Town of Winthrop : Record of Deaths 1957, Part 28

Author: Winthrop (Mass.)
Publication date: 1957
Publisher:
Number of Pages: 566

USA > Massachusetts > Suffolk County > Winthrop > Town of Winthrop : Record of Deaths 1957 > Part 28

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Months

Days

If under 24 hours

Hours .....

Minutes

13 Usual

Occupation :

at firme

(Kind of work done during most of working life)

14 Industry

or Business:

15 Social Security No. Noul

16 BIRTHPLACE (City)

(State or country)

17 NAME OF

FATHER

Unibenogsé Guinasso

18 BIRTHPLACE OF

Italy

FATHER (City)

(State or country)

19 MAIDEN NAME

OF MOTHER

Pace (Sintomara)

20 BIRTHPLACE OF

MOTHER (City)

(State or country,)

Italia

Informant

(Address)

Robert / Filling

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

(Signature of Agent-of Board of llealth or other)

4/5-3/5

(Official Designation) (Date of Issue of l'efnnt)

To be filed for burial permit with Board of Health or its Agent.

2 FULL NAME

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

IONS

TIFICATE

Ing DEATH nter n one each and (c)

not mean of

dying, t failure, It means r compli- h caused

if any, rise to (a). under- last. 1

pter 137, requires o print or cause or leath on

cates.

Signed reple Gregor , M. D. Tres) 199 Washington Date 4-19 197

Winding

(City or Towns

DATE OF BURIAL abril 23 195

7 NAME OF

FUNERAL DIRECTOR

ADDRESS

Received and filed

APR 2.3 1957 19

(Registrar)

Due To Senility

(c)

OTHER

SIGNIFICANT

CONDITIONS

Was autopsy performed? What test confirmed diagnosis ? ...

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

If so, specify

6 Place of Burial or Cremation

SOM-5-56-917573

3 DATE OF

DEATH

Heul APRIL 19

1957

(Year)

10a If married, widowed, or divorced

HUSBAND of

(or) WIFE of

9 (Give maiden name of wife in full)

John Kelly

(Husband's game in full)

Due To

arteriosclerosis

(b)

generalized

PARENTS

-301A 1

contrib. h but not terminal ion given

EXTRACTS FROM THE LAWS OF THE COMMONWEALTH OF MASSACHUSETTS GOVERNING THE

RETURN OF CERTIFICATES OF DEATH

A physician or registercd 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 cffect, 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 forfcit 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 dcemed 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 ninctcen hundred and seventecn. G. L. Chap. 46. Sec. 10.

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).

11.12 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 whomthey 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) Medioal 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 diseaseresulting from injury or infection related to occupation. the sudden deathy ofpersons 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)

No. 61 Read St

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.

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

2 FULL NAME

Catherine oBrien

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

61 Read St

(1f nonresident, give city or town and State)

Length of stay: In place of death ..

21 years

.months. days. In place of residence.

27 years.

months.

.. days.

MEDICAL CERTIFICATE OF DEATH

3 DATE OF

DEATH

APRIL

20 -

1957

(Month)

(Day)

(Year)

4 I HEREBY CERTIFY,

That I attended deceased from

1947,

to ...

APRIL

1957

I last saw

KY alive on

april - 20

19.5 death is said to

have occurred on the date stated ahove, at

13%. m.

DEATH WAS CAUSED BY: IMMEDIATE CAUSE

(a)

arteriosclerosis Heart Disease

INTERVAL BETWEEN ONSET AND DEATH

10 yrs.

Due To (b)

Due To (c)

OTHER SIGNIFICANT CONDITIONS

Was autopsy performed?

What test confirmed diagnosis? Clinical ,

5 Was disease or injury in any way related to occupation of deceased? No If so, specify ...

(Address)

305 Have Su EBon april 20 57

Winthrop

Place of Burial or Cremation

(City or Town)

DATE OF BURIAL

April 23

19 57

7 NAME OF

FUNERAL DIRECTOR

Arthur J. O'Maley

Winthrop Mass

ADDRESS

APR 22 1957 19

(Registrar)

PERSONAL AND STATISTICAL PARTICULARS

8 SEX

Female

9 COLOR

White

10 SINGLE

(write the word)

MARRIED

WIDOWED

or DIVORCED 1dowed

10a If married, widowed, or divorced

HUSBAND of.

(Give maiden name of wife in full)

(or) WIFE of

Michael O 'Brien

(Husband's name in full)

11 IF STILLBORN, enter that fact here.

AGESO

Years

Months.

.. Days®

If under 24 hours

Hours ........ Minutes

13 Usual

Housewife

(Kind of work done during most of working life)

14 Industry

or Business:

@wn ..... Home

15 Social Security No ..

16 BIRTHPLACE (City).

(State or country)

Ireland

Cork

17 NAME OF

FATHER

Timothy O'connor

PARENTS

18 BIRTHPLACE OF FATHER (City). (State or country)

Ireland

19 MAIDEN NAME

(Signed)

Charles Meloni

M. D.

OF MOTHER

Mary Mccarthy

20 BIRTHPLACE OF MOTHER (City) (State or country) Ireland

21 Informant. Mary Nolan

(Address)

61 Read St .. Winthrop

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

(Signature of Agent of Board of Health or other)

dealite

4/22/5

(Official Designation )

(Date of Issue of Permijt)

100M.11.55.916145

R-301A 1

CTIONS JR ERTIFICATE

iving F DEATH enter an one or each ) and (c)

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

s, if any, ve rise to use (a), he under- use last. -

ons contrib- ath but not the terminal dition given

Chapter 137, 54, requIres s to print or cause : death on tificates.

m.s.

Registered No.

PHYSICIAN - IMPORTANT

(Was deceased a

U. S. War Veteran,

if so specify WAR)

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

Received and filed.

Occupation :

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 Chira 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.

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 of 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 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 person's 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.

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 andPR, (3) Medical Examiners will investigate and certify to all deaths supposably remove it from a town, from one cemetery to another, or from one grave or toro due to injury. IThese 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. 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 Statement of Cause of Death .- Physicians: see explanatory instructions on face side of standard certificate of death. 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 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. 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

SPACE FOR ADDITIONAL INFORMATION

DATE OF ENTERING MILITARY SERVICE DATE OF DISCHARGE RANK, RATING ORGANIZATION AND OUTFIT. SERVICE NUMBER

× Suffolk (County) Winthrop

SEVERE 5-6-57

The Commonwealth of Massachusetts EDWARD J. CRONIN SECRETARY OF THE COMMONWEALTH DIVISION OF VITAL STATISTICS STANDARD CERTIFICATE OF DEATH

To be filed for burlal permit with Board of Health or its Agent.

142 Pleasant Winthrop Surlesee ff(f death occurred in a hospital or institution, No.

nicola Catizone

2 FULL NAME.

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

12 Baritono

Revere

(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

DEATH

april

1957

Month)

(Day)

(Year)

4 I HEREBY CERTIFY, That I attended deceased from April 21 19.57 Apr.1 25 ... , 19.2 to.

I last saw h zalive on ANN123 19.2, death is said to

have occurred on the date stated above, at ... m.

DEATH WAS CAUSED BY: IMMEDIATE CAUSE

INTERVAL BETWEEN ONSET AND ( Cerebral Hemarried DEATH

Due To hypertensive (b) Heart Disease

1000

Due

general

OTHER SIGNIFICANT CONDITIONS

Was autopsy performed? What test confirmed diagnosis ?..

Clinical

5 Was disease or injury in any way related to occupation of deceased ?.... If so, specify ..

(Signed) M. D.

(Address) 3nachand Al date 4/3457

Holy Cross Cemetery Malden. 6

Place of Burial or Cremation

DATE OF BURIAL april 0 25

19.6.7

7 NAME OF

FUNERAL DIRECTOR

Lesderick Cafasso

ADDRESS 65 Clark St. Everett

Received and filed APR 2.6 1957 19

(Registrar)

PERSONAL AND STATISTICAL PARTICULARS

8 SEX

Small

9 COLOR White

10 SINGLE MARRIED WIDOWED Or DIVORCED Vidomed (write the word) Elia

(Give maiden name of wife in full)

(or) WIFE of

(Husband's name in full)

11 IF STILLBORN, enter that fact here.

Isdas AGE 8% Ver

If under 24 hours

Hours ........ Minutes

13 Usual

Occupation :.

Laborer

(Kind of work done during most of working life)

14 Industry or Business :...

Retired

15 Social Security No ..

16 BIRTHPLACE (City) (State or country) Italy

17 NAME OF FATHER

Pietro Catizone

18 BIRTHPLACE OF FATHER (City) (State or country)

Italy

19 MAIDEN NAME OF MOTHER

20 BIRTHPLACE OF MOTHER (City). (State or country)

Italy

Vincent Catizone

21 Informant. (Address) 25 Kearns ST Aparece

I HEREBY CERTIFY ont a satisfactory standard certificate of death was filed with me BEFORE the burial or transit permit was issued: Maxthe C. pereauns & (Signature of Agent of Board of Ikealth of other)

4/24/57

Official Designation )

(Date of Issue of Permit)

R-301A 1

TIONS R

ERTIFICATE

ving DEATH enter an one or 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- se last.

ns contrib. ath but not he terminal dition given

chapter 137, 54, requires to print or cause or death on

Ificates.

100M.11.53.918145

PLACE OF DEATH

(City or Town),

Registered No.

{ 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)

10a If married, widquedorpdivorced HUSBAND of

Months .....

.Days®

10yrs

PARENTS

(My or Town)

....

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.

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Town of Winthrop : Record of Deaths 1957, Part 28

Author: Winthrop (Mass.) Publication date: 1957 Publisher: Number of Pages: 566

Author: Winthrop (Mass.)
Publication date: 1957
Publisher:
Number of Pages: 566