Town of Winthrop : Record of Deaths 1954, Part 93

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


USA > Massachusetts > Suffolk County > Winthrop > Town of Winthrop : Record of Deaths 1954 > Part 93


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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 be held, or from a person appointed to have the care of the cemetery or burial ground in which the interment is made.


Chap414 Sec. 46, G. L., (Tercentenary Edition).


EIV ERULES OF PRACTICE


The fulfillment of the purpose of these laws calls for the observance of the follow- ing rules of practice: Attending physicians will certify to such deaths only as those of persons to whom they hare given bedside care during a last illness from disease unrelated to any form of injury. Board of Health physicians will certify to such deathsonly as those of persons who, though disabled by recognized disease unrelated to any form of have died without recent medical attendance or whose physician is absent ome when the certificate of death is needed.


Medical Examiners will investigate and certify to all deaths supposably due to intitu !! These include not only deaths caused directly or indirectly by


trauc ton (hclutling, resulting septicemia), and by the action of chemical (drugs or poicane) 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


· 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


RM R-302 1


WRITE PLAINLY, WITH UNFADING BLACK INK - THIS IS A PERMANENT RECORD


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.) 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,


PLACE OF DEATH


Suffolk


(County)


Boston


(City or Town)


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


Boston


(City or town making return)


10724


275


Registered No.


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


2 FULL NAME


(If deceased is a married, widowed or divorced woman, give also maiden name.) 90 Read St


Winthr off Meggy WAR)


(a) Residence. No.


(Usual place of abode)


St.


(If nonresident, give city or town and State)


Length of stay: In place of death


years


1


months.


7


days. In place of residence


.years


months.


.. days.


MEDICAL CERTIFICATE OF DEATH


PERSONAL AND STATISTICAL PARTICULARS


3 DATE OF


DEATH


Dec. 10/54


8 SEX


M


9 COLOR OR RACE


10 SINGLE


MARRIED


WIDOWED


or DIVORCED


Mar'r tedord)


1 (Month)


(Day)


(Year)


4I HEREBY CERTIFY.


Nov. 3


54


19


to.


19


10a If married, widowed, or divorcehna Maglio


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).


Hodgkin's Disease


TWEEN ONSET


AND DEATH


Appr


4 Yrs


11 IF STILLBORN, enter that fact here.


12


AGE


31


Years


9


20


If under 24 hours


Hours ........ Minutes


Major Appliance


13 Usual


Occupation:


(Kind of work done during most of working life)


14 Industry


or Business:


Salesman Jordan Marsh


Co.


15 Social Security No.


023-16-9067


16 BIRTHPLACE (City).


(State or country)


Revere Mass.


17 NAME OF


FATHER


Dominic Petronio


18 BIRTHPLACE OF


FATHER (City)


(State or country)


---- Unknown


19 MAIDEN NAME


OF MOTHER


Josephine Luongo


20 BIRTHPLACE OF


Boston Mass.


21 Informant Mr ...... A ... Petronio.


(Address)


7 NAME OF


FUNERAL DIRECTOR


Paul Buonfiglio


Revere Mass.


ADDRESS.


Received and filed.


JAN 24.1955


19


(Registrar of City or Town where deceased resided)


PARENTS


5 Was disease or injury in any way related to occupation of deceased? If so, specify Roger B Hickler


(Address)


(Signed)


VAH Boston Mass Date


12-10


5%


19 ...


MOTHER (City)


(State or country)


Oak Grove Cem-Medford Mass.


6 Place of Burial or Cremation


(City or Town)


DATE OF BURIAL


Dec. 13/54


19


A TRUE COPY


ATTEST:


(Registrar of City or Town where death occurred)


DATE FILED


Dec/1.51511


19


.......


25M-10-53-910021


ANTE


Due To


CEDENT (b)


CAUSES


Due To


(c)


OTHER SIGNIFICANT CONDITIONS


Major findings:


Of operations


Date of operation


Was autopsy performed ?.


Yes


What test confirmed diagnosis ?..


pathological ... exam.


Na


That


deceased


fren


I last saw h.


im


Dec10


alive on


19 ..


death is said to


have occurred on the date stated above, at.


10;20A


.m.


INTERVAL BE-


22


(Was deceased a


U. S. War Veteran,


w W #11


No.


Veteran's


George G Petronio


M. S.


Months.


Days


RECEIVED


OF TOWN


OFFICE


11 72


In


NIN


CLERK


5


6


ASS


----


JAN2& AM


Entered Service 7-26-1943 Discharged 2-13-46 US Army Service No. 31369072


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-5-52-907046


X


Essex


(County)


Danvers


The Commonwealth of Massachusetts EDWARD J. CRONIN SECRETARY OF THE COMMONWEALTH DIVISION OF VITAL STATISTICS COPY OF MEDICAL EXAMINER'S CERTIFICATE OF DEATH


Danvers


(City or town making return)


Registered No.


276


Da vers State Hospital No.


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


Lena Michael (Fleischer)


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


18 Dolphin Ave.


St.


(If nonresident, give city or town and State)


Length of stay: In place of death .....


.years


2 months ..


23 days.


In place of residence ..


.....


.years.


.. months.


.days.


MEDICAL CERTIFICATE OF DEATH


PERSONAL AND STATISTICAL PARTICULARS


3 DATE OF


DEATH


December 11, 1954


(Month)


(Day)


(Year)


4I HEREBY CERTIFY that I have investigated the death of the person above-named and that the CAUSE AND MANNER thereof are as follows: (If an injury was involved, state fully.)


11a If married, widowed, or divorced


HUSBAND of


Henrycin rehaen


[ wife in full)


(or) WIFE of


(Husband's name in full)


12 IF STILLBORN, enter that fact here.


13


68


AGE


Years


-


Months.


.Days


If under 24 hours


.. Hours


Minutes


14 Usual


Occupation :


Housewife


(Kind of work done during most of working life)


15 Industry


or Business:


16 Social Security No.


17 BIRTHPLACE (City).


(State or country)


Russia


18 NAME OF


FATHER


(Unknown) Fleischer


19 BIRTHPLACE OF


FATHER (City).


(State or country)


Russia


20 MAIDEN NAME


OF MOTHER


Cannot be learned


21 BIRTHPLACE OF


MOTHER (City)


(State or country)


Russia


22


Informant


(Address)


A TRUE COPY.


FUNERAL DIRECTOR


ADDRESS. Brookline, Mass.


Received and filed.


JAN 1: 1955


19


(Registrar of City or Town where deceased resided)


PARENTS


If so, specify Ralph P. Mccarthy


(Signed)


Peabody, Mass.


Date.


Sharon Memorial Park, Sharon 7


Place of Burial, or Cremation.


December


12


(City or Town)


54


DATE OF BURIAL


8 NAME OF


Henry Levine


M.


(Address)


(Specify type of place)


Manner of


Injury


(How did injury occur?)


Nature of


Injury


While at work?


Was autopsy performed?


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


WRITE PLAINLY, WITH UNFADING BLACK INK - THIS IS A PERMANENT RECORD


of death should be transmitted on Form R-305 to the clerk of the city or town in which the deceased resided as soon as possible


PLACE OF DEATH


RM R-305 1


Acute Gastroenteritis Arteriosclerotic Heart Disease


5 Accident, suicide, or homicide (specify).


Date and hour of injury. 19


Where did


Injury occur?


(City or town and State)


Did injury occur in or about home, on farm, in industrial place, or in public place?


10 COLOR OR RACE


11 SINGLE


(write the word)


MARRIED


WIDOWED


Married


or DIVORCED


9 SEX


'''emale


White


(Was deceased a


U. S. War Veteran,


if so specify WAR)


Winthrop


(a) Residence. No.


(Usual place of abode)


2 FULL NAME.


(City or Town)


ATTEST:


(Registrar of City or Town where death occurred)


DATE FILED


December 20


X


RECEIVES


TOWN


OF


11 12 1


5


6


JAN12


RM R-302 -


after the close of the month in which the death occurred. (See Chap. 46, Sec 12, G. L.) 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 WRITE PLAINLY, WITH UNFADING BLACK INK - THIS IS A PERMANENT RECORD


PLACE OF DEATH


Essex (County)


Danvers (City or Town) No. 73 Centre


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


Danvors


(City or town making return)


Registered No.


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


2 FULL NAME ..


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


(Was deceased a


U. S. War Veteran,


if so specify WAR)


(a) Residence. No.


18 Jones Ave.


(Usual place of abode)


St.


Winthrop


(If nonresident, give city or town and State)


Length of stay: In place of death.


........... years.


months .. L.Q .days. In place of residenceLO ...


... years ...


months.


.days.


MEDICAL CERTIFICATE OF DEATH


PERSONAL AND STATISTICAL PARTICULARS


$ 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


Dec ....... 12.


1954 Dec.


17


¡10a If married, widowed, or divorced


HUSBAND of.


(Give maiden name of wife in full)


(or) WIFE of


Charles S. Bectlc


(Husband's name in full)


DISEASE OR CONDITION


DIRECTLY LEADING .


TO DEATH (a)


uvocarditis


11 IF STILLBORN, enter that fact here.


12


AGE.75 Years&.


.. MontÌ


11


Days


If under 24 hours


Hours ... .. Minutes


13 Usual


Occupation:


Housewife


(Kind of work done during most of working life)


14 Industry


or Business:


15 Social Security No.


16 BIRTHPLACE (CitySomerville,


(State or country)


11953.


17 NAME OF


FATHER


henry 1. Harper


Major findings:


Of operations.


Date of operation


Was autopsy performed ?... 10


What test confirmed diagnosis?


5 Was disease or injury in any way related to occupation of deceased? If so, specify.


(Signed).


......


Charles ......... Deoring.


M. D.


(Address)


Danvers,


Date 12/17/105/1


6


"DivGini& Cremation


(čky or Towh)


DATE OF BURIAL.


December .... 20


195


7 NAME OF FUNERAL DIRECTOR award . Fonoles


ADDRESS Winthrop. ... Mass.


Received and filed 19


(Registrar of City or Town where deceased resided)


PARENTS


18 BIRTHPLACE OF


FATHER (City)


(State or country)


En-land


19 MAIDEN NAME


OF MOTHER


Emma Fowler


20 BIRTHPLACE OF


MOTHER (City)


(State or country)


In.I. na


21


Informant.


(Address)


13 Contre st., Danvers


A TRUE COPY


ATTEST:


(Registrar of City or Town where death occurred) V


DATE FILED


December


17


19


54


Due To


Antonio


ANTE


CEDENT (b)


CAUSES


sclerosis


3 yrs


Due To (c)


OTHER


SIGNIFICANT


CONDITIONS


hernia


diaphramatic


10 WI


25M-3-53-909098


Plac


Gary .... Rider


idow


I last saw a .......... alive on ... De .............. 7


15, death is said to


have occurred on the date stated above,


11 A.


.m.


INTERVAL BE-


TWEEN ONSET


AND DEATH


10 wk


3 DATE OF


DEATH


December


17, 1954


Alice S. Beetle (Hrrpor))


RECEIVED


OF


TOW:


11 12 1


: : 1.2


3


JAN12


X


SUFFOLA


(City or Town)


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


BOSTON


(City or town making return) 11198278


Registered No.


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


Mary Parmelee


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


26 Sturges St


St.


Winthrop Moss


(If nonresident, give city or town and State)


Length of stay: In place of death.


.......... years.


months.


4


20


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


(write the word)


MARRIED


WIDOWED


or DIVORCED arried


4 I HEREBY CERTIFY,


That I attended deceased from


Nov 19 1. 54.


to ..


Dec 23


I last saw h


.Oralive on


Dec .... 23 . 19.54


death is said to


10a If married, widowed, or divorced


HUSBAND of.


(Give maiden name of wife in full)


Herrall Parmelee


(or) WIFE of.


(Husband's name in full)


TWEEN ONSET


AND DEATH


11 IF STILLBORN, enter that fact here.


12


AGE


65 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.


Kingston .... NY


16 BIRTHPLACE (City) ..


(State or country)


17 NAME OF


FATHER


Edward O'Hara


18 BIRTHPLACE OF


FATHER (City)


(State or country)


Rhode ..... Island


19 MAIDEN NAME


OF MOTHER


Margaret Clark


20 BIRTHPLACE OF


MOTHER (City)


(State or country)


Kingston N Y


Lola Ciampoli


7 NAME OF


FUNERAL DIRECTOR.


M ......... Kirby


ADDRESS WinthropMass


Received and filed.


FTB - 1955


19


(Registrar of City or Town where deceased resided)


PARENTS


Here Af perforated


omInaI.


gastrectomy


Was autopsy performed ?.


clinical


no


5 Was disease or injury in any way related to occupation of deceased? If so, specify


(Signed)


CL Clay


M. D.


Date 12/23


.19 ... 54


Winthrop Mass


Eity or Town)


Dec .27


19.544


21


Informant


(Address)


A TRUE COPY


copy Charles A. La


ATTEST:


(Registrar of City or Town where death occurred)


DATE FILED Dec .... 28 .19 ... 54. X


WRITE PLAINLY, WITH UNFADING BLACK INK - THIS IS A PERMANENT RECORD


No.


2 FULL NAME.


(a) Residence. No.


(Usual place of abode)


(Month)


DISEASE OR CONDITION


DIRECTLY LEADING


ANTE


CEDENT (b)


CAUSES


Due To


(c)


OTHER


SIGNIFICANT


CONDITIONS


Major findings:


Of operations.


What test confirmed diagnosis?


(Address)


M.G .H


6


Winthrop Cem


Place of Burial or Cremation


DATE OF BURIAL


25M-3-53-909098


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.)


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,


Date o


1275 &30/54


3 DATE OF


DEATH


Dec 23, 1954


(Day)


(Year)


19.54


have occurred on the date stated above, at


3:40 & m.


INTERVAL BE-


TO DEATH (a) ..


Perforation of


carcinoma of stomach


34 ds


6 mos


Due ToCarcinoma of stomach


PLACE OF DEATH


RM R-302 1


Mass General Hosp


(Was deceased a


U. S. War Veteran,


if so specify WAR)


RECEIVED


OF


TOWN


11 12 1


OLE


OFFI


1:11


5


6


THROP


FEB-3 AM


S44


44444


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