USA > Massachusetts > Suffolk County > Winthrop > Town of Winthrop : Record of Deaths 1886-1892 > Part 21
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No.
vommonwinny or zuassaenusetts.
RETURN OF A DEATH. To the Clerk of the Town in which the Death occurred.
1. Date of Death,
July 11th 1890 -
Daniel Devices
(Maiden Name),* (Name of Ilusband),*
3. Sex, and whether single,
Married, or Widowed,
4. Color, t
5. Age, Disease or Cause of Death,
Years,.
3
Months,
Days.
6. Duration of Sickness, . By whom certified,
7. Residence, Barton
8. Occupation, . La chou Horne
9. Place of Death, .
10. Place of Birth, .
19 Mandar. Mit Daniel Queen.
12. Name of Mother, Lotta : Dimen- Ireland -
13. Birthplace of Father, .
Prefland ..
11. Birthplace of Mother. . July Onse Cemetery
15. Place of Interment,
malden
Signature of Undertaker
the Return. .
DATED at
July 12"
189.0
* 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.]
11. Name of Father,
Summer Floyd
2. Name,
[ACTS OF ISSS, CHAP. 806.] AN ACT
RELATING TO THE CERTIFICATES AND REGISTRY OF DEATHS, AND THE BURIAL AND REMOVAL OF BODIES OF DECEASED PERSONS.
Be it enacted, etc., 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 sickness, and the date of his decease. If a physician neglects or refuses to make a certificate, as afore-aid, he shall be pun- ished 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 fur- nished, is amended so as to read as follows :- Section 5. No undertaker, sexton or other person shall bury in a city of 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 sueh board, or agent or clerk, as the case may be, a satisfactory written state- ment 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 lien 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, carly 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 certifieate 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 de- livered to the board of healthi or to its agent, the board or agent shall forthiwith countersign and transmit the same to the clerk or registrar 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. [Approred May 4, 1888.
PHYSICIAN'S CERTIFICATE.
Name and Age of Deceased,*
Daniel Denieen
Age, 12 weeks
Date and Place of Death, -
died at nathrop, mans.
July 11 1800.
Disease or Cause of Death, - of Infantile atrophy
Duration of Sickness 12 weeks -
I certify that the above is true, to the best of my knowledge and belief.
Tame and Residence of Certifying Physician, James In. Jackson - Sea Shore Home Tutto
*Or Sex of Infant (not named).
Date of Certificate, cale, July 11
1880.
[May, 1888. ]
[Acts of 1888, Chapter 306.]
SECTION I. 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 ncg- 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 hoard, 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- ccased 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.
No.
RETURN OF A DEATH. To the Clerk of the Town in which the Death occurred.
1. Date of Death,
2. Name, (Maiden Name),'
July 23 '1890 I lichame A. Pearson
3. Sex, and whether single. Married, or Widowed,
Married
muito
4. Color, t
5. Age,
64.
Years,
Months,
Days.
6. Disease or First or Primary
Cause of Secondary (if any)
Death, ¿By whom certified
7. Residence, ·
Miniturafa
8. Place of Death,
9. Occupation, .
Bourdon de
Cultu
Hanbill
Mau
10. Place of Birth, .
11. Name of Father,
12. Name of Mother, Many
13. Birthplace of Father, .
14. Birthplace of Mother, .
Hanbill
15. Place of Interment, Man
Signature of Undertaker or other person making the Return,
NE.19 run
DATED at.
,
July
1890
* If a Married Woman or Widow.
+ 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 theroof - 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.
, and Age of Deceased,*
Hiram A Piensow
Age, 6H
und Place of Death, - !
died at
23
se or Cause of Death, -
f. Glanced Stomach Duration of Sickness
Axonouths
I certify that the above is true, to the best of my knowledge and belief.
e' and Residence of Certifying Physician, Ghost Gastmare trorthron
*Or Sex of Infant (not named).
Date of Certificate, ifade July 2, 189.0
[May, 1888.]
[Acts of ISSS, Chapter 306.]
SECTION I. 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 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.
PHYSICIAN'S CERTIFICATE.
Name and Age of Deceased,*
Date and Place of Death, -
A ariet Mo. arch Age, 10 months died at Sea Shore Home, Winthrop, July 23. 1880.
Disease or Cause of Death, -
ofCholera Infantum Duration of Sickness 39 hours
I certify that the above is true, to the best of my knowledge and belief.
Name and Residence of Certifying Physician,
I cf Houghton Sia Ihave Gone Withich
Date of Certificate, July 23 1880.
*Or Sex of Infant (not named).
[ May, 1858. ]
[Acts of 1888, Chapter 306.]
SECTION I. 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 hcu thercof 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.
UNDERTAKER'S RETURN .- Boston.
Date of death, July 23
0. Name, Harriet Gauche
Maiden name,*
Sex, Female
Married, single, or widow of wife-of
Color, Age, years mos., 28 days. Residence, Pear 430 Harcover of.
Place of death ( street and) number 18 velour Place of birth,
ward
Occupation, .. afour
Name of father,
Name of mother, -
Birthplace of father,
Birthplace of mother,. Poreton
Place of interment,t
Holy Cross Malden
* If a married woman or a widow.
t Give the name of the burial ground.
Signature of undertaker, or other person
making the return.
No.
RETURN OF A DEATH. To the Clerk of the Town in which the Death occurred.
1. Date of Death, .
2. Name,
July 2.5 "1890 Heller Thenneon
(Maiden Name),*
(Name of Husband ) ,*
Female - 8
3. Sex, and whether single.
Married, or Widowed.
1. Color .¡
5. Ago, Disease or Cause of Death,
6. Duration of Sickness, . By whom certified,
7. Residence, Bortin mars
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,
Sea Shore Home Boston mass Peter Themenn Hilma Ineden Ineden Mount Hope
Summer Playa
Signature of Undertaker 1
the Return. .
DATED at Winthrop
July 25- 18 9.0
* If a Married Woman or Widow. t It other than White. (M.) Mulatto. (I.) Indian. If of other Races, specify what.
[Be very particular to fill all Blanks. ]
White 4
Years. Months, Days.
Dirhanen
[ACTS OF 1888. CHAP. 306.]
AN ACT
RELATING TO THE CERTIFICATES AND REGISTRY OF DEATHIS, AND THE BURIAL AND REMOVAL OF BODIES OF DECEASED PERSONS.
Be it enacted, etc., 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 sickness, and the date of his decease. If a physician neglects or refuses to make a certificate, as aforesaid, he shall be pun- ished 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 fur- nished, 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 elerk. 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 state- ment 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 sutlicient 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 shal' upon request of said board, agent or clerk, make such certificate as is required of the attending physician ; and in case of deat by violence, the medical examiner shall. if requested, make the same. When such satisfactory statement and certificate are d livered to the board of health or to its agent, the board or agent shall forthwith countersign and transmit the same to the cler or registrar for registration. The person to whom the permit is so given shall thereafter furnish for registration any othe information as to the deceased or to the manner and cause of the death, as the clerk or registrar may require. Any perse violating any of the provisions of this section shall be punished by a fine not exceeding fifty dollars. [Approved May 4, 188
PHYSICIAN'S CERTIFICATE.
Name and Age of Deceased,*
Tester Theunion
Age.
3,2 maths
Date and Place of Death, -
Disease or Cause of Death, -
died at Sea Shore Tome Winthrop July 25 1880 of acute Dysheltie Dianlo ration of Sickness. 2 avec/2
I certify that the above is true, to the best of my knowledge and belief.
and Residence of Certifying Physician, JA Houghton Ja I have Tome. I. inthuof
.
)
*Or Sex of Infant (not named).
Date of Certificate, July 25
1880. [ May, Isss.]
3
[Acts of 1888, Chapter 306.]
SECTION I. Section three of chapter thirty-two of the Public Statutes, requiring attending physician's to furnish for registration certain facts relating to deceased persons, is amended so as to read as follows : - Section 3. A physician who his 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 an'l 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.
PHYSICIAN'S CERTIFICATE.
Name and Age of Deceased,*
Rasella & Ralph
6 mon 23 day Age, .. Only 25 18 9.0
Date and Place of Death, - died at Cholera Efortin Disease or Cause of Death, - Duration of Sukness
I certify that the above is true, to the best of my knowledge and belief.
Name and Residence of Certifying Physician, Whas+ Ceastmore Minuten
Date of Certificate,,
cate,
Suly
25
182.0
*Or Sex of Infant (not named).
[Ed. -- 10 M - Oct. 9, 1889.]
[May, 1888.]
[Acts of 1888, Chapter 306.]
SECTION I. 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 rcad 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, carly 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 asis 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.
UNDERTAKER'S RETURN .- Boston.
Date of death, July 25
Rosella Tara
1890 Name
Ralph Sex,
Maiden name,*
Married, single, or widow of wife of
Color, IN Age, years, 6 mos., 23
days.
Residence,
Sea From our Oceanspra
Place of death ( street and) number
Place of birth,
Dames con
Name of mother,
Rosella
Birthplace of father, Emgeton Canad Birthplace of mother,
Hillin
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