USA > Massachusetts > Suffolk County > Winthrop > Town of Winthrop : Record of Deaths 1886-1892 > Part 27
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
. 188 .
Four mito.
I certify that the above is true, to the best of my knowledge and belief.
ame and Residence of Certifying Physician, Et Hina hat). 31 harth amo
Date of Certificate, .. Mar. 284, 90 T88
*Or Sex of Infant (not named).
[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 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 finc not exceeding fifty dollars. [Approved May 4, 1888.
Vo.
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) .*
December 2" 1890 mary G. Itright-
3. Sex, and whether single, Married, or Widowed,
Ofemale Single
.......
4. Color, +
5. Ago,
Disease or Cause of Death,
6. Duration of Sickness. . By whom certified,
7. Residence, Winthrop
s. 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,
Mount Hoffe Cemetery
Signature of Undertaker
the Retning
١
DATED at
0
December 2. 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. ]
While
48
Years,
Months, (
Days.
Buchanan Street Bastón John Elisabeth L.
) Summer Floyd V
[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 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 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 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 sntlicient 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 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.
f 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.
fame and Age of Deceased,*
Na Mary
Htright
48 ya Age,
ute and Place of Death, -
died at
Vee 2'
1890
rease or Cause of Death, - \ of
Thanksforlung
.Duration of Sickness
I certify that the above is, true, to the best of my knowledge and belief. Chast Cashmail
and Residence of Certifying Physician,
Date of Certificate,. cate, Die 31 189.0
*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 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 discase 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.
Ison S8.
PHYSICIAN'S CERTIFICATE OF THE CAUSE OF DEATH.
Date of Death
Name and Sex of deceased
Place of Death
Disease or Cause of Death. Secondary
First or Primary
Winthrop Mars Dec 15 1890 Wallin & Nelle. Centre Street Pneumonia Exhaustion Duration of
Duration of * @ days.
/ certify that the above is a trye Return, to the best of my recollection and belief.
Name and Professional Title 1 Residence No. 14. Inthe Common
E Waning , eskus
Street
Dated at Lynn, this Sixteenth
day of
Dekamer 1890
[ Be very particular to fill all the Blanks.]
*Reckoned to the time of Death.
AN AUT
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 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 br 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 derk. 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 tree 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 annot 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 Dwu for the purpose shall, upon request of said board, agent or clerk, inake 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 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 , ven shall thereafter furnish for registration or other information as to the deceased or to the manner and cause of the death, as the clerk or registrar may mire. Any person violating any of the provisions of this section shall be punished by a fine not exceeding fifty dollars. [ Approved May 4, 18SS.
Blank Certificates can be obtained at the Office of the Board of Health.
UNDERTAKER'S RETURN Jim Clark Anthrop
mass
To the Board of Hea
Date of Death
Dec 15 1890
Name
Walter FWells Sex male.
Maiden Name
Color While
Married, Single or Widow of married
Wife of
Age
36
Years
4
Months
25 Days
Name of the Physician Centre Street Nimitwof. Residence of Deceased, No. -Street-
Occupation
blevke
Place of Birth
Lisbon A.H.
. . ....
Place of Death, A. Centre Street
Street
Father's Name Benjamin F. Nelle Father's Birthplace Lowebon
Mother's Maiden Name
Harriet T. Butler Siebon r.H.
Place of Interment
Oak
Signature of Undertaker for
Dated at tam, this Seventeenth
Cemetery,
Liston AH,
. B. F. Wells
day of December
189 Ở
ON. St.
Mother's Birthplace
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,
December 30 " 189.0 Lizzie C, Folsom Richardson John a, Folsom - Female - Widowed
1. Color .¡
5. Age, Disease or Cause of Death,
6. Duration of Sickness. . By whom certified. .
7. Residence,
s. 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,
@forth avenue Charleston Joshua 18. Richards many Offer Alampachie New Hampshire Cambridge Cemetery Summer Flora
Signature of Undertaker 1
other women Talking the Return, .
١
DATED at
éc 2/ 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. ]
43 Years, 7 Months, Days.
Bright Disease Ariachman
Winthrop
[ACTS OF 1888, Chvr. 306. ]
1℮
AN ACT
RELATING TO THE CERTIFICATES AND REGISTRY OF DEATHIS, AND THE BURIAL AND REMOVAL 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 furni registration certain facts relating to deceased persons, is amended so as to read as follows : - Section B. A physician w attended a person during his last illness shall. when requested, forthwith furnish for registration, a certificate stating, best of his knowledge and belief, the name of the deceased, his age, the disease of which he died, the duration of k sickness, and the date of his decease. If a physician neglects or refuses to make a certificate, as aforesaid, he shall } 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 fino nished, is amended so as to read as follows : - Section 5. No undertaker, sexton or other person shall bury in a city or toich or remove therefrom the body of a deceased person until he has received a permit so to do from the board of health of led duly appointed agent, or, if there is no board of health in such city or town, from the city or town clerk. No such pern of shall be issned until there has been delivered to such board, or agent or clerk, as the case may be, a satisfactory written, stat . ment containing the facts required by this chapter to be returned and recorded, together with the certificate of the attendin 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 regnested, make the same. When such satisfactory statement and certificate are do- 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.
ain his me eg-
. is
he
eceased 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.
43yp/min
Age, zil Halt our arimarof Dec 3.0 189.0
d Age of Deceased,*
' Place of Death, -
died at
Fw monthly
of Brights Disease Duration of Sickness
se or Cause of Death, -
I certify that the above is true, to the best of my knowledge and belief. Chast Cashman
and Residence of Certifying Physician,
Date of Certificate, Dec 31
[May, 1888.] 1820
*Or Sex of Infant (not named).
[Acts of 1888, Chapter 306.]
SECTION I. Section three of chapter thirty-two of the Public Statutes, requiring attending physicians to furnish for registration certin facts relating to deceased persons, is amended so as to read as follows : - Section 3. A physician who has attended a person during nis 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 ng- 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 te 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 to 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 suh board, or agent or clerk, as the case may be, a satisfactory written statement containing the facts required by this chapter to be return«l 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 phoen; and in case of death by violence the medical examiner shall, if requested, make the same. When such satisfactory statement and ce. ficate 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.
Na
RETURN OF A DEATH. To the Clerk of the Town in which the Death occurred.
2
1. Date of Death, .
2. Name,
(Maiden Name),
(Name of Husband) ,'
3. Sex, and whether single, Married, or Widowed,
4. Color, t
5. Age, Years, Months, Days ..
Disease or Cause of Death, (Primary and Secondary), }
6. Duration of Sickness, . (By whom certified,
7. Residence, .
8. Occupation, .
9. Place of Death, .
10. Place of Birth, . .
L
11. Name of Father, .
12. Name of Mother, ·
.
(Maiden Name),
13. Birthplace of Father, .
11. Birthplace of Mother, .
15. Place of Interment, ·
Signature of Undertaker or other person making the Return, .
1
DATED at , Ou 18 . .
* If a Married Woman or Widow. { If a Soldier who served in the War of the Rebellion.
t If other than White. (M.) Mulatto. (I.) Indian. If of other Races, specify what. [Be very particular to fill all Blanks. ]
l'late. Ed. Nov. 1800 -5,000.
[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, liis 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 lias 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, 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 countersigu aud 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, ISSS.
.
RETURN OF A DEATH. To the Clerk of the Town in which the Death occurred.
5
1. Date of Death, .
2. Name, ·
(Maiden Name),*
(Name of Husband),*
3. Sex, and whether single, Married, or Widowed,
4. Color, t
3. Age,
Disease or Cause of Death, (Primary and Secondary), #
6. Duration of Siekness, . By whom certified, ·
7. Residence, .
8. Occupation, .
9. Place of Death, . .
10. Place of Birth, . .
11. Name of Father,
Carl 2 t
$
12. Name of Mother, ·
· (Maiden Name),
13. Birthplace of Father, .
14. Birthplace of Mother, .
15. Place of Interment,
Signature of Undertaker or other person making the Return, .
DATED at , On
18
* If a Married Woman or Widow. # If a Soldier who served in the War of the Rebellion,
t If other than White. (M.) Mulatto. (I.) Indian. If of other Races, specify what.
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.