USA > Massachusetts > Suffolk County > Winthrop > Town of Winthrop : Record of Deaths 1954 > Part 70
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Of operations.
none
Date of operation
none
Was autopsy performed?
What test confirmed diagnosis?
Stethoscope
5 Was disease or injury in any way related to occupation of deceased ?. n.O. If so, specify.
(Signed),
Harold H
Newlanger
M: D.
Sharon Memorial Park Sharon
6 Place of Burial or Cremation (City or Town)
DATE OF BURIAL October 1, 1954
19
7 NAME OF
FUNERAL
PUIS Beacon St. Brookline
ADDRESS
Received and filed
(Registrar of City or Town where deceased resided)
PARENTS
17 NAME OF
FATHER
Harry Penn
18 BIRTHPLACE OF
FATHER (City) .. [] ..... S.
(State or country)
19 MAIDEN NAME
OF MOTHER
Betsy Pollay
20 BIRTHPLACE OF
MOTHER (City) } ..... S ....
(State or country)
21
Saml. L. Brown
Informant
(Address)
211 Cliff Ave.Winthrop
A TRUE COPY/
ATTEST:
(Registrar of City or Town where death occurred)
DATE FILED
Oct. 13 ...
1954
.
...
8 SEX
9 COLOR OR RACE
(write the word)
10a If married, widowed, or divorced
HUSBAND of
(Give maiden name of wife in full)
(or) WIFE of.
David.A.Alpert
(Husband's name in full)
DISEASE OR CONDITION
DIRECTLY LEADI
TO DEATH (a).
Cerebral Thrombosi
wks
ANTE
Due To
Hypertension
5yrs
CEDENT (b)
CAUSES
Due To
Unknown
-
(Address)Ly Leasant St. Date9/30/
Hyman J. Torf
R-302 1
(City or Town)
Malden Hospt.
No.
RECEIVED
-
THRI
OCT1% AM
R-301A 1
PLACE OF DEATH
Suffolk (County)
PasTon 10- 25- 54
The Commonwealth of Massachusetts EDWARD J. CRONIN, SECRETARY DIVISION OF VITAL STATISTICS
STANDARD CERTIFICATE OF DEATH
To be filed for burial permit with Board of Health or its Agent.
212
No.
Winthrop Community Hospital
J(If death occurred in a hospital or institution,
St. } give its NAME instead of street and number)
2 FULL NAME.
Patrick H. Kelley
(If deceased is a married, widowed or divorced woman, give also maiden name.)
PHYSICIAN - IMPORTANT
(Was deceased a
U. S. War Veteran,
if so specify WAR)
-
(a) Residence. No. (Usual place of abode)
42 Olney Street
St.
Dorchester Mass
(If nonresident, give city or town and State)
Length of stay: In place of death
.....
. ... years.
.months
1
days.
In place of residence
.. years
months
.. days.
MEDICAL CERTIFICATE OF DEATH
PERSONAL AND STATISTICAL PARTICULARS
3 DATE OF
DEATH
Octurar
(Month)
(Day)
(Year)
4.1955
8 SEX
Male
9 COLOR OR RACE
White
10 SINGLE
MARRIED
WIDOWED
of DIVORWEIdowed
4 I HEREBY CERTIFY.
attended deceased from
(3) ct 3
54
19
to
That
Oct 4
19VX
HUSBAND of.
(Give maiden name of wife in full)
(or) WIFE of
(Husband's name in full)
DISEASE OR CONDITION
DIRECTLY LEADING
TO DEATH (a)
Acute Pulmonary Edalla
TWEEN ONSET AND DEATH
11 IF STILLBORN, enter that fact here.
12
AGE
8.4 Years
Months .. .
Days
If under 24 hours
Hours .
Minutes'
13 Usual
Occupation :
Retired Lawyer
(Kind of work done during most of working life)
14 Industry
or Business :
Law
15 Social Security No.
16 BIRTHPLACE (City) (State or country) Ireland
17 NAME OF
FATHER
Patrick H. Kelley
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 ?.
40
If so, specify a rac it. Schw Arts AND
(Signed)
(Address) 19 Princeton sta Date 10/Y
195x
M. D.
6 St. Joseph's.
Boston
Place of Burial or Cremation
(City or Town)
DATE OF BURIAL October 6 1954
7 NAME OF
FUNERAL DIRECTOR.
Cutting . Ompley
ADDRESS
Winthrop Mass.
Received and filed.
(Registrar)
1 Day
ANTE
Due To
CEDENT (6)
CAUSES Chronic Myocarditis.
6 Months
Due To Chronic Hypertension
2 yrs
Dublin
PARENTS
18 BIRTHPLACE OF FATHER (City) (State or country) Ireland
19 MAIDEN NAME
OF MOTHER
Ellen Tarpey
20 BIRTHPLACE OF MOTHER (City) (State or country) Ireland
21 Mabel Mulrey
Informant (Address)
47" Wave Way Ave. , Winthrop
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) Healthe Officer 10/4/54
(Official Designation) (Date of Issue of Permit)
ICTIONS OR ERTIFICATE
iving F DEATH t enter han one or each ) and (c)
Does not mean dying. such re, asthenia. s the disease. lions which
conditions, g rise to the (a) stating ying cause
ons contrib. death but not e disease or using death.
50M-2-49-25666
(write the word)
10a If married, widowed.,
Julia Loring
I last saw
h Un alive on
vet 4
. 1954
.. , death is said to
have occurred on the date stated above, at 8 A.m.
INTERVAL BE-
OTHER
SIGNIFICANT
CONDITIONS
None
V 10-6-54
19
35
Registered No.
Winthrop (City or Town)
EXTRACTS FROM THE LAWS OF THE COMMONWEALTH OF MASSACHUSETTS GOVERNING THE
RETURN OF CERTIFICATES OF DEATH
A physician or registered hospital medical officer shall forthwith, after the death of a person whom he has attended during his last illness, at the request of an undertaker or other authorized person or of any member of the family of the deceased, furnish for registration a standard certificate of death, stating to the best of his knowledge and belief the name of the deceased, his supposed age, the disease of which he died, defined as required by section one, where same was contracted, the duration of his last illness, when last seen alive by the physician or officer and the date of his death. . . Gen. Laws, Chap. 46, Sec. 9.
A physician or officer furnishing a certificate of death as required by the preceding section or by section forty-five of chapter one hundred and four- teen, shall, if the deceased, to the best of his knowledge and belief, served in the army, navy or marine corps of the United States in any war in which it has been engaged, insert in the certificate a recital to that effect, specifying the war, and shall also certify in such certificate both the primary and the secondary or imme- diate cause of death as nearly as he can state the same. For neglect to comply with any provision of this section, such physician or officer, shall forfeit ten dollars. For the purposes of this section and of sections forty-five, forty-six and forty-seven of said chapter one hundred and fourteen, the word "war" shall include the China relief expedition and the Philippine insurrection, which shall, for said purposes. be deemed to have taken place between February fourteenth, eighteen hundred and ninety-eight and July fourth, nineteen hundred and two, and the Mexican border service of nineteen hundred and sixteen and nineteen hundred and seventeen. G. L. Chap. 46. Sec. 10.
No undertaker or other person shall bury or otherwise dispose of a human body in a town, or remove therefrom a human body which has not been buried, until he has received a permit from the board of health, or its agent appointed to issue such permits, or if there is no such board, from the clerk of the town where the person died; and no undertaker or other person 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 clectrical agents or following abortion, or from diseases resulting from injury or infection relating to occupation, or suddenly when not disabled by recognizahle 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 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
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
Registered No.
213
Winthrop Community Hospital No.
St. [ give its NAME instead of street and number)
Baby Girl Monteiro
(If deceased is a married, widowed or divorced woman, give also maiden name.)
208 Saratoga
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
PERSONAL AND STATISTICAL PARTICULARS
3 DATE OF
DEATH
October 4, 1954
(Month)
(Day)
(Year)
4 I HEREBY CERTIFY,
That I attended deceased from
Oct. 3
1954
to Oct. 4
19
I last saw
h ............ alive on.
Oct. 3. 1954, death is said to
1.15/a.m.
have occurred on the date stated above, at. INTERVAL BE- TWEEN ONSET AND DEATH
DISEASE OR CONDITION DIRECTLY LEADING TO DEATH (a).
11 IF STILLBORN, enter that fact here.
12
AGE
Years
Months.
Days
If onder 24 hours
.Hours.
Minutes
13 Usual
Occupation :
(Kind of work done during most of working life)
14 Industry or Business:
15 Social Security No .. Winthrop
16 BIRTHPLACE (City)
(State or country)
Mass
17 NAME OF
FATHER
Joseph Monteiro
18 BIRTHPLACE OF
FATHER (City)
Boston
(State or country)
Mass.
19 MAIDEN NAME
OF MOTHER Emely Marcella
DERciEllo
20 BIRTHPLACE OF
MOTHER (City)
E. Boston
(State or country) Mass.
Informant .. 21 Joseph Monteiro (Address)208 Saratoga St, East Foston"
7 NAME OF
FUNERAL DIRECTOR.
DiPietro & Vazza
ADDRESS.
11 Henry St; East Eoston
Received and filed UCT 5 1954 19
(Registrar)
5hrs
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)
(Address)
拾元整
M. D.
3275
muscles 10.4.954 Malden
6
Holy Cross
Place of Burial or Cremation
(Cit, or Town)
DATE OF BURIAL
October 6,
19.54
PARENTS
I HEREBY CERTIFY that a satisfactory standard certificate of death was filed with me BEFORE the burial or transit permit was issued: Walter it Bakery.
(Signature of Agent of Board of Health or other) Teatthe Wheel 10/3/54
(Official Designation) / U (Date of Issue of. Permit)
X
UCTIONS FOR CERTIFICATE
giving OF DEATH t enter than one for each b) and (c)
does not mean f dying, such ure, asthenia, ns the disease. ations which h.
d conditions, ng rise to the (a) stating lying cause
ions contrib- death but not he disease or ausing death.
50M-5-52-907046
Due Prematurity
ANTE
CEDENT (b)
CAUSES
(51/2 months)
Due To
(c)
Premature
Labor
10a If married, widowed, or divorced
HUSBAND of
(Give maiden name of wife in full)
(or) WIFE of
(Husband's name in full)
(write the word)
8 SEX
Female
9 COLOR OR RACE
White
10 SINGLE
MARRIED
WIDOWED
or DIVORCED
Single
PHYSICIAN ~ IMPORTANT
(Was deceased a
U. S. War Veteran,
if so specify WAR)
(a) Residence.
No.
(Usual place of abode)
J(If death occurred in a hospital or institution,
To be filed for burial ·permit with Board of Health or its Agent.
2 FULL NAME.
Boston 10-25-54
R-301A 1
EXTRACTS FROM THE LAWS OF THE COMMONWEALTH OF MASSACHUSETTS GOVERNING THE
RETURN OF CERTIFICATES OF DEATH
A physician or registered hospital medical officer shall forthwith, after the death of a person whom he has attended during his last illness, at the request of an undertaker or other authorized person or of any member of the family of the deceased, furnish for registration a standard certificate of death, stating to the best of his knowledge and belief the name of the deceased, his supposed age, the ;. disease of which he died, defined as required by section one, where same was contracted, the duration of his last illness, when last seen alive by the physician or officer and the date of his death. . . Gen. Laws, Chap. 46, Sec. 9.
A physician or officer furnishing a certificate of death as required by the preceding section or by section forty-five of chapter one hundred and four- ... teen, shall, if the deceased, to the best of his knowledge and belief, served in the army, navy or marine corps of the United States in any war in which it has been engaged, insert in the certificate a recital to that effect, specifying the war, and shall also certify in such certificate both the primary and the secondary or imme- diate cause of death as nearly as he can state the same. For neglect to comply with any provision of this section, such physician or officer, shall forfeit ten dollars. For the purposes of this section and of sections forty-five, forty-six and forty-seven of said chapter one hundred and fourteen, the word "war" shall include the China relief expedition and the Philippine insurrection, which shall, for said purposes, be deemed to have taken place between February fourteenth, eighteen hundred and ninety-eight and July fourth, nineteen hundred and two, and the Mexican border service of nineteen hundred and sixteen and nineteen hundred and seventeen ... G. L. Chap. 46, Sec. 10.
No undertaker or other person shall bury or otherwise dispose of a human body in a town, or remove therefrom a human body which has not been buried, untifhe T. 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 sooncr 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 registra- tion. The person to whom the permit is so given and the physician certifying the cause of death shall thereafter furnish for registration any other necessary information which can he obtained as to the deceased, or as to the manner or cause of the death, which the clerk or registrar may require .- Chap. 114, Sec. 45, G. L., (Tercentenary Edition).
Medical examiners shall make examination upon the view of the dead bodies of persons as are supposed to have died by violence, or by the action of chemical, thermal or electrical agents or following abortion, or from diseases festtiny 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 ohservance 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 deathsonly as those of persons who. ; hough 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
> Suffolk (County)
PLACE OF DEATH
(City or Tow ConvalesCENT
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.
214
hospital institution, Mounts'Rest Home-104 Highland Avenue .. {
2 FULL NAME. Mary E. Miller
(If deceased is a married, widowed or divorced woman, give also maiden name.)
(a) Residence. No. 112 Grove Avenue
St.
Wilmington, Mass.
(If nonresident, give city or town and State)
Length of stay: In place of death years 10 months. days. In place of residence 30 .years months .days.
MEDICAL CERTIFICATE OF DEATH
PERSONAL AND STATISTICAL PARTICULARS
3 DATE OF
DEATH
October 3 195+ (Year)
(Month)
(Day)
That I attended deceased from
JUNE 17. 1954
to ...
October 7 1954
I last saw hCY. ... alive on.
Out 2
19 5%, death is said to
have occurred on the date stated above, at
INTERVAL BE- TWEEN ONSET AND DEATH
DISEASE OR CONDITION
DIRECTLY LEADIY
TO DEATH (a)
FHeumatic
Heart Disease
1950
ANTE
Due To
CEDENT (b) ..
CAUSES
Due To (c)
OTHER
SIGNIFICANT
CONDITIONS
none
Major findings:
Of operations.
NONe
Date of operation.
Was autopsy performed?
What test confirmed diagnosis?
Stethescope
5 Was disease or injury in any way related to occupation of deceased? NO
If so, specify
(Signed)
Of+ fynd
M. D.
(Address)
Date
· Lundi gates 0+754
. Holy Cross Ceme Seboston- man Place of Burial or Cremation ty or Town) DATE OF BURIAL October 11th 19 54 Malden
7 NAME OF
Richard C. Kirby
FUNERAL DIRECTOR.
ADDRESS 17 Bennington St., E. Boston
OCT
Received and filed 19
(Registrar)
8 SEX
Female
9 COLOR OR RACE
White
10 SINGLE
(write the word)
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