Town of Winthrop : Record of Deaths 1954, Part 91

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


USA > Massachusetts > Suffolk County > Winthrop > Town of Winthrop : Record of Deaths 1954 > Part 91


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FUNERAL


ADDRESS 14) Greenst Boster


Received and filed BEC 28 195 19


(Registrar)


PERSONAL AND STATISTICAL PARTICULARS


3 DATE OF


DEATH


December 26.


(Month)


(Day)


1754


(Year)


8 SEX


FEMALE white


10 SINGLE


(write the word)


MARRIED


WIDOWED MARRied


or DIVORCED


10a If married, widowed, or divorced


HUSBAND of


(Give; maiden name of wife in full)


(or) WIFE of


Sebastiano BORDINaRO


(Husband's name in full)


11 IF STILLBORN. enter that fact here.


12


AGE


71 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:


SELF


15 Social Security No.


NONE


16 BIRTHPLACE (City).


(State or country)


AUGUSTA


ITALY


17 NAME OF-


JeBastiano TERNullo


PARENTS


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


ITALY


19 MAIDEN NAME


OF MOTHER


Giuseppa SalveTA


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


21 SEBASTIANO BORDiNARO-hUSO 16% DO.MARGIN St BOSTON (Address)


I HEREBY CERTIFY that a satisfactory standard certificate of death was filed with me BEFORE the burial or transit permit was issued: Walter A. Haker 8


(Signature of Agent of Board of Health et other)


12/28/54 (Official Designation) (Date of Issue of Permit)


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


270


Registered No.


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


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


16% SO. MARGIN


St. Boston


(If nonresident, give city or town and State)


Length of stay: In place of death. ..... years. 2 .. months ...... days. In place of residence.


if 8 yes months . .. days.


MEDICAL CERTIFICATE OF DEATH


4 I HEREBY CERTIFY.


That I attended deceased from


195 3


to


26 Dac-


1954


I last saw h.9.


.. alive bn


26 Dec.


1934, death is said to


have occurred on the date stated above, at 1/ 4


.m.


INTERVAL BE- TWEEN ONSET AND DEATH


DISEASE OR CONDITION DIRECTLY LEADING


TO DEATH


(a)


Metastatic Cu - Bladder


ANTE Due To CEDENT (b) ... CAUSES


Due To (c)


OTHER SIGNIFICANT CONDITIONS


Major findings:


Of operations


Date of operation.


Was autopsy performed? 110


What test confirmed diagnosis?


5 Was disease or injury in any way related to occupation of deceased? NO


If so, specify ... ohul Gatorella (Signed) M. D. (Address) 335 Ghiles St 2. 3.7 Bate 26 Doc 1954


6 St NichAEL 13ESTON


Place of Burial or Cremation (City or Town)


DATE OF BURIAL DECEMBER 3 2 195


BesTori


1-7-55


No. PLACE OF DEATH SUFFOLK (County) WINTHROP (City or Town) 94 SUNNYSIDE Ave.


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


R-301A 1


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.


i conditions. ng rise to the : (a) stating lying cause


ions contrib- death but not e disease or using death.


2 FULL NAME


Sebastiana


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


BORDINERO


9 COLOR OR RACE


1 yr


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 hy 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 receding section or by section forty-five of chapter one hundred and sfour 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 secondaryfor mine. 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. tef for the purposes of this section and of sections forty-five, forty-six and fort ven f said chapter one hundred and fourtcen, the word "war" shall include the Cing 5 elief expedition and the Philippine insurrection, which shall, for said purposes seemed to have taken place between February fourteenth, eighteen hundred In the rules of practice:


inety-eight and July fourth, nineteen hundred and two, and the Mexican border ervice of nineteen hundred and sixteen and nineteen hundred eventeen. . L. Chap. 46, Sec. 10.


DEC20


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 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 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 eturned 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 o 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 ofpersons as are supposed to have died by violence, or by the action of chenucal. thermal or electrical agents or following abortion, or from diseases resulting /fføm, injury or infection relating to occupation, or suddenly when not disabled by recognizable disease, or when any person is found dead. . - General Shap. 38, See. 6., as amended by Chap. 632, Sec. 4, Acts of 1945.


11


un lertaker or other persons shall bury a human body or the ashes thereof have been brought into the commonwealth until he has received a permit so'tu dofrom 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 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


Thefulfillment of the purpose of these laws calls for the observance of the follow- (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


To be filed for burial permit with Board of Health or its Arent 271


Registered No. ...


j(If death occurred in a hospital or institution,


St. Į give its NAME instead of street and number)


PHYSICIAN - IMPORTANT


(Was deceased a


U. S. War Veteran,


( if so specify WAR)


104 Highland Ave., (a) Residence. No. (Usual place of abode)


3 years months. .days. In place of residence+ Q.


PERSONAL AND STATISTICAL PARTICULARS


8 SEX


9 COLOR OR RACE


10 SINGLE


(write the word)


Female


White


10a If married, widowed, or divorced


HUSBAND of


(Give maiden name of wife in full)


(or) WIFE of


Bernard O'Donnell


(Husband's name in full)


DISEASE OR CONDITION


DIRECTLY LEADING


TO DEATH (a)


Cerebral arterio-


sclerosis


years


years


Due To


(c)


OTHER


SIGNIFICANT


CONDITIONS


Major findings:


Of operations


none


Date of operation


Was autopsy performed?


no


What test confirmed diagnosis?


clinical


5 Was disease or injury in any way related to occupation of deceased? no


f so, s


ichthys@.Murray


M. D.


(Signed)


Winthrop Mass Date 26 Dec 1954


St. Francis


6


Place of Burial or Cremation


December 28.


19


DATE OF BURIAL


Cuture


TTO maley


7 NAME OF


FUNERAL DIRECTOR


Winthrop


Mass


ADDRESS


Received and filed DEC 27 1954 19


(Registrar)


11 IF STILLBORN, enter that fact here.


12


AGE


81Years


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)


Providence


R. I.


17 NAME OF


FATHER


John Gleason


PARENTS


18 BIRTHPLACE OF


FATHER (City)


(State or country)


England


19 MAIDEN NAME


OF MOTHER


Ann Connors


20 BIRTHPLACE OF


MOTHER (City)


Providence


(State or country)


R. I.


21 Informant (Address) Exretta Fower


I HEREBY CERTIFY that a satisfactory standard certificate of death wa: filed with me BEFORE the burial or transit permit was issued : Walter I. Baker (Signature of Agent of Board of Health of other) Thealtle Officer 13/27/54 (Official Designation) (Date of Issue of Permity


STRUCTIONS FOR AL CERTIFICATE


In giving SE OF DEATH o not enter re than one use for each ), (b) and (c)


his does not mean de of dying, such t failure, asthenia, means the disease, nplications which death.


forbid conditions, , giving rise to the cause (a) stating nderlying cause


onditions contrib- to the death but not to the disease or ion causing death.


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


MEDICAL CERTIFICATE OF DEATH


3 DATE OF


December 25, 1954


DEATH


(Month)


(Day)


(Year)


4 I HEREBY CERTIFY,


October 1953


to


December 25 1954


I last saw


her alive on


December 5


1954, death is said to


have occurred on the date stated above, at 1:55.P.m.


INTERVAL BE- TWEEN ONSET AND DEATH


CEDENT (b)


CAUSES


ANTE


Due To


Generalized arterio-


sclerosis


That I attended deceased from



2 FULL NAME ..


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


St.


(If nonresident, give city or town and State)


.years .months days.


Length of stay: In place of death


HOME 104 Highland Ave- Mount's ConvalesCENT No.


Annie T. O'Donnell


Pawtucket, R .... I.


(City or Town)


,54


MARRIED


WIDOWED


or DIVOREEBowed


M 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 arrny, 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 electrical agents or following abortion, or from diseases restterefigy injury or infection relating to occupation, or suddenly when not


enhetble disease, or when any person is found dead. .. - General Laws, Chap. 38, Sec. 6., as amended by Chap. 632, Sec. 4. Acts of 1945.


which


So to


TOUS Or other persons shall bury a human body or the ashes thereof ofought into the commonwealth until he has received a permit hemmarsf of health or its agent appointed to issue such permits, or Draft, from the clerk of the town where the body is to be buried Hugo De field, or from a person appointed to have the care of the Ut ty or burno Mound in which the interment is made.


114, Ser. f. G. 1 ... (Tercentenary Edition).


9-


REMAIN


RULES OF PRACTICE


of He purpose of these laws calls for the observance of the follow-


rac g physicians will certify to such deaths only as those of persons nara given bedside care during a last illness from disease unrelated to to any form of maury. (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 OFplaygied without recent medical attendance or whose physician is absent meta 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


M R-301A 1


X Suffolk (County) Winthrop (City or Town) 19 GIRdlestone No. PLACE OF DEATH Julia Kelleher 2 FULL NAME ..


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 Aront. 272


Rd.


[(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).


None


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


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) widowed


4 I HEREBY CERTIFY,


July 10


19. 50


to


December 26


154


I last saw heR.


alive on


December 26 1954 death is said to


have occurred on the date stated above, at


7:15 PM


.. m.


INTERVAL BE-


10a If married, widowed, or divorced


HUSBAND of


(or) WIFE of


Michael


(Give maiden name of wife in /full)


Kelleher


(Husband's name in full)


11 IF STILLBORN. enter that fact here.


12


AGE.Z.I.


Years


Months


Days


If under 24 hours


Hours .


Minutes


13 Usual


Occupation:


Housework


(Kind of work done during most of working life)


14 Industry


or Business:


Own Home


15 Social Security No ... MANchester


16 BIRTHPLACE (City).


(State or country)


New Hampshire


-


17 NAME OF


FATHER


Dennis Clifford


18 BIRTHPLACE OF


FATHER (City)


(State or country)


Ireland


19 MAIDEN NAME


OF MOTHER


Bridget Brennan


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


21 Informant


Catherine Mitchell. (Address) 19 Girdlestone Rcl. Winthrop


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


(Signature of Agent of Board of Health or other)


Health Officer


12/28/54


(Official Designation)


(Date of Issue of Permit)


SOM-5-52-907046


7 NAME OF FUNERAL DIRECTOR EAST Boston


Received and filed. DEC 28 195 19


(Registrar)


PARENTS


5 Was disease or injury in any way related to occupation of deceased? NO If so, specify. (Signed) Me. Tauschen


M.D. M. D. (Address)ELEhele PlateRate DDC. 20 1954


6 New CALVARY


Place of Burial or Cremation


Boston


(City or Town)


DATE OF BURIAL. December 30 19:54


or Frederick magrato


ADDRESS


TWEEN ONSET AND DEATH 3 hRs


ANTE


Due ToARTERIosclerotic - hyper-


CEDENT (b) ....


CAUSES TENsive heart disease


Due To (c)


OTHER SIGNIFICANT CONDITIONS


Major findings:


Of operations


none


Date of operation


Was autopsy performed ?..


NO


What test confirmed diagnosis ?.


CLINICAL & LABORATORY


4 yrs.


3 DATE OF


DEATH


December 26


(Month)


(Day)


1954 (Year)


Registered No.


(If deceased is a married, widowed or divorced woman, give also maiden name.) 19 Girdlestone


Rdi St. (If nonresident, give city or town and State)


TRUCTIONS FOR L CERTIFICATE


n giving OF DEATH not enter e than one se for each , (b) and (c)


's does not mean e of dying, such failure, asthenia, eans the disease. lications which eath.


bid conditions. iving rise to the use (a) stating erlying cause




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