USA > Massachusetts > Suffolk County > Winthrop > Town of Winthrop : Record of Deaths 1953 > Part 53
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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)
Winthrop Com. Hospital 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.
Registered No. 123
J (If death occurred in a hospital or institution. St. [ give its NAME instead of street and number)
2 FULL NAME
Willomena (Filomena) Beatrice
(If deceased is a married, widowed or divorced woman, give also maiden name.)
51 Everett
St.
East Boston (If nonresident, give city or town and State)
Length of stay: In place of death.
years
months.
1
days.
In place of residence 53
years
months
days.
MEDICAL CERTIFICATE OF DEATH
3 DATE OF
DEATH
August
9
1953
(Month)
(Day)
(Year)
4 I HEREBY CERTIFY,
That I attended deceased from
9
19 5
death is said to
have occurred on the date stated above. at
INTERVAL BE-
TWEEN ONSET AND DEATH 11 IF STILLBORN, enter that fact here.
12
AGE
72
Years
Months
Days
If under 24 hours
Hours
Minutes
13 Usual
Occupation :
House Wife (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
Lawrence Tulio
PARENTS
18 BIRTHPLACE OF
FATHER (City)
(State or country)
Italy
19 MAIDEN NAME
OF MOTHER
Maria Maratta
20 BIRTHPLACE OF
MOTHER (City)
(State or country)
Italy
Holy Cross
Malden
DATE OF BURIAL
August
12
(City or Town) 1953
19
7 NAME OF
FUNERAL DIRECTOR
Vincent Rapino
9 Chelsea St. East Boston
ADDRESS
Received and filed (ul. 11, 955 19
(Registrar)
PERSONAL AND STATISTICAL PARTICULARS
8 SEX Female
9 COLOR OR RACE
White
10 SINGLE
(write the word)
MARRIED
WIDOWED
or DIVORCED
Married
10a If married, widowed, or divorced
HUSBAND of
(Give maiden name of wife in full)
(or) WIFE of
Martino Beatrice
(Husband's name in full)
DISEASE OR CONDITION
DIRECTLY LEADING)
TO DEATH
(2) Film
Eden
Cliente
Omestine beaufichere.
ANTE
CEDENT
(b)
CAUSES Theme may a condition
Due Somly@Colorir- solerses
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
(Signed)
(Address)
M. D. 1955
6
Place of Burial or Cremation
21 Martino Beatrice
Informant (Address) 51 Everet St. East Boston
I HEREBY CERTIFY that a satisfactory standard certificate of death was filed with me BEFORE the burial or transit permit was issued: Walter & takers (Signature of Agent of Board of Health or other) Health Officer 8.11.53
(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 lure, asthenia. ns the disease, cations which th.
d conditions. ing rise to the e (a) stating lying cause
tions contrib- death but not he disease or ausing death.
/50M (B)-12-49-900722
I R-301A 1
PHYSICIAN - IMPORTANT -
(Was deceased a U. S. War Veteran. if so specify WAR)
(a) Residence. No. (Usual place of abode)
1959.
to
I last saw haz alive on
", 19
10 45
m.
8/4/59
lost:, 9/3/53
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 of 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 cenietery, 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 permit for the removal of a human body, not previously interred, from one town to another within the commonwealth cannot be obtained early enough for the purpose, the certificate of death made as above provided and in the possession of the undertaker desiring to make such removal shall constitute a permit for such removal; provided, that such body shall be returned to the town from which it was removed within thirty-six hours after such removal, unless a permit in the usual form for the removal of such body has been sooner obtained hereunder. If the
death certificate contains a recital. as required by section ten of chapter forty-six. that the deceased served in the army, navy or marine corps of the United States in any war in which it has been engaged, such recital shall appear upon the permit. The board of health, or its agent, upon receipt of such statement and certificate, shall forthwith countersign it and transmit it to the clerk of the town for registra- tion. The person to whom the permit is so given and the physician certifying the cause of death shall thereafter furnish for registration any other necessary information which can be obtained as to the deceased, or as to the manner or cause of the death, which the clerk or registrar may require .- Chap. 114, Sec. 45, G. L., (Tercentenary Edition).
Medical examiners shall make examination upon the view of the dead bodies of persons as are supposed to have died by violence, or by the action of chemical, thermal or electrical agents or following abortion, or from diseases resulting from Injury or infection relating to occupation, or suddenly when not disabled by recognizable disease, or when any person is found dead. - General Laws, Chap. 38, Sec. 6., as amended by Chap. 632, Sec. 4. Acts of 1945.
No undertaker or other persons shall bury a human body or the ashes thereof which have been brought into the commonwealth until he has received a permit so to do from the board of health or its agent appointed to issue such permits, or if there is no such board, from the clerk of the town where the body is to 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).
RULES OF PRACTICE
fulfillment of the purpose of these laws calls for the observance of the follow- prentice?
(1)/ Attending. physicians will certify to such deaths only as those of persons to whom they have given bedside care during a last illness from disease unrelated to any form of injury.
(2) - Board of Health physicians will certify to such deathsonly as those of ha, though disabled by recognized disease unrelated to any form of AUG Le Lied withguf 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 dore 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
A R-301A 1
SOM-5-52-907046
7 NAME OF
FUNERAL DIRECTOR ..
DR Frederick & magnathe
ADDRESS
East Boston
Received and filed. AUG. 11, 1953 19
(Registrar)
PERSONAL AND STATISTICAL PARTICULARS
3 DATE OF
DEATH
(Month)
(Day)
9 1953 (Year)
8 SEX
male
9 COLOR OR RACE White
10 SINGLE MARRIED (write the word) 4 WIDOWED or DIVORCEDWorried
4 I HEREBY CERTIFY.
19:53
to.s.
19 death is said to
have occurred on the date stated above, at. «.m.
INTERVAL BE-
TWEEN ONSET AND DEATH
11 IF STILLBORN, enter that fact here.
12
AGE 49 Years
Months .. Days
If under 24 hours
Hours .
Minutes
13 Usual
Occupation:
Celeste
(Kind of work done during most of working life)
14 Industry or Business. natt block Storage les
15 Social Security No ...
022- 03-08073
16 BIRTHPLACE (City) northampton 1 masa
(State or country)
17 NAME OF FATHER Because nalen
PARENTS
18 BIRTHPLACE OF FATHER (City) (State or country)
Russia
19 MAIDEN NAME OF MOTHER ¿Petronella Tomas
-20 BIRTHPLACE OF MOTHER (City) (State or country)
Gertrude m. nalen
21 Informant (Address) 305 Lecinatex St & Berlin
I HEREBY CERTIFY that a satisfactory standard certificate of death was filed with me BEFORE the burial or transit permit was issued: Walter I Hakers (Signature of Agent of Board of Health or other) health Hacer 8.11.53
(Official Designation)
(Date of Issue of Permit)
X
none
(a) Residence. No. (Usual place of abode)
305 Lecpington
At East & Barton
10a If married, widowed, or divorced HUSBAND of Jerbude
m. marshall
(Give maiden name of wife in full)
(or) WIFE of
(Husband's name in full)
DISEASE OR CONDITION DIRECTLY LEADING TO DEATH
Due '
ANTE CEDENT (b) CAUSES
Du Te Parece. so == V.C.d. (c) / DuOdereine
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 >
(Signed) cv-
(Address)
M. D.
19.5.3.
· MT Benedet Place of Burial or Cremation
Bestin (City or Town)
DATE OF BURIAL aux 12
195.3
Poste.2 9/3/53
PLACE OF DEATH Suffolk (County) East Boston (City or Town) Mintbush Community Hospital 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.
174
Registered No.
[(If death occurred in a hospital or institution, St. Į give its NAME instead of street and number)
2 FULL NAME.
anthony W. Halen
(If deceased is a married, widowed or divorced woman, give also maiden name.)
PHYSICIAN -CIMPORTANT (Was deceased a U. S. War Veteran, if so specify WAR).
(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
I last saw het isalive on
10013 That I attended deceased from 9
RUCTIONS FOR CERTIFICATE
giving CF DEATH ot enter than one for each (b) and (c)
does not mean of dying, such ilure, asthenia. ans the disease, cations which th.
id conditions, ing rise to the e (a) stating lying cause
tions contrib- e death but not the disease or causing death.
Russia
16/1
EXTRACTS FROM THE LAWS OF THE COMMONWEALTH OF MASSACHUSETTS GOVERNING THE
RETURN OF CERTIFICATES OF DEATH
A physician or registered hospital medical officer shall forthwith, after the death of a person whom he has attended during his last illness, at the request of an undertaker or other authorized person or of any member of the family of the deceased, furnish for registration a standard certificate of death, stating to the best of his knowledge and belief the name of the deceased, his supposed age, the disease of which he died, defined as required by section one, where same was contracted, the duration of his last illness, when last seen alive by the physician or officer and the date of his death. . . Gen. Laws, Chap. 46, Sec. 9.
A physician or officer furnishing a certificate of death as required by the preceding section or by section forty-five of chapter one hundred and four- teen, shall, if the deceased, to the best of his knowledge and belief, served in the army, navy or marine corps of the United States in any war in which it has been engaged, insert in the certificate a recital to that effect, specifying the war, and shall also certify in such certificate both the primary and the secondary or imme- diate cause of death as nearly as he can state the same. For neglect to comply with any provision of this section, such physician or officer, shall forfeit ten dollars. For the purposes of this section and of sections forty-five, forty-six and forty-seven of said chapter one hundred and fourteen, the word "war" shall include the China relief expedition and the Philippine insurrection, which shall, for said purposes, be deemed to have taken place between February fourteenth, eighteen hundred and ninety-eight and July fourth, nineteen hundred and two, and the Mexican border service of nineteen hundred and sixteen and nineteen hundred and seventeen. G. L. Chap. 46. Sec. 10.
No undertaker or other person shall bury or otherwise dispose of a human body in a town, or remove therefrom a human body which has not been buried, until he has received a permit from the board of health, or its agent appointed to issue such permits, or if there is no such board, from the clerk of the town where the person died; and no undertaker or other person shall exhume a human body and remove it from a town, from one cemetery to another, or from one grave or tomb other than the receiving tomb to another in the same cemetery, until he has received a permit from the board of health or its agent aforesaid or from the clerk of the town where the body is buried. No such permit shall be issued until there shall have been delivered to such board, agent or clerk, as the case may be, a satisfactory written statement containing the facts required by law to be returned and recorded, which shall be accompanied, in case of an original inter- ment, by a satisfactory certificate of the attending physician, if any, as required by law, or in lieu thereof a certificate as hereinafter provided. If there is no attending physician, or if, for sufficient reasons, his certificate cannot be obtained early enough for the purpose, or is insufficient, a physician who is a member of the board of health, or employed by it or by the selectmen for the purpose, shall upon application make the certificate required of the attending physician. If death is caused by violence, the medical examiner shall make such certificate. If such a permit for the removal of a human body, not previously interred, from one town to another within the 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 he obtained as to the deceased, or as to the manner or cause of the death, which the clerk or registrar may require .- Chap. 114, Sec. 45. G. L., (Tercentenary Edition).
Medical examiners shall make examination upon the view of the dead bodies of persons as are supposed to have died by violence, or by the action of chemical, thermal or electrical agents or following abortion, or from diseases resulting from injury or infection relating to occupation, or suddenly when not disabled by recognizable disease, or when any person is found dead. .. - General Laws, Chap. 38, Sec.,6., as amended by Chap. 632, Sec. 4, Acts of 1945.
No undertaker or other persons shall bury a human body or the ashes thereof which have been brought into the commonwealth until he has received a permit so to do from the board of health or its agent appointed to issue such permits, or if there is no such board, from the clerk of the town where the body is to 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).
RULES OF PRACTICE
The fulfillment of the purpose of these laws calls for the observance of the follow- ing rules of practice ;.
(1) .Attending physicians will certify to such deaths only as those of persons to whom they have given bedside care during a last illness from disease unrelated to any form of injury
(2) Board of Health physicians will certify to such deathsonly as those of persons who, though disabled by recognized disease unrelated to any form of injury, have died without recent medical attendance or whose physician is absent from home when the certificate of death is needed.
Medical Examiners will investigate and certify to all deaths supposably (3)
due to injury. "These include mnot 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
:
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
To be filed for burial permit with Board of Health or its Agent.
Registered No. 1.25
Winthrop Community Hosp. 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)
Residence. No. (Usual place of abode)
2 Lorsan Terrace
St. . ..
(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
AUGUST (Month)
12 (Day)
1953 (Year)
That I attended deceased from
I HEREBY CERTIFY, July 2
19 53 to .. august 12
I last 'saw h. er
.. alive on august 11, 1953, death is said to
1:45 A.m.
have occurred on the date stated above, at INTERVAL BE- TWEEN ONSET AND DEATH
DISEASE OR CONDITION DIRECTLY LEADING TO DEATH (a) Lever bengi nephro- schennis with renal failure
ANTE
Due To Ceferinelestic +
CEDENT (b) CAUSES hypertensive heatdicise
(c)
16 Generalizada Para- sclerosis.
2 yrs.
OTHER SIGNIFICANT CONDITIONS
Major findings:
Of operations.
none
Date of operation.
.Was autopsy performed? Clinical Laboratory
5 Was disease or injury in any way related to occupation of deceased ?.
If so, specify ..
(Signed)
Me Transmettre
(Address) 552 Skulle Star wars Da. aug. 12,
M. D.
19-
6 Pine Grove Com Place of Burial or Cremation
DATE OF BURIAL.
aug. 14
1053
7 NAME OF FUNERAL DIRECTOR. Wendell C. Parken
ADDRESS
35 Franklin La
Received and filed. AUG 1 1953 19
(Registrar)
8 SEX
9 COLOR OR RACE
White
10 SINGLE
MARRIED
WIDOWED
or DIVORCED
(write the word)
Widowed
10a If married, widowed, or divorced HUSBAND of. (or) WIFE of Herbert O.
(Give maiden name of wife in full?
morton
(Husband's name in full)
11 IF STILLBORN, enter that fact here.
12 80
Years
.. Months
.. Days
If under 24 hours
Hours . ... Minutes
13 Usual
Occupation :
(Kind of work done during fost of working life)
14 Industry
or Business:
Mary Hans ardware
:
15 Social Security No.
have-09-7475
16 BIRTHPLACE (City) (State or country)
17 NAME OF
FATHER
John F. Harding
18 BIRTHPLACE OF
Lowell
FATHER (City) (State or country)
Vermont
19 MAIDEN NAME
OF MOTHER
Hamet Cassine
20 BIRTHPLACE OF MOTHER (City) (State or country)
malon
n. Y.
21 Informant (Address) 2 Asmith
Foran Tem. (Wanthing
I HEREBY CERTIFY that a satisfactory standard certificate of death was filed with me BEFORE the burial or transit permit was issued:
Walter S. (Frakes) (Signature of Agent of Board of Health or other)
Healthe Officer 8.12.53
(Official Designation)
(Date of Issue of Permit)
UCTIONS FOR CERTIFICATE
giving OF DEATH ot enter than one for each b) and (c)
does not mean of dying, such ure. asthenia, ns the disease, ations which h.
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