USA > Massachusetts > Middlesex County > Chelmsford > Deaths 1920-1921 > Part 7
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(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- eurrent) affection need not be stated unless important. Example: Measles (disease causing death), 29 ds .; Broneho- pneumonia (secondary), 10 ds. Never report mere symp- toms or terminal conditions, such as "Asthenia," "Anemia" (merely 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 ean be ascertained as the eause. 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 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 eause 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, ete.
3. Sudden deaths of persons not disabled by recognized disease, as A death upon the strcet, or one supposed to be due to Alcoholism, etc.
4. Deaths under eircumstances unknown, as A person found dead, etc.
ADDITIONAL SPACE
FOR FURTHER STATEMENTS BY
PHYSICIAN.
. ..
£ 15. 10-'18. 5,000.
FORM R-301
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 Commmuralth of Massachusetts
STANDARD CERTIFICATE OF DEATH
28 OFFICE OF THE SECRETARY DIVISION OF VITAL STATISTICS 1627
1 PLACE OF DEATH
County.
Middlesex
State
Mass.
City or Town
Chelmsford.
No.
Gorham
St ... Ward
(If death occurred in a hospital or institution, give its NAME instead of street and number)
Ruth Ellanmal Smalley.
2 FULL NAME
(a) Residence.
No.
Carleton ave.
St.,
Ward.
(If non-resident give city or town and State)
Length of residence in city nr town where death occurred
years
months
3
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
March 9.
(Month)
(Day)
1920.
(Year)
17
I HEREBY CERTIFY, That I attended deceased from
march 6
19
March 9, 19:20.
.. , to.
that I last saw h
Malive on
Branch 9
19
,20
and that death occurred, on the date stated above, at m. The CAUSE OF DEATH was as follows :
Hydro cephalus
( 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 ?
1
What test confirmed diagnosis ?
(Signed)
Richard Gerechaly
, M.D.
(Address)
40 dellasera St
3-11-20 Lowell
(Month)
( Day)
( Year)
19 PLACE OF BURIAL, CREMATION, OR REMOVAL
Edson Tomb. Sowell, Mace.
(Cemetery)
(City'or town)
DATE OF BURIAL
March 1-1920.
20 UNDERTAKER
ADDRESS
19 Branch 8%.
Permit
21 I HEREBY CERTIFY that a satisfactory stan- dard certificate of death was filed with me BEFORE the burial nr transit permit was issued
Edward S. Robbing
Official „position ..
Corn Cluck
Date nf issue of permit mar, 12,19 20 No
1
9 BIRTHPLACE (City)
(State or country)
10 NAME OF
FATHER
LeRoy & Smalley
11 BIRTHPLACE OF
FATHER (City)
Brantier
(State or country)
Vermont
12 MAIDEN NAME OF MOTHER
annie Furgerson
13 BIRTHPLACE OF MOTHER (City) (State or country),
P.E.I.
14 Leroy Smalley
Informant (Address ) Cast Chelvasford Maga
15 Mar. 12, 1920 Edward. Bobbing (Month) (Day) (Year) REGISTRAR
1-6-'19. 150,000.
4 COLOR OR RACE
White
5 SINGLE, MARRIED, WIDOWED, OR DIVORCED (write the word) Single
15a If married, widowed, or divorced
HUSBAND of
(or) WIFE of
6 DATE OF BIRTH
mar
6
1920
( Month)
(Day)
(Year)
7 AGE
Years
Months
Days
If STILLBORN, enter that fact bere
If STILLBORN, state period of uterngestation.
mos.
If LESS than 1 day, ........ brs. or ........ min.
8 OCCUPATION OF DECEASED (a) Trade, profession, or particular kind of work. (b) General nature ofindustry, business, or establishment in which employed ( or employer )
(c) Name nf employer
Chelmsford.
PARENTS
Hampton
MARGIN RESERVED FOR BINDING
Registered No.
(If in the Army of Navy of the United States, give rank, organization, etc.)
(Usual place of abode)
3 SEX
female
1
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 be sufficient, e. g., Farmer or Planter, Physician, Compositor, 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 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 dutics 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 homc. 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 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 DEATHI (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 use of "Croup"); Typhoid fever (never report "Typhoid pneumonia"); Lobar pneumonia; Bronchopneumonia ("Pneumonia," unqualified, is indefinitc); 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,""Debility" ("Congenital,""Senile," ">etc.), "Dropsy,"Exhaustion,"Heart failure, "Hemorrhage,"In nition," "Marasmus," "Old age," "Shock," "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," 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 tho 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 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. 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 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 mako 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 dicd, 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 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-302
The Commonwealth of Massachusetts
21
Lowell or
CERTIFICATE OF DEATH OF NON-RESIDENT
.........
(City or town) 3703
County
middlesex
State.
mass
Registered No.
18
City or Town
howell
Lowell Genttorp St.
(Place of residence)
Ward
(If death occurred in a hospital or institution, give its NAME instead of street and number)
2 FULL NAME
mary
ratta
e Army or Nayy of the United States, give rank, organization, etc.)
St.
(Usual place of abode)
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
3 SEX
4 COLOR OR RACE
W.
5 SINGLE, MARRIED, WIDOWED, OR
DIVORCED (prite the word)
single
5a If married, widowed, or divorced
HUSBAND of
(or) WIFE of
6 DATE OF BIRTH (month, day, and year mar. 14.
7 AGE
Years
. Months
Days
3
If LESS than
I day, ........ brs.
or ....... min.
If STILLBORN, enter that fact here
8 OCCUPATION OF DECEASED (a) Trade, profession, or particular kiod of work
(b) General nature of industry, business, or establishment in which employed (or employer) (c) Name of employer
Lowell
(duration).
.........
. yrs.
mos.
3
ds.
CONTRIBUTORY
(SECONDARY)
(duration)
yrs ..
mos.
ds.
10 NAME OF FATHER
Paul Frath
18 Where was disease contracted
if not at place of death ?
Did an operation precede death?
Date of
Was there an autopsy ?.
12 MAIDEN NAME OF MOTHER with mevia
What test confirmed diagnosis ?. A.
wnew Bedford
(Signed)
W. Ho sherman
M.D.
3-1& 19 2 (Address)
Lowell
14 Father
Informant ( Address) Chelmsford mars.
19 PLACE OF BURIAL, CREMATION, OR REMOVAL Sh.JephChelmsford
DATE OF BURIAL
mar. 19
1920
19
15 mar 19, 19 20 StephensFlynn (P.)
moes.
20 UNDERTAKER
D. archambault
ADDRESS Lowell
Registrar of city of town where death occurred Filed apr. 7. 1920 Edward Sc Rolling
Registrar of city or towa where deceased resided
16 DATE OF DEATH (month, day, and y
march 18 1920
17
I HEREBY CERTIFY, That I attended deceased from
mar. 14
1920 0 Mar. 18 1920
that I last saw Her
alive on.
11
3, 1920
6. 00.
and that death occurred, on the date stated above, at ........ 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. | (Sce reverse side for additional space.) Premature Birth
9 BIRTHPLACE (city or town
(State or country)
mass.
PARENTS
11 BIRTHPLACE OF FATHER (city
(State or country)
mark.
Chelmsford
13 BIRTHPLACE OF MOTHER (city (State or country) mars.
of certificate.
MARGIN RESERVED FOR BINDING
N. B .- WRITE PLAINLY, WITH UNFADING INK-THIS IS A PERMANENT RECORD. Every item of information should be 80 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,
1 PLACE OF DEATH
Registered No.
(Place of death)
(a) Residence.
State
Mais
City or Town
helmafora No.
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) 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 duties of the houseliold 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 tlie 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 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 inere synip- toms or terininal conditions, such as "Asthenia," "Anemia" (merely symptomatic), "Atrophy," "Col-
lapse," "Coma," "Convulsions," ' "Debility" ("Con-
genital," "Senilc," etc.), "Dropsy," "Exhaustion," "Heart failure," "Hemorrhage," "Inanition," "Maras- inus," "Old age," "Shock," "Uremia," "'Weakness," etc., when a definite disease can be ascertained as the cause. Always qualify all discases resulting from child- birth or miscarriage, as "PUERPERAL septicemia," "PUER- PERAL peritonitis," ctc. 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 dc- 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
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 discase, 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.
..
:
L 303. 6-'18. 50,000.
FORM R-301
OFFICE OF THE SECRETARY DIVISION OF VITAL STATISTICS
STANDARD CERTIFICATE OF DEATH
1 PLACE OF DEATH
County
Inddlers
State
No ..
Wurde Camer
St., ........ Ward
(If death occurred in a hospital or institution, give its NAME instead of street and number)
Fred J. BBlodgett
If in the Army or Navy of the United States, give rank, organization, etc.)
(a) Residence. No.
( Usual place of abode)
Length of residence in city or town where death occurred 3 0
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)
17 19 I HEREBY CERTIFY, That I attended deceased from Mch. 1 19 20 to. 2
that I last saw h .......
alive on
MR 22
19
and that death occurred, on the date stated above, at
40 m. The CAUSE OF DEATH was as follows :
arterial dequencher-
Central
.(duration) . 1
ds.
CONTRIBUTORY
& Pre-semiles.
( 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)
(Address).
Neroto Checkfound
Date.
Mah.
25
1920
(Month)
(Day)
(Year)
19 PLACE OF BURIAL, CREMATION, OR REMOVAL Riverside No Chelmsford (Cemetery) (City or town)
DATE OF BURIAL mar 27 1920
ADDRESS awell
Permit
21 | HEREBY CERTIFY that a satisfactory stan- dard certificate of death was filed with me BEFORE the burial or transit permit was issued
Official Com clock position
Date of issue of permit
Mar 27-920 No
3 SEX m. 7 AGE PARENTS Informant (Address ) 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
30
No Chelugarde (City or Town) Registered No. 120
City or Town
No hrlundard
2 FULL NAME
4 COLOR OR RACE
5 SINGLE, MARRIED, WIDOWED, OR
DIVORCED (write the word)
manud
5a If married, widowed, or divorced HUSBAND of (or) WIFE of
Tenablodgett
6 DATE OF BIRTH.
( Month)
(Year)
52
Months
9
Days
18
If LESS than 1 day, ........ hrs. or ........ min.
If STILLBORN, enter that fact here
8 OCCUPATION OF DECEASED (a) Trade, profession, or particular kind of work Stone cutter
Windard
9 BIRTHPLACE (City)
(State or country)
mars
10 NAME OF
FATHER
Otrodare Blodgett
11 BIRTHPLACE OF
FATHER (City) ...
(State or country)
Vermont
12 MAIDEN NAME
OF MOTHER
almir a Perham
13 BIRTHPLACE OF MOTHER (City) (State or country)
Vernous
14 Is terra (Bladges
15 Than 27, 1220 Edward J. Rabbino Filed (Month) (Day) (Year)
REGISTRAR
20 UNDERTAKER
W.Heerbur Blake
11-13-'19. 50,000.
MARGIN RESERVED FOR BINDING
Years
June 6 01867 (Day)
Mich.
24-
1920
(Day)
(Year)
(If non-resident give city or town and State)
St., .. Ward.
mass
tad Ellame M.D.
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 be sufficient, e. g., Farmer or Plonter, Physician, Compositor, Architect, Locomotive engineer, Civil engineer, Stationary firemon, 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) Solesman, (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 - Cool mine, ctc. 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 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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