USA > Massachusetts > Middlesex County > Chelmsford > Deaths 1920-1921 > Part 24
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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, 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 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 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 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 observance of the following rules of practice:
(1) Attending physicians will certify to such deaths only as these 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 whe, though disabled by recognized disease unrelated to any form of injury, have died without recent medical attendance or whese 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 clectrical 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 discase, and those of persons found dead.
FORM R-301
OFFICE OF THE SECRETARY DIVISION OF VITAL STATISTICS
STANDARD CERTIFICATE OF DEATH
Masc
1. State
Registered No.
62
Ward
(If death occuri ) in a hospital or institution, give its NAME instead of street and number)
Annia t.
Nincs
(If in the Army or Navy of the United States, give rank, organization, etc.)
St.,
Ward. (If non-resident give city or town and State)
days. How long io U. S., if of foreign birth ? years
months days
PERSONAL AND STATISTICAL PARTICULARS
31 SEX
female
4 COLOR OR RACE
Prite
5 SINGLE, MARRIED, WIDOWED, OR
DIVORCED (write the word)
WidowEd
Sa If married, widowed, or divorced
HUSBAND of
(or) WIFE of
daniel Q.
6 DATE OF BIRTH
( Month)
(Day)
(Year)
7 AGE
Years 64
Months
Days
If LESS than
... hrs. or ....... min.
If STILLBORN, enter that fact here
8 OCCUPATION OF DECEASED
(a) Trade, profession, or
particular kind of work
(h) Name of employer
(duration)
.. mos ..
ds.
(SECONDARY)
(duration)
.. yrs .....
.........
mos.
ds.
18 Where was disease contracted
if not at place of death ?
Did an operation precede death ?
www.
Date of.
Was there an autopsy ?
no.
What test confirmed diagnosis ?
(Signed)
M.D.
(Address ).
175 central al -
1920
Date.
(Month)
(Day)
(Ycar)
19 PLACE OF BURIAL, CREMATION, OR REIKIVAI. .
Hudson;
Hudson MH.
DATE OF BURIAL Nor 2-190x
(Cemetery)
(City or town)
20 UNDERTAKER
ADDRESS
15 Nov. 1 1920 Edward & Pottery
Filed (Month) (Day) (Year)
REGISTRAR
21 I HEREBY CERTIFY that a satisfactory stao- 2 dard certificate of death was filed with me BEFORE the burial or transit permit was issued
Strand J. Faktum
Official position
Conn Click
Date of
Assue
of permit
Mar 1.1920
No.
Permit
3.120. 20,000.
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 Conunamuralth of Massachusetts
73
1 PLACE
OF DEXWY
County North Chilunsford No.
-City or Towns
2 FULL NAME
(a) Residence.
No.
(Usual place of abode)
Length of resideoce in city or town where death occurred
years
mooths
MEDICAL CERTIFICATE OF DEATH
16 DATE OF DEATH
(Month)
(Day)
(Year)
17
I HEREBY CERTIFY, That I attended deceased from
Bol
26
..... , 19 ........ , to.
@x 3,4, 19
20
that I last saw hals ... alive on
and that death occurred, on the date stated above, at
7.9.
m.
The CAUSE OF DEATH was as follows:
Cardio-Renal Quan
9 BIRTHPLACE (City) (State or country)
10 NAME OF
FATHER
William Mc Owen
PARENTS
11 BIRTHPLACE OF
FATHER (City)
Oraland
(State or country))
12 MAIDEN NAME
OF MOTHER
Mary Shelley
13 BIRTHPLACE OF MOTHER (City) (State or country)
Galand
14 atherine Finca
Informant ... (Address)
North Chelmsford
(City or Town)
St ......
30th
19.20
MARGIN RESERVED FOR BINDING
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 be sufficient, e. g., Farmer or Plonter, Physician, Compositor, Architect, Locomotive engineer, Civilengineer, Stationory firemon, ete. But in many cases, especially in industrial employments, it is necessary to know (o) 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," ete., without more precise specification, as Day laborer, Farm loborer, Laborer - Coal mine, etc. Women at home, who aro 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- eifically the ceeupations of persons engaged in domestic service for wages, as Servont, Cook, Housemaid, ete. It 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: Former (retircd, 6 yrs.). For persons who have no occupation whatever, write None.
Statement of cause of death. - Namc, 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: Ccre- 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); Mcosles; Whooping cough; Chronic valvular heort diseose; Chronic interstitial nephritis, ete. The contributory (secondary or inter- current) affection necd 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,""Debility" ("Congenital,""Senile," etc.), "Dropsy,""Exhaustion,""Heart failure,""Hemorrhage,""Ina- nition," "Marasmus," "Old age," "Shoek," "Uremia,""Weakness," etc., when a definite disease can be ascertained as the cause. Always qualify all diseases resulting from childbirth or miscarriage, as "PUER- PERAL septicemia," "PUERPERAL peritonitis," ete.
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.
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 agc, the disease of which he died [defined so that it can be classified 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, Chop. 29, Sccs. 10 and 1. as amended by Acts of 1910, Chop. 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 ecrtifieate of the 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 deccased, or as to the manner or cause of the death, which the elerk or registrar may require. - Revised Lows, Chap. 78, Scc. 88.
Medical examiners shall, in all cases, certify to the eity or town clerk or to the city registrar in the place where the deecased died, his name and residenee, if known, otherwise a description of such person as full as may be, 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 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, 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 nceded.
(3) Medical examiners will investigate and ecrtify to all deaths sup- posably due to injury. These include not only deaths caused directly or indircetly 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.
Form R-302
The Commonwealth of Massachusetts
CERTIFICATE OF DEATH OF NON-RESIDENT
..... Tewksbury
1 PLACE OF DEATH
Registered No ..
336
County.
Middlesex
State
Massachusetts ......
Registered No.
63
(Place of residence)
St ... .Ward
City or Town
Tewksbury
No.
State ...... Infirmary
(If death occurred in a hospital or institution, give its'NAME instead of street and number)
2 FULL NAME
Joseph Niezeiele t. n. Niedziela
(If in the Army or Navy of the United States, give rank, organization, etc.)
Chelmsford „No.
St.
(a) Residence. State.
(Usual place of abode)
City or Town
Length of residence in city or town where death occurred
years
months
21 days
How long in U. S., if of foreign birth?
8
years
4
months
1
days
MEDICAL CERTIFICATE OF DEATH
16 DATE OF DEATH (month, day, and year)
October 109 20
17
I HEREBY CERTIFY, That I attended deceased from
20
Oct. 10,
20
Sept. 19.
19
to
19
that I last saw h ... 1.m .... alive on ...
Oct. 10,
19 20
and that death occurred, on the date stated above, at
1: 45P.m.
The CAUSE OF DEATH* was as follows:
* 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 space.)
Tuberculosis of Lungs.
(duration).
2 yra.
.. mos ..............
de.
CONTRIBUTORY
(SECONDARY)
(duration)
wyra ...
mos ..
ds.
18 Where was disease contracted
if not at place of death?
Did an operation precede death? NO
Date of
Was there an autopsy ?.
NO
(Signed)
George M. Sullivan
M.D.
. 11 19 2(Address) State Infirmary, Tewksbury
19 PLACE OF BURIAL, CREMATION, OR REMOVAL St. Patricks, Lowell
DATE OF BURIAL Oct. 12920
20 UNDERTAKER
ADDRESS
Joseph Gadowski,
60 Tyler St.,
Lowell, Mass.
MARGIN RESERVED FOR BINDING
3 SEX Male 7 AGE Years 25 (b) General nature of industry, business, or establishment in which employed (or employer) (c) Name of employer PARENTS 14 ( Address) of certificate. Filed." 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 ou back carefully supplied. AGE should be stated EXACTLY. PHYSICIANS should state CAUSE OF DEATH in plain terms, I STILLBORN, enter that fact bere
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 (month, day, and year) Mar. 2, 1895
Days
Months
7
8
If LESS than
1 day, ......... brs.
or ....... min.
8 OCCUPATION OF DECEASED
(a) Trade, profession, or
particolar kind of work
Laborer
9 BIRTHPLACE (city or town)
(State or country)
Poland
10 NAME OF FATHER Albert Niedziela
11 BIRTHPLACE OF FATHER (city or town)
(State or country)
Poland
12 MAIDEN NAME OF MOTHER
13 BIRTHPLACE OF MOTHER (city or town) (State or country) Poland
Oct
Informant
Hospital Records
15 10/11/ 1920
Registrar of city or town where death occurred Houg 20 Edward FROMMy Filed .. / 1, Registrar of city or town where deceased resided
Cecelia Papuzynskihat test confirmed diagnosis ?_ Sputum TE pos
74
(Place of death)
PERSONAL AND STATISTICAL PARTICULARS
REVISED UNITED STATES STANDARD CERTIFICATE OF DEATH [Approved by U. S. Census and American Public Health Association)
Statement of occupation. - Precise 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 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) Salesman, (b) Groecry; (a) Foreman, (b) Automobile factory. The ma- terial worked ou may forin 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 louschold 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 wlio 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 discase. Examples: Cerebrospinal fever (the only definite synonym is "Epidemic cerebrospinal menin- gitis"); Diphtheria (avoid use of "Croup"); Typhoid fever (never report "Typhoid pneumonia"); Lobar pneumonia; Bronchopncumonia ("Pneumonia," unquali- fied, is indefinite); Tuberculosis of lungs, meninges, peri- toncum, ctc., Carcinoma, Sarcoma, etc., of _..
(name origin; "Cancer" is less definite; avoid use of "Tumor" for malignant ncoplasms); Measles; Whooping cough; Chronic valvular heart discase; Chronic interstitial nephritis, etc. The contributory (sccondary , or inter- current) affection necd not be stated unless important. Example: Measles (discase causing death), 29 Gs .; Broncho- pneumonia (secondary), 10 ds. Never report mere symp- toms or terminal conditions, such as "Asthenia," "Anemia" (merely symptomatic), "Atrophy," "Col- lapsc," "Coma," "Convulsions," "Debility" ("Con- genital," "Scnile," etc.), "Dropsy," "Exhaustion," "Heart failure," "Heinorrhage," "Inanition," "Maras- inus," "Old age," "Shock," "Uremia," "Weakness," etc., when a definite discase can be ascertained as the cause. Always qualify all discases resulting from child- birtli 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; Poisoncd by carbolic acid - probably suicide. The nature of the injury, as fracture of skull, and consequences (c. 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.
...
...
-
R 303. 6-'18. 50,000.
Form R-302
The Commonwealth of Massachusetts
96 82
CERTIFICATE OF DEATH OF NON-RESIDENT
1 PLACE OF DEATH
Registered No.
County
Suffolk
State
Massachusetts
Registered No.
64
(Place of residence)
St.,
. Ward
(If death occurred in a hospital or institution, give its NAME instead of street and number)
2 FULL NAME
MASS.
City or Town
CHELMSFORD No.
BILLERICA
St.
Length of residence in city or town where death occurred
years
months
days
How long in 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.26
1920
3 SEX
F
4 COLOR OR RACE
W
5 SINGLE, MARRIED, WIDOWED, OR
DIVORCED (write the word)
MAR.
5a If married, widowed, or divorced
HUSBAND of
(or) WIFE of
LEWIS J.
6 DATE OF BIRTH (month, day, and year) NOV. 14. 1886
7 AGE
33
Years
Months
12
Days
If LESS than
I day, ........ hrs.
or ....... min.
8 OCCUPATION OF DECEASED
(a) Trade, profession, or
AT HOME
particular kind of work
(h) General nature of industry, business, or establishment in which employed (or employer ) (c) Name of employer
.(duration)
?
mos
ds.
ACUTE PERICARDITIS
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?
YES
What test confirmed diagnosis?
(Signed)
N.W FAXON
M.D.
, 19 20 (Address)
19 PLACE OF BURIAL, CREMATION, OR REMOVAL
LOWELL(EDSON CEM
.)
DATE OF BURIAL
OCT.29
19 20
15
Filed OCT 29,1 9 20- NOM Stenen
20 UNDERTAKER
WM.H.SAUNDERS
ADDRESS
LOWELL
Filed 7:17.10
Registrar of city of town where death occurred Olivard X. Roffiniz
Registrar of city or town where deceased resided
MARGIN RESERVED FOR BINDING
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,
of certificate.
PARENTS
11 BIRTHPLACE OF FATHER (city or town) . BERKSHIRE (State or country) VT
12 MAIDEN NAME OF MOTHER ELSIE R.FOSTER
13 BIRTHPLACE OF MOTHER (city or town) (State or country) VT.
WAITSFIELD
14 L.J.FISK
Informant
(Address)
9 BIRTHPLACE (city or town)
LOWELL
(State or country)
10 NAME OF FATHER CORTER M.ALLEN
* 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 space.) BRONCHO-PNEUMONIA. PURULENT BRONCHI TIS
If STILLBORN, enter that fact here
17
I HEREBY CERTIFY, That I attended deceased from
ост.26
19.20
OCT. 19
19.20
to
that I last saw h
ER
alive on
OCT.26
19.20
and that death occurred, on the date stated above, at
5.40P
The CAUSE OF DEATH* was as follows :
yrs ..
(Place of death)
City or Town
LOTTIE EUDORA FISK
(If in the Army or Navy of the United States, give rank, organization, etc.)
(a) Residence. State.
(Usual place of abode)
BOSTON
No.
MASS. GEN.HOSPT .
75
( City or town)
REVISED UNITED STATES STANDARD CERTIFICATE OF DEATH [Approved by U. S. Census and American Public Health Association]
Statement of occupation. - Precise statement of occupa- 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, Architcet, Locomotive 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) 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 laborer, Laborer - Coal mine, etc. Women at home, who are engaged in the dutics 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- 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- eated thus: Farmer (retired, 6 yrs.). For persons who have no occupation whatever, write Nonc.
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