USA > Massachusetts > Suffolk County > Winthrop > Town of Winthrop : Record of Deaths 1958 > Part 42
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(or) WIFE of.
(Husband's name in full)
(a)
Due To (b)
Yorkshire
PARENTS
I HEREBY CERTIFY that a satisfactory standard certificate of dea was fled with me BEFORE the burial or transit permit was issued : Kalkle & Sereaus (Signature of Agent of Board of Healthy or other) Healle Officer 5/24/59
(Official Designation)
(Date of Issue of Dermit)/
(write the word)
(If deceased is a married, widowed or divorced woman, give also maiden name.)
110 Almont St.
65
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 dicd. 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, ninetcen 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 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 '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 he 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 supposahly 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
× -
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 filed for burial permit with Board of Health or its Agent.
.145 Pleasant-St. Winthrop(grovelEsCENT No. Giuseppe Loreti
2 FULL NAME
(If deceased is a married, widowed or divorced woman, give also maiden name.)
(a) Residence. No. 111 Mountain Ave.
Revere
(If nonresident, give city or town and State)
Length of stay: In place of death
.years
months
days. In place of residence
25
.years.
months.
days.
MEDICAL CERTIFICATE OF DEATH
PERSONAL AND STATISTICAL PARTICULARS
8 SEX
Male
9 COLOR
White
10 SINGLE
(write the word)
MARRIED
WIDOWED
or DIVORCED
Widowed
4 I HEREBY CERTIFY.
JAM
,
19.4 6, to MAY 26
That I attended deceased from
1956
I last saw h/halive on
Na y 28, 1951, death is said to
have occurred on the date stated above, at
9154m.
DEATH WAS CAUSED BY: IMMEDIATE CAUSE
CEREBRAL HEMORRHAGE
(a)
(b)
Due To
HyperTension
ARTERIOSCLEROSIS
Due To (c)
OTHER
BRONCHOPNEUMONIA
SIGNIFICANT
CONDITIONS ONGEstive HEART Fringe/ day
Was autopsy performed? 20 What test confirmed diagnosis?
5 Was disease or injury in any way related to occupation of deceased 12 If so, specify
(Signed).
Conchen Catino
M. D.
603 Bringung tera Date May 31
150
St. Michael Cemetery Boston
Place of Burial or Cremation
(City or Town)
DATE OF BURIAL
May_
31
19 58
7 NAME OF
FUNERAL DIRECTOR Charles_Bruno & Son
ADDRESS
14 Proctor Ave, Revere, Mass.
Received and filed June 2 1958
(Registrar)
PARENTS
18 BIRTHPLACE OF FATHER (City) (State or country)
Italy
19 MAIDEN NAME
OF MOTHER
Anna Unknown
20 BIRTHPLACE OF MOT11ER (City) (State or country) Italy
21
Informant
(Address)
Ada Avallone (Daughter)
111 Mountain Ave. Revere, Mass.
1 11EREBY CERTIFY that a Satisfactory standard certificate of death was filed with me BEFORE the burial or transit permit was issued : Сакал столи о чног (Signature of Ageht of Board of Ilealth or other)
5/ 2,9
if
(Official Designation)
(Date of Issue of P'ermit)
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 e. or compli- which caused
as, if any, ave use -to cause (a). the under- cause
ions contrib -. death but not the terminal adition given
Chapter 137, 954, requires s to print or cause of f death tifcates.
3/25 50M-11-56-918978
3 DATE OF
DEATH
MAY
2 5th 195-8
(Year)
(Month)
(Day)
10a If married, widowed, or divorced Gertrude Giannini
HUSBAND of
(Give maiden name of wife in full)
(or) WIFE of
(Husband's name in full)
11 IF STILLBORN, enter that fact here.
10 30 AGE
12
82
Years
7
Months.
.Days
If under 24 hours
Hours ....... Minutes
13 Usual
Occupation :
Iron Foundry Worker
(Kind of work done during most of working life)
14 Industry
or Business:
Iron Foundry
15 Social Security No. None
16 BIRTHPLACE (City)
(State or country)
Italy
17 NAME OF
FATHER
Giovanni Loreti
10 pr
PHYSICIAN - IMPORTANT -
(Was deceased a U. S. War Veteran, if so specify WAR).
No
(Usual place of abode)
7
St.
Home
Registered No. 109
f(If death occurred in a hospital or institution,
St. [give its NAME instead of street and number)
REVERZ
85-9-1
6
last.
INTERVAL BETWEEN ONSET AND DEATH
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 horder service of nineteen hundred and sixteen and nineteen hundred and seventecn. 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 sooncr 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 lor 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 he held .. or from a. person appointed to have the care of the cemetery or burial ground in which the interment is made.
Chap. 114, Secr46; G. L. (Tercentenary Edition). C 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 front 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 withouttttent medialattendance or whose physician is ahsent 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-301A 1
PLACE OF DEATH
X 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.
Registered No. 150
[(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
(a) Residence. No.
(Usual place of abode)
Length of stay: In place of death.
23,
months
days. In place of residence
23.
.years
months
days.
MEDICAL CERTIFICATE OF DEATH
PERSONAL AND STATISTICAL PARTICULARS
8 SEX
MALE
9 COLOR
WHITE
10 SINGLE
MARRIED
WIDOWED
or DIVORCED
(write the word)
(Month )
(Day)
4 I HEREBY CERTIFY,
That I attended deceased from
MAY 12, 19:51
to
MAY 29
1958
I last saw h /MJalive on
MAY
29, 1950, death is said to
have occurred on the date stated above, at
5:20P.
m.
DEATH WAS CAUSED BY: IMMEDIATE CAUSE
CORONARY OCCLUSION
(a)
(b)
Due To
ARTERIC SCLEROTIC HEART
DIS, WITH AURICULAR FIBRILLATION
10 YRS
(c)
OTHER
PROSTATIC HYPERTROPHY
SIGNIFICANT
CONDITIONS
BENIGN
3 YRS
Was autopsy performed?
No
What test confirmed diagnosis?
CLINICAL
5 Was disease or injury in any way related to occupation of deceased ?
If so, specify
NO
(Signed)
myron n. fag
, M. D.
(Address) 212 PLEASANT ST
Date
5/29, 1958
6
BETHISRAEL
Place of Burial or Cremation
DATE OF BURIAL
May 30 1958
BENJAMIN Birnbach
ADDRESS
Received and filed
JUN 2, 1958 19
(Registrar)
INTERVAL
BETWEEN
ONSET AND
DEATH
15 MIN
11 IF STILLBORN, enter that fact here.
12
AGE
84
Years.
Months.
Days
If under 24 hours
Hours ....... Minutes
13 Usual
Occupation :
AUTO BUSINESS
(Kind of work done during most of working life)
14 Industry
or Business:
RETIRED
15 Social Security No ...
16 BIRTHPLACE (City)
(State or country)
Russin
17 NAME OF
FATHER
ABRAHAM FINE
18 BIRTHPLACE OF
FATHER (City).
(State or country)
RUSSIA
19 MAIDEN NAME
OF MOTHER
Can't be learned
20 BIRTHPLACE OF
MOTHER (City)
(State or country)
AUSSIA
21 MICHAEL KOVEN
Informant
(Address)
500 SHIRLEY ST WINTHROP
1 11EREBY CERTIFY that a satisfactory standard certificate of death was hled with nfe BEFORE the burial or transit permit was issued : Кен с. Ализация (Signature of Agent of Board of llealth or other)
(Official Designation)
(Date of Issue of l'ermit)
5/29/58 X
ICTIONS OR CERTIFICATE
iving
F DEATH t enter han one for each ) and (c)
es not mean of dying, cart failure, c. It means or compli- hich caused
s, if any, ve rise to ause
(a), the under- asse
last.
ons contrib- rath but not the terminal dition given
Chapter 137, 54, requires s to print or cause Or death on ifcates.
50M-11-56-918978
500 SHIRLEY No. BENJAMIN FINE
2 FULL NAME
(If deceased is a married, widowed or divorced woman, give also maiden name.)
500
SHIRLEY
St.
WINTHROP, MASS
(If nonresident, give city or town and State)
3 DATE OF
DEATH
MAY
29
1958
(Year)
WIDOWER
10a If married, widowed, or divorced.
HUSBAND of
GOLDIE
SNYDER
(Give maiden name of wife in full)
(or) WIFE of
(Husband's name in full)
PARENTS
7 NAME OF FUNERAL DIRECTOR 10 Washnostem St Darchastain
WINTHROP EVERETT (City or Town)
Due To
GENERAL ARTERIOSCLEROSIS. 10 YRS.
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 decmed to have taken place between February fourteenth, eighteen hundred and ninety-eight and July fourth, ninetcen 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 dicd; 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
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