USA > Massachusetts > Suffolk County > Winthrop > Town of Winthrop : Record of Deaths 1900-1903 > Part 10
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Name and Birthplace of Father. Maiden Name and Birthplace of Mother, adeline Fellows-Durhamny Durham CV.M.
Place of Interment, (Give name of Cemetery),.
Dated at. Manturk
Summer Floyd
on
ajerie 20
190 /
Signature and place of business of Undertaker.
Winthrop Mass
Per PHYSICIAN'S CERTIFICATE. Name and Age of Deceased, + William addison Benediel. Age, 69% . 24/ D.
Place and Date of Death,
died at ..
Winthrop aferie 19
190 / .
Disease or Cause
of Death, #
Secondary,
Primary,
Cystitis (Information ) Duration adder
. Duration,
I certify that the above is true to the best of my knowledge and belief.
Signature and Residence
M. D.
of
Certifying Physician.
Chelsen Masse
Date of Certificate,
ahr. 20-
190 .
* Give also street and number, if any. | Give sex of infant not named. If still-born, so state. { If a Soldier or Sailor in the War of the Rebellion, give both Primary and Secondary Cause.
Countersign and transmit to the clerk of the city or town.
Agent of Board of Health.
...
No. 19
RETURN OF THE DEATH
OF William addison Benedi
q Mynte avenue
at
Date, Ореше 19 190.
Filed, Mene20 190_ 1
[EXTRACTS FROM CHAPTER 444, ACTS OF 1897.]
SECTION 6. Every householder in whose house a death occurs, the oldest person next of kin present at the time of the death of any of his kindred, or the person in charge of an institution in which a death occurs, shall, within five days after the date of such a death, give notice thereof to the board of healthi or to the clerk of the city or town in which the death occurred.
SECTION 7. The commanding officer of a vessel shall give notice of the death of any person under his charge to the board of health or to the clerk of the city or town within the Commonwealth at which his vessel first arrives after such death.
SECTION 8. Penalty for neglect to comply with the requirements of sections 6 and 7, five dollars.
SECTION 10. A physician who has attended a person during his last illness shall forthwith after the death of said person, upon request, furnish for registration a certificate setting forth the required facts.
SECTION 11. In case the deceased was a soldier who served in the war of the rebellion, give both the primary and the secondary or immediate cause of deathi as nearly as he can state the same. Penalty for refusal or neglect, ten dollars.
SECTION 12. Any person having charge of the funereal rites preliminary to the interment of a human body shall obtain the physician's certificate made in accordance with section 10, and return it, together with the facts required by section 1, to the board of, liealth or to the clerk of the city or town in which the death occurred.
[EXTRACTS FROM CHAPTER 437, ACTS OF 1897.]
SECTION 1. No human body shall be buried in a city or town or removed therefrom, until a permit therefor shall have been received from the proper authorities. No such permit shall be issued until a written statement, as required by law, has been furnished, with a physician's certificate of the cause of death. When such statement and certificate are delivered to the Board of Health, the board or agent shall forthwith countersign and transmit the same to the clerk of the city or town for registration.
[7.'00.37-XXM.]
Permit No.
RETURN OF DEATH. BOSTON. Winthrop
Year, Date of death - L 1901
Month april
Birth
Year,. 1894 6
Years, ..
Month, ang Age ' Months,. 8 Day, 25
l Day, 3
Days, .. 22
Name in full, Harrison Pray Glis for
Maiden name,
Male. Female.
Sex Conjugal condition
Single. Married. Widowed.
1 Divorced. Widow of
Wife of.
Place of death Street, 1 2 Cottage Ave
Place of birth,
Number, Winthrop Mars
Occupation,
Name of Father, Harison &
Maiden Name of Mother Louise Me Namara
Birthplace of Father, Nahart Man
Birthplace of Mother, Charlestown Muss -
Place of interment, Holywood Cemetery (Brookline) A. L. Gastmano Undertaker.
PHYSICIAN'S CERTIFICATE OF THE CAUSE OF DEATH.
Boston, April 25"
190/ .
Name and age of deceased Harrison Tray Otis for Age,. C ... years.
Date and place of death,* April 25-1901 2 Cottage Avr Winthrop Mas
Disease
Chief cause, Contributing cause,
I certify that the above is true, to the best of my knowledge and belief.
Name and residence } of physician,
7
M.D.
* If in an institution, state how long an inmate and previous residence.
1
The office of tha Boerd of Health will ba open for the granting of permits for burial, es follows : - Saturdeys, 9 A.M. till | P.M., except during the months of Juna, July, August and September, when the office will be closed on Saturdays at 12 M. ; Sundeys, 10 A.M. till 12 M. ; Holidays, from 10 A.M. till 12 M. ; other days, from 9 A.M, till 5 P.M.
apuce:
Chief cause,. Contributing cause,. 7 Duration
1
.
Residence, 2 Cottage Ave White. Black (Negro or mixed). Indian. Chinese. Color Japanese.
Harris Gray Colis In Died ajerie 25" 1901 2 Cottage avenue
FORM C.
Commonwealth of Classachusetts.
No.
RETURN OF A DEATH.
To the Clerk of the City or Town in which the death occurred.
Name, ..
Gerald Lamont Gilbert
(FILL OUT WITH INK. ALL NAMES TO BE IN FULL.)
Sex,
Su Color,
Date of Death,
may q"
1901; Age, 16 Years, 9
.. Months,
13
.. Days.
Maiden Name, { If married, wigowed ) or divorced.
Husband's Name,
Single, Married, Widowed or Divorced
Occupation,
*Residence, ¿ also state fully. )
{ If out of town, {
Winthrop Mars (Dealframe are)
Place of Birth,
Richmond Va
*Place of Death,
Point Smiley
Name and Birthplace of Father, Served Barry Seltent- England.
Maiden Name and Birthplace of Mother, Flora I badro Lichtenstein Richardtiva
Place of Interment, (Give name of Cemetery), Minitrope Celery
Dated at
Summer Floyd
on
may 10
190 /
Signature and place of business of Undertaker. Windtur Mars
PHYSICIAN'S CERTIFICATE.
Name and Age of Deceased, t Gerald damanh Gilbert Age, 16 Y. 9 M. /3 D. Place and Date of Death, died at .. Heart failure
- Primary,
Disease or Cause of Death, # Secondary,
May get 190/.
Duration,
Justauk
Duration, r
I certify that the above is true to the best of my knowledge and belief.
Signature and Residence S of
Hay Partir M. D.
Certifying Physician. 2
Hunthrow, Mess.
Date of Certificate,
Man 11th
190/.
· Give also street and number, if any. | Give sex of infant not named. If still-born, so state. # If a Soldier or Sailor in the War of the Rebellion, give both Primary and Secondary Cause.
Countersign and transmit to the clerk of the city or town.
Agent of Board of Health.
No. 21
RETURN OF THE DEATH
OF Gerald Lamont Pieter at Winthrop Mare
Date, May 9. 190.
Filed, May 10 190_
[EXTRACTS FROM CHAPTER 444, ACTS OF 1897.]
SECTION 6. Every householder in whose house a death occurs, the oldest person next of kin present at the time of the death of any of his kindred, or the person in charge of an institution in which a death occurs, shall, within five days after the date of such a death, give notice thereof. to the board of health or to the clerk of the city or town in which the death occurred.
SECTION 7. The commanding officer of a vessel shall give notice of the death of any person under his charge to the board of health or to the clerk of the city or town within the Commonwealthi at which his vessel first arrives after sueli death.
SECTION 8. Penalty for neglect to comply with the requirements of sections 6 and 7, five dollars.
SECTION 10. A physician who has attended a person during his last illness shall forthwith after the death of said , upon request, furnish for registration a certificate setting forth the required facts.
SECTION 11. In case the deceased was a soldier who served in the war of the rebellion, give both the primary and the secondary or immediate cause of death as nearly as he can state the same. Penalty for refusal or neglect, ten dollars.
SECTION 12. Any person having charge of the funereal rites preliminary to the interment of a human body shall obtain the physician's certificate made in accordance with section 10, and return it, together with the facts required by section 1, to the board of health or to the clerk of the city or town in which the death occurred.
[EXTRACTS FROM CHAPTER 437, ACTS OF 1897.]
SECTION 1. No human body shall be buried in a eity or town or removed therefrom, until a permit therefor shall have been received from the proper authorities. No such permit shall be issued until a written statement, as required by law, has been furnished, with a physician's certificate of the cause of death. When such statement and certificate are delivered to the Board of Health, the board or agent shall forthwith countersign and transmit the same to the clerk of the city or town for registration.
5
FORM C.
Commonwealth of Classachusetts.
No.
RETURN OF A DEATH. To the Clerk of the City or Town in which the death occurred.
(FILO OUT WITH INK. ALL NAMES TO BE IN FULL.)
Name,
Martha Pasiés Delanger
Sex,
Color,
Date of Death,
May 13 "
190% ; Age, Years,
8
Months,
~Days.
Maiden Name, { If married, widowed ) or divorced.
Husband's Name,
-
Single, Married, Widowed or Divorced, Occupation,
*Residence, { If out of town, )
¿ also state fully. S
Winthrop Mass
Place of Birth, 3.2 Putnam Street-
*Place of Death,
32 Putnam Street
Name and Birthplace of Father,
Joseph Belanger, Canada
Maiden Name and Birthplace of Mother, alfreda Dujeont Canada
Place of Interment, (Give name of Cemetery)
Salem Mass (Catholic Cemetery)
Dated at
Winther
Signature and
Summer Floyd
place of business
on
may 13
.190
of Undertaker,
making reli-
18 Overmain Street Winthrop
for
PHYSICIAN'S CERTIFICATE. Salern mark
Name and Age of Deceased, t
Place and Date of Death, died at
Age,
Y.
M.
.D.
190
Primary, Disease or Cause § of Death, # Secondary,
Duration,
Duration,
I certify that the above is true to the best of my knowledge and belief.
Signature and Residence S of Certifying Physician.
M. D.
Date of Certificate, 190
· Give also street and number, if any. t Give sex of infant not named. If still-born, so state. # If a Soldier or Sailor in the War of the Rebellion, give both Primary and Secondary Cause.
Countersign and transmit to the clerk of the city or town.
Agent of Board of Health.
1
No. 22
RETURN OF THE DEATH
OF
Martha Jouée Belanger 32 Pulman Street- at
Date, may 13"
1901.
Filed, may 13" 1901.
[EXTRACTS FROM CHAPTER 444, ACTS OF 1897.]
SECTION 6. Every householder in whose house a death occurs, the oldest person next of kin present at the time of the death of any of his kindred, or the person in charge of an institution in which a death occurs, shall, within five days after the date of such a death, give notice thereof to the board of health or to the clerk of the city or town in which the death occurred.
SECTION 7. The commanding officer of a vessel shall give notice of the death of any person under his charge to the board of health or to the clerk of the city or town within the Commonwealth at which his vessel first arrives after such death.
SECTION 8. Penalty for neglect to comply with the requirements of sections 6 and 7, five dollars.
SECTION 10. A physician who has attended a person during his last illness shall forthwith after the death of said person, upon request, furnish for registration a certificate setting forth the required facts.
SECTION 11. In case the deceased was a soldier who served in the war of the rebellion, give both the primary and the secondary or immediate cause of death as nearly as he can state the same. Penalty for refusal or neglect, ten dollars.
SECTION 12. Any person having charge of the funereal rites preliminary to the interment of a human body shall obtain the physician's certificate made in accordance with section 10, and return it, together with the facts required by section 1, to the board of health or to the clerk of the city or town in which the death occurred.
[EXTRACTS FROM CHAPTER 437, AcTs or 1897.]
SECTION 1. No human body shall be buried in a city or town or removed therefrom, until a permit therefor shall have been received from the proper authorities. No such permit shall be issued until a written statement, as required by law, has been furnished, with a physician's certificate of the cause of death: When such statement and certificate are delivered to the Board of Health, the board or agent shall forthwith countersign and transmit the same to the clerk of the city or town for registration.
=a& #waandina fifty dollars.
FORM C.
Commonwealth of Massachusetts.
No.
RETURN OF A DEATH.
To the Clerk of the City or Town in which the death occurred.
Name,
Clarence a, Welcher
(FILL OUTD TH INK. ALL NAMES TO BE IN FULL.)
Sex, m Color,
Date of Death, Way 15
190/ ; Age,
44
. Years,
6
.. Months,
18 Days.
Maiden Name,
{ If married, widowed?
or divorced.
Husband's Name,
-
Single, Married, Widowed or Divorced,
Occupation,
Street Superintendent
*Residence, { If out of town, )
11-6 Bowdown Street Winthrop
? also state fully. §
Place of Birth,
Winthrop Mass
*Place of Death,
46 Bowdown Street- Situop
Name and Birthplace of Father, Francis n. Belcher (Printlnop Mas)
Maiden Name and Birthplace of Mother, adelita Schule
Place of Interment, (Give name of Cemetery), Shirttrop mass Summer Floyd
Dated at Winthrop
may 16%
190/
Signature aud place of business of Undertaker.
18 Overman Sheet
PHYSICIAN'S CERTIFICATE.
Name and Age of Deceased, t Clarence a, Belchen Age, 44 . 6. 1. 18D.
Place and Date of Death,
died at
Oanthrop May 15'
190 /.
- Primary,
Diffuse Nephites
Disease or Cause of Death, # Secondary, mitral regurgitation
Duration,
Duration,
2 years
I certify that the above is true to the best of my knowledge and belief.
Signature and Residence S
Morace S. Soule
M. D.
of
Willtrop
mass
Date of Certificate,
May 18
190/ .
* Give also street and number, if any. t Give sex of infant not named. If still-born, so state.
{ If a Soldier or Sailor in the War of the Rebellion, give both Primary and Secondary Cause.
Countersign and transmit to the clerk of the city or town.
....
... ..
Agent of Board of Health.
1
Certifying Physician.
No. 23
RETURN OF THE DEATH
OF Clarence a. Selcher at Winthrop Mass
Date, May 15" 190 ...
Filed, May 16" 190_/_
[EXTRACTS FROM CHAPTER 444, ACTS OF 1897.]
SECTION 6. Every householder in whosc house a death occurs, the oldest person next of kin present at the time of the death of any of his kindred, or the person in charge of an institution in which a death occurs, shall, within five days after the date of such a death, give notice thereof to the board of health or to the clerk of the city or town in which the death occurred.
SECTION 7. The commanding officer of a vessel shall give notice of the death of any person under his charge to the board of health or to the clerk of the city or town within the Commonwealth at which his vessel first arrives after such death.
SECTION 8. Penalty for neglect to comply with the requirements of sections 6 and 7, five dollars.
SECTION 10. A physician who has attended a person during his last illness shall forthwith after the death of said person, upon request, furnish for registration a certificate setting forth the required facts.
SECTION 11. In case the deceased was a soldier who served in the war of the rebellion, give both the primary and the secondary or immediate cause of death as nearly as he can state the same. Penalty for refusal or neglect, ten dollars.
SECTION 12. Any person having charge of the funereal rites preliminary to the interment of a human body shall obtain the physician's certificate made in accordance with section 10, and return it, together with the facts required by section 1, to the board of health or to the clerk of the city or town in which the death occurred.
[EXTRACTS FROM CHAPTER 437, ACTS OF 1897.]
SECTION 1. No human body shall be buried in a city or town or removed therefrom, until a permit therefor shall have been received from the proper authorities. No such permit shall be issued until a written statement, as required by law, has been furnished, with a physician's certificate of the cause of death. When such statement and certificate are delivered to the Board of Health, the board or agent shall forthwith countersign and transmit the same to the clerk of the city or town for registration.
Dasalt, for violation not exceeding fifty dollars.
[7.'00-37-XX M.]
Permit No.
RETURN OF DEATH.
BOSTON.
64.
Date of death Year, Month,
Birth
Day 17 ...
Day,
\ Days,.
Name in fullfactoring Il. KnowltonResidence,
Winthrope
Maiden name,
O firar.
Matt.
Sex Conjugal condition
Singte. Married. Widowcd.
Color
Indian. Chinese Japanese.
Divorced. Widow of
Charlie .
Wife of.
Place of death Street,
Number, Place of birth,
Rockland Ac.
Occupation, Name of Father,
Birthplace of Father,
Place of interment,
Wright Maiden Name of Mother Thankful B. Birthplace of Mother, Confer me. R &S Brown Undertaker.
PHYSICIAN'S CERTIFICATE OF THE CAUSE OF DEATH.
Boston, Day 19' 1901 . Name and age of decesetutoring . Knowltonse, 644 years. years. Date and place of death,* Unavily'901-
Disease
Chief cause,
Contributing cause,.
Duration
Chief cause, .... Contributing cause,.
I certify that the above is true, to the best of my knowledge and belief.
Name and residence ? .f physician,
.M.D.
* If in an institution, state how long an inmate and previous residence.
The office of the Board of Health will be open for the granting of permits for burial, as follows : - Saturdays, 9 A. M. till | 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.
Bellevue ave .. Winthrop P
Cerebral achaplexy
White. Black (Negro or mt.ved).
Female.
Year, Month, ? ,
Years, Age 3 Months,
1901.
F
Victorine Ov. Knowlton Bellevue avenue
May 17 "1901 FILED=May 18" 1901
G
10blu
FORM C.
Commonwealth of Massachusetts.
No.
RETURN OF A DEATH.
To the Clerk of the City or Town in which the death occurred.
(FILL OUT WITH ANK. ALL NAMES TO BE IN FULL.)
Name,
Setehen R. Cole
Sex,
700
Color,
Date of Death,
May
24
.190/ ; Age,'/9 Years,
Months,
... Days.
Maiden Name,
or divorced.
howed ?
Husband's Name,
Single, Married, Widowed or Divorced,
Occupation,
Machiniel
*Residence, { If out of town, )
{ also state fully. }
26 almont St Dinturp
Place of Birth,
Brookline Vermont
*Place of Death,
Winthrop (26 almont er)
Name and Birthplace of Father,
Simon bole (Vermont)
Maiden Name and Birthplace of Mother,
Gether Robbins (Vermont)
Place of Interment, (Give name of Cemetery),
Winthrop Cemetery
Dated at
Minthap
Summer Fryd
on
May 25.1
190 /
Signature and
place of business -
of Undertaker.
18 Herman Street
Anthropo
Y.
M.
D.
PHYSICIAN'S CERTIFICATE.
Name and Age of Deceased, t
Age,
Place and Date of Death,
Primary,
died at apopier y
Duration,
Suddenly
Duration,
I certify that the above is true to the best of my knowledge and belief.
Signature and Residence of Certifying Physician.
31 Melcuts M. D.
Date of Certificate,
190% .
* Give also street and number, if any. t Give sex of infant not named. If still-born, so state.
# If a Soldier or Sailor in the War of the Rebellion, give both Primary and Secondary Cause.
Countersign and transmit to the clerk of the city or town.
Agent of Board of Health.
190
Disease or Cause of Death, } Secondary,
No. 25
RETURN OF THE DEATH
OF
Stephen R. Cole 26 almont Street at
May 24". Date, ...** +
190 ..... .....---.
Filed, May 25. .190_ 1
[EXTRACTS FROM CHAPTER 444, ACTS OF 1897.]
SECTION 6. Every householder in whose house a death occurs, the oldest person next of kin present at the time of the death of any of his kindred, or the person in charge of an institution in which a death occurs, shall, within five days after the date of such a death, give notice thereof to the board of health or to the clerk of the city or town in which the death occurred.
SECTION 7. The commanding officer of a vessel shall give notice of the death of any person under his charge to the board of health or to the clerk of the city or town within the Commonwealth at which his vessel first arrives after such death.
SECTION 8. Penalty for neglect to comply with the requirements of sections 6 and 7, five dollars.
SECTION 10. A physician who has attended a person during his last illness shall forthwith after the death of said person, upon request, furnish for registration a certificate setting forthe the required facts.
SECTION 11. In case the deceased was a soldier who served in the war of the rebellion, give both the primary and the secondary or immediate cause of death as nearly as he can state the same. Penalty for refusal or neglect, ten dollars.
SECTION 12. Any person having charge of the funereal rites preliminary to the interment of a human body shall obtain the physician's certificate made in accordance with section 10, and return it, together with the facts required by section 1, to the board of liealtli or to the clerk of the city or town in which the death occurred.
[EXTRACTS FROM CHAPTER 437, AcTs or 1897.]
SECTION 1. No human body shall be buried in a city or town or removed therefrom, until a permit therefor shall have been received from the proper authorities. No such permit shall be issued until a written statement, as required by law, has · been furnished, with a physician's certificate of the cause of deatlı. When such statement and certificate are delivered to the Board of Health, the board or agent shall forthiwith countersign and transmit the same to the clerk of the city or town for registration.
Penalty for violation not exceeding fifty dollars.
FORM C.
Commonwealth of Massachusetts.
No.
RETURN OF A DEATH.
To the Clerk of the City or Town in which the death occurred.
(FILL OUT WITH INK. ALL NAMES TO BE IN FULL.)
Name,
Odmin Week
Sex,
Color,
22
Date of Death,
May 29.
190 / ; Age,
72 Years,
Days.
Maiden Name, { If married, widowed )
or divorced.
Husband's Name,
Single, Married, Widowed or Divorced,
Occupation,
bayernter
*Residence, also state fully.)
§ If out of town, }
Winthrop, Mass
Place of Birth,
north Vallallow me
*Place of Death,
10 Thonton Park
Name and Birthplace of Father,
Butter Week's (Unknown)
Maiden Name and Birthplace of Mother, Eliza Macy Wantweken nas)
Place of Interment, (Give name of Cemetery),
north Kelling ham mass
Dated at
on
May 29
190/
Signature and place of business of Undertaker.
mass
PHYSICIAN'S CERTIFICATE.
Name and Age of Deceased, t
Edwin Necks
Age, 22Y -M-D.
Place and Date of Death,
died at.
Thirteen Mass May 2990/.
Cerebral Tumor
Duration, acute syneflores
Duration,
2 cups
I certify that the above is true to the best of my knowledge and belief.
Signature and Residence of Certifying Physiclan.
M. D.
Date of Certificate,
30 190/ .
1
* Give also street and number, if any. t Give sex of infant not named. If still-born, so state. # If a Soldier or Sailor in the War of the Rebellion, give both Primary and Secondary Cause.
Countersign and transmit to the clerk of the city or town.
Agent of Board of Health. May 29
- Primary,
Disease or Cause of Death, } Secondary,
Summe
No. 26
RETURN OF THE DEATH
OF Edmin Seeks
10 Showton Park at
Date,
May 29
190 .........
Filed, May 30
1901
[EXTRACTS FROM CHAPTER 444, ACTS OF 1897.]
SECTION 6. Every householder in whose house a death occurs, the oldest person next of kin present at the time of the death of any of his kindred, or the person in charge of an institution in which a death occurs, shall, within five days after the date of such a death, give notice thereof to the board of health or to the clerk of the city or town in which the death occurred.
SECTION 7. The commanding officer of a vessel shall give notice of the death of any person under his charge to the board of health or to the clerk of the city or town within the Commonwealth at which his vessel first arrives after such death.
SECTION 8. Penalty for neglect to comply with the requirements of sections 6 and 7, five dollars.
SECTION 10. A physician who has attended a person during his last illness shall forthwith after the death of said person, upon request, furnish for registration a certificate setting forth the required facts.
SECTION 11. In case the deceased was a soldier who served in the war of the rebellion, give both the primary and the secondary or immediate cause of death as nearly as he can state the same. Penalty for refusal or neglect, ten dollars.
SECTION 12. Any person having charge of the funereal rites preliminary to the interment of a human body shall obtain the physician's certificate made in accordance with section 10, and return it, together with the facts required by section 1, to the board of healthi or to the clerk of the city or town in which the death occurred.
[EXTRACTS FROM CHAPTER 437, ACTS OF 1897.]
SECTION 1. No human body shall be buried in a city or town or removed therefrom, until a permit therefor shall have been received from the proper authorities. No such permit shall be issued until a written statement, as required by law, has been furnished, with a physician's certificate of the cause of death. When such statement and certificate are delivered to the Board of Health, the board or agent shall forthwith countersign and transmit the same to the clerk of the city or town for registration.
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