USA > Massachusetts > Middlesex County > Chelmsford > Deaths 1917-1918 > Part 25
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MARRIED,
WIDOWED
OR DIVORCED -
( Write the word)
MEDICAL CERTIFICATE OF DEATH
16 DATE OF DEATH
found )
(Month)
(Day)
( Year)
6 DATE OF BIRTH
Nw7-1833
(Month)
(Day)
(Year)
If LESS than
I day .......
„hrs.
84
yrs.
3
mos.
ds.
or ........ min. ?
8 OCCUPATION
Pictured
(a) Trade, profession, or
particular kind of work.
(b) General nature of industry, business, or establishment in which employed (or employer).
9 BIRTHPLACE
(State or country)
10 NAME OF FATHER William #8 Fragt
0
11 BIRTHPLACE OF FATHER (State or country) Laconia NA
12 MAIDEN NAME OF MOTHER Choda Helton
13 BIRTHPLACE OF MOTHER (State or country)
mass
14 THE ABOVE IS TRUE TO THE BEST OF MY KNOWLEDGE
(Address)
Etulunsford
15 Filed tilb. 7. 1918 Edward ). Robbing
REGISTRAR
18 LENGTH OF RESIDENCE (FOR HOSPITALS, INSTITUTIONS, TRANSIENTS, OR RECENT RESIDENTS).
In the
At place
of death ..
yrs. ...
. mos. ......
„ds.
State
.......
.. yrs.
mos.
ds ...
Where was disease contracted, If not at place of death ?..
Former cr usual residence.
19 PLACE OF BURIAL OR REMOVAL
DATE OF BURIAL
1918
20 UNDERTAKER
YoungsTolahe
ADDRESS
rozucece
.,
dead in bed. 1
Led with chronic su bito for
1
(Duration)
.. yrs.
.......
mos.
ds.
Contributory. (SECONDARY)
mos. ....
.. ds.
_(Signed)
M.D.
191
(Address) ..
MEDICAL EXAMINER
* State the DISEASE CAUSING DEATH, or, in deaths from VIOLENT CAUSES, state (1) MEANS of INJURY; and (2) whether ACCIDENTAL, SUICIDAL or HOMICIDAL.
(City or town.)
St. Ward)
[If death occurred in a hospital or institution, give its NAME instead of street and number.]
Registered No.
12
4 COLOR OR RACE
1
17 I HEREBY CERTIFY that I have investigated the death of the deceased. TheCAUSE OF DEATH* was as follows :'
STANDARD CERTIFICATE OF DEATH.
Statement of occupation. - Precise statement of occu- pation is very important, so that the relative healthfulness of various pursuits can be known. The question applies to each and every person, irrespective of age. For many occupation ? a single word or term on the first line will be sufficient, e. g., Farmer or Planter, Physician, Compositor, Architect, Loco- motive engineer, Civil engineer, Stationary fireman, etc. But in many cases, especially in industrial employments, it is necessary to know (a) the kind of work and also (b) the nature of the business or industry, and therefore an additional line is provided for the latter statement; it should be used only when needed. As examples: (a) Spinner, (b) Cotton mill; (a) Sales- man, (b) Grocery; (a) Foreman, (b) Automobile factory. The material worked on may form part of the second statement. Never return "Laborer," "Foreman," "Manager," "Dealer," etc., without more precise specification, as Day laborer, Farm laborer, Laborer - Coal mine, etc. Women at home, who are engaged in the duties of the household only (not paid House- keepers who receive a definite salary), may be entered as Housewife, Housework, or At home, and children, not gain- fully employcd, as At school or At home. Care should be taken to report specifically the occupations of persons engaged in domestic service for wages, as Servant, Cook, Housemaid, etc. If the occupation has been changed or given up on account of the DISEASE CAUSING DEATH, state occupation at beginning of illness. If retired from business, that fact may be indicated thus: Farmer (retired, 6 yrs.). For persons who have no occu- pation whatever, write None.
Statement of cause of death. - Name, first, the DIS- EASE CAUSING DEATH (the primary affection with respect to time and causation), using always the same accepted term for the samc disease. Examples: Cerebro-spinal fever (the only definite synonym is "Epidemic cerebro-spinal meningitis"); Diphtheria (avoid use of "Croup"); Typhoid fever (never re- port "Typhoid pneumonia"); Lobar pneumonia; Broncho- pneumonia ("Pneumonia," unqualified, is indefinite) ; Tuber
culosis of lungs, meninges, peritonaeum, etc., Carcinoma, Sar- coma, etc., of. (name origin: "Cancer" is less definite; avoid use of "Tumor" for malignant neoplasms) ; Measles; Whooping cough; Chronic valvular heart disease; Chronic interstitial nephritis, etc. The contributory (second- ary or intercurrent) affection necd not be stated unless im- portant. Example: Measles (disease causing death), 29 ds .; Broncho-pneumonia (secondary), 10 ds. Never report mcre symptoms or terminal conditions, such as "Asthenia," "An- aemia" (merely symptomatic), "Atrophy," "Collapse," "Coma," "Convulsions," "Debility" ("Congenital," "Senile," etc.), "Dropsy," "Exhaustion," "Heart failure," "Haemorrhage," "Inanition," "Marasmus," ""Old age," "Shock," "Uraemia," "Weakness," etc., when a definite disease can be ascertained as the cause. Always qualify all diseases resulting from childbirth or miscarriage, as "PUER- PERAL septicaemia," "PUERPERAL peritonitis," etc. State cause for which surgical operation was undertaken. For VIOLENT DEATHS state MEANS OF INJURY and qualify as ACCI- DENTAL, SUICIDAL, or HOMICIDAL, or as probably such, if impossible to determine definitely. Examples: Accidental drowning; Struck by railway train - accident; Revolver wound of head - homicide; Poisoned by carbolic acid - probably suicide. The nature of the injury, as fracture of skull, and consequences (e. g., sepsis tetanus) may be stated under the head of "Contributory."
Cases for the Medical Examiners. - Under the provi- sions of chapter 24 of the Revised Laws deaths under the fol- 3 lowing conditions must be referred to the Medical Examiners:
1. Deaths following injury or violence, as Burns, Falls, Drowning, Gas poisoning, Suicide, Homicide, etc.
2. Deaths supposedly caused by violence, as Criminal abortion, Poisoning, Starvation, Suffocation, Ex- posure, etc.
3. Sudden deaths of persons not disabled by recognized disease, as A death upon the street, or one supposed to be due to Alcoholism, etc.
4. Deaths under circumstances unknown, as A person found dead, etc.
R 16. 1.'17. 10,000.
MARGIN RESERVED FOR BINDING
WRITE PLAINLY, WITH UNFADING INK-THIS IS A PERMANENT RECORD.
The Ummmmmwealth of Massachusetts
STANDARD CERTIFICATE OF DEATH
-
(City or town.)
[if death occurred in a hospital or institution, give its NAME instead of street and number.]
Registered No.
13
MEDICAL CERTIFICATE OF DEATH
16 DATE OF DEATH
1
. 1918. 1910
(Month)
(Day)
(Year)
17
I HEREBY CERTIFY that I attended deceased from
8
191 to tx
1910
...
that I last saw h21 alive on. 1911 ........ and that death occurred, on the date stated above, at JA
The CAUSE OF DEATH* was as follows :
...................... (Duration) ............... yrs. ... .mos. ... ds.
-
1
Contributory , Intrveutsite demar
(SECONDARY)
7
.. (Duration) .
............... yrs.
.. mos.
ds.
....
(Signed)
M.D.
....
* If death followed injury or violence the certificate of death must be made out by the Medical Examiner.
18 LENGTH OF RESIDENCE (FOR HOSPITALS, INSTITUTIONS, TRANSIENTS, OR RECENT RESIDENTS).
In the
At place
of death.
... yrs.
. mos.
ds.
State ............ yrs.
............ mos ..
Where was disease contracted, If not at place of death ?
Former or usual residence. ... ................................ ...................................
19 PLACE OF BURIAL OR REMOVAL
DATE OF BURIAL
Fl 9/ 1918
20 UNDERTAKER
ADDRESS
Filed Freb 7, 1918 Edward 1. Militan
REGISTRAR
.... .
St. :
.. Ward)
......
71
Mildred Avio Bardwell
' PLAĆE OF DEATH .... (No 2 FULL NAME [If married or divorced woman or widoty give maiden name, also name of husband.1 @RESIDENCE PERSONAL AND STATISTICAL PARTICULARS 3 SEX $ COLOR OR RACE 5 SINGLE, MARRIED, WIDOWED, OR DIVORCED (Write the word) 18 Vamale $ DATE OF BIRTH J (Month) (Day) (Year) 7 AGE 18 2 mos. ds. or ......... min. ? .... & OCCUPATION (a) Trade, profession, or particular kind of work (b) General nature of industry, business, or establishment in which employed (or employer) ... 9 BIRTHPLACE (State or country) 10 NAME OF FATHER Stanton D. Bonwill 11 BIRTHPLACE OF FATHER (State or country) 12 MAIDEN NAME OF MOTHER Charlotte Parker . PARENTS 13 BIRTHPLACE OF MOTHER Prv. P. S. (State or country) 14 THE ABOVE IS TRUE TO THE BEST OF MY KNOWLEDGE (Informant) CAUSE OF DEATH in plain terms, so that it may be properly classified. Exact statement of OCCUPATION is very ...... ... yrs. important. See instructions on back of certificate. (Address) 18 N. B. - Every item of information should be carefully supplied. AGE should be stated EXACTLY. PHYSICIANS should state .....
If LESS than
I day ......... hrs.
...
(Address).
6
. ............
a
STANDARD CERTIFY *:
Statement of occupation. - Preeise statement of oeeu- pation is very important, so that the relative healthfulness of various pursuits ean be known. The question applies to each and every person, irrespective of age. For many oeeupations a single word or term on the first line will be sufficient, e. g., Farmer or Planter, Physician, Compositor, Architeet, Loco- motive engineer, Civil engineer, Stationary fireman, ete. But in many eases, especially in industrial employments, it is necessary to know (a) the kind of work and also (b) the nature of the business or industry, and therefore an additional line is provided for the latter statement; it should be used only when needed. As examples: (a) Spinner, (b) Cotton mill; (a) Sales- man, (b) Grocery; (a) Foreman, (b) Automobile factory. The material worked on may form part of the second statement. Never return "Laborer," "Foreman," "Manager," "Dealer," . ete., without more precise specification, as Day laborer, Farm laborer, Laborer - Coal mine, etc. Women at home, who are engaged in the duties of the household only (not paid House- keepers who receive a definite salary), may be entered as Housewife, Housework, or At home, and ehildren, not gain- fully employed, as At schod or At home. Care should be taken to report specifically the occupations of persons engaged in domestie service for wages, as Servant, Cook, Housemaid, etc. If the occupation has been changed or given up on account of the DISEASE CAUSING DEATH, state occupation at beginning of illness. If retired from business, that faet may be indicated thus: Farmer (retired, 6 yrs.). For persons who have no occu- pation whatever, write None.
Statement of cause of death. - Name, first, the DIS- EASE CAUSING DEATH (the primary affeetion with respect to time and eausation), using always the same accepted term for the same disease. Examples: Cerebro-spinal fever (the only definite synonym is "Epidemic eerebro-spinal meningitis"); Diphtheria (avoid use of "Croup"); Typhoid fever (never re- port "Typhoid pneumonia"); Lobar pneumonia; Broneho- pneumonia ("Pneumonia," unqualified, is indefinite) ; Tuber-
. custff , meninges, peritona. etc., Carcinoma, Sar-
C in, of ....... ... (name origin. "Cancer" is less
def. "Tumor" for malignant neoplasms) ;
Measles; Whooping cough; Chronie valvular heart disease; Chronic interstitial nephritis, etc. The contributory (second- · ary or intercurrent) affeetion need not be stated unless im- portant. Example: Measles (disease causing death), 29 ds .; Broncho-pneumonia (secondary), 10 ds. Never report mere symptoms or terminal conditions, such as "Asthenia," "An- aemia" (merely symptomatic), "Atrophy," "Collapse," "Coma," "Convulsions," "Debility" ("Congenital," "Senile," etc.), "Dropsy," "Exhaustion," "Heart failure,". "Hacmorrhage," "Inanition," "Marasmus," "Old age," "Shock," "Uracmia," "Weakness," ete., when a definite disease can be aseertained as the cause. Always qualify all diseases resulting from childbirth or miscarriage, as "PUER- PERAL septicaemia," "PUERPERAL peritonitis," etc. State eause for which surgical operation was undertaken.
Cases for the Medical Examiners. - Under the provi- sions of chapter 24 of the Revised Laws deaths under the fol- lowing conditions must be referred to the Medical Examiners:
1. Deaths following injury or violenee, as Burns, Falls, Drowning, Gas poisoning, Suicide, Homicide, ete.
2. Deaths supposedly eaused by violence, as Criminal abortion, Poisoning, Starvation, Suffocation, Ex- posure, ete.
3. Sudden deaths of persons not disabled by recognized discasc, as A death upon the street, or one supposed to be due to Alcoholism, etc
4. Deaths under eireumstances unknown, as A person found dead, ete.
R. 15. 1-'17. 100,000.
MARGIN RESERVED FOR BINDING
WRITE PLAINLY, WITH UNFADING INK-THIS IS A PERMANENT RECORD.
3 SEX Female 7 AGE (a) Trade, profession, or particular kind of work. (b) General nature of industry, business, or establishment in which employed (or employer) .. PARENTS 18 BIRTHPLACE OF MOTHER (State or country) important. See instructions on back of certificate. N B - Every item of information should be carefully supplied. AGE should be stated EXACTLY. PHYSICIANS should state CAUSE OF DEATH in plain terms, so that it may be properly classified. Exact statement of OCCUPATION is very ........ ............ yrs.
The Commonwealth of Massachusetts
STANDARD CERTIFICATE OF DEATH
1 PLACE OF DEATH, March Chelmsford (No Stevens Barmer
St. :
Ward)
(City or town.) fif death occurred In a hospital or institution, give its NAME Instead of street and number.]
Registered No. 14
PERSONAL AND STATISTICAL PARTICULARS
6 SINGLE,
MARRIED,
WIDOWED,
OR DIVORCED
(Write the word)
..... ........
(Year)
If LESS than
{ day ......... hrs.
62
10
..... mos.
23 ds.
Or ......... min. ?
8 OCCUPATION
arhome
......
9 BIRTHPLACE
(State or country)
(3) Stanstead P. 2
10 NAME OF
FATHER
Pascal Inarrisett
11 BIRTHPLACE
OF FATHER
(State or country)
& Hyacinth P. 2
12 MAIDEN NAME
OF MOTHER
Lurea Tyler
P.2
" THE ABOVE IS TRUE TO THE BEST OF MY KNOWLEDGE
(Informant)
Lux Pase Stulavis
(Address)
Natch Chelunhad
16
Filed
tieb-11, 1918 Edward Y. Robbins
REGISTRAR
MEDICAL CERTIFICATE OF DEATH
16 DATE OF DEATH
*
...
(Month)
(Day)
(Year,
I HEREBY CERTIFY that I attended deceased trom
1915
Feb.10, 1918 to Jeb.in
..........
that I last saw her alive on Jan. 11
1918
.....
and that death occurred, on the date stated above, at /0 2m
The CAUSE OF DEATH* was as follows :
Chronic myocardetos
(Duration) .
.......
... yrs.
.......
mos.
ds.
Contributory (SECONDARY)
(Duration)
.......
... yrs.
.mos. ds.
(Signed)
Frederic W Lauter.t-
M.D.
1.1918 (Address) ..
Tunostro, Un ass.
* If death followed injury or violence the certificate of death must be made out by the Medical Examiner.
18 LENGTH OF RESIDENCE (FOR HOSPITALS, INSTITUTIONS, TRANSIENTS, OR RECENT RESIDENTS).
At place
of death
yrs.
mos.
ds.
State.
yrs.
In the
.mos. ....... ..... Where was disease contracted, if not at place of death ?.
Former or usual residence.
19 PLACE OF BURIAL OR REMOVAL Tomb Pierrede Guitry
DATE OF BURIAL
May Get /3,198
ADDRESS
20 UNDERTAKER
Young& Blake
North Chelking
2 FULL NAME
Townia Covver.
[If married or divorced woman or widow
give maiden name, also name of husband.]
@RESIDENCE
4 COLOR OR RACE
what
· DATE OF BIRTH
March 18-1856
(Month)
(Day)
1
....
STANDARD CERTIFIo ... EATH.
Statement of occupation. - Precise statement of occu- pation is very important, so that the relative healthfulness of various pursuits can be known. The question applies to each and every person, irrespective of age. For many occupations a single word or term on the first line will be sufficient, c. g., Farmer or Planter, Physician, Compositor, Architeet, Loco- motive engineer, Civil engineer, Stationary fireman, etc. But in many cases, especially in industrial employments, it is necessary to know (a) the kind of work and also (b) the nature of the business or industry, and therefore an additional line is provided for the latter statement; it should be used only when needed. As examples: (a) Spinner, (b) Cotton mill; (a) Salcs- man, (b) Grocery; (a) Foreman, (b) Automobile factory. The material worked on may form part of the second statement. Never return "Laborer," "Foreman," "Manager," "Dealer," etc., without more precise specification, as Day laborer, Farm laborer, Laborer - Coal mine, etc. Women at home, who are engaged in the duties of the household only (not paid House- keepers who receive a definite salary), may be entered as Housewife, Housework, or At home, and children, not gain- fully employed, as At school or At home. Care should be taken to report specifically the occupations of persons engaged in domestic service for wages, as Servant, Cook, Housemaid, etc. If the occupation has been changed or given up on account of the DISEASE CAUSING DEATH, state occupation at beginning of illness. If retired from business, that fact may be indicated thus: Farmer (retircd, 6 yrs.). For persons who have no occu- pation whatever, write None.
Statement of cause of death. - Name, first, the DIS- EASE CAUSING DEATH (the primary affection with respect to time and causation), using always the same accepted term for the same disease. Examples: Cerebro-spinal fever (the only definite synonym is "Epidemic cerebro-spinal meningitis"); Diphtheria (avoid use of "Croup"); Typhoid fever (never re- port "Typhoid pneumonia"); Lobar pneumonia; Broncho- pneumonia ("Pneumonia," unqualified, is indefinite) ; Tuber.
coma, e
num, etc., Carcinon mne origin: "Cance
ir-
definite; avoid use of "Tumor" for malignant neoplasms); Mcaslcs; Whooping cough; Chronic valvular heart discase; Chronic interstitial nephritis, ctc. The contributory (second- ary or intercurrent) affection need not be stated unless im- portant. Example: Measles (disease causing death), 29 ds .; Broncho-pneumonia (sccondary), 10 ds. Never report mere symptoms or terminal conditions, such as "Asthenia," "An- aemia" (merely symptomatic), "Atrophy," "Collapse," "Coma," "Convulsions," "Debility" ("Congenital," "Senile," etc.), "Dropsy," "Exhaustion," "Heart failure," "Haemorrhage," "Inanition," "Marasmus," "Old age," "Shock," "Uraemia," "Weakness," etc., when a definite disease can be ascertained as the cause. Always qualify all diseases resulting from childbirth or miscarriage, as "PUER- PERAL septicaemia," "PUERPERAL peritonitis," etc. State cause for which surgical operation was undertaken.
Cases for the Medical Examiners. - Under the provi- sions of chapter 24 of the Revised Laws deaths under the fol- lowing conditions must be referred to the Medical Examiners:
1. Deaths following injury or violence, as Burns, Falls, Drowning, Gas poisoning, Suicide, Homicide, etc.
2. Deaths supposedly caused by violence, as Criminal abortion, Poisoning, Starvation, Suffocation, Ex- posurc, etc.
3. Sudden deaths of persons not disabled by recognized diseasc, as A death upon the street, or one supposed to be due to Alcoholism, etc.
4. Deaths under circumstances unknown, as A person found dead, etc.
R. 15. 1-'17. 100,000.
:
MARGIN RESERVED FOR BINDING
WRITE PLAINLY, WITH UNFADING INK-THIS IS A PERMANENT RECORD.
N. B. - Every item of information should be carefully supplied. AGE should be stated EXACTLY. PHYSICIANS should state important. See instructions on back of certificate.
The Commonwealth of Massachusetts
STANDARD CERTIFICATE OF DEATH
1 PLACE OF DEATH
Chelmsford
(No. Boston Road
St. :
Ward)
[If death occurred in a hospital or institution, give its NAME instead of street and number.]
2 FULL NAME
Ella May Parker
[If married or divorced woman or widow
give maiden name, also name of husband.]
@RESIDENCE
Chelineford
Em Chass Scott Parker
Registered No.
PERSONAL AND STATISTICAL PARTICULARS
MEDICAL CERTIFICATE OF DEATH
16 DATE OF DEATH
pale.
15
(Month)
(Day)
1918
(Year)
17
San
1917
.. , to
....
I HEREBY CERTIFY that hattended deceased from/ .
Jcb. 12 1918
that I last saw her alive on
Jab 12 98
and that death occurred, on the date stated above, at. m.
The CAUSE OF DEATH* was as follows : Spinal Seleroica
about
(Duration) .
1
yır.
mos.
ds.
Contributory
(SECONDARY)
.. (Duration)
..... yrs. ..............
.. mos.
.. ds.
(Signed)
Auchu. G. Scolora
..... , M.D.
Chelunsford. Mari-
Tab. 17. 1918. (Address).
* If death followed injury or violence the certificate of death must be made out by the Medical Examiner.
18 LENGTH OF RESIDENCE (FOR HOSPITALS, INSTITUTIONS, TRANSIENTS, OR RECENT RESIDENTS).
At place
of death ..
yrs.
In the
mos.
ds.
State.
.......... yrs.
mos. .......
ds ..
Where was disease contracted, if not at place of death ?.
Former or usual residence.
19 PLACE OF BURIAL OR REMOVAL
DATE OF BURIAL
Fils 17, 1918
20 UNDERTAKER Menhan
ADDRESS
Chelmsford,
C
.. . 3 SEX Female · DATE OF BIRTH Sehr PAGE 8 OCCUPATION (b) General nature of industry, business, or establishment in which employed (or employer) ... PARENTS CAUSE OF DEATH in plain terms, so that it may be properly classified. Exact statement of OCCUPATION is very ...... ... yrs .....
4 COLOR OR RACE
white
5 SINGLE
MARRIED
WIDOWED,
OR DIVORCED
(Write the word)
Married
17 1866
(Month)
(Day)
(Year)
If LESS than
1 day. ....... hrs.
4
mos.
29
„ds.
or ........ min. ?
(a) Trade profession, or
particular kind of work.
at home
9 BIRTHPLACE
(State or country)
Pittsfield Me.
10 NAME OF
FATHER
Henry Class
11 BIRTHPLACE OF FATHER (State or country) Blanchard The
12 MAIDEN NAME OF MOTHER Hannah Doze
18 BIRTHPLACE
OF MOTHER
(State or country)
SX. albans The
14 THE ABOVE IS TRUE TO THE BEST OF MY KNOWLEDGE
(Informant)
C.F. Mnse
(Address)
Chelmsford
15 Filed Feb. 17, 1918 Eduard S. Robbins ......... REGISTRAR
73 Chelmsford (City or town.)
15
.........
STANDARD CERTIFICATE TH.
vialement of occupation. - Precise statement of occu- pation is very important, so that the relative healthfulness of various pursuits can be known. The question applies to each and every person, irrespective of age. For many occupations a single word or term on the first line will be sufficient, e. g., Farmer or Planter, Physician, Compositor, Architect, Loco- motive engineer, Civil engineer, Stationary fireman, etc. But in many cases, especially in industrial employments, it is necessary to know (a) the kind of work and also (b) the nature of the business or industry, and therefore an additional line is provided for the latter statement; it should be used only when necded. As examples: (a) Spinner, (b) Cotton mill; (a) Sales- man, (b) Grocery; (a) Foreman, (b) Automobile factory. The material worked on may form part of the second statement. Never return "Laborer," "Foreman," "Manager," "Dealer," etc., without more precise specification, as Day laborer, Farm laborer, Laborer - Coal mine, etc. Women at home, who are engaged in the duties of the houschold only (not paid House- keepers who receive a definite salary), may be entered as Housewife, Housework, or At home, and children, not gain- fully employed, as At school or At home. Care should be taken to report specifically the occupations of persons engaged in domestic service for wages, as Servant, Cook, Housemaid, etc. If the occupation has been changed or given up on account of the DISEASE CAUSING DEATH, state occupation at beginning of illness. If retired from business, that fact may be indicated thus: Farmer (retired, 6 yrs.). For persons who have no occu- pation whatever, write None.
Statement of cause of death. - Name, first, the DIS- EASE CAUSING DEATH (the primary affection with respect to time and causation), using always the same accepted term for the same disease. Examples: Cerebro-spinal fever (the only definite synonym is "Epidemic cerebro-spinal meningitis"); Diphtheria (avoid use of "Croup"); Typhoid fever (never re- port "Typhoid pneumonia"); Lobar pneumonia; Broncho- pneumonia ("Pneumonia," unqualified, is indefinite) ; Tuber .
culosis of lungs, meninges, peritoneum, etc., Carcinoma, Sar- coma, etc., .: ... .(name origin: "Cancer" is Icss definite; avoid use of "Tumor" for malignant neoplasms); Measles; Whooping cough; Chronic valvular heart disease; Chronic interstitial nephritis, etc. The contributory (second- ary or intercurrent) affection need not be stated unless im- portant. Example: Measles (disease causing death), 29 ds .; Broncho-pneumonia (secondary), 10 ds. Never report mere symptoms or terminal conditions, such as "Asthenia," "An- aemia" (merely symptomatic), "Atrophy," "Collapsc," "Coma," "Convulsions," "Debility" ("Congenital," "Senile," etc.), "Dropsy," "Exhaustion," "Heart failure," "Haemorrhage," "Inanition," "Marasmus," "Old age," "Shock," "Uraemia," "Weakness," etc., when a definite disease can be ascertained as the cause. Always qualify all diseases resulting from childbirth or miscarriage, as "PUER- PERAL septieaemia," "PUERPERAL peritonitis," etc. State cause for which surgical operation was undertaken.
Cases for the Medical Examiners. - Under the provi- sions of chapter 24 of the Revised Laws deaths under the fol- lowing conditions must be referred to the Medical Examiners:
1. Deaths following injury or violence, as Burns, Falls, Drowning, Gas poisoning, Suicide, Homicide, etc.
2. Deaths supposedly caused by violence, as Criminal abortion, Poisoning, Starvation, Suffocation, Ex- posure, etc.
3. Sudden deaths of persons not disabled by recognized disease, as A death upon the street, or one supposed to be due to Alcoholism, etc.
4. Deaths under circumstances unknown, as A person found dead, ctc.
N. B. - WRITE PLAINLY, WITH UNFADING INK-THIS IS A PERMANENT RECORD. Every item of information should be so that it may be properly classified. Exact statement of OCCUPATION is very important. See instructions on back carefully supplied. AGE should be stated EXACTLY. PHYSICIANS should state CAUSE OF DEATH in plain terms,
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