USA > Massachusetts > Suffolk County > Winthrop > Town of Winthrop : Record of Deaths 1953 > Part 56
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1ogro.
OTHER
SIGNIFICANT
CONDITIONS
Major findings:
Of operations
none
Date of operation.
Was autopsy performed? 200
What test confirmed diagnosis ?.
Clínical
5 Was disease or injury in any way related to occupation of deceased 200
If so, specify ?...
(Signed)
M. D.
(Address) 238 Ahou Daniel
Date 8/22/1953
PARENTS
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)
NO.
JCTIONS OR ERTIFICATE iving F DEATH t enter han one or each ) and (c)
Does not mean dying, such ure, asthenia, s the disease, tions which
conditions, g rise to the (a) stating ying cause
ons contrib- death but not e disease or using death.
M.S
No. 40 SagamoreAvenue
........
3 DATE OF
DEATH
August 21,1953
(Month)
(Day)
(Year)
female
white
ANTE ·Herpestension. 4. CEDENT (b) .. CAUSES Hypeliteurine Heart Descar gas
(c) ..
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 (lisease 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 i 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 i- ( with any provision of this section, such physician or officer, shall forfeit ten dollars. !. I 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 r relicf expedition and the Philippine insurrection, which shall, for said purposes, be s 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.
11 h No undertaker or other person shall bury or otherwise dispose of a human body s in a town, or remove therefrom a human body which has not been buried, until he p has received a permit from the board of health, or its agent appointed to issue r. such permits, or if there is no such board, from the clerk of the town where the o person died; and no undertaker or other person shall exhume a human body and n remove it from a town, from one cemetery to another, or from one grave or tomb o other than the receiving tomb to another in the same cemetery, until he has s' received a permit from the board of health or its agent aforesaid or from the clerk a of the town where the body is buried. No such permit shall be issued until there ri shall have been delivered to such board, agent or clerk, as the case may be, n a satisfactory written statement containing the facts required by law to be 1: returned and recorded, which shall be accompanied, in case of an original inter- p ment, by a satisfactory certificate of the attending physician, if any, as required by e law, or in lieu thereof a certificate as hereinafter provided. If there is no attending o physician, or if, for sufficient reasons, his certificate cannot be obtained early a enough for the purpose, or is insufficient, a physician who is a member of the board c of health, or employed by it or by the selectmen for the purpose, shall upon p application make the certificate required of the attending physician. If death is te caused by violence, the medical examiner shall make such certificate. If such a p permit for the removal of a human body, not previously interred, from one town tl to another within the commonwealth cannot be obtained early enough for the re purpose, the certificate of death made as above provided and in the possession of r the undertaker desiring to make such removal shall constitute a permit for such fi 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
The fulfillment of the purpose of these laws calls for the observance of the follow- ing rules of practice: 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 deaths only as those of persons who, though disabled by recognized disease unrelated to any form of chaye thed withoutrecent medical attendance or whose physician is absent fTUUne when the certificate of death is needed.
(3) Medical Examiners will investigate and certify to all deaths supposably due to injury. These include not only deaths caused directly or indirectly by traumatism (including resulting septicemia), and by the action of chemical (drugs or poisons) thermal, or electrical agents, and deaths following abortion, but also deaths from disease resulting from injury or infection related to occupation, the sudden deaths of persons not disabled by recognized disease, and those of persons found dead.
Statement of Cause of Death .- Physicians: see explanatory instructions on face side of standard certificate of death.
Statement of Occupation .- Precise statement of occupation is very import- ant, so that the relative healthfulness of various pursuits can be known. Make some entry in this section for every person aged 10 years or over. If the occupa- tion had been given up or changed, or if the deceased had retired from business, report the kind of work done during most of working life even if retired. Children not gainfully employed may be returned as at school or at home. For a woman whose only occupation was that of home housework, write housework. For a person engaged in domestic service for wages, however, designate the occupation by the appropriate terms, as housekeeper-private family, cook-hotel, etc. For a person who had no occupation whatever write none.
C
SPACE FOR ADDITIONAL INFORMATION I
DATE OF ENTERING MILITARY SERVICE I
DATE OF DISCHARGE
F
RANK, RATING ( U1
ORGANIZATION AND OUTFIT
SERVICE NUMBER
X
PLACE OF DEATH
Winthrop (County)
Suffolk (City or Town) 201 210Pleasant ..... St.
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. 182
J(If death occurred in a hospital or institution, St. [ give its NAME instead of street and number)
2 FULL NAME.
Margaret J. Walsh
(If deceased is a married, widowed or divorced woman, give also maiden name.) 201 210 Pleasant St. St.
(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 .1.5 .. years ... .months .days.
MEDICAL CERTIFICATE OF DEATH
PERSONAL AND STATISTICAL PARTICULARS
3 DATE OF
DEATH
Aug.21
(Month)
(Day)
1.9.53
(Year)
I HEREBY CERTIFY,
5
to
1
1952
aug 21
19%
I last saw halive on
aug 20
199 .... , death is said to
0
12-38P
m.
INTERVAL BE-
DISEASE OR CONDITION
DIRECTLY LEADING
TO DEATH (a)
Carcinomatoris
Ichtede Tract
TWEEN DNSET AND DEATH
11 IF STILLBORN, enter that fact here.
12
AGE ... 8.7Years.
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.
16 BIRTHPLACE (City)
(State or country)
Canada
17 NAME OF
FATHER
John M. Walsh
18 BIRTHPLACE OF
FATHER (City)
Cannot Learn
(State or country)
Ireland
19 MAIDEN NAME
OF MOTHER
Margaret M. Carroll
20 BIRTHPLACE OF MOTHER (City) (State or country)
Ireland
21 Joseph J Walsh
Informant. (Address) IT Plaggant St
I HEREBY DEI TIFY that a satisfactory standard certificate of death was filed with the BEFORE the burial or transit permit was issued: Walter A Makers. (Signature of Agent of Board of Health or other)
8-24.53
(Official Designation)
(Date of Issue of Permit)
X
8 SEX
9 COLOR OR RACE
white
10 SINGLE
(write the word)
MARRIED
WIDOWED
or DIVORCEDSingle
10a If married, widowed, or divorced
HUSBAND of
(Give maiden name of wife in full)
(or) WIFE of.
(Husband's name in full)
ANTE
CEDENT (b)
CAUSES
Due To
Due To (c)
OTHER
SIGNIFICANT
CONDITIONS
Major findings:
Of operations.
Carcinomatics
Date of operation
nr. 1652 Was autopsy performed ?.
200
What test confirmed diagnosis ?.
Partiloque ex
5 Was disease or injury in any way related to occupation of deceased ?.
If so, specify ...
(Signed)
(Address)
M. D.
Date am 22 198
6 Holy Cross
Place of Burial'or Cremation
DATE OF BURIAL
Aug. 24
153
7 NAME OF
FUNERAL DIRECTOR ....
P.M. We ifile
IRevere
ADDRESS
AUG 21 1953
Received and filed 19
(Registrar)
PARENTS
Malden (City or Town)
SOM-5-52-907046
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, cations which th.
id conditions. ing rise to the se (a) stating rlying cause
tions contrib- e death but not the disease or causing death.
A R-301A 1
No.
PHYSICIAN - IMPORTANT
(Was deceased a
U. S. War Veteran,
if so specify WAR)
Female
That I attended deceased from
have occurred on the date stated above, at.
1952
Cannot learn
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 be obtained as to the deceased, or as to the manner of 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 it's 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).
OF PRACTICE
The fulfillment of the ingobe 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 Heat physicians 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 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 electricalagents, 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
1
1
1
( 1
S
2
F
I 1
E
C
C
I
t
I
t
1
1
f
-
V.
]
1
PLACE OF DEATH
SUFFOLK BOSTON
(City or Town)
The Commonwealth of Massachusetts EDWARD J. CRONIN SECRETARY OF THE COMMONWEALTH DIVISION OF VITAL STATISTICS COPY OF MEDICAL EXAMINER'S CERTIFICATE OF DEATH
BOSTON
(City or town making return)
7417 183
Registered No. J(If death occurred in a hospital or institution, St. [ give its NAME instead of street and number)
2 FULL NAME.
(If deceased is a married, widowed or divorced woman, give also maiden name.)
41 Washington St AVE
St.
Winthrop
Mass
(a) Residence. No.
(Usual place of abode)
1
(If nonresident, give city or town and State)
Length of stay: In place of death ...
years ..
.months.
7
days. In place of residence.
.years.
.months.
days.
MEDICAL CERTIFICATE OF DEATH
PERSONAL AND STATISTICAL PARTICULARS
9 SEX
Female
10 COLOR OR RACE
White
11 SINGLE
MARRIED
WIDOWED
or DIVORCED
(write the word)
Widowed
(Month)
(Day)
(Year)
4 I 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.) Cerebral thrombosis following
fracture of femur incurred in accidental fall
Accident
5 Accident, suicide, or homicide (specify).
Date and hour of injury ..
Aug 17
19
53
Where did
Injury occur ?.
(City or town and State)
Did injury occur in or about home, on farm, in industrial place, or in public place? Home
Manner of
Injury
Accidental Fall
(How did injury occur?)
Nature of
Fracture of femur
Injury
While at work?
Was autopsy performed?
no
6 Was disease or injury in any way related to occupation of deceased?
If so, specify. " A Luongo
(Signed)
25 Shattuck St
M. D.
19.
....
7
Place of Burial, or Cremation. DATE OF BURIAL.
Aug 26
53
8 NAME OF
FUNERAL DIRECTOR
H S Reynolds
ADDRESS. Winthrop Mass
Received and filed
AUG 31 1953
19
(Registrar of City or Town where deceased resided)
11a If married, widowed, or divorced
HUSBAND of
(Give maiden name of wife in full)
(or) WIFE of
(Husband's name in full)
12 IF STILLBORN, enter that fact here.
13
90
8
16
AGE
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. Bosta Lass
17 BIRTHPLACE (City)
(State or country)
18 NAME OF
FATHER
Jacob Dennis
19 BIRTHPLACE OF
FATHER (City).
(State or country)
Boston Mass
20 MAIDEN NAME
OF MOTHER
Catherine McAvoy
PARENTS
21 BIRTHPLACE OF Boston Mass
MOTHER (City)
(State or country)
Emma Towisend
22 Informant. (Address)
A TRUE COPY)
ATTEST: Karles 2 Mackie
(Registrar of City or Town where death occurred)
DATE FILED Aug 26 19 53
1
I R-305 1
No.
Mass General Hospital
Emma Stout
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 of death should be transmitted on Form R-305 to the clerk of the city or town in which the deceased resided as soon as possible after the close of the month in which the death occurred. (See Chap. 46, Sec. 12, G. L.)
25M-5-52-907046
(Address) Cross Cem Malden Mass
Date
8/23
.53
(City or Town)
Housewife
At Home
Winthrop
(Specify type of place)
3 DATE OF
August 23, 1953
DEATH
(Was deceased a
U. S. War Veteran,
if so specify WAR)
RECEIVE
TOTT
-11
THROP
AUG31
R-301A 1
PLACE OF DEATH
X Suffolk (County) Winthrop Mass (City br Town) Winthrop Community Hospital
The Commonwealth of Massachusetts EDWARD J. CRONIN SECRETARY OF THE COMMONWEALTH DIVISION OF VITAL STATISTICS STANDARD
CERTIFICATE OF DEATH
Registered No. 1.84
[(If death occurred in a hospital or institution, St. [ give its NAME instead of street and number) No.
Frank LazzariNo Trent Mazzarino 2 FULL NAME
(If deceased is a married, widowed or divorced woman, give also maiden name.)
Street
St.
(If nonresident, give city or town and State)
Length of stay: In place of death. .years. 2 ... months
days. In place of residence. 12 .. years .months days.
PERSONAL AND STATISTICAL PARTICULARS
8 SEX male white
9 COLOR OR RACE
(write the word)
10 SINGLE
MARRIED
WIDOWED
or DIVORCEDwidowed
10a If married, widowed, or divorced
HUSBAND of.
Assunta Scaless
(Give maiden name of wife in full)
(or) WIFE of
(Husband's name in full)
11 IF STILLBORN, enter that fact here.
12 AGE90 Years .4 .. .Months 1.7.Days
If under 24 hours
Hours .. ... Minutes
13 Usual Occupation: Proprietor (Kind of work done during most of working life)
14 Industry
or Business:
Grocery Store
15 Social Security No ....
none
16 BIRTHPLACE (City)
(State or country)
Italy
17 NAME OF
FATHER
Vincent Lazzarino
PARENTS
18 BIRTHPLACE OF FATHER (City) (State or country) Italy
19 MAIDEN NAME
OF MOTHER
Regina (CBL)
20 BIRTHPLACE OF MOTHER (City) (State or country)
Italy
21 Informant (Address)
Augustus ... Lazzarino ........ son
55 Shirley St Winthrop
I HEREBY CERTIFY dhat satisfactory standard certificate of death was filed with me BEFORE the burial or transit permit was issued: Walter S. Baker.
Signature of Agent of Board of Health of other)
Health Offeret 8.26.53
(Official Designation) (Date of Issue of Permit)
V
- -- ---- ---- --------
INTERVAL BE- TWEEN ONSET AND DEATH
DISEASE OR CONDITION
DIRECTLY LEADING
TO DEATH (a).
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