USA > Massachusetts > Suffolk County > Winthrop > Town of Winthrop : Record of Deaths 1897-1899 > Part 28
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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 | Part 33 | Part 34 | Part 35 | Part 36 | Part 37 | Part 38 | Part 39 | Part 40 | Part 41
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 issucd 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 anld 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 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 thic 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 exceed- ing fifty dollars.
PHYSICIAN'S CERTIFICATE OF THE CAUSE OF DEATH.
unetrop
Boston, .. Que- 13'
8.
189
Name and age of deceased y
... .mos. dys.
Date and place of death : Oct. 23'98-
youre Park
Road.
Disease or cause of death : Tuberculosis y to Lungo
Duration of disease :*
Allan or more.
I certify that the above is true, to the best of my knowledge and belief.
Name and residence Albay 3. Doman
M. D.
of Mysician. 56 Writing Il Peuttur Man
* It ij very desirable to be informed of the duration of the disease.
The officeof the Board of Health will be open for the granting of permits for burial, as follows : - Saturdays, 9 A. M. till 2 P.M., except during the months of June, July, August and September, when the office will be closed on Saturdays at 12 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.
Out. 13'
189 2.
Name, 1
William Martyn Sex,
Maiden name,*
Married, single, or widow of
wife of
Color, Age chears .years,
mos.,
days. Residence, Minitwof
Place of death (street, and)
number 2) Courts
Road ward
Place of birth, England
Occupation,
Name of father, Villa Maiden name of mother au Am
Birthplace of father Bugland Birthplace of mother,
England
Place of interment, t
anchester
* If a married woman or a widow.
t Give the name of the burial ground.
roure, Undertaker.
...
Commonwealth of Massachus
CITY OF CHELSEA.
RETURN OF A DEATH TO THE BOARD OF HEALTH.
Winthrop
[Fill out with Ink.]
Date of Death,
Och
25,-
18.98
Name, deydia, D. Colby
Maiden Nante, ¿ If a married woman ) or widow.
Lydia 10.
If Married Woman, { { Husband's } Name.
Lorenzo D. leveby
Sex, and whether Single, Married or Widowed,
Color, Age,
Years,
8
Months,
22 Days.
Place of Death, (St. and No.), ] Myrtle Are, Winthrop Mark
Occupation,
Birthplace, .. Unknown 11
Name of Father,
Maiden Name of Mother, 1.1
Birthplace of Father,
11
" Mother,
Place of Interment,
Goodlawn Cemetery
Signature of Undertaker or other person making the retin.) Herbert Hb. bacher
Chelsea, Mass.,
Oct. 21
1890
Undertaker.
0
PHYSICIAN'S CERTIFICATE. Lydia . Colby and Place of Death Och 75-1898. intheop.
Name of Deceased,
D or Cause of Death, Cinhosis of Liver~
4 minutos
Duration of Sickness,
I certify that the above is true, to The Desgof my knowledge and belief. Charlie Lordo. ma Date of Certificate, Der. 77 1898 Chilean
Physician,
PHYSICIAN'S CERTIFICATE.
Name of Deceased,
Lydia . Colby
la Place of Death Och 75-1898. withrop & Mhoch
1
Dr Cause of Death, Cinhosis of Liv~
4 Minutes
Duration of Sickness,
I certify that the above is true, to The Desyof my knowledge and belief.
Charles Lado mat
Physician.
Date of Certificate,
Der. 27
189 8
Chelsea
PHYSICIAN'S CERTIFICATE OF THE CAUSE OF DEATH.
Boston,.
189 8,
Name and age of deceased .. William Brack Murphy Age por
.mos.
Date and place of death : Oct-26 41898, bruktune for
Disease or cause of death:
acute Gastro-entérites
marasmus.
Hass,
16 horaso.
Duration of disease :*
I certify that the above is true, to the best of my knowledge and belief.
Name and residence
of physician.
2
1. 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, Det Do7, 1898, Name,
Lillian Brace Murphy
Sex, Freel.
Maiden name,*
Married, single, or widow of wife of
Color
Age, ~ years, 8
mos., ..
days. Residence,
Hauttrop. Mass,
Place of death (street and) number
ward
Place of birth Farmacia Hain Occupation Oraday
Name of father, De Monroy Maiden name of mother AElig Y, Dalla
Birthplace of father. redham, Masthplace of mother,
MEland
Place of interment,t Mit', Bancadiat, Loque
* If a married woman or a widow.
t Give the name of the burial ground.
Signature of Undertaker: Track &, Malonu
(0+26/1895
PHYSICIAN'S CERTIFICATE OF THE CAUSE OF DEATH.
Boston,.
Av. 16th
189 8
Name and age of deceased : John Mcgrail
Age 22 yrs 6 mos. ... mos. dys
Date and place of death :. Av. 15th,
us In
Holistic Muttivol
.
Disease or cause of death :
Duration of disease :
I certify that the above is true, to the best of my knowledge and belief.
Name and residence
M. D.
of physician.
acte dies Surgur Us kum,
* 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., except during the months of June, July, August and September, when the office will be closed on Saturdays at 12 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. Henthwoh, Muss.
Date of death, Herentes 15" 1895 Name, Je/in 11.
John Ma Gmail
Maiden name,*
Sex,
Married, single, or widow of wife of
Color,. While Age, 22 years, 6 mos., days. Residence,. Plany
Place of death ( street and) number ,
Summit Une Hentherete Mas, ward
Place of birth. East Jeffecell Mass.
Occupation, Showmaker
Name of father,
Maiden name of mother,
Birthplace of father, ..
Birthplace of mother,.
Place of interment, t
* If a married woman or a widow.
t Give the name of the burial ground.
............ 1 morris
Undertaker.
.. .. ...
200215月1858
PHYSICIAN'S CERTIFICATE OF THE CAUSE OF DEATH.
Boston,
Name and age of deceased :
Odery Pistones
nov20
8
189
Age 40. .yrs. 7 mos mos 13 days.
Date and place of death :
My 201/1898 ar Hnetrop (General die)
Disease or cause of death:
Gastritis + Meningitis.
Duration of disease :*
I certify that the above is true, to the best of my knowledge and belief.
Name and residence
of physician.
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., except during the months of June, July, August and September, when the office will be closed on Saturdays at 12 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,
Mix 20
1898.
Name
Terry Jones.
Male Sex,
Maiden name, *.
Married, single, or widow of wife of
Color,
Age ... .. years, y/ m mos., 13 days.
Residence, 24 Somerdet Cave.
Place of death street and number Jony
Gazze.
ward Insurance Agent. Occupation,
Place of birth, Drugland
Name of father,
Maiden name of mother, Ellen Yarist
.Birthplace of father, England
Birthplace of mother. England.
Place of interment, t
N
tequeting
* If a married woman or a widow.
t Give the name of the burial ground.
RETURN OF A DEATH. To the Clerk of the City or Town in which the Death occurred.
1. Date of Death,
2. Name,
Deceuta 5"1898 aller Elword
(Maiden Name),*
(Name of Husband),*
male
3. Sex, and whether single, Married, or Widowed,
4. Color,f
5. Age,
Years, .Months, Days
Disease or Cause of Death, (Primary and Secondary ), ; 1
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 theque making the Return, .
univer Floyd
DATED at Minitrop , on Dee 7" 18,8
* If a Married Woman or Widow. { If a Soldier who served in the War of the Rebellion.
t If other than White. (MI.) Mulatto. (I.) Indian. If of other Races, specify what.
[ Be very particular to fill all Blanks. I Plate. Ed. Dec., 1896 .- 5,000
White
Dvd of Soule
Elmond Che
Elmora diem Elmwood agen Joseph W. Elund Mary In Melian Boldfood man Gloucester Mass
[ Public Statutes, Chapter 32, as amended by Acts of 1888, Chapter 300; Acts of 1889, Chapter 221 ; Acts of 1893, Chapter 203.]
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 siekness, 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- leets or refuses to make a certifieate as aforesaid, or makes a false statement therein, ne 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 sueli permit shall be issued until there has been delivered to such board, or agent or clerk, as the ease 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 physiciar cannot be obtained, for good and sufficient reasons, early enough for the purpose, the chairman of the board of health or ans physician employed by a city or town for the purpose shall, upon request of said board, agent or clerk, make such certificate as i: required of the attending physician; and in ease of death by violenec 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 giver shall thereafter furnish for registration any other information as to the deceased or to the manner and cause of the death, as tip clerk or registrar may require. Any person violating any of the provisions of this section shall be punished by a fine not exeeed- ing fifty dollars.
PHYSICIAN'S CERTIFICATE.
Name and Age of Deceased,"
albert Elword
Age, 6 Cl. Ing.
1
Date and Place of Death, t - died at
189,
Disease or Cause of Death, - (Primary and Secondary.) } Duration of Sickness, - -
of annette cafe-pulite
-
I certify that the above is true, to the best of my knowledge and belief.
r & nature and Residence of Certifying Physician,
Date of Certificate,
¥
189
* Or Sex of Infant (not named). If stillborn so state.
If child died immediately after birth so state. Plate. Ed. December. 1896. - 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 300; Arts of 1889, Chapter 224; Arts of 1898, Chapter 265.]
SECTION 3. A physician who has attended a person during his last illuess shall, when requested, fortiwith furnish for regis- tration, a certificate stating, to the best of his knowledge aud 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 faet 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 thereiu, he shall be punished by a flue not exceeding fifty dollars. In ease the deceased was a soldier or a sailor who served iu 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 teu dollars for the use of the town iu which he resides.
SECTION 5. No undertaker, sextou or other person shall bury iu a city or towu or remove therefrom a human body until he has received a permit so to do from the board of healthi 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 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 hen 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 medical examiner shall, if requested, make the same. When such satisfactory statement and certificate are delivered to the board of health or to it's agent, the board or agent shall forth- with conntersign 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 exceed- ing fifty dollars.
RETURN OF A DEATH. To the Clerk of the City or Town in which the Death occurred.
1. Date of Death, .
2. Name,
(Maiden Name),*
(Name of Husband),*
Romal Hesekret to Carlisa Jamaler
3. Sex, and whether single, Married, or Widowed,
4. Color, ¡
5. Age,
61 Years, 8 .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).
13. Birthplace of Father, .
14. Birthplace of Mother, .
15. Place of Interment,
Signature of Undertaker or other person making the Return, .
Summer floyd
DATED at
Minttrop
, 011
Deeg
18
398
1 * 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. Dec., 1596 .- 5,000
Yasai
Freefont size ORizo Penal
5 3200
[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 furuish 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 lied, 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 thereiu, ne 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 forfcit 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 ( clerk, as the case may be, a satisfactory written statement containing the facts required by this chapter to be returned an recorded, together with the certificate of the attending physician, if any, as required by section three of this chapter, or in lieu thereof a certifieate 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 eity 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 for with countersign and transmit the same to the clerk or registrar for registration. The person to whom the permit is so g shall thereafter furnish for registration any other information as to the deceased or to the manner and cause of the deatlı, as clerk or registrar may require. Any person violating any of the provisions of this section shall be punished by a fine not ex ing fifty dollars.
2
A
PHYSICIAN'S CERTIFICATE.
Name and Age of Deceased,*
Olive a Corlise
Date and Place of Death, t - died at.
Age, 64-8-13 Winthrop (Cara &1) Dec #8 180 8. of ...
Iscase or Cause of Death, - " (Primary and Secondary.) } Duration of Sickness, -
Endocarditis (
1
D
I certify that the above is true, to the best of my knowledge and belief. Horace
Yure and Residence of Certifying Physician,
. Boule 142.0
Date of Certificate,
Dec 9h
1898
Ur Sex of Infant (not named). If stillborn so state.
f If child died immediately after birth so state. Plate. Ed December, 1996. - 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 203.]
SECTION 3. A physician who has attended a person during his last illness shall, wheu requested, forthwith furnish for regis- tration, a certificate stating, to the best of his knowledge and belicf, the uame 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 kuowledge 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 thereiu, he shall be punished by a finc uot excceding fifty dollars. In case the deceased was a soldier or a sailor who served iu the war of the rebellion, the physician shall give both the primary aud 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 lie shall forfeit to the treasurer the sum of ten dollars for the use of the towu 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 towu, 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 physiclan 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, ageut or clerk, make such certificate as is required of the attending physiciau; and in case of death by violence the medical examiner shall, if requested, make the same. When such satisfactory statement and certifieate are delivered to the board of health or to its agent, the board or ageut shall fortli- 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 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 exceed- ing fifty dollars.
RETURN OF A DEATH. To the Clerk of the City or Town in which the Death occurred.
1. Date of Death, .
2. Name,
Dec. 9/h Dearge Colton
1898
(Maiden Name) .*
(Name of Husband),*
male
3. Sex, and whether single, Married, or Widowed,
4. Color, t
5. Age, 80 Years, Months, 2 Days.
(Disease or Cause of Death, (Primary and Secondary), ;
6. Duration of Sickness, . (By whom certified,
7. Residence,
8. Occupation, .
Wo y Gottas Park Road OPharmacies
9. Place of Death, . Win theway illans
10. Place of Birth, . Springfield Mars. 11. Name of Father, Searte Colton Lucretia . Hoy L.
12. Name of Mother, (Maiden Name),
13. Birthplace of Father, Longmeadow Mass 11. Birthplace of Mother. . D'eerfuld 11
15. Place of Interment, Manfield
Signature of Undertaker vi othangummi making the Return Winthrop.com
univer Aloud
/
DATED at
* 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. Dec., 1898. - 5,000.
Ten Days
[ Public Statutes, Chapter 32, as amended by Acts of 1888, Chapter 300 ; 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 (lied, the duration of his last siekness, and the date of his deccase; 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 ean state the same. If a physician refuses or neglects to make such certificate he shall forfeit to the treasurer the sun of ten dollars for the use of the town In which he resides.
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