USA > Massachusetts > Suffolk County > Winthrop > Town of Winthrop : Record of Deaths 1953 > Part 7
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Feb 9
1953
death is said to
have occurred on the date stated above, at 720 p m.
INTERVAL BE-
(Husband's name in full)
DISEASE OR CONDITION
DIRECTLY LEADING
TO DEATH
(a) Coronary occlusion
TWEEN ONSET AND DEATH 30 min
12 po
AGE
Years
Months.
Days
If under 24 hours
Hours .....
Minutes
13 Usual
Occupation :
(Kind of work done during most of working life)
14 Industry
or Business:
Cotton mill
15 Social Security No.
Unknown
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? no
If so, specify ..
(Signed).
(Address) 13 Deep Wind te Fer 4 1953
6 Hola Cross
Malden
Place of Buril or Cremation
DATE OF BURIAL .. Feb 12 19 53
7 NAME OF
FUNERAL DIRECTOR.
Charles 16. Treanor
ADDRESS Earl Boston
Received and filed FEB 12 152 19
(Registrar)
PARENTS
17 NAME OF
FATHER
Solan O'Hara
18 BIRTHPLACE OF
FATHER (City)
(State or country)
Ireland
19 MAIDEN NAME
OF MOTHER
Unlinagora
20 BIRTHPLACE OF MOTHER (City) (State or country)
mary grenier
21 Informant (Address) 822 Saratoga Il E. Boston
I HEREBY CERTIFY that a satisfactory standard, certificate of death was filed with me BEFORE the burial or transit permit was issued: Matter . Bakery
(Signature of Agent of Board of Health or other) Health Officer 2111.53
(Official Designation)
(Date of Issue of Permit)
RUCTIONS FOR L CERTIFICATE
giving OF DEATH not enter than one for each (b) and (c)
does not mean of dying, such ilure, asthenia, ans the disease, ications which ath.
id conditions, ving rise to the se (a) stating erlying cause
itions contrib- se death but not the disease or causing death.
50M-5-52-907046
ANTE
CEDENT (b) ...
CAUSES
Coronary sclerosis.
5 yrs
20 yrs
8 SEX
m.
9 COLOR OR RACE
(write the word)
4 I HEREBY CERTIFY,
Feb. 8
53
to.
Feb. 9
10a If married, widowed, or divorced HUSBAND of.
10 SINGLE
MARRIED
WIDOWED
Bancowed
E. My away
(Give maiden name of wife in full)
(or) WIFE of
11 IF STILLBORN, enter that fact here.
Watchman
Due To Severalized
Certerosallora
16 BIRTHPLACE (City).
(State or country)
treland
M. D.
Unknown
Registered No.
(If nonresident, give city or town and State)
-
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 dicd, 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- >cemetery or burial ground in which the interment is made.
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 *aken 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 casc 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 Af there is no such board, from the clerk of the town where the body is to be buried for the funeral is to he held, or from a person appointed to have the care of the
1. 1. 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 mjury.
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 injuryt 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 Flaumatism (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: sce 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
T
R-301A 1
PLACE OF DEATH
No.
Suffolk (County) Winthrop (City or Town) 17 Hillside Ave.
The Commonwealth of Massachusetts EDWARD J. CRONIN, SECRETARY DIVISION OF VITAL STATISTICS STANDARD CERTIFICATE OF DEATH
To be filed for burial permit with Board of Health or its Agent.
26
Registered No.
J(If death occurred in a hospital or institution,
St. Į give its NAME instead of street and number)
Nellie S (Hyde) Spinney
(If deceased is a married, widowed or divorced woman, give also maiden name.)
17 Hillside Ave.
St.
(If nonresident, give city or town and State)
Length of stay: In place of death
.years
months.
days. In place of residence
25,
ears
months
.. days.
MEDICAL CERTIFICATE OF DEATH
PERSONAL AND STATISTICAL PARTICULARS
3 DATE OF
DEATH
2
(Month)
10
(Day)
53
(Year)
8 SEX
Female
White
MARRIED
WIDOWED
or DIVORCED
Widow
4 I HEREBY CERTIFY,
Feb 9
53. to Feb 10,1453
I la
her alive
Feb 10
195 7 death is said to
have occurred on the date stated above, at 4:05 Am. INTERVAL BE-
TWEEN ONSET
11 IF STILLBORN, enter that fact here.
12
AGE
Years
9
Months
25
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. 1. one
16 BIRTHPLACE (City)
(State or country)
Mass.
17 NAME OF
FATHER
Charles Hyde
18 BIRTHPLACE OF
FATHER (City)
(State or country)
Unable to obtain
19 MAIDEN NAME
OF MOTHER
Betsy Nichols
20 BIRTHPLACE OF
MOTHER (City)
(State or country)
Mass.
South Dartmouth
21 Helene Erwin
Informant
(Address)
17 Hillside Ave. Winthrop
I HEREBY CERTIFY that a satisfactory standard certificate of death was filed with me BEFORE the burial or transit permit was issued:
Watter E-Baker
HO
(Signature of fear of Board of Health or other) 2/11/53
(Official Designation)
(Date of Issue of Permit)
50M-2-19-25666
DATE OF BURIAL ......
7 NAME OF
FUNERAL DIRECTOR
Zawords Penales
ADDRESS
Received and filed
FEB 11 1053
19
(Registrar)
AND DEATH 1 hr
ANTE
Due To enerealized
CEDENT (b)
CAUSES
arterischiois
Due To (c)
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? our If so, specify ..
M. D.
(AddressS
50 decoust Nicolas te Fel 10, E 1953
6
Winthrop
Place of Burial or Cremation
inthron
(City or Town)
Feb. 12
.19.53
PARENTS
82
9 COLOR OR RACE
-
PHYSICIAN - IMPORTANT
(Was deceased a
U. S. War Veteran,
if so specify WAR)
(a) Residence. No. (Usual place of abode)
12
UCTIONS FOR CERTIFICATE
giving OF DEATH t enter han one for each b) and (c)
loes not mean f dying, such ure, asthenia, ns the disease, ations which h.
I conditions, ng rise to the (a) stating ying cause
ions contrib- death but not e disease or using death.
(Signed).
Begge A Derry
20 yr4
10a If married, widowed, or divorced
HUSBAND of.
(Give maiden name of wife in full)
(or) WIFE of
Frederick Spinney
(Husband's name in full)
DISEASE OR CONDITION
DIRECTLY LEADING
TO DEATH (a)
Primocordial lugarata
That I attended deceased from
19
Fairhaven
10 SINGLE
(write the word)
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 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 shallexhume a human body and remove it from a town, from one cemetery to another, or from one grave or tomb other than the receiving tomb to another in the same cemetery, until he has received a permit from the board of health or its agent aforesaid or from the clerk of the town where the body is buried. No such permit shall be issued until there shall have been delivered to such board, agent or clerk, as the case may be, a satisfactory written statement containing the facts required by law to be returned and recorded, which shall be accompanied, in case of an original inter- ment, by a satisfactory certificate of the attending physician, if any, as required by law, or in lieu thereof a certificate as hereinafter provided. If there is no attending physician, or if, for sufficient reasons, his certificate cannot be obtained early enough for the purpose, or is insufficient, a physician who is a member of the board of health, or employed by it or by the selectmen for the purpose, shall upon application make the certificate required of the attending physician. If death is caused by violence, the medical examiner shall make such certificate. If such a permit for the removal of a human body, not previously interred, from one town to another within the commonwealth cannot be obtained early enough for the purpose, the certificate of death made as above provided and in the possession of the undertaker desiring to make such removal shall constitute a permit for such removal; provided, that such body shall be returned to the town from which it was removed within thirty-six hours after such removal, unless a permit in the usual form for the removal of such body has been sooner obtained hereunder. If the
death certificate contains a recital, as required by section ten of chapter forty-six, that the deceased served in the army, navy or marine corps of the United States in any war in which it has been engaged, such recital shall appear upon the permit. The board of health, or its agent, upon receipt of such statement and certificate, shall forthwith countersign it and transmit it to the clerk of the town for registra- tion. The person to whom the permit is so given and the physician certifying the cause of death shall thereafter furnish for registration any other necessary information which can be obtained as to the deceased, or as to the manner or cause of the death, which the clerk or registrar may require .- Chap. 114, Sec. 45, G. L., (Tercentenary Edition).
RECCI
Medical examiners shall make examination upon the view of the dead bodies of persons as arc supposed to have died by violence, or by the action of chemical, thermal or cleetrical agents or following abortion, or from diseases resulting from injury orlinfection relating to occupation, or suddenly when not disabled by recognizable disease, or when any person is found dead. ... - General Laws, Chap. 38, Seć. G., 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, Se /16.G .: (Fercentenary Edition).
7
"RULES OF PRACTICE
ROXY
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 injaly
(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.
(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.
SPACE FOR ADDITIONAL INFORMATION
DATE OF ENTERING MILITARY SERVICE
DATE OF DISCHARGE RANK, RATING ORGANIZATION AND OUTFIT
SERVICE NUMBER
×
PLACE OF DEATH
Suffolk (County)
Roston
(City or Town)
The Commonwealth of Massachusetts EDWARD J. CRONIN SECRETARY OF THE COMMONWEALTH DIVISION OF VITAL STATISTICS COPY OF CERTIFICATE OF DEATH
Boston
(City or town making return)
27
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.)
7 Seafoam Ave.
St.
Winthrop Mass.
(a) Residence. No.
(Usual place of abode)
(If nonresident, give city or town and State)
Length of stay: In place of death.
years
months ... 1.
.days. In place of residence ... .
.years
.. months
.... days.
MEDICAL CERTIFICATE OF DEATH
PERSONAL AND STATISTICAL PARTICULARS
3 DATE OF
DEATH
Feb.12/53
(Month)
(Day)
(Year)
8 SEX
F
9 COLOR OR RACE
10 SINGLE
MARRIED
WIDOWED
or DIVORCED
Widowed
4 I HEREBY CERTIFY.
That I attended deceased from
Feb. 12 19 53.
to
Feb .... 12.
19
53
I last saw h ...... er .. alive on.
Feb. 12, 19 53
death is said to
10a If married, widowed, or divorced
HUSBAND of.
(Give maiden name of wife in full)
Ernest Villani
(or) WIFE of.
(Husband's name in full)
11 IF STILLBORN, enter that fact here.
12
AGE4] .... Years .. ].] ... Months.
27 Days
If under 24 hours
Hours . ..... Minutes
ANTE
Due To
Hemorrhagic cystitis
CEDENT (b)
CAUSES
Due To
(c)
OTHER
SIGNIFICANT
CONDITIONS
Broncho ... pneumonia
Major findings:
Of operations. None
Date of operation
Was autopsy performed ?.....
.No
What test confirmed diagnosis ?.
clinical
5 Was disease or injury in any way related to occupation of deceased?
If so, specify.
(Signed).
P. D. Bonnet
M. D
(Address)
BostonMass ..
Date 2-13
19 53
6
Place of Burial or Cremation (City or Town)
DATE OF BURIAL
19
7 NAME OF
FUNERAL DIRECTOR
R C Kirby
ADDRESS
East Boston Mass.
Received and filed
MAR .... J
19
(Registrar of City or Town where deceased resided)
3 Days
13 Usual
Occupation :
faitross
(Kind of work done during most of working life)
14 Industry
or Business:
Restaurants
15 Social Security No.
031-01-6969
16 BIRTHPLACE (City)
(State or country)
Port Malcolm N.S.
17 NAME OF
FATHER
James R Ring
18 BIRTHPLACE OF
FATHER (City)
(State or country)
Port Malcolm N.S.
19 MAIDEN NAME
OF MOTHER
Annie L McLean
20 BIRTHPLACE OF
MOTHER (City)
(State or country)
Port Hawksburg N.S.
Holy Cross-Malden Mass.
Feb/16/53
21
Informant
(Address)
Mrg A L King Mother
A TRUE COPY Les R.
ATTEST:
(Registrar of City or Town where death occurred)
Feb.16/53
DATE FILED
19
WRITETHAINET, WITH UNFADING BLACK INK - THIS IS A PERMANENT RECORD
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,
M R-302 1
No.
Mass.Memorial Hospt.
Mary Villani
(Was deceased a
U. S. War Veteran,
if so specify WAR).
(write the word)
have occurred on the date stated above, at
7:55Pla m.
INTERVAL BE-
TWEEN ONSET
AND DEATH
2 Days
DISEASE OR CONDITION
DIRECTLY LEADING
TO DEATH (a)
Septicemia
25M.(B) 11-51-905807
PARENTS
RECEIVED
6
MAR-9 -
---
X
PLACE OF DEATH
Suffolk (County)
Disten
3, 4/53
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.
28
St. [ give its NAME instead of street and number) No.
Attilio Uguccioni
(If deceased is a married, widowed or divorced woman, give also maiden name.)
196 Gladstone St. E.B.
St.
(If nonresident, give city or town and State)
Length of stay: In place of death. .years.
months. 21
15
.days. In place of residence .years .months .days.
MEDICAL CERTIFICATE OF DEATH
3 DATE OF
DEATH
Fee.
(Month)
13 (Day)
1953 (Year)
8 SEX
Male
9 COLOR OR RACE
White
MARRIED
WIDOWED
or DIVORCED
Married
10a If married, widowed, or divorced Marcella (Guiliano)
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