USA > Massachusetts > Suffolk County > Winthrop > Town of Winthrop : Record of Deaths 1886-1892 > Part 9
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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
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NO. 10
RETURN OF A DEATH. To the Clerk of the Town in which the Death occurred.
1. Date of Death.
2. Name, (Maiden Name),
august 1"188% James 6, Boylan
3. Sex, and whether single, Married, or Widowed,
nale
4. Color. t .
5. Agc,
Years,
5
Months.
Days.
Disease or Cause of Death, 6. Duration of Sickness,
By whom certified,
7. Residence. .
8. Place of Death,
9. Occupation.
10. Place of Birth, Shinthrop Suas Stephen Borglan 11. Name of Father. 12. Name of Mother, Cathrine Boylan E. Q claudi
13. Birthplace of Father,
11. Birthplace of Mother,
15. Place of Interment. .
PE: Seland Holy Cross Cemetery malde)
Signature of Undertaker umother person making the Return, .
DATED at on
Summer Floyd
august 10/ 1887
* 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. 1
Shinthrop mais Pauline Sheet
[Public Statutes, Chap. 32, Sect. 5.]
No human body shall be buried or removed from any city or town until a proper certificate has been given by the clerk or registrar to the undertaker, sexton, or other person performing the burial or removing the body. Such certificate shall state that the facts required by this chapter have been returned and recorded; and no clerk or registrar shall give such certificate or burial permit until the certificate of the cause of death has been obtained from the physician, if any, in attendance at the last sickness of the deceased, and placed in the hands of said clerk or registrar; and in cities and towns where there are boards of health, the certificate of the cause of death shall also be approved by such board before a permit to bury is given by the registrar or clerk. Upon application, the chairman of the board of health, or any physician employed by any city or town for such purpose, shall sign the certificate of the cause of death to the best of his knowledge and belief, if there has been no physician in attendance. He shall also sign such certificate, upon applica- tion, in case of death by dangerous contagious disease, or in any other event when the certificate of the attending physician cannot for goud and sufficient reasons be early enough obtained. In case of death by violence, the medical examiner attending shall furnish the requisite medical certificate. Any person violating the provisions of this section shall be punished by fine not exceeding twenty-five dollars
prez joined 0-6
Carriage ·Funeral vuesdag 2v.m
PHYSICIAN'S CERTIFICATE.
Vame of Deceased,* -
-
tonnes
Date and Place of Death,
198
Disease or Cause of Death, -
Arealera Linkarcher. Duration of Sickness
I certify that the above is true, to the best of my knowledge and belief. 7 me and Residence of Certifying Physician,
*Or Sex of Infant (not named).
Date of Certificate, Fre5, 6 188
[ Extracts from Chapter 32 of the Public Statutes.]
" SECT. 3. A physician who has attended a person during his last illness shall, when requested within fifteen days after the decease of such person, forthwith furnish for registration a certificate of the duration of the last sickness, the disease of which the person died, and the date of his decease, as nearly as he can state the same. If a physician refuses or neglects to make such certificate, he shall forfeit ten dollars to the use of the town in which he resides."
" SECT. 5. No human body shall be buried or removed from any city or town until a proper certificate has been given by the clerk or registrar to the undertaker, sexton, or other person performing the burial or removing the body. Such certificate shall state that the facts required by this chapter have been returned and recorded; and no clerk or registrar shall give such certificate or burial permit until the certificate of the cause of death has been obtained from the physician, if any, in attendance at the last sickness of the deceased, and placed in the hands of said clerk or registrar; and in cities and towns where there are boards of health, the certificate of the cause of death shall also be approved by such board before a permit to bury is given by the registrar or clerk. Upon application, the chairman of the board of health, or any physician employed by any city or town for such purpose, shall sign the certificate of the cause of death to the best of his knowledge and belief, if there has been no physician in attendance. He shall also sign such certificate, upon applica tion, in case of death by dangerous contagious disease, or in any other event when the certificate of the attending physician cannot for good and sufficient reasons be early enough obtained. In case of death by violence, the medical examiner attending shall furnish th requisite medical certificate. Any person violating the provisions of this section shall be punished by fine not exceeding twenty-five dollars.
RETURN OF A DEATH. To the Clerk of the Town in which the Death occurred.
any 5 : 188%. 1. Date of Death, F 2. Name.
(Maiden Name),
3. Sex, and whether single, Married, or Widowed,
1. Color. t .
...
5. Ago, Years, Months, Days.
Disease or Cause of Death,
6.
Duration of Sickness,
By whom certified,
7. Residence.
8. Place of Death,
Alexintic 1AT2.1-
9. Occupation.
1
10. Place of Birth,
11. Name of Father,
12. Name of Mother,
Ft TH 1
13. Birthplace of Father,
11. Birthplace of Mother,
15. Place of Interment, .
Signature of Undertaker er other person making the Return, .
1
DATED at it's That - , on
188%.
* 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.]
cette 1,11
/ L
1
[Public Statutes, Chap. 32, Sect. 5.]
No human body shall be buried or removed from any city or town until a proper certificate has been given by the clerk or registrar to the undertaker, sexton, or other person performing the burial or removing the body. Such certificate shall state that the facts required by this chapter have been returned and recorded; and no clerk or registrar shall give such certificate or burial permit until the certificate of the cause of death has been obtained from the physician, if any, in attendance at the last sickness of the deceased, and placed in the hands of said clerk or registrar; and in cities and towns where there are boards of health, the certificate of the cause of death shall also be approved by such board before a permit to bury is given by the registrar or clerk. Upon application, the chairman of the board of health, or any physician employed by any city or town for such purpose, shall sign the certificate of the cause of death to the best of his knowledge and belief, if there has been no physician in attendance. He shall also sign such certificate, upon applica- tion, in case of death by dangerous contagious disease, or in any other event when the certificate of the attending physician cannot for good and sufficient reasons be early enough obtained. In case of death by violence, the medical examiner attending shall furnish the requisite medical certificate. Any person violating the provisions of this section shall be punished by fine not exceeding twenty-five dollars.
PHYSICIAN'S CERTIFICATE.
Vame of Deceased,* -
Date and Place of Death, -
James Mc Lougais) died at
iscase or Cause of Death, - of
188 %. Treinafure herduration of Sickness
I certify that the above is true, to the best of my knowledge and belief.
ne and Residence of Certifying Physician,
1
ificate, Aug 6℃. 1887.
*Or Sex of Infant (not named).
[Extracts from Chapter 32 of the Public Statutes. ]
" SECT. 3. A physician who has attended a person during his last illness shall, when requested within fifteen days after the decease of such person, forthwith furnish for registration a certificate of the duration of the last sickness, the disease of which the person died, and the date of his deccase, as nearly as he can state the same. If a physician refuses or neglects to make such certificate, he shall forfeit ten dollars to the use of the town in which he resides."
" SECT. 5. No human body shall be buried or removed from any city or town until a proper certificate has been given by the clerk or registrar to the undertaker, sexton, or other person performing the burial or removing the body. Such certificate shall state that the facts required by this chapter have been returned and recorded; and no clerk or registrar shall give such certificate or burial permit until the certificate of the cause of death has been obtained from the physician, if any, in attendance at the last sickness of the deceased, and placed in the hands of said clerk or registrar; and in cities and towns where there are boards of health, the certificate of the cause of death shall also be approved by such board before a permit to bury is given by the registrar or clerk. Upon application, the chairman of the board of health, or any physician employed by any city or town for such purpose, shall sign the certificate of the cause of death to the best of his knowledge and belief, if there has been no physician in attendance. He shall also sign such certificate, upon applica- tion, in case of death by dangerous contagious disease, or in any other event when the certificate of the attending physician cannot for good and sufficient reasons be early enough obtained. In case of death by violence, the medical examiner attending shall furnish the requisite medical certificate. Any person violating the provisions of this section shall be punished by fine not exceeding twenty-five dollars."
RETURN OF A DEATH. To the Clerk of the Town in which the Death occurred.
1. Date of Death.
2. Name.
Czynel (2/ 188) kefal & Emerun)
(Maiden Name),*
3. Sex, and whether single, Married, or Widowed,
4. Color. t .
quela Mule-
5. Agc.
Years,.
Monthis.
Days.
Disease or Cause of Death,
6.
Duration of Sickness,
By whom certified,
7. Residence. . € . Muanthrop (P. S. Home 8. Place of Death.
9. Occupation, .
10. Place of Birth, 13.12 4
11. Name of Father, .
12. Name of Mother, .
13. Birthplace of Father, ·
14. Birthplace of Mother,
15. Place of Interment. .
Tempran, deferiti : Pee
Jimel
Signature of Undertaker wotherperson making the Return,
8 Renal to mal place. Durmerthogy
DATED at
Nuttroops on
ang 6"
18
* If a Married Woman or Widow.
+ If other than White. (M.) Mulatto. (I.) Indian. If of other Races, specify what.
[Be very particular to fill all Blanks. 1
12
[Public Statutes, Chap. 32, Sect. 5.]
No human body shall be buried or removed from any city or town until a proper certificate has been given by the clerk registrar to the undertaker, sexton, or other person performing the burial or removing the body. Such certificate shall state that the fac required by this chapter have been returned and recorded; and no clerk or registrar shall give such certificate or burial permit until t certificate of the cause of death has been obtained from the physician, if any, in attendance at the last sickness of the deceased, a placed in the hands of said clerk or registrar; and in cities and towns where there are boards of health, the certificate of the cause death shall also be approved by such board before a permit to bury is given by the registrar or clerk. Upon application, the chairn of the board of health, or any physician employed by any city or town for such purpose, shall sign the certificate of the cause of de to the best of his knowledge and bellef, if there has been no physician in attendance. He shall also sign such certificate, upon appl tion, in case of death by dangerous contagious disease, or in any other event when the certificate of the attending physician cannot goud and sufficient reasons be early enough obtained. In case of death by violence, the medical examiner attending shall furnish requisite medical certificate. Any person violating the provisions of this section shall be punished by fine not exceeding twenty- dollars
PHYSICIAN'S CERTIFICATE.
Name of Deceased,* -
Date and Place of Death, -
Disease or Cause of Death, - of
¿
Joseph Demener died at
at Share Adame, Winthrop, Mas. Cug 6187. Pneumonia Duration of Sickness One week
I certify that the above is true, to the best of my knowledge and belief.
Name and Residence of Certifying Physician,
Cell Standard 381 Columbus Que, Posto Date of Certificate, tificate, Aus 6 et 1887.
+Or Sex of Infant (not named).
[Extracts from Chapter 32 of the Public Statutes. ]
" SECT. 3. 4 physician who has attended a person during his last illness shall, when requested within fifteen days after the decease of such person, forthwith furnish for registration a certificate of the duration of the last sickness, the disease of which the person died, and the date of his decease, as nearly as he can state the same. If a physician refuses or neglects to make such certificate, he shall forfeit ten dollars to the use of the town in which he resides."
" SECT. 5. No human body shall be buried or removed from any city or town until a proper certificate has been given by the clerk or registrar to the undertaker, sexton, or other person performing the burial or removing the body. Such certificate shall state that the facts required by this chapter have been returned and recorded; and no clerk or registrar shall give such certificate or burial permit until the certificate of the cause of death has been obtained from the physician, if any, in attendance at the last sickness of the deceased, and placed in the hands of said clerk or registrar; and in cities and towns where there are boards of health, the certificate of the cause of «leatlı shall also be approved by such board before a permit to bury is given by the registrar or clerk. Upon application, the chairman of the board of health, or any physician employed by any city or town for such purpose, shall sign the certificate of the cause of death to the best of his knowledge and belief, if there has been no physician in attendance. He shall also sign such certificate, upon applica- tion, in case of death by dangerous contagions discase, or in any other event when the certificate of the attending physician cannot for good and sufficient reasons be early enough obtained. In case of death by violence, the medical examiner attending shall furnish the requisite medical certificate. Any person violating the provisions of this section shall be punished by fine not exceeding twenty-five dollars."
NO. 1
RETURN OF A DEATH. To the Clerk of the Town in which the Death occurred.
1. Date of Death.
Auquel 6 " 188,
2. Name,
10.1221.
Brett
(Maiden Name) .* .
3. Sex. and whether single, Married, or Widowed,
4. Color, t .
5. Ago, Years, 11- Months. Days.
Disease or Cause of Death,
Cholence Infinitive
6.
Duration of Sickness,
By whom certified,
7. Residence, .
8. Place of Death,
9. Occupation.
10. Place of Birth,
11. Name of Father.
12. Name of Mother,
13. Birthplace of Father,
11. Birthplace of Mother,
15. Place of Interment. .
1.
Signature of Undertaker other person making the Return,
Sumner
floyd
DATED at
1
on (lug 6- 188
* 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. 1
Winthrop () I Here)
€
[Public Statutes, Chap. 32, Sect. 5.]-
No human body shall be buried or removed from any city or town until a proper certificate has been given by the clerk or registrar to the undertaker, sexton, or other person performing the burial or removing the body. Such certificate shall state that the facts required by this chapter have been returned and recorded; and no clerk or registrar shall give such certificate or burial permit until the certificate of the cause of death has been obtained from the physician, if any, in attendance at the last sickness of the deceased, and placed in the hands of said clerk or registrar; and in cities and towns where there are boards of health, the certificate of the cause of death shall also be approved by such board before a permit to bury is given by the registrar or clerk. Upon application, the chairman of the board of health, or any physician employed by any city or town for such purpose, shall sign the certificate of the cause of death to the best of his knowledge and belief, if there has been no physician in attendance. He shall also sign such certificate, upon applica- tion, in case of death by dangerous contagious disease, or in any other event when the certificate of the attending physician cannot for goud and sufficient reasons be early enough obtained. In case of death by violence, the medical examiner attending shall furnish the requisite medical certificate. Any person violating the provisions of this section shall be punished by fine not exceeding twenty-five dollars
2 min Tons
PHYSICIAN'S CERTIFICATE.
sme of Deceased,* -
John Butt. Sea Shore Henne Mithop. Aug 6".
ate and Place of Death, - died at
isease or Cause of Death, - of Cholera infutura Duration of Sickness
1887 2 days.
I certify that the above is true, to the best of my knowledge and belief.
Charles W. Jourfen 2 min. El Chestnutfé
ne and Residence of Certifying Physician,
Date of Certificate, auf 62 1887.
Boston
8/
*Or Sex of Infant (not named).
[Extracts from Chapter 32 of the Public Statutes. ]
" SECT. 3. A physician who has attended a person during his last illness shall, when requested within fifteen days after the decease of such person, forthwith furnish for registration a certificate of the duration of the last sickness, the disease of which the person died, and the date of his decease, as nearly as he can state the same. If a physician refuses or neglects to make such certificate, he shall forfeit ten dollars to the use of the town in which he resides."
" SECT. 5. No human body shall be buried or removed from any city or town until a proper certificate has been given by the clerk or registrar to the undertaker, sexton, or other person performing the burial or removing the body. Such certificate shall state that the facts required by this chapter have been returned and recorded; and no clerk or registrar shall give such certificate or burial permit until the certificate of the cause of death has been obtained from the physician, if any, in attendance at the last sickness of the deceased, and placed in the hands of said clerk or registrar; and in cities and towns where there are boards of health, the certificate of the cause of (leath shall also be approved by such board before a permit to bury is given by the registrar or clerk. Upon application, the chairman of the board of health, or any physician employed by any city or town for such purpose, shall sign the certificate of the cause of death
to Jest ih: . nowledge and belief, if there has been no physician in attendance. Ile shall also sign such certificate, upon applica- tion, wdr e 1 by dangerous contagious disease, or in any other event when the certificate of the attending physician cannot for good an ' cuit reasons be early enough obtained. In case of death by violence, the medical examiner attending shall furnish the requisite medical certificate. Any person violating the provisions of this section shall be punished by fine not exceeding twenty-five dollars."
.! '
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,
auf 8 1887 nellie Collins
female
1. Color, t
5. Age, . Disease or Cause of Death,
6. Duration of Sickness, . (By whom certified,
7. Residence,
8. Occupation, .
9. Place of Death, .
10. Place of Birth,.
11. Name of Father,
12. Name of Mother, · .
13. Birthplace of Father, .
1.1. Birthplace of Mother, .
15. Place of Interment, ·
n
SI Cre of Undertaker 7 other person making the Return,. P
DATED at
, on
18
5.
* If a Married Woman or Wido"
t If other than White. (MI.) . tto. (I.) Indian. If of other Races, specify what.
[Be very particular to fill all Blanks. ]
White
.. Years, .. ... ~ Months, - Days. Lobular Premiumia two weeks. a. C. Stanard
16 Canard con. boston
Julia Collins
15
[ Public Statutes, Chap. 32, Sect. 5.]
No human body shall be buried or removed from any city or town until a proper certificate has been given by the clerk or reg to the undertaker, sexton, or other person performing the burial or removing the body. Such certificate shall state that the facts rer by this chapter have been returned and recorded; and no clerk or registrar shall give such certificate or burial permit until the certific the cause of death has been obtained from the physician, if any, in attendance at the last sickness of the deceased, and placed in the of said clerk or registrar; and in cities and towns where there are boards of health, the certificate of the cause of death shall a approved by such board before a permit to bury is given by the registrar or clerk. Upon application, the chairman of the board of 1 or any physician employed by any city or town for such purpose, shall sign the certificate of the cause of death to the best of his know and belief, if there has been no physician in attendance. He shall also sign such certificate, upon application, in case of death by dd: ous contagious disease, or in any other event when the certificate of the attending physician cannot for good and sufficient reasons be enough obtained. In case of death by violence, the medical examiner attending shall furnish the requisite medical certificate. Any violating the provisions of this section shall be punished by fine not exceeding twenty-five dollars.
[Acts of 1887, Chap. 202, Sect. 5.]
Section one of chapter thirty-two of the Public Statutes is hereby amended by inserting after the word "burial" in the twoti line of said section the words: - if the deceased was a married woman the name of her husband.
PHYSICIAN'S CERTIFICATE.
Ir reg
rikke of Deceased,
all aud Place of Death, - | died at
nowase or Cause of Death, - be
Mellie Collins , Sea Shore Bonne Minetua Mail ly 878 of Lobular neumonia Duration two weeks
and Residence of Certifying Physician
I certify that the above is true, to the best of my knowledge and belief. ale Stanard 381 Columbus tve, Porto Date of Certificate, aug. Site 185%
Or Sex of Infant (not named).
[ Extracts from Chapter 32 of the Public Statutes. ]
" SECT. 3. A physician who has attended a person during his last illness shall, when requested within fifteen days after the decease of such person, forthwith furnish for registration a certificate of the duration of the last sickness, the disease of which the person died, and the date of his decease, as nearly as he can state the same. If a physician refuses or neglects to make such certificate, he shall forfeit ten dollars to the use of the town in which he resides."
" SECT. 5. No human body shall be buried or removed from any city or town until a proper certificate has been given by the clerk or registrar to the undertaker, sexton, or other person performing the burial or removing the body. Such certificate shall state that the facts required by this chapter have been returned and recorded; and no clerk or registrar shall give such certificate or burial permit until the certificate of the cause of death has been obtained from the physician, if any, in attendance at the last sickness of the deceased, and placed in the hands of said clerk or registrar; and in cities and towns where there are boards of health, the certificate of the cause of death shall also be approved by such board before a permit to bury is given by the registrar or clerk. Upon application, the chairman of the board of health, or any physician employed by any city or town for such purpose, shall sign the certificate of the cause of death to the best of his knowledge and belief, if there has been no physician in attendance. He shall also sign such certificate, upon applica- tion, in case of death by dangerous contagious disease, or in any other event when the certificate of the attending physician cannot for good and sufficient reasons be early enough obtained. In case of death by violence, the medical examiner attending shall furnish the requisite medical certificate. Any person violating the provisions of this section shall be punished by fine not exceeding twenty-five dollars."
RETURN OF A DEATH. To the Clerk of the Town in which the Death occurred.
1. Date of Death.
Auque's 0122
5-1884
2. Name,
(Maiden Name),
3. Sex, and whether single, Married, or Widowed,
4. Color, t .
.
Years, 8 Months, Days.
5. Age.
Disease or Cause of Death,
6 ..
Duration of Sickness,
By whom certified,
7. Residence. .
8. Place of Death,
9. Occupation,
10. Place of Birth,
11. Name of Father, 18 mart.
12. Name of Mother,
Brid, 1 in
13. Birthplace of Father,
14. Birthplace of Mother, ·
15. Place of Interment, .
Signature of Undertaker another person making the Return,
1/3
Calvary Cemely
Floyd
DATED at
. , On
aug 15
1×17
* If a Married Woman or Widow. tlf other than White. (M.) Mulatto. (1.) Indian. If of other Races, specify what.
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