USA > Massachusetts > Suffolk County > Winthrop > Town of Winthrop : Record of Deaths 1886-1892 > Part 2
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).
Part 1 | Part 2 | Part 3 | Part 4 | Part 5 | Part 6 | Part 7 | Part 8 | Part 9 | Part 10 | Part 11 | Part 12 | Part 13 | Part 14 | Part 15 | Part 16 | Part 17 | Part 18 | Part 19 | Part 20 | Part 21 | Part 22 | Part 23 | Part 24 | Part 25 | Part 26 | Part 27 | Part 28 | Part 29 | Part 30 | Part 31 | Part 32
3. Sex, and whether single, Married, or Widowed,
1. Color, t .
5. Age. Years, 5 Months, .. Days.
Disease or Cause of Death,
6. Duration of Sickness,
By whom certified,
Convulsions
inthis
4.1.222
7. Residence, .
8. Place of Death, .
9. Occupation, ·
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, .
6
S. , Jack'n .
Gingered
Gingi 71
X
DATED at , on . 241- 2 × 10 186
* 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 cherk 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 elerk or registrar; and in eities 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 elerk. Upon application, the chairman of the board of health, or any physician employed by any eity 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 sueh certificate, upon applica- tion, in ease of death by dangerous contagious disease, or in any other event when the certificate of the attending physician eannot for good and sufficient reasons be early enough obtained. In case of leath by violence, the medical examiner attending shall furnish the requisite medical certificate. Any person violating the provisions of this seetion shall be punished by fine not exceeding twenty-five dollars.
17/11
2
No. 5
RETURN OF A DEATH. To the Clerk of the Town in which the Death occurred.
1. Date of Death,
2. Name,
(Maiden Name),
March Ja ephine S. Belyea. !! 11
gil more
3. Sex, and whether single. Married, or Widowed,
FAmale
4. Color, t
5. Age,
41 Years, 10 Months, Days.
6. Disease or First or Primary
Cause of Secondary (if any)
Death, By whom certified
7. Residence, Main St.
8. Place of Death,
9. Occupation, .
10. Place of Birth, . Wolfville di.
11. Name of Father, gilmore
12. Name of Mother, .
13. Birthplace of Father, .
14. Birthplace of Mother. .
15. Place of Interment,
Signature of Undertaker or other person making the Retury,
-
DATED at.
, on
. . ... ...
...
188
* If a Married Woman or Widow.
t If other than white. (A.) African; (M.) Mulatto; (I.) Indian. If of other Races, specify what. [Be very particular to fill all Blanks.]
1
K ...
1
..........
The Undertaker, or other informant, is requested to report the fac's-together with the Physician's Certificate of the Causes of Death-to the Town Clerk, BEFORE THE INTERMENT.
In case of an interment taking place, without the Certificate of Registry of the Clerk of the Town in which the Death occurred (or the deceased resided) having first been obtained, the person having charge of such Interment must FORTIIWITH GIVE NOTICE thereof- or report these facts -to said Clerk. Penalty for neglect, twenty dollars.
Blank forms for Returns of Deaths may be obtained from the Town Clerk.
PHYSICIAN'S CERTIFICATE.
Name of Deceased,* - -
Date and Place of Death,
lich at Houthiof March 28.
188 C.
Disease or Cause of Death,
of Pericarditis Duration of Sickness about
I certify that the above is true, to the best of my knowledge and belief.
ame and Residence of Certifying Physician, Ser. E. Metaretry, MI.A .?
Or Sex of Infant (not hamed). Wnictwoof Grass
Date of Certificate, March 28 1886
[ 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 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."
No. H
RETURN OF A DEATH. To the Clerk of the Town in which the Death occurred.
1. Date of Death.
2. Name,
8 May 27 at 1886 Spencer Franklin Prince
(Maiden Name),*
3. Sex, and whether single, Married, or Widowed,
Mali
Singh.
Whits
4. Color, t
5. Age, .
16
Years, ....
1
Months,
Days.
6. Disease or First or Primary
Cause of Secondary (if any)
Death, By whom certified
7. Residence,
8. Place of Deatlı,
9. Occupation, .
10. Place of Birth, . Doston
Mana
11. Name of Father,
12. Name of Mother, Isabel
13. Birthplace of Father, .
(Gratou
:
14. Birthplace of Mother, .
15. Place of Interment,
Signature of Undertaker or other person making the Return,
c.
DATED at.
,
on Way of a 1886.
..
* If a Married Woman or Widow.
t If other than white. (A.) African; (M.) Mulatto; (I.) Indian. If of other Races, specify what. [Be very particular to fill all Blanks.]
The Undertaker, or other informant, is requested to report the facts-together with the Physician's Certificate of the Causes of Death-to the Town Clerk, BEFORE THE INTERMENT.
In case of an interment taking place, without the Certificate of Registry of the Clerk of the Town in which the Death occurred (or the deceased resided) having first been obtained, the person having charge of such Interment must FORTHWITH GIVE NOTICE thereof - or report these facts - to said Clerk. Penalty for neglect, twenty dollars.
Blank forms for Returns of Deaths may be obtained from the Town Clerk.
Witte / May 4 th 186. Posten,
This Certifies, That Freacer H. nincs did on the 4 th day of May 1886, aged 16 years, months, days.
CAUSE OF ) Primary, Duration DEATII. Secondary, Idiopathic Peritonitis Duration 3 days
Seo. E. Mcbartha & Physician.
6
Rockwell & Churchill, City Printers, 39 Arch Street, Boston.
2
No. 5
RETURN OF A DEATH. To the Clerk of the Town in which the Death occurred.
1. Date of Death,
2. Name,
(Maiden Name),*
may 6 1/6 1886 Il Almira Fiori Ho Almina Demen
3. Sex, and whether single. Married, or Widowed.
Female marrec
White
4. Color, t .
5. Age, .
0 4 Years, 3 Months, 12 Days.
6. Disease or [ First or Primary
Cause of Secondary (if any)
Death, ¿By whom certified
7. Residence,
Winthrop should
8. Place of Death,
9. Occupation, .
10. Place of Birth, .
Shelburne & 8
11. Name of Father,
Anthony Demeure Sanal le.
13. Birthplace of Father, . Shelburne & D.
14. Birthplace of Mother, .
15. Place of Interment,
Signature of Undertaker or other person making the Return,
Duimmer Flord)
DATED at.
(
, on ....
* If a Married Woman or Widow.
t If other than white. (A.) African; (MI.) Mulatto; (I.) Indian. If of other Races, specify what. [Be very particular to fill all Blanks.]
1886 7
·
12. Name of Mother,
Duxbury
The Undertaker, or other informant, is requested to report the facts-together with the Physician's Certificate of the Causes of Death-to the Town Clerk, BEFORE THE INTERMENT.
In case of an interment taking place, without the Certificate of Registry of the Clerk of the Town in which the Death occurred (or the deceased resided) having first been obtained, the person having charge of such Interment must FORTHWITH GIVE NOTICE thereof -or report these facts -to said Clerk. Penalty for neglect, twenty dollars.
Blank forms for Returns of Deaths may be obtained from the Town Clerk.
PHYSICIAN'S CERTIFICATE.
-
Vame of Deccased,*
Date and Place of Death, - Disease or Cause of Death, of
died at
O Alvina Previo Winthrop Guammonia
Thay 6 !! 1886. J'ene days
Duration of Sickness
I certify that the above is true, to the best of my knowledge and belief.
ame and Residence of Certifying Physician,
Frank Irwin M. D. Winthrop Mas. Date of Certificate, May 21ch 1886.
*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, 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 canse 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."
i
RETURN OF DEATH TO THE CITY REGISTRAR.
6 . 66 CITY HALL, BOSTON.
Jun 25
1886
Date of Death,
Gilla M / Barry
Name,
Color.t
Rv
Age
years
Months
Mais
WARD
Residence, Boston Mars Sex, Single, Married.
Occupation,
Boston class
Birthplace*
Name of Father,
John desce
Name of Mother,
Birthplace of Father,
Birthplace of Mother .*
Doulan Masi Cambridge 1)
Cause of
) Primary,
Duration, Duration, Hill,
Place of Interment,
Come 27" 1886
Date of Interment or removal,
BENJ F. SMITH,
Wing Or Smith
Undertaker or Informant,
UNDERTAKER
Dr Surgen
NO. 251 TREMONT ST ,
* Insert Town and State.
BOSTON MASS
+ State whether white or black.
15 clays
Place of Death > Ocean Spray Street and No. $
Wife of Widow of
Death
Secondary,
---
)
Printing Departinent, Deer Island, Boston Harbor.
( Ninthuch Deau Beston, Pane 25 1886 This Certifies, That Gilla In. R. Barry dia on the 25 day of Jun 1886 , agod 8 years, months,
15- days.
CAUSE OF 1 Primary,
Duration
DEATII. Secondary, Benjamin smith, Undert .ker. No 251 Tremont So,
Samuel ft. Surgiu . Physician.
Boston Mass
N x'apren
v.
NOTICE .- Fill in all the Blanks.
RETURN OF DEATH TO THE CITY REGISTRAR.
CITY HALL, BOSTON.
Winklerof
.
June 27 18 86
Date of Death
Name,
Mary
6 Deming
Color, f.
Age
Months
days
Place of Death
years
Locust St Ocean Spray WAR
Street and No.
Residence,
Sex, theale Single, ~ Married.
Occupation,
Wife of.
Birthplace
Name of Father,
Widow of Haile
Name of Mother,
avulla
Birthplace of Father,*
Hubbardslen,
Birthplace of Mother,*
Garthsoit, marie
Cause of ) Primary, Duration,
Death
Secondary,
Duration,
Date of Interment or removal,
Undertaker or Informant,
JOS. S. WATERMAN & SON,
UNDERTAKERS.
P>* Insert Town and State.
+ State whether white or black.
Has
Place of Interment, Datais
و
JOS. S. WATERMAN & SON,
UNDERTAKERS.
Boston,
12221
188
This Certifics, That Many
42210
died on the
day of the e 188 , agod years,
months,
days. brasto
CAUSE OF ) Primary,
Cancer of roth"
Duration / year
au beach
DEATII. Secondary, Nemontage From Duration ww We I have sun this cam bur onen and then bus a two hours before death. Samuel It Duques, Physician.
V
7
No. 8
10
RETURN OF A DEATH. To the Clerk of the Town in which the Death occurred.
1. Date of Death,
2. Name,
(Maiden Name),
3. Sex, and whether single. Married, or Widowed.
C
4. Color, t .
5. Age,.
64 ... Years, 10 Months, 10 Days.
6. Disease or [ First or Primary
Cause of{ Secondary (if any)
Death, By whom certified
7. Residence,
8. Place of Death,
9. Occupation, .
10. Place of Birth, .
11. Name of Father,
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.
188
* If a Married Woman or Widow.
t If other than white. (A.) African; (M.) Mulatto; (I.) Indian. If of other Races, specify what. [Be very particular to fill all Blanks.]
Due2 14"1886
1
C
1
5-9 Scrive:
The Undertaker, or other informant, is requested to report the facts-together with the Physician's Certificate of the Causes of Death -to the Town Clerk, BEFORE THE INTERMENT.
" In case of an interment taking place, without the Certificate of Registry of the Clerk of the Town in which the Death occurred (or the deceased resided) having first been obtained, the person having charge of such Interment must FORTHWITH GIVE NOTICE thereof - or report these facts -to said Clerk. Penalty for neglect, twenty dollars.
Blank forms for Returns of Deaths may be obtained from the Town Clerk.
PHYSICIAN'S CERTIFICATE.
de of Deceased,*
and Place of Death,
-aware Mrs Albie & Pague died at. Winthrofr file 14
.... 185 are or Cause of Death, - of Naturalgier of HearDuration of Sickness
I certify that the above is true, to the best of my knowledge and belief.
& Residence of Certifying Physician He J. Pereli M.D. Winthrop
(): Sex of Infant (not named).
Date of Certificate, Aug 14
188 6
Any Physician having attended a person during his last illness, shall-when requested within fifteen days after the decease of person-forthwith furnish for registration a certificate of the duration of the last sickness, the disease of which the person died, and 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 Registra of Vital Statistics," passed April 23, 1878, provides that "no human body shall be buried, or removed from any city or town, un proper Certificate has been given by the clerk or local registrar of statistics, to the Undertaker or Sexton, or person performing burial or removing the body. This certificate shall state that the facts required by chap. 21 of the General Statutes have returned and recorded; and no clerk or local registrar shall give such certificate or burial permit until the Certificate of the Cau Death has been obtained, (from the Physician, if any, in attendance at the last sickness of the deceased), and placed in the hands o 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 whe certificate of the attending Physician cannot, for good and sufficient reasons, be early enough obtained, the chairman of the local Bo Health, or any Physician employed by any city or town for such purpose, shall sign the Certificate of the Cause of Death, to the la his knowledge and belief. In case of death by violence, the medical examiner shall furnish the certificate.
No ..
RETURN OF A DEATH. To the Clerk of the Town in which the Death occurred.
1. Date of Death,
2. Name,
July 22 "1886 Facile Gordini
(Maiden Name),*
3. Sex, and whether single, Married, or Widowed,
female
4. Color, t .
7thite
5. Age,
Years, 18.
Months,
..
Days.
Disease or Cause of Death,
6.
Duration of Sickness,
By whom certified,
7. Residence, .
a Home Man I
8. Place of Death,
9. Occupation,
10. Place of Birth, (Brati ) hasa
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, t
DATED at
on
Di 11, 23
A 1886.
* 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.]
( Tribunal
Seguifaire de farge dig Ree Kinh
101
[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 elerk or registrar to the undertaker, sexton, or other person performing the burial or removing the body. Such ecrtificate 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 eausc 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 eities 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.
Con
1564 1880-1- 18 83- 4 - 5-6-7-8 1890
1892 Undcitate Certoud, 1893-4-5-6-7-8-
Vicara
1853 to 1863 -ul c. 186 5 FE 1879 -WILL, 1882 1884 1891
-
PHYSICIAN'S CERTIFICATE OF THE CAUSE OF DEATH.
To the Clerle or Registrar of the Town or City in which the Death occurred.
Name and Sex of Deceased,
HEmale
Date and Place of Death, .
Juba 221886
Disease, or Cause of Death, Secondary, .
First or Primary,
Cholera Infantum Duration of * 16 days
Exhaustion
Duration of,
I certify that the above is a true Return, to the best of my recollection and belief.
Vame, Professional Title, and Residence, ...
(Cay n. Sucur M.D.
L
Dated at
Ska Sherri Harry Hurttipo 7248, 22, 1876
Sen Stim Any Hinthop
[Be very particular to fill all Blanks.]
* Reckoned to the time of death.
Any Physician having attended a person during his last illness, shall-when requested within fifteen days after the drecase of such person -forthecith furnish for registration a certificate of the duration of the last sickness, the di-case of which the person died, and the date of his decease, as nearly as he can state the same .- [EXTRACT FROM CHAPTER 21 OF THE GENERAL STATUTES, 1859. ]
The attending Physician is requested to make out his Certificate as promptly as possible, for the information and use of the Undertaker, or other person making return of the case to the Town Clerk.
Physicians may obtain BLANK CERTIFICATES from the Town Clerk or Registrar.
Copies of the STATISTICAL NOSOLOGY, adopted for the purposes of Registration, may be obtained on application to the SECRETARY OF THE COMMONWEALTH.
RETURN OF A DEATH. To the Clerk of the Town in which the Death occurred.
1. Date of Death, .
2. Name,
(Maiden Name),*
3. Sex, and whether single, Married, or Widowed,
Female
4. Color. t .
Phili
5. Age, Years, / Monthy, 21 Days.
Disease or Cause of Death,
6 ..
Duration of Sickness,
By whom certified,
· 7. Residence, .
Cambridge
8. 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, .
Fruit Hoto Huiden ATTinte fare
DATED at Minimal, on July 25# 186.
* 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.]
IO Homes I unile-
Cambridge 722020
[Public Statutes, Chap. 32, Secl. 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.
Winthrop , than ..
July 24, 1886 This Certifies, That May Willoughby died on the 24 th day of July 1886, aged. yeats,
2 months,
days.
CAUSE OF ) Primary, Dianboca
Duration 3 w/2.
DEATII. Secondary, Bronchitis
Duration
Edi. T. Woman In.D . Physician.
Printing Department, Deer Island, Boston Harbor.
Physicians Retrans 1886
No ....
.. 188
RETURN OF
2 DEATH. To the Clerk of the City of Maldon.
1. Date of Death
2. Name of Deceased
(Maiden Name)* . (Husband's Name)*
3. Sex
4. Colort
5. Condition, whether Single, Married, or Widowed
6. Age
7. Disease or Cause of Death
8. By whom certified
9. Residence
10. Occupation
11. Place of Death
12. Place of Birth
13. Name of Father
14. Birthplace of Father
15. Name of Mother
16. Birthplace of Mother
Josiah Pratt Vermael- Martha Pratt Vermont
17. Place of Interment malden
Signature of Undertaker, or other person making the Return
H. B. Jacob
C
Malden, July 26th .188
* If a Married Woman of a Widow.
t (W.) White; (A.) African; (M.) Mixed White and African. If other Race, specify what.
Be very particular to fill all Blanks in Ink.
quey 26 th 1886 Algina P. Williamo Pratt H. J. Michiamo Female White
Masúd
56 Years,
0
Months,
6
Days.
Dr Patter Malden Shirley St-Winthrop
Shirley St marshfield 22-
-The Undertaker, or other informant, is requested to report the facts - together with the Physician's Certificate of the Cause of Death - to the City Clerk, BEFORE THE INTERMENT, and receive the Clerk's Certificate that the return has been made.
Need help finding more records? Try our genealogical records directory which has more than 1 million sources to help you more easily locate the available records.