USA > Massachusetts > Suffolk County > Winthrop > Town of Winthrop : Record of Deaths 1900-1903 > Part 18
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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 faets.
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 thic 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 nutil 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.
os 5. Penalty for violation not exceeding fifty dollars. SECTION
-
FORM C.
Commonwealth of Classachusetts.
No.
RETURN OF A DEATH.
To the Clerk of the City or Town in which the death occurred.
(FILL OUT WITH INN. )ALL NAMES TO BE IN FULL.)
Name,
freh & R. Seine
Sex,
21
Color,
Date of Death,
march my"
1902; Age, 10 Years,
Months,
Jag -)
.Days.
Maiden Name,
{ If married, widowed }
or divorced.
Husband's Name,
٢
Single, Married, Widowed or Divorced.
Occupation,
Carpenter
*Residence, { If out of town, )
¿ also state fully.
Damithope Mass
Place of Birth,
Rindge T. Co .
*Place of Death,
16 Dolphin Cheque Windtrop
Name and Birthplace of Father, Seeph CH, Peirce-Berlin Mase
Maiden Name and Birthplace of Mother, Habetalk Rozannal Have Mass
Place of Interment, (Give name of Cemetery),
Hofer Comelety Worcester Mass
Dated at
Winthrop
Summer et loyd
on
March 8"
190 2
Signature and
place of business
of Undertaker.
Winthrop Mass
PHYSICIAN'S, CERTIFICATE.
Name and Age of Deceased, t
Joseph 6. R. Perre.
Age, JO Y~ M. D.
Place and Date of Death,
died at.
Minutway (16 Doljehi che Marad y "1902
Primary,
Cancer
Duration,
Oui gras
Duration,
I certify that the above is true to the best of my knowledge and belief.
Signature and Residence S
of
Certifying Physiclan.
Winthrop Man
Date of Certificate,
Mar 8m
190 2.
· 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.
....
M. D.
Disease or Cause of Death, } Secondary,
No.
RETURN OF THE DEATH
OF
Joseph & R. Perrée 16 Dolphin avenue at
Date, March 1
" 190 2
Filed, March 8 "
190. 2
[EXTRACTS FROM CHAPTER 444, ACTS OF 1897.]
SECTION 6. Every householder in whose house a death oceurs, 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 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.
Many
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,
Paul Cousins Donaldson
Sex,
.Color,
Date of Death, .
March 9"19020 ; Age,
23 Years,
9
... Months
9 Days.
Maiden Name, { If married, widowed )
or divorced.
-
Husband's Name,
Single, Married, Widowed or Divorced, Occupation,
*Residence, { If out of town, )
DVinteroto mass
¿ also state fully. 3
Place of Birth,
Worcester mass
*Place of Death,
no g. Poquer Queel
niles d. Donaldeon new Your
Name and Birthplace of Father,.
Maiden Name and Birthplace of Mother,
Dusan Francis Burlon
Place of Interment, (Give name of Cemetery),
Hope Cemetery (Howwedler Mass)
Summer Ofloyd
Dated at
on
March 10
.1902
Signature and
place of business
of Undertaker.
Winthrop Wass
PHYSICIAN'S CERTIFICATE.
Name and Age of Deceased, t
Paul Cousins Donaldson Age, 23 x. 9 M. 9 D.
Place and Date of Death,
died at
I Locust Street Winthrop Mar 9. 1902.
Disease or Cause
of Death, #
Secondary,
Primary,
Duration,
Duration,
I certify that the above is true to the best of my knowledge and belief.
signature and Residence S of Certifying Physician.
Saula
M. D.
Date of Certificate,
Mas
12
190 2
* 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.
No.
RETURN OF THE DEATH
OF Paul Carine Donaldson
Date, March 9 " 1902. Filed, March 10 190. 2 - nog Loener Steel at
[EXTRACTS FROM CHAPTER 444, ACTS OF 1897.]
SECTION 6. Every householder in whose house a death oceurs, 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 sueh 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.
not avandring 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,
William Sharman
Sex,
Color,
Date of Death,
March 16'
1902; Age, 59 Years,
Months,
4 Days.
Maiden Name, or divorced.
-
Husband's Name,
-
Single, Married, Widowed or Divorced,
Occupation,
Produce Dealer
*Residence, { If out of town, )
Winthrop Mass
¿ also state fully. 3
Place of Birth,
Londonderry Oppland
*Place of Death,
22 Read Street
Name and Birthplace of Father, John Shannon Ireland
Maiden Name and Birthplace of Mother,
Elizabeth Taylor-Ireland
Place of Interment, (Give name of Cemetery), Oforest Oficer Courseley
Dated at
Winthrop
Signature and
Quina Haid
3
on
March 14" 1902
place of business
of Undertaker.
18 Herman Street
Winthrop Mars
PHYSICIAN'S CERTIFICATE.
Name and Age of Deceased, t
William Chamion Age, 57 Y. Y. N. 4 D.
Place and Date of Death,
died at ..
Winthrop march 16.
190 2
Disease or Cause - Primary,
Cowen of Therach
Duration,
1 'years
of Death, #
Secondary,
Duration, / le geme
I certify that the above is true to the best of my knowledge and belief.
Signature and Residence
of
Certifying Physician.
M. D.
Date of Certificate,
190 Z
· 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.
2.16
No.
RETURN OF THE DEATH
OF
William Shannon at 2.2. [ Read & heel
Date, March 16" 1902
Filed, March 1% 1902
[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 sectious 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 obtaiu 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.
[2-01-37-XXXM.]
Permit No.
RETURN OF DEATH. BOSTON.
Date of death
Year, 1902 Month Auch Day, 25
Year,. 1899
Years, 2
Birth 3 Month, way Age Months, ( O
Day,. 24
Days, ...
Name in full, Dorothy Malony. Maiden name, ...
Residence; 30 Wadleylow
Sex Female. Mate.
Conjugal condition
Single. ·Married. Widowed. Divorced .. Widow of
Color
Que White. Black (Negro or mixed). Indian. Chinese. Japanese.
Wife of ..
Place of death - Street, 130 Washington (www.
Place of birth,
Number, E. Borlow
Occupation, Name of Father land I. Raudlollike Apasd.
Maiden Name of Mother, Hannah Bance Birthplace of Father budgeHuis Birthplace of Mother, Cambridgethese Place of interment, Holy Cross" Walden
-
Undertaker.
PHYSICIAN'S CERTIFICATE OF THE CAUSE OF DEATH.
Boston,.
190
Name and age of deceased, Korth, .Age,
years.
Date and place of death, *. 76
Disease
Contributing cause,
Chief cause, 16, 1 %
Duration Contributing cause,.
I certify that the above i's trite, to the best of my knowledge and belief.
Name and residence ? of 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 I 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.
1001000
Chief cause,
Dorothy Malmey March 25" 1902
met 30
FORM C.
Commonwealth of Classachusetts.
No.
RETURN OF A DEATH.
To the Clerk of the City or Town in which the death occurred.
(FILLOUT WITH INK. ALL NAMES TO BE IN FULL.)
Name,
Mary Ellen Doherty
Sex,
Color,
Date of Death,
March 30
1902! Age, 42 Years, 8
Months,
9 .... Days.
Maiden Name, { If married, widowed )
or divorced.
Mary Ellen Lockwood
Husband's Name,
John F. Doherty
Single, Married, Widowed or Divorced, Occupation,
Residence,
Dettrop mase
¿ also state fully. §
Place of Birth,
Charleston Mass
*Place of Death,
45 Pauline Street Winthrop Mass
Name and Birthplace of Father,
James Lockwood England
Maiden Name and Birthplace of Mother,
Elizabeth Boylan
Place of Interment, (Give name of Cemetery),
Ovaly Goose Cemetery Malden
Dated at.
Winthrop
Summer Floyd
on
March 31
190 2
Signature aud
place of business
of Undertaker.
Hinthope Dass
PHYSICIAN'S CERTIFICATE.
Name and Age of Deceased, t
Mary Ellen Doherty Age, 428.8 M. 9 D.
died at Winthrop March 30"
190 2/
Place and Date of Death,
Primary,
Cancer A Uterus
0
Duration,
The year
Disease or Cause
of Death, #
Secondary,
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,
(Ich 31ª
1902
· 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.
No.
RETURN OF THE DEATH
OF
Mary Collen Doherty 75 Panenie Sheet
Date, Mraich 30 1902
Filed, apare 1"
190_2.
[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 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.
smaller 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,
Emma Sane Bader
Sex,
Color,
Muita
Date of Death,
Marie 24
1902: Age, ,.) Years,
Months,
Days. JØ
Maiden Name, { If married, widowed )
or divorced.
Comma Jane St Louis
Husband's Name,
Victor a Bador
Single, Married, Widowed or Divorced,
14 Sheldon RV Lynn Mass
Place of Birth,
Farlay VT-
*Place of Death,
11 Locust St Winthrop Mars
Name and Birthplace of Father, Serge St Louis Fairfax Vr
Maiden Name and Birthplace of Mother, Sarah Kling Sarraf VF
Place of Interment, (Give name of Cemetery).
Pine Grove Jumu Mass
Summer Floyd
Dated at.
on
aferie 24",
190 2
Signature and
place of business }
of Undertaker.
18 Stemas Sheel
PHYSICIAN'S CERTIFICATE.
Name and Age of Deceased, t
& Bacon
Age, 55Y ! M. 10 D.
april 24th
-190 2.
Place and Date of Death, dicd at Poisoning from come drug luker for relect of pain Duration,
Disease or Cause of Death, ± Secondary,
Primary,
Heart failure
Duration,
short time
I certify that the above is true to the best of my knowledge and belief.
MG. - Paula
M. D.
Signature and Residence S of
Certifying Physiclan.
Waltrop Mass
Date of Certificate,
Work
200
190 2 -
* 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.
Permit to Love of deceased
Countersign and transmit to the clerk of the city or town.
Ree chuck
Agent of Board of Health.
Married Occupation,
Stirringe
*Residence, { If out of town, )
¿ also state fully. 3
No.
RETURN OF THE DEATH
OF Emma Jane Bador at
Date,
0 april 24 190.2.
Filed, apie 24h
190 2
[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 oceurs, 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 faets.
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 inade 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 ocenrred.
[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.
SECTION 5. Penalty for violation not exceeding fifty dollars. D
[2-01-37-XXXM.]
Permit No.
RETURN OF DEATH. BOSTON.
Date of death
Year, 1902 Month, May
Day, 2 Birth
Year,. 1837 Month, Vakna Day, ..
Years, 65-
Age 3 Months, 1 Days ...
Vinlenou
Name in full, Mary a. Flynn Maiden name, Mary a. Ryan
Residence, dincolo et
Nute. Female.
Sex Conjugal condition
Married .. Widowed. Divorked .: Widow of
Color
White. Black (Negro or mixed). Infian. Chinese. Japanese.
Wife of .. Timothy
Place of death Street, Number, S
Falland
Place of birth, Occupation, C -
Name of Father, James
Birthplace of Father, Ireland
Maiden Name of Mother Bridget Contatto Birthplace of Mother, Ireland
Place of interment, "Holyhood". Bookline mais , has. 2 Lane
Undertaker.
PHYSICIAN'S CERTIFICATE OF THE CAUSE OF DEATH.
Boston, 190
·
I certify that the above is true, to the best of my knowledge and belief.
Name and residence ? of physician,
3. id vintcal in ml. .M D. * If in an institution, state how long an inmate and previous residence.
ha 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.
Vame and age of deceased, maryja Hym Age, 5 years. Date and place of death, *.. 1may 2 - 1902 Wmcomist Central Regersituation Disease Chief cause, Contributing cause. (Regurgitation )
Duration Contributing cause, ..
Chief cause, ..
..... 2013 years
i
Lincoln ST.
Single.
Mary a . Slyn May 2"1962
7
May 3
FORM C.
Commonwealth of Classachusetts.
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,
James D), Drinkpatrick
Sex,
.Color,
Date of Death,
may 3
190.2; Age, ...
48 Years,
6
Months, 2 Days.
Maiden Name, { If married, widowed ) or divorced.
Husband's Name,
Single, Married, Widowed or Divorced,
Occupation,
Manager
*Residence, { If out of town, )
18 Washington avenue
? also state fully.
Place of Birth, @rew your
*Place of Death,
18 Washington ave Winthrop
Name and Birthplace of Father, James Kirkpatrick=(Ireland)
Maiden Name and Birthplace of Mother, .. Jane Torrance
Place of Interment, (Give name of Cemetery), Winthrop Cemetery
Dated at Winthrop
on
May 3 " 1
190 2
Signature and place of business of Undertaker.
18. Obrmain Street
PHYSICIAN'S CERTIFICATE.
Name and Age of Deceased, t James O, auk patrick Age, 88.6127D.
Place and Date of Death,
died at ..
Winthrop May (3"
190 2/
Disease or Cause of Death, ¿ Secondary,
Injury to the head over ( to Duration, temporal bone, thoresulla Duration, of a fall.
I certify that the above is true to the best of my knowledge and belief.
Signature and Residence S
A. B. Domman
M. D.
of
Certifying Physiclan.
2
Winthrop Mars.
Date of Certificate,
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