USA > Massachusetts > Suffolk County > Winthrop > Town of Winthrop : Record of Deaths 1886-1892 > Part 31
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4. Color,t
-
5. Age,
.Years,.
Months,
.. Days.
Disease or Cause of Death, (Primary and Secondary), ;
6. 'Duration of Sickness, . (By whom certified,
deart & weare
7
1
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, .
1.1. Birthplace of Mother, .
15. Place of Interment, ·
‹
7
Signature of Undertaker DRotherperson making the Return, ;
DATED at 1
, 011
Clus
18
.A ..
F
1 an
.....
* If a Married Woman or Widow. { If a Soldier who served in the War of the Rebellion.
t If other than White. (M.) Mulatto. (f.) Indian. If of other Races, specify what. [Be very particular to fill all Blanks.] Plate. Ed. September, 1892 .- 5,000.
august 15 "1892 Charles DU 165
7
[Public Statutes, Chapter 32, as amended by Acts of 1888, Chapter 306 ; Acts of 1889, 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 luration 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, make the same. When such satisfactory statement and certificate are delivered to the board of health or to its agent, the board r 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.
1. Date of Death, .
august 21"1892
2. Name,
.
(Maiden Name), *
· (Name of Husband),*
3. Sex, and whether single, Married, or Widowed,
4. Color, t
3. Agc,
Disease or Cause of Death, (Primary and Secondary), #
6. Duration of Sickness, . By whom certified,
7. Residence,
8. Occupation, .
9. Place of Death, .
10. Plaec of Birth, .
911202
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 other person making the Return, ;. -
DATED at
27
182 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. Nov. 1890-5,000.
Dilace
31
Years, 6 Months
Days.
Charity Thouse Brunette nutie
Fisting 9:30
[ACTS OF 1888, CHAF. 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 fir- lished, 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 issned until there has been delivered to such board, or agent or clerk, as the case inay 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 licu 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 transinit 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, ISSS.
UNDERTAKER'S RETURN .- Boston.
Date of death,
freq. 374d 1892 Name, Fredrick MCGin
Maiden name,*
Sex, 7/1,
Married, single, or widow of. wife of C
Color, Age, < years, / mos., 7 days. Residence,
Winthrop, Mass,
Place of death ( street and number 1
ward
Place of birth,
Huethrola mass. Occupation, !
Name of father, 11/1140 € Maiden name of mother, Mary 6, DE Kramar
Birthplace of father, E, Bodon Birthplace of mother, 16°, Boulow Holy Cross, Maldere.) Place of interment, f
* If a married woman or a widow. t Give the name of the burial ground.
Signature of Undertaker : Ourauch & Hulsury.
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, t
While
-
Years,
2 Months,
Days.
5. Age, Disease or Cause of Death, (Primary and Secondary), }
6. Duration of Sickness, . By whom certified,
Dr Loule
OHtermin Street-
7. Residence,
8. Occupation, .
Oderman Street-
9. Place of Death, .
10. Place of Birth, .
11. Name of Father,
Annie S. .
12. Name of Mother, . (Maiden Name),
13. Birthplace of Father,.
14. Birthplace of Mother, . -
15. Place of Interment, ·
Signature of Undertaker other person making the Return, .
Summer Floyd
DATED at
Printhropo
, on
aura
.1892
* 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. 1890-5,000.
Cliquer 27 " 1892
....
L
/
Minitrafo Cemetery
[ACTS OF 1888, CHAP. 306.] AN ACT
RELATING TO THIE 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 deccase. 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 chuly 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- mient 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 samc. When such satisfactory statement and certificate are de- livered to the board of licalth 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, 1888.
UNDERTAKER'S RETURN .- BOSTON.
Date of death, may 3/ 189 2 Name,
Maiden name, *. Many a. M. Candy
Sex, ....
Married, single, or widow of
wife of
Residence, Shirley St. Wanthaifa Claves
ward.
Place of death (st 'street and ) number )
Place of birth,
Sand Janicada
PS Slund Occupation,
Name of father, donald Mi Canle, Maiden name of mother,
Settand.
Birthplace of father,
Senttank
Birthplace of mother,
Malden hus
Place of interment,f
* If a married woman or a widow. t Give the name of the burial ground.
Signature of Undertaker :
Incluslatter 165 Den das Sier
Color, Mit Age,46 years, Cmos., 3 days.
Shirley
UNDERTAKER'S RETURN .- Boston.
Date of death, Maiden name,*
aug 31
189 2 Name, ....
Louis Leaara
Sex, .. /m
Married, single, or widow of ... wife of
Residence, .. Winthrop Centre
Color, W Age, 64 years, mos, days. (d), Car Fremont 4 Jeferson tenue Place of death number Occupation, Flag Man
Place of birth, Canada Quoisint Mail
Maiden name of mother, Victor Levar
Name of father, Birthplace of father,
Birthplace of mother, .. Canada
Place of interment,t
Canada. [Holy
Cross
malden
* If a married woman or a widow.
t Give the name of the burial ground.
I Kelly
...... ...
UNDERTAKER'S RETURN .- Boston.
Date of death, Sip1-4th 189 2 Name,
Christinale Maturity Sex, Fel
Maiden name,*
Harried single, or -wider m'
wife of
Winthrop mak.
Color, VY Age, X years, mos., X days. Residence,
Inan
Place of death ( street and Winthrop map
munber ).
Brotes
fathers Occupation,
Show you
Place of birth,
Maiden name of mother,
Name of father,
Birthplace of father,
I land Birthplace of mother, Walden it
Place of interment,i
Bridal Of Mide Theland
* If u married woman or a widow.
+ Give the name of the burial ground.
Signature of Undertaker :
RETURN OF A DEATH. To the Clerk of the Town in which the Death occurred.
Leblendle 801802
1. Date of Death, .
2. Name,
(Maiden Name), . (Name of Husband),*
3. Sex, and whether single, Married, or Widowed,
inuté-
4. Color,t
j. 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, .
11. Name of Father, .
12. Name of Mother, . (Maiden Name),
13. Birthplace of Father, .
6. band 1 Belangi
14. Birthplace of Mother, .
15. Place of Interment,
Signature of Undertaker other person making the Return, .
DATED at
, On Lepi-get
* 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.
C)Volt ... 7
12.
[ACTS OF 1888, CHAF. 306.] AN ACT
RELATING TO TIIE 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 negleets 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 human body until a proper certificate is far- 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 dnly 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 ease 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 elerk, make such certifieate as is required of the attending physician ; and in case of death by violence, the medical examiner shall, if requested, make the same. When such satisfactory statement and certificate are 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 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. [Ipproved Muy 4, ISSS.
Sept :
UNDERTAKER'S RETURN .- Boston. / nojo Elizabeth Doherty 189 .2 Name, Sex, .
Date of death,
Maiden mme."
Married, single, or widow of (19) days
wife of
Color, W. Age, 2 years, / mos., FEdays. Residence, .. Winthrop
Place of death (street and rect (1), no number tremont B.
ward ..
Place of birth, Winthrop
Occupation, Brakkostetma
Name of father, John Doherty
Maiden name of mother,
Mary o. aockie
8. Lockwood
Birthplace of father, E. Boston.
Birthplace of mother,
Ireland
Place of interment.+ Holy Gervas. Malden.
* If a married woman or a widow. t Give the name of the burial ground.
Signature of Undertaker :
Meridian Street Del Posto
UNDERTAKER'S RETURN .- Boston.
Date of death, Sell-22 und
1822 Name: annex Vais Houten.
auf i
Maiden name,“
Sex, male
Married, single, or widow of
wife of ..
Cake ark LLC
Color, Age 72 years, 7 mos., 1 days. Residence, Jackethe Harbor. Wuwardrop Hugh and Place of death street and
Place of birth,
Jackets Harton. Occupation Et. Hooker.
Name of father, -
Maiden name of mother, Gether & ony Pass Windsor tet , Birthplace of mother
Birthplace of father,
Place of interment,t Sacketts Harbor
New york
* If a married woman or a widow.
+ Give the name of the burial ground.
Signature of Undertaker :
WIS JONES & SON, UNDERTAKES SO LA GRANUL ST.
hervis Joner + som M.B
1
٢
UNDERTAKER'S RETURN .- Boston. Imthrone
Date of death, Veja 21/1,
189 2 Name,
Grace
Grace & Hadley
Maiden name, *.
Sex, 71
Married, single, or widow of
wife of
Color, But Age, / years, f
mos ..... 2 days.
Residence, 153 Pactuar
Julian
Place of death (8 number
Place of birth,
Atlantic S. Westlich mais ward Occupation,.
of facter Worse Montelu
Name of father, Charles Hadley Besten
Maiden name of mother,
Annie Il File
Birthplace of father,
Birthplace of mother,
Place of interment,t Joly lors
* If a married woman or a widow.
+ Giye the name of the burial ground.
Signature of Undertaker :
165 Lenders S2
RETURN OF A DEATH. To the Clerk of the Town in which the Death occurred.
1. Date of Death, .
Sal
28 1898
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, . .
1
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, .
1
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.
[Be very particular to fill all Blanks.] Plate. Ed. Nov. 1890-5,000.
.....
alit-L !
-
[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, lie 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, 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 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 elerk 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.
RETURN OF A DEATH. To the Clerk of the Town in which the Death occurred.
1. Date of Death, .
October 2-1892
2. Name,
(Maiden Name),* .
(Name of Husband),*
3. Sex, and whether single, Married, or Widowed,
Trained
4. Color, t
5. Age, Years,
Months,
12
tef 20
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, .
11. Birthplace of Mother, .
15. Place of Interment, ·
Signature of Undertaker or other person mukiny the Return, .
DATED at C , оц
7-9- 1812
* 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. ] I'late. Ed ._ Nov. 1890-5,000.
Foreman aillet
finden Vo
Tiwith Perfil ? /
7
€
1/2000
33
Days.
EACTS OF 1888, CHAP. 306. ] 0 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 negleets or refuses to make a certificate, as aforesaid, he shall be pun- ished by a tine not exceeding fifty dollars.
SECTION 2. Section five of said chapter, prohibiting the burial or removal of a human body until a proper eertificate 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 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 herciuafter provided. If there is no attending physician, or if the certificate of the attending physician caunot 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 eause 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.
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