Town of Winthrop : Record of Deaths 1957, Part 91

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


USA > Massachusetts > Suffolk County > Winthrop > Town of Winthrop : Record of Deaths 1957 > Part 91


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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 deccased, 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.dt i'ts 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 QF . 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 resultiba ftom 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


301A


1


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.


184 HERMEN No ..


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


2 FULL NAME AlphonSUS


J. FOPIANO


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


(a) Residence. No. .. 184 HERMAN


St.


WINThrop


(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 5 years.


months .........


days.


MEDICAL CERTIFICATE OF DEATH


3 DATE OF


DEATH


DEL


(Month)


(Day)


77


1957


(Year)


4 .I HEREBY CERTIFY,


F-22.


023


to.


Dec. 27


I last saw hith alive on


See.


2 %, 19 07, death is said to


have occurred on the date stated above, at


8.30 fm.


DEATH WAS CAUSED BY: IMMEDIATE CAUSE


(a)


Дошкоспентона


(Terminal)


INTERVAL


BETWEEN


ONSET AND


DEATH


48 lips


Due T


Carcinomatesis


(b)


(c) Carcinoma of


rectum


2 cajas


OTHER SIGNIFICANT CONDITIONS


Was autopsy performed?


What test confirmed diagnosis? operation


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


(Sig (ned) eple pregane (Address) , M. D. 19 y evenhug the care Date 2-2 7 1947 wiliter BOSTON


6 MT. CALUAry Place of Burial or Cremation (City or Town)


DATE OF BURIAL 12-30-51


19


7 NAME OF FUNERAL DIRECTOR ARThur S. PORcellA ADDRESS 576 WeIN Ther DEC 277987 Are. Rovere Received and filed 19


(Registrar)


PERSONAL AND STATISTICAL PARTICULARS


8 SEX


MALE


9 COLOR


Loh, Te


10 SINGLE


(write the word)


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


AGE 64 Years


6


Months.


16


Days


If under 24 hours


Hours ...


Minutes


13 Usual


Occupation :


(Kind of work done during most of working life)


14 Industry


or Business:


Retired- CONSULTANT


15 Social Security No ...


NONE


16 BIRTHPLACE (City) BOSTON


(State or country)


17 NAME OF


FATHER


GIOVANNI FOPIANO


18 BIRTHPLACE OF


FATHER (City)


(State or country)


ITALY


19 MAIDEN NAME


OF MOTHIER


Louise LeveroNe


20 BIRTHPLACE OF


MOTHER (City) ..


(State or country)


ITALY


21 CLARA FOPIANO


Informant


(Address)


184 HerMON ST. Winthrop


1 HEREBY CERTIFY that a satisfactory standard certificate of death


was filed with me BEFORE the burial or transit. permit was issued.


Talkre : Services


(Signature of Agent of Board of Health or other)


Upatthe Great


12/27/97


(Official Designation)


(Date of Issue of P'ernfit)


IONS


TIFICATE


ng DEATH nter one each and (c)


not mean f dying, failure, It means compli- caused


if any, rise to .


(a). under- last.


contrib-> . but not terminal on given


pter 137, requires print or ause or eath on ates.


50M-11-56-918978


INVESTMENT


PARENTS


Registered No.


PHYSICIAN - IMPORTANT


Was deceased a


U. S. War Veteran,


if so specify WAR)


That I attended deceased from


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 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 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 brunfection 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. 10/22/18


DATE OF DISCHARGE 2/15/19


RANK, RATING ENGINE- MAN IST. CLASS


ORGANIZATION AND OUTFIT U. S. NAVY - Reserve -FORCE


SERVICE NUMBER 15/0/7


F


PLACE OF DEATH


Suffol",


(County) Winthron (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.


265


Bay View Jursine Home No.


Joseph F Shepherd


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


160 Court Rd .


St


(If nonresident, give city or town and State)


months days. In place of residence. -years months. days.


PERSONAL AND STATISTICAL PARTICULARS


8 SEX


Male


9 COLOR


White


10 SINGLE


(write the word)


MARRIED


WIDOWED


or DIVORCED


ridowed


10a If married, widowed, or divorced


Florence


munroe


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 5


Years


7


Months


1.7Days


If under 24 hours


Hours.


Minutes


13 Usual


Occupation :


Broker


(Kind of work done during most of working life)


14 Industry


or Business:


Fond


15 Social Security No. VC-7-5443


16 BIRTHPLACE (City) ...


(State or country)


haine


17 NAME OF


FATHER


Samuel Shepherd


18 BIRTHPLACE OF


FATHER (City)


Rocknort


(State or country)


Meine


19 MAIDEN NAME


OF MOTHER Ellen Andrews


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


21 Informant Tathevn Sinatra


(Address) 215 Toodcide Ave Yinthron


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 Health or other)


12/31/97


(Official Designation)


(Date of Issue of Permit)


UBV


3 DATE OF


DEATH


December


30


1957


(Year)


(Month)


(Day)


4 I HEREBY CERTIFY,


That I attended deceased from


19 to


19


I last saw himblive onDec. 30,


19. 57, death is said to


have occurred on the date stated above, at


10:20 p.m.


DEATH WAS CAUSED BY: IMMEDIATE CAUSE


(a) arteriosclerotic heart disease


INTERVAL BETWEEN ONSET AND DEATH


4 yrs


Due To Generalized arteriosclerosis (b)


Due To (c)


OTHER SIGNIFICANT CONDITIONS


cerebral arteriosclerosis


Was autopsy performed?


no


What test confirmed diagnosis? Clinical & laboratory


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


(Signed).


In. Traunstein, Ir M. D.


(Address) 73 Bartlett Rd.


Date .. Dec. 31, 19.57


Winthrop 52,RUassort, Haine


Place of Burial or Cremation (City or Town)


Jan


7


DATE OF BURIAL


19


7 NAME OF


FUNERAL DIRECTORY


ADDRESS


Received and filed


DEC 31 1957


19


(Registrar)


[(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)


IONS


TIFICATE


ng DEATH nter a one each and (c)


not mean f dying, t failure, It means r compli- caused


if any, rise to e


(a). under- last.


contrib -- but not terminal ion given


pter 137, requires print or ause or eath on ates.


5.


SOM-3-56-917573


301A 1


Registered No.


2 FULL NAME


(a) Residence.


No.


(Usual place of abode)


4


Length of stay: In place of death.


... years


MEDICAL CERTIFICATE OF DEATH


7 yrs.


No


PARENTS


Roc! nort


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 belicf 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 fourtcen, 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 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, Scc. 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) 1


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 disea'se 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) {add 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.




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