USA > Massachusetts > Suffolk County > Winthrop > Town of Winthrop : Record of Deaths 1900-1903 > Part 7
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on
December .5"
190 6
Signature and
place of business
of Undertaker.
Withney Mars
PHYSICIAN'S CERTIFICATE.
Name and Age of Deceased, t
Dorothy. Soule
Age,
Y.
M.
.D.
Place and Date of Death,
died at ..
Winthrop December.5
190 C.
Disease or Cause of Death, #
Primary, Secondary,
Duration,
Duration,
I certify that the above is true to the best of my knowledge and belief.
Signature and Residence of Certifying Physician.
HJ Sunk
M. D.
Date of Certificate,
December 5"
190 O.
· 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
at
Date,
190 ....
Filed,
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 elerk 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.
n __ 1- fax violation not avecerling fifty dollars.
FORM C.
Commonwealth of Classachusetts.
No.
54
RETURN OF A DEATH.
To the Clerk of the City or Town in which the death occurred.
Name, .
DanielTo
WITH INK. ALLNAMES TO BE IN FULL.)
Sex
male Color, white
Date of Death,
Dec. 16
1900; Age 80
.Years,
-Months, ~Days.
Maiden Name, { If married, widowed) or divorced.
Husband's Name,
Single, Married, Widowed or Divorced,
Fridowell Occup
Occupation,
Stable berpr
*Residence, { If out of town, )
¿ also state fully.
Boston, mass.
Oswego, New York
Place of Birth,
Shirthop, mass 169 Thirty Streep
Name and Birthplace of Father,
Maiden Name and Birthplace of Mother,
Place of Interment, (Give name of Cemetery),
Dated at
Hinterof mass.
Bummer Floyd
1
on
Dec. 17
1900
Winthrop mars.
PHYSICIAN'S CERTIFICATE.
Name and Age of Deceased, t
Danie T. Ella
Age, So Y ......
M.
D.
Place and Date of Death,
died at.
Finition, Maso.
- Primary,
Duration,
Disease or Cause
of Death, ¿
Secondary,
Duration,
Afew hours
I certify that the above is true to the best of my knowledge and belief.
Signature and Residence
M. D.
of
Certifying Physician.
Wirtho Man
Date of Certificate,
Offer. 1712
1900.
* 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.
*Place of Death,
Signature and place of business of Undertaker.
No.
RETURN OF THE DEATH
OF
at
Date,
190.
Filed,
,190_
[EXTRACTS FROM CHAPTER 444, ACTS OF 1897.]
SECTION 6. Every householder in whose house a deatlı 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 forthi 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, lias been furnished, with a physician's certificate of the cause of death. When such statement and certificate are delivered to the Board of Healtlı, 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.
FORM C.
Commonwealth of Massachusetts.
No. 55
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,
Stilebom Enfant
.Sex
Male Color,
71
Date of Death,
December 23
.190 0 ; Age, ..
.. Years,
2
Months,. [ ..... Days.
Maiden Name, { If married, widowed ) or divorced.
Husband's Name,
Single, Married, Widowed or Divorced,
Occupation,
Emerson Street (Off Mais (1)
*Residence, § 1f out of town, )
also state fully.
Place of Birth,
11
11
11
11
1,
*Place of Death,
11
Name and Birthplace of Father,
James Hester- Ireland
Maiden Name and Birthplace of Mother, Sarah Crowley- Ireland
Place of Interment, (Give name of Cemetery),
Dinetrop? Co enelery
Dated at
Winthrop
Summer Floyd
December 23°
190 0
Signature and
place of business
of Undertaker.
Winthrop, Mais
PHYSICIAN'S CERTIFICATE.
Name and Age of Deceased, t
Still Com Confand(tester)
.Age,
Y.
.M.
... ... D.
Place and Date of Death,
Primary,
died at.
Houttrop (Emerson Street) Decre 1900.
Duration,
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 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.
No.
RETURN OF THE DEATH
OF
at
Date,
190.
Filed,
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 healthı 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 aud 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. Auy 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
SECTION 5. Penalty for violation not exceeding fifty dollars.
-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,
etemneth H, Tempton
Sex,
Color,
Date of Death, formany 11
.190/ ; Age,
.Years,
1
... Months,
21 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. §
(Minibuss Mas
Minttrop (marshall free)
Place of Birth,
Winthrop (Marshall Stid;
*Place of Death,
Name and Birthplace of Father,
Herbert Kompeti -Nome Tertia
Maiden Name and Birthplace of Mother,
Mina Reau. _ Nova Veolia
Place of Interment, (Give name of Cemetery), (Mintto), Cemetery
Dated
at
Winthrop.
Summer Floyd
on
January 12 1901.
place of business
of Undertaker.
Winthrop Mass
PHYSICIAN'S CERTIFICATE.
Name and Age of Deceased, t
.Age,
Y.
M. . .. .... D.
Place and Date of Death, .
died at
Marshall Str. Wintherh. Jan. 11 1901.
Primary,
Scarletina Maligna
Duration,
Trodags
Duration,
I certify that the above is true to the best of my knowledge and belief.
Crank Jillian.
M. D.
Signature and Residence §
of
Certifying Physician.
15-Princetar Str
Date of Certificate,
Jan 1 2
190
Part portun,
· 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
1901
-
Disease or Cause
of Death, #
Secondary,
Signature and
No.
RETURN OF THE DEATH
OF
Kenneth Of Kenyaton
Marchace Steel at
Date, January,
190 ......
Filed, Jamay,
1902.
[EXTRACTS FROM CHAPTER 444, ACTS OF 1897.]
SECTION 6. Every householder in whose house a deathi 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 fortli 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.
0- sinlation not avreading fifty dollars.
202
[Form No. 37.]
10
RETURN OF DEATH. BOSTON
1
1 Year, 1901. Month Jau.
Birth
Month, Jan. Age
Years, Months .
Day , ... 13.
Day, 10.
Days ... 3
Name in full avjoris f: Kintry
Maiden name,.
Residence, Hinttrop White. Black (Negro or mi.ved).
Sex Conjugal condition
Single. Married. Widowed.
Color
Chinese. Japanese.
Wife of
Place of death Street, 109
Number.
Place of birth,
Occupation, Frachon)
Club
Name of Father Land 2.
Maiden Name of Motherallermig
Gibrains Birthplace of FatherSommille MauBirthplace of Mother Brain
Place of interment,
1
Undertaker:
PHYSICIAN'S CERTIFICATE OF THE CAUSE OF DEATH.
Boston, Jan 13,
190 %.
Name and age of deceased,
ert. Marjorie Mc Kinley.
, Date and place of death, *.
Days Jang 13-1901. 109 Main St Hinthint
Disease
Contributing cause,
Chief cause, Difficult labor
consequent
Duration. Contributing cause, Difficulty of and delay in delivery o cheed al birth!
I certify that the above is true, to the best of my knowledge and belief.
Name and residence ) of physician,
Allut B. for
O. 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.
Winthrop
Permit No.
Y'ear, 1901
Date of death
Female. Mate.
Divorcea. Widow of
sam
Chief cause,
marjorie me Riley 109, Mani Street January 13 " 1901
03 [1.'00.37-XX M.] 1901
Permit No.
RETURN OF DEATH. BOSTON.
Year, 1901
Date of death
Month Pan Birth
Year, .. Month, 1 Day,
Day, 17 Margaret Le Berry Residence,
Name in full,
Maiden name,
Driscoll Singte. Married. Widowed.
Color
Indian. Chinese. Japanese.
Wife of.
Walter Barry
1
Divorced.
Widow of.
Place of death Street, Highup Sea Fram avenue
Number,
Place of birth,
Occupation, Somalie
Name of Father, Daniel Maiden Name of Mother Lathering Dacry
Birthplace of Father, als Eland Birthplace of Mother, Island
Place of interment, Calvary Cemetery
Undertaker.
PHYSICIAN'S CERTIFICATE OF THE CAUSE OF DEATH.
Boston, 190 . .
Name and age of deceased, Margaret le Barre, Age, 47 years. 3mm
Date and place of death,*
Disease 1 Chief cause, fatty decreation of that.
Contributing cause,. Vente à l'ye tra
Chief cause .......
Duration Contributing cause,
I certify that the above is true, to the best of my knowledge and belief.
Name and residence ? of physician, Frank A. Allen 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.
Days, Winthrop
White. Black (Negro or mixed).
Sex- Female.
Conjugal condition
Years, .. 43 13
Age Months,
.
Margaret Q, Barry Sea Fram avenue January 1 ' " $900
1
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,
Lydia 8, Egan
.Sex,
Color, n
Date of Death,
January 20
1901
Age, 60 Years, Months, ~ Days.
Maiden Name, " If married, widowed {
or divorced.
Lydia B, Gould
Husband's Name,
OThomas Er, Egan
Single, Married, Widowed or Divorced, Occupation,~
*Residence, { If out of town,
Winthrop Mass
¿ also state fully. 3
Place of Birth, Piermont CH. O.
*Place of Death,
2010 Pearl avenue (Minitrop) Ocean Spray
Name and Birthplace of Father, John Hould
Maiden Name and Birthplace of Mother, ... Eliza Bosworth
Place of Interment, (Give name of Cemetery), Cambridge Cemetery
Dated at
Signature and
Dummer Floyd
on January 2%
1901 place of business of Undertaker. Winthrop mars.
PHYSICIAN'S CERTIFICATE.
Name and Age of Deceased, t
Lydia B. Egan
Age, 65 Y.
M.
.. ..
.D.
Place and Date of Death,
died at 10 Pearl Av. Wenig Mean. Jan. 20 1901. Cancer Duration, Bet. 1 and 2 year
Duration,
I certify that the above is true to the best of my knowledge and belief.
A.B. Norman M. D.
Signature and Residence of Certifying Physician.
Date of Certificate,
Feb. (Se
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. Jan 20
Primary,
Disease or Cause of Death, # Secondary,
No.
RETURN OF THE DEATH
OF Lydia B. Egan 10 Years avenue at
0, Spray
January 20 1901 Date,
Filed, January
.190 ___.
[EXTRACTS FROM CHAPTER 444, ACTS OF 1897.]
SECTION 6. Every householder in whose house a deathi 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 thercof 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 forthi 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 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 occurred.
[EXTRACTS FROM CHAPTER 437, ACTS OF 1897.]
SECTION 1. No human body shall be buried in a city or town or removed therefromn, until a permit therefor shall have been received from the proper authorities. No such permit shall be issued nntil 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.
nemnadine fifty dollars.
FORM C.
Commonwealth of Classachusetts.
No.
RETURN OF A DEATH.
To the Clerk of the City or Town in which the death occurred.
Name,
Parise Madeline Hanson
(FILL OUT WITH INK. ALL NAMES TO BE IN FULL.)
.. Sex,
St
21
Date of Death, .
January 21/901
HIF ; Age, Years
Months, .Days.
Maiden Name.( Af married, widowed ) or divorced.
-
Husband's Name,
1
Single, Married, Widowed or Divorced, Occupation,
*Residence, { If out of town,
Winthrop (Highlands Mass
? also state fully. §
Place of Birth,
no.20 Sagamore Cience
*Place of Death,
no 20 Sagamore Chenne
Name and Birthplace of Father, Williams, Olanson-Deering me
Maiden Name and Birthplace of Mother, avis I. Parker-&Deering the
Place of Interment, (Give name of Cemetery), Winthrop Cem.
Dated at
Winthrop
Summer Floyd
January 22 1901
place of business
of Undertaker.
Minttrajo mass
PHYSICIAN'S CERTIFICATE.
Name and Age of Deceased, t
Sowie Madeline Har ~. ~ M. V.D.
Place and Date of Death,
died at
Uken Farannovale
Duration,
3cl
Jamy 2190/.
Disease or Cause of Death, ; Secondary,
Primary,
Premalite
Duration,
3dl
I certify that the above is true to the best of my knowledge and belief.
Signature and Residence of Certifying Physician.
Sahurson M. D.
Date of Certificate,
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.
Color,
-
Signature and
No. .5
RETURN OF THE DEATH
OF Louise Madeline Hanson 20 Задатые Сление at
January
Date, anuary 21 1901.
Filed, January 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 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.
SECTION 5. 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.
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