Town of Winthrop : Record of Deaths 1956, Part 84

Author: Winthrop (Mass.)
Publication date: 1956
Publisher:
Number of Pages: 534

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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. 1 -

(2) Board of Health physicians will certify to such deaths only as those of persons who, though disabled by recognized disease unrelated to any form of injury, have died without recent medical attendance or whose physician is absent from home when the certificate of death is needed.

(3) Medical Examiners will investigate and certify to all deaths supposably due to injury. These include not only deaths caused directly or indirectly by traumatism (including resulting septicemia), and by[the action of chemical (drugs or poisons) thermal, or electrical agents, and deaths following abortion, but also deaths from disease resulting from injury or infection related to occupation, the sudden deaths of persons not disabled by recognized disease, and those of persons found dead.

Statement of Cause of Death .- Physicians: see explanatory instructions on face side of standard certificate of death.

Statement of Occupation .- Precise statement of occupation is very import- ant, so that the relative healthfulness of various pursuits can be known. Make some entry in this section for every person aged 10 years or over. If the occupa- tion had been given up or changed, or if the deceased had retired from business, report the kind of work done during most of working life even if retired. Children not gainfully employed may be returned as at school or at home. For a woman whose only occupation was that of home housework, write housework. For a person engaged in domestic service for wages, however, designate the occupation by the appropriate terms, as housekeeper-private family, cook-hotel, etc. For a person who had no occupation whatever write none.

SPACE FOR ADDITIONAL INFORMATION

DATE OF ENTERING MILITARY SERVICE

DATE OF DISCHARGE RANK, RATING

.........

ORGANIZATION AND OUTFIT

SERVICE NUMBER

......

PLACE OF DEATH

SUFFOLK (County)

Winthrop (City or Town) Chelsea 1.7756'

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.

241

No. Elizabeth Murphy Rost Home

2 FULL NAME Anthony Sculeo Saulco

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

(a) Residence. No. 4 Tremont street

(Usual place of abode)

(If nonresident, give city or town and State)

Length of stay: In place of death. 6 months. days. In place of residence. ... years months ....._ days.

MEDICAL CERTIFICATE OF DEATH

PERSONAL AND STATISTICAL PARTICULARS

8 SEX MALe

9 COLOR

white

10 SINGLE

MARRIED

WIDOWED

or DIVORCED

(write the word)

Single

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.

AGES9

Years

Months

Days

If under 24 hours

Hours ...... Minutes

13 Usual

Occupation :

Retired

(Kind of work done during most of working life)

14 Industry

or Business:

15 Social Security No.

16 BIRTHPLACE (City)

(State or country)

ITALY

17 NAME OF

FATHER

Gregorio

18 BIRTHPLACE OF

FATHER (City)

(State or country)

ITALY

19 MAIDEN NAME

OF MOTHER

TeresCA TorchiA

20 BIRTHPLACE OF

MOTHER (City)

(State or country)

ITALY

Holy Cross 6 Place of Burial or Cremation

IMALDer (City or Town)

DATE OF BURIAL

Dec

19.30

7 NAME OF

FUNERAL DIRECTOR

Dabretone . Parathe

ADDRESS

314 Washington Che Chekey

Received and filed DEU 2 .950 19

(Registrar)

(Month)

(Day)

1956 (Year)

4 I HEREBY CERTIFY.

JAN

40 to Dec 23

19 , death is said to

have occurred on the date stated above, at

915 A

.. m.

DEATH WAS CAUSED BY: IMMEDIATE CAUSE

CORONARY OCCLUSION

(a)

INTERVAL

BETWEEN

ONSET AND

DEATH

4 DAYS

Due To

(b)

MYO CARDITIS

5 YRS

Due To

To ARTERIOSCLEROSIS.

(c)

YOURS

OTHER

SIGNIFICANT

CONDITIONS

ARTHRITIS

10 YRS

Was autopsy performed?

What test confirmed diagnosis?

5 Was disease or injury in any way related to occupation of deceased ?

If so, specify

(Signed)

N. D. Grantur

M. D.

(Address) 140 Jarkuly a

Date De La 19

PARENTS

21 SALVATORE COSCO

Nephowel

Informant

(Address)

EverITT

I HEREBY CERTIFY that a satisfactory standard certificate of death was filed with me BEFORE the burial or transit permit was issued: Rapper E. Siman

Thealele ( Signature of Agent of Board of Health or other) di Jeranna 12/25/16

(Official Designation)

(Date of Issue of Permit)

-301A

TIONS

RTIFICATE

ing DEATH enter n one each and (c)

not mean of dying, rt failure. It means of compli- h caused

if any, rise to se

(a), under- e last.

contrib- h but not e terminal tion given

apter 137, , requires o print or cause or death on cates.

SOM-5-56-917573

Registered No.

[(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)

St.

Chiesad

141455

3 DATE OF

DEATH

DEC 23

That I attended deceased from

I last saw himalive on

DEC 21

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 elerk 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.

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 medieal 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 ehemical (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. 111

Statement of Cause of Death .- Physicians: see explanatory instructions on face side of standard certificate of death. DEC20

Statemen't 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

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

Injury 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 25m-(h)-10-48-24658 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-305 to the clerk of the city or town in which the deceased resided as soon as possible Injury

Middlesex

PLACE OF DEATH

(County)

M R-305 1 Reading

(City or Town) 4 Barrows Road No.

The Commonwealth of Massachusetts OFFICE OF THE SECRETARY DIVISION OF VITAL STATISTICS COPY OF MEDICAL EXAMINER'S CERTIFICATE OF DEATH

Reading

(City or town making return)

Registered No.

242

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

Ethel Eudora Bauer (Boner)

2 FULL NAME

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

108A Quincy Avenue

Winthrop

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

(If nonresident, give city or town and State)

Length of stay: In place of death

.years

months

.. days. In place of residence

.years.

.. months.

... days.

MEDICAL CERTIFICATE OF DEATH

PERSONAL AND STATISTICAL PARTICULARS

3 DATE OF

December 24

1956

9 SEX female

10 COLOR OR RACE

white

11 SINGLE

MARRIED

WIDOWED

or DIVORCED

(write the word)

widowed

DEATH

(Month) (Day)

(Year)

4I HEREBY CERTIFY that I have investigated the death of the person above-named and that the CAUSE AND MANNER thereof

involved, state fully.

Give maiden name of wife in full)

Frank Ferdinand Bauer

(or) WIFE of

(Husband's name in full)

12 IF STILLBORN, enter that fact here.

AGE

Years.

.Months.

.Days

If under 24 hours

Hours .... ... Minutes

14 Usual

Occupation :.

Housework

(Kind of work done during most of working life)

15 Industry

or Business:

705-12-9982-4

16 Social Security No.

Mystic

17 BIRTHPLACE (City)

Conn.

Charles Lincoln Boner

18 NAME OF

FATHER

19 BIRTHPLACE OFAshland

FATHER (City)

Philadelphia

(State or country)

20 MAIDEN NAME

OF MOTHER

Stella Denison

If so, specify

Thomas"P. Devlin

(Signed)

Stoneham

(Address) Winthrop Com/ Winthrop, 7

Date.

Place of Burial, or Cremator ember 27

(City or Town) 56

DATE OF BURIAL Alfred B. Harsh

8 NAME OF FUNERAL DIRECTOR 174 Winthrop St., Winthrop

ADDRESS.

Received and filed.

DEC. 28,1956

(Registrar of City or Town where deceased resided)

PARENTS

21 BIRTHPLACE OF

MOTHER (City)

Connecticut

Mystic

(State or country)

Mrs.Robert A. Walsh

Informantl ..

.. Barrows ... Rd Reading

(Address)

A TRUE COPY.

Vaya A. Sturist

ATTEST:

(Registrar of City or Town where death occurred)

DATE FILED DEO 2 : 195G

.19

5 Accident, suicide, or homicide (specify).

Date and hour of injury

Where did

Injury occur ?.

(City or town and State)

Did injury occur in or about home, on farm, in industrial place, or in public place?

(Specify type of place)

Manner of

(How did injury occur?)

Nature of

While at work?

Was autopsy performed?

6 Was disease or injury in any way related to occupation of deceased?

own home

.... coronary sclerosis -sudden death

11a If married, widowed, or divorced

HUSBAND of

St.

(Was deceased a

U. S. War Veteran,

if so specify WAR)

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 filled for burial permit with Board of Health or its Agent.

243

Registered No.

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

PHYSICIAN - IMPORTANT

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

(a) Residence. No. 66 Wilshire Street

(Usual place of abode)

Length of stay: In place of death

1 2 dar

months days. In place of residence

.years

months.

. days.

MEDICAL CERTIFICATE OF DEATH

3 DATE OF

DEATH

December

1956

(Month)

(Day)

(Year)

4 I HEREBY CERTIFY,

That I attended deceased from

I last saw h ____ alive on

. 19

___. , death is said to.

have occurred on the date stated above, at

12:10 Am.

DEATH WAS CAUSED BY: IMMEDIATE CAUSE

(a)

Natural Causes

Presumably Coronary Occlusion

Due To (b)

Due To (c)

OTHER

SIGNIFICANT

CONDITIONS

Was autopsy performed? no What test confirmed diagnosis? history of argina

5 Was disease or injury in any way related to occupation of deceased? no If so, specify. Arthur@lowrail , M. D. (Address) inthron Board Of[ Date]

Arthur C. Murray . Dec 26, 50

WINTHROP CECT.

Place of Burial or Cremation

WINTHROP, MYASS (City or Town)

DATE OF BURIAL Dec. 28. 56

7 NAME OF FUNERAL DIRECTOR ADDRESS 642 Cmunumweadd que Boston

Received and filed DEC 28 1956

(Registrar)

PERSONAL AND STATISTICAL PARTICULARS

8 SEX

MALE

9 COLOR

WHITE

10 SINGLE

MARRIED

WIDOWED

or DIVORCED

(write the word)

MARRIED

10a If married, widowed, or divoro

VASILVIE (BESSIE) KOUTRUB

HUSBAND of

(or) WIFE of

MERRingE CERT. (Husband's name in full)

11 IF STILLBORN, enter that fact here.

AGF6 2 Years

Months

Days

If under 24 hours

Hours ___ Minutes

13 Usual

Occupation :

SHOE

(Kind of work done during most of working life)

14 Industry

or Business:

REPAIRING, RETIRED

15 Social Security No .... NONE

16 BIRTHPLACE (City)

(State or country)

GREECE

17 NAME OF

CONSTANTINOS KORITSAS

18 BIRTHPLACE OF

FATHER (City)

(State or country)

GREFFE

19 MAIDEN NAME

OF MOTHER

CHRISTINA FAKE

20 BIRTHPLACE OF

MOTHER (City)

(State or country)

GREECE

21 VASILINE HORITSAS

Informant

(Address) 66 WILSHIRE ST. WINTHROPCLASS

I HEREBY CERTIFY that a satisfactory standard certificate of death was filed with me BEFORE the buffal or transit permit was issued:

(Signature of Agent of Board of Health or other) Thatthe Officer (Official Designation)

(Date of Issue of Permit) 12/27/56

CTIONS R ERTIFICATE

ving DEATH enter an one r each and (c)

s not mean of dying. art failure, . It means or compli- ich caused

if any, e rise to use ( a) , e under- use

last.

s contrib -- th but not he terminal ition given

hapter 137, 4, requires to print or cause or death on

ficates.

SOM-5-56-917573

No.

66 Wilshire Street

2 FULL NAME

George K. Koritsas

(Was deceased a

U. S. War Veteran,

if so specify WAR).

NO.

St.

(If nonresident, give city or town and State)

INTERVAL BETWEEN ONSET AND DEATH

2 Hrs.

PARENTS

-301A 1

EXTRACTS FROM THE LAWS OF THE COMMONWEALTH OF MASSACHUSETTS GOVERNING THE

RETURN OF CERTIFICATES OF DEATH

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).

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Town of Winthrop : Record of Deaths 1956, Part 84

Author: Winthrop (Mass.) Publication date: 1956 Publisher: Number of Pages: 534

Author: Winthrop (Mass.)
Publication date: 1956
Publisher:
Number of Pages: 534