USA > Massachusetts > Suffolk County > Winthrop > Town of Winthrop : Record of Deaths 1959 > Part 39
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SPACE FOR ADDITIONAL INFORMATION
DATE OF ENTERING MILITARY SERVICE
DATE OF DISCHARGE RANK, RATING
ORGANIZATION AND OUTFIT
SERVICE NUMBER
L
X PLACE OF DEATH
Suffolk
(County)
Winthrop Mass (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.
[(If death occurred in a hospital or institution,
St. [give its NAME instead of street and number) No.
2 FULL NAME
(If deceased is a married, widowed or divorced woman, give also maiden name.)
(a) Residence. No.
71 Waldemar Ave
(Usual place of abode)
St.
Winthrop Mass
(If nonresident, give city or town and State)
Length of stay: In place of death
years
months
22
days. In place of residence
years.
months ...
__. days.
MEDICAL CERTIFICATE OF DEATH
3 DATE OF
July 28 1959
DEATH
(Month)
(Day)
(Year)
4 I HEREBY CERTIFY,
That I attended deceased from
Dec
19.58.
to
July_ 28
195.9
I last saw heLalive on
July 28,19599
, death is said to
have occurred on the date stated above, at
1.15 PMm.
DEATH WAS CAUSED BY: IMMEDIATE CAUSE
(a) _.
Carcinofatosis.
Months
INTERVAL BETWEEN ONSET AND DEATH
Due To
Carcinoma of ovaries
Due To (c)
OTHER
SIGNIFICANT
CONDITIONS
Was autopsy performed?
No
What test confirmed diagnosis ?.
5 Was disease or injury in any way related to occupation of deceased? If so, specify ]
(Signed).
, M. D.
entrylevelunquan Date 1-20°
6 St. Josephs
Boston, Mass
Place of Burial or Cremation
(City or Town)
DATE OF BURIAL
July 31
59
19
7 NAME OF
FUNERAL DIRECTOR
Arthur J. O'Maley
Winthrop Mass
ADDRESS
30 1959 19
(Registrar)
8 SEX
Female
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.
12
AGE 59 Years.
Months
Days
If under 24 hours
Hours .....
Minutes
13 Usual
Occupation :
Retired School Teacher
(Kind of work done during most of working life)
14 Industry
or Business:
Boston School Dept
15 Social Security No.
Boston
16 BIRTHPLACE (City)
(State or country)
Mass
17 NAME OF
FATHER
Edward Dalton
PARENTS
18 BIRTHPLACE OF
FATHER (City)
(State or country)
Ireland
19 MAIDEN NAME
OF MOTHER Ellen McDonald
20 BIRTHPLACE OF
MOTHER (City) ..
(State or country)
Ireland
21
Informant
Mrs Helen Daley
(Address)
71 Waldemar Ave. Winthrop
I HEREBY CERTIFY that a satisfactory standard certificate of death was filed with me BEFORE the burial or transit permit was issued: Purple , Pereannat (Signature of Agent of Board of Health or other)
Health Officer
7/30/54
(Official Designation)
(Date of Issue of Permit)
X
CTIONS R ERTIFICATE
ving DEATH enter an one r each and (c)
s not mean of dying, art failure, . It means or compli- ich caused
if any, rise to use
(a), e under- se last .
s contrib -- th but not he terminal ition given
apter 137, 4, requires to print or cause or death on icates.
50M-1-58-921876
Received and filed
·
Josephine Dalton
Winthrop Community Hospital
PHYSICIAN - IMPORTANT -
(Was deceased a
U. S. War Veteran,
if so specify WAR)
PERSONAL AND STATISTICAL PARTICULARS
- (b)
-301A 1
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 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, See. 4. Acts of 1945.
RECEIVED
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 dlerk 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 _^Tercentenary Edition).
RULES OF PRACTICE
The fulfillment of the purpose of these lay's calls for the observance of the follow- ing rules of practice:
(1) Attending physicians Haraty to such deaths only as those of persons to whom they have given be side cafe 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 Examinerftvithe paused directly or indirectly by due to injury. These include no stigate and certify to all deaths supposably traumatism (including resulting septicerma), 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
N Suffolk (County) 6575
Winthrop (City or Town)
No. _
Winthrop COmm. Hosp
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.
[(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).
1
(a) Residence. No309 Lexington St. E. Boston, Mass (Usual place of abode)
(If nonresident, give city or town and State)
Length of stay: In place of death. ......... years months 1 Gays. In place of residence. X years months ..._. days.
MEDICAL CERTIFICATE OF DEATH
3 DATE OF
DEATH
July
29
1959
(Month)
(Day)
(Year)
4 I HEREBY CERTIFY,
That I attended deceased from
July 14
19
59, 10 July 29, 1959 , 19
I last saw h --- alive on
7-29-59
19
, death is said to
have occurred on the date stated above, at
1.07 PM
m.
10a If married, widowed, or divorced
PERRY
HUSBAND of Isabelle
Fe maiden name of wife in full)
(or) WIFE of
(Husband's name in full)
11 IF STILLBORN, enter that fact here.
12
AGE 62 Years 4 Months 22 Days
If under 24 hours
Hours ....... Minutes
13 Usual
Police Officer
Occupation :
(Kind of work done during most of working life)
14 Industry
or Business:
Station 7 E. Boston
15 Social Security No. East Boston, Mass
16 BIRTHPLACE (City)
(State or country)
17 NAME OF
FATHER
Frank Almeida
18 BIRTHPLACE OF FATHER (City)Azores (State or country)
19 MAIDEN NAME
OF MOTHER
Gloria Sousa
20 BIRTHPLACE OF
MOTHER (City)
(State or country)
Azores
21 tabell almindlin
Informant
(Address)
309 TerryCand. E. Piston
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)
7/30/59
(Official Designation)
(Date of Issue of Permit)
TIONS R RTIFICATE
ving · DEATH enter an one r each and (c)
not mean of dying, art failure, It means or compli- ch
caused
if any, rise to se
(a), under- se last.
Due To
Ca. of sigmoid
(c)
OTHER SIGNIFICANT CONDITIONS
Was autopsy performed?
No
What test confirmed diagnosis?
Surgery
5 Was disease or injury in any way related to occupation of deceased NO If so, specify
(Signed). Sohectanella 11DM D. 305 Chelsea St. E.R . 7-29-599
(Address)
6
Holy Couro Place of Burial or Cremation (City or Town)
DATE OF BURIAL Clio 1 1954
7 NAME OF
FUNERAL DIRECTOR
George & Costa
ADDR 2575carpool dr
Jul 911959 aulin 19
Received and filed
(Registrar)
PERSONAL AND STATISTICAL PARTICULARS
8 SEX
M
9 COLOR
White
10 SINGLE
MARRIED
WIDOWED
or DIVORCED
DEATH WAS CAUSED BY : IMMEDIATE CAUSE
(a) Pulmonary infarction
t. b
INTERVAL BETWEEN ONSET AND DEATH 4 hrs
Duelle. bundle branch block
24 hrs
? yr.
PARENTS
50M-1-58-921876
PLACE OF DEATH
R-301A 1
s contrib -- > th but not e terminal tion given
apter 137, , requires to print or cause or death on cates.
2 FULL NAME Frederick Almeida
(If deceased is a married, widowed or divorced woman, give also maiden name.)
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 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_(fercentenary 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 willicertify 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 withs Ihfscdas;, '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 8/29/18
DATE OF DISCHARGE 12/23/18
RANK, RATING Private
ORGANIZATION AND OUTFIT 476 Cb 1st Rec BN- 151 st Depot Brigade
SERVICE NUMBER 4189633
X
PLACE OF DEATH
Suffolk (County)
1
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. 120
[(If death occurred in a hospital or institution,
St. {give its NAME instead of street and number)
Saunders
PHYSICIAN - IMPORTANT
(Was deceased a
U. S. War Veteran,
if so specify WAR)
(a) Residence. No. (Usual place of abode)
69 Bellevue Ave.
St
(If nonresident, give city or town and State)
Length of stay: In place of death
.. years
months
days. In place of residence 45
.years ...
months
days.
MEDICAL CERTIFICATE OF DEATH
3 DATE OF
DEATH
July 31, 1959
(Month)
(Day)
(Year)
4 ₺
HEREBY CERTIFY,
July 23,
19
59
O
July 31
That I attended deceased from
Mast saw holalive on
7/310
1959
death is said to
have occurred on the date stated above, at
2.20%
.m.
(or) WIFE of
John A. Gilgan
(Husband's name in full)
11 IF STILLBORN, enter that fact here.
12
AGE
Years.
Months
.. Days
If under 24 hours
Hours ....... Minutes
13 Usual
Occupation:
Housewife
(Kind of work done during most of working life)
14 Industry
or Business :
Own Home
15 Social Security No.
16 BIRTHPLACE (City)
(State or country)
Mass
17 NAME OF
FATHER
James P. Saunders
18 BIRTHPLACE OF
FATHER (City)
Boston
(State or country)
19 MAIDEN NAME
OF MOTHER
Margaret Dalton
20 BIRTHPLACE OF
MOTHER (City)
Boston
(State or country)
Mass
21
Informant
(Address)
Dorothy Gilgan 69 Bellevue Ave Winthrop
I HEREBY /CERTIFY that a satisfactory standard certificate of death was hled with me BEFORE the burial or transit permit was issued:
ADDRESS
Received and filed AUG 3-1959 19
(Registrar)
10g
Due To (c)
OTHER
SIGNIFICANT
CONDITIONS
Was autopsy performed?
0
What test confirmed diagnosis?
5 Was disease or injury in any way related to occupation of deceased? O If so, specify
(Signe
Fred O Began
(Addre
winthing
M. D.
113 Pleasant SY, Date 7/2/
1955
6
Holyho od
Brookline Mass
Place of Burial or Cremation DATE OF BURIAL. August 3 19.59
(City or Town)
PARENTS
PERSONAL AND STATISTICAL PARTICULARS
8 SEX
9 COLOR
(write the word)
Female
White
10 SINGLE
MARRIED
WIDOWED
or DIVORCE dowed
10a If married, widowed, or divorced
HUSBAND of
(Give maiden name of wife in full)
INTERVAL BETWEEN ONSET AND DEATH 1the 82
DEATH WAS CAUSED BY: IMMEDIATE CAUSE
CORONARY THROMBOSIS
(a)
, if any, ve rise to ause
(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 ficates.
. 46, 55 9 & . 114 $$ 45, P. 38$ 6.) .
[ R-301A
THIS IS A ENT RECORD. e only APPROVED nk or black iter ribbon.
UCTIONS :OR CERTIFICATE iving OF DEATH t enter han one for each b) and (c)
es not mean of dying, eart failure, c. It means .. or compli- hich caused
58-923886
No.
69 Bellevue Ave.
2 FULL NAME
Mary E. Gilgan
(If deceased is a married, widowed or divorced woman, give also maiden name.)
7 NAME OF
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