USA > Massachusetts > Suffolk County > Winthrop > Town of Winthrop : Record of Deaths 1954 > Part 14
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· 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 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 oceupation 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, ete. 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
Middlesex (County)
Malden
The Commonwealth of Massachusetts EDWARD J. CRONIN SECRETARY OF THE COMMONWEALTH DIVISION OF VITAL STATISTICS COPY OF CERTIFICATE OF, DEATH 490 Highland Ave.
Malden
(City or town making return)
Registered No.
J(If death occurred in a hospital or institution, Kar-Bern Nursing Home ,Malden Mass .St. \ give its NAME instead of street and number) No.
Katharine R. Maguire
2 FULL NAME.
(If deceased is a married, widowed or divorced woman, give also maiden name.)
Winthrop Arms Hotel 30 Thover
(Was deceased a
U. S. War Veteran.
if so specify WAR)
No
(a) Residence. No. (Usual place of abode)
(If nonresident, give city or town and State)
Length of stay: In place of death
5
.years
9
.months
18
days. In place of residence
.years
9
.. months1.8 ..... days.
MEDICAL CERTIFICATE OF DEATH
PERSONAL AND STATISTICAL PARTICULARS
DATE O
DEATH
February
15
1954
(Month)
(Day)
(Year)
4 I HEREBY CERTIFY,
That I attended deceased from
May
16+8
February .... 15 .... 1954
to.
I last saw
er
alive on:
February 14,54, death is said to
10a If married, widowed, or divorced
HUSBAND of.
(Give maiden name of wife in full)
James E. Maguire
(or) WIFE of
(Husband's name in full)
11 IF STILLBORN. enter that fact here.
12
Years
AGE.7.9.
-
Months ............ Days
If under 24 hours
Hours ...
.Minutes
13 Usual
Occupation:
Home
(Kind of work done during most of working life)
14 Industry
or Business:
Home
15 Social Security No.
Non.e.
16 BIRTHPLACE (City).
(State or country)
mass.
17 NAME OF
FATHER
Thomas Roche
18 BIRTHPLACE OF
FATHER (City)
(State or country)
Mass.
Boston
19 MAIDEN NAME
OF MOTHER
Unknown
20 BIRTHPLACE OF
MOTHER (City)
(State or country)
Mass.
Boston
(Address) Holy Cross Malden
6 Place of Burial or Cremation February 17, 54
(City or Town)
DATE OF BURIAL.
7 NAME OF Gerald F. Scally FUNERALDIRECTCasant St., Dorchester 54 ADDRESS
Received and filed . MAR 1954 19
(Registrar of City or Town where deceased resided)
8 SEX
9 COLOR OR RACE
10 SINGLE
MARRIED
WIDOWED
or DIVORCED
(write the word)
Widow
have occurred on the date stated above,
4:40 P
.m.
INTERVAL BE-
TWEEN ONSET
AND DEATH
DISEASE OR CONDITION
DIRECTLY LEADING
TO DEATH (a)
Coronary Thrombosis4-6
hrs.
ANTE
Due To Arteriosclerotic
20-
35yrs.
CEDENT (b)
CAUSES
Heart Disease
Due To
Generalized
20-
(c)
Arteriosclerosis
25yrs
OTHER
SIGNIFICANT
Abdominal Cyst
12-18
CONDITIONS
(mesenteric )
nos.
Major findings: Of operations.
Was autopsy performed?
No
Date of operation.
What test confirmed diagnosis? Clinical
5 Was disease or injury in any way related to occupation of deceased ?! Q
If so, speEdmund L ..... Whelan
(Signed) 119
Forest St.medford
M. D.
Date ....
2-15-54
PARENTS
Informanto
21
Richard Maguire
(Address) 20 Ridgefield Rd.Winchester .....
A TRUE COPY
Raymond . Mamones
ATTEST:
.... (Registrar of City br Town where death occurred)
February 17th.1954
DATE FILED
X
A R-302 1
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.)
25M.(B)-11-51-905807
(City or Town)
swinthrop,
..... ass.
Female
White
Boston
1
C
6
MAR-5
R-301A 1
PLACE OF DEATH
(County) Winthrop (City or Town) Paul's No.
The Commonwealth of Massachusetts EDWARD J. CRONIN SECRETARY OF THE COMMONWEALTH DIVISION OF VITAL STATISTICS STANDARD CERTIFICATE OF DEATH
To be filed for burlal .permit with Board of Health or 1ts Agent.
Registered No.
2 FULL NAME Margaret O' Forman (If deceased is a married, widowed or divorced woman, give also maiden name.)
(a) Residence. No. 195 Cliff Avenue (Usual place of abode) 5
.............
St. . Winthrop
· (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
8 SEX
Female
9 COLOR OR RACE
White
10 SINGLE
MARRIED
WIDOWED
or DIVORCED
(write the word)
(Month)
(Day)
(Year)
4 I HEREBY CERTIFY,
That I attended deceased from
10/11
19.51
to.
2/15
19.5%
I last saw h.
.alive on
2/15
19.5 ...... death is said to
have occurred on the date stated above, at
5H+
.m.
DISEASE OR CONDITION,
DIRECTLY LEADING
TO DEATH (a)
DING Sobral Hementer
INTERVAL BE- TWEEN ONSET AND DEATH 12hrs
11 IF STILLBORN, enter that fact here.
12
AGE3.6
Years
Months.
Days
If under 24 hours
Hours ... ... Minutes
13 Usual
Occupation
at home
(Kind of work done during most of working life)
14 Industry or Business :.
15 Social Security No.
none
16 BIRTHPLACE (City).
(State or country)
Worcester
, Mass.
17 NAME OF
FATHER
John O'Gorman
18 BIRTHPLACE OF
FATHER (City)
London
(State or country)
England
19 MAIDEN NAME
OF MOTHER
Anne O'Brien
20 BIRTHPLACE OF MOTHER (City) (State or country)
Ireland
21
Informant
(Address)
Milot Underwood
1. Blair Nt., Worcester.
7 NAME OF FUNERAL DIRECTOR 867 Beacon Sty, Boston
ADDRESS.
Received and filed
February 15, 10 57
(Registrar)
5 yrs
Du · Puttini Alivores
(c)
5 yes
OTHER
SIGNIFICANT
CONDITIONS
5 yes
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? /1-t
If so, specify ..
(Signed)
(Address) 2+ Plescan t Muth Date 2/19
M. D.
1927
6 . St. John's Place of Burial or Cremation
Worcester
(City or Town)
DATE OF BURIAL
Fax 17 1954
A
I HEREBY CERTIFY that a satisfactory standard certificate of death was filed with me BEFORE the burial or transit permit was issued: Walter S. takker (Signature of Agent of Board of Health or other)~
Healthe Office 2.15.54
(Official Designation) (Date of Issue of Permit)
UCTIONS OR CERTIFICATE
iving OF DEATH t enter han one For each b) and (c)
oes not mean f dying, such ure, asthenia, s the disease. ations which h.
conditions, ng rise to the (a) stating ying cause
ons contrib- death but not e disease or using death.
50M-3-53-909098
THY
3 DATE OF
DEATH
Fel
1.5
1954
J(If death occurred in a hospital or institution.
St. [ give its NAME instead of street and number)
PHYSICIAN - IMPORTANT
(Was deceased a U. S. War Veteran, [ if so specify WAR) no
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 CEDENT (b) CAUSES
Due To Hypertension-
PARENTS
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 f an undertaker or other authorized person or of any member of the family of he 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- een, shall, if the deceased, to the best of his knowledge and belief, served in the rmy, 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 hall 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. for the purposes of this section and of sections forty-five, forty-six and forty-seven f said chapter one hundred and fourteen, the word "war" shall include the China elief expedition and the Philippine insurrection, which shall, for said purposes, be eemed to have taken place between February fourteenth, eighteen hundred and inety-eight and July fourth, nineteen hundred and two, and the Mexican border ervice of nineteen hundred and sixteen and ninetcen 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 ther 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 f the town where the body is buried. No such permit shall be issued until there hall 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 nough 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 by 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 he undertaker desiring to make such removal shall constitute a permit for such emoval; 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 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 rule's 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 in'jury, 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 person's 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
X Suffolk (County)
Boston 3/8/5+
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.
43
Registered No.
J(If death occurred in a hospital or institution, St. [ give its NAME instead of street and number)
angelo Mannette
(If deceased is a married, widowed or divorced woman, give also maiden name.)
34 West Eagle 6ª Boston
(a) Residence. No. (Usual place of abode)
Length of stay: In place of death/ years. 13 .months. .days. In place of residence .:
30 years 3
.. months days.
MEDICAL CERTIFICATE OF DEATH
PERSONAL AND STATISTICAL PARTICULARS
8 SEX
Male
9 COLOR OR RACE
White
10 SINGLE
MARRIED
WIDOWED
or DIVORCED
(write the word)
Widowich
4 I HEREBY CERTIFY,
3/4
19
40
to
1954
have occurred on the date stated above, at
INTERVAL BE-
(Husband's name in full)
11 IF STILLBORN, enter that fact here.
12
AGE
14 Years
1
Months
Days
If under 24 hours
Hours
Minutes
13 Usual
Occupation:
Retired Candy Maker
(Kind of work done dufing most of working life)
14 Industry
or Business:
Canary Maker Foreman
15 Social Security No ..
0-4-10-55-35
16 BIRTHPLACE (City)
(State or country)
Italy
17 NAME OF
FATHER
Ralph ManinETTa
18 BIRTHPLACE OF FATHER (City) (State or country)
quelina
Italy
19 MAIDEN NAME
OF MOTHER
Carmelina
20 BIRTHPLACE OF
MOTHER (City)
quelino
(State or country)
Italy
Louise Massarol
21 Informant. (Address) 34 West Corre LL@ Doston
I HEREBY CERTIFY that a satisfactory standard certificate of death was filed with me BEFORE the burial or transit permit was issued:
Walter t- Kraker (Signature of Agent of Board of Health or other)
acattle frecer 2.19.54
(Official Designation)
(Date of Issue of Permit)
RUCTIONS FOR CERTIFICATE
giving OF DEATH ot enter than one for each (b) and (c)
does not mean of dying, such ilure. asthenia, ans the disease, cations which th.
id conditions, ing rise to the se (a) stating rlying cause
tions contrib- e death but not the disease or causing death.
7.7-100
117
5 Was disease or injury in any way related to occupation of deceased?
If so, specify how
FORBIN
(Signed) .... my parzia, M. D. (Address) 116 Proudhon Date 9/19.199
6 Place of Burial or Cremation (City or Town)
DATE OF BURIAL. February 20 19.5
scaramella
7 NAME OF
FUNERAL DIRECTOR ..
ADDRESS
39
Orleans M. E. Luster
Received and filed
.19
EasTidosTon 7-3663
(Registrar)
10a If married, widowed, or divorced HUSBAND of
Quer Deltanto
(Give maiden name of wife in full)
I last saw h. um .. alive on
INTERSTITial
DISEASE OR CONDITION,
DIRECTLY LEADING
TO DEATH (a)
Interstitial
TWEEN ONSET AND DEATH
nephritis
ANTE
Die To
cerebral
CEDENT (b)
CAUSES
thrombosis
Due To Cupentensión
(c)
OTHER
Diabetes
SIGNIFICANT
CONDITIONS
Major findings:
Of operations.
Date of operation.
.Was autopsy performed?
What test confirmed diagnosis ?.
mardin
SOM-5-52-907046
2
17
5 $
(Month)
(Day)
(Year)
That
I
attended deceased from
2/17
2/1
19.57 death is said to
(or) WIFE of
PHYSICIAN - IMPORTANT (Was deceased a U. S. War Veteran, if so specify WAR)
2 FULL NAME
No.
A R-301A 1 Winthrop Mass (City or Town) Mayflower
Nursing Home
St. (If nonresident, give city or town and State)
Cretine Avellino
PARENTS
3 DATE OF
DEATH
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 leath 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 he 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 hall 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 elief 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 n a town, or remove therefrom a human body which has not been buried, until he las received a permit from the board of health, or its agent appointed to issue uch 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 emove it from a town, from one cemetery to another, or from one grave or tomb ther than the receiving tomb to another in the same cemetery, until he has eceived 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 hall 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 eturned and recorded, which shall be accompanied. in case of an original inter- nent, by a satisfactory certificate of the attending physician. if any, as required by aw, 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 ermit 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.
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