Town of Winthrop : Record of Deaths 1886-1892, Part 10

Author: Winthrop (Mass.)
Publication date: 1886
Publisher:
Number of Pages: 726


USA > Massachusetts > Suffolk County > Winthrop > Town of Winthrop : Record of Deaths 1886-1892 > Part 10


Note: The text from this book was generated using artificial intelligence so there may be some errors. The full pages can be found on Archive.org (link on the Part 1 page).


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[Be very particular to fill all Blanks.]


. . . ..


Citudio


Biel


Sea SA Me Home


[Public Statutes, Chap. 32, Sect. 5.]


No human body shall be buried or removed from any city or town until a proper certificate has been given by the clerk ( registrar to the undertaker, sexton, or other person performing the burial or removing the body. Such certificate shall state that the fac required by this chapter have been returned and recorded; and no clerk or registrar shall give such certificate or burial permit until th certificate of the cause of death has been obtained from the physician. if any, in attendance at the last sickness of the deceased, al placed in the hands of said clerk or registrar; and in cities and towns where there are boards of health, the certificate of the cause death shall also be approved by such board before a permit to bury is given by the registrar or clerk. Upon application, the chairm of the board of health, or any physician employed by any city or town for such purpose, shall sign the certificate of the cause of det to the best of his knowledge and belief, if there has been no physician in attendance. He shall also sign such certificate, upon appli tion, in case of death by dangerous contagious disease, or in any other event when the certificate of the attending physician cannot good and sufficient reasons be early enough obtained. In case of death by violence, the medical examiner attending shall furnish 1 requisite medical certificate. Any person violating the provisions of this section shall be punished by fine not exceeding twenty- dollars.


PHYSICIAN'S CERTIFICATE.


Game of Deceased,* William Martin


date and Place of Death,


sease or Cause of Death, - of Enteritis


dice at Sea Shore Home Alberto Allan, Luc15 188%.


Duration of Sickness


I certify that the above is true, to the best of my knowledge and belief. and Residence of Certifying Physician,


*Or Sex of Infant (not named).


Date of Certificate,


×


188


[ Extracts from Chapter 32 of the Public Statutes. ]


" SECT. 3. A physician who has 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. If a physician refuses or neglects to make such certificate, he shall forfeit ten dollars to the use of the town in which he resides."


" SECT. 5. No human body shall be buried or removed from any city or town until a proper certificate has been given by the clerk or registrar to the undertaker, sexton, or other person performing the burial or removing the body. Such certificate shall state that the facts required by this chapter have been returned and recorded; and no clerk or 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 registrar; and in cities and towns where there are boards of health, the certificate of the cause of death shall also be approved by such board before a permit to bury is given by the registrar or clerk. Upon application, the chairma of the board of health, or any physician employed by any city or town for such purpose, shall sign the certificate of the cause of deat to the best of his knowledge and belief, if there has been no physician in attendance. Ile shall also sign such certificate, upon applic tion, in case of death by dangerous contagious disease, or in any other event when the certificate of the attending physician cannot f good and sufficient reasons be early enough obtained. In case of death by violence, the medical examiner attending shall furnish tl requisite medical certificate. Any person violating the provisions of this section shall be punished by fine not exceeding twenty-five dollars


RETURN OF A DEATH.


To the Clerk of the Town in which the Death occurred.


1. Date of Death,


2. Name. . (Maiden Name),


Glug 17 -1887 Lucetta 6 2° 5.1. Philli/2. Female


3. Sex, and whether single, Married, or Widowed,


1. Color. t .


5. Age,


Disease or Cause of Death,


6 Duration of Sickness, By whom certified.


7. Residence, . atlantic Fluch


S. Place of Death. o


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, .


Signature of Undertaker or other person making the Return, .


DATED at


on


2.17


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.]


ap.2


45 Years, Months. Days.


..


C-STID


[Public Statutes, Chap. 32, Sect. 5.]


No human body shall be buried or removed from any city or town until a proper certificate has been given by the clerk or registrar to the undertaker, sexton, or other person performing the burial or removing the body. Such certificate shall state that the facts required by this chapter have been returned and recorded; and no clerk or 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 registrar; and in cities and towns where there are boards of health, the certificate of the cause of death shall also be approved by such board before a permit to bury is given by the registrar or clerk. Upon application, the chairman of the 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, if there has been no physician in attendance. He shall also sign such certificate, upon applica- tion, in case of death by dangerous contagious disease, or in any other event when the certificate of the attending physician cannot for good and sufficient reasons be early enough obtained. In case of death by violence, the medical examiner attending shall furnish the requisite medical certificate. Any person violating the provisions of this section shall be punished by fine not exceeding twenty-five dollars.


Boston, August 201 1887


This Certifies, That Lucetta C. Me Dougall did on the 17th day of Aug. 1887, aged 43 years, months, 1.5 days.


CAUSE OF Primary,


Child with


Duration nuly 9, 1887


DEATH. Secondary, Blood Parkoning Duration 38 days


Richard BOY


vodim Physician.


Rockwell & Churchill, City Printers, 39 Arch Street, Boston.


G


2


RETURN OF A DEATH. To the Clerk of the Town in which the Death occurred.


1. Date of Death.


aug


18"1887 ithink Vinterel.


(Maiden Name),?


3. Sex, and whether single, Married, or Widowed,


1. Color, t .


5. Age, Years, Months, Days.


Disease or Cause of Death,


6.


Duration of Sickness,


By whom certified,


7. Residence, .


8. Place of Death,


Sine Strace Stone


9. Occupation.


10. Place of Birth,


472222


11. Name of Father.


12. Name of Mother,


13. Birthplace of Father,


Portland que


14. Birthplace of Mother, ·


15. Place of Interment, .


Den porary Défenses


Signature of Undertaker not making the Return, .


DATED at


on Chig 18" 1887


* 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 flll all Blanks.]


2. Name,


[Public Statutes, Chap. 32, Sect. 5.]


No human body shall be buried or removed from any city or town until a proper certificate has been given by the clerk or registrar to the undertaker, sexton, or other person performing the burial or removing the body. Such certificate shall state that the facts required by this chapter have been returned and recorded; and no clerk or 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 registrar; and in cities and towns where there are boards of health, the certificate of the cause o death shall also be approved by such board before a permit to bury is given by the registrar or clerk. Upon application, the chairma of the board of health, or any physician employed by any city or town for such purpose, shall sign the certificate of the cause of deat to the best of his knowledge and belief, if there has been no physician in attendance. He shall also sign such certificate, upon applica cion, in case of death by dangerous contagious disease, or in any other event when the certificate of the attending physician cannot fo good and sufficient reasons be early enough obtained. In case of death by violence, the medical examiner attending shall furnish tl requisite medical certificate. Any person violating the provisions of this section shall be punished by fine not exceeding twenty-fi ‹lollars.


PHYSICIAN'S CERTIFICATE.


Frank Mitchell


Name of Deceased,*


Date and Place of Death, -


Disease or Cause of Death, - opened lug.


of


died at Der Share Some Mintrug Alar. Aug 1 8 18; stre accord Duration of Sickness ahacer in a pillar


I certify that the above is true, to the best of my knowledge and belief. a le stanard 381 Columbus Que, Boston


me and Residence of Certifying Physician,


Date of Certificate, luz /8 rte 188%


*Or Sex of Infant (not named).


[Extracts from Chapter 32 of the Public Statutes.]


" SECT. 3. A physician who has attended a person during his fast 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. If a physician refuses or neglects to make such certificate, he shall forfeit ten dollars to the use of the town in which he resides."


" SECT. 5. No human body shall be buried or removed from any city or town until a proper certificate has been given by the clerk or registrar to the undertaker, sexton, or other person performing the burial or removing the body. Such certificate shall state that the facts required by this chapter have been returned ar I recorded; and no clerk or 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 registrar; and in cities and towns where there are boards of health, the certificate of the cause of ‹leath shall also be approved by such board before a permit to bury is given by the registrar or clerk. Upon application, the chairman of the 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, if there has been no physician in attendance. He shall also sign such certificate, upon applica- tion, in case of death by dangerous contagious disease, or in any other event when the certificate of the attending physician cannot for good and sufficient reasons be early enough obtained. In case of death by violence, the medical examiner attending shall furnish the requisite medical certificate. Any person violating the provisions of this section shall be punished by fine not exceeding twenty-five dollars.'


RETURN OF A DEATH. To the Clerk of the Town in which the Death occurred.


1. Date of Death.


auquel 20" 1887


2. Name,


(Maiden Name),*


3. Sex, and whether single. Married, or Widowed,


1. Color, t .


5. Age,


Years, 6


Months,


20 Days.


Disease or Cause of Death,


6


Duration of Sickness,


By whom certified,


7. Residence, .


8. Place of Death,


9. Occupation,


10. Place of Birth,


L


12. Name of Mother,


13. Birthplace of Father,


14. Birthplace of Mother,


15. Place of Interment, .


Thound Hope


Signature of Undertaker other person making the Return, . 0


DATED at


.


220


18


* 11 a Married Woman or Widow.


tlf other than White. (M. ) Mulatto. (I.) Indian. If of other Races, specify what.


[Be very particular to fill all Blanks.]


11. Name of Father,


1


[Public Statutes, Chap. 32, Sect. 5.]


No human body shall be buried or removed from any city or town until a proper certificate has been given by the clerk or registrar to the undertaker, sexton, or other person performing the burial or removing the body. Such certificate shall state that the facts required by this chapter have been returned and recorded; and no clerk or 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, anc placed in the hands of said clerk or registrar; and in cities and towns where there are boards of health, the certificate of the cause o death shall also be approved by such board before a permit to bury is given by the registrar or clerk. Upon application, the chairma of the board of health, or any physician employed by any city or town for such purpose, shall sign the certificate of the cause of deat to the best of his knowledge and belief, if there has been no physician in attendance. He shall also sign such certificate, upon applica tion, in case of death by dangerous contagious disease, or in any other event when the certificate of the attending physician cannot fo good and sufficient reasons be early enough obtained. In case of death by violence, the medical examiner attending shall furnish th requisite medical certificate. Any person violating the provisions of this section shall be punished by fine not exceedling twenty-fi dollars.


PHYSICIAN'S CERTIFICATE.


ame of Deceased,*


ate and Place of Death,


disease or Cause of Death, -


Walter. Peterson ¿ at Sea Shore Adome, Winthro, Mars. aug 2018 7. of Meningitis.


Duration of Sickness ss Abdominal diease 2-3 riks, cerebral symptoms one week I certify that the above is true, to the best of my knowledge and belief.


ca


a le stanard 38, Columbus Que Bostone. me and Residence of Certifying Physician, th


Certificate, Cuq 70 188 %.


*Or Sex of Infant (not named).


[Extracts from Chapter 32 of the Public Statutes. ]


" SECT. 3. A physician who has 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. If a physician refuses or neglects to make such certificate, he shall forfeit ten dollars to the use of the town in which he resides."


" SECT. 5. No human body shall be buried or removed from any city or town until a proper certificate has been given by the clerk or registrar to the undertaker, scxton, or other person performing the burial or removing the body. Such certificate shall state that the facts required by this chapter have been returned and recorded; and no clerk or 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 deccased, and placed in the hands of said clerk or registrar; and in cities and towns where there are boards of health, the certificate of the cause of death shall also be approved by such board before a permit to bury is given by the registrar or clerk. Upon application, the chairman of the 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, if there has been no physician in attendance. He shall also sign such certificate, upon applica- tion, in case of death by dangerous contagious disease, or in any other event when the certificate of the attending physician cannot for good and sufficient reasons be early enough obtained. In case of death by violence, the medical examiner attending shall furnish the requisite medical certificate. Any person violating the provisions of this section shall be punished by fine not exceeding twenty-five dollars."


RETURN OF A DEATH. To the Clerk of the Town in which the Death occurred.


1. Date of Death, .


2. Name,


.


(Maiden Name),* · (Name of Husband),*


3. Sex, and whether single, Married, or Widowed,


4. Color,t


5. Age, Disease or Cause of Death,


0 Years, ....... Months, - Days. Enteritis


6. {Duration of Sickness, . By whom certified, .


7. Residence,


8. Occupation, .


9. Place of Death, .


10. Place of Birth, .


11. Name of Father,


12. Name of Mother,


13. Birthplace of Father, .


11. Birthplace of Mother, .


15. Place of Interment,


·


Signature of Undertaker w. other person making the Return,


1


11


DATED at


. On


aug 26


1883


* 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.]


auf 25 1887 Many Kelly


female Single White


4


a.l. Stanard


196 Essex SE


Sea Shore Home Unuttuof


Biotin


Though it of


[Public Statutes, Chap. 32, Sect. 5.]


No human body shall be buried or removed from any city or town until a proper certificate has been given by the clerk or registrar to the undertaker, sexton, or other person performing the burial or removing the body. Such certificate shall state that the facts required by this chapter have been returned and recorded; and no clerk or 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 registrar; and in cities and towns where there are boards of health, the certificate of the cause of death shall also be approved by such board before a permit to bury is given by the registrar or clerk. Upon application, the chairman of the 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, if there has been no physician in attendance. He shall also sign such certificate, upon application, in case of death by danger- ous contagious disease, or in any other event when the certificate of the attending physician cannot for good and sufficient reasons be early enough obtained. In case of death by violence, the medical examiner attending shall furnish the requisite medical certificate. Any person violating the provisions of this section shall be punished by fine not exceeding twenty-five dollars.


[Acts of 1887, Chap. 202, Sect. 5.]


Section one of chapter thirty-two of the Public Statutes is hereby amended by inserting after the word "burial " in the twentieth line of said section the words: - if the deceased was a married woman the name of her husband.


PHYSICIAN'S CERTIFICATE.


mary


Dill - Kelley


' Deceased,*


{ Place of Death, -


Sea Shore Stone, Mintturok Mass. Aug 2987. Enteritis


Less 10 hours here er Cause of Death, - \ of Duration of Sickness Comatose condition. Mortier not un condition toque Previous I certify that the above is true, to the best of my knowledge and belief. history. alestanard 381 Columbusive, Baston Residence of Certifying Physician,


· Date of Certificate, aug. 25 ch 188 7.


Or Sex of Infant (not named).


[Extracts from Chapter 32 of the Public Statutes. ]


"SECT. 3. A physician who has attended a person during his last illness shall, when requested within fifteen days after the dee of such person, forthwith furnish for registration a certificate of the duration of the last sickness, the disease of which the person and the date of his decease, as nearly as he can state the same. If a physician refuses or neglects to make such certificate, hes forfeit ten dollars to the use of the town in which he resides."


" SECT. 5. No human body shall be buried or removed from any city or town until a proper certificate has been given by the or registrar to the undertaker, sexton, or other person performing the burial or removing the body. Such certificate shall state tha facts required by this chapter have been returned and recorded; and no clerk or registrar shall give such certificate or burial permi the certificate of the cause of death has been obtained from the physician, if any, in attendance at the last sickness of the deceased placed in the hands of said clerk or registrar; and in citics and towns where there are boards of health, the certificate of the ca death shall also be approved by such board before a permit to bury is given by the registrar or clerk. Upon application, the cha of the board of health, or any physician employed by any city or town for such purpose, shall sign the certificate of the cause of to the best of his knowledge and belief, if there has been no physician in attendance. He shall also sign such certificate, upon ap tion, in case of death by dangerous contagious disease, or in any other event when the certificate of the attending physician cann good and sufficient reasons be early enough obtained. In case of dfath by violence, the medical examiner attending shall furnish requisite medical certificate. Any person violating the provisions of this section shall be punished by fine not exceeding twenty-five d


RETURN OF A DEATH. To the Clerk of the Town in which the Death occurred.


1. Date of Death,


2. Name,


e Elina Platte


(Maiden Name),


Small


3. Sex, and whether single. Married, or Widowed,


4. Color. t .


5. Age, 2 Years, Months, Days.


Disease or Cause of Death,


6. Duration of Sickness,


By whom certified,


7. Residence, . .


8. Place of Death,


2222


--- .. /


9. Occupation,


10. Place of Birth,


11. Name of Father, 20.


12. Name of Mother, .


13. Birthplace of Father,


11. Birthplace of Mother, ·


15. Place of Interment, .


Signature of Undertaker Le ut'er person making the Return2


DATED at


On


30 18 4 ,


* If a Married Woman or Widow.


{ If other than White. (M. ) Mulatto. (1.) Indian. If of other Races, specify what.


¿Be very particular to fill all Blanks.J


.


[Public Statutes, Chap. 32, Sect. 5.]


No human body shall be buried or removed from any city or town until a proper certificate has been given by the clerk or registrar to the undertaker, sexton, or other person performing the burial or removing the body. Such certificate shall state that the facts required by this chapter have been returned and recorded; and no clerk or 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 registrar; and in cities and towns where there are boards of health, the certificate of the cause of death shall also be approved by such board before a permit to bury is given by the registrar or clerk. Upon application, the chairman of the 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, if there has been no physician in attendance. He shall also sign such certificate, upon applica tion, in case of death by dangerous contagious disease, or in any other event when the certificate of the attending physician cannot fc good and sufficient reasons be early enough obtained. In case of death by violence, the medical examiner attending shall furnish th requisite medical certificate. Any person violating the provisions of this section shall be punished by fine not exceeding twenty-fi dollars.


-94


Carter 200/1


PHYSICIAN'S CERTIFICATE.


Jame of Deceased,* -


-


-


Date and Place of Death, -


Eliza V. Watts died at D.P. mathews Anthrope.


aug. 2 ° tto


1887. 188


Disease or Cause of Death, - of apoplexy.


Duration of Sickness. 36 hours


......... .


I certify that the above is true, to the best of my knowledge and belief.


OP Ning Ar. W. #39 Lo. Common St. Lymo.


ame and Residence of Certifying Physician,


Date of Certificate,


aug 30 1887.


*Or Sex of Infant (not named).


[Extracts from Chapter 32 of the Public Statutes, 1882. ]


" SECT. 3 .- A Physician who has 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."


"SECT. 5 .- No human body shall be buricd, or removed from any city or town, until a proper certificate has been given, by the . clerk or registrar, to the undertaker, sexton, or other person performing the burial or removing the body. Such certificate shall state that the facts required by this chapter have been returned and recorded; and no clerk or 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 registrar."




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