USA > Massachusetts > Suffolk County > Winthrop > Town of Winthrop : Record of Deaths 1957 > Part 53
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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 ean 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 ehanged, 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 oeeupation was that of home housework, write housework. For a person engaged in domestic serviee for wages, however, designate the occupation by the appropriate terms, as housekeeper-private family, eook-hotel, ete. 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)
WITT
Winthrop (City or Town)
The Commonwealth of Massachusetts EDWARD J. CRONIN SECRETARY OF THE COMMONWEALTH DIVISION OF VITAL STATISTICS STANDARD
CERTIFICATE OF DEATH
Registered No.
150
!
St. (give its NAME instead of street and number) No. Winthrop Community Hospital
2 FULL NAME
Alesandro Diotalevi
(If deceased is a married, widowed or divorced woman, give also maiden name.)
(a) Residence. No.
85 Gladstone
St
East Boston
(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.
35 years
months.
days.
MEDICAL CERTIFICATE OF DEATH
3 DATE OF
August 16, 1957
DEATH
(Month)
(Day)
(Year)
4 I HEREBY CERTIFY,
That I attended deceased from
April 30
577
August 16, 1957
19
to ..
I last saw h -Lalive on
August 16, 195%
", death is said to
have occurred on the date stated above, at
3
p .m.
DEATH WAS CAUSED BY: IMMEDIATE CAUSE
arteriosclerotic
INTERVAL BETWEEN ONSET AND DEATH
H
SL
12
AGE68
Years
7
Months
Days
If under 24 hours
.Hours ..
Minutes
13 Usual
Occupation :
Laborer (Retired)
(Kind of work done during most of working life)
14 Industry
or Business:
Road Construction
15 Social Security No ....
017-14-8916
16 BIRTHPLACE (City)
(State or country)
Italy
17 NAME OF
FATHER
( Unknown) Diotallevi
PARENTS
18 BIRTHPLACE OF
FATHER (City)
(State or country)
Italy
19 MAIDEN NAME
OF MOTHER
Unknown
20 BIRTHPLACE OF
MOTHER (City)
(State or country)
Italy
21
Informant
Mary Nazzaro
(Address) 85 Gladstone St, East Boston
7 NAME OF
L DIRECTOR DiPietro & Vazza ADDRESS 11 Henry St, East Boston
Received and filed AUG 19 1957 19
(Registrar)
PERSONAL AND STATISTICAL PARTICULARS
8 SEX
Male
9 COLOR
White
10 SINGLE
(write the word)
MARRIED
WIDOWED
or DIVORCED
Widowed
10a If married, widowed, or divorced
Emilia Giambartolomei
HUSBAND of
(Give maiden name of wife in full)
(or) WIFE of.
(Husband's name in full)
11 IF STILLBORN, enter that fact here.
Due To
Cardiac Decompensation
- (b)
Due To
(c)
Auricular
Fibrillation
1 day
OTHER
SIGNIFICANT
CONDITIONS
Was autopsy performed?
NO
What test confirmed diagnosis ?.
5 Was disease or injury in any way related to occupation of deceased ? LO
If so, specify
an. Caplan un
(Signed)
(Address). 136 Princeton Stpat. B ..
75%
19
6
Holy Cross
Malden
Place of Burial or Cremation
(City or Town)
DATE OF BURIAL
August 19,
195.7
SOM-3-36-917575
01A 1
ONS
IFICATE
g DEATH ter one each nd (c)
ot mean dying, failure, It means compli- caused
i any, ise to (a), under- last.
contrib- but not terminal n given
ter 137, requires print or use
or :ath on tes.
:
I HEREBY CERTIFY that a satisfactory standard certificate of death was filed with me BEFORE, the burial or transit permit was issued : Так сечник (Signature of Agent of Board of Health or other)
(Official Designation)
(Date of Issue of Permit) /
8/19/57
To be filed for burial permit with Board of Health or its Agent.
[(If death occurred in a hospital or institution,
PHYSICIAN - IMPORTANT (Was deceased a
U. S. War Veteran,
if so specify WAR).
No
(a)
Heart Disease
1 day
Disjon 457-1.
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 dicd, 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 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 casc 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, onwhen 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 shallibury-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 physician's will certify to such deathsonly 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
OC. 3. 3519
301A
1
Suffolk
STANDARD
CERTIFICATE OF DEATH
Registered No.
157
f(If death occurred in a hospital or institution, St. [give its NAME instead of street and number)
2 FULL NAME
Richard F Canton
(If deceased is a married, widowed or divorced woman, give also maiden name.)
(a) Residence.
No.
25 Pleasant St.
St
(If nonresident, give city or town and State)
Length of stay: In place of death
1
years
2
months
days. In place of residence
years
months ..... days.
MEDICAL CERTIFICATE OF DEATH
3 DATE OF
DEATH
August
20
1957
(Month)
(Day)
(Year)
4 I HEREBY CERTIFY,
That I attended deceased from
Aug
8
19.
57, to augro
19
57
I last saw hiWalive on
R
1951 , death is said to
(a) arteriosclertric heart disease
congestive heart failure
Due To (b)
Due To (c)
OTHER
SIGNIFICANT
CONDITIONS
Was autopsy performed?
No
What test confirmed diagnosis ?..
5 Was disease or injury in any way related to occupation of deceased? .
If so, specify
NO
(Signed)
447 Shirley St
M. D.
(Address) Wi nth cop Mass
Date Ong 21 19 57
6 Winthrop
Winthrop
Place of Burial or Cremation DATE OF BURIAL
(City or Town) Aur. 26 19
n
7 NAME OF
FUNERAL DIRECTOR
Howard S Pignolito
ADDRESS
Received and filed AUG 2/5 1957 19
(Registrar)
PERSONAL AND STATISTICAL PARTICULARS
8 SEX
Male
9 COLOR
White
10 SINGLE
MARRIED
WIDOWED
or DIVORCED
Widowed
10a If married, widowed, or divorced
HUSBAND of
(Give maiden name of wife in full)
(or) WIFE of ...
Louise Wehner
(Husband's name in full)
11 IF STILLBORN, enter that fact here.
74
4
12
AGE
Years
Months
17
Days
If under 24 hours
Hours
Minutes
13 Usual
Occupation :
Salesman
(Kind of work done during most of working life)
14 Industry
or Business:
Stocks
15 Social Security No ..
010-07-0410
16 BIRTHPLACE (City).
(State or country)
.ew York
17 NAME OF
FATHER
Unable to obtain
18 BIRTHPLACE OF
FATHER (City)
(State or country)
Unable to obtain
19 MAIDEN NAME
OF MOTHER
Unable to obtain
20 BIRT11PLACE OF MOTHER (City). (Statc or country)
Unable to obtain
21 Richard F Canton
Informant
(Address)
Brook shire Rd. Forcester
1 HEREBY CERTIFY that a satisfactory standard certificate of death was, filed with me BEFORE the burial or transit permit was issued:
(Signature of Agent of Board of Health or other
(Official Designation) (Date of Issue of Permit)
8/21/57
ONS
IFICATE
ng DEATH ter one each nd (c)
not mean dying, failure, It means compli- caused
if any, rise to (a). under- last.
contrib -- but not terminal on given
pter 137, requires print or nuse or cath on
ates.
SOM-5-56-917573
PLACE OF DEATH
Winthrop (County)
(City or Town) Noantsfor.
104 Highland Ave No.
Horas I
The Commonwealth of Massachusetts EDWARD J. CRONIN SECRETARY OF THE COMMONWEALTH DIVISION OF VITAL STATISTICS
To be filled for burial permit with Board of Health or its Agent.
PHYSICIAN - IMPORTANT
(Was deceased a U. S. War Veteran, if so specify WAR)
(Usual place of abode)
have occurred on the date stated above, at
1.559
INTERVAL
BETWEEN
ONSET AND
DEATH
DEATH WAS CAUSED BY: IMMEDIATE CAUSE
4 years
PARENTS
1
(write the word)
35
Brooklyn
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 seventecn. 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 heen 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 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 he buried or the funeral is to he held, or from a person appointed to have the care of the cemetery or burial ground in which the interment is made.
Chap. 114, Sec, 46, G. L., (Tercentenary Edition).
RULES OF PRACTICE
The fulfillment of the purpose of these laws calls for the observance of the follow- ing rules of practice:
(1) Attending physicians will certify to such deaths only as those of persons to whom they have given bedside care during a last illness from disease unrelated to any form of Injury.
(2) Board of Health physicians will certify to such deaths only as those of persons who, though disabled by recognized disease unrelated to any form of injury, have died without recent medical attendance or whose physician is absent from home when the certificate of death is needed.
(3) Medical Examiners will investigate and certify to all deaths supposably due to injury. These include not only deaths caused directly or indirectly by traumatism (including resulting septicemia), and by the action of chemical (drugs or poisons) thermal, or electrical agents, and deaths following abortion, but also deaths from disease resulting from injury or infection related to occupation, the sudden deaths of persons not disabled by recognized disease, and those of persons found dead.
Statement of Cause of Death .- Physicians: see explanatory instructions on face side of standard certificate of death.
Statement of Occupation .- Precise statement of occupation is very import- ant, so that the relative healthfulness of various pursuits can be known. Make some entry in this section for every person aged 10 years or over. If the occupa- tion had been given up or changed, or if the deceased had retired from business, report the kind of work done during most of working life even if retired. Children not gainfully employed may be returned as at school or at home. For a woman whose only occupation was that of home housework, write housework. For a person engaged in domestic service for wages, however, designate the occupation by the appropriate terms, as housekeeper-private family, cook-hotel, etc. For a person who had no occupation whatever write none.
SPACE FOR ADDITIONAL INFORMATION
DATE OF ENTERING MILITARY SERVICE
DATE OF DISCHARGE RANK, RATING ORGANIZATION AND OUTFIT SERVICE NUMBER
. ..
PLACE OF DEATH
X Suffolk (County) Winthrop (City or Town)
Thes Bir Har 11 moore
The Commonwealth of Massachusetts EDWARD J. CRONIN SECRETARY OF THE COMMONWEALTH DIVISION OF VITAL STATISTICS STANDARD CERTIFICATE OF DEATH
To be filed for burial permit with Board of Health or its Agent.
Registered No. 158
2 FULL NAME ME headone Eldrachen
(If deceased is a married, widowed or divorced woman, give also maiden name.)
Ho Orlando are.
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
DEATH
August
20
1957.
(Year)
(Month)
(Day)
4 I HEREBY CERTIFY
That I attended deceased from
October, 1956
to.
august. 20, 157
I last saw he walive on
August. (RD, 1957, death is said to
have occurred on the date stated above, at
8:00 A.m.
DEATH WAS CAUSED BY: IMMEDIATE CAUSE
(a) Coronary Occlusion
Due
Arterio sclerofic Heart
- (b)
Disease.
Due To (c)
OTHER
SIGNIFICANT
CONDITIONS
None.
Was autopsy performed? 200 What test confirmed diagnosis Clinical
5 Was disease or injury in any way related to occupation of deceased? Va If so, specify
(Signed ) Chantes Like mean, M. D. Winthrop, Mass Date 8/20/1997
6
Place of Burial or Cremation (City or Town) DATE OF BURIAL Lang. 23 1957
7 NAME OF
FUNERAL DIRECTOR
L.Roppennatth
ADDRESS / 5 34 7 remuner AV, Rok.
Received and filed AUG ZU 1957
.19
PERSONAL AND STATISTICAL PARTICULARS
8 SEX
Scale
9 COLOR
White
10 SINGLE
MARRIED
WIDOWED
or DIVORCED
(write the word)
Widowed
10a If married, widowed, or divorced
Many Burne
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
80 Years'
Months
Days
If under 24 hours
Hours ..... Minutes
13 Usual
Occupation?
retired Building net
(Kind of work done during most of working life)
14 Industry
City of Boston
15 Social Security/No .....
0018-24-4993
16 BIRTHPLACE (City)
(State or country)
17 NAME OF
FATHER
Joseph Oldracher
PARENTS
18 BIRTHPLACE OF
FATHER (City) V
(State or country)
Germany
19 MAIDEN NAME
OF MOTHER
e. B. L.
20 BIRTHPLACE OF
MOTHER (City)
(State or country)
C.B. L.
21 Theodore Eldrachen
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