USA > Massachusetts > Suffolk County > Winthrop > Town of Winthrop : Record of Deaths 1886-1892 > Part 11
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[ If there has been no physician in attendance, or 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 carly enough obtained, the chairman of the Board of Health, or any physician employed by any city or town for such purpose, shall, upon application, 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 attending shall furnish the requisite certificate. ]
RETURN OF A DEATH.
To the Clerk of the Town in which the Death occurred.
3.1 .188 7
1. Date of Death,
2. Name,
(Maiden Name),*
3. Sex, and whether single, Married, or Widowed,
4. Color, t .
5. Age,
79
Years,
Months,
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.
11. Name of Father, .
12. Name of Mother,
13. Birthplace of Father, ·
14. Birthplace of Mother, ·
15. Place of Interment, . .
Signature of Undertaker water poram making the Return, .
DATED at
18
* If a Married Woman or Widow.
{ If other than White. (M.) Mulatto. (I.) Indian. If of other Races, specify what.
( Be very particular to fill all Blanks.]
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 performning 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 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 exceeding twenty-five dollars.
22070
·
Sel
Minthraje Boston,. September 2 This Certifies, That Capt Daten Aby Crear dicd on the. 3 J" day of wg 1887, aged 78 years, months, days.
CAUSE OF
Primary,
Pleuritis
Duration 8 days
DEATH. Secondary Double Pneum on Duration ... 6 days
Juvque
Physician.
Rockwell & Churchill, City Printers, 39 Arch Street, Boston.
ST
01
Down Clerk
RETURN OF DEATH TO THE CITY REGISTRAR.
CITY HALL, BOSTON. Winthrop
Date of Death, Seht !
188
Name, Germeria
Rosenberg
Color, + 2v
Age
... years / Months 13 .. days
Place of Death Ocean Spray.
Winthrop
WARD
Street and No.
Residence,
Boston días
Sex.
Single, Married.
Occupation,
Whe Of
Birthplace
Name of Father,
Germany Elias
Widow of
Samuel
Name of Mother,
Janny
Birthplace of Father, 0
Birthplace of Mother,*
Cause of ) Primary;".
Duration,
Death Secondary,
Duration,
Place of Interment, Gast Boston Mars
eftza
Date of Interment or removal,
Undertaker or Informant,
Den
Smith
BENJ F. SMITH,
UNDERTAKER, * Insert Town and State. 251 TREMONT ST.+ State whether white or black BOSTON. MASS.
7
Germany.
Boston, Scht 1
This Certifies, That Jer died on the. 1
1887 neria Rosenberg day of Scht 1887, aged >1 years, 3 days.
months,
CAUSE OF
Primary, Cerebral HEwonha Duration 4 days
Duration
Printing Department, Deer Island, Boston Harbor.
DEATH. Secondary, BENJ. F. SMITH, UNDERTAKER, MENO. 251 TREMONTST., BOSTON. 11 .SS
S. H. Durgico.
Physician.
1. Date of Death,
2. Name,
(Maiden Name),*
(Name of Husband),
3. Sex, and whether single, Married, or Widowed,
married
1. Color, t
56 . .... Years, .......
7
Months,
26 Days.
5. Age, .
Disease or Cause of Death,
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 or other person making the Return, .
Fra. S. Paul LAin Main Paul Elliott Maine dervington cl. 4
DATED at
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.]
6
.......
Pneumonia
5 dans D.V Sanle .
[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 to the undertaker, sexton, or other person performing the burial or removing the body. Such certificate shall state that the facts by this chapter have been returned and recorded; and no clerk or registrar shall give such certificate or burial permit until the certi the cause of death has been obtained from the physician, if any, in attendance at the last sickness of the deceased, and placed in th of said clerk or registrar; and in cities and towns where there are boards of health, the certificate of the cause of death shall approved by such board before a permit to bury is given by the registrar or clerk. Upon application, the chairman of the board u 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 kon and belief, if there has been no physician in attendance. Ile shall also sign such certificate, upon application, in case of death by ous contagious disease, or in any other event when the certificate of the attending physician cannot for good and sufficient reasons enough obtained. In case of death by violence, the medical examiner attending shall furnish the requisite medical certificate. A 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 line of said section the words : - if the deceased was a married woman the name of her husband.
PHYSICIAN'S CERTIFICATE.
re of Deceased,*
and Place of Death,
se or Cause of Death, -
died at of
Lenge W. Paul of Winthrop Hot, on the 24 of $18] kness Line 11eck of Pneumoniae Duration
I certify that the above is true, to the best of my knowledge and belief. d Residence of Certifying Physician,
*Or Sex of Infant (not named).
Date of Certificate,
CY
[ 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 shal 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 eity or town until a proper certificate has been given by the cler or registrar to the undertaker, sexton, or other person performing the burial or removing the body. Such certifieate 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 eause of death has been obtained from the physician, if any, in attendance at the last sickness of the deceased, an 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 applid. tion, in ease 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 dollas."
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,
Get 18" 188) annie Minthur der ares
temale
4. C'olor, t While
5. Age, · Disease or Cause of Death,
6. Duration of Sickness, . By whom certifed,
7. Residence,
8. Occupation, .
9. Place of Death, .
10. Place of Birth, .
11. Name of Father, .
12. Name of Mother, .
13. Birthplace of Father, .
14. Birthplace of Mother, .
15. Place of Interment,
Winthrop Cemetery SummerFloyd -
Signature of Undertaker weather wesson making
the Retury,
DATED at , on
180
* If a Married Woman or Widow.
t If other than Whitc. (M.) Mulatto. (I.) Indian. If of other Races, specify what.
[Be very particular to fill all Blanks.]
. Years, - Months, Days.
Winthrop mare
Fremont Theer
....... Fremmer Street/ Hilo Rue Millian tetz gerald Sophia F. dres
[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 registra to the undertaker, sexton, or other person performing the burial or removing the body. Such certificate shall state that the facts require by this chapter have been returned and recorded; and no clerk or registrar shall give such certificate or burial permit until the certificate c 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 hand 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 b 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 cvent 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.
ime of Deceased,*
Annie Winthrop Dres
te and Place of Death, - died at. Winthrop (Oct 18"
sease or Cause of Death, -
1888, of Malformation of theDuration of Sickness 4 days Heart
I certify that the above is true, to the best of my knowledge and belief.
e and Residence of Certifying Physician Al. S. Seule M.D.
Date of Certificate, pani 5
* Or Sex of Infant (not named).
188 g
Any Physician having attended a person during his last illness, shall-when requested within fiftcen days after the deccase 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.
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,
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,
14. Birthplace of Mother, .
15. Place of Interment,
efter 10 "1887 .
lyna Ct. Inett Pendleton
Frank &
female
married
While-
36 Years,
Monthis,
Days.
neumonia Belfast Ine
Minitrope mars etauchpor marie Jonathan
Ennée
Summer Hogar
Signature of Undertaker
1
the Return, .
-
1
DATED at m
, O11
188.7
* 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.]
[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 cvent when the certificate of the attending physician cannot for good and sufficient reasons be early enough obtaincd. 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. Saturday
General Bix Cafelasker-
PHYSICIAN'S CERTIFICATE.
me of Deceased,* -
te and Place of Death, - died at ease or Cause of Death, - of Pneumonia
Eliza Sinett Winthrop Mah
November 10 1887.
Duration of Sickness
I certify that the above is true, to the best of my knowledge and belief.
Ale. I. Soule Winthrop
re and Residence of Certifying Physician,
Date of Certificate, Ner 26C
1887.
*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 deceasc of such person, forthwith furnish for registration a certificate of the duration of the last sickness, the disease of which the son 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 unti 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 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,
CA 25"1887 Meliamed Baldwin
(Maiden Name),* ·
(Name of Husband), *
3. Sex, and whether single, Married, or Widowed,
male
married
4. Color, t
5. Age, (Disease or Cause of Death,
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 sollenwenn making the Return,
1 S
DATED at
Mithoop
Ar 25 1 187
* 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.]
55 Years, 5 . .. Months, 9 Days.
House Parle Hennon Stres Halden mace William
Halden mars Malden Waves Nordlawn Cemetery
Summer Phone
[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 deccascd, and placed in the hands of said clerk or registrar; and in cities and towns where there arc 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. IIe shall also sign such certificatc, 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. Robes But
No24 Cackel 1 camage unday 1.30 3mm Tumeral de
PHYSICIAN'S CERTIFICATE.
Deceased,* -
William H. Baldwin
died at Windherah Non 35'
188 .
Place of Death,
Cause of Death, - of
Duration of Sickness
One year
I certify that the above is true, to the best of my knowledge and belief.
Residence of Certifying Physician,
Winthrop
Date of Certificate,. Kon 96 188
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 de 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, he 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 th facts required by this chapter have been returned and recorded; and no clerk or registrar shall give such certificate or burial perm the certificate of the cause of death has been obtained from the physician, if any, in attendance at the last sickness of the decease placed in the hands of said clerk or registrar; and in cities 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 ch 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 a 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 death by violence, the medical examiner attending shall furnis 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,
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,
14. Birthplace of Mother, .
15. Place of Interment,
Winthrop (2. Head) Crystal love are
Michael Pereira Pereira
Gibraltar Boston
Old Single levare lot,
Signature of Undertaker 7 Q unner Floyd)
the Return ..
DATED at
Marituo po
, 011
Dee Sch ee
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 fill all Blanks.]
Free 81889 annie Pereira
Female
... White
[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 sucl. ' ard 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 earl; enough obtains.1. 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.
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