USA > Massachusetts > Suffolk County > Winthrop > Town of Winthrop : Record of Deaths 1955 > Part 6
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15 Social Security No ......
None
stoneham
16 BIRTHPLACE (City) ..
(State or country)
Mass
1 year
50M-(A)-11-51-905807
PLACE OF DEATH
M R-301 1
UCTIONS FOR CERTIFICATE giving OF DEATH ot enter than one for each (b) and (c)
does not mean f dying, such lure, asthenia,-> ns the disease, ations which h.
id conditions, ng rise to the e (a) stating lying caus
itions contrib-> death but not he disease or ausing death.
(a) Residence. No. (Usual place of abode)
40
(Was deceased a
U. S. War Veteran,
if so specify WAR)
Widow
10a If married, widowed, or divorced
HUSBAND of
(Give maiden name of wife in full)
have occurred on the date stated above, at ... 6:45pm
6 mot
Winthrop
Registered No.
V
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 otber 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 bundred 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 Cbina relief expedition and the Philippine insurrection, which shall, for said purposes, be deemed to have taken place between February fourteentb, eigbteen hundred and ninety-eight and July fourth, ninetcen hundred and two, and the Mexican border service of nineteen hundred and sixteen and nineteen hundred and seven- teen. G. L. Chap. 46, Sec. 10.
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 sucb permits, or if there is no such board, from the clerk of the town where the person died; and no undertaker or otber 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 hy 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 wbo 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 hy 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 hody 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 tbe
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 registration. 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 examinere chall make) examination upon the view of the dead bodies of only such persons 'as are stipposed 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, Chat/ 38.' Sec. 6.
No undertaker of other persons, shall bury a human body or the asbes thereof which have been brought into the commonwealth until be 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 for the funeral is to bethell, or from a person appointed to have the care of the cemetery or burial ground in which the interment is made.
. . . Chap. il Hfr rSec. 46, G. L; (Tercentenary Edition).
6 SROLES OF PRACTICE
The fullthem
utRose of these laws calls for the observance of the following rules
(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) WAT earth physicians will certify to such deaths only as those of persons ghdisabled hryrecognized disease unrelated to any form of injury, bave 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, hut also deaths from disease resulting from injury or infection related to occupa- tion, 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 tbe kind of work done during most of working life even if retired. Children not gainfully employed may be returned as at school or at bome. 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
County)
The Commonwealth of Massachusetts EDWARD J. CRONIN SECRETARY OF THE COMMONWEALTH DIVISION OF VITAL STATISTICS AHIU STANDARD CERTIFICATE OF DEATH
To ba filed for burial ·permit with Board of Health or Its Agent.
14
Registered No.
Winthrop Community Horbit (If death occurred in a hospital or institution. 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)
30
East Bouton
(If nonresident, give city or town and State)
Length of stay: In place of death. ..... years ...
months.
5
.. days. In place of resident years .. months .days.
MEDICAL CERTIFICATE OF DEATH
PERSONAL AND STATISTICAL PARTICULARS
3 DATE OF
DEATH
Jan
18
1965.
(Year)
(Month)
(Day)
4 I HEREBY CERTIFY.
That I attended deceased from
Jan 13
1955
to ...
JAV 18
1955
I last saw h 2 V alive on
Jan 18
19 5) death is said to
have occurred on the date stated above, at
1:10 Pm.
.m.
INTERVAL BE- TWEEN ONSET AND DEATH
11 IF STILLBORN, enter that fact here.
12
AG
71
.Years
4
Months
Days
If under 24 hours
.Hours . . Minutes
13 Usual
Occupati
(Kind of work done during most of working life)
14 Industry
or Business:
ron home
15 Social Security No. . none
16 BIRTHPLACE (City) .. (State or country)
Italy
17 NAME OF
FATHER
Vito F. De Sanctis
Major findings:
Of operations ..
Fatty Necrosis of Omentum
Date of operation ..
1/14/55
Was autopsy performed?
What test confirmed diagnosis ?.
5 Was disease or injury in any way related to occupation of deceased? 110
If so, specify .......
D. D Potito
(Signed)
(Address) 1)a. Bennington SIT13 Date 1/18
1955
M. D.
St. Michael
Boota (City or Town)
6 Place of Burial of Cremation DATE OF BURIAL Canecary 22 150
7 NAME OF
FUNERAL DIRECTOR
a ADDRESS Henry It Cost Obstan Watter H. Bakery-
Received and filed. JAN 211955- 19
(Registrar)
8 SEX
9 COLOR OR RACE White
10 SINGLE
(write the word)
(or) WIFE of
(Give maiden name of wife in full) 10a If married, widowed, or divorced HUSBAND of anthony Matera
(Husband's name in full)
DISEASE OR CONDITION
DIRECTLY LEADING Acute hemorrhagic
TO DEATH (a)
Pancreatitis
8days
ANTE
Due To
CEDENT (b)
CAUSES
Due To (c)
OTHER SIGNIFICANT CONDITIONS
PARENTS
18 BIRTHPLACE OF FATHER (City) (State or country)
Italy
19 MAIDEN NAME
OF MOTHER
Posina Mellili
20 BIRTHPLACE OF MOTHER (City) (State or country) Italy
author Maty
21 Informant. (Address) 208546
I HEREBY CERTIFY that a satisfactory standard certificate of death was filed with me BEFORE the furjal or transit permit was issued:
(Signature of Agent of Board of Health or other) Health office 1/21/58
(Official Designation)
(Date of Issue of Permit)
L
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.
conditions, ng rise to the (a) staling lying cause
ions contrib- death but not e disease or using death.
Chapter 137. 954, requires s to print or auscor causes h on death es.
SOM-3-54-911887
R-301A 1 Winthrop (City or Towpy
Beatrice matera
PHYSICIAN - IMPORTANT
(a) Residence. No (Usual place of abode)
208 Bremen
St.
MARRIED
WIDOWED 01
or DIVORCED
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 forfeitten 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 thez 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 ofthe town where the person died; and no undertaker or other person shall exhume arhuman body and. remove it from a town, from one cemetery to another, or from Gle stays ENGarvomb other than the receiving tomb to another in the same cemetery. intrthe bas received a permit from the board of health or its agent aforesajd or of the town where the body is buried. No such permit shall be usinge mul there shall have been delivered to such board, agent or clerk, as the daily 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 thetsif Attending physician, or if, for sufficient reasons, his certificate cannot UHINamed 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 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 C, 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 .....
I R-301A 1 Winthrop
(City or Town) 274 Pleasant Street No.
The Commonwealth of Massachusetts EDWARD J. CRONIN SECRETARY OF THE COMMONWEALTH DIVISION OF VITAL STATISTICS AHI STANDARD CERTIFICATE OF DEATH
To be filed for burial ·permit with Board of Health or its Agent.
15
Registered No.
f(If death occurred in a hospital or institution, St. [ give its NAME instead of street and number)
PHYSICIAN - IMPORTANT
(If deceased is a married, widowed or divorced woman, give also maiden name.)
274 Pleasant Street
St.
(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
JANUARY 19
1955
8 SEX
Female
9 COLOR OR RACE
White
MARRIED
WIDOWED
of DIVORCEDMarried
4 I HEREBY CERTIFY,
That I attended deceased from
JAN. 28
...
JAN. 19
55
19
I last saw h ...
... alive on.
JAN, 18, 1955 death is said to
have occurred on the date stated above, at
11:45 P.m.
INTERVAL BE- TWEEN ONSET AND DEATH
11 IF STILLBORN. enter that fact here.
12
AGE
Years
74
O
Months
2
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 ..
None
Boston
16 BIRTHPLACE (City).
(State or country)
Mass.
17 NAME OF FATHERLeslie E Bigelow
Major findings:
Of operations ....
CARCINOMA of SIGMOID + ABD. META THE!
Date of operation ..
JUNE 10, 1954 Was autopsy performed?
NO
What test confirmed diagnosis
CLINICAL + LABORATORY.
NO.
5 Was disease or injury in any way related to occupation of deceased?
If so, specify .......
(Signed) M. Tranne 2
(Address) SEL SHIRLEY ST. WELETRAS CAN-2019
M. D.
6
Winthrop
Place of Burial or Cremation
Winthrop (City or Town)
DATE OF BURIAL
Jan 22
19.55
7 NAME OF
FUNERAL DIRECTOR
Winthise maus.
ADDRESS
Received and filed BAN 21 1955 19
(Registrar)
PARENTS
BIRTHPLACE OF
FATHER (City)
(State or country)
Mass
19 MAIDEN NAME
OF MOTHER
Anna G Eliot
20 BIRTHPLACE OF
MOTHER (City)
Boston
(State or country)
Mass
21 Herbert Dwight Hall 274 Pleasant St. Winthrop Informant (Address)
I HEREBY CERTIFY that a satisfactory standard certificate of death was filed with me BEFORE the burial or transit permit was issued: Watter & Bakes (Signature of Agent of Board of Health or other) The altar of Asy Officer 1/21/55
(Official Designation)
(Date of Issue of Permit)
VI
UCTIONS FOR CERTIFICATE
giving OF DEATH ot enter than one for each b) and (c)
does not mean of dying, such lure, asthenia, ns the disease. cations which th.
d conditions, ing rise to the e (a) slating lying
lions contrib- death but not he disease or ausing death.
Chapter 137, 1954, requires ns to print or cause or causes th on death tes.
50M-3-54-911887
3.S.
PLACE OF DEATH
Suffolk (County)
2 FULL NAME.
Mabel G (Bigelow) Hall
(a) Residence. No. (Usual place of abode) 20
(Month)
1 (Day)
(Year)
10a If married, widowed, or divorced
HUSBAND of.
(Give maiden name of wife in full)
(or) WIFE of
Herbert
Dwight Hall
(Husband's name in full)
DISEASE OR CONDITION
DIRECTLY LEADING
TO DEATH (a)
GENERALIZED.
CARCINOMATOSIS
7 MOS.
ANTE
Due To CARCINOMA of SIGMOID
CEDENT (b)
CAUSES
COLON
2 YRS.
Due To
(c)
OTHER
SIGNIFICANT
CONDITIONS
Boston
Howard SPPunold
55
(Was deceased a
U. S. War Veteran,
if so specify WAR)
10 SINGLE
(write the word)
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 elerk 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
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