USA > Massachusetts > Suffolk County > Winthrop > Town of Winthrop : Record of Deaths 1958 > Part 89
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death certificate contains a recital, as required by section ten of chapter forty-six, that the deceased served in the army, navy or marine corps of the United States in any war in which it has been engaged, such recital shall appear upon the permit. The board of health, or its agent, upon receipt of such statement and certificate, shall forthwith countersign it and transmit it to the clerk of the town for registra- tion. The person to whom the permit is so given and the physician certifying the cause of death shall thereafter furnish for registration any other necessary information which can be obtained as to the 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, 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 dr Hurial ground in which the interment is made.
Chap."114/ Seer 46) G. L., (Tereentenary Edition).
9 RULES OF PRACTICE
The hilfillment of the purpose of these laws calls for the observanee of the follow- ing hul's 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.
3neredigan Brammert will investigate and certify to all deaths supposably due "These thetide 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 oceupation 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, ete. For a person who had no oeeupation 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 burial permit with Board of Health or its Agent.
257
[(If death occurred in a hospital or institution,
St. [give its NAME instead of street and number)
PHYSICIAN - IMPORTANT -
2 FULL NAME
(If deceased is a married, widowed or divorced woman, give also maiden name.)
(a) Residence. No.
38 Irwin St
St
Winthrop
(If nonresident, give city or town and State)
Length of stay: In place of death
6
years months days. In place of residence.
6
.. years.
months
days.
MEDICAL CERTIFICATE OF DEATH
3 DATE OF
DEATH
December
22
58
(Year)
(Month)
(Day)
4 I HEREBY CERTIFY,,
That I attended deceased from
april 4
1949
to
Dec
22
1958
I last saw him alive on
Dec 20, 1958, death is said to
have occurred on the date stated above, at
4 A. m.
INTERVAL
BETWEEN
ONSET AND
DEATH
DEATH WAS CAUSED BY: IMMEDIATE CAUSE
(a)
Coronary
Thrombosis
CORONARY THROMBOSIS
Due To arteriosclerosis Heart Disease
(b)
ARTEIROSCLEROTIC HEART DISEASE
Due To
lues
(c)
LUES
OTHER
SIGNIFICANT
CONDITIONS
No.
Was autopsy performed?
What test confirmed diagnosis ?.....
5 Was disease or injury in any way related to occupation of deceased o.
If so. specifys.
-
(Signed)
(Addr
20 Sarahfa fre. Born Date
Die 23 1958
Holy Cross Cemetery
Malden
Place of Burial or Cremation
(City or Town)
DATE OF BURIAL
12 - 24 - 58
19
7 NAME OF
FUNERAL DIRECTOR
Vincent Rapino
ADDRESS
9 Chelsea St. East Boston
DEC 23 1958
19
Received and filed
(Registrar)
PERSONAL AND STATISTICAL PARTICULARS
8 SEX
9 COLOR
white
10 SINGLE
(write the word)
MARRIED
WIDOWED
or DIVORCED widowed
10a If married, widowed, or divorced
HUSBAND of
Maria DiMaggio
(Give maiden name of wife in full)
(or) WIFE of
(Husband's name in full)
11 IF STILLBORN, enter that fact here.
12
AGE 75
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 :.
Retired
15 Social Security No.
012-05-5160
16 BIRTHPLACE (City)
(State or country)
Italy
17 NAME OF
FATHER
Christoforo DelVecchio
18 BIRTHPLACE OF
FATHER (City)
(State or country)
Italy
19 MAIDEN NAME
OF MOTIIER
Anna (unknown)
20 BIRTHPLACE OF
MOTIIER (City)
(State or country)
Italy
21 Christoforo DelVecchio (nephue)
Informant
(Address)
38 Irwin Street Winthrop
I HEREBY CERTIFY that a satisfactory standard certificate of death was ffed with me BEFORE the bumal or transit permit was issued: Talkle Jereanny - (Signature of Agent of Board of Health or other) Health Officer 12/23/18 (Official Designation) (Date of Issue of l'eymit)
X
301A 1
.
10NS
TIFICATE
ng DEATH nter one each and (c)
not mean f dying, t failure, It means r compli- caused
if any, rise to (a), under- last.
contrib -- but not terminal ion given
pter 137, requires o print or cause death on cates.
50M.5-57-920345
38 Irwin St.
No.
Ottavio DelVecchio
Registered No.
(Was deceased a U. S. War Veteran, ( if so specify WAR)
no
(Usual place of abode)
Grande, M. D.
6
PARENTS
male
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 eath of a person whom he has attended during his last illness, at the request an undertaker or other authorized person or of any member of the family of e deceased. furnish for registration a standard certificate of death, stating to the est of his knowledge and belief the name of the deceased, his supposed age, the sease of which he died, defined as required by section one, where same was ntracted, the duration of his last illness, when last seen alive by the physician · 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 receding section or by section forty-five of chapter one hundred and four- en, shall, if the deceased, to the best of his knowledge and belief, served in the my, navy or marine corps of the United States in any war in which it has been gaged, insert in the certificate a recital to that effect, specifying the war, and all also certify in such certificate both the primary and the secondary or imme- ate cause of death as nearly as he can state the same. For neglect to comply ith any provision of this section, such physician or officer, shall forfeit ten dollars. or the purposes of this section and of sections forty-five, forty-six and forty-seven said chapter one hundred and fourteen, the word "war" shall include the China lief expedition and the Philippinc insurrection, which shall, for said purposes, be emed to have taken place between February fourteenth, eighteen hundred and nety-eight and July fourth, nineteen hundred and two, and the Mexican border rvice of nineteen hundred and sixteen and nineteen hundred and seventeen. . L. Chap. 46, Sec. 10.
No undertaker or other person shall bury or otherwise dispose of a human body a town, or remove therefrom a human body which has not been buried, until he s received a permit from the board of health, or its agent appointed to issue ch permits, or if there is no such board, from the clerk of the town where the rson died; and no undertaker or other person shall exhume a human body and move it from a town, from one cemetery to another, or from one grave or tomb her than the receiving tomb to another in the same cemetery, until he has ceived a permit from the board of health or its agent aforesaid or from the clerk the town where the body is buried. No such permit shall be issued until there all have been delivered to such board, agent or clerk, as the case may be, satisfactory written statement containing the facts required by law to be turned and recorded, which shall be accompanied, in case of an original inter- ent, by a satisfactory certificate of the attending physician, if any, as required by w, or in lieu thereof a certificate as hereinafter provided. If there is no attending ysician, or if, for sufficient reasons, his certificate cannot be obtained early ough for the purpose, or is insufficient, a physician who is a member of the board health, or employed by it or by the selectmen for the purpose, shall upon plication make the certificate required of the attending physician. If death is used by violence, the medical examiner shall make such certificate. If such a rmit for the removal of a human body, not previously interred, from one town another within the commonwealth cannot be obtained early enough for the irpose, the certificate of death made as above provided and in the possession of e undertaker desiring to make such removal shall constitute a permit for such moval; provided, that such body shall be returned to the town from which it was moved within thirty-six hours after such removal, unless a permit in the usual rm 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 of 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, on 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).
i. 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 yif certify to such deaths only as those of persons to whom they have given bedside care during alast illness from disease unrelated to any form of injury. 0
(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 medieal 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 mot hifly deaths Pyused directly or indirectly by traumatism (including resulting septicemia) andf 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.
PACE FOR ADDITIONAL INFORMATION
DATE OF ENTERING MILITARY SERVICE
DATE OF DISCHARGE ANK, RATING ORGANIZATION AND OUTFIT.
ERVICE 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 burial permit with Board of Health or its Agent.
Registered No.
258
f(If death occurred in a hospital or institution, St. (give its NAME instead of street and number) -
2 FULL NAME
Joseph Leo Mulloy
(If deceased is a married, widowed or divorced woman, give also maiden name.)
PHYSICIAN - IMPORTANT
(Was deceased a
U. S. War Veteran,
if so specify WAR)
(a) Residence. No.
(Usual place of abode)
15 Paine Street
months ...
days.
St
(If nonresident, give city or town and State)
60 years
Length of stay: In place of death.
.years
months
days. In place of residence.
MEDICAL CERTIFICATE OF DEATH
PERSONAL AND STATISTICAL PARTICULARS
8 SEX
Male
9 COLOR
Thite
10 SINGLE
(write the word)
MARRIED married
WIDOWED
or DIVORCED
10a If married, widowed, or divorced
HUSBAND of
Elizabeth Morgan
(Give maiden name of wife in full)
(or) WIFE of.
(Husband's name in full)
11 IF STILLBORN, enter that fact here.
12
AGE
78 Years
4
Months
10 Days
If under 24 hours
Hours ....... Minutes
13 Usual
Occupation :
(Kind of work done during most of working life)
14 Industry
or Business:
Newspaper Office
15 Social Security No. 021-05-8478 East Boston
16 BIRTHPLACE (City)
(State or country)
Mass.
17 NAME OF
FATHER
William A. Mulloy
18 BIRTHPLACE OF
East Boston
FATHER (City)
(State or country)
Mass.
19 MAIDEN NAME
OF MOTHER
Adelaide Crandall
20 BIRTHPLACE OF
MOTHER (City)
(State or country)
Trass.
21
Informant
Mrs. Joseph I. Mulloy
(Address) 75 Paine St. Pintaron
I HEREBY CERTIFY that a satisfactory standard certificate of death was filed with me BEFORE the burial or transit permit was issued:
ADDRESS
174 Winthrop St., Winthrop
Received and filed DEC 29 1958 19
(Registrar)
8 yrs.
Due To (c)
OTHER
SIGNIFICANT
CONDITIONS
Was autopsy performed?
no
What test confirmed diagnosis ?.
Clinical & laboratory
5 Was disease or injury in any way related to occupation of deceased ?no ..
If so, specify.
(Signed).
De. Traunstein
73 Bartlett Rd
M. D.
Dec. 23, 1958
(Address) Winthrop 52, Mass Winthrop Cemetery Winthrop 6
Place of Burial or Cremation
December 24
1,58
(City or Town)
DATE OF BURIAL
7 NAME OF
FUNERAL DIRECTOR
alfred B. March
.
HIS IS A IT RECORD. only PROVED or black r ribbon.
TIONS ₹ RTIFICATE ring
DEATH enter in one r each and (c)
not mean of dying, rt failure, It means of compli- ch caused
if any, rise to se
(a), under- se last.
s contrib -- th but not e terminal tion given
pter 137, requires o print or cause or death on cates.
46,95 9 & 114 $$ 45, . 38$6.)
8-923888
3 DATE OF
DEATH
December 22
1958
(Month)
(Dåy)
(Year)
4 I HEREBY CERTIFY,
June 11, 1951,
to
Dec. 22,
That I attended deceased from
58
I last saw h.
imalive on
Dec. 21,
19.50, death is said to.
have occurred on the date stated above, at
3:30 a.m.
DEATH WAS CAUSED BY: IMMEDIATE CAUSE
Osteitis Deformans (Paget's)
(a)
(Disease)
INTERVAL
BETWEEN
ONSET AND
DEATH
15 yrs
Due To
Arteriosclerotic heart
(b)
disease
Retired Compositor
PARENTS
East Boston
(Official Designation) (Date of Issue of Permin)
(Signature of Agem of Board of Health or other) Theattle Officer 12/24/98 V.K.
-301A
1
No. 15 Paine St.
SPACE FOR ADDITIONAL INFORMATION
DATE OF ENTERING MILITARY SERVICE
DATE OF DISCHARGE RANK, RATING
ORGANIZATION AND OUTFIT
SERVICE NUMBER
4
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.
RECEIVED
TO
OF
CE
11 12
2
. 5
CLERK.
8
5
6
DEC 2 41958 AM
PLACE OF DEATH
(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.
2259
46 Wilshire street No.
FOSTER De GIACOMO
2 FULL NAME
(If deceased is a married, widowed or divorced woman, give also maiden name.)
137 Country Lane
westwood
St
(a) Residence. No .. (Usual place of abode)
(If nonresident, give city or town and State)
3
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
Dec.
24
1958
(Month) (Day)
(Year)
4 I HEREBY CERTIFY,
That I attended deceased from
4/5/
19
49
to ...
Dec. 24
1.0-8
I last saw h .. LAalive on
Dec.
IS 1958, death is said to
have occurred on the date stated above, at
8.P.
.m.
DEATH WAS CAUSED BY: IMMEDIATE CAUSE
(a) Coronary Thombosis
Due To
Coronary Artery
(b) DISCOSe
Fotoriostosis
Due To (c) Coronary thankasts + hypertension
10 yrs.
OTHER SIGNIFICANT CONDITIONS
Was autopsy performed?
NO
What test confirmed diagnosis ?.
Many Ekg
5 Was disease or injury in any way related to occupation of deceased? NO If so, specify CONTRATTO
(Signed) G.nr. Contratto M. D.
(Address) Kookaio Man Date 12/25 19.5 PT
St. Michaels Cem. 6 Place of Burial or Cremation (City or Town)
Boston, 1.123
DATE OF BURIAL
.19 ... 516
7 NAME OF
FUNERAL DIRECTOR.
Jorn F. Holden
ADDRESS. 55 Rock st. hestood ·
Received and filed DEC 29 1958 19
(Registrar)
PERSONAL AND STATISTICAL PARTICULARS
8 SEX
Male
9 COLOR
White
10 SINGLE
(write the word)
MARRIEDMarried
WIDOWED
or DIVORCED
Forceduno
10a If married, widowed, or divo HUSBAND of. (Give maiden name of wife in full)
(or) WIFE of
(Husband's name in full)
11 IF STILLBORN, enter that fact here.
If under 24 hours
Hours ........ Minutes
13 Usual
Occupation :
Attorney
(Kind of work done during most of working life)
14 Industry
or Business :
New York New Haven & Hartfo
15 Social Security No ...
16 BIRTHPLACE (City) (State or country) Italy
17 NAME OF
FATHER
Joseph De Giacomo
18 BIRTHPLACE OF
FATHER (City)
(State or country)
Italy
19 MAIDEN NAME
OF MOTHER
Rose Semenari
20 BIRTHPLACE OF MOTHER (City). (State or country) Italy
21 Lrs. Frances De Gialloco
Informant
(Address) 137 Country Line Hasta od
I HEREBY CERTIFY that a satisfactory standard certificate of death Mar filed With me BEFORE the burial or transit permit was issued: - galple & Tercanny X (Signature of Autry de Board of Health or weber).
Health Officer 12/26/58
( Official Designation) (Date of Issue of Permit)
X
IONS
TIFICATE
Ing DEATH nter 1 one each and (c)
not mean f dying, failure, It means r compli- caused
V
if any, rise to € (a), under- last.
contrib. but not terminal ion given
apter 137, , requires o print or cause or death on cates.
100M.11.55.916145
301A 1
Westwood 1-6-59
Registered No.
$(If death occurred in a hospital or institution., St. { give its NAME instead of street and number)
NO
PHYSICIAN - IMPORTANT
(Was deceased a
U. S. War Veteran,
if so specify WAR)
INTERVAL BETWEEN ONSET AND DEATH 1 hr 12 62 AGE Years. Months ........ .. Days®
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 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, 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.
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