USA > Massachusetts > Suffolk County > Winthrop > Town of Winthrop : Record of Deaths 1955 > Part 58
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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).
RECEitaVEMiners shall make examination upon the view of the dead bodies ot persons as are supposed to have died by violence, or by the action of chemical, thermal or electrical agents or following abortion, or from discases fron injury or infection relating to occupation, or suddenly when not asalAchdifferognizable disease, or when any person is found dead. .. - General 38, Sec. 6., as amended by Chap. 632, Sec. 4. Acts of 1945.
12
11 Smiundertaker 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 usd to de 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 sud be held, or from a person appointed to have the care of the cemetery or burial ground in which the interment is made.
Chat:14/Sec.46, G. L., (Tercentenary Edition).
8
6 $5
RULES OF PRACTICE
HABlittment 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 AUS Bon of injufy.
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 occup :.- 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 7 717
DATE OF DISCHARGE
RANK, RATING reuter
ORGANIZATION AND OUTFIT [. .... Receive
SERVICE NUMBER
50M-3-54-911887
7 NAME OF FUNERAL DIRECTOR Howard S Reynold
ADDRESS
Received and filed. SEP 1 1955 19
(Registrar)
PERSONAL AND STATISTICAL PARTICULARS
8 SEX
Female
9 COLOR OR RACE
White
10 SINGLE
(write the word)
MARRIED
WIDOWED
or DIVORCED
Widow
10a If married, widowed, or divorced
HUSBAND of
(Give maiden name of wife in full)
(or) WIFE of
Leslie A Spinney
(Husband's name in full)
11 IF STILLBORN, enter that fact here.
12
85
1
15
If under 24 hours Hours ... Minutes
13 Usual
Occupation :
(Kind of work done during most of working life)
or Business:
At home
15 Social Security No ..
None
16 BIRTHPLACE (City).
(State or country)
Mass.
17 NAME OF
FATHER
Christopher Frellick
PARENTS
18 BIRTHPLACE OF
FATHER (City)
(State or country)
Unable to obtain
19 MAIDEN NAME
OF MOTHER
Susan Daggett
20 BIRTHPLACE OF
MOTHER (City)
(State or country)
Nova Scotia
21
Informant
(Address)
10 Dana St. Cambridge Mass
I HEREBY CERTIFY that a satisfactory standard certificate of death was filed with me BEFORE the burial or transit permit was issued:
1
Zaken
HO
(Signature of Agente Board of Health or other) 8/30/53
(Official Designation)
(Date of Issue of Permit)
173
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 deceased is a married, widowed or divorced woman, give also maiden name.) 10 Dana St. (a) Residence. No. (Usual place of abode)
St.
(If nonresident, give city or town and State)
Length of stay: In place of death. years 7 months. 15 .days. In place of residence years months .days.
MEDICAL CERTIFICATE OF DEATH
3 DATE OF
DEATH
AUGUST
29
1955
(Year)
(Month)
(Day)
That I attended deceased from
4 I HEREBY CERTIFY
area 25
19
55
to
19
I last saw h x-t alive on
arcy 25 1955
death is said to
have occurred on the date stated above. at 10.45 Am INTERVAL BE-
TWEEN ONSET AND DEATH
DISEASE OR CONDITION
DIRECTLY LEADING
TO DEATH (a)
ATIONCHU - PNEUMONIA
3 Day
ANTE CEREBRAL HEMORRHAGE CEDENT (b) CAUSES
7MG
Due To (c)
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) FICOBEGAN (Address) 670S ATPATOGAGEB Date 8/19
M. D. 1951
6 Gifford
Place of Burial or Cremation
Provincetown (City or Town)
DATE OF BURIAL.
Sept. 1 1955
Dorothy Wagenfohr
D
X
UCTIONS FOR CERTIFICATE
giving OF DEATH t enter than one for each b) and (c)
does not mean f dying, such ure, asthenia. ns the disease. ations which h.
I conditions, ng rise to the : (a) stating ying cause
ions contrib- death but not e disease or using death.
Chapter 137. 1954, requires s to print or ause or causes h on death es.
PLACE OF DEATH
Suffolk (County)
9.6:55
The Commonwealth of Massachusetts EDWARD J. CRONIN SECRETARY OF THE COMMONWEALTH DIVISION OF VITAL STATISTICS STANDARD MIWEHT CERTIFICATE OF DEATH
To be fled for burial .perpi!> with Board of Health or its Agent.
R-301A 1 Winthrop
No ...
(City of Town) 41 Washington Ave
Registered No.
2 FULL NAME. Nellie B (Frellick) Spimney
Cambridge, Mas's.
WAR)
4
AGE
Years
Months
Days
Housewife
14 Industry
.Provencetown
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 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 tocomply -. 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 ninetcen hundred and seventecn. 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. untamhe 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 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
preceding section or by section forty-five of chapter one hundred and four_ s foldarfrom 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 Tcemetery or burial ground in which the interment is made.
JT. 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 BOSTON
(City or Town)
The Commonwealth of Massachusetts EDWARD J. CRONIN SECRETARY OF THE COMMONWEALTH DIVISION OF VITAL STATISTICS COPY OF CERTIFICATE OF DEATH
(City or town making return)
Registered No.
72/19/1
No. Beth Israel Hospital
........
J (If death occurred in a hospital or institution, [ give its NAME instead of street and number)
2 FULL NAME
BIAGIO A. MASTROTA
(If deceased is a married, widowed or divorced woman, give also maiden name.)
72 Winthrop
St. Winthrop
Mass
(If nonresident, give city or town and State)
.days. In place of residence.
......
... years ..
.months:
days.
PERSONAL AND STATISTICAL PARTICULARS
8 SEX
M
9 COLOR OR RACE
10 SINGLE
(write the word)
MARRIED
WIDOWED
of DIVORCED arried
10a If married, widowed, or divorced
HUSBAND of
Gloria.
G
(Give maiden name of wife in foil)
(or) WIFE of
(Husband's name in full)
11 IF STILLBORN, enter that fact here.
12
AGE ... 61 .. Years
Months2.1 ...
.Days
If under 24 hours
Hours ........ Minutes
13 Usual
Occupation :.
Designer
(Kind of work done during most of working life)
14 Industry
or Business:
Dress Mfg. Ind.
15 Social Security No ..
022-09-7113
1 9 BIRTHPLACE (City)
"State or country)
Italy
17 NAME OF
FATHER
Francesco Mastrota
PARENTS
18 BIRTHPLACE OF
FATHER (City)
(State or country)
Italy
19 MAIDEN NAME
OF MOTHER'eresa Piccoli
20 BIRTHPLACE OF
MOTHER (City)
(State or country)
Italy
21
Informant
(Address)
Daughter
A TRUE COPY
les N. Mackie
ATTEST:
(Registrar of City or Town where death occurred)
DATE FILED
Aug 5
19
55
................
....
25M-10-53-910621
(Signed).
M Michaels
M. D.
(Address). .BIH
Date.
7/31
19.55
6 Winthrop Com
Winthrop ....... Ma.s.s ...
Place of Burial or Cremation (City or Town)
DATE OF BURIAL. Aug 3 19.5.5
7 NAME OF
FUNERAL DIRECTOR.
R C Kirby
ADDRESS E Boston, Mass
Received and filed.
SEP 12 195
19
(Registrar of City or Town where deceased resided)
INTERVAL BE-
TWEEN ONSET AND DEATH
less than 2 hrs
ANTE
Due To
Vascular insufficiency
of adherent loop je junum
Due To
Volvulus ... of ..... jejunum
at site of gastroje junostomy
Length of stay: In place of death.
.... years .....
months ...
MEDICAL CERTIFICATE OF DEATH
(Month)"
(Day)
4 I HEREBY CERTIFY,
have occurred on the date stated above, at.
3:090.
... m.
DISEASE OR CONDITION
DIRECTLY LEADING
TO DEATH (a) ........
Shock .... 2nd ..... to ..... in-
farction of small bowel
CEDENT
(b)
CAUSES
(c)
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.
WRITE PLAINLT, WITH ONFADING BLACK INK - THIS IS A PERMANENT RECORD
OTHER
SIGNIFICANT
CONDITIONS
History of myocardial
infarction ? timo
3 DATE OF
DEATH
J.11.1 .. y
3.1.
(Year)55
That
I
attended deceased from
7/31
19
to ..
7/31
19 .... 55
I last saw h.
.1. mlive on
7/31
19.5.5, death is said to
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,
M R-302 1
(Was deceased a
U. S. War Veteran,
if so specify WAR)
(a) Residence.
No.
(Usual place of abode)
RECEIVED
FF TOW
1
6
SEP12 AM
1
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,
X
Suffolk (County)
Chelsea
(City or Town) U.S.Naval Hospital No.
The Commonwealth of Massachusetts EDWARD J. CRONIN SECRETARY OF THE COMMONWEALTH DIVISION OF VITAL STATISTICS COPY OF CERTIFICATE OF DEATH
Chelsea
(City or town making return)
382 175
[(If death occurred in a hospital or institution, St. [ give its NAME instead of street and number)
l'emale -- Casale
(If deceased is a married, widowed or divorced woman, give also maiden name.)
(a) Residence. No. 19 Myrtle Avenue
x Winthrop
Mass
(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
Aug, 2,1955
(Month)
(Day)
(Year)
8 SEX
Female
9 COLOR OR RACE
White
10 SINGLE
MARRIED
WIDOWED
or DIVORCED ingle
4 I HEREBY CERTIFY,
Aug. 2
19.
55
toAug.2,
That I
attended deceased from
5,5
er
Aug.2
55
death is said to
have occurred on the date stated above, at
INTERVAL BE-
DISEASE OR CONDITION
DIRECTLY LEADINGAtelectasis
TO DEATH (a)
TWEEN ONSET AND DEATH
11 IF STILLBORN, enter that fact here.
12
AGEN
.. Years ...
..... Months ....
Days
Hours Minutes
13 Usual
Occupation :
(Kind of work done during most of working life)
14 Industry or Business:
15 Social Security No.
16 BIRTHPLACE (City) .. Chelsea.Mass (State or country)
17 NAME OF
FATHER
Salvatore A.
18 BIRTHPLACE OF Pittsburg, Pa. FATHER (City) (State or country)
19 MAIDEN NAME
OF MOTHER Mercedes G.Lynch
20 BIRTHPLACE OF
MOTHER (City)
(State or country)
Norfolk, Va.
6
Winthrop Con. Winthrop Mass Place of Burial or Cremation (City or Town)
DATE OF BURIAL
Aug ,5,1955
19
7 NAME OF
Q!Malloy Fun. Home
FUNERAL DIRECTOR .. Atlantic Ave. , Winthrop
ADDRESS
Received and filed.
SEP 14 1953
19
(Registrar of City or Town where deceased resided)
PARENTS
21 Mr.Salvatore A.Casale
Informant
(Address ) Myrtle Ave, Winthrop Lass
A TRUE COPY
ATTEST:
Jorgele & Tyrrell
(Registrar of City or Townofhere death occurred)
DATE FILED
Aug.2.1955
.19
X
10a If married, widowed, or divorced
HUSBAND of
(Give maiden name of wife in full)
(or) WIFE of.
(Husband's name in full)
ANTE
CEDENT (b)
CAUSES
Due To Aspiration pneumonia
Due To (c)
OTHER
SIGNIFICANT
CONDITIONS
Major findings:
Of operations.
Date of operation.
Was autopsy performed ?.
yes
What test confirmed diagnosis?
autopsy
5 Was disease or injury in any way related to occupation of deceased?
If so, specify .......
(Signed).
USTH, Chelsea Last.
8/2/559
M. D.
(Address).
25M-3-53-909098
PLACE OF DEATH
RM R-302 1
Registered No.
(Was deceased a
U. S. War Veteran,
if so specify WAR)
(Usual place of abode)
2 FULL NAME.
WRITE PLAINLY, WITH UNFADING BLACK INK - THIS IS A PERMANENT RECORD
(write the word)
If under 24 hours
I last saw
h
alive on
11:52p ..
RECEIVED
!, THRI
SEP12
M R-302 1
PLACE OF DEATH
SUFFOLK 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)
Registered No.
7.33.5
176
J(If death occurred in a hospital or institution, St. [ give its NAME instead of street and number)
2 FULL NAME.
George .....
(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.
(Usual place of abode)
45 Sargent St
.....
St.
Winthrop .... Mass
(If nonresident, give city or town and State)
Length of stay: In place of death ............ years ..
......
.months ....... ] ... days. In place of residence ....?. Q.years.
months.
... days.
MEDICAL CERTIFICATE OF DEATH
PERSONAL AND STATISTICAL PARTICULARS
3 DATE OF
DEATH
(MAHE 5, 1855
(Year)
8 SEX
Male
White
10 SINGLE
MARRIED
WIDOWED
or DIVORCED Single
4 I HEREBY CERTIFY,
That I
attended deceased from
Aug 4
19 ..... 55
to
Aug 5 1955
I last saw h .... 1 .. ... alive on
Aug 5
19 ... 55death is said to
have occurred on the date stated above, at
100
10a If married, widowed, or divorced
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) ... Myocardial infarct .....
INTERVAL BE- TWEEN ONSET ANO DEATH 2 days
11 IF STILLBORN, enter that fact here.
12
AGE 7.2 Years 6 Months ]& Days
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