USA > Massachusetts > Suffolk County > Winthrop > Town of Winthrop : Record of Deaths 1853-1885 > Part 7
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5. Age, .
The Undertaker, or other informant, is requested to report the facts-together with the Physician's Certificate of the Causes of Death-to the Town Clerk, BEFORE THE INTERMENT.
In case of an interment taking place, without the Certificate of Registry of the Clerk of the Town in which the Death occurred (or the deceased resided) having first been obtained, the person having charge of such Interment must FORTHWITH GIVE NOTICE thereof - or report these facts -to said Clerk. Penalty for neglect, twenty dollars.
Blank forms for Returus of Deaths may be obtained from the Town Clerk.
PHYSICIAN'S CERTIFICATE.
Name of Deceased,*
Harald A Trenerque
Date and Place of Death, - died at
1883.
Disease or Cause of Death, - of.
Duration of Sickness ferrer (les)
I certify that the above is true, to the best of my knowledge and belief.
Name and Residence of Certifying Physician H. Se Scrate thisis " .. ..
* Or Sex of Infant (not named).
Date of Certificate, Deene (
1875
Any Physician having attended a person during his last illness, shall-when requested within fifteen days after the decease of such person-forthwith furnish for registration a certificate of the duration of the last sickness, the disease of which the person died, and the date of his decease, as nearly as he can state the same .- [Extract from Chapter 21 of the General Statutes, 1859.]
Without repealing the foregoing requirements of the General Statutes, the recent " Act to provide for the more Accurate Registration of Vital Statistics," passed April 23, 1878, provides that "no human body shall be buried, or removed from any city or town, until a proper Certificate has been given by the clerk or local registrar of statistics, to the Undertaker or Sexton, or person performing the burial or removing the body. This certificate shall state that the facts required by chap. 21 of the General Statutes have been returned and recorded; and no clerk or local registrar shall give such certificate or burial permit until the Certificate of the Cause of Death has been obtained, (from the Physician, if any, in attendance at the last sickness of the deceased), and placed in the hands of said clerk or local registrar."
If there has been no Physician in attendance, or in case of death by dangerous contagious disease, or in any other event where the certificate of the attending Physician cannot, for good and sufficient reasons, be early enough obtained, the chairman of the local Board of Health, or any Physician employed by any city or town for such purpose, shall sign the Certificate of the Cause of Death, to the best of his knowledge and belief. In case of death by violence, the medical examiner shall furnish the certificate.
No. 5
in ui ztrassachusetts.
RETURN OF A DEATH. To the Clerk of the Town in which the Death occurred.
1. Date of Death,
2. Name,
(Maiden Name),*
June 19 "1883 John 6. Davis are
3. Sex, and whether single. Married, or Widowed,
Male (married)
Manité
4. Color, t
5. Age, .
82 Years,
...... Months, .... ... Days.
6. Disease or First or Primary
Cause of Secondary (if any)
Death, By whom certified
7. Residence,
8. Place of Death,
9. Occupation, .
10. Place of Birth, .
11. Name of Father,
Ebenezer 18. Davie
Elisabeth J. Davis
Littleton Mare
13. Birthplace of Father, .
14. Birthplace of Mother, .
15. Place of Interment,
Signature of Undertaker & other person making
the Return,
-
DATED at Mentros
...... , on June 20 188 3.
* If a Married Woman or Widow. t If other than white. (A.) African; (M.) Mulatto; "(1.) Indian. If of other Races, specify what.
[Be very particular to fill all Blanks.] Death accused of Ninthyt Beach Hotel.
ashburnham
Mermaid are (Ocean Spray) Chair maner achbrunham
12. Name of Mother,
EBoylston Mars
Ochburnham mare
Summer Floyd
The Undertaker, or other informant, is requested to report the facts-together with the Physieiau's Certificate of the Causes of Death-to the Town Clerk, BEFORE THE INTERMENT.
In case of an interment taking place, without the Certificate of Registry of the Clerk of the Town in which the Death oceurred (or the deceased resided) having first been obtained, the person having charge of such Interment must FORTHWITH GIVE NOTICE thereof-or report these facts - to said Clerk. Penalty for neglect, twenty dollars.
Blank forms for Returns of Deaths may be obtained from the Town Clerk.
PHYSICIAN'S CERTIFICATE.
ne of Deceased,*
John le Paris
ite and Place of Death, - died at Winthrop f Uld Are
19ª 9 sease or Cause of Death, - of
1883,
Duration of Sickness
I certify that the above is true, to the best of my knowledge and belief.
ne and Residence of Certifying Physician
He. I. Soule M.D. Whetherof
Date of Certificate, frezze 26℃ 1875.
* Or Sex of Infant (not named).
Any Physician having attended a person during his last illness, shall-when requested within fifteen days after the decease of such person-forthwith furnish for registration a certificate of the duration of the last sickness, the disease of which the person died, and the date of his decease, as nearly as he can state the same .- [Extract from Chapter 21 of the General Statutes, 1859.]
Without repealing the foregoing requirements of the General Statutes, the recent " Act to provide for the more Accurate Registrati of Vital Statistics," passed April 23, 1878, provides that "no human body shall be buried, or removed from any city or town, unti proper Certificate has been given by the clerk or local registrar of statistics, to the Undertaker or Sexton, or person performing t burial or removing the body. This certificate shall state that the facts required by chap. 21 of the General Statutes have be returned and recorded; and no clerk or local registrar shall give such certificate or burial permit until the Certificate of the Cause Death has been obtained, (from the Physician, if any, in attendance at the last sickness of the deceased), and placed in the hands of s. clerk or local registrar."
If there has been no Physician in attendance, or in case of death by dangerous contagious disease, or in any other event where th certificate of the attending Physician cannot, for good and sufficient reasons, be early enough obtained, the chairman of the local Board Health, or any Physician employed by any city or town for such purpose, shall sign the Certificate of the Cause of Death, to the best his knowledge and belief. In case of death by violence, the medical examiner shall furnish the certificate.
S
J
No. C
RETURN OF A DEATH. To the Clerk of the Town in which the Death occurred.
1. Date of Death,
2. Name, . (Maiden Name),*
July 5 "1883, Gether & Heating
3. Sex, and whether single. Married, or Widowed.
(Female While-
4. Color, t
5. Age, .
- Years, /1
Months, Days.
6. Disease or [ First or Primary
Cause of Secondary (if any)
Death, By whom certified
7. Residence,
8. Place of Death,
9. Occupation, .
177 Dorchester So St-/Balon Sea Shore Home (Minthotel
10. Place of Birth, . 360 atene St So Below
11. Name of Father,
David & heating
Sarah & Reating
12. Name of Mother, .
Chew Hampshire.
13. Birthplace of Father, .
Satin mare
15. Place of Interment,
Dorchester Mass
Signature of Undertaker
making
the Return,
DATED at ..
, on July 6th 1883.
* If a Married Woman or Widow
t If other than white. (A.) African; (M.) Mulatto; (I.) Indian. If of other Races, specify what. [Be very particular to fill all Blanks.]
Summer Floyd
14. Birthplace of Mother, .
The Undertaker, or other informant, is requested to report the faets-together with the Physician's Certificate of the Causes of Death-to the Town Clerk, BEFORE TILE INTERMENT.
In case of an interment taking place, without the Certificate of Registry of the Clerk of the Town in which the Death oceurred (or the deceased resided) having first been obtained, the person having charge of such Interment must FORTHWITH GIVE NOTICE thereof - or report these facts - to said Clerk. Penalty for neglect, twenty dollars.
Blank forms for Returns of Deaths may be obtained from the Town Clerk.
PHYSICIAN'S CERTIFICATE OF THE CAUSE OF DEATH.
To the Clerk or Registrar of the Town or City in which the Death occurred.
Name and Sex of Deceased,
Esther Elizabeth Keating
Female Chili ( mos)
Date and Place of Death, .
July 5. Sea Shore Home, Winthrop
Disease, or Cause of Death,
First or Primary, -
Cholera Infantuna
Duration of,* 4 Days
Secondary, .
Exhaustion
Duration of,
I certify that the above is a true Return, to the best of my recollection and belief.
ame, Professional Title, and Residence,
Edua. T. using Mr. 2298 wash 4 62. Rasbur
Dated at.
Sea Shore Home
July 5
1883.
very particular to fill all Blanks.]
* Reckoned to the time of death.
Any Physician having attended a person during his last illness, shall-when requested within fifteen days after the dreease of such person-forthwith furnish for registration a certificate of the duration of the last sickness, the disease of which the person died, and the date of his deerase, as nearly as he can state the same .- [EXTRACT FROM CHAPTER 21 OF THE GENERAL STATUTES, 1839. ]
The attending Physician is requested to make out liis Certificate as promptly as possible, for the information and use of the Undertaker, or other person making return of the case to the Town Clerk.
Physicians may obtain BLANK CERTIFICATES from the Town Clerk or Registrar.
Copies of the STATISTICAL NOSOLOGY, adopted for the purposes of Registration, may be obtained on application to the SECRETARY OF THE COMMONWEALTII.
No. /
RETURN OF A DEATH. To the Clerk of the Town in which the Death occurred.
1. Date of Death,
2. Name,
(Maiden Name),*
3. Sex, and whether single. Married, or Widowed.
Female (Hvidand)
Mule
4. Color, t
5. Agc, .
66 Years
Months, ...
9 Days.
6. Disease or First or Primary
Cause of Secondary (if any)
Death,
¿ By whom certified
7. Residence,
8. Place of Death,
9. Occupation,
Hurthropo (Ocean Spray)
10. Place of Birth, . Fullford OK, It
11. Name of Father, Habefah Potter
12. Name of Mother, . Polly Porter
13. Birthplace of Father, .
14. Birthplace of Mother, .
15. Place of Interment,
Lullitad et. N. Sullifard el H
Signature of Undertaker or other person making
(Dunnerefloyd
the Return/
DATED at.
on .... July 13 .18883
* If a Married Woman or Widow.
+ If other than white. (A.) African; (M.) Mulatto; (I.) Indian. If of other Races, specify what. [Be very particular to fill all Blanks.]
Death seund at thamigo Cola /have ) hay
July 13 "1883 Rhoda M. Smith
V
The Undertaker, or other informant, is requested to report the facts-together with the Physician's Certificate of the Causes of Death-to the Town Clerk, BEFORE THE INTERMENT.
In case of an interment taking place, without the Certificate of Registry of the Clerk of the . Town in which the Death occurred (or the deceased resided) having first been obtained, the person having charge of such Interment must FORTIIWITH GIVE NOTICE thereof - or report these facts - to said Clerk. Penalty for neglect, twenty dollars.
Blank forms for Returns of Deaths may be obtained from the Town Clerk.
Winthrop, Mass. July 13th 1883
This Certifies That Rhoda m. Smith aged 66 years and 2 months died on the 13th day of July 1883 Cause of death, Gances If the best of my knowledge and belief.
Ilino womener died wellesun a ping statements du xixe de based upon an investigation after deathe
Fill out in ink. When married, erase "single" and "widow"; when widowed, erase "single" and "married."
RETURN OF DEATH TO THE CITY REGISTRAR. CITY HALL, BOSTON.
Date of Death, ..
Name,.
Mary Mumschiedo.
e
Age.
Place of death
Shirley It Great Hand 2 months 15 days
Street and No. S
Residences .. of fact aprire
Sex, ... Single, Married .
Occupation, . Carpenter
Wife of.
Birthplace, * Workon Mare
Widow of
Jacob Mumiechied
Name of Father, of Mother Elling Birthplace of Father,
Plaidt iljermany
Birthplace of Mother,* Halifax M. C.
·
.
Cause of ) Primary,
Duration,
Death Secondary,
Duration,
Place of Interment,
Calvary long.
Date of Interment or Removal
Undertaker or Informant,
1983
me*Insert Town and State.
tState whether white or black.
Boston, July 17 the 1883 This Certifies, That Thay Krumechied
died on the.
1 day of fully
1883, aged.
years,
months,
15 days.
CAUSE OF Primary, Cholera Auf autiu Duratio
DEATH.
Secondary,
Duration
Physician.
Com
Rockwell & Churchill, City Printers, 39 Arch Street, Boston.
NO ....
RETURN OF A DEATH. To the Clerk of the Town in which the Death occurred.
1. Date of Death,
2. Name,
(Maiden Name),
July 20 m/880, John Smith Hurley
3. Sex, and whether single. Married, or Widowed.
Male
4. Color, t
Sprite
5. Age,
6. Discasc or First or Primary
X Years
X
Months, 20 Days.
Cholera Infantum,
Cause of { Secondary (if any)
Death, By whom certified E. T. Williams M.D
7. Residence,
Salón Make
8. Place of Death,
9. Occupation, .
10. Place of Birth, .
Jalin mars
11. Name of Father,
Charles M. Hurley
12. Name of Mother, .
13. Birthplace of Father, .
14. Birthplace of Mother, .
15. Place of Interment,
Jenniferan de fail m'
Signature of Undertaker or other person making the Return,
- Kummer Moud
DATED at. ., on ..... July 25 1883
* If a Married Woman or Widow.
t If other than white. (A.) African; (M.) Mulatto; (I.) Indian. If of other Races, specify what. [Be very particular to fill all Blanks.]
anne Hurley Ireland
The Undertaker, or other informant, is requested to report the facts-together with the Physician's Certificate of the Causes of Death -to the Town Clerk, BEFORE THE INTERMENT.
In case of an interment taking place, without the Certificate of Registry of the Clerk of the Town in which the Death occurred (or the deceased resided) having first been obtained, the person having charge of such Interment must FORTHWITH GIVE NOTICE thercof - or report these facts -to said Clerk. Penalty for neglect, twenty dollars.
Blank forms for Returns of Deaths may be obtained from the Town Clerk.
.
PHYSICIAN'S CERTIFICATE OF THE CAUSE OF DEATH.
To the Clerks or Registrar of the Town or City in which the Death occurred.
Name and Sex of Deceased,
Date and Place of Death, .
Guten Greple Hturken. male child art. 3 weiter Sea Shore Home Winthamof Quale 2 0th
Disease, or Cause of Death,
First or Primary,
Cholera Infantuna
Duration of,*
Secondary, .
granit
Duration of,
I certify that the above is a true Return, to the best of my recollection and belief.
ame, Professional Title, and Residence,
Edu.T. Mihai MD 2298 WWW" Sr. Rustung
Dated at
Winthrop July 20
1883.
Be very particular to fill all Blanks.]
* Reckoned to the time of death.
Any Physician having attended a person during his last illness, shall-when requested within fifteen days after the decease of such person-forthwith furnish for registration a certificate of the duration of the last sickness, the di-case of which the person died, and the date of his decrease, as nearly as he can state the same .- [EXTRACT FROM CHAPTER 21 OF THE GENERAL STATUTES, 1859. ]
The attending Physician is requested to make out his Certifieate as promptly as possible, for the information and use of the Undertaker, or other person making return of the ease to the Town Clerk.
Physicians may obtain BLANK CERTIFICATES from the Town Clerk or Registrar.
Copies of the STATISTICAL NOSOLOGY, adopted for the purposes of Registration, may be obtained on application to the SECRETARY OF THE COMMONWEALTH.
VIV.
RETURN OF A DEATH. To the Clerk of the Town in which the Death occurred.
1. Date of Death,
2. Name,
(Maiden Name),'
July 2 7 "1883. Many . Floyd
3. Sex, and whether single. Married, or Widowed.
4. Color, t
5. Age,
6. Disease or ( First or Primary
Cause of Secondary (if any)
Death, By whom certified
7. Residence,
8. Place of Death,
9. Occupation, .
10. Place of Birth, . 1 Levere Ihavea David Floyd
11. Name of Father,
12. Name of Mother, .
Hannah Floyd Chelsea MARI
13. Birthplace of Father, .
14. Birthplace of Mother, .
15. Place of Interment,
Signature of Undertaker
Summer Floyd
or other person making the Return,
7. For owned by David fond
DATED at ... Itruthof 188 on July 28 3.
* If a Married Woman or Widow.
t If other than white. (A.) African; (M.) Mulatto; (I.) Indian. If of other Races, specify what. [Be very particular to fill all Blanks.]
otemale
White
78 Years, 2
...
Months, ..
24 Days.
Tevere St. Winthropo
Levere St: Winthrope
The Undertaker, or other informant, is requested to report the facts-together with the Physician's Certificate of the Causes of Death -to the Town Clerk, BEFORE THIE INTERMENT.
In case of an interment taking place, without the Certificate of Registry of the Clerk of the Town in which the Death occurred (or the deceased resided) having first been obtained, the person having charge of such Interment must FORTHWITH GIVE NOTICE thereof - or report these facts -to said Clerk. Penalty for neglect, twenty dollars.
Blank forms for Returns of Deaths may be obtained from the Town Clerk.
July 27.
PHYSICIAN'S CERTIFICATE.
Name of Deceased,*
Marit chlu(
Date and Place of Death,
died at
1
1873,
Disease or Cause of Death, - of
Duration of Sickness
I certify that the above is true, to the best of my knowledge and belief.
ime and Residence of Certifying Physician Hab. Soule
Date of Certificate, 11 /89
1883.
* Or Sex of Infant (not named).
Any Physician having attended a person during his last illness, shall-when requested within fifteen days after the decease of such person-forthwith furnish for registration a certificate of the duration of the last sickness, the disease of which the person died, and the date of his decease, as nearly as he can state the same .- [Extract from Chapter 21 of the General Statutes, 1859.]
Without repealing the foregoing requirements of the General Statutes, the recent " Act to provide for the more Accurate Registration of Vital Statistics," passed April 23, 1878, provides that "no human body shall be buried, or removed from any city or town, until a proper Certificate has been given by the clerk or local registrar of statistics, to the Undertaker or Sexton, or person performing the burial or removing the body. This certificate shall state that the facts required by chap. 21 of the General Statutes have been returned and recorded; and no clerk or local registrar shall give such certificate or burial permit until the Certificate of the Cause of Death has been obtained, (from the Physician, if any, in attendance at the last sickness of the deceased), and placed in the hands of said clerk or local registrar."
If there has been no Physician in attendance, or in case of death by dangerous contagious disease, or in any other event where the certificate of the attending Physician cannot, for good and sufficient reasons, be early enough obtained, the chairman of the local Board of Health, or any Physician employed by any city or town for such purpose, shall sign the Certificate of the Cause of Death, to the best of his knowledge and belief. In case of death by violence, the medical examiner shall furnish the certificate.
No. 1 0
RETURN OF A DEATH. To the Clerk of the Town in which the Death occurred.
1. Date of Death,
2. Name, (Maiden Name),'
Rua 1ª 1883 efrancie Shanty
3. Sex, and whether single. Married, or Widowed.
While-
.Years, ...
11
Months,
Days.
6. Disease or First or Primary
Canse of { Secondary (if any)
Death, By whom certified
7. Residence,
8. Place of Death,
9. Occupation, ..
Dartin T haves 8
10. Place of Birth, . Sector Trace
11. Name of Father, Serie Ifranta
12. Name of Mother, Doved I handy 0 New desear
13. Birthplace of Father, . 14. Birthplace of Mother, . fG. Jenitrous defecit in Jour
15. Place of Interment,
Signature of Undertaker or other person-making
the Return,
Juanner Floyd
DATED at / / ....
.. , on.
Qua 2de 18 3
1883.
* If a Married Woman or Widow./
t If other than white. (A.) African; (M.) Mulatto; (I.) Indian. If of other Races, specify what. [Be very particular to fill all Blanks.]
4. Color, t
5. Agc, .
The Undertaker, or other informant, is requested to report the facts-together with the Physician's Certificate of the Causes of Death-to the Town Clerk, BEFORE THIE INTERMENT.
In case of an interment taking place, without the Certificate of Registry of the Clerk of the Town in which the Death occurred (or the deceased resided) having first been obtained, the person having charge of such Interment must FORTHWITH GIVE NOTICE thereof - or report these facts - to said Clerk. Penalty for neglect, twenty dollars.
Blank forms for Returns of Deaths may be obtained from the Town Clerk.
PHYSICIAN'S CERTIFICATE OF THE CAUSE OF DEATH.
To the Clerk or Registrar of the Town or City in which the Death occurred.
Name and Sex of Deceased,
Francis Schauts.
male Chilo act. 4 mes. Winthrop
Date and Place of Death, .
angst at Sea Shore Home
Discase, or Cause of Death,
First or Primary,
Duration of,* Werks
Secondary, .
Exhaustion
Duration of,
I certify that the above is a true Return, to the best of my recollection and belief.
Yame, Professional Title, and Residence, ..
Eaw T. Within MD. 2298 wach Sr. Kutu.
Dated at.
Winthrop angst
1883.
Be very particular to fill all Blanks.]
* Reckoned to the time of death.
Any Physician having attended a person during his last illness, shall-when requested within fifteen days after the decease of such person-forthwith furnish for registration a certificate of the duration of the last sickness, the disease of which the person died, and the date of his decease, as nearly as he can state the same .- [EXTRACT FROM CHAPTER 21 OF THE GENERAL STATUTES, 1859. ]
The attending Physician is requested to make out his Certificate as promptly as possible, for the information and use of the Undertaker, or other person making return of the case to the Town Clerk.
Physicians may obtain BLANK CERTIFICATES from the Town Clerk or Registrar.
Copies of the STATISTICAL NOSOLOGY, adopted for the purposes of Registration, may be obtained on application to the SECRETARY OF THE COMMONWEALTH.
RETURN OF A DEATH. To the Clerk of the Town in which the Death occurred.
1. Date of Death,
c
2
2. Name,
Untencun
Woman
· (Maiden Name) *
3. Sex, and whether single, Married. or Widowed,
4. Color. t .
5. Ago.
Disease or Cause of Death,
Surende
? Orcuming
6.
Duration of Sickness,
By whom certified,
:. Residence. .
8. Place of Death.
9. Occupation.
10. Place of Birth. .
11. Name of Father.
12. Name of Mother, .
13. Birthplace of Father.
14. Birthplace of Mother,
15. Place of Interment. . mt Hape"
Signature of Undertaker or other person making the Return, .
Tinteha.
DATED At on
18
* If a Married Woman or Widow.
t If other than White. (M.) Mulatto. (I.) Indian. If of other Races, specify what.
[Be very particular to fill all Blanks.]
V
7 3 0 Years,
Months ... . Days.
NEV Harres
,
The Undertaker, or other informant. is requested to report the facts -together with the Physician's Certificate of the Causes of Death - to the Town Clerk, BEFORE THE INTERMENT.
In ease of an interment taking place, without the Certificate of Registry of the Clerk of the Town in which the Death occurred. (or the deceased resided.) having first been obtained, the person having charge of such Interment must FORTHWITH GIVE NOTICE thereof-or report these facts - to said Clerk. Penalty for neglect. twenty dollars.
Blank forms of Returns may be obtained from the Town Clerk.
Descripattiva.
Woman found drowned off. Great Head Winthrop. aug 20 83 Height. 5-2. Wh. 110. age 30 - Conreflexivas light - Havin dia hovero Eyes blue-Features wharfo. - led Dear under 12. Eye-
Dress- Plan. Grenadine Basque xorsich rausett- Blk Carbonire Dolmano CKlace bel tran hat a bek fection & violeta- dark Nochniep & red stripe round leg
why wait & chemine. Restiopuch what correto. Red coral (invitation ) coming. Chain+cross ofhorze hair - plain gola, ning an mig fügen fh Hand. 2 what, hotels- one arver M.P. Red flush france -
Boston, ang. 7th) 1883
This Certifies, That The Unknown Woman found Great Head dial on the 2 day of drug. 1883, agod 30) years, months, days.
CAUSE OF ) Primary, „ Unicide (?) Duration
DEATII. Secondary, Drowning Duration
Uvancis A Paris Physician.
Printing Department, Deer Island, Boston Harbor.
No.
RETURN OF A DEATH. To the Clerk of the Town in which the Death occurred.
1. Date of Death,
2. Name, (Maiden Name),
3. Sex, and whether single. Married, or Widowed.
Female Married White
5. Age, . 78,76 ... Years, ......... Months,Days.
6. Discase or [ First or Primary
Cause of { Secondary (if any)
Death, By whom certified
7. Residence, Woodside ave Hondaide are
8. Place of Death,
9. Occupation, .
10. Place of Birth, . 1
onclaud
11. Name of Father,
nen mechan Winifred Hand
12. Name of Mother, .
13. Birthplace of Father, .
14. Birthplace of Mother, .
Freland
15. Place of Interment, mark
Signature of Undertaker orother person making
2.0. Sullivan.
the Retyfy!, 0
DATED at.
, on .....
.188 3.
* If a Married Woman or Widow.
t If other than white. (A.) African; (M.) Mulatto; (I.) Indian If of other Races, specify what. [Be very particular to fill all Blanks.]
Aug 5 th Catherine Ms Donough
4. Color, t
aus 5-83
The Undertaker, or other informant, is requested to report the facts-together with the Physieiau's Certificate of the Causes of Death-to the Town Clerk, BEFORE THIE INTERMENT.
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