USA > Massachusetts > Suffolk County > Winthrop > Town of Winthrop : Record of Deaths 1886-1892 > Part 14
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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.
PHYSICIANS' CERTIFICATE OF THE CAUSE OF DEATH.
Name of Deceased Boston,
Date and Place of Death, .
1988. Disease or Cause of Death,
Veknown (Suffered Florestan 2. Dairs
.
Th Beton Harbor
found drowned
*Duration of ..
certify that the above is true, to the best of my knowledge and belief.
ne and Residence, Francis Affaris Med. Sam
. .
agent, or, if there is no board of health in such city or town, from the city of town clerk. No such permit shall be issued 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 cannot 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 deceased 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.
SECRETARY'S DEPARTMENT, BOSTON, May 4. 1888.
No. 12
Commontocalth 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 IInsband),*
3. Sex, and whether single, Married, or Widowed,
4. Color, t
5. Age, Disease or Cause of Death,
Years, 6
Months, . 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 -orother person-making the Return, .
7
...... ....
1
81-2.00.
DATED at .. , On 26 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.]
[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 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. 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.
No.
13
Commonwealth of Massachusetts.
RETURN OF A DEATH. To the Clerk of the Town in which the Death occurred.
1. Date of Death,
Jane 2 6/88.
2. Name. ·
(Maiden Name),*
Smith
3. Sex, and whether single, Married. or Widowed,
Hemale - Mand
4. Color. t .
Years,
Months ..
19
Days.
5. Age.
Disease or Cause of Death,
6.
Duration of Sickness,
By whom certified, .
7. Residence, .
8. Place of Death,
Wachung
9. Occupation.
·
Gasthaus Mau
10. Place of Birth,
11. Name of Father, .
12. Name of Mother, ·
.
13. Birthplace of Father,
Orleans Man.
14. Birthplace of Mother, .
15. Place of Interment. .
Signature of U'udertaker or other person making the Return, .
DATED At
Muchas
,
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.]
human Smitte
Earlhanı
WE. Brown
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 of Returns may be obtained from the Town Clerk.
4
---
---
-
--
188
This Certifies, That.
C ... .
r
....
*
dicd on the
day of ...
7 months, 19
188, aged years, days.
CAUSE OF Primary, Liver Disease and Duration
DEATH. Secondary, fire halls Alcef .. Duration
Me. I Soulé Physician.
Rockwell & Churchill, City Printers, 39 Arch Street, Boston.
Boston,
825
No. 12
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, .
1.4. Birthplace of Mother, .
15. Place of Interment, .
Simmer Floyd
Signature of Undertaker brotherprix making the Return, .
١
DATED at Minitrop
.. , 011
the 28 1888
* 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.]
142
Years, .. 10 Months, . 15 Days.
Vinchips 1 13: 10
Corbacho L
1
11
$
[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.
-
June 28 1888 This Certifies, That John A. Folsom died on the 27 " day of June 1888, aged 41 years, 10 1 months
Rockwell & Churchill, City Printers, 39 Arch Street, Boston.
Winthrop
mase Boston,
15
days.
CAUSE OF
Primary,
Prighti Droemer.
7
Duration 2 Month
.... Duration
DEATH.
Secondary,
8 C. w. C'echina Physician.
NO.
RETURN OF A DEATH. To the Clerk of the Town in which the Death occurred.
1. Date of Deatlı, .
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,
Bishin mass Fred & are ...
11. Name of Father,
12. Name of Mother, .
auquela Mano
13. Birthplace of Father, .
11. Birthplace of Mother, .
15. Place of Interment, ·
Signature of Undertaker or other person making the Return, .
DATED at
, Onl.
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. ]
Que 7"1888
2 Years, 8 Months, 6 Days.
[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.
July ?" 188 8 This Certifies, That Clara Hay Dock haver died on the ..... 8
Winthrop Boston, mars
7th day of July 1888, aged 2 years, months, 6 days.
CAUSE OF ) Primary,
Duration 10 lyd
Duration
DEATHI. Secondary, 2
Physician.
*
Rockwell & Churchill, City Printers, 39 Arch Street, Boston.
PHYSICIANS' CERTIFICATE OF THE CAUSE OF DEATH.
July 19 185%.
Name of Deceased
Thomas Boston, Portin
Date and Place of Death, .
Disease or Cause of Death,
* Duration of
18 moultes
Name and Residence,
I certify that the above is true, to the best of my knowledge and belief. 1/11. Grazie per
Clicca EL E13,
Taker, sexton or other person shair ceased 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 permit shall be issued 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 cannot 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 efty 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 arent, 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 deceased 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.
SECRETARY'S DEPARTMENT, BOSTON, May 4, 1888.
This Act takes effect June 3, 1888.
HANDY D PIERCE
UNDERTAKER'S RETURN TO THE BOARD OF HEALTH, BOSTON.
Date of Death, Maiden Name
MY Name, 1888
tec
.. Sex.
Married, single or widow. wife of Color, W. .. Age, 32 years. dans. Residence, mes .. Place of death, St. and Neckably ~~ Cacau by Ward Place of Birth, French Shirky . Occupation, € Name of father, Im & orter Name of mother, Birthplace of father, Ireland. Birthplace of mother, Place of interment, +
Ireland
"If a married woman or a widow.
tGive the name of the burial ground.
Signature of Undertaker, or other person making the return.
A
LCHAPTER 300.]
Commonwealth of Massachusetts.
In the Year One Thousand Eight Hundred and Eighty-eight.
AN ACT
RELATING TO THE ,CERTIFICATES AND REGISTRY OF DEATHS, AND THE BURIAL AND REMOVAL OF BODIES OF DECEASED PERSONS.
Be it enacted by the Senale and House of Representatives in General Court assembled, and by the authority of the same, as follows :
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 siekness, and the date of his docease. If a physician neglects or refuses to make a certificate, as aforesaid, he shall be punished by a fine not exceeding fifty dollars.
I ETURN 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
V . Years, ...
Months,
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, .
14. Birthplace of Mother, .
15. Place of Interment,
Signature of Undertaker other person making the Return, .
DATED at NonTerios
, 011
July 30 - 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.]
29 Winthrop St Burton Mazo
Muchrop Maso
Charlestown Inas Gilbert.
Mary 6
Malden mars
Haverbull Thass
Cally Viutto Frederick Hemcle Married White
30 1888 1. Vi. Williams
+ +
[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. Suel 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 f the cause of death has been obtained from the physician, if any, in attendance at the last siekness 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 3 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 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 e enough obtained. In case of death by violence, the medical examiner attending shall furnish the requisite medical certificate. Any pers. n 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.
Name and Age of Deceased,*
Abby Y. Williams
Age,
75 Ml)
I, ute and Place of Death, -
died at
Winthrop Mah July 30°
1888.
D'sease or Cause of Death, - of
Jerichurect InterferRation of Sickness Come year
...... .
I certify that the above is true, to the best of my knowledge and belief.
Name and Residence of Certifying Physician,
Ab. S. Soule Winthrop Mal?
Date of Certificate, Auch 365 188%.
*Or Sex of Infant (not named).
[May, 1888.]
[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 permit shall be issued 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.
U
No. HE
RETURN OF A DEATH. To the Clerk of the Town in which the Death occurred.
1. Date of Death, . .
2. Name, .
august 4" 1885 Winthrop. I. Twelling
(Maiden Name),*
(Name of Husband),*
3. Sex, and whether single, Married, or Widowed,
4. Color, t
5. Age, Disease or Cause of Death,
Years,
2 Months,
21
Days.
6. Duration of Sickness, . (By whom certified,
7. Residence,
8. Occupation, .
Trident are O spray 100
GEMIL
9. Place of Death, .
10. Place of Birth, .
11. Name of Father,
12. Name of Mother, .
Isadore H.
13. Birthplace of Father, .
11. Birthplace of Mother, .
15. Place of Interment,
Signature of Undertaker bythempomme making the Return, .
DATED at.
, On
18
88
* 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
[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 buriel or removing the body. Syoh certificate shall state that the facts require. AMENDED 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's 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 byany city or town for such purpose, shah sign the Artificate of the cause of death to the les
and help-
ous contagious disease, or in any other event when the certificate of the attending physician cannot for good and sufficient reasons be ea 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 twentieth line of said section the words : - if the deceased was a married woman the name of her husband.
-
1
Boston,
Aug. 4
1888.
This Certifies, That Winthrop Smelling died on the 4 day of 188 , aged .... years,
clays.
2 months,
CAUSE OF
Primary,
Cholera, enfantin Durat
12 hours
DEATH. S Secondary, ...... Duration
Isaac Louis
Physician.
Rockwell & Churchill, City Printers, 39 Arch Street, Boston.
PHYSICIANS' CERTIFICATE OF THE CAUSE OF DEATH.
Boston,
Name of Deceased
Date and Place of Death, .
And 13, 1588
Sea Shore Itime I'mthrop
*Duration of 2 cceka
Name and Residence,
I certify that the abovehis tri to the best of my knowledge and belief. Addison J. Thayer, M.D. Sea Show Otome,
RE
No.
Ang IL. 18 5 8
1
Disease or Cause of Death,
Intestinal Catarrh
ceased 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. N such permit shall be issued until there has been delivered to sneh board. or agent or clerk. as th case may be, a satisfactory written statement containing the facts required by this chapter to 1 returned and recorded, together with the certificate of the attending physician, if any. as require by section three of this chapter, or in lien thereof a certificate as hereinafter provided. If the is no attending physician, or if the certificate of the attending physician cannot be obtained. f good and sufficient reasons, early enough for the purpose, the chairman of the board of health any physician employed by a city or town for the purpose shall, upon request of said board. age or clerk, make sneh certificate as is required of the attending physician : and in case of death violence. the medical examiner shall, if requested, make the same. When such satisfact statement and certificate are delivered to the board of health or to its agent, the board or ag shall forthwith countersign and transmit the same to the elerk or register for registration. person to whom the permit is so given shall thereafter furnish for registration any other informa as to the deceased or to the manner and canse of the death, as the clerk or registrar may req Any person violating any of the provisions of this section shall be punished by a fine not excce fifty dollars. [Approved May 4, 1888.
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