Deaths 1891-1893, Part 20

Author: Chelmsford (Mass.)
Publication date: 1891-1893
Publisher:
Number of Pages: 386


USA > Massachusetts > Middlesex County > Chelmsford > Deaths 1891-1893 > Part 20


Note: The text from this book was generated using artificial intelligence so there may be some errors. The full pages can be found on Archive.org (link on the Part 1 page).


Part 1 | Part 2 | Part 3 | Part 4 | Part 5 | Part 6 | Part 7 | Part 8 | Part 9 | Part 10 | Part 11 | Part 12 | Part 13 | Part 14 | Part 15 | Part 16 | Part 17 | Part 18 | Part 19 | Part 20 | Part 21 | Part 22 | Part 23


[Be very particular to fill all Blanks. ] Plate. Ed. September, 1892 .- 5,000.


2


Irreal1


6


. . .. .. ..


1. Whoods.


6


with ' cluster.


[Public Statutes, Chapter 32, as amended by Acts of 1888, Chapter 306 ; Acts of 1889, Chapter 224.]


SECTION 3. A physician who has attended a person during his last illness shall, when requested, forthwith furnish for registration, a certificate stating, to the best of his knowledge and belief, the name of the deceased, his age, the disease of which he died, the duration of his last sickness, and the date of his decease. If a physician neglects or refuses to make a certificate, as aforesaid, he shall be punished by a finc not exceeding fifty dollars. In case the deceased was a soldier or a sailor who served in the war of the rebellion, the physician shall give both the primary and the secondary or immediate cause of death as nearly as he can state the same. If a physician refuses or neglects to make such certificate he shall forfeit to the treasurer the sum of ten dollars for the use of the town in which he resides.


SECTION 5. No undertaker, sexton or other person shall bury in a city or town or remove therefrom the body of a deceased person until he has received a permit so to do from the board of health or its duly appointed agent, or, if there is no board of health in such city or town, from the city or town clerk. No such permit shall be issued until there has been delivered to such board, or agent or clerk, as the case may be, a satisfactory written statement containing the facts required by this chapter to be returned and recorded, together with the certificate of the attending physician, if any, as required by section three of this chapter, or in lieu thereof a certificate as hereinafter provided. If there is no attending physician, or if the certificate of the attending physician cannot be obtained, for good and sufficient reasons, early enough for the purpose, the chairman of the board of health or any physician employed by a city or town for the purpose shall, upon request of said board, agent or clerk, make such certificate as is required of the attending physician ; and in case of death by violence the medical examiner shall, if requested, make the same. When such satisfactory statement and certificate are delivered to the board of health or to its agent, the board or agent shall forthwith countersign and transmit the same to the clerk or registrar for registration. The person to whom the permit is so given shall thereafter furnish for registration any other information as to the deceased or to the manner and cause of the death, as the clerk or registrar may require. Any person violating any of the provisions of this section shall be punished by a fine not exceeding fifty dollars.


Rec No.


Commonlocalth of Massachusetts.


RETURN OF A DEATH. To the Clerk of the Town in which the Death occurred.


1. Date of Death, .


2. Name,


(Maiden Name),* · (Name of Husband),*


male


******


married


White


61 Years, 10


Months,


17 Days.


Disease or Cause of Death, (Primary and Secondary), #


6. {Duration of Sickness, . By whom certified, ·


Dr. Theeher


Lowell


Beachamath


W. Chelmsford


localfood,


Io wheeler


Sally P. Wheeler


mass


13. Birthplace of Father, .


14. Birthplace of Mother, .


15. Place of Interment, .


W. Chelinofond.


Signature of Undertaker or other person making the Return, . ·


for Brand of Health


DATED at Chekuoforel .


189.3


* If a Married Woman or Widow. { If a Soldier who served in the War of the Rebellion.


t If other than White. (M.) Mulatto. (I.) Indian. If of other Races, specify what.


[Be very particular to fill all Blanks.] Plate. Ed. Nov. 1890 --- 5,000.


only 16 1893 Gammel 7. Wheeler .....


3. Sex, and whether single, Married, or Widowed,


4. Color, t ·


5. Age, .


5 months


7. Residence,


8. Occupation, .


9. Place of Death, .


10. Place of Birth, . .


11. Name of Father, .


12. Name of Mother, · (Maiden Name),


Chelmotorel ..


[ACTS OF 1888, CHAP. 306. ]


AN ACT


RELATING TO THE CERTIFICATES AND REGISTRY OF DEATHS, AND THE BURIAL AND REMOVAL OF BODIES OF DECEASED PERSONS.


Be it enacted, etc., as follows :


SECTION 1. Seetion three of chapter thirty-two of the Public Statutes, requiring attending physicians to furnish for registration certain facts relating to deceased persons, is amended so as to read as follows : - Section 3. A physician who has attended a person during his last illness shall, when requested, forthwith furnish for registration, a certificate stating, to the best of his knowledge and belief, the name of the deceased; liis age, the disease of which he died, the duration of his last sickness, and the date of his decease. If a physician negleets or refuses to make a certificate, as aforesaid, he shall be pun- ished by a fine not exceeding fifty dollars.


SECTION 2. Section five of said chapter, prohibiting the burial or removal of a human body until a proper certificate is fur- nished, is amended so as to read as follows : - Section 5. No undertaker, sexton or other person shall bury in a city or town or remove therefrom the body of a deceased person until he has received a permit so to do from the board of health or its duly appointed agent, or, if there is no board of health in snch eity or town, from the city or town clerk. No snch permit shall be issued until there has been delivered to sueh board, or agent or clerk, as the case may be, a satisfactory written state- ment containing the facts required by this chapter to be returned and recorded, together with the certificate of the attending physician, if any, as required by section three of this chapter, or in lieu thereof a certificate as hereinafter provided. If there is no attending physician, or if the certificate of the attending physician cannot be obtained, for good and sufficient reasons, early enough for the purpose, the chairman of the board of health or any physician employed by a city or town for the purpose shall, upon request of said board, agent or clerk, make such certificate as is required of the attending physician ; and in case of death by violence, the medical examiner shall, if requested, make the same. When such satisfactory statement and certificate are de- livered to the board of health or to its agent, the board or agent shall forthwith countersign and transmit the same to the elerk or registrar for registration. The person to whom the permit is so given shall thereafter furnish for registration any other information as to the deceased or to the manner and cause of the death, as the clerk or registrar may require. Any person violating any of the provisions of this section shall be punished by a fine not exceeding fifty dollars. [Approved May 4, 1888.


Commontocatth of Massachusetts.


No.


RETURN OF A DEATH. To the Clerk of the Town in which the Death occurred.


1. Date of Death,


July 2012 1893


2. Name,


Mary D. Gumm


(Maiden Name),* ·


(Name of Husband),*


3. Sex, and whether single, Married, or Widowed,


Female


Single


4. Color, t


5. Age, .Years, 6 Months, 25 Days. Meningitis ... .


Disease or Cause of Death, (Primary and Secondary), #


6. Duration of Sickness, . By whom certified,


7. C. Plunkett


N. Chelmsford , Mass


7. Residence,


8. Occupation, . ·


9. Place of Death, .


10. Place of Birth, . .


11. Name of Father, ·


12. Name of Motlier, . (Maiden Name),


13. Birthplace of Father, .


11. Birthplace of Mother, .


15. Place of Interment, .


Signature of Undertaker or other person making the Return, .


Arthur to Sheldon


DATED at


N Chelmsford, on Nicky 21h


1.593


! If a Married Woman or Widow. { If a Soldier who served in the War of the Rebellion.


{ If other than White. (M.) Mulatto. (I.) Indian. If of other Races, specify what.


[Be very particular to fill all Blanks. ] Plate. Ed. May, 1891. - 5,000.


........


V. Chelmsford brass, -V. Chelmsford Kurs. P.P. Cummings


AukaHarmoton) Dummmas Ireland N. Chelmsford Mass. Lowell Mass.


[ACTS OF 1888, CHAP. 306. ]


AN ACT


RELATING TO THE CERTIFICATES AND REGISTRY OF DEATHS, AND THE BURIAL AND REMOVAL OF BODIES OF DECEASED PERSONS.


Be it enacted, etc., as follows :


SECTION 1. Seetion three of chapter thirty-two of the Public Statutes, requiring attending physicians to furnish for registration certain faets relating to deceased persons, is amended so as to read as follows : - Section 3. A physician who has attended a person during his last illness shall, when requested, forthwith furnish for registration, a certificate stating, to the best of his knowledge and belief, the name of the deceased, his age, the disease of which he died, the duration of his last sickness, and the date of his deeease. If a physician negleets or refuses to make a certificate, as aforesaid, he shall be pun- ished by a fine not exceeding fifty dollars.


SECTION 2. Seetion five of said chapter, prohibiting the burial or removal of a human body until a proper certificate is fur- nished, is amended so as to read as follows : - Section 5. No undertaker, sexton or other person shall bury in a eity or town or remove therefrom the body of a deceased person until he has received a permit so to do from the board of health or its duly appointed agent, or, if there is no board of health in such city or town, from the city or town clerk. No such permit shall be issued until there has been delivered to sueh board, or agent or clerk, as the ease may be, a satisfactory written state- ment containing the faets required by this chapter to be returned and recorded, together with the certificate of the attending physician, if any, as required by seetion three of this chapter, or in lieu thereof a certifieate as hereinafter provided. If there is no attending physician, or if the certificate of the attending physician eannot be obtained, for good and sufficient reasons, early enough for the purpose, the chairman of the board of health or any physician employed by a city or town for the purpose shall, upon request of said board, agent or elerk, make such eertifleate as is required of the attending physician; and in ease of death by violenee, the medical examiner shall, if requested, make the same. When sueh satisfactory statement and certificate are de- livered to the board of health or to its agent, the board or agent shall forthwith countersign and transmit the same to the clerk or registrar for registration. The person to whom the permit is so given shall thereafter furnish for registration any other information as to the deceased or to the manner and cause of the death, as the elerk or registrar may require. Any person violating any of the provisions of this seetion shall be punished by a fine not exceeding fifty dollars. [Approved May 4, 1888.


Rec


PLEASE FILL OUT WITH INK.


UNDERTAKER'S RETURN


To the Board of Health and the Clerk of the City of Lowell.


Undertakers must make this return before the burial or removal of the deceased.


1


Date of Death, August, 9 189 3 Name.


Ami le arpenter


Maiden Name,


Sex,


male ; Color,


Single, Married or Widowed,


Age, ....... .


years,


months,


days.


Name of Attending Physician, Dr. Leland


Residence of Deceased -- No. East- thelewo ford


Street (or Corporation), Ward


Occupation,


Husband's Name,


Place of Death -No.


Wiggmouille mars.


Street (or Corporation), Ward=


Birthplace of Deceased, ..


Father's Name has learpente


Father's Birthplace,


R.CQ.


Mother's Name,


Mother's Birthplace, Sur Class.


Mother's Maiden Name,


Place of Interment,


Cartolina rivall


Cemetery Range


Lot


, Grave


Signature of Undertaker or Informer,


Daled at Lowell, this


day of


189


3


Physician's Certificate of the Cause of Death. (See extracts from Acts of Legislature below.


Date of Death I 89


Name and Sex of Deceased


- ... . . . ..


Place of Death - No.


Disease or Cause of Death Chalon Infact,


male, Street (or Corporation) . duration of * Dont knowl


Complications,


I certify that the above is a true return to the best of my recollection and belief.


Name and Professional Title, CH. Lland av.


Residence, No. 128 mart.


.......


Street


Lawall


Dated at Lowell, this


10 0


day of


any. -


18913


RETURN OF DEATH -- OF --


189


1


nel No.


Commonlocalth of Massachusetts. -


RETURN OF A DEATH. To the Clerk of the Town in which the Death occurred.


1. Date of Death,


2. Name,


(Maiden Name),* (Name of Husband), *


3. Sex, and whether single,


Married, or Widowed,


finale White


4. Color, t


5. Age, .


Years,


9


Months,


16 Days.


Disease or Cause of Death, (Primary and Secondary), #


6. Duration of Sickness, . By whom certified, ·


EMENTA = 1,2


North Chelmsford class.


7. Residence,


8. Occupation, . . ·


9. Place of Death, . ·


10. Place of Birth, .


11. Name of Father,


12. Name of Mother, . (Maiden Name),


13. Birthplace of Father, .


Ireland


11. Birthplace of Mother, .


15. Place of Interment,


Lowell Mass.


Signature of Undertaker or other person making the Return, .


DATED at


, Oll


qrequest


1895


* If n Married Woman or Widow. # If a Soldier who served in the War of the Rebellion.


t If other than White. (M.) Mulatto. (1.) Indian. If of other Races, specify what.


[Bo very particular to fill all Blanks. ] Plate. Ed. May, 1891 .- 5,000.


Aura 9th 1873 James



Hale


Phthisis


North Chelmsford Class. North Chelonsford Lhes. Michael MS Phillips Ann (Sheridan). It: Phillips Ireland


[ACTS OF 1888, CHAP. 306.]


AN ACT


RELATING TO THE CERTIFICATES AND REGISTRY OF DEATHS, AND THE BURIAL AND REMOVAL OF BODIES OF DECEASED PERSONS.


Be it enacted, etc., as follows :


SECTION 1. Scction three of chapter thirty-two of the Public Statutes, requiring attending physicians to furnish for registration certain facts relating to deceased persons, is amended so as to read as follows : - Section 3. A physician who has attended a person during his last illness shall, when requested, forthwith furnish for registration, a certificate stating, to the best of his knowledge and belief, the name of the deceased, his, age, the disease of which he died, the duration of his last sickness, and the date of his decease. If a physician neglects or refuses to make a certificate, as aforesaid, lie shall be pun- ished by a fine not exceeding fifty dollars.


SECTION 2. Section five of said chapter, prohibiting the burial or removal of a human body until a proper certificate is fur- nished, is amended so as to read as follows : - Section 5. No undertaker, sexton or other person shall bury in a city or town or remove therefrom the body of a deceased person until he has received a permit so to do from the board of health or its duly appointed agent, or, if there is no board of health in such city or town, from the city or town clerk. No such permit shall be issned until there has been delivered to such board, or agent or clerk, as the case may be, a satisfactory written state- ment containing the facts required by this chapter to be returned and recorded, together with the certificate of the attending physician, if any, as required by section three of this chapter, or in lieu thereof a certificate as hereinafter provided. If there is no attending physician, or if the certificate of the attending physician cannot be obtained, for good and sufficient reasons, early enough for the purpose, the chairman of the board of health or any physician employed by a city or town for the purpose shall, upon request of said board, agent or clerk, make snch certificate as is required of the attending physician; and in case of death by violcnec, the medical examiner shall, if requested, make the same. When such satisfactory statement and certificate are de- livcred to the board of health or to its agent, the board or agent shall forthwith countersign and transmit the same to the clerk or registrar for registration. The person to whom the permit is so given shall thereafter furnish for registration any other information as to the deceased or to the manner and cause of the death, as the clerk or registrar may require. Any person violating any of the provisions of this section shall be punished by a fine not exceeding fifty dollars. [Approved May 4, 1888.


PLEASE FILL OUT WITH INK.


UNDERTAKER'S RETURN


To the Board of Health and the Clerk of the City of Lowell.


Undertakers must make this return before the burial or removal of the deceased.


Date of Death,


ling


/3


IS9 3 Name


Katie, A.O'Hara


Maiden Name,


Sex,


.male ; Color,


Single, Married or Widowed, ..


.


...


Age, . years, .


5


months , - days.


Name of Attending Physician, Dr. Waller


Residence of Deceased --- No. East Chelmsford


Street (or Corporation), Ward


Occupation,


...


Husband's Name,


Place of Death -No. Boston Road East Chelunsfordstreet (or Corporation), Ward


Birthplace of Deceased,


Gast Chelmsford.


Father's Name,


John


W


Father's Birthplace,


Lowell


Mother's Name, Ratir


Mother's Birthplace,


Lowell


Mother's Maiden Name,


Donahue


Place of Interment,


Cattolica


Cemetery Range


, Lot


, Grave


J.J. O'Donnell


Signature of Undertaker or Informer,


day of august


IS9 3


Daled at. Lowell, this


Physician's Certificate of the Cause of Death.


(See extracts from Acts of Legislature below.


.


Date of Death


13


Name and Sex of Deceased .


F Katu Ostar IS9 3.


? „A(male,


Place of Death - No.


Boston Road East- Chelms Street (or Corporation).


Disease or Cause of Death


Cholera Intanto duration of*


24 hours


Complications, I certify that the above is a true return to the best of my recollection and belief.


Name and Professional Title,


. 3 Waller.


Y22.W.


Street it indelleen


Residence, No.


N


Dated at Lowell, this clay of


IS9


* Reckoned to the time of death.


[Be very particular to fill the blanks, and strike out words that are not correct, such as street or corporation, single, married or widowed, and insert "fe" before male when the deceased is a female, and when the deceased is colored, please insert. |


...


RETURN OF DEATH -OF-


189


1


PLEASE FILL OUT WITH INK.


UNDERTAKER'S RETURN


To the Board of Health and the Clerk of the City of Lowell.


Undertakers must make this return before the burial or removal of the deceased.


Date of Death, Aug 19


189 ... 3


Name Pavia Roberge Sex,female ; Color,


Maiden Name,


Single, Married or Widowed,


Age,


years, months, 2 days.


Name of Attending Physician, Q1. Gagner


Residence of Deceased -- No.


Street (or Corporation), Ward.


Occupation, Husband's Name,


Place of Death -No.


Chelmsford


Street (or=Corporation), Ward


Birthplace of Deceased, Chelmsford


Father's Name B. Kolange


Father's Birthplace, Coach


Mother's Name


Mother's Birthplace,


Mother's Maiden Name, Puseres


Place of Interment,


Costhata) Cemetery Range


..... , Lot ..


.,


Grave


Signature of Undertaker or Informer,


208 Lasehh- Albert


Daled at Lowell, this


day of.


189


Physician's Certificate of the Cause of Death. (See extracts from Acts of Legislature below.


Date of Death


Aug. 19


Name and Sex of Deceased


Laria Roberge


189 3.


finale ,


Place of Death - No.


Chelmsford


Street (or Corporation).


Disease or Cause of Death


Cholera Infantino duration of


Complications, I certify that the above is a true return to the best of my recollection and belief.


Name and Professional Title, .


Residence, No.


31 babas


. Street


day of


Aug.


189 3


Dated at Lowell, this.


2/


RETURN OF DEATH - OF-


189


f


Tel


Commonwealth of glassachusetts.


No.


RETURN OF A DEATH. To the Clerk of the Town in which the Death occurred.


1. Date of Death,


1


1


2. Name,


(Maiden Name) , * · (Name of Husband),*


3. Sex, and wlicther single, Married, or Widowed,


C = ==


4. Color, t


5. Age, . 4 7 Years, 2 Months, 3 Days.


Disease or Cause of Death, (Primary and Secondary), #


6. ‹ Duration of Sickness, . By whom certified,


7. Residence,


8. Occupation, . ·


9. Place of Death, .


10. Place of Birtlı, . L ·


11. Name of Father,


12. Name of Mother, 21


13. Birthplace of Father, .


11. Birthplace of Mother, .


15. Place of Interment,


Signature of Undertaker or other person making the Return, .


C


DATED at


1-1 -


18,


* If a Married Woman or Widow. { If a Soldier who served in the War of the Rebellion.


{ If other than White. (M.) Mulatto. (I.) Indian. If of other Races, specify what.


[Be very particular to fill all Blanks.] Plate. Ed. May, 1891 .- 5,000.


€ 1. 1 6 FT 1


7


1 (Maiden Name),


[ACTS OF 1888, CHAP. 306.] AN ACT


RELATING TO THE CERTIFICATES AND REGISTRY OF DEATHS, AND THE BURIAL AND REMOVAL OF BODIES OF DECEASED PERSONS.


Be it enacted, etc., as follows :


SECTION 1. Section three of chapter thirty-two of the Public Statutes, requiring attending pliysicians to furnish for registration certain facts relating to deceased persons, is amended so as to read as follows : - Section 3. A physician who lias attended a person during his last illness shall, when requested, forthwith furnish for registration, a certificate stating, to the best of his knowledge and belief, the name of the deceased, his age, the disease of which he died, the duration of his last sickness, and the date of his decease. If a physician neglects or refuses to make a certificate, as aforesaid, he shall be pun- ished by a fine not exceeding fifty dollars.


SECTION 2. Section five of said chapter, prohibiting thic burial or removal of a human body until a proper certificate is fur- nished, is amended so as to read as follows : - Section 5. No undertaker, sexton or other person shall bury in a city or town or remove therefrom the body of a deceased person until he has received a permit so to do from the board of health or its duly appointed agent, or, if there is no board of health in such city or town, from the city or town clerk. No such permit shall be issued until there has been delivered to such board, or agent or clerk, as the case may be, a satisfactory written state- ment containing the facts required by this chapter to be returned and recorded, together with the certificate of the attending physician, if any, as required by section three of this chapter, or in lieu thereof a certificate as hereinafter provided. If there is 110 attending physician, orif the certificate of the attending physician cannot be obtained, for good and sufficient reasons, carly enough for the purpose, the chairman of the board of health or any physician employed by a city or town for the purpose shall, upon request of said board, agent or clerk, make such certificate as is required of the attending physician; and in case of death by violenee, the medical examiner shall, if requested, make the same. When such satisfactory statement and certificate are dc- livered to the board of health or to its agent, the board or agent shall forthwith countersign and transmit the same to the clerk or registrar for registration. The person to whom the permit is so given shall thereafter furnish for registration any other information as to the deceased or to the manner and cause of the death, as the clerk or registrar may require. Any person violating any of the provisions of this section shall be punished by a fine not exceeding fifty dollars. [Approved May 4, 1888.


-


1


RETURN OF A DEATH. To the Clerk of the Town in which the Death occurred.


1. Date of Death,


riterzabier & 201


2. Name,


(Maiden Name),* . (Name of Husband),*


1.


( 1. 1. 1.


3. Sex, and whether single, Married, or Widowed,


1


laccheria


4. Color, t


5. Age,


Years,


Months,


Days.


Disease or Cause of Death, (Primary and Secondary), ;


6. Duration of Sickness, . By whom certified,


7. Residence,


8. Occupation, . .


9. Place of Death, . fri , 121. 00. 24


10. Place of Birth, .


11. Name of Father, · ..


12. Name of Mother, (Mai:len Name),


15. 2 5; 1.2)


13. Birthplace of Father, .


11. Birthplace of Mother, .


15. Place of Interment,


Signature of Undertaker or other person making the Return, .


?


....... .. ............... ....


1


DATED at


×


18% ?


* If a Married Woman or Widow. { If a Soldier who served in the War of the Rebellion.


t If other than White. (M.) Mulatto. (I.) Indian. If of other Races, specify what.


[Be very particular to fill all Blanks.] Platc. Ed. May, 1891 .- 5,000.


.... ........


1


B.22xler 2,


1 ~ No.


Commonwealth of Massachusetts.


[ACTS OF 1888, CHIAP. 306.] AN ACT


RELATING TO THE CERTIFICATES AND REGISTRY OF DEATHS, AND THE BURIAL AND REMOVAL OF BODIES OF DECEASED PERSONS.


Be it enacted, etc., as follows :


SECTION 1. Section three of chapter thirty-two of the Public Statutes, requiring attending physicians to furnish for registration certain facts relating to deceased persons, is amended so as to read as follows : - Section 3. A physician who has attended a person during his last illness shall, when requested, forthwith furnish for registration, a certificate stating, to the best of his knowledge and belief, the name of the deceased, liis age, the disease of which he died, the duration of his last siekness, and the date of his decease. If a physician neglects or refuses to make a certificate, as aforesaid, he shall be pun- ished by a finc not exceeding fifty dollars.


SECTION 2. Section five of said chapter, prohibiting the burial or removal of a human body until a proper certificate is fur- nished, is amended so as to read as follows : - Section 5. No undertaker, sexton or other person shall bury in a city or town or remove therefrom the body of a deceased person until he lias received a permit so to do from the board of health or its duly appointed agent, or, if there is no board of health in such city or town, from the city or town clerk. No such permit shall be issued until there has been delivered to such board, or agent or clerk, as the case may be, a satisfactory written state- ment containing the facts required by this chapter to be returned and recorded, together with the certificate of the attending physician, if any, as required by section three of this chapter, or in lieu thereof a certificate as hereinafter provided. If there is no attending physician, or if the certificate of the attending physician cannot be obtained, for good and sufficient reasons, early enough for the purpose, the chairman of the board of health or any physician employed by a city or town for the purpose shall, upon request of said board, agent or clerk, make such certificate as is required of the attending physician; and in case of death by violence, the medical examiner shall, if requested, make the same. When such satisfactory statement and certificate are de- livered to the board of health or to its agent, the board or agent shall forthwith countersign and transmit the same to the clerk or registrar for registration. The person to whom the permit is so given shall thereafter furnish for registration any other information as to the deceased or to the manner and cause of the death, as the clerk or registrar may require. Any person violating any of the provisions of this section shall be punished by a finc not exceeding fifty dollars. [Approved Muy 4, ISSS.




Need help finding more records? Try our genealogical records directory which has more than 1 million sources to help you more easily locate the available records.