USA > Massachusetts > Suffolk County > Winthrop > Town of Winthrop : Record of Deaths 1886-1892 > Part 29
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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
1211
35
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),*
Ich 25 " 1892 Eliza Jisfetts Eliza Games Cereal 18,
3. Sex, and whether single, Married, or Widowed,
Female Widow White
4. Color, t
›. Age,
Disease or Cause of Death, (Primary and Secondary), #
6. Duration of Siekness, . By whom certified, .
Paralyse allen Winthrop Maso
7. Residence, .
8. Occupation, .
9. Place of Death, .
10. Place of Birthi, .
11. Name of Father,
12. Name of Mother, . (Maiden Name),
13. Birthplace of Father, .
14. Birthplace of Mother, .
15. Place of Interment,
Summer Glad
DATED at , on Ich 26" 109.2
* 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. ]
Plate. Ed. Nov. 1890-5,000.
Shirley Street Kensington JA Unschon
Undinom
amesbury mars
Signature of Undertaker or other person making the Return, .
84 Years,
4 No
Months, ...
16 Days.
[ACTS OF 1888, CHAF. 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 certiffeate 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 pull- 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 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 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 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 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 Muy 4, ISSS.
UNDERTAKER'S RETURN .- Boston.
Date of death, March 30 Maiden name, *.
1892 Name, Frank Mac Counsel Sex, Moale
Married, single, or widow of
Trife of
Color, W Age, 13 years, / mos., 16 days. Residence, Crest & Se a Fram Clor
Place of death (st number
(d) break y Sea Fram Are
ward
Place of birth, Ireland Occupation,
Name of father, John
Maiden name of mother, , Sarah ADavis
Birthplace of father, Queland
Birthplace of mother, Dueland
Place of interment,t
* If a married woman or a widow.
t Give the name of the burial ground.
Signature of Undertaker : JaWater
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,
teniale
4. Color, t
5. Age,
6
Years,
7
Months,.
15 Days.
Disease or Cause of Death, (Primary and Secondary), }
6. Duration of Sickness, . By whom certified, .
In vill
7. Residence,
.
8. Occupation, .
.
9. Place of Death, .
.
1 Slice 1 Ex-
/
10. Place of Birth,
0
11. Name of Father,
.
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, .
L
1
-
1
DATED at
1/2
, On
Colis 181
187.2.
* If a Married Woman or Widow. { If a Soldier who served in the War of the Rebellion.
t If other than White. (M.) Mulatto. (1.) Indian. If of other Races, specify what. [ Be very particular to fill all Blanks. ] l'late. Ed. Nov. 1890-5,000.
abril 17" 1893 Surah El Tific 1 /
[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 liis 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 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 enough for the purpose, the chairman of the board of healthi 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 Muy 4, 18SS.
RETURN OF A DEATH. To the Clerk of the Town in which the Death occurred.
1. Date of Death, .
2. Name,
(Maiden Name),*
adaline a Small
(Name of Husband) ,*
3. Sex, and whether single, Married, or Widowed,
4. Color, t
5. Age,
Disease or Cause of Death, (Primary and Secondary),
6. Duration of Sickness, . (By whom certified,
7. Residence, .
8. Occupation, .
9. Place of Death, .
A
1
C
10. Place of Birth, .
11. Name of Father,
Elizabeth Bradbury
12. Name of Mother, . (Maiden Name), Cape Eligibut me
13. Birthplace of Father, .
11. Birthplace of Mother, Aiming to me
13. Place of Interment,
Signature of Undertaker other person making the Return, .
2
- 641%
C
DATED at
, on
/
182.2
* If a Married Woman or Widow. { If a Soldier who served in the War of the Rebellion. f If other than White. (M.) Mulatto. (I.) Indian. If of other Races, specify what.
[Be very particular to fill all Blanks.] l'late. Ed. September, 1892 .- 5,000.
....
.
(,/ Years, ...... 6 Months,. Days.
-
17.201
(Con Pers.
Y
117711 1
[ Public Statutes, Chapter 32, as amended by Acts of 1999, Chapter 305 ; Acts of 1339, Chapter 224.]
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. In case the deceased was a soldier or a sailor who served in the war of the rebellion, the physician shall give both the primary and the secondary or immediate cause of death as nearly as he can state the same. If a physician refuses or neglects to make such certificate he shall forfeit to the treasurer the sum of ten dollars for the use of the town in which he resides.
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 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, makc the same. When such satisfactory statement and certificatc 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 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.
reprua m
Commonwealth of Massachusetts.
RETURN OF A BIRTH.
No.
1. Date of Birth,
May
2. Full Name of Child,
white
3. Color, * 4. Sex, (and if twin or ille- gitimate,)
5. Place of Birth,
6. Name of Father,
7. Residence, .
8. Occupation,
9. Birthplace, .
Hurry Vi Sich av Multivax with drord
mar
leardie Tellie Vi
10. Name of Mother,
(Maiden Name,)
11. Residence, .
12. Birthplace, Oruro Mass
Dated at
20
18
$20
* If other than White. (1.) African. (M.) Mulatto. (I.) Indian. If of other Races, specify what.
[Be very particular to fill all Blanks.] Ed. June, 1889. 5-M.
le a bastian
UNDERTAKER'S RETURN .- Boston.
Date of death,.
Daysy!
1892~ Name,
Mary R. Night Sex,
Maiden name,*
Married, single, or-widow of wife of ... Color, Mr. Age? 8 years,3 mos., 23 days. Residence, Nunitrop -
Place of death ( street and number Pumpido Av.
ward
Place of birth, Galvad mr.
Occupation, dowwork
Name of father, Daniel O Ma Maiden name of mother, Julia a, Peabody
Birthplace of father, Gilead Mr.
Birthplace of mother, Gilead Mr
Place of interment,t Minitrop Camil.
* If a married woman or a widow.
t Give the name of the burial ground.
Signature of Undertaker :
&G Brown
rowil
RETURN OF A DEATH. To the Clerk of the Town in which the Death occurred.
May 191842
1. Date of Death, .
.
2. Name,
.
(Maiden Name),
.
(Name of Husband), *
3. Sex, and whether single,
Married, or Widowed,
male
White
4. Color, t
5. Age,
Years, 0
Months,
Days.
Disease or Cause of Death, (Primary and Secondary), #
6. Duration of Sickness, . By whom certified, ·
DNIA & Loule Herman Street
7. Residenec,
8. Occupation, .
9. Place of Deathı, .
10. Place of Birth, .
11. Name of Father,
12. Name of Mother, . (Mai-len Name),
13. Birthplace of Father, .
11. Birthplace of Mother, .
15. Place of Interment, .
Hermann Street
Hermann Street
Millian 9, ames
N alice ames (Cummings) Ossipee O. J. St John Hr P.
Minttrop Cemetery
Signature of Undertaker -
-making the Return, .
-
Summer Floyd
DATED at
Pinturas
, 011
Abay 20" 1892
* If a Married Woman or Widow. ff a Soldier who served in the War of the Rebellion. { If other than White. (M.) Mulatto. (I.) Indian. If of other Races, specify what.
[Be very particular to fill all Blanks.] Plate. Ed. September, 1892 .- 5,000.
[Public Statutes, Chapter 32, as amended by :Acts of 1993, Chapter 305 ; Acts of 1839, Chapter 224.]
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. In case the deceased was a soldier or a sailor who served in the war of the rebellion, the physician shall give both the primary and the secondary or immediate cause of death as nearly as he can state the same. If a physician refuses or neglects to make such certificate he shall forfeit to the treasurer the sum of ten dollars for the use of the town in which he resides.
SECTION 5. No undertaker, sexton or other person shall bury in a city or town or remove thcrefrom 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 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 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 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.
RETURN OF A DEATH. To the Clerk of the Town in which the Death occurred.
9na-201842
1. Date of Death, .
2. Name, .
(Maiden Name),
(Name of Husband),
3. Sex, and whether single, Married, or Widowed,
Att. male
4. Color, t
5. Age, Years, ... 6 Months, 10 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 Birthı, . .
11. Name of Father, .
1
12. Name of Mother, · (Maiden Name),
13. Birthplace of Father, . 1
1.1. Birthplace of Mother, .
15. Place of Interment, ·
Signature of Undertaker or other person making the Return, .
-
DATED at
, on
May 21"
189.2
* 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.] Plate. Ed. Nov. 1890-5,000.
92120-2
1
7
[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. Scction 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 siekness, and the date of his deceasc. 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 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 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 violenee, the mcdieal examiner shall, if requested, make the same. When such satisfactory statement and certifieate 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 cansc 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.
.. 0.
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),
Rialicia .: ochu Keul
3. Sex, and whether single, Married, or Widowed,
4. Color, t
5. Age,
Z.6 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, .
11. Name of Father, .
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,.
Charlotten
...
DATED at
, 011
189.2
* If a Married Woman or Widow. { If a Soldier who served in the War of the Rebellion.
{ If other than White. (M.) Mulatto. (I.) Indian. If of other Races, specify what.
[Be very particular to fill all Blanks.] Plate. Ed. May, 1891 .- 5,000.
quarz 2 gts 1892
quan Resul-
Sy Alle Horton
Richesse
[ACTS OF 1888, CHAP. 30G.] 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 pull- 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 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 lien thereof a certificate as hereinafter provided. If there is 10 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 healthi 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. [Approred May 4, 1888.
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,
C
1
1
4. Color, t
5. Age, K88 Years,
Disease or Cause of Death, (Primary and Secondary), #
6. Duration of Sickness, . By whom certified, 6
7. Residence,
8. Occupation, .
9. Place of Death, .
10. Place of Birth, .
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 - making the Return, .
2 S
1
Durvertice
1
DATED at ? , Ol 18
· c
* If a Married Woman or Widow. f Hf a Soldier who served In the War of the Rebellion.
| Il other than White. (M.) Mulatto. (I.) Indian. If of other Races, specify what.
[Be very particular to fill all Blanks.] Plate. Ed. September, 1892 .- 5,000.
1
1
11.A
allemalito 211
....
-
Dicitore, 1
1
1
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