USA > Massachusetts > Suffolk County > Winthrop > Town of Winthrop : Record of Deaths 1953 > Part 86
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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 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, he 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), Attendihy 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 injury, have died without recent medical attendance or whose physician is absent from home when the certificate of death is needed.
(3) \Modlidal 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
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-302 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.)
X
PLACE OF DEATH
SUFFOLK BOSTON (County)
(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)
Registered No ... 11335.
278
f(If death occurred in a hospital or institution,
Xxxx give its NAME instead of street and number)
2 FULL NAME. JOSEPHE GORBETA
(If deceased is a married, widowed of divorced woman, give also maiden name.)
(a) Residence. No. (Usual place of abode)
22 ..... Trescott
St.
.Winthrop
Mas.s.
(If nonresident, give city or town and State)
Length of stay: In place of death.
......... years.
.months .. LO .. days. In place of residence.
......
... years.
.months.
.days.
MEDICAL CERTIFICATE OF DEATH
PERSONAL AND STATISTICAL PARTICULARS
8 SEX M
9 COLOR OR RACE
W
10 SINGLE
(write the word)
MARRIED
WIDOWED
or DIVORCED
Ūa
If married, widowed, or divorced
HUSBAND of.
(Give maiden name of wife in full)
(or) WIFE of
(Husband's name in full)
11 IF STILLBORN, enter that fact here.
12
AGE.6.9 .. Years
Months.
.Days
If under 24 hours
Hours ..
. Minutes
13 Usual
Occupation :
Roofer
(Kind of work done during most of working life)
14 Industry
or Business:
Building Trade
15 Social Security No ..
023-03-0366
16 BIRTHPLACE (City)
(State or country)
Boston,Mass
17 NAME OF
FATHER
Patrick H Corbett
18 BIRTHPLACE OF
FATHER (City)
Boston
(State or country)
Mass
19 MAIDEN NAME
OF MOTHER
Christine Welch
20 BIRTHPLACE OF
MOTHER (City)
(State or country)
Boston
Mass
21
Informant
(Address)
J ..... Moriarty.
A TRUE COPY est. enache
ATTEST:
(Registrar of City or Town where death occurred)
Dec. 28
53
DATE FILED
.19
X
Single
4 I HEREBY CERTIFY,
That I attended deceased from
"12/13
19.
to
12/23
...
19 .. 53
I last saw h ..... y ... alive on
12/22
...... 1953., death is said to
have occurred on the date stated above, at.
m.
4:50a.
INTERVAL BE-
TWEEN ONSET
AND DEATH
DISEASE OR CONDITION
DIRECTLY LEADING
TO DEATH (a) ..
coronary occlusion
míns.
ANTE CEDENT CAUSES
Due To
(b)
general arterio
sclerosis
Due To (c)
OTHER
SIGNIFICANT
CONDITIONS
psychotic depressive
reaction
Major findings:
Of operations.
Date of operation
Was autopsy performed?
no
What test confirmed diagnosis ?.
5 Was disease or injury in any way related to occupation of deceased?
If so, specify.
(Signed).
R Ehrenberg
......
(Address)
BSH
Date. 12/23 19 63 Boston
a
Stadeneplacreation
(City or Town)
DATE OF BURIAL
Dec. 26 195.3
7 NAME OF
FUNERAL DIRECTOR
MKirby
ADDRESS
winthrop, Mass.
19
Received and filed ..
(Registrar of City or Town where deceased resided)
PARENTS
M. D.
25m-(b)-11-49-900,475
I R-302 1
No. . Boston State .... Hospital
....
(Was deceased a
U. S. War Veteran,
if so specify WAR)
WW I
3 DATE OF
DEATH
December
(Day)
1953
DATE OF ENTERING MILITARY SERVICE - 5/21/17
DISCHARGE
5/20/21
RANK, RATING ORGANIZATION & OUTFIT SERVICE NUMBER
Cook, 2nd Class
U S Naval Reserve Force
122 63 27
·1
JAN1
JAN1
X
PLACE OF DEATH
Suffolk (County)
The Commonwealth of Massachusetts EDWARD J. CRONIN SECRETARY OF THE COMMONWEALTH DIVISION OF VITAL STATISTICS
STANDARD CERTIFICATE OF DEATH
Registered No.
220
J(If death occurred in a hospital or institution, St. [ give its NAME instead of street and number)
Mary L(Schlehuber) Varsters
(If deceased is a married, widowed or divorced woman, give also maiden name.)
(a) Residence. No. (Usual place of abode)
100 Sagamore Ave.
St.
(If nonresident, give city or town and State)
Length of stay: In place of death ..... .. years 6 months days. In place of residence. .years .months. .days. 40
MEDICAL CERTIFICATE OF DEATH
PERSONAL AND STATISTICAL PARTICULARS
3 DATE OF
DEATH
23 December 1953
(Month)
(Day)
(Year)
8 SEX
Female
9 COLOR OR RACE
White
10 SINGLE
MARRIED
WIDOWED
or DIVORCED
Wido
4 I HEREBY CERTIFY.
That I attended deceased from
19 ......... to
19.
-
I last saw h ............. alive on
19 ........ , death is said to
have occurred on the date stated above, at.
9:10 Am.
INTERVAL BE- TWEEN ONSET AND DEATH
ANTE Due To To Uremia
CEDENT (b) CAUSES
Due To To Chronic Nephritis (c)
Generalized
OTHER SIGNIFICANT CONDITIONS arteriosclerosis
Major findings:
Of operations
Date of operation
Was autopsy performed ?.
no
What test confirmed diagnosis
clinical
5 Was disease or injury in any way related to getupation of deceased? no
If so, specify bathingco.
(Signed)
(Address) Ventanal Board of
Date 24 Mec 1953
winthrop
winthrop (City or Town)
6 Place of Burial or Cremation
DATE OF BURIAL
Dec. 24
, 19 5/3
7 NAME OF
FUNERAL DIRECTOR
Nawend S Phynuldo
ADDRESS
Received and filed. OFC 28 1953 19
(Registrar)
A TRUE COPY ATTEST:
months
months
15 Social Security No.
None
Boston
16 BIRTHPLACE (City)
(State or country)
cass ..
17 NAME OF FATHER Joseph Schlehuber
PARENTS
18 BIRTHPLACE OF
FATHER (City)
(State or country)
Germany
19 MAIDEN NAME
OF MOTHER
Kary Fabian
20 BIRTHPLACE OF MOTHER (City) (State or country) Germany
Viola Larsters
21 Informant. (Address) 100 Saramore Ave.
I HEREBY CERTIFY that a satisfactory standard certificate of death was filed with me BEFORE the burial or transit permit was issued: Valter
(Signature of Agent of Board of Health or othery Thealite Such 12.24,53
(Official Designation)
(Date of Issue of Permit)
L
10a If married, widowed, or divorced
HUSBAND of.
(Give maiden name of wife in full)
(or) WIFE of.
GeorgeE Marsters
(Husband's name in full)
11 IF STILLBORN, enter that fact here.
12
AGES 3.
.. 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:
Own Home
-
CTIONS R ERTIFICATE ving DEATH enter an one r each and (c)
es not mean dying, such re, asthenia, > the disease, ions which
conditions, rise to the (a) stating ing cause
ons contrib- eath but not disease or sing death.
50M.(A)-11-51-905807
C.
(City or town making return)
R-301 1 Winthrop
No.
(City of Town) Mayflower Nursing Home 39 grovers Ave.
2 FULL NAME.
(Was deceased a
U. S. War Veteran,
if so specify WAR)
(write the word)
DISEASE OR CONDITION
DIRECTLY LEADINGNatural causes
TO DEATH (a).
I Healthy M. D.
EXTRACTS FROM THE LAWS OF THE COMMONWEALTH OF MASSACHUSETTS GOVERNING THE
RETURN OF CERTIFICATES OF DEATH
A physician or registered bospital medical officer shall forthwith, after the death of a person whom be bas attended during his last illness, at the request of an undertaker or otber 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, tbe disease of which he died, defined as required by section one, wbere 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 bundred 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 be can state the same. For neglect. to comply with any provision of this section, sucb physician or officer, sball 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" sball include the China relief expedition and the Philippine insurrection, which shall, for said purposes, be deemed to bave 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 bundred and seven- teen. G. L. Chap. 46, Sec. 10.
No undertaker or other person sball bury or otherwise dispose of a buman body in a town, or remove therefrom a buman 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 wbere tbe person died; and no undertaker or otber 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 tomh to another in the same cemetery, until he bas 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 sball be issued until tbere 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, bis 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 hy violence, the medical examiner shall make such certificate. If such a permit for the removal of a buman 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 sball constitute a permit for such removal; provided, that such body sball be returned to the town from wbicb it was removed within thirty-six hours after such removal, unless a permit in the usual form for the removal of such body bas been sooner obtained hereunder. If tbe
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 fortbwith countersign it and transmit it to the clerk of the town for registration. 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 .- Cbap. 114, Sec. 45, G. L., (Tercentenary Edition). .
Medical examiners shall make examination upon the view of the dead bodies of only such persons as are supposed to have died by violence. If a medical examiner has notice that there is within his county the body of such a person, he shall forthwith go. to the place where the body lies and take charge of the same; .. General Laws, Chap. 38, Sec. 6.
No undertaker or other persons sball bury a human body or the asbes 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 wbere 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 tbe following rules of practice:
(1) Attending, physicians will certify to such deaths only as those of persons to whom they bave 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 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 deatbs following abortion, but also deaths from disease resulting from injury or infection related to occupa- tion, 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 tbe kind of work done during most of working life even if retired. Children not gainfully employed may be returned as at school or at bome. 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
(City or Town)
The Commonwealth of Massachusetts EDWARD J. CRONIN SECRETARY OF THE COMMONWEALTH DIVISION OF VITAL STATISTICS COPY OF CERTIFICATE OF DEATH
.MOSTON
(City or town making return)
Registered No.
11 35280
No.
Boston Lying En Hospt Boston Mass.
J(If death occurred in a hospital or institution, St. [ give its NAME instead of street and number)
2 FULL NAME. Baby Girl Duval (If deceased is a married, widowed or divorced woman, give also maiden name.)
(Was deceased a
U. S. War Veteran,
if so specify WAR)
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
.. days. In place of residence.
.... years.
.. months
.days.
MEDICAL CERTIFICATE OF DEATH
PERSONAL AND STATISTICAL PARTICULARS
3 DATE OF
DEATH
Dec. 24/53
(Month)
(Day)
(Year)
4 I HEREBY CERTIFY,
That I attended deceased from
Dec. 22/53
19
to.
Dec.24
19
53
I last saw her.
.alive on.
Dec .. 24., 19.
53, death is said to
O
have occurred on the date stated above. at.
6:15A
m.
INTERVAL BE-
DISEASE OR CONDITION
DIRECTLY LEADING
TO DEATH (a).
Prematurity
TWEEN ONSET ANO DEATH
11 IF STILLBORN, enter that fact here.
12
AGE
Years.
.....
Months
1
Days
If under 24 hours
.1.5Hours ..
.Minutes
13 Usual
Occupation :
(Kind of work done during most of working life)
14 Industry or Business:
15 Social Security No.
16 BIRTHPLACE (City).
(State or country)
Boston Mass.
17 NAME OF
FATHER
Edward Duval
18 BIRTHPLACE OF
East Boston Mass.
FATHER (City)
(State or country)
19 MAIDEN NAME
OF MOTHER
Mary Andrade
20 BIRTHPLACE OF
MOTHER (City)
(State or country)
East Boston Mass.
21 Informant (Address)
Boston Lying In Hos pt
A TRUE COPY Les A. Mrac
ATTEST:
(Registrar of City or Town where death occurred) Dec.28/53
DATE FILED
.. 19
(Registrar of City or Town where deceased resided)
8 SEX
F
9 COLOR OR RACE
10 SINGLE
MARRIED
WIDOWED
or DIVORCED
(write the word)
Single
10a If married, widowed, or divorced
HUSBAND of.
(Give maiden name of wife in full)
(or) WIFE of
(Husband's name in full)
ANTE
Due To
CEDENT (b)
CAUSES
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?
If so, specify
(Signed)
D .E. Reid
M. D.
(Address)
Boston
St. Michael's Beston Mass
6
Place of Burial or Cremation (City or Town)
DATE OF BURIAL
Dec.,26/53
19
7 NAME OF
FUNERAL DIRECTOR
G.M.Linehan
ADDRESS Boston Mass.
Received and filed ...
UAN 11, 1954
19
Date ... 12~24
.153
25M-3-53-909098
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-302 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.)
R-302 1
PARENTS
X
19 Seymour St
LOLIVE.
6
JAN11
JAN11
R-301
PLACE OF DEATH
- Suffolk (County)
Minttirol (City of Town)
The Commonwealth of Massachusetts EDWARD J. CRONIN SECRETARY OF THE COMMONWEALTH DIVISION OF VITAL STATISTICS
STANDARD CERTIFICATE OF DEATH
Registered No.
281
[(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.)
87 Woodside Que
St.
(If nonresident, give city or town and State)
Length of stay: In place of death ............ years.
21
1953
(Month)
(Day)
(Year)
4 I HEREBY CERTIFY,
That I attended deceased from
19 to
19.
10a If married, widowed, or divorced
HUSBAND of.
Telen
abili
(Give maiden name of wife in full)
(or) WIFE of
(Husband's name in full)
11 IF STILLBORN, enter that fact here.
12
AGE 52 Years
.Months.
Days
If under 24 hours
Hours .....
.Minutes
13 Usual
Occupation :...
Salesman
(Kind of work done during most of working life)
14 Industry
or Business:
Furniture
15 Social Security No ..
16 BIRTHPLACE (City).
(State or country)
Boston Har
17 NAME OF FATHER Alexander 71 Bianco
18 BIRTHPLACE OF FATHER (City) (State or country)
Italy
19 MAIDEN NAME OF MOTHER
vive Piscopo
20 BIRTHPLACE OF MOTHER (City) (State or country)
Italy
21 Informant.
Helen Bianco Vincios
(Address) 29 Grandeile and Handles
I HEREBY CERTIFY that a satisfactory standard certificate of death was filed with me BEFORE the burial or transit permit was issued:
(Signature of Agent of Board of Health or other)
1425.53
A TRUE COPY ATTEST:
TWEEN OHSET AND DEATH Sulla
ANTE Due To CEDENT (b) CAUSES
Due To
Signed for
board of health
OTHER SIGNIFICANT CONDITIONS
Major findings:
Of operations
Date of operation
hang Was autopsy performed? home
What test confirmed diagnosis?
5 Was disease or injury in any way related to occupation of deceased 20 If so, specify (Signed). (Address).
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