Deaths 1904-1905, Part 2

Author: Chelmsford (Mass.)
Publication date: 1904-1905
Publisher:
Number of Pages: 292


USA > Massachusetts > Middlesex County > Chelmsford > Deaths 1904-1905 > Part 2


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


|| Name of cemetery.


ALL NAMES TO BE IN FULL


MARGIN RESERVED FOR BINDING FILL OUT WITH INK .- THIS IS A PERMANENT RECORD


.


١


COMMONWEALTH OF MASSACHUSETTS


FULL NAME


RETURN OF A DEATH Margaret Holland


Registered No.


months


days


STATISTICAL DETAILS


SEX female_


COLOR white


SINGLE, MARRIED, WIDOWED, OR


MAIDEN NAME Ť


Margaret Crowley Michael Holland


HUSBAND'S NAME Ť


BIRTHPLACE +


Ireland


Ireland


NAME OF FATHER Unknown


BIRTHPLACE OF FATHER + Leland


MAIDEN NAME OF MOTHER


Unknown


BIRTHPLACE OF MOTHER + Ireland


OCCUPATION at Home


INFORMANT S


Annie Holland


PLACE OF BURIAL OR REMOVAL DI


St Patrick


UNDERTAKER


ADDRESS


Thomas J Mcdermott 70 gorham


PHYSICIAN'S CERTIFICATE


I HEREBY CERTIFY that I attended deceased during last illness,


from.


Oct


190 56. to. Mch-13 1904, that to the best of my knowledge and belief death occurred on the date stated above, and that the CAUSE OF DEATH was as follows :


Primary :...


Gastro -interitio


Comos. (Duration)


Contributory :


General debility


(Duration) Days


(Signed;„


Vre M. D.


190 ... (Address)


SPECIAL INFORMATION only for Hospitals, Institutions, Transients, or Recent Residents.


Former or Usual Residence


How long at Place of Death ? Days


Where was disease contracted. if not at place of death ?


Filed mar 15 1904 Edward J. Rotting Clerk


Completion


* City or town, street and number, if any. If death occurs away from USUAL RESIDENCE, give facts called for under " Special Information." If in a Hospital or Institution, give its NAME instead of street and nu ber.


t In case of married or divorced woman, or widow.


# State or country; also city, town or county if known.


5


§ Name and address of person giving statistical details.


|| Name of cemetery.


c-c $178


MARGIN RESERVED FOR BINDING


FILL OUT WITH INK .- THIS IS A PERMANENT RECORD ALL NAMES TO BE IN FULL


Place of Death *..


Holland ave


North Chemsford


Date of Death March 13.1904 Age 54


-


... years


180


Days


DATE OF BURIAL Mar 15 100 4


181


(Original) TRANSIT PERMIT NO


Railroad.


TRANSPORTATION OF CORPSE. NEW HAMPSHIRE STATE BOARD OF HEALTH.


PHYSICIAN'S OR CORONER'S CERTIFCATE.


Name of Deceased.


Uno Eliza Singley


.Date of Death


april 10%,


(If a nfiyor, give parents' name also. )


Hour of Death M. Age .. 83


Years


/


Months


Days


Place of Death


Littleton


Cause ...


Pneumon


Is this a Communicable Disease ?


I hereby certify that the above is true to the best of my knowledge and belief.


.M. D. or Coroner.


Residence


County of.


State of ..


PERMIT OF LOCAL BOARD OF HEALTH.


This permit must be properly signed, and with Physician's Certificate presented to the Railroad or Express Agent before a body can be shipped.


In the Hown .of. Littleton


County of.


(City or Town.)


State of .


on the


day of ...


april


Permission is hereby given ...


Charles f. Ring ham


to remove for burigłat.


Wise Chalmers ford


in the county of ..


holder of Embalmer's License No. Middlesex


State of ...


who died at.


Littlelin


County of.


State


on the


12- day of april


1904 Aged 53


Years


1


Months


22 Days


and.


110 a Edson


... is hereby authorized to accompany said remains.


Health Officer or Sec'y Board of Health.


Signed.


RULE I. The transportation of bodies dead of small-pox, Asiatic cholera, yellow fever, typhus fever, or Bubonic plague is absolutely forbidden. This Permit and preceding Certificate must be detached and delivered to the Person in charge of the Corpse.


1904


67


(mass


the body of ...


.......


Rules of the New Hampshire State Board of Health, for the Transportation of the Dead.


RULE 1. The transportation of bodies dead of small pox, Asiatic cholera, yellow fever, typhus fever, or bubonic plague, is absolutely for- bidden. RULE 2. The bodies of those who have died of diphtheria (membranous croup), scarlet fever (scarlatina, scarlet rash), glanders, anthrax, or leprosy shall not be accepted for transportation unless prepared for shipment by being thoroughly disinfected by (a) arterial and cavity injection with an approved disinfectant fluid, (b) disinfecting and stopping of all orifices with absorbent cotton, and (c) washing the body with the disin- fectant, all of which must be done by a licensed embalmer, holding a certificate as such, approved by the State Board of Health. After being dis- infected as above, such body shall be enveloped in a layer of cotton not less than one inch thick, completely wrapped in a sheet and bandaged, and encased in an air-tight zinc, tin, copper, or lead-lined coffin, or iron casket, all joints and seams hermetically soldered, and all enclosed in a strong, tight wooden box. Or, the body being prepared for shipment by disinfecting and wrapping as above, may be placed in a strong coffin or casket, and said coffin or casket encased in an air-tight zinc, copper, or tin case, all joints and seams hermetically soldered, and all enclosed in a strong outside wooden box.


RULE 3. Bodies dead of typhoid fever, puerperal fever, erysipelas, tuberculosis, and measles, or other dangerous communicable diseases, other than those specified in Rules 1 and 2, may be received for transportation when prepared for shipment by filling cavities with an approved disinfectant, washing the exterior of the body with the same, stopping all orifices with absorbent cotton, and enveloping the entire body with a layer of cotton not less than one inch thick, and all wrapped in a sheet and bandaged, and encased in an air-tight coffin or casket. Provided, That this shall apply only to bodies which can reach their destination within forty-eight hours from time of death. In all other cases such bodies shall be prepared for transportation in conformity with Rule 2. But when the body has been prepared for shipment by being thoroughly disin- fected by a licensed embalmer, holding a certificate as in Rule 2, the air-tight sealing and bandaging with cotton may be dispensed with.


RULE 4. Bodies dead of diseases that are not contagious, infectious, or communicable, may be received for transportation when encased in a sound coffin or casket and enclosed in a strong outside wooden box. Provided, They reach their destination within thirty hours from the time of death. If the body cannot reach its destination within thirty hours from time of death, it must be prepared for shipment by filling cavities with an approved disinfectant, washing the exterior of the body with the same, stopping all orifices with absorbent cotton and enveloping the entire body with a layer of cotton not less than one inch thick, and all wrapped in a sheet and bandaged, and encased in an air-tight coffin or casket. But when the body has been prepared for shipment by being thoroughly disinfected by a licensed embalmer, holding a certificate as in Rule 2, the air-tight sealing and bandaging with cotton may be dispensed with.


RULE 5. In cases of contagious, infectious, or communicable diseases, the body must not be accompanied by persons or articles which have been exposed to the infection of the disease, unless certified by the health officers as having been properly disinfected; and before selling pass- age tickets agents shall carefully examine the transit permit and note the name of the passenger in charge, and of any others proposing to accom- ... pany the body, and see that all necessary precautions have been taken to prevent the spread of the disease. The transit permit shall specifically state who is authorized by the health authorities to accompany the remains. In all cases where bodies are forwarded under Rule 2, notice must be sent by telegraph to the health officer at destination, advising the date and train on which the body may be expected. This notice must be sent by or in the name of the health officer at the initial point, and is to enable the health officer at destination to take all necessary precautions at that point.


RULE 6. Every dead body must be accompanied by a person in charge, who must be provided with a passage ticket and also present a full first-class ticket marked "corpse" for the transportation of the body, and a transit permit-showing physician's or coroner's certificate, health officer's permit for removal, undertaker's certificate, name of deceased, date and hour of death, age, place of death, cause of death, and if of a contagious, infectious, or communicable nature, the point to which the body is to be shipped, and when death is caused by any of the diseases specified in Rule 2, the names of those authorized by the health authorities to accompany the body. The transit permit must be made in duplicate, and the signatures of the physician or coroner, health officer, and undertaker must be on both the original and duplicate copies. The under- taker's certificate and paster of the original shall be detached from the transit permit and pasted on the coffin box. The physician's certificate and transit permit shall be handed to the passenger in charge of corpse. The whole duplicate copy shall be sent to the official in charge of the bag- gage department of the initial line, and by him to the Secretary of the State or Provincial Board of Health of the State or Province from which said shipment was made.


RULE 7. When dead bodies are shipped by express, the transit permit must be made in triplicate, and the signature of the physician or coroner, health officer and undertaker must be on all three permits. Of these transit permits, one copy shall be securely fastened upon the outside of the box one copy shall be forwarded by the express agent to the party to whom the body is shipped. and one copy shall be forwarded by the express agent to the secretary of the State or Provincial Board of Health of the state or province from which said shipment was made.


RULE 8. Every disinterred body, dead from any disease or cause, shall be treated as infectious or dangerous to the public health and shall not be accepted for transportation unless said removal has been approved by the State or Provincial health authorities having jurisdiction where such body is disinterred, and the consent of the health authorities of the locality to which the corpse is consigned has first been obtained; and all such disinterred remains shall be enclosed in a hermetically sealed (soldered), zinc, tin, or copper-lined coffin or box. Bodies deposited in receiv- ing vaults will be treated and considered the same as buried bodies.


RULE 9. The bodies of all persons who die in New Hampshire that are to be shipped by public conveyance, even though the initial point of such shipment be a railway station outside the state, must be prepared and forwarded in accordance with the regulations in force in the state of New Hampshire.


RULE 10. All rules and parts of rules conflicting with these rules are hereby repealed.


The foregoing rules have been adopted by the State Board of Health of the State of New Hampshire and have the force and validity of law virtue of the authority vested in said State Board of Health by Sec. 4, Chap. 76, Laws of 1899.


11


182


COMMONWEALTH OF MASSACHUSETTS


RETURN OF A DEATH William Taylor


FULL NAME


Place of Death *


Thoth Chelmopour muss


Date of Death


three 2 1904


Age 83


years


11


months


days


STATISTICAL DETAILS


SEX


CDLOR


SINGLE, MARRIED, WIDOWED, OR


MAIDEN NAME T


HUSBAND'S NAME Ť


BIRTHPLACE + Alstead n. H.


NAME OF FATHER Daniel Taylor


BIRTHPLACE OF FATHER +


unknown


MAIDEN NAME OF MOTHER


Unknown


BIRTHPLACE OF MOTHER +


unknown.


OCCUPATION Cabinet- maker


INFORMANT S Jane Taylor


PHYSICIAN'S CERTIFICATE


I HEREBY CERTIFY that I attended deceased during last illness,


from Jan 20 190 4 to. apr 1 1904. that to the best of my knowledge and belief death occurred on the date stated above, and that the CAUSE OF DEATH was as follows: -


Primary :


Heart lesson - myocarditis


(Duration) Days


Cerebral harmonchange


Contributory :


at end


(Duration)


Days


(Signed; 4/20


M. D.


190.f. (Address) ..


19 Largo XVI


SPECIAL INFORMATION only for Hospitals, Institutions, Transients, or Recent Residents.


Former or Usual Residence


How long at Place of Death ? Days


Where was disease contracted. if not at place of death ?


Filed april 4


... 190 4.


Odward . Robbins


Town Clerk


* City or town, street and number, if any. If death occurs away from USUAL. RESIDENCE, give facts called for under " Special Information." If in a Hospital or Institution, give its NAME instead of street and number.


t In case of married or divorced woman, or widow.


+ State or country; also city, town or county if known.


§ Name and address of person giving statistical details.


|| Name of cemetery.


De martino


FILL OUT WITH INK .- THIS IS A PERMANENT RECORD


MARGIN RESERVED FOR BINDING ALL NAMES TO BE IN FULL


UNDERTAKER pol unice


ADDRESS Lowell


PLACE OF BURIAL OR REMOVAL New Boston PH


DATE OF BURIAL


ams


190 4


Registered No.


16


183


COMMONWEALTH OF MASSACHUSETTS


RETURN OF A DEATH


FULL NAME


Mary & Hiske


Place of Death *..


North Chelinsport mass


Date of Death


MICH


1964


Age 75


years


months days


STATISTICAL DETAILS


SEX


COLOR


SINGLE, MARRIED, WIDOWED, OR DIVORCED


MAIDEN NAME Ť


HUSBAND'S NAME +


Oliver Hiske


.


BIRTHPLACE + Antum NH


NAME OF FATHER


Joseph Moulton


BIRTHPLACE OF FATHER + Parsonsbislet me


MAIDEN NAME OF MOTHER Howth messer


BIRTHPLACE OF MOTHER ,


Unknown


OCCUPATION At home


INFORMANT S


This Cameron


PHYSICIAN'S CERTIFICATE


I HEREBY CERTIFY that I attended deceased during last illness,


from. avril 21 .... 1904 ... to. ahmit 4 190 .. X., that to the best of my knowledge and belief death occurred on the date stated above, and that the CAUSE OF DEATH was as follows :


Primary :


Cruxy


(Duration)


2


.Days


Contributory :


(Duration) Days


(Signed; IE Varney M. D.


abril de 190Y (Address)


SPECIAL INFORMATION only for Hospitals, Institutions, Transients, or Recent Residents.


Former or Usual Residence


How long at Place of Death ? Days


Where was disease contracted. if not at place of death ?


Filed, april 6 1904. Edward J. Robbins


Vonn Clerk


* Chity or town, street and number, if any. If death occurs away from USUAL, RESIDENCE, give facts called for under " Special Information." If in a Hospital or Institution, give its NAME instead of street and number.


t In case of married or divorced woman, or widow.


# State or country; also city, town or county if known.


§ Name and address of person giving statistical details.


A Name of ceinetery.


Rue. apr. 6. 1984


0-c x178


FILL OUT WITH INK .- THIS IS A PERMANENT RECORD


MARGIN RESERVED FOR BINDING ALL NAMES TO BE IN FULL


PLACE OF BURIAL OR REMOVAL


Lowell Cornetory Service a/ >


1904


DATE OF BURIAL


UNDERTAKER


ADDRESS Lowell


Registered No. 17


1


1


184


COMMONWEALTH OF MASSACHUSETTS


RETURN OF A DEATH


FULL NAME


Place of Death *..


Date of Death


John Chelmsford april 9 , 1904


IMars


Age


66


years


13


months


days


STATISTICAL DETAILS


COLOR


SEX male white


SINGLE, MARRIED, WIDOWED, OR DIVORCED


Married


MAIDEN NAME Ť


HUSBAND'S NAME Ť


BIRTHPLACE + Belfast maine


NAME OF FATHER


Ben Wyman unknown


BIRTHPLACE OF FATHER +


MAIDEN NAME DF MOTHER Sybil Mc Donald


BIRTHPLACE OF MOTHER +


.


unknown


OCCUPATION


Retired


INFORMANT S


Wider


PLACE OF BURIAL OR REMOVAL ! DATE OF BURIAL Edson Cerveteriapril 11004


UNDERTAKER


ADDRESS


PHYSICIAN'S CERTIFICATE


I HEREBY CERTIFY that I attended deceased during last illness,


from 190.2. to. a/m. 9: 1904, that to the best of my knowledge and belief death occurred on the date stated above, and that the CAUSE OF DEATH was as follows :


Primary : Cystitis


(Duration)


3 yearago


-


Contributory :


(Duration) Days


(Signed; Camara Howard, M. D.


Un.10 1904- (Address)


SPECIAL INFORMATION only for Hospitals, Institutions, Transients, or Recent Residents.


Former or Usual Residence


How long at Place of Death ? Days


Where was disease contracted. if not at place of death ?


. ..


Filed april 11, 1904. Edward J. Rabbine Clerk


* City of town, street and number, if any. If death occurs away from USUAL RESIDENCE, give facts called for under " Special Information." If in a Hospital or Institution, give its NAME instead of street and number.


t In case of married or divorced woman, or widow.


Į State or country; also city, town or county if known.


§ Name and address of person giving statistical details.


La. M. Young Mes 33 1 nescoffear of cemetery .


MARGIN RESERVED FOR BINDING ALL NAMES TO BE IN FULL


FILL OUT WITH INK .- THIS IS A PERMANENT RECORD


Registered No.


18


MARGIN RESERVED FOR BINDING


FILL OUT WITH INK .- THIS IS A PERMANENT RECORD ALL NAMES TO BE IN FULL


185


COMMONWEALTH OF MASSACHUSETTS


RETURN OF A DEATH


FULL NAME withur


(3 Chahun


.Registered No.


19


Place of Death *


Chelmofuch Mass.


Date of Death.


april 15, 1904


Age 71


. years.


months


28


days


STATISTICAL DETAILS


SEX


COLOR


20


SINGLE, MARRIED,


WIDOWER OR


DIVORCED_


MAIDEN NAME +


HUSBAND'S NAME Ť


BIRTHPLACE # cord, Mass.


NAME OF


FATHER


treinthe Chapin


BIRTHPLACE OF FATHER+


MAIDEN NAME OF MOTHER Elizabeth Holowell april 16,10/ (Address) Chelmsford Many 1


BIRTHPLACE


OF MOTHER +


OCCUPATION


Farmer


INFORMANT § Grace- Chapin


PLACE OF BURIAL OR REMOVALA


DATE OF BURIAL


Powell


Odeon Cen afuit 17,1904


UNDERTAKER Walter Perham


ADDRESS


Chelmsford!


PHYSICIAN'S CERTIFICATE


I HEREBY CERTIFY that I attended deceased during last illness, from 190 to Mor. 15, 1904. that to the best of my knowledge and belief death occurred on the date stated above, and that the CAUSE OF DEATH was as follows :


Primary :


Influenzais


.. (DURATION). DAY8


Contributory :


Chronic Asthma-


.(DURATION) .. OAYS


(Signed)


Arthur J Scolonia, M.D.,


SPECIAL INFORMATION only for Hospitais, Institutions, Transients, or Recent Residents.


Former or Usual Residence


How long at


Place of Death ?.


Days


Where was disease contracted, if not at place of death ?.


Filed


april 16


Edward & Rotting


John Clerk


* City or town, street and number, if any, If death occurs away from USUAL RESI- DENCE, give facts called for under "Special Information." If in a Hospital or Institution, give Its NAME instead of street and number,


t In case of married or divorced woman, or widow. # State or country ; also city, town or county, If known.


§ Name and address of person giving statistical details. Il Name of cemetery.


FILL OUT WITH INK .- THIS IS A PERMANENT RECORD


-


COMMONWEALTH OF MASSACHUSETTS


186


RETURN OF A DEATH


FULL NAME


William Richardson


Registered No.


20


Place of Death *


Second It off


Warren Are. Chelmsford Center


Date of Death


April 15.


1904.


Age ...... 32


years


months


days


STATISTICAL DETAILS


SEX


Male


COLOR


SINGLE, MARRIEDY WHOOWED, OR DivOneto r


MUIDEN NAME Ť


HUSBAND'S NAME +


BIRTHPLACE +


Lawell


NAME OF FATHER Joseph f. Richardson Contributory


BIRTHPLACE OF FATHER


Lawell


MAIDEN NAME OF MOTHER


Mary A. Sanborn


BIRTHPLACE


OF MOTHER +


Vermont


OCCUPATION


Painter


INFORMANT S Fattur


PLACE OF BURIAL OR REMOVAL U


Edson


DATE OF BURIAL Apr/8


19052


UNDERTAKER


ADDRESS


C. H. Molloy Lawill


PHYSICIAN'S CERTIFICATE


I HEREBY CERTIFY that I attended deceased during last illness,


from.


@p.11


1904 to.


app. 15 190 4.


that to the best of my knowledge and belief death occurred on the date stated above, and that the CAUSE OF DEATH was as follows:


Primary : Pneumonia.


(Duration)


Days


(Signed;


(Imaxa)toward M. D.


Cyn.17 1904 (Address)


Chilsford


SPECIAL INFORMATION only for Hospitals, Institutions, Transients, or Recent Residents.


Former or Usual Residence


How long at Place of Death ? Days


Where was disease contracted, if not at place of death ?


Filed apr. 18 1904 Edward J. Rotting


Clerk


* City or town, street and number, if any. If death occurs away from USUAL RESIDENCE, give facts called for under " Special Information." If in a Hospital or Institution, give its NAME instead of street and number.


t In case of married or divorced woman, or widow.


# State or country; also city, town or county if known.


§ Name and address of person giving statistical details. || Name of cemetery.


e-c 8178


MARGIN RESERVED FOR BINDING ALL NAMES TO BE IN FULL


(Duration) Days



-


-


COMMONWEALTH OF MASSACHUSETTS


187


RETURN OF A DEATH


FULL NAME


Place of Death *..


Anth Chilisford


Date of Death


25 1904


Age ...


years


months


days


STATISTICAL DETAILS


SEX


COLOR


SINGLE, MARRIED, WIDOWED, OR DIVORCED


MAIDEN NAME +


HUSBAND'S NAME !


BIRTHPLACE + Month Chelunsford


NAME OF FATHER


John F. Callahan


BIRTHPLACE OF FATHER ,


MAIDEN NAME OF MOTHER


Ann Bradley


BIRTHPLACE OF MOTHER + Juland


OCCUPATION at the


INFORMANT S John F. Callahan Father


PLACE OF BURIAL OR REMOVAL !!


DATE OF BURIAL Mais DO.4


UNDERTAKER


ADDRESS


James J. IAmwell the 324 mars + 47


PHYSICIAN'S CERTIFICATE


I HEREBY CERTIFY that I'attended deceased during last illness,


from.


1903' to afine


1904


that to the best of my knowledge and belief death occurred on the


date stated above, and that the CAUSE OF DEATH was as follows :


Primary :


Pulmonary Lube, culares


Two years


(Duration)


Days


(


Contributory :.


(Duration) Days


(Signed;


.


M. D.


afm626 ,


.. 190.X. (Address)


SPECIAL INFORMATION only for Hospitals, Institutions, Transients, or Recent Residents.


Former or Usual Residence


How long at Place of Death ? Days


Where was disease contracted, if not at place of death ?


Filed


apr. 27 1904


Edward J Robbing


Clerk


* City or town, street and number, if any. If death occurs away from USUAL RESIDENCE, give facts called for under " Special Information." If in a Hospital or Institution, give its NAME instead of street and number.


t In case of married or divorced woman, or widow.


# State or country; also city, town or county if known.


§ Name and address of person giving statistical details.


|| Name of cemetery.


1


MARGIN RESERVED FOR BINDING ALL NAMES TO BE IN FULL


FILL OUT WITH INK .- THIS IS A PERMANENT RECORD


Helfe Calla han


Registered No.


2.1


أوعية الجوى


188


BOROUGH OF BROOKLYN.


/190


Always


with ink.)


TRANSIT PERMIT.


6011-03-5,000 (P)


of :


me


72 H-1903


TRANSPORTATION OF CORPSE.


tat . .


Jas Leen


NEW YORK STATE DEPARTMENT OF HEALTH.


9/04


PERMIT OF LOCAL BOARD OF HEALTH. DEPARTMENT OF HEALTH, BOROUGH OF BROOKLYN CITY OF NEW YORK.


This Permit must be properly signed and presented, with Undertaker's Certificate, to the Railroad, Express or other Transportation Agent before a body can be shipped.


In the DOROUGH OF BROOKLYN.


County of


(City, Town or Village.)


29


day of. anr.


State of New York, on this.


Permission is hereby given


.holder of Embalmer's License No.


to remove for burial at


Lowell


County off of Mana 2 . Needham


1


who died at ... BOROUGH Or BROOKLYN.


County of


29


and 1004, at ] a. M. Aged. 88 years 3 .yedfs. months and 20 days,


the cause of death. being ....


.which. is a ...


(Communicable or Non-Communicable.)


shipment under Rule No ... of the Rules of the New York State Department of Health for the Transportation of the Dead,


as printed on the back of this Permit.


Name of person in charge of transit.


Signed.,


0 S.S. Benne ML Registrar of Records of the Department of Health The City of New York.


This Permit and Coupon must be detached and delivered to the Person in charge of the Corpse.


Coupon No. Two, to Transit Permit of .. M. E. Weettham


Transit Permit No. 9104


who died at BOROUGH O CROOKLYN


(Name.)


Before this body leaves.


Manhattan


the Carrier or Transportation Agent will tear off and keep this coupon. If otherwise detached from the Permit the coupon must not be received.


J. J. Ayme


Transit Permit No ..


Lugo


State of


Mass, ....... the body Kings


on the. day of ......... um


disease requiring


RULES OF THE NEW YORK STATE DEPARTMENT OF HEALTH FOR THE TRANSPORTATION OF THE DEAD.


These Rules having been Duly Adopted and Properly Published, have the Force of Law.


Rule 1. The transportation of bodies dead of smallpox, Aslatic cholera, yellow fever, typhus fever or bubonic plague, is absolutely forbidden except upon certification, sworn to by the undertaker in charge of the remains, and the certificate of the Health Officer, both to be approved by the State Commissioner of Health, that the bodies have been thoroughly disinfected by (a) arterial and cavity injection with an approved disinfectant fuld, (b) disinfecting and stopping all orifices with absorbent cotton, and (c) washing the body with the disinfectant, all of which must be done by an embalmer holding a license as such approved by the State Department of Health. After being disinfected as above, such body shall be enveloped in a layer of cotton not less than one inch thick, completely wrapped in a sheet and bandaged, and encased in an air-tight zinc, tin. copper or lead lined coffin. or iron casket, all joints and seams hermetically soldered, and all enclosed In a strong. tight wooden box. Or, the body being prepared


for shipment by disinfecting and wrapping as above, may be placed in a strong coffin or casket, and said coffin or casket encased in an air-tight zinc, copper or tin case, all joints and seams hermetically soldered and all enclosed in a strong outside wooden box.


Rule 2. The bodles of those who have died of diphtheria (membranous croup), scarlet fever (scarlatina, scarlet rash), glanders or anthrax, shall not be accepted for transportation unless prepared for shipment in the manner prescribed by Rule 1, the same to be approved and certified to by the local health officer.


Rule 3. The bodles of those dead of typhoid fever, puerperal fever, eryslpelas, tuberculosis and measles, or other dangerous communicable diseases other than specificd In Rules 1 and 2, may be received for transportation when prepared for shipment by filling the cavitles with an approved disinfectant. washing the exterfor of the body with the same, stopping all urifices of the body with absorbent cotton, and by being arteriaHly embalmed: all of which must be done by a licensed embalmer of the State of New York, and the same encased in a coffin or casket and outside wooden box. In the event of bodies dying of diseases mentioned in this rule not reaching thelr destination within 120 hours after the hour of death. the casket or overbox shall be hermetically sealed.




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