USA > Massachusetts > Suffolk County > Winthrop > Town of Winthrop : Record of Deaths 1959 > Part 25
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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 he 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.
Nogundertaken 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.
Chạp :: 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 front 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'br poisdu's) thermal, br 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
March 6, 1945
DATE OF DISCHARGE
Feb. ... 21, 1946
ANK, RATING
S 1c
ORGANIZATION AND OUTFIT
U.S.N.R.
8049515
SERVICE NUMBER.
1 PLACE OF DEATH
Suffolk (County)
Winthrop (City of Town) 2150g
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. 80
f(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,
no
if so specify WAR)
(a) Residence. No. 28 West Eagle St., East Boston, Mass.
(Usual place of abode)
(If nonresident, give city or town and State)
Length of stay: In place of death ..
.years
months
1-1 2In place of residence.
50 years
months.
days.
MEDICAL CERTIFICATE OF DEATH
PERSONAL AND STATISTICAL PARTICULARS
8 SEX
male
9 COLOR
white
10 SINGLE
MARRIED
WIDOWERna
of DIVORELArried
10a If married, widoredsgute M. Corochio
HUSBAND of
(Give maiden name of wife in full)
(or) WIFE of
(Husband's name in full)
11 IF STILLBORN, enter that fact here.
12
AGE
50%
Months
Days
If under 24 hours
-
_Hours ....... Minutes
13 Usual
Occupation :
(Kind of work done during most of working life)
14 Industry
Liggett Drug Co.
or Business:
15 Social Security No.
031-01-9404
16 BIRTHPLACE (Citybast Boston, Mass. (State or country)
17 NAME OF
FATHER
Thomas J. Quigley
18 BIRTHPLACE OF
East Boston
FATHER (City)
(State or country)
Mass
19 MAIDEN NAME
OF MOTHER
Mary T. Lynch
20 BIRTHPLACE OF
MOTHER (City)
(State or country)
East Boston
Mass.
21
Informant
Antonette M. Quigley
(Address28 West Eagle St. E. Boston
7 NAME OF
FUNERAL DIRECTORFrederick J. Magrath
ADDRESS
East Boston
Received and filed
May
16
1959
(Month)
(Day)
(Year)
4 I HEREBY CERTIFY,
That I attended deceased from
19
May , 13 , 19 59.
to May 16, 1959
I last saw halflive on
May16
, 1927 , death is said to
4:15 PM.
DEATH WAS CAUSED BY: IMMEDIATE CAUSE
have occurred on the date stated above, at
INTERVAL
BETWEEN
ONSET AND
(a)
Coronary Thrombosis
DEATH
May
Due To
16
(b)
koktxaided
Hypertensive - Cardio
Vascular Disease
Due To (c)
OTHER
SIGNIFICANT
Left -sided
CONDITIONS
Hemiplegia
Was autopsy performed?
No
What test confirmed diagnosis?
Clinical Findings
5 Was disease or injury in any way related to occupation of deceased ? NO If so, specify
(Signed).
Louis & Schur alla Mano.
M. D.
(Address).
19 BemKn / DateMay 16 /59
6
Holy Cross
Malden
Place of Burial or Cremation
May
19
(City or Town)
59
19
DATE OF BURIAL
60M-1-58-921876
-301A 1
ITIONS
RTIFICATE ing DEATH enter n one ir each land (c)
not mean of dying, rt failure, It means or compli- caused h
if any, rise to (a), under- last.
contrib -. eh but not · terminal Nion given
ipter 137, requires so print or cause or leath on
:ates.
No.
Winthrop Community Hospital
2 FULL NAME
William Quigley
(If deceased is a married, widowed or divorced woman, give also maiden name.)
(Registrar)
19
I HEREBY CERTIFY that a satisfactory standard certificate of death was filed with me BEFORE the burial or transit permit was issued : Table a Jercannes D (Signature of Agent of Board of Health of other) seattle office 5/18/59
(Official Designation)
(Date of Issue of Permit)
PARENTS
shipper
1 Yr
3 DATE OF
DEATH
(write the word)
EXTRACTS FROM THE LAWS OF THE COMMONWEALTH OF MASSACHUSETTS GOVERNING THE
RETURN OF CERTIFICATES OF DEATH
physician or registered hospital medical officer shall forthwith. after the h of a person whom he has attended during his last illness, at the request undertaker or other authorized person or of any member of the family of leceased, furnish for registration a standard certificate of death, stating to the of his knowledge and belief the name of the deceased, his supposed age, the se of which he died, defined as required by section one, where same was racted, the duration of his last illness, when last seen alive by the physician ficer and the date of his death. . . Gen. Laws, Chap. 46. Sec. 9.
physician or officer furnishing a certificate of death as required by the eding section or by section forty-five of chapter one hundred and four- , shall. if the deceased, to the best of his knowledge and belief, served in the y, navy or marine corps of the United States in any war in which it has been ged, insert in the certificate a recital to that effect, specifying the war, and I also certify in such certificate both the primary and the secondary or imme- e cause of death as nearly as he can state the same. For neglect to comply any provision of this section, such physician or officer, shall forfeit ten dollars. the purposes of this section and of sections forty-five, forty-six and forty-seven id chapter one hundred and fourteen, the word "war" shall include the China f expedition and the Philippine insurrection, which shall, for said purposes, be ned to have taken place between February fourteenth, eighteen hundred and ty-eight and July fourth, nineteen hundred and two, and the Mexican border ice of nineteen hundred and sixteen and nineteen hundred and seventeen. .. Chap. 46, Sec. 10.
o undertaker or other person shall bury or otherwise dispose of a human body town, or remove therefrom a human body which has not been buried, until he received a permit from the board of health, or its agent appointed to issue permits, or if there is no such board, from the clerk of the town where the on died; and no undertaker or other person shall exhume a human body and ove it from a town, from one cemetery to another, or from one grave or tomb r than the receiving tomb to another in the same cemetery, until he has ived a permit from the board of health or its agent aforesaid or from the clerk ne town where the body is buried. No such permit shall be issued until there I have been delivered to such board. agent or clerk, as the case may be. atisfactory written statement containing the facts required by law to be rned and recorded, which shall be accompanied, in case of an original inter- t, by a satisfactory certificate of the attending physician. if any, as required by or in lieu thereof a certificate as hereinafter provided. If there is no attending sician, or if, for sufficient reasons, his certificate cannot be obtained early ugh 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 lication make the certificate required of the attending physician. If death is sed by violence, the medical examiner shall make such certificate. If such a mit for the removal of a human body, not previously interred, from one town another within the commonwealth cannot be obtained early enough for the pose, the certificate of death made as above provided and in the possession of undertaker desiring to make such removal shall constitute a permit for such loval; provided, that such body shall be returned to the town from which it was hoved within thirty-six hours after such removal, unless a permit in the usual m 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 heen 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 deathsonly 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.
PACE FOR ADDITIONAL INFORMATION
ATE OF ENTERING MILITARY SERVICE
ATE OF DISCHARGE
ANK, RATING
RGANIZATION AND OUTFIT
ERVICE NUMBER
.- 301A 1
TIONS
RTIFICATE
ing DEATH enter n one each and (c)
not mean of dying, rt failure, It means or compli- h
if any, trise to e (a), under- last.
contrib -- es but not terminal ion given
pter 137, requires print or ause or leatb on
:ates.
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.
Winthrop Comm Hospital No.
Clara C Vesce ( Thobuan)
(If deceased is a married, widowed or divorced woman, give also maiden name.)
(a) Residence.
No.
974 Saratoga St
St
East Boston.
Length of stay: In place of death
... years
months
10
days. In place of residence.
29ears
.months.
.. days.
MEDICAL CERTIFICATE OF DEATH
PERSONAL AND STATISTICAL PARTICULARS
8 SEX
Female
9 COLOR
White
10 SINGLE
MARRIED
WIDOWED
(write the word)
or DIVORCEDMarried
1959
4 I HEREBY CERTIFY,
That I attended deceased from
JULY 25
57
to.
MAY 18
I last saw hem. alive on
MAY 17
,19.5%, death is said to
have occurred on the date stated above, at
3:45 Am.
INTERVAL BETWEEN ONSET AND DEATH
11 IF STILLBORN, enter that fact here.
12
60
AGE
Years.
2
Months .
.Days
If under 24 hours
-
Hours ......
Minutes
Due TOATHEROSCLEROTIC CORONARY
(b)
ARTERY DISEASE
Due To (c)
OTHER
SIGNIFICANT
MUYEDEMA
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
(Signed)
Dorothy Cheney appleton, M. N. D.
(Address) 197 Woodside are Date 5/18
1959
Winthrophus, mas
Winthrop
Place of Burial or Cremation
(City or Town)
DATE OF BURIAL
May 20
5
19
7 NAME OF
FUNERAL DIRECTOR
Ernest P Caggiano
ADDRESS
147 Winthrop St. Winthrop
MAY 20 1959
19
(Registrar)
PARENTS
18 BIRTHPLACE OF
FATHER (City)
(State or country)
Scotland
19 MAIDEN NAME
OF MOTHER
Catherine Mc Cauley
20 BIRTHPLACE OF
MOTHER (City)
(State or country)
Nova Scotia
21 Anthony D Vesce
Informant
(Address)
974 Saratoga 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:
(Signature of Agent of Board of Health or other) Health Office 5/20/59
(Official Designation) (Date of Issue of Permit)
Registered No. 81
[(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)
(Usual place of abode)
(If nonresident, give city or town and State)
3 DATE OF
DEATH
MAY
18
1959
(Year)
(Month)
(Day)
10a If married, widowed, or divorced
HUSBAND of
(Give maiden name of wife in full)
(or) WIFE of
Anthony D Vesce
(Husband's name in full)
DEATH WAS CAUSED BY: IMMEDIATE CAUSE
(a) ACUTE ANTERIOR SEPTAL AND
POSTERIOR MYOCARDIAL INFARCTION 15 DAYS
3 YEARS
14 Industry
or Business:
At Home
15 Social Security No .. None
13 Usual
Occupation :
Housewife
(Kind of work done during most of working life)
16 BIRTHPLACE (City)
(State or country)
Mass
Boston
17 NAME OF
FATHER
Thomas Thobuan
10 YEARS
50M-1-58-921876
Received and filed
PaysToro 6-x-5',
2 FULL NAME
caused
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 ath 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 deceased, furnish for registration a standard certificate of death, stating to the st of his knowledge and belief the name of the deceased, his supposed age, the ease of which he died, defined as required by section one, where same was tracted, 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 eceding section or by section forty-five of chapter one hundred and four- n, shall, if the deceased, to the best of his knowledge and belief, served in the ny, 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- te cause of death as nearly as he can state the same. For neglect to comply h any provision of this section, such physician or officer, shall forfeit ten dollars. r 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 ief expedition and the Philippine insurrection, which shall, for said purposes, be emed to have taken place between February fourteenth, eighteen hundred and lety-eight and July fourth, nineteen hundred and two, and the Mexican border vice 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 son died; and no undertaker or other person shall exhume a human body and nove it from a town, from one cemetery to another, or from one grave or tomb er than the receiving tomb to another in the same cemetery, until he has eived 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 hoard, agent or clerk, as the case may be, satisfactory written statement containing the facts required by law to be urned and recorded, which shall be accompanied, in case of an original inter- nt, hy a satisfactory certificate of the attending physician, if any, as required by v, 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 rpose, 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 he 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 år 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, froth the clerk of the town where the body is to be buried or the funeral is to be held, or from a berson 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).
RULESOF 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, thdufty' 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.
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