USA > Massachusetts > Middlesex County > Chelmsford > Deaths 1920-1921 > Part 31
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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, sopticemia, tetanus.
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 alivo by 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 certificato 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 thereafter furnish for registration any other necessary information which can be obtained as to tho deceased, or as to the manner or cause of the death, which the clerk or registrar may require. - Reviscd 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. 1
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 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 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.
FORM R-301
The Commonwealth of Massariutsetts STANDARD CERTIFICATE OF DEATH
91
OFFICE OF THE SECRETARY DIVISION OF VITAL STATISTICS
County.
Middlesex
State
Mass
Registered No ..
6
St ..... Ward
(If death occurred in a hospital or institution, give its NAME instead of street and number)
2 FULL NAME
Clara A Blaisdell
(If in the Army or Navy of the United States, give rank, organization, etc.)
(a) Residence.
No.
Chelmsford
St.,
Ward.
( Usual place of abode)
Length of residence in city or town wbere death occurred
years
2
months
days.
How long in U. S., if of foreign birth ?
years
months
days
PERSONAL AND STATISTICAL PARTICULARS
3 SEX
Female
4 COLOR OR RACE
White
5 SINGLE, MARRIED, WIDOWED, OR
DIVORCED (write the word)
Widow
5a If married, widowed, or divorced
HUSBAND of
(or) WIFE of
Bradford Blaisdell
6 DATE OF BIRTH NOV 26
( Month)
(Day)
(Year)
7 AGE 76 Years 2
Months
Days
If LESS than
1 day, ........ brs.
or ....... min.
8 OCCUPATION OF DECEASED (a) Trade, profession, or particular kind of work. At Home
(b) General nature ofindustry, business, or establishment in wbich employed (or employer)
(c) Name of employer
9 BIRTHPLACE (City)
Biddeford
(State or country)
Maine
FATHER
PARENTS
11 BIRTHPLACE OF
FATHER (City)
(State or country)
Maine
12 MAIDEN NAME
OF MOTHER
Jane Mc Kenna
13 BIRTHPLACE OF
MOTHER (City)
(State or country)
Maine
Date.
FA-
(Address ).
137 musimactr
3,
1921-
( Month)
(Day)
(Year)
19 PLACE OF BURIAL, CREMATION, OR REMOVAL
Saco
Saco Maine
(Cemetery)
(City or town)
DATE OF BURIAL
Feb 4 21
15
tel. 3, 1921 Odmand . Bobbing
(Month) (Day) (Year)
REGISTRAR
21 I HEREBY CERTIFY that a satisfactory stan-
Official on Click .position
Date of issue of permit .. tel 3,1921
Permit
BEFORE the burial or transit permit was issued
MEDICAL CERTIFICATE OF DEATH
16 DATE OF DEATH.
Feb 2 1921
(Month)
(Day)
(Year)
17
I HEREBY CERTIFY, That I attended deceased from
Jan.
1.28
021
Fest. 2
19
That I last saw h.A.L.
alive on
Jan 30
19
and that death occurred, on the date stated above, at
6.A.
m.
The CAUSE OF DEATH was as follows :
arterial Schon
.(duration)
2 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).
adam &
M.D.
14
Informant.
Lucian Pierce
(Address)
Malden Mass.
20 UNDERTAKER
W.Herbert Blake
ADDRESS
Lowell
1-6-'19. 150,000.
MARGIN RESERVED FOR BINDING
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 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.
1 PLACE OF DEATH
City or Town ..
Chelmsford
No ..
(If non-resident give city or town and State)
18.44
If STILLBORN, enter that fact here If STILLBORN, state period of uterogestation. ............. ... mos.
10 NAME OF
Humphrey B.Kendrick
No.
.....
Statement of occupation. - Precise statement of occupation is very important, so that the relative healthfulness of various pursuits ean be known. The question applies to each and every person, irrespcetive 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, 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 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 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- eifieally the occupations of persons engaged in domestic service for wages, as Servant, Cook, Housemaid, ete. 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 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: 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, ete., of. .. (name origin; "Caneer" is less definite; avoid use of "Tumor" for malignant neoplasms); Measles; Whooping cough; Chronic valvular heart disease; Chronic interstitial nephritis, cte. 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,""Debility" ("Congenital,""Senile," etc.), "Dropsy,""Exhaustion,""Heart failure,""Hemorrhage,""Ina- nition," "Marasmus," "Old age," "Shock," "Uremia,""Weakness," ete., 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.
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, furnislı 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 tho 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. 322.
No undertaker or other person shall bury a human body . . . until ho 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 tho 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 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 elerk 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 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 needed.
(3) Medical examiners will investigate and certify to all deaths sup- posably due to injury. These inelude 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.
The Commonwealth of Massachusetts
CERTIFICATE OF DEATH OF NON-RESIDENT
(City or town) 128
1 PLACE OF DEATH
County
middleser
Sta
City or Town
howell
No .. 36 Legatura
(Place of residence) St., Ward
2 FULL NAME
arthe
-(If death occurred in a hospital or institution, give its NAME instead of street and number) fayotte
(NAR the Army or Navy of the United States, give rank, organization, etc.)
St.
(a) Residence.
State
(Usual place of abode)
Length of residence in city or town where death occurred
years
2)
months
days
How long in U. S., if of foreign birth?
years
months
days
PERSONAL AND STATISTICAL PARTICULARS
3 SEX
m.
4 COLOR OR RACE
5 SINGLE, MARRIED, WIDOWED, OR
DIVORCED (write the word)
Married
5a If married, widowed, or divorced
HUSBAND of
(or) WIFE of
Blanche hari
6 DATE OF BIRTH (month, day, and rea) Weg. 26, 1892
7 AGE
Years
2.8
1 Months 6
Days
If LESS than
1 day, ........ brs.
or ....... min.
If STILLBORN, enter that fact here
8 OCCUPATION OF DECEASED
(a) Trade, profession, or
particular kind of work
Foremans
(h) General oature of industry,
business, or establishment in
which employed ( or employer.
Chelmsford Spring to.
(c) Name of employer
Chelmsford
9 BIRTHPLACE (city or town)
(State or country)
masa
10 NAME OF FATHER antoine
PARENTS
11 BIRTHPLACE OF FATHER (city or town) (State or country)
made
12 MAIDEN NAME OF MOT ERalda hamberts
13 BIRTHPLACE OF MOTHER (city or town) (State or country) Canada
14 Wife
Informant (Address) Chelmsford, mas
15
Filed Isel 4, 1921 March 10 1921 justice ritrovare
Registrar of city or town where death occurred
Filed
Registrar of city or town where deceased resided
MEDICAL CERTIFICATE OF DEATH
16 DATE OF DEATH (month, day, and yeartel. 2
1921.
17
I HEREBY CERTIFY,
That I attended deceased from
19
aug
19
Feb. 2
to ..
1921
that I last saw he was alive on
55.30com
and that death occurred, on the date stated above, at
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 spaee.) Chronic Taremphymatous neplatia)
(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)
Edward 6 dabar
M.D.
2 - 3, 19 2 (Address)
Lowell
19 PLACE OF BURIAL, CREMATION, OR REMOVAL
DATE OF BURIAL b. peeph, Chelmsford Feb, 5 1921.
ADDRESS
20 UNDERTAKER
Os archambault howell
MARGIN RESERVED FOR BINDING
of certificate.
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 carefully supplied. AGE should be stated EXACTLY. PHYSICIANS should state CAUSE OF DEATH in plain terms,
92 ell
Registered No ...
. .....
(Place of death)
Registered No .:.
7
City or Town ...... hemford No.
1 1921.
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 agc. 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) Grocery; (a) Forcman, (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 Housckcepers 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 tlic 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 fever (tlie only definite synonym is "Epidemic cerebrospinal inenin- gitis"); Diphtheria (avoid use of "Croup"); Typhoid fever (never report "Typhoid pneumonia"); Lobar pneumonia; Bronchopneumonia ("Pneumonia," unquali- fied, is indefinitc); Tuberculosis of lungs, meninges, peri- toncum, etc., Carcinoma, Sarcoma, etc., of.
(name origin; "Cancer" is Icss definite; avoid use of "Tumor" for inalignant neoplasms); Mcasles; Whooping cough; Chronic valvular heart discase; Chronic interstitial nephritis, etc. The contributory (secondary or inter- current) affection necd not be stated unless important. Example: Mcasles (disease causing dcatlı), 29 Gs .; 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 causc. Always qualify all discases resulting from child- birth or miscarriage, as "PUERPERAL septicemia," "PUER- PERAL peritonitis," etc. State cause for which surgical operation was undertaken. For VIOLENT DEATHIS 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 (c. g., sepsis, tetanus) may be stated
sions of chapter 24 of the Kteviseu Laws ucatus unuer tuo 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-301
OFFICE OF THE SECRETARY DIVISION OF VITAL STATISTICS
STANDARD CERTIFICATE OF DEATH
1 PLACE OF DEATH dillen County
mass.
Registered No. 8
City or Town
No.
State Chelmsford
St.,
Ward
(If death oceurred in a hospital or institution, give its NAME instead of street and number) Boies.
2 FULL NAME
(a) Residence.
No.
Chelmsford
St.
Ward.
(Usual place of abode)
Length of resideoce in city or towo wbere death occorred
years
mooths
days.
How loog in U. S., if of foreigo birth ?
years
months
days
PERSONAL AND STATISTICAL PARTICULARS
3 SEX
Female Attila
4 COLOR OR RACE
5 SINGLE, MARRIED, WIDOWED, OR DIVORCED (write the word) Married
5a If married, widowed, or divorced
HUSBAND of
(or) WIFE of
Lindrer 1. Brica
6 DATE OF BIRTH
(Month)C
(Day)
(Year)
Years 77
Months
Days
If LESS than 1 day, ........ hrs. or ....... mio.
If STILLBORN, eoter that fact here
8 OCCUPATION OF DECEASED (a) Trade, professioo, or particular kiod of work.
at Store
9 BIRTHPLACE (City) (State or country)
Mayo
10 NAME OF
FATHER
11 BIRTHPLACE OF FATHER (CS) (State or country)
12 MAIDEN NAME OF MOTHER not learned.
13 BIRTHPLACE OF MOTHER (City) ..... (State or country)
IM learned
Date.
First. 9
/1921
(Month)
(Day)
(Year)
19 PLACE OF BURIAL, CREMATION, OR REMOVAL Cedom
DATE OF BURIAL tab. 10.1421
(Cemetery)
(City or town)
20 UNDERTAKER
File 16. 10 1921 Edward J. Rotfung (Month) (Day) (Ycar)
REGISTRAR
21 | HEREBY CERTIFY that a satisfactory stan- dard certificate of death was filed with me BEFORE the burial or transit permit was issued.
Is Edward J. Rolfung
Official own Check position
Date of issne of permit Feb. 10,1921 No. .
Permit
6-'20. 20,000.
7 AGE PARENTS 14 Informant (Address) 15 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 (b) Name of employer
The Commonwealth of Massachusetts
93
(duration)
.yrs.
... mos ...
.ds.
CONTRIBUTORY
Infections Chirlangitis.
( SECONDARY)
(duration)
... yrs ...
.. mos .. 16 .ds.
18 Where was disease contracted if not at place of death ?
Did an operation precede death ?
200.
Was there an autopsy ?
200.
What test confirmed diagnosis ? Anton T. Scorona M.D.
(Sigoed)
(Address ).
Chcemofart, maco.
(Day)
J. 192.
(Year)
16 DATE OF DEATH
(Month)
17
HEREBY CERTIFY, That I attended deceased from
Jan 23
, 1921
„ to ..
+26.8
1921
Fit.8.
that I last saw her alive on
1977.
and that death occurred, on the date stated above, at
M. P.
m,
The CAUSE OF DEATH was as follows :
Epidemia Influenza
MEDICAL CERTIFICATE OF DEATH
(If non-resident give city or town and State)
Jane
(If in the Army or Navy of the United States, give rank, organization, etc.)
MARGIN RESERVED FOR BINDING
(City or Town)
ADDRESS 217 APPLETON ST
Date of
Statement of occupation. - Preciso 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, irrespectivo 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, Civil engineer, Stationary fircman, etc. Butin many cascs, 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," "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 dutics of the house- hold only (not paid Hlousekcepers 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 bo 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 indicated thus: Farmer (retired, 6 yrs.). For persons who have no occupation whatever, write None.
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