USA > Massachusetts > Suffolk County > Winthrop > Town of Winthrop : Record of Deaths 1893-1896 > Part 5
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1. Date of Death, .
2. Name,
(Maiden Name),*
(Name of Husband),*
". Shumway Charles I. Please ! temale( married)
White
20
Years, ..... /
Monthy
27
Days.
5. Age,
Disease or Cause of Death, (Primary and Secondary), #
Dr. no! Michael
Domeuille Mass
7. Residence,
.
8. Occupation, .
9. Place of Death, .
10. Place of Birth, .
11. Name of Father,
.
12. Name of Mother, .
(Maiden Name),
Laviadon TO. H.
13. Birthplace of Father,
14. Birthplace of Mother, .
15. Place of Interment, ·
Signature of Undertaker -on making the Return, .
Summer Floyd
DATED at Minthajo , on June 26" 1893
* If a Married Woman or Widow. { If a Soldier who served in the War of the Rebellion. { 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.
June 25" 1893. make a Lease
3. Sex, and whether single,
Married, or Widowed,
4. Color, ¡
6. Duration of Sickness, . By whom certified, .
Minthope (Sinside Que) Somente. mais George Shumway abbie Shumway
bankbridge Cemetery
1304
5-6 -Eliptik Done Col to order Latin
Funeral 2, P. mitted
[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, . 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 citt 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 c may be, a satisfactory written statement containing the facts required by this chapter to be returned and recorded, together with the certif - of the attending physician, if any, as required by section three of this chapter, or in lieu thereof a certificate as hereinafter provided. If the ", no attending physician, or if the certificate of the attending physician cannot be obtained, for good and sufficient reasons, early enough for 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 bo. agent or clerk, make such certificate as is required of the attending physician ; and in case of death by violence the medical examiner sl. if requested, make the same. When such satisfactory statement and certificate are delivered to the board of health or to its agent, the bo or agent shall forthwith countersign and transmit the same to the clerk or registrar for registration. The person to whom the permit i- given shall thereafter furnish for registration any other information as to the deceased or to the manner and cause of the death, as clerk or registrar may require. Any person violating any of the provisions of this section shall be punished by a fine not exceeding fu
dollars. near Meloro. Off Cherry
Cienne north Somerville Highlande 10 manison Street
PHYSICIAN'S CERTIFICATE.
ame and Age of Deceased,*
ate and Place of Death, -
ase or Cause of Death, -
Mabel a. Please died at.
Age, 20 pre- 1 o 27d.
Winthrop (Sunnyside ave) June 25" 1893 of Cardiac Theone borg Aration & dayu ٠٠
...
I certify that the above is true, to the best of my knowledge and belief.
¿ and Residence of Certifying Physician,
Date of Certificate, ..
180
[May, 1888.]
+Or Sex of Infant (not named).
YBy Selechal Jan 2/
of Da
[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 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. Nd 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.
[FILL OUT WITH INK].
Date of Death,
quer 28
1893
Name,
(Maiden Name), . . (Name of Husband), Sex, and whether single,
Married, or Widowed,
Color,
Age, .
9H Years,
6
28
Months, .. Days. #9 Sheeton It-
Residence, .
Occupation,
Place of Birth,
hailstorm mass
Name of Father,
Name of Mother, (Maiden Name).
Birthplace of Father, .
Birthplace of Mother,
Malche
Place of Interment · June 28,1893
Signature of Underlaker or other person making the return.
yCBlacado
Terrace Avenue Great Head
Undertaker
Male
Manuel
Meuk
ora Seatra
PHYSICIAN'S CERTIFICATE.
Name of Deceased,
Henry & Cooper
Date and Place of Death,
Disease or Cause of Death,
Duration of Sickness, about the wake
I certify the above is true, to the best of my knowledge and belief.
Yom & Lamb
Physician.
Date of Certificate, June 28th 1893
PHYSICIAN'S CERTIFICATE OF THE CAUSE OF DEATH.
Winterp Durur 30'
189 3.
Name and age of deceased y. Man. Ko. Sawaco -Age ...
1 yrs 6
.. yrs. 5
mos . dys.
Date and place of death: Suns 30'93 - Dumminate Av. Ministro Disease or cause of death :
Duration of disease :*
8 days.
I certify that the above is true, to the best of my knowledge and belief.
Name and residence
of physician.
L EBenção M. D.
* It is very desirable to be informed of the duration of the disease
The office of the Board of Health will be open for the granting of permits for burial, as follows: - Saturdays, 9 A. M. till 2 P. M .; Sundays, 10 A. M. till 12 M .; Holidays, from 10 A. M. till 12 M .; other days, from 9 A. M. till 5 P. M.
UNDERTAKER'S RETURN .- Boston.
Date of death, - und 30'
189 3. Name
Om. Mo. Garratt
Maiden name,*
Sex, . 16.
Married, single, or widow of
wife of
Color 7/. Age, / years, 6 mos ... . days. Residence,
Place of death ( street and number
..
Place of birth,
Name of father, Hm. Cl.
Maiden name of mother Gather W. ILencore
Birthplace of father, wodurch.2.
Birthplace of mother, Frhowel Mass Woodlawn Commit.
Place of interment,t
* If a married woman or a widow.
t Give the name of the burial ground.
Signature of Undertaker :
Occupation, 8 ward
RETURN OF A DEATH. To the Clerk of the Town in which the Death occurred.
1. Date of Death, .
2. Name,
Charles Neuman White 6
(Maiden Name),
(Name of Husband),
male Married
3. Sex, and whether single, Married, or Widowed,
1. Color,t
5. Age,
Disease or Cause of Death, (Primary and Secondary), ;
6. Duration of Sickness, . By whom certified,
7. Residence,
S. Occupation, .
9. Place of Death, .
Wanting
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,
voting
Signature of Undertaker peroon making
the Return, .
DATED at
, on Sally /9/18
* 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. September, 1892 .- 5,000.
White 68 Years, / Q. Months, 14 Days.
Sale, Aceton Reymont more
[ Public Statutes, Chapter 32, as amended by Acts of 1858, Chapter 303 ; Acts of ISS9, 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, 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 fit dollars.
PHYSICIAN'S CERTIFICATE.
Name and Age of Deceased,*
Charles A. Mile
Age, 68-10-14
Date and Place of Death,t - died at Winthrop0
July 16" 180 3.
Disease or Cause of Death, - (Primary and Secondary.)} Duration of Sickness, - -
Terniciones Unacinia and) Heart Disease
I certify that the above is true, to the best of my knowledge and belief. /
Signature and Residence of Certifying Physician, ..
9
Date of Certificate, Mely 19
unit (nut named). li stillborn so state.
[ If child died immediately after birth so state. Plate. Ed. May, 1893. - 5,000.
# If a soldier or sailor who served in the War of the Rebellion.
[ Public Statutes, Chapter 32. as amended by Acts of 1888, Chapter 306; Acts of 1889, Chapter 224; Acts of 1893, Chapter 263.]
SECTION 3. A physician who has attended a person during his last illness shall, when requested, forthwith furnish for regis- tration, 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; and a physician who has attended at a birth of a child dying immediately thereafter, or at the birth of a stillborn child, shall, when requested, forthwith furnish for registration a certificate, stating to the best of his knowledge and belief the fact that such a child died after birth or was born dead. If a physician neg- lects or refuses to make a certificate as aforesaid, or makes a false statement therein, 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 a human body 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 lien thereof a certificate as hereinafter provided. If there is no attending physician, or if the certificate of the attending physician cannot be obtained, for good and sufficient reasons, early enough for the purpose, the chairman of the board of health or any physician employed by a city or town for the purpose shall, upon request of said board, agent or clerk, make such certificate as is required of the attending physician ; and in case of death by violence the medical examiner shall, if requested, make the same. When such satisfactory statement and certificate are delivered to the board of health or to its agent, the board or agent shall forth- with 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 deatlı, as the clerk or registrar may require. Any person violating any of the provisions of this section shall be punished by a fine not exceed- ing fifty dollars.
RETURN OF A DEATH. To the Clerk of the Town in which the Death occurred.
1. Date of Death, .
2. Name,
11"180/3
Raymund Palu
7
(Maiden Name), %
(Name of Husband),*
3. Sex, and whether single, Married, or Widowed,
Snala
1. Color,t
5. Age,
Years, .......
/
Months,
3
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),
Veland
13. Birthplace of Father,
11. Birthplace of Mother, .
15. Place of Interment,
Signature of Undertaker perperson making the Return, .
Floyd
DATED at This
, on 189.3
* If a Married Woman or Widow. { If a Soldier who served in the War of the Rebellion. { If other thau White. (M.) Mulatto. (I.) Indian. If of other Races, specify what.
[Be very particular to fill all Blanks.] I'late. Ed. September, 1892 .- 5,000.
Ar ance.
Pauline flest
Johan R,
[Public Statutes, Chapter 32, as amended by /1cts of 1838, 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 aforcsaid, he shall be punished by a fine not exceeding fifty dollars. In case the deccased 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 th 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 shal! 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 s. 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 fif- dollars.
PHYSICIAN'S CERTIFICATE.
Vame and Age of Deceased,*
Date and Place of Death, - died at
Disease or Cause of Death, -
of Talesinterieur D
E
I certify that the above is true, to the best of my knowledge and belief. 9
me and Residence of Certifying Physician, H.S Sauce Winthrop
0 9
Date of Certificate, Aug 15
[May, 1888.] 1893
*Or Sex of Infant (not named).
John Raymond Putnam
Age, 1 no 5 de
Tinthold Pauline Sweet July 17 ",8$9.3
[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 disease of which he died, the duration of his last sickness, and the date of his decease. If a physician neg- lects or refuses to make a certificate, as aforesaid_he shall be punished by a fine not exceeding fifty dollars.
SECTION 2. Section five of said chapter, prohibiting the burial or removal of a human body until a proper certificate is furnished, is amended so as to read as follows : - Section 5. No undertaker, sexton or other person shall bury in a city or town or remove therefrom the body of a deceased person until he has received a permit so to do from the board of health or its duly appointed agent, or, if there is no board of health in such city or town, from the city or town clerk. No such permit shall be issued until there has been delivered to such board, or agent or clerk, as the case may be, a satisfactory written statement containing the facts required by this chapter to be returned and recorded, together with the certificate of the attending physician, if any, as required by section three of this chapter, or in lieu thereof a certificate as hereinafter provided. If there is no attending physician, or if the certificate of the attending physician can not be obtained, for good and sufficient reasons, early enough for the purpose, the chairman of the board of health or any physician employed by a city or town for the purpose shall, upon request of said board, agent or clerk, make such certificate as is required of the attending physician; and in case of death by violence the medical examiner shall, if requested, make the same. When such satisfactory statement and certificate are delivered to the board of health or to its agent, the board or agent shall forthwith countersign and transmit the same to the clerk or register for registration. The person to whom the permit is so given shall thereafter furnish for registration any other information as to the de- ceased or to the manner and cause of the death, as the clerk or registrar may require. Any person violating any of the provisions of this section shall be punished by a fine not exceeding fifty dollars. [Approved May 4, 1888.
PHYSICIAN'S CERTIFICATE OF THE CAUSE OF DEATH
Drowned July 23 Body come aslive in beach aug 11
million Bostan, ..
189.5
Name and age of deceased : Joseph Murphy,
Age 23
.. yrs ... ..... .mos. ...... .dys.
Date and place of death : Jul 230
Disease or cause of death :
Cecalentar
Duration of disease :*
I certify that the above is true, to the best of my knowledge and belief.
Name and residence
1 2a
M. D.
of physician.
* It is very desirable to be informed of the duration of the disease.
The office of the Board of Health will be open for the granting of permits for burial, as follows : - Saturdays, 9 A. M. till 2 P. M .; Sundays, 10 A. M. till 12 M .; Holidays, from 10 A. M. till 12 M .; other days, from 9 A. M. till 5 P. M.
UNDERTAKER'S RETURN.
Date of death,
July 23 189-1 Name, Joseph Murphy Sex, malel.
Maiden name,*
Married, single, orawidow of
23 PZ!
-
wife of
Color, Age, years dit. mos., .days. Residence, 53 Ferrin Of Charleston
Place of death *** ), Cleardental Dronning
Off Fawn Bar, ward Calerso
Place of birth, Charleston
Occupation,
William S, Maiden name of mother,
alice Boyle
Name of father,
Ireland
Birthplace of mother,
Boston
Birthplace of father,
Holy Cross Cemetery
Malden
Place of interment,t
* If a married woman or a widow.
t 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.
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,
2 Months, E Days.
Disease or Cause of Death, (Primary and Secondary), ;
6. Duration of Sickness, . By whom certified, .
21000 11,00
7. Residence, .
1
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 making the Return, . , 9
DATED at Month. , 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. September, 1892 .- 5,000.
11
0%
1
July 30"1893. Floray Fait
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