Town of Winthrop : Record of Deaths 1955, Part 48

Author: Winthrop (Mass.)
Publication date: 1955
Publisher:
Number of Pages: 570


USA > Massachusetts > Suffolk County > Winthrop > Town of Winthrop : Record of Deaths 1955 > Part 48


Note: The text from this book was generated using artificial intelligence so there may be some errors. The full pages can be found on Archive.org (link on the Part 1 page).


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20 BIRTHPLACE OF


Winthrop, Mass


fAddress). Israel


Everett, dass


6 Place of Burial or Cremation Jun 2(gity or Town) 55 DATE OF BURIAL 19


7 NAME OF


FUNERAL DIRECTOR


Chelsea, Mass


ADDRESS


Received and filed.


BUG.9 .... 19


(Registrar of City or Town where deceased resided)


8 SEX


M


9 COLOR OR RACE


10 SINGLE


MARRIED


WIDOWED


or DIVORCED


(write the word)


Single


I last saw h


.alive on


19


death is said to


9:55 a:


INTERVAL BE-


TWEEN ONSET AND DEATH


DISEASE OR CONDITION


DIRECTLY LEADING Letropharyngeal


TO DEATH (a)


a.b.s.ce.g.s


Otitis media


Due To


ANTE


CEDENT (b)


CAUSES


Due To (c)


OTHER


SIGNIFICANT


CONDITIONS


Major findings:


Of operations.


Date of operation.


Was autopsy performed?


yo's


What test confirmed diagnosis?


5 Was disease or injury in any way related to occupation of deceased? If so, specify ....... ... D .... Donn ,J.p. (Signed). Los FloatingHsp


PARENTS


Alfred Dolgoff


21


Informant


(Address)


A TRUE COPY


ATTEST:


....


1. 21 Inachie


(Registrar of City or Town where death occurred)


DATE FILED


Jun 29


5.5


X


RM R-302 1


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


25M·10-53.910621


H J Torf


1959


.. Date.


6/27


M.CB.


MOTHER (City)


(State or country)


19 6/27th


19


have occurred on the date stated above,


m.


(Was deceased a


U. S. War Veteran,


if so specify WAR)


KURT DOLGOFF


RECEIVED


TOWA


OF


OFFICE


11 12


Noort,


3


3


1


WINTHRO


6


AUG-9 AM


X PLACE OF DEATH


Suffolk (County)


Winthrop


(City or Town)


Winthrop Convalescent Home


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


2 FULL NAME


Angelo Boncore


(If deceased is a married, widowed or divorced woman, give also maiden name.) 163 Chelsea Street, E.Boston, Mass.


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


(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


July


/


1955


(Year)


(Month)


(Day)


That I attended deceased from


4 I HEREBY CERTIFY,


June 23.


19.55


to


June


193'


Cating


DiBill10


10a If married, widowed, or divorced


HUSBAND of.


(Give maiden name of wife in full)


(or) WIFE of.


(Husband's name in full)


11 IF STILLBORN, enter that fact here.


12


AGE


94 Years.


.Months.


.Days


If under 24 hours


Hours .....


Minutes


vascular


collagese


ANTE


Due To


Cardiac Failure.


CEDENT (b)


CAUSES


Due To


(c)


Hypertension 2


Vienia.


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) Leap Benech


(Address) 557 Broad way Recru Date Jelly/ 1933


M. D.


Woodlawn Cemetery


Everett (City or Town)


6 Place of Burial or Cremation


DATE OF BURIAL


July 4,


55


19


21


Informant


(Address)


163 Chelsea St., E.Boston, Mass.


7 NAME OF


Vincent Rapino


FUNERAL DIRECTOR


ADDRESS


9. Chelsea St. E.Boston, Mass


Received and filed


JUL ..... 5 1955


19


(Registrar)


PARENTS


18 BIRTHPLACE OF


FATHER (City).


(State or country)


Italy


19 MAIDEN NAME


OF MOTHER


unknown


20 BIRTHPLACE OF


MOTHER (City)


(State or country)


Italy


Joseph Boncore


I HEREBY CERTIFY that a satisfactory standard certificate of death was filed with me BEFORE the burial or transit permit was issued: Walterer berg (Signature of Agent of Board of Health another) Health Marcel A 3/95 ×


(Official Designation) 00


(Date of Issue of Permnt)


A TRUE COPY ATTEST:


-


M R-301 1


RUCTIONS FOR L CERTIFICATE giving OF DEATH not enter than one for each (b) and (c)


does not mean of dying, such ilure, asthenia, ans the disease, ications which ath.


id conditions. ving rise to the se (a) stating rlying cause


itions contrib- e death but not the disease or causing death.


Boston Aug. 5-55


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


(City or town making return)


144


Registered No.


(Was deceased a U. S. War Veteran, [ if so specify WAR)


St.


8 SEX


mele


9 COLOR OR RACE


white


10 SINGLE


MARRIED


WIDOWED


or DIVORCED


(write the word)


married


I last saw h // alive on June 23.


19 33, death is said to


have occurred on the date stated above, at 1115 A.m.


INTERVAL BE-


TWEEN ONSET


DISEASE OR CONDITION


central.


DIRECTLY LEADINGCenteral itastatur


TO DEATH (a)


AND DEATH


13 Usual


Occupation:


Retired


(Kind of work done during most of working life)


14 Industry


or Business :.


15 Social Security No ...


none


16 BIRTHPLACE (City)


(State or country)


Italy


17 NAME OF


FATHER


Charles Boncore


SOM (A)1-51 903586


No.


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, hy 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 only such persons as are supposed to have died by violence. If a medical examiner has notice that there is within his county the body of such a person, he shall forthwith go to the place where the body lies and take charge of the same; General Laws, Chap. 38, Sec. 6.


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 (dings or poisons) thermal, or electrical agents, and deaths following abortion, but Lals 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


R-301A 1


PLACE OF DEATH


Suffolk (County) Winthrop (City or Town)


No.


11 Girdlestone Rd.


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.


Registered No. 1.45


2 FULL NAME ..


Anna Kristina Olson


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


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


11 Girdlestone Rd.


St.


(If nonresident, give city or town and State)


Length of stay: In place of death 10 .years months. days. In place of residence 10


years.


months


days.


MEDICAL CERTIFICATE OF DEATH


PERSONAL AND STATISTICAL PARTICULARS


(write the word)


Female


9 COLOR OR RACE


White


10 SINGLE


MARRIED


WIDOWED


or DIVORCEDWidow


4 I HEREBY CERTIFY.


Nov. 10


54


July


19


to


1955


death is said to


have occurred on the date stated above, at.


4:30 P.


m.


INTERVAL BE-


10a If married, widowed, or divorced


HUSBAND of


(Give maiden name of wife in full)


(or) WIFE of


Gustaf A Olson


(Husband's name in full)


DISEASE OR CONDITION


DIRECTLY LEADING


TO DEATH (a)


Coronary Thrombosi


TWEEN ONSET AND DEATH


11 IF STILLBORN, enter that fact here.


12


84


Months


8


Days


If under 24 hours


Hours ... .


Minutes


13 Usual


Occupation:


(Kind of work done during most of working life)


14 Industry


or Business:


Own home


15 Social Security No ..


None


Unable to obtain


16 BIRTHPLACE (City)sweden (State or country)


17 NAME OF FATHER Knute Peterson


PARENTS


18 BIRTHPLACE OF


FATHER (City)


Unable to obtain


(State or country) Sweden


19 MAIDEN NAME OF MOTHER Anna Anderson


20 BIRTHPLACE OF


MOTHER (City)


Unable to obtain


(State or country)


Sweden


21 Bertha Olson


Informant


(Address)


11 Girdlestone Rd. Winthrop


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


(Signature of Agent of Board of Health or other)


C


9/6/56


(Official Designation)


(Date of Issue of Permit)


RUCTIONS FOR . CERTIFICATE


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


does not mean of dying, such ilure, asthenia, ans the disease, ications which th.


id conditions. ring rise to the se (a) stating rlying cause


itions contrib- e death but not the disease or causing death.


- Chapter 137. 1954, requires ans to print or cause or causes th on death ites.


50M-3-54-911887


7 NAME OF


FUNERAL DIRECTOR


18 Howard SThunolds


ADDRESS


Winchup Kurs


Received and filed.


JUL 6 1955


19


(Registrar)


1 yr.


OTHER


SIGNIFICANT


CONDITIONS


left hip


Congenital deformity


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)


Samuelin 193 Date 7-5-1319


Everett


6


Woodlawn


Place of Burial or Cremation (City or Town)


DATE OF BURIAL .. July 6


1955


8 SEX


3 DATE OF


DEATH


July 3 1955


(Month)


(Day)


(Year)


attended deceased _ from


19


I last saw


her


alive on


July 2


ANTE


CEDENT (b)


CAUSES


Due ToArterio sclerosis


Due To


(c)


Chronic myocardeitis


Housewife


20 minAGE


Years


1


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)


27. Caplan


M. D.


?, S.


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 dicd. 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).


RECEIVE


Medical examfiers 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 Less 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 wych han been brought into the commonwealth until he has received a permit 'to do from the board of health or its agent appointed to issue such permits, or Fitthere is no such Board, from the clerk of the town where the body is to be buried of 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.


afficher 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 :


Attending physicians will certify to such deaths only as those of persons JULwhen 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)


M R-301A 1 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 Agent.


Registered No.


146


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


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


74 Atlantic Street


St.


(If nonresident, give city or town and State)


Length of stay: In place of death years months 14


days. In place of residence years. 8 .months .days.


MEDICAL CERTIFICATE OF DEATH


PERSONAL AND STATISTICAL PARTICULARS


3 DATE OF


DEATH


July


4


1955


8 SEX


Male


9 COLOR OR RACE


White


10 SINGLE


MARRIED


WIDOWED


or DIVORCEDSingle


I HEREBY CERTIFY,


That I attended deceased from


19


501


10a If married, widowed, or divorced HUSBAND of (Give maiden name of wife in full)


(or) WIFE of


(Husband's name in full)


11 IF STILLBORN, enter that fact here.


12


8


AGE


Years


Months


Days


If under 24 hours


.Hours .. . Minutes


13 Usual


Occupation:


None


(Kind of work done during most of working life)


14 Industry


or Business:


None


15 Social Security No.


Boston


16 BIRTHPLACE (City)


(State or country)


Mass


17 NAME OF


FATHER


Elmo S Rebsamen


18 BIRTHPLACE OF


FATHER (City)


(State or country)


Arkansas


19 MAIDEN NAME OF MOTHER Grace N Bonaccorso


20 BIRTHPLACE OF


MOTHER (City)


(State or country)


Boston




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