USA > Massachusetts > Suffolk County > Winthrop > Town of Winthrop : Record of Deaths 1957 > Part 85
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4448
10/15/50
(Oficial Designation)
(Date of Issue of P'ermie)
X
& SEX Female
9 COLOR
white
10 SINGLE
(write the word)
MARRIED
WIDOWED Widowed
of DIVORCED
Joseph Kurland
DEATH WAS CAUSED BY: IMMEDIATE CAUSE
CEREBROVASCULAR ACCIDENTS
(a)
(MULTIPLE)
Due To
CEREBROVASCULAR DISEASE
(b)
YEARS
(c)
YEARS
OTHER
SIGNIFICANT
CONDITIONS
ARTERIOSCLEROSIS
YEARS
Was autopsy performed?
NO
What test confirmed diagnosis?
EKG . PHYSICAL EXAM.
$ Was disease or injury in any way related to occupation of deceased? If so. specify NO
(Signed) AMELIA DONESA M.D. R. Doresa
, M. D.
(Address) JEWISH MEMORIAL HOSPITAL. OCT. 14 14 57
TiFerith Israel Cem. Everett Place ol lunial or Cremation (''ity of Tuwn)
DATE OF BURIAL
October 15
,57
7 NAME OF
FUNERAL DIRECTOR
Aaron Golov
ADDRESS 1668 Beacon St Brookline
Received and fled
OCT 1.8 195719
Charles H. Inacke
( Registrar)
640
JEWISH MEMORIAL HOSP. FANNIE KURLAND
-
PHYSICIAN IMPORTANT
( Was deceased a
U. S. War Veteran,
if so specify WAR)
No
(Usual place of ahode)
PERSONAL AND STATISTICAL PARTICULARS
Due To
HYPERTENSION
33
PARENTS
Russia
21
Informant
(Address)
30 mermaid Que. Winthrop
A TRUE COPY ATTEST: Charles it. mackie City Registrar
RECEIVEX
JAN 1 3 19 70 75
OUT - OF - TOWN 249
To be filed for burial permit with Board of Hoalth or its trent.
Registered No.
49782
1 Boation (City or Town) 240 HuntingtonAne (II death occurred in a hospital or institution. Ward give its NAME instead of street and number) No ... Loran Peters Tibbetts
2 PULL NAME.
(If deceased is a married, widowed or divorced woman, vive also maiden name.)
74 Wadoworth Ave.
St.,
Ward.
(If nonresident, give city of town and [tate)
days. How long in U. S., if of foreign birth?
yrs.
mos.
days.
PERSONAL AND STATISTICAL PARTICULARS
4 COLOR DR RACE
5 SINGLE
(write the word)
MARRIED
WIDOWED
of DIVORCED Arrje
Sa Hf married, widowed, or divoReith G Lucas HUSBAND of
(Give maiden name of wife in full)
(Husband's name in full)
6 Age of husband or wife if alive
years
IP STILLBORN. enter that fact here. 7
ÅGE 6 0Years 2
Months
Days
If less than 1 day
Hours
Minutes
Usual Cler",
Industry Grocery store
11
Social Security No.
027-07-5423
BIRTHPLACE (City)
(State or country)
Kalden
13 NAME OF FATHER Wesley Tihbetta
14 BIRTHPLACE OF
PATHIER (City)
(State or country) '
aine
15 MAIDEN NAME
OP MOTHER Grace Peters
Weat, nort 16 BIRTHPLACE OP MOTHER (City) (State or country) Nova Scotia
17 Ruth G Tibbetta
Relation, if any Informant (Address) I Endaworth Ave. Winthron
I HEREBY CERTIFY that a satisfactory standard certificate of death was filed with ma BEPORE ihs burial or transit permil was issued,
dance lama
(Signayot of Agent of Board of Health or other) / 04326 10/24/57 .... (Official Designation) (Date of Isas of Parmit)
MEDICAL CERTIFICATE OF DEATH
18 DATR OP DEATH Oct
(Month)
(Day)
23
1957 (Year)
19 I HEREBY CERTIPY that I have investigated the death of the person above-named and that the CAUSE AND MANNER thereof are as follows; (If an injury was involved, slate fully.)
Coronary Occlusion. 40 ON
20 IN WHAT CITY OR TOWN
WAS INJURY SUSTAINED?
(Signed)
Jeorge
W. Cution.D. M. D.
(Address)
25 Shattuck Date 10-23 195 7
21 PLACE OP BURIAL.
CREMATION OR REMOVAL Newton
Newton
(Cemetery)
(City or town)
Oct
26
1957
DATE OF BURIAL
22
NAME OP
UNDERTAKER
Howard S Finaldo
ADDRESS
h
Charles H. Mackie OCL 29 1957
(Rsgistrar)
=
3 SEX (or) WIPE of 9 Occupation: 12 PARENTS of Death. See reverse side for extracte from the laws relative to the return of certificates of depth. If deceased was a U. S. War Veteran. G.L Chap. 46. Section 10, requires physicians to insert a recital to that effect 10 of Business:
X
R-303 B
SM-10-83-010404
PLACE OF DEATH
Suffol (County)
The Commonwealth of Massachusetts EDWARD J. CRONIN SECRETARY OF THE COMMONWEALTH DIVISION OF VITAL STATISTICS MEDICAL EXAMINER'S CERTIFICATE OF DEATH
-
PHYSICIAN - IMPORTANT (Was deceased a U. S. War Veteran. if to specify WAR)
Winthron
(a) Residence No. . (Usual place of abode) Length of residence in city or town where death occurred! yrs.
mos.
1.BV v
l'ATA White
A TRUE COPY ATTEST: Charles it Mackie City Registrar
TON
6
JAN - S1950 NM
X 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 filed for burial permit with Board of Health or its Agent.
No. 159 Winthrop Street
2 FULL NAME
Harold Nathan Bangs
(If deceased is a married, widowed or divorced woman, give also maiden name.)
(a) Residence. No. 159 Winthrop Street
St.
(If nonresident, give city or town and State)
Length of stay: In place of death
years.
months
days. In place of residence.
58
years.
months.
days.
MEDICAL CERTIFICATE OF DEATH
3 DATE OF December
DEATH
(Month)
(Day)
(Year)
8 SEX
Male
9 COLOR
White
10 SINGLE
(write the word)
MARRIED
WIDOWED Married
or DIVORCED
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
4-AMm.
INTERVAL BETWEEN ONSET AND DEATH
11 IF STILLBORN, enter that fact here.
AGE 58 Years.1.1 Months 1.9 Days
If under 24 hours
Hours ..... Minutes
13 Usual
REtired Fireman
(Kind of work done during most of working life)
14 Industry
or Business:
town of Winthrop
15 Social Security No.
Winthrop
16 BIRTHPLACE (City)
(State or country)
Mass.
17 NAME OF
FATHER
Harry Nathan Bangs
18 BIRTHPLACE OF
FATHER (City)
Durham
(State or country)
Maine
19 MAIDEN NAME
OF MOTHER
Helen Mac Donald
20 BIRTHPLACE OF
New York
MOTHER (City)
(State or country)
N.Y.
6 Winthrop Cemetery Winthrop
Place of Burial or Cremation
(City or Town)
DATE OF BURIAL December 4
19
57
7 NAME OF
FUNERAL DIRECTOR.
ADDRESS
174 Winthrop St. Winthrop
Received and filed
DEC 3 1957
.19
(Registrar)
PARENTS
21
Mrs. H. N. Bangs
Informant
(Address)
159 Winthrop St. Winthrop
I HEREBY CERTIFY that a satisfactory standard certificate of death was filed with me BEFORE the burial,or transit pormit was issued:
(Signature of Agent of Board of licalth or other)
fallu
K2 3/57
(Official Designation)
(Date of Issue of l'ermit)
ONS
TIFICATE ng DEATH nter one each nd (c)
not mean dying, failure, It means compli- caused
if any, rise to (a). under- last.
- (b)
(c) Due ToArteriosclerotic Heart
Disease
OTHER
SIGNIFICANT
CONDITIONS
Was autopsy performed ?.
NO
What test confirmed diagnosis ?.
clinical
5 Was disease or injury in any way related to occupation of deceased ? NO
If so, specify
M. D.
Morathrob Boardof War, Dec 1955
1 hr
PERSONAL AND STATISTICAL PARTICULARS
10a If married widowed, or divorced
offertrude
Agnes Chisholm
HUSBAND
(Give maiden name of wife in full)
(or) WIFE of
(Husband's name in full)
DEATH WAS CAUSED BY: IMMEDIATE CAUSE
(a)
Natural Causes
Due To
Coronary Occlusion
SOM-5-36-917973
301A 1
contrib -- but not terminal on given
pter 137, requires print or Ruse or eath on ates.
Registered No.
250
f(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) .....
w.w.1.
(Usual place of abode)
58
1
1957
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- 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. caused by violence, the medical examiner shall make such certificate. If such a
If death is 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 tpido 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
Thefulfifment 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 persone 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
April 7,1917
DATE OF DISCHARGE
December 21,1918
RANK, RATING
seaman confirmed
ORGANIZATION AND OUTFIT
U.S. Navy
SERVICE NUMBER
110-38-27
X 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 Home
To be filed for burial permit with Board of Health or its Agent.
251
Mayflower Nurs'in 29 Grovers Avenue, Winthrop No .. Diego Ciarfella
2 FULL NAME
(If deceased is a married, widowed or divorced woman, give also maiden name.)
(a) Residence. No. 122 Bayswater Street
St.
East Boston
(Usual place of abode)
(If nonresident, give city or town and State)
Length of stay: In place of death
years.
months
1 5days. In place of residence
3
. years.
months
days.
MEDICAL CERTIFICATE OF DEATH
PERSONAL AND STATISTICAL PARTICULARS
8 SEX M
9 COLOR
10 SINGLE
(write the word)
MARRIED
WIDOWED
or DIVORCED Married
10a If married, widowed, or divorced
HUSBAND of
Mary.Marcella
(Give maiden name of wife in full)
(or) WIFE of ...
(Husband's name in full)
11 IF STILLBORN, enter that fact here.
12
AGE
57 Years
1
Months.
29Days
If under 24 hours
Hours .. . Minutes
13 Usual
Coppersmith
Occupation :
(Kind of work done during most of working life)
14 Industry
General Ship Yards
or Business :
15 Social Security No ..
024-03-3149
16 BIRTHPLACE (City)
(State or country)
Italy
17 NAME OF
FATHER
Luigi Ciarfella
PARENTS
18 BIRTHPLACE OF
FATHER (City)
(State or country )
Italy
19 MAIDEN NAME
OF MOTHER
Rosina Colona
20 BIRTHPLACE OF
MOTHER (City)
(State or country )
Italy
21 Carmen Ciarfella-son
Informant (Address) 122 Bayswater St. . E. Boston I HIEREBY CERTIFY that a satisfactory standard certificate of death was, filed with me BEFORE the burial or transit . permit was issucd :
(Signature of Agent/of Board of Health or other)
12/5/57
Official Designation)
(Date of Issue of l'ermit)
-301A 1
10NS
TIFICATE
Ing DEATH nter n one each and (c)
not mean of
dying, t failure, It means r compli- caused
if any, rise to (a), und e last.
(b)
Due To (c)
OTHER
SIGNIFICANT
CONDITIONS
BRAIN Jumon- Carcinoma.
mos.
Was autopsy performed?
NO
What test confirmed diagnosis ?
OPERAtion on BRAIN- XRays
5 Was disease or injury in any way related to occupation of deceased ? /V6 If so, specify
(Signed)
Domini Thomas Staffi
M. D.
(Address)
21 BREED STED Date DEL 5.
1957
Holy Cross Cemetery, l'alden 6
Place of Burial or Cremation (City or Town)
DATE OF BURIAL December 9th 1957
7 NAME OF FUNERAL DIRECTORRichard . C. Kirby ADDRESS 917 Bennington St.E.Boston
Received and filed
DEC 5 1957
19
( Registrar)
That I attended deceased from
57.
to
DEC 5
,57
I last saw h./halive on
DEC. 41
19.57
, death is said to
have occurred on the date stated above, at
6 45 A
.m.
DEATH WAS CAUSED BY: IMMEDIATE CAUSE
(a) Broncho - Pneumonia.
INTERVAL BETWEEN ONSET AND DEATH 4 days
yRS.
50M-11-56-918978
3 DATE OF
DEATH
DECEMBER 5 1957 (Year)
(Month)
(Day)
4 I HEREBY CERTIFY,
Nov. 26
19
Registered No.
[ (If death occurred in a hospital or institution,
St. (give its NAME instead of street and number)
PHYSICIAN - IMPORTANT -
(Was deceased a
U. S. War Veteran,
if so specify WAR)
No
contrib -- but not terminal ion given
pter 137, requires print or ause or eath on ates.
Meslow 1-6-58
Due To
Carcinoma OF Lung.
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 reeital 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).
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 deathsonly as those of persons who, though disabled by recognized disease unrelated to any form of injury, have died without ferent 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.
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