Town of Winthrop : Record of Deaths 1886-1892, Part 24

Author: Winthrop (Mass.)
Publication date: 1886
Publisher:
Number of Pages: 726


USA > Massachusetts > Suffolk County > Winthrop > Town of Winthrop : Record of Deaths 1886-1892 > Part 24


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UNDERTAKER'S RETURN .- Boston.


Date of deathı, aluguel 8


189 0 Name,


Michael ci Keldu_x Sex, Hace"


Maiden name,*


Married, single, or widow of wife of Color, MrAge, -years, 6 mos., -days. Residence, 25 Rueay Place of death (street and Witterofe Thass number 1 Place of birth, uzstore Occupation,


ward


L'avouer


Name of father, ,


sirthplace of father,


Place of interment,t


1 trouvais Name of mother,. Aufauf Birthplace of mother


Viatou


* If a married woman or a widow.


t Give the name of the burial ground.


Signature of undertaker, or other person


making the return. I.a. harrell


RETURN OF A DEATH. To the Clerk of the Town in which the Death occurred.


1. Date of Death. .


2. Name.


auquel 10" 1890 Charles . Chijeman


( Maiden Name),* (Name of Husband ) .


3. Sex, and whether single,


Married, or Widowed,


quale married While-


4. Color.i


5. Age,


Disease or Cause of Death,


52 Years, Months, Days.


INHI


6. Duration of Sickness, . By whom certified,


7. Residence,


8. Occupation, . Baggage Marter 9. Place of Death, . Perkime Steel- Great-Head Belgrade-Marie


10. Place of Birth.


11. Name of Father.


12. Name of Mother, .


13. Birthplace of Father, .


14. Birthplace of Mother. .


15. Place of Interment.


South Paris mamie


7. miles Brook mario


Portland Mane


Signature of Undertaker


the Return ..


Summer Floyd


...


DATED at


Thathof.


, 011


auquel 18" 1896


* 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.]


Heart Disease weare Somerville Mais


[ACTS OF ISS8, CHAP. 306.] 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 aforesaid, he shall be pin- ished by a thuie not exceeding fifty dollars.


SECTION 2. Section five of said chapter, prohibiting the burial or removal of a linnan body until a proper certificate is fir- 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 it- 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 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 de- livered to the board of health or to its agent, the board or agent shall forthwith 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 canse 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, 1989.


he deceased was a soldier or sailor who served in the war of the rebellion, give both the primary and secondary cause of death. See Chap. 224, Acts of 1889.


PHYSICIAN'S CERTIFICATE.


e and Age of Deceased,


Charles F. Chipman


Age, 52 yrs.


and Place of Death, -


died at Winthrop, West


aug 10 %


1890


se or Cause of Death, - of Heart Disease


Duration of Sickness 7. Mo !?!


I certify that the above is true, to the best of my knowledge and belief.


ud Residence of Certifying Physician,


ma Children's hospital


Date of Certificate, cate, aug 10. 18 90


*Or Sex of Infant (not named).


[May, 1888.]


[Acts of 1888, Chapter 306.]


SECTION I. Seetion three of chapter thirty-two of the Publie 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 decease. If a physician neg- leets 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 eity 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 elerk, as the ease 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 of 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 ar delivered to the board of health or to its agent, the board or agent shall forthwith countersign and transmit the same to the elerk 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.


RETURN OF A DEATH. To the Clerk of the Town in which the Death occurred.


1. Date of Death, .


2. Name,


august 11 " 189,0 John marill


( Maiden Name) .*


(Name of Husband) .*


3. Sex, and whether single, Married, or Widowed,


male


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 ..


Sea Shore Home South Palin


11. Name of Father, Edward Colton


12. Name of Mother, Kellie Morrill 13. Birthplace of Father. . South Podin 14. Birthplace of Mother. . Ireland Deposit in Rec Tamb Ang 12 15. Place of Interment, grinthrop Gamefly estland secreto I Hope


Signature of U'udertaker *** person making the Return, .


DATED At


Hinthrop


. (11


aug 12"


189.0


* If a Married Woman or Widow.


t If other than White. (M.) Mulatto. (I.) Indian. If of other Races, specify what.


Range 34


SeeQ - Granel


[Be very particular to fill all Blanks. ]


Interment at Mount Hope Dec 1,1890


While


X Years. X Months, 15 Days.


Gastro Enteritis South Biste-


[ACTS OF 1888, CHAP, 306.] 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 Publie 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 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 dluly 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 issned 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 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 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 de- livered to the board of health or to its agent, the board or agent shall forthwith 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. [Approced Muy 4, 1888.


If the deceased was a soldier or sailor who served in the war of the rebellion, give both the primary and secondary cause of death. See Chap. 224, Acts of 1889.


PHYSICIAN'S CERTIFICATE.


Name and Age of Deceased,*


Date and Place of Death, -


John M will died at Winthrop


Age, 15 days


August, 11,


isease or Cause of Death, - of .€ Gastro-Enteritis


Duration of Sickness.


1890 cheness Eight days


I certify that the above is true, to the best of my knowledge and belief. and Residence of Certifying Physician,


.CA. Houghton Sea I have Home Winthrop


Date of Certificate, Ciuquest. 11 1890.


*Or Sex of Infant (not named).


[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 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 certi.icate, as aforesaid, he shall be punished by a fine not exceeding fifty dollars.


SECTION 2. Section five of sail chapter, prohibiting the burial or removal of a human bo.ly 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 atten ling physici in 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 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 1 tr insmit 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.


.. S.


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.+


5. Age.


Disease or Cause of Death,


P


6. Duration of Sickness, . By whom certified.


130


7. Residence.


8. Occupation, .


9. Place of Death. .


10. Place of Birth. .


11. Name of Father,


Engen R Ger .0


12. Name of Mother, .


13. Birthplace of Father, .


14. Birthplace of Mother ..


15. Place of Interment,


Signature of Undertaker 1


prison making the Return, .


DATED Att Angus/3-1890


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.]


QUICK.


Years,


1.


Montlis,


6


Days.


Schie


Summer Flyer


.


[ACTS OF 1888. CHAP. 306.]


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 :


Skoniox 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 negleets or refuses to make a certificate, as aforesaid, he shall be pun- ished by a fine not exceeding fifty dollars.


SEcrox 2. Section five of said chapter, prohibiting the burial or removal of a liman body until a proper certificate is fir- 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 eity 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 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 sufficient reasons. carly nongh 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 de- livered to the board of health or to its agent, the board or agent shaft forthwith 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 canse 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. EApproved May 4, 1888.


R


PHYSICIAN'S CERTIFICATE.


ud Age of Deccased,*


Make Tivin a Lewis- Great Head


Age, 5 ct la di.


d Place of Death, - or Cause of Death, - of


died at Winther


Aug 13


Charterce Procent Duration of Sickness.


I certify that the above is true, to the best of my knowledge and belief.


Residence of Certifying Physician,


Date of Certificate, 188 . .


*Or Sex of Infant (not named).


[ May, 1888.]


I


[Acts of 1888, Chapter 306.]


SECTION I. Section three of chapter thirty-two of the Public Statutes, requiring attending physicians to furnish for registration ce facts relating to deceased persons, is amended so as to read as follows : - Section 3. A physician who has attended a person during last illness shall, when requested, forthwith furnish for registration, a certificate stating, to the best of his knowledge and belief, the 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 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 furnis amended so as to read as follows : - Section 5. No undertaker, sexton or other person shall bury in a city or town or remove therefre 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 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 board, or agent or clerk, as the case may be, a satisfactory written statement containing the facts required by this chapter to be re and recorded, together with the certificate of the attending physician, if any, as required by section three of this chapter, or in lieu a certificate as hereinafter provided. If there is no attending physician, or if the certificate of the attending physician can not be ob for good and sufficient reasons, early enough for the purpose, the chairman of the board of health or any physician employed by a town for the purpose shall, upon request of said board, agent or clerk, make such certificate as is required of the attending physician in case of death by violence the medical examiner shall, if requested, make the same. When such satisfactory statement and certific 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 r for registration. The person to whom the permit is so given shall thereafter furnish for registration any other information as to ceased or to the manner and cause of the death, as the clerk or registrar may require. Any person violating any of the provisions section shall be punished by a fine not exceeding fifty dollars. [Approved May 4, 1888.


RETURN OF A DEATH. To the Clerk of the Town in which the Death occurred.


1. Date of Death, .


aug 14 1890 .


2. Name,


(Maiden Name),* ·


(Name of Husband),*


3. Sex, and whether single, Married, or Widowed,


1. Color,t


5. Age, Disease or Cause of Death,


6. Duration of Sickness. . By whom certified, .


7. Residence,


8. Occupation, .


9. Place of Death, .


10. Place of Birth, .


11. Name of Father, .


12. Name of Mother,


13. Birthplace of Father, .


14. Birthplace of Mother, .


15. Place of Interment, .


Signature of Undertaker


Holy Cross Queles


Summer floyd


the Return. .


١


DATED at


Hintrop


, Oll


Parquet , 4 x90


* 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, single. white


Years,.


3 Months,


Days.


Infantile atrophy


3 mos.


89 Prises St. Barton.


Sen Store Here Withof Boston Errico Rajusci Janny Russia


[ACTS OF ESSS. CHAP.06.] 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 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 towu, from the eity or town elerk. No sneh permit shall be issued until there has been delivered to such board, or agent or elerk, as the case may be, a satisfactory written stato- 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, orif 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 elerk, make sueli 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 de- livered to the board of health or to its agent, the board or agent shall forthwith countersign and transmit the same to the clerk or registrar for registration. The person to whom the permit is so given shall thereafter furuish 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.


If the deceased was a soldier or sailor who served in the war of the rebellion, give both the primary and secondary cause of death. See Chap. 224, Acts of 1889.


PHYSICIAN'S CERTIFICATE.


Name and Age of Deceased,*


Isaac R. ajinski


Age,


3 months


Date and Place of Death, - died at. Winthrop, August. 14


1890.


Disease or Cause of Death, -


Infantile Atrophy .Duration of Sickness Sickness 3 months.




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