USA > Massachusetts > Suffolk County > Winthrop > Town of Winthrop : Record of Deaths 1954 > Part 12
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Months 23
Days
If under 24 hours
Hours .. Minutes
13 Usual
Occupation :.
salesman wholesale
(Kind of work done during most of working life)
3 years
14 Industry
or Business:
Mello-Ripe Fruit Co.
5 Social Security No ..... 012-05-9249
16 BIRTHPLACE (City).
(State or country)
New York City
N . Y.
17 NAME OF
FATHER
Frank Pittelli
PARENTS
18 BIRTHPLACE OF
FATHER (City)
(State or country)
Italy
19 MAIDEN NAME
OF MOTHER
Catherine Oliva
20 BIRTHPLACE OF
MOTHER (City)
New York City
(State or country)
N.Y
21 Informant
·(Address)
364
H
THEREBY CERTIFY that a satisfactory standard certificate of death was filed with me BEFORE the burial or transit permit was issued:
ass. Walter H. Baker
Signature of Agent of Board of Health or other health officer 2.8.54
(Official Designation) (Date of Issue of Permit)
by
50M-10-52-908091
DATE OF BURIAL February 9 ,1954 19
7 NAME OF
FUNERAL DIRECTOR
Lelked 15. March
ADDRESS 174 Winthrop St, Winthrop,
Received and filed Few, 8 1
(Registrar)
3 DATE OF
DEATH
February 6, 1954
(Year)
(Month)
4 I HEREBY CERTIFY,
That I attended deceased from
Dec. 27
19 .......
1054
to.
FEB
6
I last saw h.AMA .... alive on
27
54
death is said to
have occurred on the date stated above, at
'10:00A. m.
DISEASE OR CONDITION
DIRECTLY LEADING
TO DEATH (a).
Coop
Allareal varias
ANTE
CEDENT (b)
CAUSES
Due To
acidosis of the
liver
Due To (c)
OTHER
SIGNIFICANT
CONDITIONS
PaRECENTESis
Major findings:
Of operations.
lone wolf percentis
Date of operation 25,1954 Was autopsy performed.
What test confirmed diagnosis ?..
Clinicalt laboratory
5 Was disease or injury in any way related to occupation of deceased?" ...
If so, specify ....
M. D.
(Signed)
(Address) Trhuby St Unterde FEL0 6 1954
6 Winthrop Cemetery, Winthrop .. Mass Place of Burial or Cremation
R-301A 1
CTIONS OR ERTIFICATE vin 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 using death.
M.S.
Registered No.
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 cath of a person whom he has attended during his last illness, at the request f an undertaker or other authorized person or of any member of the family of e deceased. furnish for registration a standard certificate of death, stating to the est of his knowledge and belief the name of the deceased, his supposed age, the isease of which he died. defined as required by section one, where same was ontracted, the duration of his last illness, when last seen alive by the physician r 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 receding section or by section forty-five of chapter one hundred and four- en, shall. if the deceased, to the best of his knowledge and belief. served in the my, navy or marine corps of the United States in any war in which it has been ngaged, insert in the certificate a recital to that effect, specifying the war, and iall also certify in such certificate both the primary and the secondary or imme- iate cause of death as nearly as he can state the same. For neglect to comply ith any provision of this section, such physician or officer, shall forfeit ten dollars. or the purposes of this section and of sections forty-five, forty-six and forty-seven [ said chapter one hundred and fourteen, the word "war" shall include the China lief expedition and the Philippine insurrection, which shall, for said purposes, be eemed to have taken place between February fourteenth, eighteen hundred and nety-eight and July fourth, nineteen hundred and two, and the Mexican border ·rvice of nineteen hundred and sixteen and nineteen hundred and seventeen. . L. Chap. 46. Sec. 10.
No undertaker or other person shall bury or otherwise dispose of a human body a town, or remove therefrom a human body which has not been buried, until he as received a permit from the board of health, or its agent appointed to issue ich permits, or if there is no such board, from the clerk of the town where the erson died; and no undertaker or other person shall exhume a human body and move it from a town, from one cemetery to another, or from one grave or tomb her than the receiving tomb to another in the same cemetery, until he has ceived a permit from the board of health or its agent aforesaid or from the clerk the town where the body is buried. No such permit shall be issued until there all have been delivered to such board, agent or clerk, as the case may be, satisfactory written statement containing the facts required by law to be turned and recorded, which shall be accompanied, in case of an original inter- ent, by a satisfactory certificate of the attending physician, if any, as required by w, or in lieu thereof a certificate as hereinafter provided. If there is no attending hysician, or if, for sufficient reasons, his certificate cannot be obtained early hough for the purpose, or is insufficient, a physician who is a member of the board f health, or employed by it or by the selectmen for the purpose, shall upon pplication make the certificate required of the attending physician. If death is
aused hy violence, the medical examiner shall make such certificate. If such a ermit for the removal of a human body, not previously interred, from one town another within the commonwealth cannot be obtained early enough for the urpose, the certificate of death made as above provided and in the possession of ne undertaker desiring to make such removal shall constitute a permit for such moval; provided, that such body shall be returned to the town from which it was emoved within thirty-six hours after such removal, unless a permit in the usual orm 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 huried 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) 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 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
R-301A 1
PLACE OF DEATH
1 Suffolk (County)
(City or Town)
The Commonwealth of Massachusetts EDWARD J. CRONIN SECRETARY OF THE COMMONWEALTH DIVISION OF VITAL STATISTICS STANDARD CERTIFICATE OF DEATH
To be filed for burial -permit with Board of Health or its Agent.
37
J (If death occurred in a hospital or institution, St. [ give its NAME instead of street and number)
John Francis Downey
2 FULL NAME ..
PHYSICIAN - IMPORTANT
(If deceased is a married, widowed or divorced woman, give also maiden name.)
29 Chester are
St.
(If nonresident, give city or town and State)
Length of stay: In place of death ... years. months days. In place of residence
5 years.
months
.days.
MEDICAL CERTIFICATE OF DEATH
PERSONAL AND STATISTICAL PARTICULARS
8 SEX
male
9 COLOR OR RACE
Shite
10 SINGLE
(write the word)
Widowed
MARRIED
WIDOWED
or DIVORCED
4 I HEREBY CERTIFY,
That I attended deceased
from
Eu 15 1954
to
Fil-6
19544
last saw hen alive on
19.5 %, death is said to
have occurred on the date stated above, at
8454mm.
INTERVAL BE- TWEEN ONSET AND DEATH
11 IF STILLBORN, enter that fact here.
83
12
AGE
.Years
6 Months 20 Days
If under 24 hours
Hours
..
Minutes
13 Usual
Occupation:
Retired
Steredne
(Kind of work done during most of working life)
14 Industry
or Business:
15 Social Security No.
16 BIRTHPLACE (City)
(State or country)
Biston mars
17 NAME OF
FATHER
Edward Downey
18 BIRTHPLACE OF
FATHER (City)
(State or country)
heland
19 MAIDEN NAME
OF MOTHER
Bridget Leach
20 BIRTHPLACE OF
MOTHER (City)
(State or country)
Ireland
6 ..
Winthrop Cemetery
Place of Burial or Cremation
(City or Town)
DATE OF BURIAL ..
Det. 9
1954
7 NAME OF
FUNERAL DIRECTOR
John E. Mc Cray
ADDRESS
223 Hearts are arlington
9 1954
19
Received and filed
(Registrar)
5 years
Due To (c)
OTHER
SIGNIFICANT
CONDITIONS
Major findings:
Of operations.
Date of operation
What test confirmed diagnosis?
.Was autopsy performed? Clinical digas
5 Was disease or injury in any way related to occupation of deceased? NO
fy SOJin May (Signed) (Address) Unterge
M. D.
PARENTS
Mrs. Edward Sharkey
21
Informant
(Address)
29 cheaten are. Winthrop
I HEREBY CERTIFY that a satisfactory standard certificate of death was filed with me BEFORE the burial or transit permit was issued: Walter et Haber (Signature 99 Agent of Board of Health or other)
Health Officer
2.9.54
(Official Designation) (Date of Issue of Permit)
CTIONS R ERTIFICATE
ving F DEATH enter an one or each )and (c)
es not mean dying, such re, asthenia. the disease. tions which .
conditions. g rise to the (a) stating ing cause
ns contrib- eath but not disease or sing death.
50M-3-53-909098
No.
29 Chester are.
(a) Residence. No. (Usual place of abode)
15
3 DATE OF
DEATH
February
7
1954
(Month)
('Year)
(Day)
Feb 7th
HUSBAND of
10a If married, widowed, or divorced
Catherine Keough
(Give maiden name of wife in full)
(or) WIFE of
(Husband's name in full)
DISEASE OR CONDITION
DIRECTLY LEADING
TO DEATH (a)
Central Anmerkung
ANTE
CEDENT (b)
CAUSES
1 (seule
Due
hypertension
Date Beby
1933
Registered No.
(Was deceased a
U. S. War Veteran,
if so specify WAR)
no
74
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 ath of a person whom he has attended during his last illness, at the request an undertaker or other authorized person or of any member of the family of e deceased. furnish 'or registration a standard certificate of death, stating to the st of his knowledge and belief the name of the deceased, his supposed age, the sease of which he died, defined as required by section one, where same was ntracted. the duration of his last illness, when last seen alive by the physician 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 eceding section or by section forty-five of chapter one hundred and four- en, shall, if the deceased. to the best of his knowledge and belief, served in the my, navy or marine corps of the United States in any war in which it has been gaged, insert in the certificate a recital to that effect, specifying the war, and all also certify in such certificate both the primary and the secondary or imine- ate cause of death as nearly as he can state the same. For neglect to comply th any provision of this section, such physician or officer, shall forfeit ten dollars. or the purposes of this section and of sections forty-five, forty-six and forty-seven Said chapter one hundred and fourteen, the word "war" shall include the China lief expedition and the Philippine insurrection, which shall, for said purposes, be emed to have taken place between February fourteenth, eighteen hundred and nety-eight and July fourth, nineteen hundred and two, and the Mexican border rvice of nineteen hundred and sixteen and nineteen hundred and seventeen. L. Chap. 46. Sec. 10.
No undertaker or other person shall bury or otherwise dispose of a human body a town, or remove therefrom a human body which has not been buried, until he s received a permit from the board of health, or its agent appointed to issue ch permits, or if there is no such board, from the clerk of the town where the rson died; and no undertaker or other person shall exhume a human body and move it from a town, from one cemetery to another, or from one grave or tomb her than the receiving tomb to another in the same cemetery, until he has ceived a permit from the board of health or its agent aforesaid or from the clerk the town where the body is buried. No such permit shall be issued until there all have been delivered to such board, agent or clerk, as the case may be, satisfactory written statement containing the facts required by law to be turned and recorded, which shall be accompanied, in case of an original inter- ent, by a satisfactory certificate of the attending physician, if any, as required by w, or in lieu thereof a certificate as hereinafter provided. If there is no attending ysician, or if, for sufficient reasons, his certificate cannot be obtained early ough for the purpose, or is insufficient, a physician who is a member of the board health, or employed by it or by the selectmen for the purpose, shall upon plication make the certificate required of the attending physician. If death is used by violence, the medical examiner shall make such certificate. If such a rmit for the removal of a human body, not previously interred, from one town another within the commonwealth cannot be obtained early enough for the irpose. the certificate of death made as above provided and in the possession of e undertaker desiring to make such removal shall constitute a permit for such moval; provided, that such body shall be returned to the town from which it was moved within thirty-six hours after such removal, unless a permit in the usual rm 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 dierk 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).
GRULES 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 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.
PACE FOR ADDITIONAL INFORMATION
DATE OF ENTERING MILITARY SERVICE
DATE OF DISCHARGE
ANK, RATING ORGANIZATION AND OUTFIT.
SERVICE NUMBER
X
PLACE OF DEATH
Suffolk (County)
Winthrop (City or Town)
The Commonwealth of Massachusetts EDWARD J. CRONIN SECRETARY OF THE COMMONWEALTH DIVISION OF VITAL STATISTICS STANDARD CERTIFICATE OF DEATH
To be filed for burial ·permit with Board of Health or its Agent.
33
No. 11 Bartlett Parkway
J(If death occurred in a hospital or institution. St. [ give its NAME instead of street and number)
PHYSICIAN - IMPORTANT
(If deceased is a married, widowed or divorced woman, give also maiden name.)
11 Bartlett Parkway
(a) Residence. No. (Usual place of abode)
St. (If nonresident, give city or town and State)
Length of stay: In place of death years. months days. In place of residence 45 years months .days.
MEDICAL CERTIFICATE OF DEATH
PERSONAL AND STATISTICAL PARTICULARS
3 DATE OF
DEATH
February 10 1954
(Month)
(Day)
(Year)
8 SEX
Female
9 COLOR OR RACE
White
10 SINGLE
(write the word)
MARRIED
WIDOWED
or DIVORCarried
4 I HEREBY CERTIFY,
That I attended deceased from
tab1,.
1954
to
Feb 10
1954
...
I last saw }
or alive on
Feb9, 1954 death is said to
have occurred on the date stated above, at m.
INTERVAL BE- TWEEN ONSET AND DEATH
11 IF STILLBORN, enter that fact here.
12
AGE 76 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
15 Social Security No.
16 BIRTHPLACE (City)
(State or country)
New York
17 NAME OF
FATHER
Timothy B. Dempsey
18 BIRTHPLACE OF
FATHER (City)
Rochester
(State or country)
New York
19 MAIDEN NAME
OF MOTHER
Mary Dyson
20 BIRTHPLACE OF
MOTHER (City)
(State or country)
Canada
21 John Nugent
Informant
(Address)
Il Bartlett Parkway
I HEREBY CERTIFY that a satisfactory standard certificate of death was filed with me BEFORE the burial or transit permit was issued:
Walter & Laker (Signature of Agent of Board of Health or other)
Health Officer 2.11.54
(Official Designation)
(Date of Issue of Permit)
10a If married, widowed, or divorced
HUSBAND of
(Give maiden name of wife in full)
(or) WIFE of
Christopher C. Nugent
(Husband's name in full)
DISEASE OR CONDITION - DIRECTLY LEADING TO DEATH (a) Cerebral Hems.kluge Sudden
ANTE
Due To
Typertension
CEDENT (b) CAUSES
jeux
Due To
(c)
OTHER
SIGNIFICANT
CONDITIONS
Major findings:
Of operations.
Was autopsy performed ?.. 200
What test confirmed diagnosis ?.
5 Was disease or injury in any way related to occupation of deceased? 200
Il so, specify HOFIKK
(Signed).
(Address)
Date 7026-11
GevinThrip.
M. D. 1957
6 Winthrop
Winthrop
Place of Burial or Cremation (City of Town)
DATE OF BURIAL
February
54
19
7 NAME OF
FUNERAL DIRECTOR
John F. OMaley.
ADDRESS Winthrop Mass
Received and filed. YES : 1954 19
(Registrar)
PARENTS
50M-3-53-909098
R-301A 1
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.
M.S.
2 FULL NAME ..
Mary Dempsey Nugent
(Was deceased a
U. S. War Veteran,
if so specify WAR)
Registered No.
Rochester
Date of operation
ClinicalSigns.
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 eath of a person whom he has attended during his last illness, at the request ' an undertaker or other authorized person or of any member of the family of e deceased. furnish for registration a standard certificate of death, stating to the est of his knowledge and belief the name of the deceased, his supposed age, the isease of which he died, defined as required by section one, where same was ontracted, the duration of his last illness, when last seen alive by the physician 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 receding section or by section forty-five of chapter one hundred and four- en, shall, if the deceased, to the best of his knowledge and belief, served in the my, navy or marine corps of the United States in any war in which it has been gaged, insert in the certificate a recital to that effect, specifying the war, and iall also certify in such certificate both the primary and the secondary or imme- ate cause of death as nearly as he can state the same. For neglect to comply ith any provision of this section, such physician or officer, shall forfeit ten dollars. or the purposes of this section and of sections forty-five, forty-six and forty-seven `said chapter one hundred and fourteen, the word "war" shall include the China lief expedition and the Philippine insurrection, which shall, for said purposes, be emed to have taken place between February fourteenth, eighteen hundred and nety-eight and July fourth, nineteen hundred and two, and the Mexican border rvice of nineteen hundred and sixteen and nineteen hundred and seventeen. . L. Chap. 46, Sec. 10.
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