USA > Massachusetts > Suffolk County > Winthrop > Town of Winthrop : Record of Deaths 1957 > Part 43
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,
M. D.
(Address)
6 Holy Cross
Melden Mass (City or Town)
DATE OF BURIAL
July 6
1015
7 NAME OF FUNERAL DIRECTOR Arthur J. OMaley ADDRESS Winthrop, Mass
Received and filed KJUL 5 1957 19
(Registrar)
PERSONAL AND STATISTICAL PARTICULARS
8 SEX
male
9 COLOR
White
10 SINGLE
(write the word)
Widowed
10a If married, widowed, or divorced
HUSBAND of
Mary
IN Puto (Decorati)
(Give maiden name of wife in full)
(or) WIFE of
(Husband's name in full)
11 IF STILLBORN, enter that fact here.
12
AGEBO
Years ...
.Months
Days
If under 24 hours
11 Hours Minutes
13 Usual
Occupation :
Fisherman Retired
(Kind of work done during most of working life)
14 Industry
or Business:
Fishing
15 Social Security No ..
16 BIRTHPLACE (City)
(State or country)
Newfoundland
17 NAME OF
FATHER
Thomas Cotter
18 BIRTHPLACE OF
FATHER (City)
St John's
(State or country)
Newfoundland
19 MAIDEN NAME
OF MOTHER
Mary J. White his Sandys
20 BIRTHPLACE OF
MOTHER (City)
(State or country)
Newfoundland
Mrs Adelaide Crowell
21
Informant
(Address) 82 Nummer Hvc Winthrop Mass
I HEREBY CERTIFY that a satisfactory standard certificate of death was Bled with me BEFORE the burial or transit permit, was issued:
(Signature of Agent of Board of Healthor other)
(Official Designation) (Date of Issue of Perunit) 7/5/57
X
COINS R
ER FICATE
F DEATH eter aone or ach d (c) ot mean dying, as failure, t means · compli- caused
any, euse to (a), ie under- us. last.
wsontrib- atı but not hiterminal fien given
luter 137, Arequires t print or luse or
on
lath Ites.
SOM-3-36-917573
R.01A 1
(City or Town)
Registered No.
JOff 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,
No
if so specify WAR).
Tevere, Mass
MARRIED
WIDOWED
or DIVORCED'
That I attended deceased from
3
INTERVAL BETWEEN ONSET AND DEATH
wes 30010
PARENTS
195%
Place of burial or Cremation
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 he 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 frontinjury 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 undertakerlot 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: ør burial ground in which the interment is made.
Chap. 111, Sec. 96, G. L., (Tercentenary Edition).
RULES OF PRACTICE
The fu ellment of the purpose of these laws calls for the observance of the follow- ing rułęs pr prat tichin (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 pers JI who, though disabled by recognized disease unrelated to any form of injury, have fed fli pout recent medical attendance or whose physician is absent from home when th 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
PLACE OF DEATH
Suffolk (County)
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.
Winthrop (City or Town) Mounts' Con Registered No. 128 No. 104 Highland Ave., Winthrop [(If death occurred in a hospital or institution, St. (give its NAME instead of street and number)
2 FULL NAME
Margaret Thompson
(If deceased is a married, widowed or divorced woman, give also maiden name.)
(a) Residence. No 155 Bartlett Road, Winthrop
St
(If nonresident, give city or town and State)
Length of stay: In place of death
1
.years.
months
days. In place of residence.
.. years
8
.. months
days
OMEDICAL CERTIFICATE OF DEATH
PERSONAL AND STATISTICAL PARTICULARS
8 SEX F
9 COLOR
(write the word)
10 SINGLE
MARRIED
WIDOWED
or DIVORCED
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.
12
102y
9.
Months
17Days
If under 24 hours
Hours ....
Minutes
13 Usual
Occupation :
At home
(Kind of work done during most of working life)
14 Industry
or Business:
None
15 Social Security No ....
None
16 BIRTHPLACE (City)
(State or country)
Newfoundland
17 NAME OF
FATHER
William Thompson
18 BIRTHPLACE OF
FATHER (City)
Harbor Grace
(State or country)
Newfoundland
19 MAIDEN NAME
OF MOTHER
Catherine Dunn
20 BIRTHPLACE OF
MOTHER (City)
(State or country )
Harbor Grace
Newfoundland
Place of Burial or Cremation (City or Town)
DATE OF BURIAL
July 8,1957
1957
7 NAME OF FUNERAL DIRECTORRichard C. Kirby ADDRESS917 Bennington St., E.Boston
Received and filed
JUL 5 195/
19
(Registrar)
years
OTHER
SIGNIFICANT
CONDITIONS
Was autopsy performed?
no
What test confirmed diagnosis?
5 Was disease or injury in any way related to occupation of deceased ? /0
Q
M. D. Annathol Board of Health July 105,
Holy Cross Cemetery, Malden 6
SOM-11-56-918978
July
5
1952
(Month)
(Day)
(Year)
4 I HEREBY CERTIFY,
That I attended deceased from
19
to
19 _-
I last saw h ....... alive on
_, 19
death is said to
have occurred on the date stated above, at
9 A.
m.
DEATH WAS CAUSED BY: IMMEDIATE CAUSE
Natural Causes
(a)
INTERVAL
BETWEEN
ONSET AND
DEATH
Due To
(b)
Generalized
Due To
Arteriosclerosis
(c)
-
PARENTS
21
Mrs. Agnes Nicosia -neice
(Address)
155 Bartlett Rd., Winthrop
I HEREBY, CERTIFY that a Satisfactory standard certificate of death
Was filed with me BEFORE the burial or transit permit was issued :
Halkla & Pureanufig.
(Signature of Agent of Board of Ifogith or other)
Health Alice
(Official Designation)
(Date of Issue of Permit)
V
7/5/57
LONS &IFICATE
SDEATH iter one beach .nd (c)
rot mean dying, failure, It means compli- caused
if any, rise to (a). under- last.
, contrib- - c but not t terminal 1 on given
Ipter 137, requires print or ause or eath on lates.
R$01A 1
3 DATE OF
DEATH
(Usual place of abode)
PHYSICIAN - IMPORTANT
(Was deceased a
U. S. War Veteran,
if so specify WAR)
No
Spaniards Bay
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 ninetcen 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 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.
CHắp. LT4, 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:
Atferiding 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
1301A 1
Winthrop
(City or Town) \
The Commonwealth of Massachusetts EDWARD J. CRONIN SECRETARY OF THE COMMONWEALTH DIVISION OF VITAL STATISTICS STANDARD QVLVIHT
CERTIFICATE OF DEATH
To be filed for burial permit with Board of Health or its Agent.
No.
2 FULL NAME Baby Boy Gambardella
(If deceased is a married, widowed or divorced woman, give also maiden name.)
465 Sumner Street
East Boston, Mass.
St.
(If nonresident, give city or town and State)
Length of stay: In place of death.
.. years
months.
days. In place of residence.
. years
months.
. days.
MEDICAL CERTIFICATE OF DEATH
3 DATE OF
July
DEATH
(Month)
(Day)
1957
(Year)
4 I HEREBY CERTIFY, That I attended deceased from
19
to.
19
I last saw h ....
... alive on
19
, death is said to
have occurred on the date stated above, at
m.
DEATH WAS CAUSED BY: IMMEDIATE CAUSE
Stitham STILL BORN
(a)
INTERVAL
BETWEEN
ONSET AND
DEATH
Due To (b) -..
Due To (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
(Signed)
marion @ Sala
M. D.
241 Manench d. C Brain
Date
. 1957
6
Place of Burial or Cremation (City or Town)
DATE OF BURIAL July 9, 57
19
7 NAME OF
FUNERAL DIRECTOR
9 Chelsea St. , East Boston, Mass.
ADDRESS
Received and filed
JUL 9 1957
19
(Registrar)
PERSONAL AND STATISTICAL PARTICULARS
8 SEX
M
9 COLOR
w
10 SINGLE
MARRIED
(write the word)
WIDOWED
or DIVORCED
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.
Stubborn
12
AGE
Years.
Months
Days
If under 24 hours
Hours ..... Minutes
13 Usual
Occupation :
(Kind of work done during most of working life)
14 Industry
or Business:
None
15 Social Security No.
None
16 BIRTHPLACE (City)
(State or country)
Winthrop, Mass.
17 NAME OF
FATHER
Domenic Gambardella
PARENTS
18 BIRTHPLACE OF
FATHER (City) ...
(State or country)
Boston, Mass.
19 MAIDEN NAME
OF MOTHER
Lucille Dragon
20 BIRTHPLACE OF
MOTHER (City)
(State or country)
New Orleans, La.
21
Domenic Gambardella, Father
Informant
(Address)
465 Sumner St., East Boston, Mass.
I HEREBY CERTIFY that a satisfactory standard certificate of death was filled with me BEFORE the burial or transit permit was issued: falk (- Percani) (Signature of Ngent of Board of Health or other) (featel Milicer 7/8/57
(Official Designation) //
(Date of Issue of l'evmit) /
X
LIONS
HITIFICATE
ng M DEATH enter Di one & each band (c)
not mean f dying, et failure, k It means r compli- caused
if any, i rise to (a), under- last.
, contrib .- :1 but not terminal Cion given
Cipter 137, requires to print or Cause leath on cates.
SOM-5-36-917573
PLACE OF DEATH
Suffolk (County)
8-5-57
winthrop Community Hospital
[ (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.
(Usual place of abode)
6
Anthony P. Rapino
(Address) Holy Cross Cemetery Malden
None
y
Registered No.
120
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.
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