USA > Massachusetts > Suffolk County > Winthrop > Town of Winthrop : Record of Deaths 1886-1892 > Part 26
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No.
RETURN OF A DEATH. To the Clerk of the Town in which the Death occurred.
1. Date of Death. .
2. Name, .
Left 23 1890 Margaret Wielu Campbell
(Maiden Name),*
(Name of Husband),*
James Female
3. Sex, and whether single, Manilor Widowed,
4. Color .¡
while
86 Years,./ C Months, Days.
5. Age,
Disease or Cause of Death,
6. Duration of Sickness. . By whom certified.
7. Residence,
8. Occupation. .
9. Place of Death. . - Leave Spray Winthis
10. Place of Birth, .
11. Name of Father.
12. Name of Mother.
13. Birthplace of Father, .
14. Birthplace of Mother, .
15. Place of Intermont,
Lenderderry d.S. Woodlawn lim
Signature of Undertaker 1
watlow power making
the Return. .
DATED at Winthrop
what to very fler
Refat 24" 1890
* 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.]
Ocean Spray Wintherk
[Aers or 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. 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 sickness, and the date of his deeease. 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 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 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 eity 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 eountersign and transmit the same to the clerk or registrar for registration. The person to whom the perinit 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, ISSS.
PHYSICIAN'S CERTIFICATE.
'ame and Age of Deceased,*
ute and Place of Death, - died at
net Miller Huchrop Sept 23
Age,
86,10 20
.8 9.0
sease or Cause of Death, -
Rheumatis12 of
Duration of Sickness
Fur
2. 2 I certify that the above is true, to the best of my knowledge and belief.
u and Residence of Certifying Physician,
*Or Bex of Infant (not named)
Date of Certificate, 11-22
00
[May, 1888.]
Charles La
[Acts of 1888, Chapter 306.]
SECTION I. 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 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 hercinafter 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 thercafter furnish for registration any other information as to the de- ccascd 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, .
n
2. Name,
Sent. 30 /1 Wargs a Lundrich
(Maiden Name),* .
(Name of Husband ) .*
3. Sex, and whether siwale,
Married, or Widowed.
Married-
4. Color.t
5. Age, Disease or Cause of Death,
34 Years,
Months,
Days.
6. Duration of Sickness, . By whom certified.
...
7. Residence, 222022.
8. Occupation, . Laborer.
9. ^Place of Death, . Lu inthron
10. Place of Birth, . Cluster.
azias Kiedrich
11. Name of Father. . Elizabeth Goodrich
13. Birthplace of Father, . C'esthimestin blass.
14. Birthplace of Mother. . Chesterfield Mark
15. Place of Interment.
Signature of Undertaker other person making the Return. . 1
atill
DATED at
Un'etterai
* 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. ]
...
12. Name of Mother, .
[Acrs OF ISS8. Char. 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 execeding 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 (luly 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 elerk, 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 sneh 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 sneli 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. [Approved May 4, ISSO.
Printing Department, Deer Island, Boston Harbor.
Cq
Wanthigh Boston, Sept 30
1890 This Certifies, That Ser A Goodrich died on the 3015 day of Defet- 1890, aged 34 years, months, days.
CAUSE OF Primary,
Duration
DEATH. Secondary, Heart Disease
Duration 10 Minutes
Horace Boule M.D.
Physician.
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.i
5. Age, .
29
Years,
2
Months,
26 Days.
Disease or Cause of Death,
6. Duration of Sickness, . By whom certified,
7. Residence,
8. Occupation. .
9. Place of Death. .
10. Place of Birth,
11. Name of Father,
12. Name of Mother,
13. Birthplace of Father. .
14. Birthplace of Mother. .
15. Place of Interment,
RR, Gluko
Centere Quel-
Charlestown mase Charlee g, Sardinien addie B. Gardner New York
Lynn Mare
Mount auburn
Signature of Undertaker 1
mother prison making the Return., ١
DATED at Hintup
Summer Floyd
, (11
Sepr 30 " 189.0 189.0
* 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.]
Dejar 30 " 1890 Charles & Gardiner
mate Single While
7
[ACTS OF 1888. CHLAP. ]
mow AN ACT
non
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 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 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 sullicient 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 elerk, 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. [Approved May 4, 1888.
PHYSICIAN'S CERTIFICATE.
Charles I. Gardiner died at Minttrop Sefer 30".
..
Age,
29 years
189.0
Ing Mar of
I certify that the above is true, to the best of my knowledge and belief.
me and Residence of Certifying Physician, ..
& Souli Northrop Mafz Date of Certificate,. Det1
*Or Sex of Infant (not named).
[May, 1888.] 18 ()
Name and Age of Deceased,* Date and Place of Death, -
Disease or Cause of Death, -
of Mithisis Helmondel Duration of Sicknes.
[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 agc, 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.
No.
RETURN OF A DEATH. To the Clerk of the Town in which the Death occurred.
1. Date of Death,
2. Name,
October 6" 1890 John Box
(Maiden Name),
(Name of Husband) ,
3. Sex, and whether single,
Married, or Widowed.
Male Married While
i
4. Color, t
5. Age,
Disease or Cause of Death,
6. Duration of Sickness, . (By whom certified,
7. Residence, Fan Mar Chemie advertising agent
10. Place of Birth,
11. Name of Father.
12. Name of Mother. .
8. Occupation, . 9. Place of Death, . Jam Bas avenue Decham Mare John Lucretia D. Hilton mass. c. Dedham Mask ( Dedham Cemetery Summer Floyd 1 ١
13. Birthplace of Father, .
11. Birthplace of Mother. .
15. Place of Interment, .
Signature of Undertaker mother prima making the Relija .
DATED at
Hinttrofo
, 011
October,
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.]
Days.
Softening $ 6 mois
65 Years,
Months, Brani + Heartfailure
5-9-18 Caster - No20 Hear Ameral Thisday 9 h 119m Interr. Dedhan 3 Pm 4
[Acrs or 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 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 fine not exceeding fifty dollars.
SECTION 2. Section five of said chapter, prohibiting the burial or removal of a linman 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 (Inly 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 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, 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 irs 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 elerk 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 &, ISSS.
·
No.
RETURN OF A DEATH. To the Clerk of the Town in which the Death occurred.
1. Date of Death. .
2. Name, ·
George C. Dele
(Maiden Name) ,* ·
(Name of Husband ) .*
3. Sex, and whether single, Married, or Widowed,
4. Color.t
5. Age.
7' Years, Months, Days.
Disease or Cause of Death,
6. Duration of Sickness, . By whom certified,
7. Residence,
8. Occupation, . Civil Officer
9. Place of Death, . En Startiva, HP lohelia
10. Place of Birth.
11. Name of Father,
12. Name of Mother,
13. Birthplace of Father, .
14. Birthplace of Mother. .
15. Place of Interment,
Square Thithuy Cocci /
Signature of Undertaker 1
the Return, .
/
DATED at
, Où
V ......
/1893
* 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. ]
[ACTS OF 1888. CHAP. 306.] 5 Call 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 :
- 51J
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 tive 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 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 seetion 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 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 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 flue not exceeding fifty dollars. [Approved May 4, 1888.
PHYSICIAN'S CERTIFICATE.
Name and Age of Deceased,* Date and Place of Death, -
died at
carne 5. Kuche. 1. Itra 6
Disease or Cause of Death, - of
- ? Duration of Sickness .
Age ... ..... / ...
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