Town of Winthrop : Record of Deaths 1954, Part 71

Author: Winthrop (Mass.)
Publication date: 1954
Publisher:
Number of Pages: 566

USA > Massachusetts > Suffolk County > Winthrop > Town of Winthrop : Record of Deaths 1954 > Part 71

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MARRIED

WIDOWED

or DIVORCEDWidowed

10a If married, widowed, or divorced

HUSBAND of

(Give maiden name of wife in full)

(or) WIFE of

Joseph. A. Miller

(Husband's name in full)

11 IF STILLBORN, enter that fact here.

AGE61

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:

Housewife

15 Social Security No.

.None

16 BIRTHPLACE (City)

(State or country)

Mass.

Boston

17 NAME OF FATHER Richard F. Donahue

PARENTS

18 BIRTHPLACE OF

Boston

FATHER (City)

(State or country)

Mass.

19 MAIDEN NAME

OF MOTHER

Bridget V. Partland

20 BIRTHPLACE OF

MOTHER (City)

Boston

(State or country) Mass.

21 Informant Mrs. Agnes M. Caprio-sister

(Address) 8 Antrim St., E. Boston

I HEREBY CERTIFY that a satisfactory standard certificate of death was filed with me BEFORE the burial or transit permit was issued: Walter S. Makerg.

XSignature of Agent of Board of Health or other)

Thealite Their 10/7/54

(Official Designation) (Date of Issue of Permit)

X .

UCTIONS FOR CERTIFICATE giving OF DEATH ot enter than one for each b) and (c)

does not mean of dying, such lure, asthenia. - ns the disease, cations which th.

d conditions. ing rise to the e (a) staling lying cause

ions contrib- death but not he disease or ausing death.

50m-(b)-11-49-900,560

Wilmington 10- 215-54

IR-301A 1 Winthrop

Registered No.

death

St. [ give its NAME instead of street and number) No.

(Donahue)

PHYSICIAN - IMPORTANT (Was deceased a U. S. War Veteran, if so specify WAR) No

(Usual place of abode)

4 I HEREBY CERTIFY,

9.45A.

.. m.

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 shallexhume 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 niade as above provided and in the possession of the undertaker desiring to make such removal shall constitute a permit for such removal; provided, that such body shall be returned to the town from which it was removed within thirty-six hours after such removal, unless a permit in the usual form for the removal of such body has been sooner obtained hereunder. If the

death certificate contains a recital, as required by section ten of chapter forty-six. that the deceased served in the army, navy or marine corps of the United States in any war in which it has been engaged, such recital shall appear upon the permit. The board of health, or its agent, upon receipt of such statement and certificate. shall forthwith countersign it and transmit it to the clerk of the town for registra- tion. The person to whom the permit is so given and the physician certifying the cause of death shall thereafter furnish for registration any other necessary information which can be obtained as to the deceased, or as to the manner or cause of the death, which the clerk or registrar may require .- Chap. 114, Sec. 45, G. L., (Tercentenary Edition).

Medical examiners shall make examination upon the view of the dead bodies of persons as are supposed to have died by violence, or by the action of chemical, thermal or electrical agents or following abortion, or from diseases resulting from injury or infection relating to occupation, or suddenly when not disabled by recognizable disease, or when any person is found dead. ... - General Laws, Chap. 38, Sec. 6., as amended by Chap. 632, Sec. 4. Acts of 1945.

No undertaker or other persons shall bury a human body or the ashes thercof 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 internient 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.

PLACE OF DEATH

Suffolk (County)

Winthrop (City or Town)

The Commonwealth of Massachusetts EDWARD J. CRONIN SECRETARY OF THE COMMONWEALTH DIVISION OF VITAL STATISTICS AHILJADE STANDARD CERTIFICATE OF DEATH

To be filed for burial ·permit with Board of Health or its Agent.

Registered No.

215

2 FULL NAME .. Angelina M Puzzo Nee Carideo (If deceased is a married, widowed or divorced woman, give also maiden name.)

(a) Residence. No. (Usual place of abode)

58 Almount

St.

(If nonresident, give city or town and State)

Length of stay: In place of death ...... years months. ....... days. In place of residence 3 .years months .days.

MEDICAL CERTIFICATE OF DEATH

PERSONAL AND STATISTICAL PARTICULARS

3 DATE OF

DEATH

Oct

1954

(Month)

(Dầy)

(Year)

Female

9 COLOR OR RACE

White

10 SINGLE

MARRIED

WIDOWED

or DIVORCEDWidow

4 I HEREBY CERTIFY,

Sept 26

1954

I last saw

her

alive on.

Oct 7

1954

death is said to

10a If married, widowed, or divorced

HUSBAND of.

Michael Puzzo

(or) WIFE of

(Husband's name in full)

DISEASE OR CONDITION

DIRECTLY LEADING

TO DEATH (a) I ul monary

embolism- massille

TWEEN ONSET AND DEATH

11 IF STILLBORN, enter that fact here.

Years

Months

14 Days

If under 24 hours

Hours .. Minutes

ANTE

Due To

intarios ciero fen

CEDENT (b)

CAUSES

heart disease

Due To (c) exerça-sclerosis generalized

OTHER SIGNIFICANT CONDITIONS

Major findings:

Of operations.

Date of operation Was autopsy performed? no

What test confirmed diagnosis ?.

5 Was disease or injury in any way related to occupation of deceased?

If so, specify ........

(Signed),

Megane

M. D.

(Address) 199 Waslardan ak Date 10-8 1904

6 Holy Cross. ...

Malden (City or Town)

Place of Burial or Cremation

DATE OF BURIAL Oct 11 154

7 NAME OF

FUNERAL DIRECTOR.

Ernest P Caggiano

ADDRESS 147 Winthrop St. Winthrop

Received and filed

AZ 8 1954 19

(Registrar)

PARENTS

18 BIRTHPLACE OF

FATHER (City)

(State or country)

Italy

19 MAIDEN NAME

OF MOTHER

Rose Christerforo

20 BIRTHPLACE OF

MOTHER (City)

(State or country)

Italy

21 Lillian Puzzo

Informant

58 Almount St. Winthrop

I HEREBY CERTIFY that a satisfactory standard certificate of death was filed with me BEFORE the burial ør transit permit was issued: Walter At. Maker

(Signature of Agent of Board of Health or other) Healthe Office 10/5/54

(Official Designation) (Date of Issue of Permit)

CTIONS R ERTIFICATE

ving F DEATH enter an one r each and (c)

es not mean dying, such re, asthenia, the disease. ions which

conditions, grise to the (a) stating ing cause

ns contrib- eath but not disease or sing death.

Chapter 137. 54, requires to print or use or causes on death 1.

50M-3-54-911887

R-301A 1

No.

Winthrop Community Hospital

1(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)

(write the word)

(Give maiden name of wife in full)

have occurred on the date stated above, at

10 2% Am.

INTERVAL BE-

1Min

13 Usual

Occupation:

Housewife

(Kind of work done during most of working life)

14 Industry

or Business:

At Home

15 Social Security No ...

16 BIRTHPLACE (City)

(State or country)

Italy

17 NAME OF

FATHER

Pasquale Carideo

15.

8 SEX

That I attended deceased from

to ..

Oct ?

19.54

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 helief 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 hest 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

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 fr 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 fhealth of its agent appointed to issue such permits, or if there is no such board, fromatlie Merk 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),

RULÉS ,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.

Statement of Cause of Death .- Physicians: see explanatory instructions on face side of standard certificate of death.

SPACE FOR ADDITIONAL INFORMATION

DATE OF ENTERING MILITARY SERVICE

DATE OF DISCHARGE RANK, RATING

ORGANIZATION AND OUTFIT

SERVICE NUMBER

........

PLACE OF DEATH

(County)

The Commonwealth of Massachusetts EDWARD J. CRONIN SECRETARY OF THE COMMONWEALTH DIVISION OF VITAL STATISTICS

STANDARD CERTIFICATE OF DEATH 1

(City or town making return)

216

J(If death occurred in a hospital or institution, St. [ give its NAME instead of street and number)

2 FULL NAME.

Mary 1 Copeland (A)

(If deceased is a married, widowed or divorced woman, give also maiden name.)

idatith

St.

(If nonresident, give city or town and State)

.months ..

.. days.

MEDICAL CERTIFICATE OF DEATH

PERSONAL AND STATISTICAL PARTICULARS

8 SEX

Final

9 COLOR ØR RACE

1 lete

10 SINGLE

MARRIED

WIDOWED

or DIVORCED

(write the word)

Wedwed

4 I HEREBY CERTIFY.

Ceny 1

to.

Oct 8

1954

I last saw h ER alive on

Oct 8

.. 1954 de

death is said to

have occurred on the date stated above, at

INTERVAL BE-

DISEASE OR CONDITION

DIRECTLY LEADING

TO DEATH

(a) acute CORONARY OCCLUSION

TWEEN OHSET AND DEATH 1m.

ANTE

ARTERIO-SCLEROTIC HEART

CEDENT (b)

CAUSES

DISEASE

4 yes.

Due To (c)

OTHER

SIGNIFICANT

CONDITIONS

ARTHRITIS RITEUMATOID

10 yes

Major findings:

Of operations

NONE

Date of operation

NONE

Was autopsy performed ?. No

What test confirmed diagnosis?

NONE

5 Was disease or injury in any way related to occupation of deceased' .....

If so, specify

(Signed)

Tyson n. King

M. P.

(Address) 22 PLEASANT ST. WINTHE Date 10/10

1954

6 Holy Crap Place of Bunal or Cremation

DATE OF BURIAL ..

Gel 11

105

7 NAME OF FUNERAL DIRECTOR Maurice H 1 July

ADDRESS

Received and filed. NEJ 1- 1954 19

(Registrar)

PARENTS

19 MAIDEN NAME

OF MOTHER

Chinabuta infusion

20 BIRTHPLACE OF MOTHER (City) (State or country)

Mis cara Hoffman

.21

Informant/

(Address)

16O tu er Wineluck

I HEREBY CERTIFY that a satisfactory standard certificate of death was filed with me BEFORE the burial or transit permit was issued: Walter & Bakery. (Signature of Agent of Board of Health or other)

10/11 /0×

(Official Designation)

(Date of Issue of Permit)

3 DATE OF

DEATH

Oct

(Month)

(Day)

1954

(Year)

That I attended deceased from

10a If married, widowed, or divorced

HUSBAND of.

(Give majdery name of wife in full)

Bernard Copeland

(or) WIFE of

(Husband's name in full)

11 IF STILLBORN, enter that fact here.

254-10-

Vinte Certy

AGE 73 Years.

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:

15 Social Security No. StJohn n/B

16 BIRTHPLACE (City) ..

(State or country)

17 NAME OF

FATHER

Patrick Martin

18 BIRTHPLACE OF FATHER (City). (State or country)

Ireland

England

Maldin & Town)

50M .(A)-11-51-905807

M R-301 1

UCTIONS FOR CERTIFICATE giving OF DEATH t enter than one for each b) and (c)

does not mean f dying, such ure, asthenia, as the disease, ations which h.

id conditions, ng rise to the : (a) stating lying

tions contrib -- death but not he disease or using death.

M.S.

A TRUE COPY ATTEST:

......

(City of Town) Was 46 Nasperidon Que No.

Registered No.

SWas deceased a U. S. War Veteran, if so specify WAR)

(a) Residence. No. . (Usual place of abode)

Length of stay: In place of death. ...... .years. 5 months. .. days. In place of residence ....... years.

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 illnessp 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, tbe 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 sball, for said purposes, be deemed to have taken place between February fourteentb, 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 seven- teen. G. L. Chap. 46, Sec. 10.

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Town of Winthrop : Record of Deaths 1954, Part 71

Author: Winthrop (Mass.) Publication date: 1954 Publisher: Number of Pages: 566

Author: Winthrop (Mass.)
Publication date: 1954
Publisher:
Number of Pages: 566