USA > Massachusetts > Suffolk County > Winthrop > Town of Winthrop : Record of Deaths 1956 > Part 27
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CERTIFICATE OF DEATH
Registered No.
69.
WINTHROP COMMUNITY HOSP.
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)
No
(a) Residence. No. 188 WOODSIDE AVE
(Usual place of abode)
16hRS. 3mm's
months. days. In place of residence
2 years
.. months
.days.
MEDICAL CERTIFICATE OF DEATH
PERSONAL AND STATISTICAL PARTICULARS
3 DATE OF
DEATH
April
(Month)
(Day)
10 1956 (Year)
8 SEX
FEMALE
9 COLOR OR RACE
WHITE
10 SINGLE
MARRIED,
WIDOWED
or DIVORCEI
(write the word) ARRIED
4 I HEREBY CERTIFY,
That I attended deceased from
August .. 1953. April 10 1956
I last saw her alive on April 10 .. 19 56, death is said to have occurred on the date stated above, at 5:25.A.m.
(or) WIFE of.
Louis
FEINSTEIN
(Husband's name in full)
DISEASE OR CONDITION
DIRECTLY LEADING
TO DEATH (a) Coronary@celesion
INTERVAL BE- TWEEN ONSET AND DEATH 36 hrs
11 IF STILLBORN, enter that fact here.
12 68 ears
Months.
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.
16 BIRTHPLACE (City)
(State or country)
RUSSIA
17 NAME OF
FATHER
JOSEPH GOLDSTEIN
18 BIRTHPLACE OF FATHER (City) (State or country)
RUSSIA
19 MAIDEN NAME OF MOTHER CHARM- Cannot be learned
20 BIRTHPLACE OF MOTHER (City) (State or country)
Russia
. Sharon Mem Park Place of Burial or Cremation (City or Town)
DATE OF BURIAL April 11
1956
7 NAME OF
FUNERAL DIRECTOR
Benjamin Birnbach
ADDRESS 10 Washington St. Doch .....
Received and filed APR 10 1956 19
(Registrar)
3 yrs.
Due To / (c)
OTHER
SIGNIFICANT
CONDITIONS
None.
Major findings:
Of operations.
None
Date of operation
None Was autopsy performed?
No
What test confirmed diagnosis ?. Clinical No
5 Was disease or injury in any way related to occupation of deceased ?..
If so, s
(Signed)
M. D.
(Address) Winthrop, Mass Date 5/10/ 1956
Sharon
PARENTS
21 Informant (Address)
Ettal Ritter 188 Woodside Ave, Winthrop
I HEREBY CERTIFY that a satisfactory standard certificate of death was filed with me BEFORE the burial or transit permit was issued:
Valter A. Bakery (Signature of Agent of Board of Health of other))
Theatthe Cruces 4/10/56
(Official Designation)
(Date of Issue of Permit)
VIV
TRUCTIONS FOR L CERTIFICATE
n giving OF DEATH not enter e than one e for each , (b) and (c)
s does not mean e of dying, such failure, asthenia. eans the disease, lications which eath.
bid conditions. iving rise to the use (a) stating derlying cause
ditions contrib- the death but not o the disease or causing death.
:- Chapter 137, f 1954, requires ans to print or e cause or causes ath on death ates.
SOM-3-54-911887
No.
2 FULL NAME.
LENA FEINSTEIN
(If deceased is a married, widowed or divorced woman, give also maiden name.)
St. WINTHROP, MASS.
(If nonresident, give city or town and State)
Length of stay: In place of death years.
10a If married, widowed, or divorced
HUSBAND of
(Give maiden name of wife in full)
ANTE
Due To
Hypertensive- Coronary
CEDENT (b)
CAUSES
I Heart Disease!
To be filed for burial ·permit with Board of Health or its Agent.
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 relicf 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 194.5.
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
OFFIC
WI
. 0
DATE OF DISCHARGE
RANK, RATING
ORGANIZATION AND OUTFIT
SERVICE NUMBER
APR10
12
TOW
PASS
n
AM
1111
RECEIVED
P.
M R-301A 1
PLACE OF DEATH
Suffolk (County)
POSTon 5-7:54
The Commonwealth of Massachusetts EDWARD J. CRONIN SECRETARY OF THE COMMONWEALTH DIVISION OF VITAL STATISTICS
STANDARD CERTIFICATE OF DEATH
20
No. Winthrop Community Hospital
govoni, John John B. Govoni
PHYSICIAN - IMPORTANT
(If deceased is a married, widowed or divorced woman, give also maiden name.) 22 Shrimpton St. E. Boston, Mass.
St.
(If nonresident, give city or town and State)
Length of stay: In place of death. years months. .17 days. In place of residence. 3.5.years
PERSONAL AND STATISTICAL PARTICULARS
3 DATE OF
DEATH
APRIL
(Month)
(Day)
56 (Year)
8 SEX
Male
9 COLOR OR RACE
White
10 SINGLE
(write the word)
MARRIED
WIDOWED
Widowed
4 I HEREBY CERTIFY.
That I attended deceased from
MARCH 23
....
1956
to
APRIL 10
1956
I last saw h. / .... .. alive on
APRIL 10, 1956
death is said to
have occurred on the date stated above, at
1.15 P
m.
INTERVAL BE- TWEEN ONSET AND DEATH
11 IF STILLBORN. enter that fact here.
12
2 MONTHS
AGE
77 Years
0
Months
10
Days
If under 24 hours
Hours .. . . Minutes
13 Usual
Occupation :.
Machinist
14 Industry
or Business:
Block Assembly
15 Social Security No ...
023-09-4867
16 BIRTHPLACE (City) (State or country) Italy
OTHER
SIGNIFICANT
CONDITIONS
CA OF PROSTATE META STATIC TO BONES
3MOS
Major findings:
Of operations.
Date of operation
What test confirmed diagnosis?
Was autopsy performed? OPERATIONS & BIOPSY
5 Was disease or injury in any way related to occupation of deceased? -
If so, specify
(Signed)
C. F. Cataldo 48 Burn ST.8. Boat Date Ch
M. D. 19.5.
6 Holy Cross Cemetery, Malden Place of Burial or Cremation
(City or Town)
DATE OF BURIAL April 14th 19
5$
7 NAME OF FUNERAL DIRECTOR. Richard C. Kirby ADDRESS 17 Bennington St. E. Boston
Received and filed APR 13 1956 19
(Registrar)
PARENTS
18 BIRTHPLACE OF FATHER (City) (State or country) Italy
19 MAIDEN NAME
OF MOTHER
Mary Stagni
20 BIRTHPLACE OF MOTHER (City) (State or country) Italy
21 Informant Mr. John B. Govoni-son
(Address) 22 Shrimpton St. E. Boston
I HEREBY CERTIFY that a satisfactory standard certificate of death was filed with me BEFORE the burial or transit permit was issued: Water & MJakilex-
(Signature of Agent of Board of Health or other) Vallarta Accich 4/11/58
(Official Designation) (Date of Issue of Permit) /
X
10a If married, widowed, or divorced
HUSBAND of
Norma .... Tassinari
(Give maiden name of wife in full)
(or) WIFE of
(Husband's name in full)
DISEASE OR CONDITION
DIRECTLY LEADING
TO DEATH (a)
METASTATIC CA
OF STOMACH
ANTE CEDENT (b) CAUSES
Due To
Due To (c)
50M-3-54-911667
-
STRUCTIONS FOR AL CERTIFICATE
n giving E OF DEATH not enter re than one se for each ), (b) and (c)
is does not mean le of dying, such failure, asthenia .. means the disease, plications which death.
rbid conditions. giving rise to the use (a) stating derlying cause
ditions contrib- the death but not o the disease or n causing death.
e :- Chapter 137. of 1954, requires cians to print or he cause or causes eath on death cates.
2 FULL NAME ..
(a) Residence. No. (Usual place of abode)
(Was deceased a U. S. War Veteran, if so specify WAR) No
.months days.
MEDICAL CERTIFICATE OF DEATH
10
Winthrop (City or Town)
To be filed for burial ·permit with Board of Health or its Agent.
f(If death occurred in a hospital or institution,
St. [ give its NAME instead of street and number)
Registered No.
(Kind of work done during most of working life)
17 NAME OF
FATHER
Antonio Govoni
(Address)
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 $8/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 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 cemeterylor 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 sueh 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 oceupation whatever write none.
SPACE FOR ADDITIONAL INFORMATION
DATE OF ENTERING MILITARY SERVICE DATE OF DISCHARGE RANK, RATING.
ORGANIZATION AND OUTFIT SERVICE NUMBER
M R-301A 1
PLACE OF DEATH
Suffolk (County)
inthron (City or Town)
The Commonwealth of Massachusetts EDWARD J. CRONIN SECRETARY OF THE COMMONWEALTH DIVISION OF VITAL STATISTICS
STANDARD
CERTIFICATE OF DEATH
Registered No.
21
No. tuno Community Hospital
[(If death occurred in a hospital or institution, St. { give its NAME instead of street and number)
PHYSICIAN - IMPORTANT
2 FULL NAME ..
Elizabeth - Mye tte
(If deceased is a married, widowed or divorced woman, give also maiden name.)
64 Neponsett St., Revere, Mass.
(If nonresident, give city or town and State)
Length of stay: In place of death ........ years.
months ............ days. In place of residence ..... 5(years.
months .days.
MEDICAL CERTIFICATE OF DEATH
3 DATE OF
DEATH
Cyril
10
1956
(Year)
(Month)
(Day)'
That I
attended deceased from
1916
I last saw hr alive on 19 death is said to
have occurred on the date stated above. at. 7 50 AM
DISEASE OR CONDITION
DIRECTLY LEADINGSrebra heminovdage
TO DEATH (a)
Cerebral Hemmorhage
ANTE CEDENT (b)
County Thissubiris
CAUSES Coronary Thrombosis
Due To Diabetes (c) Diabetes
?
OTHER SIGNIFICANT CONDITIONS Arteria-Accenous
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)
(Address) 12 Ality Au A
M. P.
Date 4/10 19.16
6
Holy Unos
Place of Burial or Cremation
(City or Town)
DATE OF BURIAL April 13 1956
7 NAME OF
FUNERAL DIRECTOR
Revere
ADDRESS
Received and filed. APR 12 1956 19
(Registrar)
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 60 Years
Months
Days
If under 24 hours
Hours ....
. Minutes
13 Usual
Occupation: It ha
(Kind of work done during most of working life)
14 Industry
or Business:
est home
15 Social Security No ..
16 BIRTHPLACE (City)
(State or country)
Avar
·
17 NAME OF FATHER 11771 . Adams
PARENTS
18 BIRTHPLACE OF
FATHER (City)
Boston
(State or country)
19 MAIDEN NAME
OF MOTHER
Catherine Burno
20 BIRTHPLACE OF MOTHER (City) (State or country)
Borten
Mas
21
Informant. illard C.Ivette
(Address) 1 Neporant St. Nov
I HEREBY CERTIFY that a satisfactory standard certificate of death was filed with me BEFORE the burial or, transit permit was issued: Walter f. Makers (Signature of Agent of Board of Health or other) Theallt Guete 4/12/36
(Official Designation)
(Date of Issue of Permit)
X
TRUCTIONS FOR L CERTIFICATE
giving : OF DEATH
not enter e than one e for each (b) and (c)
s does not mean e of dying, such Failure, asthenia, eans the disease. lications which cath.
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