USA > Massachusetts > Suffolk County > Winthrop > Town of Winthrop : Record of Deaths 1956 > Part 19
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have occurred on the date stated above, at 10:00 A. .. m.
INTERVAL BE- TWEEN ONSET AND DEATH
11 IF STILLBORN, enter that fact here.
12
AGE
Years
Months. 7 Days
If under 24 hours
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) A .;!!! (State or country) =
17 NAME OF FATHER
18 BIRTHPLACE OF
FATHER (City) (State or country)
CHELSEA
Date of operation
Was autopsy performed? Yes
What test confirmed diagnosis ?.
5 Was disease or injury in any way related to occupation of deceased? If so, specify. obiun (Signed) G. Paul Dutus (Address) 39 LAKY Dr. CHELSEA
M. D.
6 HOLY CROSS Place of Burial or Cremation
MANDAN (City or Town)
DATE OF BURIAL.
7 NAME OF FUNERAL DIRECTOR 11
ADDRESS
Received and filed MAR 19 1956
........ 19
(Registrar)
PARENTS
20 BIRTHPLACE OF
REVERE
21 Informant LAWRENCEER WEIN (Address) AYY YYNIERE
I HEREBY CERTIFY that a satisfactory standard certificate of death was filed with me BEFORE the burial or transit permit was issued:
Watter & Mapear. (Signature of Agent of Board of Health or other)
3/19/16
(Official Designation)
(Date of Issue of Permity
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). Prematurity 6mos- Luk
Due To
ANTE CEDENT (b) CAUSES
Due To (c)
OTHER
SIGNIFICANT
CONDITIONS
Major findings:
Of operations.
50M-3-54-911887
RM R-301A 1
NSTRUCTIONS FOR CAL CERTIFICATE In giving SE OF DEATH
o not enter ore than one use for each a), (b) and (c)
his does not mean ode of dying, such t failure, asthenia. means the disease, nplications which death.
orbid conditions. giving rise to the cause (a) stating nderlying cause
onditions contrib- o the death but not to the disease or on causing death.
te :- Chapter 137. of 1954, requires icians to print or the cause or causes death on death ficates.
(City or Town)
No.
CITY HOTEL NG
Registered No.
(Was deceased a
U. S. War Veteran,
if so specify WAR)
That I attended deceased from
7 days
Datenavut 7. 196 MOTHER (City) (State or country)
19 MAIDEN NAME OF MOTHER
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, 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 thecommonwealth until he has received a permit so to do from the board of health or it's agent appointed to issue such permits, or if there is no such board, from the dierk of the town where the body is to be buried or the funeral is to 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 (drugs or poisons) thermal of electrical agents, ånd deaths following abortion, but also deaths from disease fesultingfrom injury or infection related to occupation. the sudden deaths of persons not disabled by recognized disease, and those of persons found dead.
Statement of Cause of Death .- Physicians: see explanatory instructions on face side of standard certificate of death.
Statement of Occupation .- Precise statement of occupation is very import- ant, so that the relative healthfulness of various pursuits can be known. Make some entry in this section for every person aged 10 years or over. If the occupa- tion had been given up or changed, or if the deceased had retired from business, report the kind of work done during most of working life even if retired. Children not gainfully employed may be returned as at school or at home. For a woman whose only occupation was that of home housework, write housework. For a person engaged in domestic service for wages, however, designate the occupation by the appropriate terms, as housekeeper-private family, cook-hotel, etc. For a person who had no occupation whatever write none.
SPACE FOR ADDITIONAL INFORMATION
DATE OF ENTERING MILITARY SERVICE DATE OF DISCHARGE RANK, RATING ORGANIZATION AND OUTFIT
SERVICE NUMBER
X - PLACE OF DEATH
Suffolk (County)
Winthrop
(City or Town)
The Commonwealth of Massachusetts EDWARD J. CRONIN SECRETARY OF THE COMMONWEALTH DIVISION OF VITAL STATISTICS STANDARD CERTIFICATE OF DEATH
To be filed for burial permit with Board of Health or its Agent.
Registered No.
S(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)
(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
3 DATE OF
March 18 1956
DEATH
(Month) (Day)
(Year)
4 I HEREBY CERTIFY,
That I attended deceased from
19.
56
Feb 10,
19.
56
March
to.
I last saw heTalive on
march 10, 1936, death is said to
have occurred on the date stated ahove, at 8:15 A.m.
DEATH WAS CAUSED BY: IMMEDIATE CAUSE
Cerebral Hemorrhage
(a)
(b)
Cerebral Arteriosclerosis
years
Due To (c)
OTHER
SIGNIFICANT
CONDITIONS
Was autopsy performed? no
What test confirmed diagnosis?
clinical
5 Was disease or injury in any way related to occupation of deceased? no If so, specify.
(Signed) arthur C. Murray D
Winthrop
Date 18 /Mar 1956
6 Holy Cross
Malden Mass
Place of Burial or Cremation
DATE OF BURIAL March
(City or Town) 1956 19
7 NAME OF
FUNERAL DIRECTOR Arthur J. O'Maley
ADDRESS Winthrop, Mass.
3-20.56 19
(Registrar)
PERSONAL AND STATISTICAL PARTICULARS
8 SEX
Female
9 COLOR
Thi te
10 SINGLE
(write the word)
MARRIED
WIDOWEDSingle
or DIVORCED
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
78
AGE
Years.
Months.
Days®
If under 24 hours
Hours ........ Minutes
13 Usual
Occupation :
AtHome
(Kind of work done during most of working life)
14 Industry
or Business :
15 Social Security No.
16 BIRTHPLACE (City)
(State or country)
Pictou
Nova Scotia
17 NAME OF
FATHER
Hugh McLean
18 BIRTHPLACE OF
FATHER (City)
(State or country)
Nova Scotia
19 MAIDEN NAME
OF MOTHER Catherine MacDonald
20 BIRTHPLACE OF MOTHER (City) (State or country)
Nova Scotia
21 Informant.
Leo MacDonald
(Address)
Almont St .. Winthrop
I HEREBY CERTIFY that a satisfactory standard certificate of death was filed with me BEFORE the burial or transit permit was issued: Watter & yaweis (Signature of Agent of Board of Health or other)
5/20/55
(Official Designation)
(Date of Issue of Permit)/
100M-11.55-916145
3
M R-301A 1
TRUCTIONS FOR L CERTIFICATE n giving , OF DEATH not enter e than one se for each , (b) and (c)
s daes nat mean de of dying, heart failure, , etc. It means ase, ar campli- which caused
tians, if any, gave rise ta cause (a), g the under- cause last.
ditions cantrib- death but nat ta the terminal canditian given
:- Chapter 137, f 1954, requires ians to print or the cause or of death on certificates.
1.83
79 Read Street
No.
2 FULL NAME Agnes McLean
(If deceased is a married, widowed or divorced woman, give also maiden name.) 79 Read Street St
50
PARENTS
Received and filed.
INTERVAL BETWEEN ONSET AND DEATH
hours
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- te"n, 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).
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 traumatism (including resulting septicemia), and by the action of chemical (drugs or poisons) thermal, or electrical agents, and deaths following abortion, but also deaths from disease resulting from injury or infection related to occupation. the sudden deaths of persons not disabled by recognized disease, and those of persons found dead.
Statement of Cause of Death .- Physicians: see explanatory instructions on face side of standard certificate of death.
Statement of Occupation .- Precise statement of occupation is very import- ant, so that the relative healthfulness of various pursuits can be known. Make some entry in this section for every person aged 10 years or over. If the occupa- tion had been given up or changed, or if the deceased had retired from business, report the kind of work done during most of working life even if retired. Children not gainfully employed may be returned as at school or at home. For a woman whose only occupation was that of home housework, write housework. For a person engaged in domestic service for wages, however, designate the occupation by the appropriate terms, as housekeeper-private family, cook-hotel, etc. For a person who had no occupation whatever write none.
SPACE FOR ADDITIONAL INFORMATION
DATE OF ENTERING MILITARY SERVICE
DATE OF DISCHARGE RANK, RATING
ORGANIZATION AND OUTFIT SERVICE NUMBER
X -
M R-301A 1
PLACE OF DEATH
Suffolk (County)
Winthrop (City or Town)
Biston
4-6.56
The Commonwealth of Massachusetts EDWARD J. CRONIN SECRETARY OF THE COMMONWEALTH DIVISION OF VITAL STATISTICS STANDARD
CERTIFICATE OF DEATH
Registered No.
48
St. { give its NAME instead of street and number) No.
2 FULL NAME
(If deceased is a married, widowed or divorced woman, give also maiden name.)
(a) Residence. No .. 1088 Saratoga Street
St
East ... Boston
(Usual place of abode)
(If nonresident, give city or town and State)
Length of stay: In place of death ............ years. months. 1 .days. In place of residence. .3.7 years. months ............ days.
PERSONAL AND STATISTICAL PARTICULARS
8 SEX
9 COLOR
femal
white
10 SINGLE
(write the word)
MARRIED
WIDOWED
or DIVORCED Widowed
10a If married, widowed, or divorced
HUSBAND of.
(Give maiden name of wife in full)
(or) WIFE of
Joseph F. Bucolo
(Husband's name in full)
11 IF STILLBORN, enter that fact here.
12
77
Years 1 ..... Months. 1.8.Days'
If under 24 hours
Hours ........ Minutes
13 Usual
Occupation :
Housewife
(Kind of work done during most of working life)
14 Industry
or
Business At home
15 Social Security No ........... gone
16 BIRTHPLACE (City)
(State or country)
Italy
17 NAME OF
FATHER
Sebastion Sophia
18 BIRTHPLACE OF
FATHER (City)
(State or country) Italy
19 MAIDEN NAME
20 BIRTHPLACE OF
MOTHER (City)
(State or country)
Italy
Francis J Bucolo son
21
Informant
(Address)
1088 Saratoga St East Boston
I HEREBY CERTIFY that a, satisfactory standard certificate of death was filed with me BEFORE the burial or transit permit was issued: alter . farlig (Signature of Agent of Board of Ilealth or other)
Health Miar
3/20/06
(Official Designationy V
(Date of Issue of Permit)
Y
DEATH WAS CAUSED BY: IMMEDIATE CAUSE
(a)
Cerebral Itemembago
evelanal Hemperpage
HEMORR tual
Due To
Hypertension
(b)
Hypertension
Due To
Hypertensive Heart Disease
(c)
Hypertensione Heart Disease + Years
OTHER
SIGNIFICANT
Diabetes Mellitus
CONDIT
Diabetes Mellitus
5 years
Was autopsy performed?
What test confirmed diagnosis?
5 Was disease or injury in any way related to occupation of deceased? No If so, specify.
(Signed)
Dowetry Cheney appleton
M. D.
OF MOTHER
Cannot be learned
(Address)
197 Woodside alve Date 3/20 1956
6 Holy Cross Malden
Place of Burial or Cremation
(City or Town)
DATE OF BURIAL March 22 1956
7 NAME OF FUNERAL DIRECTOR .. Richard ..... C.Kirby ADDRESS 917 Bennington St East Boston
Received and filed WAR 20 1956 19
(Registrar)
PARENTS
MEDICAL CERTIFICATE OF DEATH
3 DATE OF
DEATH
March
19
1956
(Month)
(Day)
(Year)
4 I HEREBY CERTIFY,
to
March 20
19 56
That I attended deceased from
Jan. 8
19.52
-,
I last saw h.falalive on
March19, 1956, death is said to
have occurred on the date stated above, at 4:30 P. m.
INTERVAL BETWEEN ONSET AND DEATH
4 Years
100M-11-55-916145
TRUCTIONS FOR AL CERTIFICATE
in giving E OF DEATH not enter e than one se for each , (b) and (c)
's does not mcan ode of dying, s heart failure, a, ett. It means case, or compli- which caused
itions, if any, gave rise to causc (a), g the under- cause last.
ditions contrib- o death but not to the terminal condition given
e :- Chapter 137, of 1954, requires cians to print or the cause or of death on certificates.
To be filed for burial permit with Board of Health or its Agent.
Winthrop Community Hospital
Maria Bucolo (ne ..... Sophia)
PHYSICIAN - IMPORTANT
(Was deceased a
U. S. War Veteran,
if so specify WAR)
.no
$(If death occurred in a hospital or institution,,
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.
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