Town of Winthrop : Record of Deaths 1958, Part 16

Author: Winthrop (Mass.)
Publication date: 1958
Publisher:
Number of Pages: 566


USA > Massachusetts > Suffolk County > Winthrop > Town of Winthrop : Record of Deaths 1958 > Part 16


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SERVICE NUMBER


IR-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 filled for burial permit with Board of Health or its Agent.


Registered No. 33


2 FULL NAME


POTA FARGES MAGAS MINGAS)


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


(a) Residence.


No


478 WINTHROP


St.


WINTHROP


(Was deceased a


U. S. War Veteran,


if so specify WAR)


110


(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. .years __ months. days.


PERSONAL AND STATISTICAL PARTICULARS


8 SEX


9 COLOR


FEMALE WHITE


10 SINGLE


MARRIED


(write the word)


WIDOWED DIVORCED


or DIVORCED


10a If married, widowed, or divorced


HUSBAND of


(Give maiden name of wife in full)


(or) WIFE of ....


ANTHONY MAGAS


(Husband's name in full)


11 IF STILLBORN, enter that fact here.


Ages vs. 8.1 :00


45


12


AGE 72 Years


Months


Days


If under 24 hours


Hours ...


Minutes


13 Usual


Occupation :


HOUSE WIFE


(Kind of work done during most of working life)


14 Industry


or Business :


AT HOME


15 Social Security No.


NONE


16 BIRTHPLACE (City)


(State or country)


GREECE


17 NAME OF


FATHER


HERCULES TERZIS


18 BIRTHPLACE OF


FATHER (City).


(State or country)


GREECE


19 MAIDEN NAME


OF MOTHER


E. VASILINE MARANICOLAS


20 BIRTHPLACE OF


MOTHER (City)


(State or country)


GREECE


21 Informant


TER MAGAS


(Address) 478 WINTHROP ST. WINTHROP


I HEREBY CERTIFY that a satisfactory standard certificate was filed with me BEFORE the burial or transit permit was issued: Malku C.here auf (Signature of Agent of Board of Health or other)


2/14/58


(Official Designation)


(Date of Issue of Permit)


X


3 DATE OF


2-12-58


DEATH


(Month)


(Day)


(Year)


4 I HEREBY CERTIFY,


1-14


58


19.


to


2/11


That I attended deceased from


58


19


I last saw hecalive on


2/11


19.0, death is said to


have occurred on the date stated above, at


5:10h


m.


DEATH WAS CAUSED BY: IMMEDIATE CAUSE


Coronary Thrombosis


(a)


INTERVAL


BETWEEN


ONSET AND


DEATH


Sudde


Due To


Arteriosclerotic


(b)


That Di


4yr.


Due To (c) £


OTHER


Ac. Heart Failure


, wk.


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. H. Potito


M. D.


(Address). 17a Bennington Bate 2/13 1950


Mt. HOPE CEM. BOSTON. 14ASS. 6


Mace of Burial or Cremation (City or Town)


DATE OF BURIAL FEBRUARY 15 1958


7 NAME OF


FUNERAL DIRECTORA


CTOR Autant. Hacertio


ADDRESS 1642 Com nomin ally Que Bretag


Received and filed 2-14-58


19


(Registrar)


PARENTS


50M-5-57-920345


UCTIONS FOR CERTIFICATE giving


OF DEATH ot enter than one for each b) and (c)


oes not mean of dying, heart failure, tc. It means .. or compli- which caused


s, if any, ave rise to cause


(a), the under- ause last.


ons contrib- eath but not the terminal ndition given


Chapter 137, 954, requires s to print or ! cause or f death on tificates.


No.


478 WINTHROP ST.


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


PHYSICIAN - IMPORTANT


MEDICAL CERTIFICATE OF DEATH


SIGNIFICANT


CONDITIONS


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 ncarly 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 derk 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 gare 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 isepticemia) Jand by the action of chemical (drugs or poisons) thermal, or electrical agents, and deaths following abortion, but also deaths from disease resulting from injury or infection related to occupation. the sudden deaths of persons not disabled by recognized disease, and those of persons found dead.


Statement of Cause of Death .- Physicians: see explanatory instructions on face side of standard certificate of death.


Statement of Occupation .- Precise statement of occupation is very import- ant, so that the relative healthfulness of various pursuits can be known. Make some entry in this section for every person aged 10 years or over. If the occupa- tion had been given up or changed, or if the deceased had retired from business, report the kind of work done during most of working life even if retired. Children not gainfully employed may be returned as at school or at home. For a woman whose only occupation was that of home housework, write housework. For a person engaged in domestic service for wages, however, designate the occupation by the appropriate terms, as housekeeper-private family, cook-hotel, etc. For a person who had no occupation whatever write none.


SPACE FOR ADDITIONAL INFORMATION


DATE OF ENTERING MILITARY SERVICE


DATE OF DISCHARGE RANK, RATING ORGANIZATION AND OUTFIT


SERVICE NUMBER


X


PLACE OF DEATH


Suffolk (County)


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 burlal permit with Board of Health or its Agent.


38


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


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


55 Cliff Avenue


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


February 17, 1958


DEATH


(Month)


(Day)


(Year)


4 I HEREBY CERTIFY,


That I attended deceased from


Aug.


1957,


to


Feb. 17


1958


I last saw h,& alive on


Feb. 17, 1958, death is said to


have occurred on the date stated above, at .. m.


DEATH WAS CAUSED BY: IMMEDIATE CAUSE


(a)


Broncho-pneumonia


INTERVAL BETWEEN ONSET AND DEATH


2 days


Due To


- (b)


Due To (c)


OTHER


SIGNIFICANT.


CONDITIONS


Chronic Myocarditis


Was autopsy performed?


NO


What test confirmed diagnosis ?.


Clinical


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


(Signed)


Pasquale Costanza


M. D.


(Address)


1.38 Maverick VAD


2/19


1958


St. Michael Cemetery 6


boston


Place of Burial or Cremation


(City or Town)


DATE OF BURIAL February 27, 19.58


7 NAME OF


FUNERAL DIRECTOR Vin ent


Bacino


Chelsea Street, Just Hoston


ADDRESS


Received and filed


FEB 25 1958


19


(Registrar)


PERSONAL AND STATISTICAL PARTICULARS


f&eSEXLe


9 COLOR


white


10 SINGLE


(write the word)


MARRIED


WIDOWED


or DIVORCED


widowed


10a If married, widowed, or divorced


HUSBAND of ...


(Give maiden name of wife in full)


(or) WIFE of


John


Di Bello


(Husband's name in full)


11 IF STILLBORN, enter that fact here.


12


82


AGE


Years


Months.


Days®


If under 24 hours


Hours ........ Minutes


13 Usual


Housewife


Occupation :


(Kind of work done during most of working life)


14 Industry


or Business:


it home


15 Social Security No ..


none


16 BIRTHPLACE (City)


(State or country)


Italy


17 NAME OF


FATHER


Joseph DiRago


PARENTS


18 BIRTHPLACE OF


FATHER (City)


(State or country)


Italy


19 MAIDEN NAME


OF MOTHER


Rose Caputo


20 BIRTHPLACE OF


MOTHER (City).


(State or country)


Italy


21


Catherine Laiona (daughter)


Informant.


(Address)


5) Cliff Ave. Winthrop, La.


I HEREBY GERTIFY that a satisfactory standard certificate of death way filed with me BEFORE the burial or transit permit was issued:


(Signature of Agent of Board of Health or other) Jiedette direct 7/2/58


(Official Designation )


(Date of Issue of Permit)


X


1


CTIONS R ERTIFICATE


iving F DEATH : enter an one or each ) and (c)


es not mean of dying, art failure, c. It means or compli- ich caused


s, if any, ve rise to use (a), he under- use last. -


ons contrib- ath but not the terminal dition given


Chapter 137, 54, requires s to print or cause or death on tificates.


100M-11-55.916145


R-301A 1


-


55 Cliff Avenue No.


Josephine DiBello


2 FULL NAME


(a) Residence. No (Usual place of abode)


NO


PHYSICIAN - IMPORTANT


(Was deceased a


U. S. War Veteran,


if so specify WAR)


Winthrop, Mass.


Registered No.


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- te"n, 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 thedical 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


........


[ R-303 A 1


PLACE OF DEATH


Suffer County)


(City or Town)


No. 269


The Commonwealth of Massachusetts EDWARD J. CRONIN SECRETARY OF THE COMMONWEALTH DIVISION OF VITAL STATISTICS MEDICAL EXAMINER'S CERTIFICATE OF DEATH


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


Registered No. ....


39


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


PHYSICIAN - IMPORTANT


2 FULL NAME


Eli


furmint


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


(a) Residence.


No.


269 Shirley St.


Month


(If nonresident, (ve city or town and State)


Length of stay: In place of death


......... years.


months.


.. days. In place of residence.


years.


.months


.days.


PERSONAL AND STATISTICAL PARTICULARS


9 SEX


M.


10 COLOR OR RACE


11 SINGLE


MARRIED


WIDOWED


or DIVORCED


(write the word)


Divorced


4 I HEREBY CERTIFY 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, state fully.)


CORONARY COLLUSION


12 IF STILLBORN, enter that fact here.


13 AG .. Years ........ Months ............ Days


If under 24 hours


.Hours ........ Minutes


14 Usual


Occupation :.


Shop, REPAIRER


(Kind of work done during most of working life)


15 Industry


or Business


Shoe Re PARinG


16 Social Security No.


17 BIRTHPLACE (City)


(State or country)


PRUSSIA


18 NAME OF FATHER Aaron.


19 BIRTHPLACE OF


FATHER (City).


(State or country)


Russin


20 MAIDEN NAME OF MOTHER UNKNOWN


21 BIRTHPLACE OF


MOTHER (City)


RUSSIA


(State or country }


22 Informant (Address)


AUL.A 6 BeAcall St. Baston


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)


2/11/58


(Official Designation)


(Date of Issue of Permit)


(Registrar)


PARENTS


M. D.


Date .1. 7.19 5 P


W. Gathery (City of Town)


8 NAME OF Schloss berg+ Says 1385 Blue Hill Are


Received and filed 19


FEB = 1900


...


A


(Usual place of abode) MEDICAL CERTIFICATE OF DEATH 3 DATE OF DEATH (Month) (Day) 5 Accident, suicide, or homicide (specify) Date and hour of injury 19 Where did Injury occur? (City or town and State) (Specify type of place) Manner of Injury (How did injury occur?) Nature of Injury SHARA TEFILO Cem (Address) 5 Place of Cremation /2/21 7 DATE OF BURIAL. If deceased was a U. S. War Veteran, G.L. Chap. 46, Section 10, requires physicians to insert a recital to that effect. place? of Death. See reverse side for extracts from the laws relative to the return of certificates of death. DEATH In plain terms, so that It may be properly classified under the International Classification of Causes Information should be carefully supplled. MEDICAL EXAMINERS should stato CAUSE AND MANNER OF LODRESS. 25M-1-52-906135 N. B. - WRITE PLAINLY, WITH UNFADING BLACK INK -THIS IS A PERMANENT RECORD. While at work? Was autopsy performed?


17


1958


(Year)


11a If married, widowed or divorced




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