USA > Massachusetts > Suffolk County > Winthrop > Town of Winthrop : Record of Deaths 1959 > Part 4
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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
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.
2 FULL NAME Theresa F. Lagorio
(If deceased is a married, widowed or divorced woman, give also maiden name.)
(a) Residence.
No.
14 Oxford Park
(Usual place of abode)
Length of stay: In place of death
......- years.
months.
ŹL. days. In place of residence.
60
.years
months
days.
MEDICAL CERTIFICATE OF DEATH
3 DATE OF
DEATH
January 28, 1959
(Month)
(Day)
(Year)
4 I HEREBY CERTIFY,
That I attended deceased from
19.
, 19. 19, death is said to
have occurred on the date stated above, at
4 9 m.
INTERVAL
BETWEEN
ONSET AND
DEATH
DEATH WAS CAUSED BY: IMMEDIATE CAUSE
(a) CARDIO RENAL
DISEASE ,
Due To
(b)
HYPERTENSION-
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).
Jancis
(Address)
Old Calvary
Place of Burial or Cremation
Boston, Mass.
(City or Town)
DATE OF BURIAL January 31 , 1959
7 NAME OF FUNERAL DIRECTOR Arthur S. Porcella
ADDRESS
876 Winthrop Ave., Revere
Received and filed JAN 30 1959 19
(Registrar)
PERSONAL AND STATISTICAL PARTICULARS
8 SEX
Female
9 COLOR
White
10 SINGLE
(write the word)
MARRIED
WIDOWED
or DIVORCED
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
84Years.
Months ...
_Days
If under 24 hours
.. Hours ...... Minutes
13 Usual
Occupation :
At Home
(Kind of work done during most of working life)
14 Industry or Business :
15 Social Security No. None
16 BIRTHPLACE (City)
(State or country)
Mass.
Boston
17 NAME OF
FATHER
Stephen Lagorio
18 BIRTHPLACE OF
FATHER (City).
(State or country)
Italy
19 MAIDEN NAME
OF MOTHER
Louisa Leverone
20 BIRTHPLACE OF
MOTHER (City)
(State or country)
Italy
21 Fred Lagorio
Informant
(Address)
14 Oxford Park,
Revere
I HEREBY CERTIFY that a satisfactory standard certificate of death was filed with me BEFORE the burial of transit permit was issued: Malkle C. erequest
(Signature of Agent of/Board of Health or prher)
Health Office
1/30/59
(Official Designation) (Date of Issue of/Permit)
X
MR-301A 1
STRUCTIONS FOR AL CERTIFICATE n giving [ OF DEATH not enter 'e than one se for each ), (b) and (c)
does not mean ode of dying, s heart failure, , etc. It means rase, or compli- which caused
tions, if any, gave rise to cause
(a), the under- cause
last.
ditions contrib -- o death but not to the terminal condition given
::- Chapter 137, of 1954, requires plans to print or the cause or death I certificates.
50M-1-58-921876
TENERE 2-6-54
No.
Winthrop Convelescent Home
[(If death occurred in a hospital or institution, St. Įgive its NAME instead of street and number)
PHYSICIAN - IMPORTANT
-
(Was deceased a
U. S. War Veteran,
if so specify WAR).
No
St.
Revere, Mass.
(If nonresident, give city or town and State)
., 19.
18 to.
to ..
Jan
27
I last saw h zalive on
Jau 27
10 years
6
Licata
M. D.
81 Rever SV Date Sau 29 /19
PARENTS
Registered No.
28
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 ean be obtained as to the deceased, or as to the manner of 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 derk 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).
RUŁEŚ QR 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 atlast 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 électrical 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.
JAN 3 01959. 11. 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
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 Community Huset! No.
Hele B. Andrews (MONAHAN).
2 FULL NAME. (If deceased is a married, widowed or divorced woman, give also maiden name.) 218 BRADSTREET Ave-
St. Revere -
(If nonresident, give city or town and State)
18 days. In place of residence years
.months. days.
MEDICAL CERTIFICATE OF DEATH
3 DATE OF
DEATH
(Year)
Rionthy
January 29y
1959
4 I HEREBY CERTIFY,
That I attended deceased from
Jan. 11,
19.5.9, to.
Jan .... 29
1959
I last saw Heralive on
Jan. 29, , 19 .
59
death is said to
have occurred on the date stated above, at 1: 12 p.m.
INTERVAL
BETWEEN
ONSET AND
DEATH
3-4 mos
Due To
(b)
Cancer of uterus and
ovaries
3 yrs.
Due To
(c)
Cancer of Bowel
3
mos.
OTHER SIGNIFICANT CONDITIONS
Was autopsy performed?
no
What test confirmed diagnosis?operation; path. exam.
5 Was disease or injury in any way related to occupation of deceased ? . no If so, specify
(Signed).
Krui Siegel
, M. D.
(Addr
72 starcity bus from
Date ..
1/30
1959
Holy Cross Malden 6
Place ofBurial or Cremation (City or Town)
DATE OF BURIAL Feb-2- 1950
7 NAME OF
FUNERAL DIRECTOR
archívS. GForcela
ADDRESS 876 WINThrop Ave- Revere
Received and filed
DAN 30-1959
19
(Registrar)
PERSONAL AND STATISTICAL PARTICULARS
8 SEX
9 COLOR
Female White
10 SINGLE
(write the word)
MARRIED
WIDOWED
or DIVORCED
Wiclowed
10a If married, widowed, or divorced
HUSBAND of
(Give maiden name of wife in full)
(or) WIFE of
JAMES M. Andrews
(Husband's name in full)
11 IF STILLBORN, enter that fact here.
12
AGE 68 Years.
6
Months
18 Days
If under 24 hours
Hours
Minutes
13 Usual
Occupation :
Social Worker
(Kind of work done during most of working life)
14 Industry
or Business:
CITY of Tevere
15 Social Security No ......
NONE
16 BIRTHPLACE (City)
(State or country)
MASS.
17 NAME OF
FATHER
JOHN F. MONATIAN
18 BIRTHPLACE OF
Sheffield
FATHER (City).
(State or country)
ENGLAND
19 MAIDEN NAME
OF MOTHER
DeliA F. BRoughey
20 BIRTHPLACE OF
Milford
MOTHER (City).
(State or country)
MASS.
21
Informant
(Address)
Joseph T. Andrews
155 Warren ST. Herere
I HEREBY CERTIFY that a satisfactory standard certificate of death was filled with me/BEFORE the burial or transit permit' was issued : Palple Co (Signature of Agent of Board of Health or othery
Theallele Officer
1/30/59
(Official Designation)
(Date of Issue of Peymit)
X
IM R-301A 1
1.11- 3.45 29. 1.12
STRUCTIONS FOR AL CERTIFICATE 'n giving ¿ OF DEATH
not enter re than one se for each ), (b) and (c)
does not mean ode of dying, s heart failure, ?, etc. It means case. or compli- which caused
tions, if any, gave rise to cause (a), the under- cause last.
ditions contrib- - o death but not to the terminal condition given
1- Chapter 137, [ 1954, requires lans to print or ¡the cause or of death on certificates.
50M-11-56-918978
Registered No.
[(If death occurred in a hospital or institution,
number
PHYSICIAN - IMPORTANT
(Was deceased a U. S. War Veteran, if so specify WAR)
No.
(a) Residence. No. (Usual place of abode)
Length of stay: In place of death .years months.
FELERE 2-4-59
PARENT
TIJOSTON
DEATH WAS CAUSED BY: IMMEDIATE CAUSE
(General carcinomatosis
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 cleath 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 dereased, 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 ninetcen 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 inake 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 aroots or ifAfdwing 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. 032, Sec. 4. Acts of 1945.
No undertaker or other persons shaff bury a human body or the ashes thereof which have been brought into the commonwealth unfil he has received a permit so to do from the board of health or its agent appointed to issue such permits, or if there is no such board, from the clerk of the town where the body is to be buried or the funeral is to he held, or from a person appointed to have the care of the cemetery or burial ground in which the interment is made.
Chap. 114, Sec. 46, G. L., (Tercentenary Edition).
RULES .OF. PRACTICE
The fulfillment of the purpose of these laws calls for the observance of the follow- ing rules of practice: .
(1) Attending physicians will certify to such deaths only as those of persons to whom they have given bedside care during a last illness from disease unrelated to any form of injury.
(2) Board of Health physicians will torsuch deaths only as those of persons who, though disabled bitcoin diese hinrelated 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
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)
No.
142 Pleasant St.
The Commonwealth of Massachusetts EDWARD J. CRONIN SECRETARY OF THE COMMONWEALTH DIVISION OF VITAL STATISTICS
STANDARD
CERTIFICATE OF DEATH
Registered No.
12
[ (If death occurred in a hospital or institution, Stelgive its NAME instead of street and number)
PHYSICIAN - IMPORTANT
(Was deceased a U. S. War Veteran, if so specify WAR)
(If deceased is a married, widowed or divorced woman, give also maiden name.)
70 Lincoln Street
St
(If nonresident, give city or town and State)
Length of stay: In place of death
8
years
months
days. In place of residence
years
months_
days.
MEDICAL CERTIFICATE OF DEATH
3 DATE OF
DEATH
January
30,
1959
(Month)
(Day)
(Year)
4 I HEREBY CERTIFY,
That I attended deceased from
Feb. 17,
1957
to.
Jan ... 30,
19.59
I last saw hejalive on
Jan .... 29,
19.5.9, death is said to
have occurred on the date stated above, at 9:50 P. m.
INTERVAL BETWEEN ONSET ANO DEATH
11 IF STILLBORN, enter that fact here.
12
70
5
19
If under 24 hours
Hours .....
Minutes
20 day SAGE
Years.
Months
Days
13 Usual
Occupation :
Housewife
(Kind of work done during most of working life)
14 Industry
or Business:
Own Home
Du
(c)
Generalized arteriosclerosis
OTHER
SIGNIFICANT
CONDITIONS
Cerebral arteriosclerosis
5 yrs.
17 NAME OF
FATHER
Thomas Nickerson
18 BIRTHPLACE OF
FATHER (City)
(State or country)
Nova Scotia
19 MAIDEN NAME
OF MOTHER
Sarah Swimm
20 BIRTHPLACE OF MOTHER (City) (State or country) Nova Scotia
21
Informant
Ellis Nelson
(Address)
70 Lincoln St. Winthrop
7 NAME OF
FUNERAL DIRECTOR
ADDRESS
Received and filed FEB 2 19
1959
(Registrar)
PERSONAL AND STATISTICAL PARTICULARS
8 SEX
Female
9 COLOR
White
10 SINGLE
(write the word)
MARRIED
WIDOWED
or DIVORCED
Married
10a If married, widowed, or divorced
HUSBAND of
(Give maiden name of wife in full)
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