
(Address)
A. McGee
A TRUE Copy o Brewster Ave. Winthron
ATTEST: (Registrar of City or Town where death occurred)
DATE FILED
JUNE 26, 1953
19
3 DATE OF
DEATH
June 24, 1853
(Year)
4 I HEREBY CERTIFY,
That I attended deceased from
June 22
593
to
June 24, 1953
I last saw h
alive on.
June
24 1953
death is said to
have occurred on the date stated above, at ...
m.
DISEASE OR CONDITION
DIRECTLY LEADING
TO DEATH (a)
extreme anemia
....
1.15
INTERVAL BE- TWEEN ONSET AND DEATH
intrauterino bleeding
ANTE
Due To
CEDENT (b) ....... and cardiac
CAUSES
arrest
Due To (c)
OTHER
SIGNIFICANT
CONDITIONS
Major findings:
Of operations.
Date of operation
Was autopsy performed?
What test confirmed diagnosis?
300 Longwood Acc. 6 -24-53
No.
The Children's Hospital
NECEI
TOM
5
THROW
JUL-6 AM
M R-302 1
PLACE OF DEATH
suffolk (County)
BostonTown)
The Commonwealth of Massachusetts EDWARD J. CRONIN SECRETARY OF THE COMMONWEALTH DIVISION OF VITAL STATISTICS COPY OF CERTIFICATE OF DEATH
(City of town making return)
57.93
133
[(If death occurred in a hospital or institution, St. [ give its NAME instead of street and number)
No. .......
Beth Israel Hospital
2 FULL NAME ..
(If deceased is a mama, added onda diced Northb, give also maiden name.)
(a) Residence. No. (Usual place of abode) 11 Forrost St.
St.
(If nomesident, give tit, of town and State)
Length of stay: In place of death ............ years ..
.. months.
days.
In place of residence.
.......... years.
months .. 18 ... days.
MEDICAL CERTIFICATE OF DEATH
PERSONAL AND STATISTICAL PARTICULARS
8 SEX
9 COLOR OR RACE
10 SINGLE
MARRIED
WIDOWED
or DIVORCED
married
4 I HEREBY CERTIFY,
That I attended deceased from
"June 6; 19.
53
to
June 24 53
I last saw h ....
Oralive on.
J,ne
24
19 ......
death is said to
have occurred on the date stated above, at.
1:25 A
.m.
INTERVAL BE-
TWEEN ONSET
AND DEATH
DISEASE OR CONDITION
DIRECTLY LEADING
TO DEATH (a)
cerebral thrombosis
11 IF STILLBORN, enter that fact here.
12
AGE .. GO .. Years.
Months.
Days
If under 24 hours
Hours ......
Minutes
2 months sual
Occupation :
housewife
(Kind of work done during most of working life)
ANTE
Due To
CEDENT (b)
CAUSES
cerebral arteriosclerosis
Due To (c)
2 yrs
OTHER SIGNIFICANT CONDITIONS
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 ?. no If so, specify. (Signed) Stanley J. Altman M. D.
6
(Address). Bath Tyrael Hosp. .. 19 6-24-53 Place of Burial Crention icago, IlduroLa DATE OF BURIAL.
20 BIRTHPLACE OF
MOTHER (City)
(State or country)
Austria
21 Nathan Steinberg
Inf
(Address)
11 Prost St.
A TRUE COPY
ATTEST:
JUNE 26-195360
Charles
(Registrar of City or Town where death occurred)
DATE FILED 19
C
(Registrar of City or Town where deceased resided)
PARENTS
17 NAME OF
FATHER
Jacob Katz
18 BIRTHPLACE OF
FATHER (City)
(State or country)
Austria
19 MAIDEN NAME OF MOTHER Pearl
June 26,1953 19
7 NAME OF
FUNERAL DIRECTOR
Benjamin .... Birnbach.
ADDRESS
10 Washington St. Dor
Received and filed.
JUL 6 1953
19
Copies of returns of deaths which occurred in your city or town in case the deceased resided in another city or town at the time after the close of the month in which the death occurred. (See Chap. 46, Sec 12, G. L.) of death should be transmitted on Form R-302 to the clerk of the city or town in which the deceased resided as soon as possible,
25M-3-53-909098
3 DATE OF
DEATH
(Malune 24, Dly 053
(Year)
fem.
-
white
(write the word)
10a If married, widowed, or divorced
HUSBAND of
(Give maiden name of wife in full)
(or) WIFE of.
Nathan Steinberg
(Husband's name in full
14 Industry
or Business :.
--
15 Social Security No.
16 BIRTHPLACE (City)
(State or country)
Austria
Registered No.
(Was deceased a
U. S. War Veteran,
if so specify WAR) ... n.Q
RECEIVED
OF TOWN
11 1%
OF
5
JUL-6 AM
R-301A 1
PLACE OF DEATH
Suffolk - County) Winthrop (City or Town) Winthrop Comm Hospitals. 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.
110
60mm Mohla St. give its NAME instead of street and number) j(If death occurred in a hospital or institution, Mary , Corcoran nee Cumming (If deceased is yMed, widowed or divorced woman, give also maiden name.)
PHYSICIAN - IMPORTANT (Was deceased a U. S. War Veteran, if so specify WAR)
Grandview Que St. . ..
(If nonresident, give city or town and State)
4 .years. ... months. .. days.
MEDICAL CERTIFICATE OF DEATH
3 DATE OF DEATH
June (Month)
25 (Day) ៛
1.953 (Year)
8 SEX
Female White
10 SINGLE
MARRIED
WIDOWED
or DIVORCED
Weder
10a If married, widowed, or divorced HUSBAND of
(Give maiden nandof wife in full)
(or) WIFE of
George $ 6
Corcoran
(Husband's name in full)
11 IF STILLBORN. enter that fact here.
7 days. 12 AGE 74 Years Months. Days
If under 24 hours Hours Minutes
13 Usual Occupation : Housewife
(Kind of work done during most of working life)
14 Industry or Business: at Home
15 Social Security No.
16 BIRTHPLACE (City) (State or country)
Ireland
17 NAME OF FATHER William Cumming
PARENTS
18 BIRTHPLACE OF FATHER (City) (State or country)
Ireland nd
19 MAIDEN NAME OF MOTHER Mary Price
20 BIRTHPLACE OF MOTHER (City) (State or country)
Ireland
Who Charles, West
21 Informant (Address)
122 Grandview ave Win
I HEREBY CERTIFY that a satisfactory standard certificate of death was filed with me BEFORE the hurjal or transit permit was issued: Walter
(Signature of Agent of Board of Health of off
"offer )
Health Officer 6.26.53
(Official Designation)
(Date of Issue of Permit)
C
That I attended deceased from
Jene 19,
19 53.
June 25 to .. June 25 1950
death is said t
have occurred on the date stated above, at
1.20 P. .. m. INTERVAL BE-
TWEEN ONSET AND DEATH
DISEASE OR CONDITION DIRECTLY LEADING TO DEATH (a)
Acute myocardial infarction . anterior sportivi
ANTE CEDENT (b) CAUSES pportensivt leaders
Due To (c)
OTHER SIGNIFICANT CONDITIONS
Major findings: Of operations none
Date of operation.
Was autopsy performed?
What test confirmed diagno
Clinical+ Laboratory
5 Was disease or injury in any way related to occupation of deceased ?. If so, specify maurice Tranchein M. D. (Signe (Address) 562 Shiplay St, Winter Date' 25 1953.
6 Holy Cross Place of Burial or Cremation DATE OF BURIAL
City or Town)
June 29
7 NAME OF FUNERAL DIRECTOR.
Ernest Flaggiano 147 Winthrop St Winthrop
ADDRESS
Received and filed. JUN 2 6 1953 19
(Registrar)
PERSONAL AND STATISTICAL PARTICULARS
9 COLOR OR RACE
(write the word)
4 I HEREBY CERTIFY,
1953.
I last saw h.Q .alive on
Due To Cheioschematic and
2 yrs
SOM (B)-1-51 903586.
UCTIONS FOR CERTIFICATE
giving OF DEATH t enter than one for each b) and (c)
loes not mean f dying, such ure. asthenia, ns the disease. ations which h.
d conditions, ng rise to the (a) stating lying cause
ions contrib- death but not he disease or using death.
2 FULL NAME.
122
(a) Residence. No. (Usual place of abode) Length of stay: In place of death ... years. .. months.
... days. In place of residence.
Registered No.
Walden
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 f 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 dece sed. 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 way 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 jmm diate cause of death as nearly as he can state the same. For neglect to domoly with any provision of this section, such physician or officer, shall forfeit ten dollar For the purposes of this section and of sections forty-five, forty-six and forty of said chapter one hundred and fourteen, the word "war" shall include the Ch relief expedition and the Philippine insurrection, which shall, for said purposes deemed to have taken place between February fourteenth, eighteen hundred an ninety-eight and July fourth, nineteen hundred and two, and the Mexican bord service of nineteen hundred and sixteen and nineteen hundred and seventeen G. L. Chap. 46, Sec. 10.
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 Lukeabled 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.
Ofundertaker 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 18doftar the board of health or its agent appointed to issue such permits, or if quien no eh board, from the clerk of the town where the body is to be buried of the Tepefelis to be held, or from a person appointed to have the care of the cercetery or buthe ground in which the interment is made.
Chap. ZINtr Sec. 46. G. L., (Tercentenary Edition).
ININ
RULES OF PRACTICE
7
(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
18 ft of the purpose of these laws calls for the observance of the follow- Kaotice: ryding physicians will certify to such deaths only as those of persons hoy have given bedside care during a last illness from disease unrelated to way toim of injury.
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 Gave died hout recent medical attendance or whose physician is absent such permits, or if there is no such board, from the clerk of the town where the We when the certificate of death is needed. person died; and no undertaker or other person shall exhume a human body and (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. 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 Statement of Cause of Death .- Physicians: see explanatory instructions on face side of standard certificate of death. 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 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. 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
SPACE FOR ADDITIONAL INFORMATION
DATE OF ENTERING MILITARY SERVICE
DATE OF DISCHARGE RANK, RATING ORGANIZATION AND OUTFIT
SERVICE NUMBER
X
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.
141
No.
Ethel
Boyle Kelly
(If deceased is a married, widowed or divorced woman, give also maiden name.)
15 France It
St. Winther p- Mere.
(If nonresident, give city or town and State)
Length of stay: In place of death .. years
months. days. In place of residence
40 years.
.months
.days.
MEDICAL CERTIFICATE OF DEATH
PERSONAL AND STATISTICAL PARTICULARS
3 DATE OF
DEATH
28
1
1953
(Month)
(Day)
1
(Year)
HEREBY CERTIFY,
That I attended deceased from
Dec 5 19 4.76 June 28
19- 53
I last saw
h.
alive on
. 19: 5 -3 death is said to
have occurred on the date stated above, at 12.26Am.
INTERVAL BE-
DISEASE OR CONDITION
DIRECTLY LEADING tobeal
TWEEN ONSET AND DEATH 5%
TO DEATH (a)
Due To
Hokeiten um
CEDENT (b) CAUSES
Due To (c)
OTHER
Hypertenserie
SIGNIFICANT
CONDITIONS
0
Heart Disease
Major findings:
Of operations.
Date of operation.
Was autopsy performed?
200
What test confirmed diagnosis ?.
June
5 Was disease or injury in any way related to occupation of deceased?
If so, specify. My Celuis
(Signed)
(Address)
Keneu Vas Date 28 Reve 1953
M. D.
Winthrop
Winthrop
6 Place of Burial or Cremation
(City or Town)
DATE OF BURIAL
June
30 !/1953
7 NAME OF
FUNERAL DIRECTOR.
Som Tc 1 Maley Winthrop
ADDRESS
Received and filed.
June
29
1953
C
11 IF STILLBORN, enter that fact here.
12
AGO 3
Years
Months
Days
If under 24 hours
Hours ...
Minutes
13 Usual
H usewife
(Kind of work done during most of working life)
14 Industry
or Business:
Own Home
15 Social Security No ...
. 16 BIRTHPLACE (City)
(State or country)
Penn
17 NAME OF
FATHER
John Boyle
18 BIRTHPLACE OF
FATHER (City)
(State or country)
Canada
19 MAIDEN NAME
OF MOTHER
Harriet
Ruggel
20 BIRTHPLACE OF MOTHER (City) (State or country)
Canada
21 Informant (Address) 15 Francis St
I HEREBY CERTIFY that a satisfactory standard certificate of death was filed with me BEFORE the burial or transit permif was issued: Walter A. Baker
(Signature of Agent of Board of Health or other) Health Officer 6.39.53 1
(Official Designation)
(Date of Issue of Permity
UCTIONS FOR CERTIFICATE
giving OF DEATH ot enter than one for each b) and (c)
does not mean f dying, such ure, asthenia, ns the disease, ations which h.
d conditions, ng rise to the : (a) stating lying cause
ions contrib- death but not e disease or using death.
IR-301A 1
1
Winthrop Community
Hospital
(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)
(a) Residence. No. (Usual place of abode)
2. how 51 mar.200
8 SEX
Female
9 COLOR OR RACE
White
10 SINGLE
(write the word)
MARRIED
WIDOWED
or DNadowed
10a If married, widowed, or divorced HUSBAND of .. (Give maiden name of wife in full)
20 June 28
(or) WIFE John L. Kelly
(Husband's name in full)
ANTE
Renova
PARENTS
Rita
Monahan
50M (B)-1-51 903586
(Registrar)
To be filed for burial permit with Board of Health or its Agent.
2 FULL 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 leath 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 f 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 seetion 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 l'hilippine insurrection, which shall, for said purposes, le 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 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, See. 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 rf there is no such board, from the clerk of the town where the body is to be buried Ur 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.
brp. 114, Sec. 46, G. L., (Tercentenary Edition).
TOWA
OF
11 12 1
RULES OF PRACTICE
3.2ke fullithgentAfthe purpose of these laws calls for the observance of the follow- ng rules of practic (1)} Attending physicians will certify to such deaths only as those of persons whom they have given bedside care during a last illness from disease unrelated any month ofinjury Board; o Health physicians will certify to such deaths only as those of high disabled by recognized disease unrelated to any form of Wie without recent medical attendance or whose physician is absent the certificate of death is needed.
IN
Examiners will investigate and certify to all deaths supposably traumu These include not only deaths caused directly or indirectly by (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,
Statement of Cause of Death .- Physicians: see explanatory instructions on face side of standard certificate of death.
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