Town of Winthrop : Record of Deaths 1957, Part 59

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

USA > Massachusetts > Suffolk County > Winthrop > Town of Winthrop : Record of Deaths 1957 > Part 59

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SPACE FOR ADDITIONAL INFORMATION

DATE OF ENTERING MILITARY SERVICE

DATE OF DISCHARGE

RANK, RATING

ORGANIZATION AND OUTFIT SERVICE NUMBER

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 any form of injury.

No undertaker or other person shall bury or otherwise dispose of a human bodyR.() 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 ber pid 2 t Medical Examiners will investigate and certify to all deaths supposably

remove it from a town, from one cemetery to another, or from one grave 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

PLACE OF DEATH

Suffolk

(County)

Winthrop

STANDARD

CERTIFICATE OF DEATH

Registered No.

178

2 FULL NAME

Isaac Greenberg

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

655 Beach

St.

Revere, Mass.

(If nonresident, give city or town and State)

Length of stay: In place of death.

years

months

2. days. In place of residence 25

.years

months

days.

MEDICAL CERTIFICATE OF DEATH

3 DATE OF

DEATH

Sent.

(Month)

12,

(Day)

1957

(Year)

4 I HEREBY CERTIFY, That I attended deceased from

Sent. 3, 1952

to.

Sept. 12

19.

I last saw h alive on

Dept. 12

19 ___ Z .. , death is said to

have occurred on the date stated above, at

315 8

.m.

INTERVAL BETWEEN ONSET AND DEATH 8 days 68

11 IF STILLBORN, enter that fact here.

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:

Novelties

15 Social Security No.

16 BIRTHPLACE (City)

(State or country)

Poland

17 NAME OF

FATHER

(unknown) Greenberg

18 BIRTHPLACE OF

FATHER (City)

(State or country)

Poland

19 MAIDEN NAME

OF MOTHER

Lillian (unknown)

20 BIRTHPLACE OF

MOTHER (City)

(State or country)

Poland

21 Louis Greenberg

Informant

(Address)

655 Beach St. , Revere, Mass.

7 NAME OF

FUNERAL DIRECTORBenjamin F.Solomon

ADDRESS

420 Harvard S+ ., Brookline, Mass.

Received and filed SEP 13 1957 19

(Registrar)

PERSONAL AND STATISTICAL PARTICULARS

8 SEX male white

9 COLOR

10 SINGLE

(write the word)

MARRIED

WIDOWED

or DIVORCED widowed

10a If married, widowed, or divorced

HUSBAND of

Rose White

(Give maiden name of wife in full)

(or) WIFE of

(Husband's name in full)

DEATH WAS CAUSED BY: IMMEDIATE CAUSE

(a)

Connary Thrombosis

(b)

Due To

Myocardial Infarction

8 days

Due To

Pneumonia in sigheilung

(c)

OTHER

SIGNIFICANT

CONDITIONS

Was autopsy performed? What test confirmed diagnosis Consultations. E. KG Xrays Consultation 5 Was disease or injury in any way related to occupation of deceased? 3 If so, specify

(Signed)

Luis Surgel

, M. D.

(Address) 72 Slices Am

Date .. ..

9/17

19 57

Hebrew Progressive,

West Roxbury

Place of Burial or Cremation

DATE OF BURIAL

(City or Town)

September 13,1957

SOM-3-36-917573

-301A 1

TIONS 2 RTIFICATE

'ing DEATH enter n one : each and (c)

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

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

. "

Capter 137, requires print or ause or leath 00 fates.

ARVERE 9-19-57

(City or Town)

Winthrop Community Hospital

No.

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

PHYSICIAN - IMPORTANT

(Was deceased a

no.

U. S. War Veteran,

if so specify WAR)

(a) Residence. No.

(Usual place of abode)

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

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

I HEREBY CERTIFY that a satisfactory standard certificate of death was filed with me BEFORE the burial or transit permit was issued : Kalff Serianni (Signature of Agcuyo Board of Health or other)

H.01.

(Official Designation)

dyp

Sett.12/54

(Date of Issue of Permit)

PARENTS

Merchant

4 days

contrib -- h but not · terminal sion 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, atthe 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 aliye by the physician or officer and the date of his death. . . Gen. Laws, Chap. 16, Sec -

A physician or officer furnishing a certificate of death as required by preceding section or by section forty-five of chapter win 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 dill forty seven of said chapter one hundred and fourteen, the word "war's shatt 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, nincteen hundred and two, and the Mexican. borden y service of nineteen hundred and sixteen and nineteen hundred and's G. L. Chap. 46, Sec. 10. SEP 1 3195 MM

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 diseascs 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.

(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 Towy)

YJoston $19-57

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

CERTIFICATE OF DEATH

Registered No. 179

[(If death occurred in a hospital or institution, St. (give its NAME instead of street and number) No. CALOGERO

2 FULL NAME_

(If deceased is a married, widowed or divorced woman give also maiden name.) Winthrop 4 CORE

(a) Residence. No ...

(Usual place of abode)

ONT. HOME SE PLEASANT

(If nonresident, give city or town and State)

Length of stay: In place of death/1-2

12 years

months

days. In place of residence 0 years

months.

days.

MEDICAL CERTIFICATE OF DEATH

3 DATE OF

DEATH

Sept.

1957

(Day)

(Year)

(Month)

4 I HEREBY CERTIFY,

That I attended deceased from

to ....

I last saw humalive on

9/12

, 195, death is said to

have occurred on the date stated above, at

2,300 m.

DEATH WAS CAUSED BY: IMMEDIATE CAUSE -

ARTERIO-SCLEROTIC

HEART DISEASE

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)

., M. D.

(Address)

113 Pleasant sx Winterak

196

6 St. Michael Emetery Boston Place of Burial or Cremation (City or Town) DATE OF BURIAL Sept. 16 1957

7 NAME OF

FUNERAL DIRECTORY

John Ernotte + Seus

ADDRESS

7 Cooper Ir Lotan

Received and filed SEP 17 195/ 19

(Registrar)

PERSONAL AND STATISTICAL PARTICULARS

8 SEX

MALE

9 COLOR

White

10 SINGLE

MARRIED

WIDOWED

or DIVORCED

(write the word) Widowed

10a If married, widowed, or divorced

HUSBAND of

DOMENICA URGENTO

(Give maiden name of wife in full)

(or) WIFE of

(Husband's name in full)

11 IF STILLBORN, enter that fact here.

AGF YO Years

Months

Day's

If under 24 hours

Hours ... ..

Minutes

13 Usual

Occupation :

Retired

(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)

ITALY

17 NAME OF

FATHER

UNKNOWN

18 BIRTHPLACE OF

FATHER (City)

(State or country)

ITALY

19 MAIDEN NAME

OF MOTHER

Rose (UNKNOWN)

20 BIRTHPLACE OF

MOTHER (City)

(State or country)

ITALY

21 Informant (Address)

Rose ChicaRiello GAUghTER 14 Cooper St. Prostory

I 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 Ilcalth or other)

(Official Designation) 2/13/57 (Date of Issue of l'ermit)

ONS

IFICATE

1g DEATH ter one each nd (c)

ot mean dying. failure, It means compli- caused

f any, rise to ( a ) . under- last.

contrib .- but not terminal n given

ter 137, requires print or use or

ath tes.

SOM-9-56-917973

301A 1

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

Winthrop CONV. HOME

CAN GIAMiLA

BOSTON

PHYSICIAN - IMPORTANT (Was deceased a U. S. War Veteran, if so specify WAR)

PARENTS

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. .

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 onfrom 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 hus 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. s

(2) Board ofHealth 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 resentimedical 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) Ermalfor 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 ternis, 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)

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.

180

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

2 FULL NAME

Emma Levina (Parsons) Corkhum

(If deceased is a married, widowed or divorced woman, give also malden Hame.)

PHYSICIAN - IMPORTANT

(Was deceased a

U. S. War Veteran,

if so specify WAR)

NO.

(a) Residence. No.

203 Shirley St.

(Usual place of abode)

St.

(If nonresident, give city or town and State)

Length of stay: In place of death .... 5 7years.

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Town of Winthrop : Record of Deaths 1957, Part 59

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

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