USA > Massachusetts > Suffolk County > Winthrop > Town of Winthrop : Record of Deaths 1958 > Part 66
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Registered No.
$86
[(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 ..
352 Bremen
(Usual place of abode)
3/ates
St.
East Boston
(If nonresident, give city or town and State)
Length of stay: In place of death
....... years
months.
days. In place of residence 2
.years
months
days.
MEDICAL CERTIFICATE OF DEATH
3 DATE OF
DEATH
Sept.
24-1958
(Month)
(Day)
(Year)
8 SEX Male
9 COLOR
White
10 SINGLE
(write the word)
MARRIED Married
WIDOWED
or DIVORCED
4 I HEREBY CERTIFY,
Oct.
1957
to
Sept 24
1958
I last saw hilblive on
Sept-29, 1958, death is said to
have occurred on the date stated above, at
8p. m.
DEATH WAS CAUSED BY: IMMEDIATE CAUSE
(a)
acute cardiac dilation
Due To Bacteria Endocarditis 2
(b)
blood stream infection
4 yrs
Due To (c)
OTHER
SIGNIFICANT
CONDITIONS
Coronay thrombosis
1948
Was autopsy performed?
Lab+ clinical.
5 Was disease or injury in any way related to occupation of deceased ?
If so, specify
no
(Signed).
Charles melony
(Address)
, M. D. 305 Havea 2/3 Date Sexta4 1008
6 Holy Cross
Malden Place of Burial or Cremation DATE OF BURIAL
(City or Town)
Sept. 27
58
7 NAME OF
DIRECTOR Vincent Rapino
ADDRESS
9 Chelsea St East Boston
Received and filed SEP 2.6 1958 19
(Registrar)
PERSONAL AND STATISTICAL PARTICULARS
HUSBAND of
(Give maiden name of wife in full)
(or) WIFE of
(Husband's name in full)
J1 IF STILLBORN, enter that fact here.
If under 24 hours
Hours
Minutes
13 Usual
Occupation :
Retired
(Kind of work done during most of working life)
14 Industry
or Business :
Years
15 Social Security No ..
(unknown)
16 BIRTHPLACE (City)
(State or country)
Italy
17 NAME OF
FATHER
Frank Lanney
18 BIRTHPLACE OF
FATHER (City)
(State or country)
Italy
19 MAIDEN NAME
OF MOTHER
Rose Ceglia
20 BIRTHPLACE OF
MOTHER (City)
(State or country)
Italy
21 Josephine Lanney
Informant
(Address)
352 Bremen St East Boston
I HEREBY CERTIFY that a satisfactory standard certificate of death was/filed with me BEFORE the burial or transit permit was issued :
(Siguature of Agentof Board of Ilealth or other)
9/26/58
(Official Designation) (Date of Issue of Permis)
X
CATE
ATH
e h ( C ) mean dying, zilure, means ompli- aused
any, to (a), der - last.
trib -- t not minal given
r 137, quIres int or e or h on
50M-5-57-920345
Winthrop Community Hospital No.
2 FULL NAME
Nicholas Lanney
(If deceased is a married, widowed or divorced woman, give also maiden name.)
That, I attended deceased from
10a If married, widowed, pr divorsed Josephine Servadio
INTERVAL
BETWEEN
ONSET AND
DEATH
2 days
AGE
Years
12
72
Months
Days
no .
What test confirmed diagnosis ?..
PARENTS
EXTRACTS FROM THE LAWS OF THE COMMONWEALTH OF MASSACHUSETTS GOVERNING THE
RETURN OF CERTIFICATES OF DEATH
A physician or registercd 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 scen 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 sclectmen for the purpose, shall upon application make the certificate required of the attending physician. If death is caused by violence, the medical examiner shall inake 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 needcd.
(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
SEP 2 61958 PM
THEDRA
D
X
- Suffolk (County) +
The Commonwealth of Massachusetts EDWARD J. CRONIN SECRETARY OF THE COMMONWEALTH DIVISION OF VITAL STATISTICS STANDARD
To be filed for burial permit with Board of Health or its Agent.
Mayflower Rising Home No
Benjamin Schechter
(If deceased is a married, widowed or divorced woman, give also maiden name.) 89 Clark aux. (a) Residence. No ..
chebsia St
(If nonresident, give city or town and State)
Length of stay: In place of deathyears.
3 .months ... .days. In place of residence. .......... years.
months.
... days.
MEDICAL CERTIFICATE OF DEATH
3 DATE OF
September 25 1958
(Year)
DEATH
(Day)
(Month)
4 I HEREBY CERTIFY,
That I attended deceased from
Zar ..
1955, to.
September20 1958
I last saw halive on
September 25 1958, death is said to
have occurred on the date stated above, at 6.30 pm.
DEATH WAS CAUSED BY: IMMEDIATE CAUSE
(a) Labar Pneumonia
Due To (b)
Due To (c)
OTHER
SIGNIFICANT
CONDITIONS
Parkinsons Disease 3455
Was autopsy performed ?..
No
What test confirmed diagnosis? Clinical/19775
5 Was disease or injury in any way related to occupation of deceased? /110 If so, specmy D. C. Huenfield (Signed) M. D. helsin Date 9-26 19 (Address) 58
Evercet (City or Town) agualos Sholom 6 face of Burial or Cremation Lyst 26 DATE OF BURIAL 1958
7 NAME OF NERAL. DIRECT Doftanual Service Im
ADDRESS
Received and filed.
SEP 26 1958
19
(Registrar)
PERSONAL AND STATISTICAL PARTICULARS
8 SEX
male
9 COLOR
White
10-SINGLE
MARRIED
WIDOWED
or DIVORCED
(write the word)
married
10a If married, widowed, or divorced HUSBAND of ..
Trailer klar
(Give maiden name of wife in full)
(or) WIFE of
(Husband's name in full)
11 IF STILLBORN, enter that fact here.
12
AGE
Years
- Mo
Months.
Days®
Hours ........ Minutes
If under 24 hours
13 Usual
Occupation :
Contractor
(Kind of work done during most of working life)
14 Industry
or Business :
Building
15 Social Security No ..
16 BIRTHPLACE (City)
(State or country)
Russia
17 NAME OF
FATHER
Hershel Schechter
18 BIRTHPLACE OF
FATHER (City).
(State or country)
Ruadia
19 MAIDEN NAME
OF MOTHER
Leah (CBL)
20 BIRTHPLACE OF
MOTIIER (City).
(State or country)
Russia
21 Jarael Aplan
Informant
(Address)
47 Jardines VI Chelsea
I HEREBY CERTIFY that a satisfactory standard certificate of death was filed with me BEFORE the burial or transit permit was issued: thatthe of ereaun y (Signature of Agent of Board of Health or other)
1 1/26,58
(Official Designation) VV
(Date of Issue of Permit)
ICTIONS OR CERTIFICATE
giving OF DEATH t enter han one for each b) and (c)
oes not mean of dying, eart failure, tc. It means , or compli- hich caused
ns, if any, ve rise to ausc (a), the under- ause last.
ions contrib- cath but not the terminal ndition given
Chapter 137, 954, requires s to print or cause or { death on tlfcates. es
100M.11.55-9:5145
R-301A 1
PLACE OF DEATH
Winthrop (City or Zown)
CERTIFICATE OF DEATH
Registered No.
187
$(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, LL
if so specify WAR)
2 FULL NAME
(Usual place of abode)
A
INTERVAL BETWEEN ONSET AND DEATH 4 Wks 77
PARENTS
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 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
OFF
DATE OF ENTERING MILITARY SERVICE
..-
DATE OF DISCHARGE
RANK, RATING
ORGANIZATION AND OUTFIT
SERVICE NUMBER
.....
SEP 261958 AM
IN
THROP
....
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. 188
2 FULL NAME Overton ( Male ) infant
(If deceased is a married, widowed or divorced woman, give also maiden name.)
511 Saratoga
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
SEPT
(Month)
(Day)
27
1958
(Year)
4 Į HEREBY CERTIFY,
JEbt 27
19
58
Sept. 27
1958
to
I last saw halive on
., 19 ........ ", death is said to
have occurred on the date stated above, at
12:25 p.m.
INTERVAL BETWEEN ONSET AND DEATH
Due To
Still born
(b)
Due To (c)
OTHER SIGNIFICANT CONDITIONS
Was autopsy performed ?
What test confirmed diagnosis?
5 Was'disease or injury in any way related to occupation of deceased ? If so, specify
(Signed)
Domane Thomas Staffen
, M. D.
(Address) 21 BREGISTER Date West 27 1958
St. Mary's Cemetery
6
Salem
Place of Burial or Cremation
(City or Town)
DATE OF BURIAL
Sept. 30,
1,58
7 NAME OF
William J. Dubiel
FUNERAL DIRECTOR
ADDRESS
64 Bridge St., Salem, Mass.
Received and filed
SEP 29 1938
19
(Registrar)
PERSONAL AND STATISTICAL PARTICULARS
8 SEX
male
9 COLOR
white
10 SINGLE
MARRIED
WIDOWED
or DIVORCED
(write the word)
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. stillborn
12
AGE
Years
Months
.Days
If under 24 hours
Hours ...
.. Minutes
13 Usual
Occupation :
none
(Kind of work done during most of working life)
14 Industry
or Business:
15 Social Security No.
16 BIRTHPLACE (City)
(State or country)
M888
17 NAME OF
FATHER
Al. Overton
PARENTS
18 BIRTHPLACE OF
FATHER (City).
Creswell
(State or country)
North Carolina
19 MAIDEN NAME
OF MOTHER
Gloria Tassinari
20 BIRTHPLACE OF
MOTHER (City)
(State or country) Mass
East Boston
21 Max Tassinari
Informant ..
(Address)
511 Saratoga St., E. Boston
I HEREBY CERTIFY that a satisfactory standard certificate of death was ffed with me BEFORE the burial or transit permit was issued:
T (Signature of Agent of Board of Health or other)
9,24
25
(Official Designation)
(Date of Issue of Permit)/
CTIONS OR ERTIFICATE Iving F DEATH tenter an one or each ) and (c)
es not mean of dying, cart failure, . It means or compli- ich caused
, if any, De rise to muse
(a), he under- use
last.
ns contrib- ath but not the terminal dition given
hapter 137, 4, requires to print or cause or death on Acates.
PLACE OF DEATH
No.
Winthrop Community Hospital
J(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,
East Bostonfify Mass
(a) Residence.
No.
(Usual place of abode)
That I attended deceased from
DEATH WAS CAUSED BY: IMMEDIATE CAUSE
(a)
Stell bom -
50M-11-56-918978
R-301A 1
Winthrop
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.
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