Town of Winthrop : Record of Deaths 1958, Part 23

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


USA > Massachusetts > Suffolk County > Winthrop > Town of Winthrop : Record of Deaths 1958 > Part 23


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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)


HALL ATS Carl


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


STANDARD CERTIFICATE OF DEATH How z


Registered No.


54


No. 140 Highland Ave Victor Allen 2 FULL NAME


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


(a) Residence. No. 56 Spencer Ave


St. Chelsea


(If nonresident, give city or town and State)


Length of stay: In place of death


.years ..


months 1.


days. In place of residence 35years.


.months.


days.


MEDICAL CERTIFICATE OF DEATH


3 DATE OF


DEATH


MARCH


14 1958


(Month)


(Day)


(Year)


4 I HEREBY CERTIFY,


FEB 12


19.


58


That I attended deceased from


to MARCH 14 195F


I last saw h/ Lalive on


MARCH 13, 1958, death is said to


have occurred on the date stated above, at


IA


m.


DEATH WAS CAUSED BY: IMMEDIATE CAUSE


(a)


ARTERIOSCLEROTIC


HEART DISEASE


INTERVAL BETWEEN ONSET AND DEATH 3 YRS


Due To (b)


Due To (c)


OTHER SIGNIFICANT CONDITIONS


Was autopsy performed?


NO


What test confirmed diagnosis?


5 Was disease or injury in any way related to occupation of deceased?


If so, specify. -.


NO


(Signed)


Jack K. Holmes , M. D.


(Address) CINCINO MED. CIR CONCORDate MARI4 1958


Holy Cross 0


Lalden


(City or Town)


DATE OF BURIAL Larch


17


1958


19


7 NAME OF


FUNERAL DIRECTOWilliam F. Welsh


ADDRESS


718 Broadway Chelsea


Received and filed MAR 19 1958 19


(Registrar)


PERSONAL AND STATISTICAL PARTICULARS


8 SEX


9 COLOR


White


10 SINGLE


(write the word)


MARRIED


WIDOWED idowed


or DIVORCED


10a If married, widowed, or divorced


HUSBAND of


Elizabeth


Gaudet


(Give maiden name of wife in full)


(or) WIFE of


(Husband's name in full)


11 IF STILLBORN, enter that fact here.


12


AGES


Years.


Months


.Days


If under 24 hours


Hours ...


Minutes


13 Usual


Occupation :


Laborer


(Kind of work done during most of working life)


14 Industry


or Business :


Rubber_Lill


15 Social Security No ....


012-12-7333


16 BIRTHPLACE (City)


(State or country)


Canada


17 NAME OF


FATHER


Sylvere Allen


18 BIRTHPLACE OF


Canada


FATHER (City) (State or country)


19 MAIDEN NAME


OF MOTHER


Could not be learned


20 BIRTHPLACE OF


MOTHER (City)


(State or country)


Canada


21


Informant


Alfred Allen


(son)


(Address)4 Prospect Ave Chelsea


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


1.0. March 15, 1955


(Official Designation)


(Date of Issue of I'ermit)


X


X 1 -


-301A


TIONS


TIFICATE


ing DEATH enter n one · each and (c)


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


if any, rise to re


(a), under- e last.


contrib- - h but not e terminal ion given


pter 137, requires o print or cause or


death on


cates.


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


J(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)


(Usual place of abode)


Chelsea 35x+


SOM-5-36-917573


Place of Burial or Cremation


PARENTS


ale


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 cffect, specifying the war, and shall also certify in such certificate both the primary and the secondary or imme- diate cause of death as nearly as he can state the same. For neglect to comply with any provision of this section, such physician or officer, shall forfeit ten dollars. For the purposes of this section and of sections forty-five, forty-six and forty-seven of said chapter one hundred and fourteen, the word "war" shall include the China relief expedition and the Philippine insurrection, which shall, for said purposes, be deemed to have taken place between February fourteenth, eighteen hundred and ninety-eight and July fourth, nineteen hundred and two. and the Mexican border service of nineteen hundred and sixteen and 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 of 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 discase, 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 :. 36. 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


X PLACE OF DEATH


Suffolk


(County) Winthrop


(City or Town)


49 Walden St.


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.


Elizabeth Lazzaro


2 FULL NAME


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


49 Walden St.


(a) Residence.


No


(Usual place of abode)


St.


(If nonresident, give city or town and State)


Length of stay: In place of death


years


months


days. In place of residence.


... years.


months.


days.


MEDICAL CERTIFICATE OF DEATH


3 DATE OF


DEATH


March


20,


1958


(Month)


(Day) ≤


(Year)


4 I HEREBY CERTIFY,


That I attended deceased from


955, to MARCH 19


58


I last saw h.


alive on


MARCH 19


.. , 19.5 8, death is said to


have occurred on the date stated above, at


2 A. m.


DEATH WAS CAUSED BY: IMMEDIATE CAUSE


INTERNAL HEMORRHAGE


(a)


INTERVAL BETWEEN ONSET AND DEATH


8 months


PERSONAL AND STATISTICAL PARTICULARS


8 SEX female


9 COLOR


white


10 SINGLE


MARRIED


WIDOWED


or DIVORCEmarried


(write the word)


10a If married, widowed, or divorced


HUSBAND of


(Give maiden name of wife in full)


(or) WIFE of


Salvatore Lazzaro


(Husband's name in full)


11 IF STILLBORN, enter that fact here.


12


54


AGE


Years


Months


.Days


If under 24 hours


_Hours _._ Minutes


13 Usual


Occupation :


housework


(Kind of work done during most of working life)


14 Industry


or Business:


own home


15 Social Security No.


16 BIRTHPLACE (City)


(State or country)


Plymouth, Mass


17 NAME OF


FATHER


Henry Martin


18 BIRTHPLACE OF


FATHER (City) (State or country) Germany


19 MAIDEN NAME


OF MOTHER


Lena Winter


20 BIRTHPLACE OF


MOTHER (City)


(State or country)


Germany


21


Informant


Salvatore Lazzaro


(Address)


40 Walden St. Winthrop


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


1 (Signature of Agent of Board of Health or other)


J


3/21/58


(Official Designation) (Date of Issue of Permit)


-


PARENTS


(Signed).


Vincent Butts


, M. D.


244. Meridian St. E. B.


Date 3/20/ 58


19.


6 Holy Cross 6


Malden


Place of Burial or Cremation March 22City or Town) 58


DATE OF BURIAL


19


7 NAME OF


FUNERAL DIRECTOR


Frederick J. Magrath


East Boston


ADDRESS


Received and filed MAP 2. 1750 19


"That Clark


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)


no


IONS


TIFICATE


ng DEATH nter one each and (c)


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


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


(b)


Due To CARCINOMA OF THE LIVER


Due To (c)


OTHER SIGNIFICANT CONDITIONS


CORONARY INSUFFICIENCY 6


months


Was autopsy performed?


NO


What test confirmed diagnosis? OPERATION FEB. 28 1958


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


50M-5-57-920345


301A 1


contrib -- but not terminal ion given


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


Registered No.


55


C+C


EXTRACTS FROM THE LAWS OF THE COMMONWEALTH OF MASSACHUSETTS GOVERNING THE RETURN OF CERTIFICATES OF DEATH


C. t 1 0 C


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 seetion 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 seetions 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 seleetmen 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 sueh 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 elerk of the town for registra- tion. The person to whom the permit is so given and the physician eertifying 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, See. 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, See. 6 , as amended by Chap. 632, See. 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." Preciseistatement 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 oeeupa- 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 oceupation whatever write none.


U


SPACE FOR ADDITIONAL INFORMATION


I


DATE OF ENTERING MILITARY SERVICE


DATE OF DISCHARGE


I


RANK, RATING


(


ORGANIZATION AND OUTFIT


U. SERVICE NUMBER


O t a e S d F 0 T d n SI ( ir h S1 p


0 0 SI a TE n la P e 0 a C P t P t


f.


-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.


56


St. (give its NAME instead of street and number) No.


Frank Parker Brown


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


11 Please DX


St


"Lunchsol,


(If nonresident, give city or town and State)


Length of stay: In place of death


years


months


days. In place of residence.


.years.6months.


.days.


MEDICAL CERTIFICATE OF DEATH


3 DATE OF


DEATH


March


22


1958


(Year)


(Month)


(Day)


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


9:10 Pm.


DEATH WAS CAUSED BY : IMMEDIATE CAUSE


(a)


Natural Causes


INTERVAL BETWEEN ONSET ANO DEATH


Due To Presumably Coronary


(b)


Occlusion


Due To


(c)


Arteriosclerotic Heart


Disease


Years


Was autopsy performed? no What test confirmed diagnosis? post mortem judgement


5 Was disease or injury in any way related to occupation of deceased? no


If so, specify


(Signe Arthur C. Murray M. D. Winthrop Board of Heart 22 March 1958 (Ad


6 Woodlawn Cem ... Place of Burial or Cremation


DATE OF BURIAL


March 26,


58


L.E. Parker


ADDRESS


Received and filed. SAP 20 1058 19


(Registrar)


PERSONAL AND STATISTICAL PARTICULARS


8 SEX


Maãª


9 COLOR


White


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 o


(Husband's name in full)


11 IF STILLBORN, enter that fact here.


12


AGE


90Years.


Months.


Days


If under 24 hours


Hours .....


Minutes


13 Usual


Occupation :


Printer


(Kind of work done during most of working life)


14 Industry


or Business:


F.P.Brount Co.


15 Social Security No.


East Boston


16 BIRTHPLACE (City)


(State or country)


Mass


17 NAME OF


FATHER


William H.Brown


PARENTS


18 BIRTHPLACE OF


FATHER (City)


Alarvik


(State or country)


Norway


19 MAIDEN NAME OF MOTHER Mellica Morgan


20 BIRTHPLACE OF


MOTHER (City)


(State or country)


East Boston


Mass .


21 Henry H.Brown(brother)


Informant


(Address)


Il Moore St. , Winthrop, Mass.


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


3/25/58


(Official Designation) (Date of Issue of Permit)


TIONS 1


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 se re


(a), under- last.


contrib- h but not e terminal tion given


apter 137, , requires to print or cause or death on Icates.


SOM-5-56-917573


7 NAME OF


FUNERAL DIRECTOR


726 Saratoga St. ,E.Boston


Everett Mass


(City or Town)


Braumarktest Nome


Registered No.


[(If death occurred in a hospital or institution,


2 FULL NAME


PHYSICIAN - IMPORTANT




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