USA > Massachusetts > Middlesex County > Chelmsford > Deaths 1919 > Part 27
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2 FULL NAME Grace Parks
Middlesex St.
St., ..
Ward.
(if non-resident give city or town and State)
Length of resideoce ia city or towo where death occurred
months
days.
How long io U. S., if of foreign hirth ?
years
months
days
PERSONAL AND STATISTICAL PARTICULARS
4 COLOR OR RACE
White
5 SINGLE, MARRIED, WIDOWED, OR
DIVORCED (write the word)
.
Married
5a If married, widowed, or divorced
HUSBAND of
(or) WIFE of
Ira Parks
6 DATE OF BIRTH
June
( Month)
(Day)
(Year)
3 Months
12
Days
If LESS than
1 day, ........ hrs.
If STILLBORN, state period of uterogestatioo ..
.mcs.
or ........ mio.
8 OCCUPATION OF DECEASED (a) Trade, profession, or House- Wife
9 BIRTHPLACE (City)
Amesbury,
(State or country)
Mass.
10 NAME OF
FATHER Hilde Gervais
11 BIRTHPLACE OF
FATHER (City).
Canada
12 MAIDEN NAME
OF MOTHER
Delvina Poulin
Canada
14 SIra Parks
(Address)
Ne. Chelmsford, Mass.
15 Sept. 26 1919 Edward ). Rotting
Filed ..
(Month) (Day) (Year)
REGISTRAR
21 I HEREBY CERTIFY that a satisfactory stau- dard certificate of death was filed with me BEFORE the burial or transit permit was issued. Edward . Bobbing
MEDICAL CERTIFICATE OF DEATH
16 DATE OF DEATH Sl
(Month)"
"(Day)
(Year) \
17 I HEREBY CERTIFY, That I attended deceased from
....
, 1914, to Self 25
, 19 19.
that I last saw h_ alive on
....... , 19 ...... 9,
and that death occurred, on the date stated above, at 4.30 0 m.
The CAUSE OF DEATH was as follows :
child birth.
.(duration)
mos .....
ds.
CONTRIBUTORY Heart
(SECONDARY)
.(duration)
yrs ............
mos ...
ds.
18 Where was disease contracted
if not at place of death?
Did an operation precede death? Ww Date of
Was there an autopsy ?
-
What test confirmed diagnosis ?
(Signed)
M.D.
(Address)
25
1919
Date.
(Month)
(D.HX
(Year)
19 PLACE OF BURIAL, CREMATION, OR REMOVAL
St. Joseph
E. Chlemsford
DATE OF BURIAL
9/27
1919
(Cemetery)
(City or town)
20 UNDERTAKER
A. Archambault
ADDRESS
Lowell
Official ... position
Vom Clark
Date of issue of permit Soft, 26, 4,8%. Permit
3 SEX
FEM
7 AGE 36
Years
particular kind of work .....
(b) Geoerai nature of industry,
business, or establishment io
which employed ( or employer ) ...
(c) Name of employer
(State or country)
13 BIRTHPLACE OF
MOTHER (City) ......
PARENTS
(State or conntry)
Inform
should be carefully supplied. AGE should be stated EXACTLY. PHYSICIANS should state CAUSE OF DEATH
N. B .- WRITE PLAINLY, WITH UNFADING BLACK INK-THIS IS A PERMANENT RECORD. Every item of information
instructions and extracts from the laws on back of certificate.
in plain terms, so that it may be properly classified. Exact statement of OCCUPATION is very important. See
If STILLBORN, enter that fact here
MARGIN RESERVED FOR BINDING
1-6-'19. 150,000.
(If in the Army or Navy of the United States, give rank, organization, etc.)
(a) Residence. No.
( Usual place of abode)
6
years
13.1883
yrs ....
25
1918
REVISED UNITED STATES STANDARD CERTIFICATE OF DEATH
[Approved by U. S. Census and American Public Health Association]
Statement of occupation. - Precise statement of occupation is very important, so that the relative healthfulness of various pursuits can be known. Tho question applies to each and every person, irrespective of age. For many occupations a singlo word or term on the first line will be sufficient, e. g., Farmer or Planter, Physician, Compositor, Architect, Locomotive engineer, Civil engineer, Stationary fireman, ctc. Butin 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) Salesman, (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 house- hold only (not paid Housekeepers who receive a definite salary), may be entored as Housewife, Housework, or At home, and children, not gainfully employed, as At school or At home. Care should be taken to report spe- cifically tho 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 occupation whatever, write None.
Statement of cause of death. - Name, first, the DISEASE CAUSING DEATII (tho primary affection with respect to time and causation), using always the same accepted term for the same disease. Examples: Cere- brospinal fever (the only definite synonym is "Epidemie cerebrospinal meningitis"); Diphtheria (avoid use of "Croup"); Typhoid fever (never report "Typhoid pneumonia"); Lobar pneumonia; Bronchopneumonia ("Pneumonia," unqualified, is indefinite); Tuberculosis of lungs, men- inges, peritoneum, etc., Carcinoma, Sarcoma, 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 (secondary or inter- current) affection need not be stated unless important. Example: Measles (disease causing death), 29 ds .; Bronchopneumonia (secondary), 10 ds. Never report mero symptoms or terminal conditions, such as "Asthenia," "Anemia" (merely symptomatic), "Atrophy," "Col- lapse,""Coma,""Convulsions,""Debility" ("Congenital,""Senile," etc.), "Dropsy,""Exhaustion,""Heart failure,""Hemorrhage,""Ina- nition," "Marasmus," "Old age," "Shock," "Uremia,""Wcakncss," etc., when a definite discase can bo ascertained as the cause. Always qualify all diseases resulting from childbirth or miscarriage, as "PUER- PERAL septicemia," "PUERPERAL peritonitis," etc.
State cause for which surgical operation was undertaken.
(Recommendations on statement of cause of death approved by Com- mittee on Nomenclature of the American Medical Association.)
Bronchopneumonia: If primary cause, write the word "pri- mary" ; if secondary, give primary cause.
Certificates will be returned for additional information which give any of the following diseases, without explanation, as the sole cause of death: Abortion, cellulitis, childbirth, convulsions, hemorrhage, gangrene, gastritis, erysipelas, meningitis, miscar- riage, necrosis, peritonitis, phlebitis, pyemia, septicemia, tetanus.
EXTRACTS FROM THE LAWS OF THE COMMONWEALTH OF MASSACHUSETTS GOVERNING THE RETURN OF CERTIFICATES OF DEATH
A physician shall forthwith, after the death of a person whom he has attended during his last illness, at the request of an undertaker or other authorized person or of any member of the family of the deceased, furnish for registration a standard certificate of death, stating to the best of his knowledge and belief the name of the deccased, his supposed age, the disease of which he died [defined so that it can be classificd under the international classification of causes of death], where contracted, the duration of his last illness, when last seen alive by the physician, and the date of his death. . . . - Revised Laws, Chap. 29, Secs. 10 and 1, as amended by Acts of 1910, Chap. 822.
No undertaker or other person shall bury a human body . . . until he has received a permit from the board of health or its agent, . . . or from the clerk of the city or town in which the person died; . . . no such permit shall be issued until there shall have been delivered to such board, agent or clerk, . . . a satisfactory written statement con- taining the facts required by law to be returned and recorded, which ... shall be accompanied by a satisfactory certificate of the at- tending physician, if any, as required by law, or in lieu thereof a certifi- cato as hercinafter provided. If there is no attending physician, or if, for sufficient reasons, his certificate cannot be obtained early enough for the purpose, or is insufficient, the chairman of the board of health, if a physician, or any physician employed by said board or by the selectmen for the purpose, shall upon - application make such certificate as is required of the attending physician. If death is caused by violence, the medical examiner only shall make such certificate. . . . The person to whom the per- mit is so given and the physician who certifies to the cause of death shall thereafter furnish for registration any other necessary information which can be obtained as to the deceased, or as to the manner or cause of the death, which the clerk or registrar may require. - Revised Laws, Chap. 78, Sec. 38.
Medical examiners shall, in all cases, certify to the city or town clerk or to the city registrar in the place where the deceased died, his name and residence, if known, otherwise a description of such person as full as may be, with the cause and manner of his death, and shall mako examination upon the view of the dead bodies of only such persons as are supposed to have come to their death by violence. - Revised Laws, Chap. 24, Sec. 8.
RULES OF PRACTICE
The fulfilment of the purpose of these laws calls for the observanee of the following rules of practice:
(1) Attending physicians will certify to such deaths only as those of persons to whom they have given bedside care during a last illness from disease unrelated to any form of injury.
(2) Board of Health Physicians will certify to such deaths only as those of persons who, thoughi disabled by recognized disease unrelated to any form of injury, have died without recent medical attendance or whose physician is absent from home when the certificate of death is needed.
(3) Medical examiners will investigate and certify to all deaths sup- posably due to injury. These include not only deaths caused directly or indirectly by traumatism (including resulting septicemia), and by the action of chemical (drugs or poisons), thermal, or electrical agents, and deaths following abortion, but also deaths from disease resulting from injury or infection related to occupation, the sudden deaths of persons not disabled by recognized disease, and those of persons found dead.
MARGIN RESERVED FOR BINDING
City 3 SEX make PARENTS Informant carefully supplied. AGE should be stated EXACTLY. PHYSICIANS should state CAUSE OF DEATH in plain terms, of certificate. 15 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 particular kiod of work.
The Commonwealth of Massachusetts
STANDARD CERTIFICATE OF DEATH
..........
1 PLACE OF DEATH
County ....
Index
State.
Mass
Township
Chelmsford
be-Village ..
South Chelongford
or
No ..
St ..
Ward
(If death occurred in a hospital or institution, give itg NAME instead of street and number)
2 FULL NAME
....
Charles Lavis adams
Co G 29th Marnes
(a) Residence.
No. South Chelmsford
St.,
.Ward.
(Usual place of abode)
Length of residence io city or town where death occurred
19 years
months
days.
How loog io U. S., if of foreign birth ?
years
months
days
PERSONAL AND STATISTICAL PARTICULARS
MEDICAL CERTIFICATE OF DEATH
16 DATE OF DEATH (month, day, and year)
Oct. 2 1919
17
I HEREBY CERTIFY, That I attended deceased from
,
1919 to Man 4 1919
that I last saw ha alive on
March 4 1919.
and that death occurred, on the date stated above, at
..... m.
The CAUSE OF DEATH* was as follows :
If LESS than
1 day, ........ hrs.
or ........ min.
Murcardit - and
amiqua Pectorio ~
....
.. (duration)
... yrs .............
.... mos.
ds.
CONTRIBUTORY
(SECONDARY)
(duration)
..........
... yrs ...
... mos ..
ds.
9 BIRTHPLACE (city or town).
Stoneham
(State or country) maine
10 NAME OF FATHER
adam
11 BIRTHPLACE OF FATHER (city or town)
(State or country)
main
12 MAIDEN NAME OF MOTHER not known
13 BIRTHPLACE OF MOTHER (city or town) ..
(State or country)
maini
14 This Chas. adama
(Address)
South Chelten
Filed. Oct. 5,199 Edward ), Roll-up
REGISTRAR
18 Where was disease contracted
if not at place of death ?
Did an operation precede death?
no
Was there an autopsy ?.
no.
What test confirmed diagnosis ?......
(Sigoed)
Auch T. cobara
M.D.
10-4/ 1919 (Address)
Chiliford' mars.
* State the DISEASE CAUSING DEATH, or in deaths from VIOLENT CAUSES. state (1) MEANS AND NATURE OF INJURY, and (2) whether ACCIDENTAL, SUICIDAL, or HOMICIDAL. (See reverse side for additional spacc.)
19 PLACE OF BURIAL, CREMATION, OR REMOVAL
Havvi Con Westford
DATE OF BURIAL
Ect 5 1919
20 UNDERTAKER
Walter Perfum
ADDRESS
Chelmsford
...............
(If non-resident give city or town and State)
4 COLOR OR RACE
whate
5 SINGLE, MARRIED, WIDOWED, OR
DIVORCED (write the word)
married
5a If married, widowed, or divorced
HUSBAND of
(01) WIFE of
Effie C. adama
6 DATE OF BIRTH (mouth, day, and year)
Sep 19 1839
7 AGE 80 Ycars
Months
Days
13
8 OCCUPATION OF DECEASED
(a) Trade, profession, or
Farmer
(b) General nature of iodustry, business, or establishment in which employed (or employer) .. (c) Name of employer
....
......
....
Date of.
242 Chelmsford (City or town) Registered No. 17
(If in the Army or Navy of the United States, give rank, organization, etc.
REVISED UNITED STATES STANDARD CERTIFICATE OF DEATH
{Approved by U. S. Census and American Public Health Association]
Statement occupation. - Precisc statement of occupa- tion 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, Compos- itor, Architect, Locomotive engincer, Civil engineer, Stationary fircman, 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) Salesman, (b) Grocery; (a) Foreman, (b) Automobile factory. The ma- terial worked on may form part of the second statement. Never return "Laborer," "Foreman," "Manager," "Dealer," etc., without more precise' specification, as Day laborer, Farm laborcr, Laborer - Coal minc, etc. Women at home, who are engaged in the duties of the household only (not paid Housekeepers who receive a definite salary), may be entered as Housewife, Housework, or At home, and children, not gainfully employed, as At school or At home. Care should be taken to report spe- cifically 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 indi- cated thus: Farmer (retired, 6 yrs.). For persons who have no occupation whatever, write None.
Statement of cause of death .- Name, first, the DISEASE CAUSING DEATH (the primary affection with respect to time and causation), using always the same accepted term for the same disease. Examples: Cerebrospinal fevcr (the only definite synonym is "Epidemic cerebrospinal menin- gitis"); Diphtheria (avoid use of "Croup"); Typhoid fever (never report "Typhoid pneumonia"); Lobar pneumonia; Bronchopneumonia ("Pneumonia," unquali- fied, is indefinite); Tuberculosis of lungs, meninges, peri- toneum, etc., Carcinoma, Sarcoma, 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 (secondary or inter- current) affection need not be stated unless important. Example: Measles (disease causing death), 29 ds .; Broncho- pneumonia (secondary), 10 ds. Never report mere symp- toms or terminal conditions, such as "Asthenia," "Anemia" (mcrely symptomatic), "Atrophy," "Col- lapse," "Coma," "Convulsions," "Debility" ("Con- genital," "Senile,"'
etc.), "Dropsy," "Exhaustion," "Heart failure," "Hemorrhage," "Inanition," "Maras- mus," "Old age," "Shock," "Uremia," "Weakness," etc., when a definite disease can be ascertained as the cause. Always qualify all diseases resulting from child- birth or miscarriage, as "PUERPERAL septicemia," "PUER- PERAL peritonitis," etc. State cause for which surgical operation was undertaken. For VIOLENT DEATHS STATE MEANS OF INJURY and qualify as ACCIDENTAL, SUICIDAL, or HOMICIDAL, or as probably such, if impossible to de- termine 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." (Recommendations on statement of cause of death approved by Committee on Nomenclature of the American Medical Association.)
Cases for the Medical Examiners. - Under the provi- sions of chapter 24 of the Revised Laws deaths under the following 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, Exposure, 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.
ADDITIONAL SPACE
FOR FURTHER STATEMENTS BY PHYSICIAN.
E 15. 10-'18. 5,000.
MARGIN RESERVED FOR BINDING
1 PLACE OF DEATH
County.
middlesex
City or Town &
Lowell
alexander
2 FULL NAME
mais.
Length of residence in city or town where leuth- Beninred
6
years
months
3 SEX
4 COLOR OR RACE
male White
5a If married, widowed, or divorced
)
HUSBAND of
(or) WIFE of
7 AGE
13
Years
.
Months
Days
If STILLBORN, enter that fact bere
8 OCCUPATION OF DECEASED
(a) Trade, profession, or
particular kind of work.
Severalboy
0
(b) General nature of industry,
business, or establishment in
which employed (or employer ) ..
.(c) Name of employer
Powell
9 BIRTHPLACE (city or town).
10 NAME OF FATHER Cormack
11 BIRTHPLACE OF FATHER (city or town)
(State or country)
nada
PARENTS
13 BIRTHPLACE OF MOTHER (city or town) ....
(State or country)
land
14
Informant ..:
Fathera
(Address)
no Chelmsford
of certificate.
carefully supplied. AGE should be stated EXACTLY. PHYSICIANS should state CAUSE OF DEATH in plain terms,
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 statoment of OCCUPATION is very important. See instructions on back
(State or country)
mais
12 MAIDEN NAME OF MOTHERCUlencameron
15 Det.6, 1919 Stephen Flynn ( P) Registrar of city of town where Bath occurred Filed Gets 29, 19 19 Edevard &Korting ......
Registrar of city or town where deceased resided
MEDICAL CERTIFICATE OF DEATH
16 DATE OF DEATH (month, day, and year) 04. 3 199
17
I HEREBY
CERTIFY, That I Attended deceased from
Sept. 28
19
60let. 3
19
9 40
that I last saw henklive on.
Le
3
19 and that death occurred, on the date stated above, at 9.30 40 The CAUSE OF DEATH* was as follows : ...... m.
State the DISEASE CAUSING DEATH, or in deaths from VIOLENT CAUSES, state (1) MEANS AND NATURE OF INJURY, and (2) whether ACCIDENTAL, SUICIDAL, or HOMICIDAL. (Sce reverse side for additional space.) mitral Regurgitation Cardio Renal Micras
( duration) ............................... mos ...........
CONTRIBUTORY Propen Compensation
(SECONDARY)
.... (duration).
.yrs.
mos ..
ds.
18 Where was disease contracted Of 10mp
if not at place of death ?
Did an operation precede death? 12b.
Was there an autopsy ?_
What test confirmed diagnos ??
DWm . FLawler
M.D.
10-4 19 (Address)
19 PLACE OF BURIAL, CREMATION, OR REMOVAL
St. Patrick howell.
DATE OF BURIAL
Det. 6 19 19.
20 UNDERTAKER P.H. Lavag gg
ADDRESS Lowell
34.7
Registered No ...
Registered No ...
(Place of residence)
St .... Ward
(If deathoccurred ina hospital or institution, give its NAME instead of street and number)
(Yin the Army of Navy of the United States, give rank, organization, etc.)
(a) Residence. State.
City or Town Lo, Chelmsfordo highland auf SE.
(Usual place of abode)
days
How long in U. S., if of foreign birth?
years
months
days
PERSONAL AND STATISTICAL PARTICULARS
5 SINGLE, MARRIED, WIDOWED, OR
DIVORCED (write the word)
Single
6 DATE OF BIRTH (month, day, and year) -
If LESS than
1 day, ........ brs.
gr ....... min.
243
The Commonwealth of Massachusetts
CERTIFICATE OF DEATH OF NON-RESIDENT ~.
State mars.
(Place of death) 78
194.
REVISED UNITED STATES STANDARD CERTIFICATE OF DEATH
"ª. ce ly %. 2. Census and American Public Health Association]
Statement ui ucupation. - Precise statement of vucupa- tion is very important, so that the relative healthfulness of various pursuits can be known. The question applies to cach 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, Compos- itor, Architect, Locomotive engineer, Civil engineer, Stationary fireman, ctc. 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) Salesman, (b) Grocery; (a) Forcman, (b) Automobilc factory. The ma- terial worked on may form part of the second statement. Never return "Laborer," "Foreman," "Manager," "Dealer," ctc., without more precise specification, as Day laborer, Farm laborer, Laborer - Coal mine, etc. Women at home, who arc engaged in the duties of the household only (not paid Housekeepers who receive a definite salary), may be entered as Housewife, Houscwork, or At home, and children, not gainfully employed, as At school or At home. Care should be taken to report spe- " eifically 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 indi- catcd thus: Farmer (retired, 6 yrs.). For persons who liave no occupation whatever, write None.
Statement of cause of death .- Name, first, the DISEASE CAUSING DEATH (the primary affection with respect to tiinc and causation), using always the same accepted term for the same discase. Examples: Cerebrospinal fever (thc only definite synonym is "Epidemie cerebrospinal menin- gitis"); Diphtheria (avoid usc of "Croup"); Typhoid fever (never report "Typhoid pneumonia"); Lobar pneumonia; Bronchopneumonia ("Pneumonia," unquali- ficd, is indefinite); Tuberculosis of lungs, meninges, peri- toncum, etc., Carcinoma, Sarcoma, etc., of_
(name origin; "Cancer" is less definite; avoid use of "Tumor" for malignant neoplasms); Measles; Whooping cough; Chronic valvular heart discase; Chronic interstitial nephritis, etc. The contributory (secondary or inter- current) affection nced not be stated unless important. Example: Measles (disease causing death), 29 ds .; Broncho- pneumonia (secondary), 10 ds. Never report mere symp- toins or terminal conditions, such as "Asthenia," "Anemia" (mcrely symptomatic), "Atrophy," "Col- lapse," "Coma," "Convulsions," "Debility" ("Con-
genital," "Senilc," etc.), "Dropsy," "Exhaustion," "Heart failure," "Hemorrhage," "Inanition," "Maras- mus," "Old agc," "Shock," "Uremia," "Weakness," etc., when a definite disease ean be ascertained as the causc. Always qualify all diseases resulting from ehild- birth or miscarriage, as "PUERPERAL septicemia," "PUER- PERAL peritonitis," etc. State cause for which surgical operation was undertaken. For VIOLENT DEATHS STATE MEANS OF INJURY and qualify as ACCIDENTAL, SUICIDAL, or HOMICIDAL, or as probably such, if impossible to de- termine definitely. Examples: Accidental drowning; Struck by railway train - accident; Revolver wound of hcad - homicide; Poisoned by carbolic acid - probably suicide. The nature of the injury, as fracture of skull, and consequences (e. g., scpsis, tetanus) may be stated
under the head of "Contributory." (Recommendations" on statement of cause of death approved by Committee on Nomenclature of the American Medical Association.)
Casos for the Medical Examiners. - Under the provi- sions of chapter 24 of the Revised Laws deaths under the following conditions must be referred to the Medical Examiners:
1. Deaths following injury or violence, as Burns, Falls, Drowning, Gas poisoning, Suicide, Homicide, etc.
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