USA > Massachusetts > Suffolk County > Winthrop > Town of Winthrop : Record of Deaths 1886-1892 > Part 12
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[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.
of Deceased,*
nd Place of Death,
Anne Pereira died at Winthrop Dec8
or Cause of Death, - of Stillborn Duration of Sickness
I certify that the above is true, to the best of my knowledge and belief.
Residence of Certifying Physician,
H. S. Sould Winthrop Dat of Certificate, Chec 21 188 ℃
Or Sex of Infant (not named).
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 dece of such person, forthwith furnish for registration a certificate of the duration of the last sickness, the disease of which the person d 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 s 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 that facts required by this chapter have been returned and recorded; and no clerk or registrar shall give such certificate or burial permit 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 cities and towns where there are boards of health, the certificate of the caus death shall also be approved by such board before a permit to bury is given by the registrar or clerk. Upon application, the chai 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. Ile 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 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 do
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,
1. C'olor,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, ·
050
Hermin Streel Charleston Sveretto Prosty abbie D. Cechy
Chatham mass
Anthrope Samlemely
Signature of Undertaker ---- > making
the Return,.
-
DATED at.
, on. . .. Jan 20
188.8
* 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.]
Emery /4"1888 cada
While
12 Years,
White 9 Months, Days.
mais
- 21
[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 require ? 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 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 belicf, 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 finc 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 deccased was a married woman the name of her husband.
22-
RETURN OF A DEATH. To the Clerk of the Town in which the Death occurred.
1. Date of Death, .
2. Name,
January 27"1888 Milliand. Belcher
( 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, .
11. Birthplace of Mother, .
15. Place of Interment,
Farmer Buchanan Queet Chelsea marce Eleseth Belcher Fancy Welcher Chelsea mass Chelsea, Mais Printbrof Jim beneting
1 Summer floyd
Signature of Undertaker matherperson making the Return, .
DATED at
Sankt" 1888
+ 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.]
·Male Hidower While 74 Years
Months, 9 Days.
poplery Winthroponass,
.....
21
[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, scxton, 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 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.
22
No. 2
Commonlocalth of Massachusetts.
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
·Male Hidonc While
5. Age, 74 Years, 6 Months, 9 Days.
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,
apoplexy
Minthio formase) Farmer (Buchanan Greet
Chelsea. Lesech Welcher Ofancy Welcher Chelsea mass Chelsea, mass Fronthrof Jon beneting
Signature of Undertaker motheris making the Return,
2 S
Summer floyd
DATED at Monthrope , on Jan 25" 1888
* 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.]
January 27.1888 AMilliants. Belcher
[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. IIe 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 carly 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.
811.312
1
No.
บแบบแพนแม่ Ut Zแคสณูแลเเรง 2
RETURN OF A DEATH. To the Clerk of the Town in which the Death occurred.
1. Date of Death,
2. Name,
Feb 25, 11 1888 Samuel J. Eindlectora
(Maiden Name),* . (Name of Husband),*
3. Sex, and whether single, Married, or Widowed,
4. Color, t
5. Age, Disease or Cause of Death,
13 ..... Years, . ...
Months,
19
..... Days.
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 making the Return, .
Runn
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.]
1
Samuel
Stewart
Canada
[Public Statutes, Chap. 32, 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 registr to the undertaker, sexton, or other person performing the burial or removing the body. Such certificate shall state that the facts requir by this chapter have been returned and recorded; and no clerk or registrar shall give such certificate or burial permit until the certificate 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 har 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 approved by such board before a permit to bury is given by the registrar or clerk. Upon application, the chairman of the board of heal 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 knowled and belief, if there has been no physician in attendance. He shall also sign such certificate, upon application, in case of death by dang ous contagious disease, or in any other event when the certificate of the attending physician cannot for good and sufficient reasons be e: enough obtained. In case of death by violence, the medical examiner attending shall furnish the requisite medical certificate. Any per 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 twent line of said section the words : - if the deceased was a married woman the name of her husband.
PHYSICIAN'S CERTIFICATE.
Game of Deceased,* -
Date and Place of Death, -
iscase or Cause of Death, -
Samuel & Lidlestone
died at Winthrop hel 25 1888:
of Drowning Duration of Sickness
I certify that the above is true, to the best of my knowledge and belief.
ame and Residence of Certifying Physician,
Alex P. Loule' M. T. Date of Certificate, Mar IG' 1888:
*Or Sex of Infant (not named).
Permission is herely granted Summer Floyd to bury the above hody
I Chairman of the Board of Health It S, Souli winthroh
[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."
" SECr. 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 carly 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, .
May 13" 1888 frances L. Gardes
2. Name,
.
(Maiden Name), .
(Name of Husband ),
3. Sex, and whether single, Married, or Widowed,
4. Color, i
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 of otherperson making the Retury, . .
-
,
DATED at
... , Oil
More: 13 188.8
* 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. ]
Fence White
37 .Years, .. / _... Months, .... . r Days.
Pleasant Street Boston ) .
€ Salón S.
.....
[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 registr 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 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 han 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 approved by such board before a permit to bury is given by the registrar or clerk. Upon application, the chairman of the board of healt 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 knowled. and belief, if there has been no physician in attendance. He shall also sign such certificatc, upon application, in case of death by dange ous contagious disease, or in any other event when the certificate of the attending physician cannot for good and sufficient reasons be eal enough obtained. In case of death by violence, the medical examiner attending shall furnish the requisite medical certificate. Any pers 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 twentie line of said section the words : - if the deceased was a married woman the name of her husband.
PHYSICIAN'S CERTIFICATE.
francia AVrs Fannie Cardes died at. Winthrop May 13
...
Disease or Cause of Death, - 1
of
Pneumonia
1889: Duration of Sickness ... 11 days
I certify that the above is true, to the best of my knowledge and belief. A. S. Soule Winthrop
me and Residence of Certifying Physician,
*Or Sex of Infant (not named).
Date of Certificate,. June1 1888 .-
[May, 1588.]
Name and Age of Deceased,*
Date and Place of Death, -
[Acts of 1888, Chapter 306.]
SECTION 1. Section three of chapter thirty-two of the Public Statutes, requiring attending physicians to furnish for registration certain facts relating to deceased persons, is amended so as to read as follows : - Section 3. A physician who has attended a person during his last illness shall, when requested, forthwith furnish for registration, a certificate stating, to the best of his knowledge and belief, the name of the deceased, his age, the disease of which he died, the duration of his last sickness, and the date of his decease. If a physician neg- lects or refuses to make a certificate, as aforesaid, he shall be punished by a fine not exceeding fifty dollars.
SECTION 2. Section five of said chapter, prohibiting the burial or removal of a human body until a proper certificate is furnished, is amended so as to read as follows : - Section 5. No undertaker, sexton or other person shall bury in a city or town or remove therefrom the body of a deceased person until he has received a permit so to do from the board of health or its duly appointed agent, or, if there is no board of health in such city or town, from the city or town clerk. No such perinit shall be issucd until there has been delivered to such board, or agent or clerk, as the case may be, a satisfactory written statement containing the facts required by this chapter to be returned and recorded, together with the certificate of the attending physician, if any, as required by section three of this chapter, or in lieu thereof a certificate as hereinafter provided. If there is no attending physician, or if the certificate of the attending physician can not be obtained, for good and sufficient reasons, early enough for the purpose, the chairman of the board of health or any physician employed by a city or town for the purpose shall, upon request of said board, agent or clerk, make such certificate as is required of the attending physician; and in case of death by violence the medical examiner shall, if requested, make the same. When such satisfactory statement and certificate are delivered to the board of health or to its agent, the board or agent shall forthwith countersign and transmit the same to the clerk or register for registration. The person to whom the permit is so given shall thereafter furnish for registration any other information as to the de- ceased or to the manner and cause of the death, as the clerk or registrar may require. Any person violating any of the provisions of this section shall be punished by a fine not exceeding fifty dollars. [Approved May 4, 1888.
0
No.
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
While
12 Years, 5 Months, Days.
5. Ago, 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,
Signature of Undertaker Ne other person making the Return, .
-
Runner Hazel
DATED at ..
, 01
May 18
1888
* 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.]
Special ,
Printtrop mar
Peller V "p & cbland
Grand 2val /ouetten
omalder
May 1 21888 . Wary No. 16" Donald
Female
[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 requiircd 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 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.]
Scction 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.
1888 Besten,
This Certifies, That Mingled fald died on the / day of May 188, aged 12 years, 5% months, days.
CAUSE OF
Primary, Chances of SpaceDuration
DEATII. Secondary, Duration
Franny Ilk Physician.
.
Rockwell & Churchill, City Printers, 39 Arch Street, Boston.
No. 6
Commonwealth of Massachusetts.
RETURN OF A DEATH. To the Clerk of the Town in which the Death occurred.
1. Date of Death, .
2. Name,
(Maiden Name),
1
(Name of Husband) ,*
3. Sex, and whether single, Married, or Widowed,
Diedoved Via
1. Color, t
72 Years,
Months, Days.
5. Age, Disease or Cause of Death,
6. Duration of Sickness, . (By whom certified,
7. Residence,
8. Occupation, .
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