USA > Massachusetts > Suffolk County > Winthrop > Town of Winthrop : Record of Deaths 1953 > Part 87
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Date-
19553
6 . Minuloch Place of Burial or Cremation
(City or Town)
DATE OF BURIAL Dec 26 19
7 NAME OF
FUNERAL DIRECTOR.
Maurice W 1 Ruter
ADDRESS
Received and filed.
DEC 21
19
(Registrar)
PERSONAL AND STATISTICAL PARTICULARS
(write the word)
8 SEX
Mali
9 COLOR OR RACE
10 SINGLE
MARRIED
WIDOWED
or DIVORCED
Marcial
I last saw h ............ alive on
, 19 ........ , death is said to
have occurred on the date stated above, at.
4.30 8
.. m.
INTERVAL BE-
DISEASE OR CONDITION
DIRECTLY LEADING Natural Causes
TO DEATH (a),
Coronary Heart Donese
3 DATE OF
DEATH
TIONS R RTIFICATE ving DEATH enter an one r each and (c)
s not mean lying, such e, asthenia, -) the disease, ons which
conditions, rise to the (a) stating ng cause
ns contrib. ath but not disease or ing death.
50M.(A)-11-51-905807
1.5.
---
(City or town making return)
No.
18 Washington Cias Alexander 71 Bianco
(Was deceased a U. S. War Veteran, if so specify WAR)
none
(a) Residence. No. (Usual place of abode)
months. ...... days. In place of residence. 30 years.
.months.
.days.
MEDICAL CERTIFICATE OF DEATH
(Official Designation).
(Date of Issue of Permit)
PARENTS
Twd/ Lucan 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 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 hest 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 ot his last illness, when last seen alive hy 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 hy 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 hetween February fourteenth, eighteen hundred and ninety-eight and July fourth, ninetcen hundred and two, and the Mexican horder service of nineteen hundred and sixteen and nineteen hundred and seven- teen. 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 hoard, 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 he 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 hy 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 hy 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 hy 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 ahove 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 ohtained 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 heen 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 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 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 hodies of only such persons as are supposed to have died hy 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 shall bury a human body or the ashes thereof which have been hrought 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 hody is to be buried or the funeral is to he held, or from a person appointed to have the care of the cemetery or hurial 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 following 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 deaths only as those of persons who, though disahled 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 deatbs 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, hut 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 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 hy 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
R-301A 1
PLACE OF DEATH
Suffolk (County)
Winthrop (City or Town)
The Commonwealth of Massachusetts EDWARD J. CRONIN SECRETARY OF THE COMMONWEALTH DIVISION OF VITAL STATISTICS STANDARD
CERTIFICATE OF DEATH
Registered No.
282
Winthrop Community Hospital No.
J(If death occurred in a hospital or institution,
St. [ give its NAME instead of street and number)
(If deceased is a married, widowed or divorced woman, give also maiden name.)
24 Dolphin Ave.
St.
(If nonresident, give city or town and State)
Length of stay: In place of death
... years ..
1
months
days. In place of residence. 50
.years
months
.days.
MEDICAL CERTIFICATE OF DEATH
PERSONAL AND STATISTICAL PARTICULARS
3 DATE OF
DEATH
(Month)
(Day)
That I attended deceased from
to
Dec 25
1922
I last saw h &w ........ alive on
De 25
1923
death is said to
have occurred on the date stated above, at 8:00A
10a If married, widowed, or divorced
HUSBAND of
(Give maiden name of wife in full)
(or) WIFE of
Joseph Bradley
(Husband's name in full)
DISEASE OR CONDITION
DIRECTLY LEADING
TO DEATH (a)
Intestinal obstruct
m.
INTERVAL BE-
TWEEN ONSET
AND DEATH
12hr
11 IF STILLBORN, enter that fact here.
12
AGE
76
Years
Months.
Days
If under 24 hours
Hours ....
.. Minutes
13 Usual
Occupation:
Housewife
14 Industry
or Business:
Own .... Home
15 Social Security No.
16 BIRTHPLACE (City).
(State or country)
Mass
17 NAME OF
FATHER
John T. Sullivan
18 BIRTHPLACE OF
FATHER (City)
Boston
(State or country)
Mass
19 MAIDEN NAME
OF MOTHER
Catherine J. McQuade
20 BIRTHPLACE OF MOTHER (City) (State or country)
Conneticut
21 Regina Bradley
Informant
(Address)
24 Dolphin Ave Winthroo
I HEREBY CERTIFY that a satisfactory standard certificate of death was filed with me BEFORE the burial or transit permit was issued:
Watter A. Baker
(Signature of Agent of Board of Health or other) Theallt Office 17-28-53
(Official Designation) (Date of Issue of Permit)
50M-5.52-907046
7 NAME OF FUNERAL DIRECTOR: 1 € 41,01
Winthrop Mass
ADDRESS
DEC 28 1953 .19
(Registrar)
6 m
Due To (c)
OTHER
SIGNIFICANT
CONDITIONS
Major findings:
Of operations.
Carcinom female bowl
Date of operation
Dec 24.53 Was autopsy performed?
200
What test confirmed diagnosis ?..
operation
5 Was disease or injury in any way related to occupation of deceased?
If so, specify
(Signed).
(Address) 624Bank
20
Rymde gately D M. D.
On Date De25 1952
6 Winthrop
Winthrop (City or Town)
Place of Burial or Cremation
DATE OF BURIAL.
December 28 153
PARENTS
9 COLOR OR RACE
10 SINGLE
MARRIED
WIDOWED
or DIVORWEndowed
(write the word)
4 LHEREBY CERTIFY,
Dec 22
53
19
December 35 1953 (Year)
8 SEX
Female
White
PHYSICIAN - IMPORTANT
(Was deceased a
U. S. War Veteran.
if so specify WAR)
(a) Residence. No. (Usual place of abode)
Margaret A. Bradley
2 FULL NAME
UCTIONS FOR CERTIFICATE iving OF DEATH t enter han one for each b) and (c)
does 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.
Due To Carcinoma 1 small
ANTE
CEDENT (b)
CAUSES
intestine
(Kind of work done during most of working life)
Boston
Received and filed
To be filed for burial permit with Board of Health . or its Agent.
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 ninetcen hundred and seventecn. 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 or cause of the death, which the clerk or registrar may requirei-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 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 eaused 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
(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)
283 11 376
Magg General Hospt Boston No.
[(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.)
19 Beach Road
St. .. Winthrop
(If nonresident, give city or town and State)
Length of stay: In place of death
.....
years
months.
days. In place of residence.1 ........ years.
.. months.
.. days.
MEDICAL CERTIFICATE OF DEATH
PERSONAL AND STATISTICAL PARTICULARS
3 DATE OF
DEATH
Dec.25/53
8 SEX
9 COLOR OR RACE
10 SINGLE
MARRIED
WIDOWED
or DIVORCED
(write the word)
Wido wed
(Month)
(Day)
(Year)
4 I HEREBY CERTIFY,
That I
attended deceased from
19
53
10a If married, widowed, or divorced
Ida Aronsky
HUSBAND of
(Give maiden name of wife in full)
(or) WIFE of
(Husband's name in full)
DISEASE OR CONDITION
DIRECTLY LEADING
Lobar pneumonia
TO DEATH (a)
INTERVAL BE- TWEEN ONSET AND DEATH L Daya
11 IF STILLBORN, enter that fact here.
12
AGE7 8.
.. Years
.. Months.
Days
If under 24 hours
Hours ........ Minutes
13 Usual
Occupation :
Retired
(Kind of work done during most of working life)
14 Industry or Business:
15 Social Security No.
16 BIRTHPLACE (City)
Russia
(State or country)
17 NAME OF FATHER Raphael Liberman
18 BIRTHPLACE OF
FATHER (City).
(State or country)
Russia
19 MAIDEN NAME
OF MOTHER
-
20 BIRTHPLACE OF
Russia
6 Place of Burial or Cremation (City or Town)
DATE OF BURIAL.
Dec.27/53
19
7 NAME OF
FUNERAL DIRECTOR.
B Bimbach
ADDRESS.
Dorchester Mass .
Received and filed
19
(Registrar of City or Town where deceased resided)
PARENTS
MOTHER (City)
State or country)
21
Informant
(Address)
1
Nathan Andelman
A TRUE COPY Les H
ATTEST:
(Registrar of CiDetT.29/53
death occurred)
DATE FILED .19
25M-3.53.909098
5 Was disease or injury in any way related to occupation of deceased? If so, specify.
(Signed)
CL.Clay.
M. D.
(Address)
Hogy General Hos Date 70 26 1953
6 Day$
1 Ir.
Major findings:
Of operations
Date of operation
Was autopsy performed?
NO
What test confirmed diagnosis ?.
clinical
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, 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.)
A R-302 1
Registered NOS
(Was deceased a
U. S. War Veteran,
if so specify WAR)
(a) Residence. No. (Usual place of abode)
Dec.24
1953
to.
Dec .25
I last saw h ........ alive on.
19.
death is said to
have occurred on the date stated above. at.
3 .; 18Pmm.
ANTE
CEDENT (b)
CAUSES
Due To
Due To
(c)
OTHER
SIGNIFICANT
CONDITIONS
Cerebral thrombosis
Diabetes mellitus
Mt Lebanon ... Beth El-west Roxbury
Harry Liberman
JANIS
JANAC
R-301A 1 Muthup (City of Town) Bastano
PLACE OF DEATH
No."
Baby girl Letellier 2 FULL NAME.
(If deceased isja married, widowed or divorced woman, give also maiden name.) 123 Haire (a) Residence. No. (Usual place of abode)
St.
East Boston
(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
3 DATE OF
DEATH
pler
(Month)
26
(Day)
1959
(Year)
SEX
Female Shite
9 COLOR OR RACE
10 SINGLE
MARRIED
WIDOWED
or DIVORCED
Jungle
10a 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.
cet Stielbom
12
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:
15 Social Security No. . staanthrop moro.
16 BIRTHPLACE (City)
(State or country)
17 NAME OF
FATHER
Elevar Letellier
18 BIRTHPLACE OF FATHER (City) (State or country)
Cambridge
massol
19 MAIDEN NAME OF MOTHER Georgiana Say kach
20 BIRTHPLACE OF MOTHER (City) (State or country) mass.
Edward Letellier
21 Informant (Address) 123 saure St. 2,Boston
I HEREBY CERTIFY that a satisfactory standard certificate of death was filed with me BEFORE the burial or transit permit was issued: Wetter saber
(Signature of Agent of Board of Health or other)
H.O
Dec. LE - 1953
(Official Designation) (Date of Issue of Permit)
X
CTIONS OR ERTIFICATE
ving F DEATH . enter an one or each ) and (c)
es not mean dying, such re, asthenia, s the disease. tions which ·
conditions, g rise to the (a) stating ing cause
ns contrib- eath but not disease or sing death.
SOM (8)-1-51 903586
X Suffolk (County)
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.
284
Registered No.
J (If death occurred in a hospital or institution, St. \ give its NAME instead of street and number)
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