USA > Massachusetts > Middlesex County > Chelmsford > Deaths 1920-1921 > Part 17
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years
- months 21
days.
How long in U. S., if of foreign birth ?
years
months
days
ana 2 1920
16 DATE OF DEATH
(Month)>
17
I HEREBY CERTIFY, That I attended deceased from
ana 2
1920, co Dura 2
1920
that I last saw h
alive on
amal 2
1920.
and that death occurred, on the date stated above, at.
8.13 P. .. m. The CAUSE OF DEATH was as follows : Enterculosis 1
of Lungs
(duration)
... yrs.
mos. ds.
CONTRIBUTORY
(SECONDARY)
(duration) yrs ...
......
mos ..............
.ds.
18 Where was disease contracted
if not at place of death ?
Did an operation precede death ?
Date of.
Was there an autopsy ?
What test confirmed diagnosis ?.
(Signed) .....
Franck 2 Chuletas
M.D.
(Address).
North Thelma d
2.
1210
Date.
(Month)
(Day)
(Year)
19 PLACE OF BURIAL, CREMATION, OR REMOVAL
Serenaton. Serventani
(Cemetery)
(City oftown)
20 UNDERTAKER arthur C. Marshall+Jan.
ADDRESS Serving
Permit
No. ................
1 PLACE OF DEATH
County
middleser
City or Town
chersfard.
No.
2 FULL NAME
Cyrus 5. Capelle
(a) Residence.
No.
High.
( Usual place of abode)
PERSONAL AND STATISTICAL PARTICULARS
3 SEX
4 COLOR OR RACE
-
mala
5a If married, widowed, or divorced
HUSBAND of
(or) WIFE of
mary
S. Capelle,
6 DATE OF BIRTH
march.
(Day)
(Month)
7 AGE
Years
Months
72
4
or ........ min.
Days
29.
If STILLBORN, enter that fact here
8 OCCUPATION OF DECEASED
(a) Trade, profession, or
particular kind of work
machinest in
9 BIRTHPLACE (City)
(State or country)
10 NAME OF
FATHER
Curtis Capelle.
11 BIRTHPLACE OF
Pepperel Mago.
FATHER (City).
(State or country)
Cancard Maso.
13 BIRTHPLACE OF
MOTHER (City)
PARENTS
(State or country)
Informant.
(Address)
chemGard Y
so
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
(h) Name of employer
Charlestown navy Yard
Serfination maso.
5 SINGLE, MARRIED, WIDOWED, OR
DIVORCED (write the word)
married.
1848
(Year)
If LESS than
1 day, ........ hrs.
12 MAIDEN NAME
OF MOTHER
Mary augusta Brown
14 miss Elisabeth Wentwareh
15
Aug. 3, 1920 edward &, Robbing
(Month)(Day) (Year)
REGISTRAR
21 I HEREBY CERTIFY that a satisfactory stan- dard certificate of death was filed with me BEFORE the burial or transit permit was issued Edward I. Robban
Official .position.
John Clark
Date of issue of permit anz. 3,1920
DATE OF BURIAL aug. 4 19.220
a
44
State nass.
MEDICAL CERTIFICATE OF DEATH
(Day)
(Year)
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. The question applies to each and every person, irrespective of age. For many occupations a single word or term on the first line will he sufficient, e. g., Farmer or Planter, Physician, Compositor, Architect, Locomotive engineer, Civilengineer, Stationary fireman, etc. 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 necdcd. 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 "Lahorer," "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 entered as Housewife, Housework, or At home, and children, not gainfully employed, as At school or At home. Care should he 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 husiness, that fact may he indicated thus: Farmer (retired, 6 yrs.). For persons who have no occupation whatever, write None.
1
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: Cere- brospinal fever (the only definite synonym is "Epidemic 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 mere symptoms or terminal conditions, such as "Asthenia," "Anemia" (merely symptomatic), "Atrophy," "Col- lapse,""Coma,""Convulsions,""Dehility" ("Congenital,""Senile," etc.), "Dropsy,""Exhaustion,""Heart failure,""Hemorrhage,""Ina- nition," "Marasmus," "Old age," "Shock," "Uremia,""Weakness," etc., when a definite discase can he ascertained as the cause. Always qualify all diseases resulting from childhirth 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 hy 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- 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 lis knowledge and belief the name of the deceased, his supposed age, the disease of which he died [defined so that it can be classified under the international classification of causes of death], where contractcd, the duration of his last illness, when last seen alive hy the physician, and the date of his death. . . . - Revised Laws, Chap. 29, Secs. 10 and 1, as amended by Acts of 1910, Chap. 322.
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 licu thereof a certifi- cate as hereinafter 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 thereafterfurnish for registration any other necessary information which can he 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 deccased died, his name and residence, if known, otherwise a description of such person as full as may he, with the cause and manner of his death, and shall make 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 ohservance 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, though disabled hy recognized discase unrelated to any form of injury, have died without recent medical attendance or whose physician is ahsent 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 ahortion, 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.
FORM R-301
MARGIN RESERVED FOR BINDING
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 should be carefully supplied. AGE should be stated EXACTLY. PHYSICIANS should state CAUSE OF DEATH
The Commonwealth of Massachusetts
STANDARD CERTIFICATE OF DEATH
56 OFFICE OF THE SECRETARY DIVISION OF VITAL STATISTICS
1 PLACE OF DEATH
County.
Middlesex
City or Town
Chelmsford
No.
St ... Ward
(If death occurred in a hospital or institution, give its NAME instead of street and number)
2 FULL NAME
Charlotte araminta Stevena
"If in the Army or Navy of the United States, give rank, organization, etc. )
(a) Residence.
No
( Usual place of abode)
Chelmsford.
St.,
Ward.
(If non-resident give eity or town and State)
Length of residence in city or town where death occorred
years
months
days.
How long in U. S., if nf foreign birth ?
years
mooths
days
PERSONAL AND STATISTICAL PARTICULARS
3 SEY.
Hemake
4 COLOR OR RACE
white
5 SINGLE, MARRIED, WIDOWED, OR
DIVORCED (write the word)
Single
5a If married, widowed, or divorced
HUSBAND of
(or) WIFE of
6 DATE OF BIRTH
et
31 1842
( Month)
(Day)
(Year)
7 AGE 72
Years
9
Months
7
Days
If STILLBORN, enter that fact bere
If STILLBORN, state period of uterogestation.
.... mos.
If LESS thao
I day, ........ brs.
or ....... min.
8 OCCUPATION OF DECEASED (a) Trade, profession, or particular kind of work (b) General nature of indostry, business, or establishmeot in which employed ( or employer) ..
at home
(c) Name of employer
9 BIRTHPLACE (City)
Chelmsford
PARENTS
11 BIRTHPLACE OF
FATHER (City )
Shaftesbury
(State or country)
12 MAIDEN NAME
OF MOTHER
Surviah Parkhurst
13 BIRTHPLACE OF
MOTHER (City)
(State or country)
Chelmsford
Date
aug.
9th
1920
(Month)
(Day)
(Year)
19 PLACE OF BURIAL, CREMATION, OR REMOVAL
Horefather
Chelmnofor
(Cemetery) (City omtown)
DATE OF BURIAL aug 9,1920
20 UNDERTAKER Water Parkam
ADDRESS Chelaufend.
Down Clock position
Date nf issne
of permit
amy g, 1920x
Permit
21 I HEREBY CERTIFY thal a satisfactory stan- dard certificate of death was filed with me BEFORE the borial or transit perinit was issued Edward & Robbins.
REGISTRAR
MEDICAL CERTIFICATE OF DEATH
16 DATE OF DEATH
(Month
august
7 th
1920
(Day)
(Year)
17
I HEREBY CERTIFY, That I attended deceased from
July 30"
, 1920
aug. 7th
1920.,
to.
that I last saw her
alive on
aug. 6th.
, 19.20,
and that death occurred, on the date stated above, at.
4.30 a.m.
The CAUSE OF DEATH was as follows :
acute Myocarditis
(duration)
.. yrs.
mos.
8
.ds.
CONTRIBUTORY
Thrombosis of leg.
(SECONDARY)
(duration)
.yrs
mos.
ds.
18 Where was disease contracted
if not at place of death ?
Did an operation precede death ?
NO. Date of
X
Was there an autopsy ?
no.
What test confirmed diagnosis ?
(Signed)
amara Stoward
M.D.
( Address)
14 nuno 3 . W. Moore
Informant.
(Addr 39 Chesta. St. newton Highlands
15
Filed aug. 9. 1920
(Month) (Day) (Year)
Edward & Robbing
State
Mass
Registered No.
45
1-6-'19. 150,000.
(State or country)
Saber Steven
10 NAME OF
FATHER
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 he known. Ths 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, Locomotive engineer, Civilengineer, 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) 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," ctc., 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 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 NEATH, 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 NEATH (the primary affection with respect to time and causation), using always the same accepted term for the same diseasc. Examples: Cere- brospinal fever (the only definite synonym is "Epidemic cerebrospinal meningitis"); Diphtheria (avoid uss of "Croup"); Typhoid fever (never report "Typhoid pneumonia"); Lobar pneumonia; Bronchopneumonia ("Pneumonia," unqualified, is indefinite); Tuberculosis of lungs, men- inges, peritoneum, ctc., Carcinoma, Sarcoma, etc., of .. ... (name origin; "Cancer" is less definite; avoid use of "Tumor" for malignant ncoplasms); 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 mere symptoms or terminal conditions, such as "Asthenia," "Anemia" (merely symptomatic), "Atrophy," "Col- lapss," "Coma,""Convulsions,""Dehility" ("Congenital,""Senile," etc.), "Dropsy,""Exhaustion,""Heart failure,""Hemorrhage,""Ina- nition," "Marasmus," "Old age," "Shock," "Uremia,""Weakness," etc., when a definite disease can he ascertained as the cause. Always qualify all diseases resulting from childhirth 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- mittec 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, tstanus.
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 deceased, his supposed age, the disease of which he died [defined so that it can be classified under the international classification of causes of death], where contracted, ths duration of his last illness, when last seen alive hy 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 he accompanied by a satisfactory certificate of ths at- ¿ tending physician, if any, as required by law, or in lieu thereof a certifi- cate as hereinafter 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 thereafterfurnish 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 he, with the cause and manner of his death, and shall make examination upon the view of the dead hodies 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 ths ohservance of the following rules of practice:
(1) Attending physicians will certify to such deaths only as thoss 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, though 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 ahortion, hut 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.
FORM R-301
MARGIN RESERVED FOR BINDING
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 should be carefully supplied. AGE should be stated EXACTLY. PHYSICIANS should state CAUSE OF DEATH
OFFICE OF THE SECRETARY DIVISION OF VITAL STATISTICS
The Commonwealth of Massachusetts
STANDARD CERTIFICATE OF DEATH
1 PLACE OF DEATH
County.
Endalesul
State.
mass
5/ Chelmsford (City or Town)) 046
Registered No.
St.,
Ward
(If death occurred in a hospital or institution, give its NAME instead of street and number)
2 FULL NAME
Semnie S. Beau
(If in the Army or Navy of the United States, give rank, organization, etc.)
(a) Residence. No.
( Usual place of abode)
Leogth of residence in city of town where death occorred/0
years
mooths
days.
How long ia U. S., if of foreign birth ?
years
months
days
PERSONAL AND STATISTICAL PARTICULARS
3 SEX
.
4 COLOR OR RACE
5 SINGLE, MARRIED, WIDOWED, OR
DIVORCED (write the word)
Window
5a If married, widowed, or divorced
HUSBAND of
(or) WIFE of
John ft. Beau
6 DATE OF BIRTH ........
( Month)
(Year)
7 AGE
Years 79
Months
6
Days
28
If LESS than 1 day, ........ hrs. er ........ min.
If STILLBORN, enter that fact here
8 OCCUPATION OF DECEASED
(a) Trade, profession, or
particular kind of work
(h) Name of employer
anhour
(duration)
1
.... yrs ...
... os.
ds.
CONTRIBUTORY
(SECONDARY)
(duration)
yrs.
mos.
ds.
18 Where was disease contracted
if not at place of death ?
-
Did an operation precede death ?
200
Date of
Was there an autopsy ?
no
What test confirmed diagnosis?).
none
(Signed
s) Wyman Esch. Lowell
8
1920
Date.
(Month
(Day)
(Year)
19 PLACE OF BURIAL, CREMATION, OR REMOVAL
Edson
Lowell
(Cemetery)
(City or town)
DATE OF BURIAL aug9 195
ADDRESS
15 aug. 8 1920 Edward Je Belbar
Filed. (Monthy (Day) (Year)
REGISTRAR
21 I HEREBY CERTIFY that a satisfactory stan- dard certificate of death was hled with me BEFORE the burial or transit permit was issued
Official
position
al Comclock
Date of issne of permit aug 81920 No
Permit
11-13-'19. 50,000.
MEDICAL CERTIFICATE OF DEATH
16 DATE OF DEATH
(Month
Cung 7-1920
(Day)
(Year)
17 I HEREBY CERTIFY, That I attended deceased from aug 2 , to Queg 7, 1920
that I last saw he alive on
aug 2
19
10.
m.
and that death occurred, on the date stated above, at.
The CAUSE OF DEATH was as follows : arteriosclerosis
-
England
9 BIRTHPLACE (City)
(State or country)
10 NAME OF
FATHER
Samme Smith
11 BIRTHPLACE OF
FATHER (City ).
England
(State or country)
12 MAIDEN NAME
OF MOTHER
Soliti a messenger
13 BIRTHPLACE OF
MOTHER (City) ..
(State or country)
England
PARENTS
14 nt Nelson a.Beau
Informant Chelidad (Address )
20 UNDERTAKER
W.Herbur Blake Lowell
M.D.
-
20
Jan 9 - 1841 (Day)
Ward.
(If non-resident give city or town and State)
Chelmsford
St.
City or Town
Chelinefaid
No.
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. The question applies to each and every person, irrespective of age. For many occupations a single word or term on tho first line will be sufficient, e. g., Farmer or Planter, Physician, Compositor, Architect, Locomotive engineer, Civilengineer, Stationary fireman, etc. Butin many cases, especially in industrial employments, it is necessary to know (a) the kind of work and also (b) the nature of the husiness or industry, and therefore an additional line is provided for the latter statement; it should he 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 "Lahorer," "Forcman," "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 he 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 hcen changed or given up on account of the DISEASE CAUSINO DEATH, state occupation at heginning 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.
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