USA > Massachusetts > Middlesex County > Chelmsford > Deaths 1898-1899 > Part 7
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
Ree
Commontocalth of Massachusetts.
No.
RETURN OF A DEATH. To the Clerk of the Town in which the Death occurred.
1. Date of Death, 1
10
2. Namc, (Maiden Name),* (Name of Husband),*
3. Sex, and whether single, 1
Married, or Widowed,
4. Color, i
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, .
10. Place of Birth, .
11. Name of Father,
12. Name of Mother, (Maiden Name),
13. Birthplace of Father, .
14. Birthplace of Mother, .
1
15. Place of Interment, .
Signature of Undertaker or other person making the Return, .
S
DATED at - rtx
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.] Plate. Ed. May, 1891. - 5,000.
ادويا
6
Undraw & Westburgh.
?
36
1
[ACTS OF 1888, CHAP. 30G.]
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, 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 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 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 thercof a certificate as hercinafter 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 May 4, 1888.
37
Ree
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/3/at 1898
Name Cho M. rally
Maiden Name,
Sex, male ; Color,
Single, Married or Widowed,:
Age, 24
E. years, 7
.months, days.
Name of attending Physician,
Du Varney
Residence of Deceased-N6. 1. Chelmsford Husband's Name
Street, (or Corporation), Ward
Occupation,
Place of Death-No. Mr. Chilens ford
Street, (or Corporation), Ward
Birthplace of Deceased,
Ireland
Father's Name,
1 gts
mi fully
Father's Birthplace,
Ruland
Mother's Name, Sarah
Mother's Birthplace,
Mother's Maiden Name,
M: Calor
1
Signature of Undertaker or Informer,.
Dated at Lowell, this
day of
Oct
1898
Physician's Certificate of the Cause of Death.
(SEE EXTRACTS " FROM ACTS OF LEGISLATURE BELOW.)
Date of Death,
October
312
IS9 8
Name and Sex of Deceased, aleex Sur Hally
Place of Death -- No.
North Chelmsford
Street, (or Corporation).
Disease or Cause of Death,
duration of *
about 3months
Complications,
I certify that the above is a true return to the best of my recollection and belief.
Name and Professional Title,
Residence, No.
north Chelunfind.
Street,
Dated at Lowell, this
day of
189
When the Child is still-born, so specify.
male.
Place of Interment,
Catholic
Cemetery, Range ....
Lot
Grave,
.
OF
189
Ree
PLEASE FILL OUT WITH INK.
UNDERTAKER'S RETURN
To the Board of Health and the Clerk of the City of Lowell.
no- Undertakers agust make this return before the burial or removal of the deceased. Date of Death, Nove 1 1898 Name Thomas & Duffy Maiden Name, Sex,.male; Color,
Single, Married or Widowed,
Age, 38 years,-months, -days.
Residence of Deceased-No.
Name of attending Physician, North ehh. sford Street, (or Corporation), Ward
Occupation,.
Husband's Name
Place of Death-No ....
North Chelmsford
Street, (or Corporation), Ward.
Birthplace of Deceased,
Ireland
Father's Name,.
Ower Duffy
Father's Birthplace, Ireland
Mother's Name,
Bridget Duffy
Mother's Birthplace,
Mother's Maiden Name,
Place of Interment,
Catholic Lowell
Cemetery, Range
Lot
,
Grave, ...........
Signature of Undertaker or Informer,
Dated at Lowell, this
day of.
189 ......
Physician's Certificate of the Cause of Death.
(SEE EXTRACTS FROM ACTS OF LEGISLATURE BELOW.)
Date of Death,
november 1st
1898
Name and Sex of Deceased,
Thomas P Duffy
Place of Death -- No.
north Chelmsford
Street, (or Corporation).
Disease or Cause of Death,
leneumption
duration of
*
Eight Menos
Complications,
I certify that the above is a true return to the best of my recollection and belief. Name and Professional 'Title, JeVarney nul2.
Residence, No. north Chelasfond
Street,
Dated at Lowell, this
Forêt-
38
male.
When the Child is still-born, so specify.
day of
november
IS0 8
NSTURN
OF
189
-
39
Commonwealth of Massachusetts.
No.
RETURN OF A DEATH.
To the Clerk of the City or Town in which the death occurred.
(FILL OUT WITH INK. ALL NAMES TO BE IN FULL.)
Name,
Farge VY Tractor Sex, M
Color,
Date of Death,
189 8 ; Age, 0 Years, Months, Days.
Maiden Name, { If married, widowed } or divoreed.
Husband's Name,
Single, Married, Widowed or Divorced, S Occupation, Grocer
* Residence, ¿ also state fully.
( If out of town, }
thecusford
Place of Birth,
Cheersford
*Place of Death,
Name of Father,
Нему
Birthplace of Father,
Phideusfor
Maiden name of Mother,
Proctor
Birthplace of Mother,
Place of Interment, (Give name of Cemetery),
Dated at Chemsford
Bouvier
on
7 1898
Signature and place of business of Undertaker.
PHYSICIAN'S CERTIFICATE.
Name and Age of Deceased, t
Quran W. Prodí
Age, 4OY. 8 M. 15 D.
Place and Date of Death, #
died at
Chiliand Mass Nor 7, 1898
Disease or Cause of Death, §
Disease Splun complicated witte Rheumatic Steart.
Duration of sickness,
I certify that the above is true to the best of my knowledge and belief.
Signature and Residence
6. It, Chanchul
M. D.
of Certifying Physician.
Date of Certificate,
( Vov,
11.
189 8 .
Give also street and number, if any.
t Or sex of infant not named. If stiil-born, so state. # If child died immediately after birth, so state.
§ If a Soldier or Sailor in the War of the Rebeliion, give both Primary and Secondary Cause.
No.
RETURN OF THE DEATH
OF
Cao. WGractor at thecus ford,
Date, .. .
V 189 8
Filed, 189 8
The provisions of chapter 444 of the Acts of 1897 require that every householder in whose house a death occurs, the oldest person next of kin present at the time of the death of any of his kindred, or the person in charge of an institution in which a death occurs, shall, within five days after the date of such a death, give notice thereof to the board of health or to the clerk of the city or town in which the death occurred. (Sec section 6.)
The commanding officer of a vessel shall give notice of the death of any person under his charge to the board of health or to the clerk of the city or town within the Commonwealth at which his vessel first arrives after such death. (See section 7.) Penalty for neglect to comply with the requirements of sections 6 and 7, five dollars. (Sec section 8.)
A physician who has attended a person during his last illness shall forthwith after the death of said person, upon request, furnish for registration a certificate setting forth the required facts. (Sec section 10.)
Penalty for refusal or neglect, ten dollars. (See section 11.)
Any person having charge of the funereal rites preliminary to the interment of a human body shall obtain the physician's I'm in and unturn it, together with the facts required by section 1, to the board of
40
Rec
Commonwealth of Massachusetts.
No.
RETURN OF A DEATH.
To the Clerk of the City of Town in which the death occurred.
Name,
Albion
(FILL OUT WITH INK. ALL NAMES TO BE IN FULL.) A. Kanphere Sex, CM Color,
Date of Death,
1898; Age, 58 Years, 4 Months, 26 Days.
Maiden Name, { If married, widowed ) or divorced.
Husband's Name,
Single, Married, Widowed or Divorced, W
Occupation, hammer ........
*Residence, {If out of town, ) Phalusford ¿ also state fully. §
Place of Birth,
*Place of Death, Sheaves ford
Name of Father,
Birthplace of Father, Hartland VA
Maiden name of Mother,
Jamie Samym
Birthplace of Mother, Hartford at.
Place of Interment, (Give name of Cemetery) Shows ford
Dated at
on
16 189 8
Signature and place of business of Undertaker.
33 Precetto
PHYSICIAN'S CERTIFICATE.
albin D. Fampliare
Age, 58 8.4 M. 26 D.
Name and Age of Deceased, t Place and Date of Death, # died at ChilisAnd, Mass, November 15, 1898 General Dability and, Branchiedans the results Disease or Cause of Death, § of Sewery and chimica Malaria contracted
Duration of sickness,
I certify that the above is true to the best of my knowledge and belief.
Signature and Residence S of Certifying l'hysieian. Chiliand M. D.
Date of Certificate, Provenha : 6", 1898.
Glve also street and dumber, if any.
t Or sex of infant uot named. If still-born, so state.
# If ehild died Immediately after birth, so state.
§ If a Soldier or Sailor , the War of the Rebellion, give both Primary aud Secondary Cause.
GM Mamma Sco
1
-
No.
RETURN OF THE DEATH
OF
at
Date,
189
Filed,
189
The provisions of chapter 444 of the Acts of 1897 require that every householder in whose house a death occurs, the oldest person next of kin present at the time of the death of any of his kindred, or the person in charge of an institution in which a death occurs, shall, within five days after the date of sueli a death, give notice thereof to the board of health or to the clerk of the city or town in which the death oceurred. (See section 6.)
The commanding officer of a vessel shall give notice of the death of any person under his charge to the board of health or to the clerk of the city or town within the Commonwealth at which his vessel first arrives after such death. (See section 7.) Penalty for neglect to comply with the requirements of sections 6 and 7, five dollars. (See section 8.)
A physician who has attended a person during his last illness shall forthwith after the death of said person, upon request, furnish for registration a certificate setting forth the required faets. (See section 10.)
Penalty for refusal or neglect, ten dollars. (See section 11.)
Any person having charge of the funereal rites preliminary to the interment of a human body shall obtain the physician's certifieate made in accordance witi.
. "aussiund his contion 1. to the board of health or to the elerk of the city
Ree
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, Mnr. 24 the
.. 1898 Name. Elisha H Stica 1
Maiden Name, Sex, „male; Color,
Single, Married or Widowed, Gravier
Age,? / years, 2 months,
..... days.
Name of attending Physician, De Harvard
Residence of Deceased-No. Luth thehill Street (or Corporation), Ward
Occupation,
Husband's Name
Place of Death-No. North Chelinda Street, (or Corporation), Ward.
Birthplace of Deceased,
aworth thehutiva
- Father's Name,
Shisha Shan Father's Birthplace Middelburg
Mother's Name,
Mother's Birthplace,
Werford
Mother's Maiden Name,
Vincolo
Place of Interment anth Elichred nic
Cemetery, Range
Lot
, Grave,
Signature of Undertaker or Informer,
Dated at Lowell, this.
24th
day of chen
1898
Physician's Certificate of the Cause of Death.
(SEE EXTRACTS FROM ACTS OF LEGISLATURE BELOW.)
Date of Death,
Over 24 th
189
Name and Sex of Deceased, Elipha N. Shaw male.
Place of Death -- No.
abarth
Chehned vid Street, (or Corporation).
When the Child is still-born, so Aperity.
Disease or Cause of Death,
Shauction following Bronchu
duration of
*
Juhhord Hever
Complications,
I certify that the above is a true return to the best of my recollection and belief.
Name and Professional Title, ..
Olmasa toward M.R.
Residence, No.
Chelmsford
Street,
Chelmsford 25th
day of
november
1898
Dated at Lowell, this
*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. ]
11/
)
1
1
OF
189
112
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, Mon 18th
1898 Name.
Leonard meads
Maiden Name,
Sex,. ......... male ; Color,
Single, Married or Widowed,
Name of attending Physician, Dr. Chamberlin
Residence of Deceased-No.
Chelmsford
Street, (or Corporation), Ward
Occupation, Husband's Name
Place of Death-No. Chelmsford
Street, (or Corporation), Ward, Lueston 24-
Birthplace of Deceased,
Father's Name, pesce meade
Father's Birthplace
Mother's Name,
Olivia "
Mother's Birthplace, Gavindisk .
Mother's Maiden Name, Baraldin
Place of Interment,
Wilmingtoncemetery Mass Lot .. , Grave,
bbGunier
Signature of Undertaker or Informer,
Dated at Lowell, this 1800
day of.
1898
PHYSICIAN'S CERTIFICATE.
Name and Age of Deceased,*
Concarne Asada
Age, 81-6-13
Date and Place of Death,t - died at furluns ford, Mash November /J 1898.
Disease or Cause of Death, - (Primary and Secondary.)} Duration of Sickness,
of Sententia Paralytica
I certify that the above is true, to the best ofpmy knowledge and belief. .
Signature and Residence of Certifying Physician, Seurand It, Charnimi-
Date of Certificate, November19, 1898.
* Or Sex of Infant (not named). If stillborn so state.
! If child died immediately after birth so state. Plate. Ed. December, 1896. - 5,000.
# If a soldier or sailor who served in the War of the Rebellion
Age, 87 years, 6 months, 13 days.
RETUR
O
tration, a certificate stating, vy vuv - died, the duration of his last sickness, and the date or nis decease; and a physician who has attended at a birth of a child immediately thereafter, or at the birth of a stillborn child, shall, when requested, forthwith furnish for registration a certi stating to the best of his knowledge and belief the fact that such a child died after birth or was born dcad. If a physician lects or refuses to make a certificate as aforesaid, or makes a false statement therein, ne shall be punished by a fine not exce fifty dollars. In case the deceased was a soldier or a sailor who served in the war of the rebellion, the physician shall give the primary and the secondary or immediate cause of death as nearly as he can state the same. If a physician refuses or nc 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 a human body un 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 suc or town, from the city or town clerk. No snch permit shall be issued until there has been delivered to such board, or age clerk, as the case may be, a satisfactory written statement containing the facts required by this chapter to be returne recorded, together with the certificate of the attending physician, if any, as required by section three of this chapter, or i thereof a certificate as hereinafter provided. If there is no attending physiciau, or if the certificate of the attending phy cannot be obtained, for good and sufficient reasons, early enongh for the purpose, the chairman of the board of health o physician employed by a city or town for the purpose shall, upon request of said board, agent or clerk, make such certificate required of the attending physician ; and in case of death by violence the medical examiner shall, if requested, make the When such satisfactory statement and certificate are delivered to the board of health or to its agent, the board or agent shall fort with 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 exceed- ing fifty dollars.
Rec
483
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,
189
Name May Buraco MM. Jade
Maiden Name,
Sex, ........ male; Color,
Single, Married or Widowed, Name of attending Physician, De muthi
Age, ........ years,
>months,
.. days.
Residence of Deceased -- No. Growth Chelmsford Street, (or Corporation), Ward
Occupation, Husband's Name
Place of Death-No. Worth helio ford
Street, (or Corporation), Ward.
Birthplace of Deceased,
Father's Name, Lkw M.Viadet
Father's Birthplace,
Mother's Name, . Jenni
Mother's Birthplace,
Mother's Maiden Name, Af fields
Place of Interment,
Catholic Lying
Cemetery, Range
, Lot
., Grave,
Signature of Undertaker or Informer,
Javed J. ODonnell
Dated at Lowell, this
day of
189 8
Physician's Certificate of the Cause of Death.
(SEE EXTRACTS FROM ACTS OF LEGISLATURE BELOW.)
Date of Death,
Avr 27
189.8
W Quade
female.
Place of Death -- No.
.. Street, (or Corporation).
Disease or Cause of Death,
duration of *.
Complications,
I certify that the above is & the return to the best of my recollection and belief.
Name and Professional Title,
I rom ato.
Tu. D.
Residence, No.
Kymanió
Exch.
Street,
Dated at Lowell, this
29 th
day of
Novembro,
189.X ....
*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.
Name and Sex of Deceased,
Avifen the Child is still-born, so specify.
OF
189
1 2ºc No.
Commonbocalth of Massachusetts.
44
RETURN OF A DEATH. To the Clerk of the Town in which the Death occurred.
1. Date of Death,
DEC .. / alice Bray
1898
2. Name,
(Maiden Name),*
(Name of Husband),*
1
3. Sex, and whether single, Marricd, or Widowed,
4. Color, t
5. Age,
- Years- Months, - Days.SZ Infantile
Disease or Cause of Death, (Primary and Secondary), #
6. Duration of Sickness, . By whom certificd,
Iv. G. H. Chamberlin
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, . 1
15. Place of Interment,
Signature of Undertaker or other person making the Return,
DATED at Phalusford, on
189.8
* If a Married Woman or Widow. tlf 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. Jan. 1895 .- 5,000.
Philus ford 11 James mc
Maggie(A)
14. Birthplace of Mother, . 1 Powell
[Public Statutes, Chapter 32, as amended by Acts of 1888, Chapter 306 ; Acts of 1889, Chapter 224; Acts of 1893, Chapter 263.]
SECTION 3. A physician who has attended a person during his last illness shall, when requested, forthwith furnish for regis- tration, 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; and a physician who has attended at a birth of a child dying immediately thereafter, or at the birth of a stillborn child, shall, when requested, forthwith furnish for registration a certificate, stating to the best of his knowledge and belief the fact that such a child died after birth or was born dead. If a physician neg- lects or refuses to make a certificate as aforesaid, or makes a false statement therein, he shall be punished by a fine 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 sumn 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 towu or remove therefrom a human body until he has received a permit so to do from the board of healthi 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 elerk, 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 thercof 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 forth- with 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 exceed- ing fifty dollars.
44' 2
PLEASE FILL OUT WITH INK.
UNDERTAKER'S RETURN
To the Board of Health and the Clerk of the City of Lowell.
Undertakersmust make this return before the burial or reiffoval of the Meceased,
Date of Death,
Dec 9th
1898
Name
John H. Nichols
Maiden Name,
Sex,
......... male ; Color,
Single, Married or Widowed,
Name of attending Physician,. De I. V. Mengs
Csit Med
Exammer
Residence of Deceased-No.
Street, (or Corporation), Ward
Occupation,
Janitor
Husband's Name
Place of Death No.
Chelcusford Mass Street, (or Corporation), Ward
Birthplace of Deceased,
Withnington
Mars
Father's Name,
William Hechoy Father's Birthplace,
Unknown
Mother's Name,
Judith
Mother's Birthplace,
Ipraque
Mother's Maiden Name
Chelmsford Cemetery, Range.
........ , Lot
.. , Grave,
Place of Interment,
Signature of Undertaker or Informer,.
9 2. Brooks
Dated at Lowell, this
10 ch
day of
189
8
Physician's Certificate of the Cause of Death.
SEE EXTRACTS FROM ACTS OF LEGISLATURE BELOW.)
Date of Death,
Dec
Name and Sex of Deceasedg
Johnny H Nich ola
IS9 2
male.
Place of Death -- No.
Chelhux ford
Mar Street, (or Corporation).
When the Child is still-born, so specify.
Disease or Cause of Death,
apoplexy
duration of * .
Complications,
I certify that the above is a true return to the best of my recollection and belief.
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.