Town of Winthrop : Record of Deaths 1910-1912, Part 50

Author: Winthrop (Mass.)
Publication date: 1910
Publisher:
Number of Pages: 956


USA > Massachusetts > Suffolk County > Winthrop > Town of Winthrop : Record of Deaths 1910-1912 > Part 50


Note: The text from this book was generated using artificial intelligence so there may be some errors. The full pages can be found on Archive.org (link on the Part 1 page).


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The Commonwealth of Massachusetts STANDARD CERTIFICATE OF DEATH


1 PLACE OF DEATH


Denvers State Hospital ..


St. : Ward)


Danvers (City or town.)


[If death occurred in a hospital or institution, give its NAME instead of street and number.}


2 FULL NAME [If married or divorced woman or widow give maiden name, also name of husband.]


McRac.


Benjamin Howatt.


@RESIDENCE


Winthrop, Mass.


Registered No.


PERSONAL AND STATISTICAL PARTICULARS


MEDICAL CERTIFICATE OF DEATH


8 SEX


Female


4 COLOR OR RACE


White


5 SINGLE,


MARRIED,


WIDOWED,


OR DIVORCED


(Write the word)


Married


6 DATE OF BIRTH


(Month)


(Day)


1 (Year)


7 AGE


If LESS than 1 day ......... hrs.


44


.yrs.


- mos.


- ds.


or ........ min. ?


& OCCUPATION


(a) Trade, profession, or


particular kind of work


Houso-wife


(b) General nature of industry. business, or establishment in which employed (or employer).


9 BIRTHPLACE (State or country)


Prince Edward Island


10 NAME OF


FATHER


James McRae


11 BIRTHPLACE OF FATHER (State or country) P. E. I.


12 MAIDEN NAME OF MOTHER


Elizabeth Pierceval


13 BIRTHPLACE OF MOTHER (State or country) P. E. I.


" THE ABOVE IS TRUE TO THE BEST OF MY KNOWLEDGE


(Informent)


Custis Roch


(Address)


Hethorne, Maos.


Filed ........ .Doc .....__. 191 1 Juluio Peale REGISTRAR


17


I HEREBY CERTIFY that I attended deceased from December 1. 1911. .... December 11. 19 ... ] that I last saw h ..... Or alive on ...... December 11 .... 191 .. ]., and that death occurred, on the date stated above, at. 4.5G.


The CAUSE OF DEATH* was as follows :


General paralysis of the Insane.


(Duration)


6


mos.


-


ds.


Contributory


(SECONDARY)


-


(Duration) .. yrs.


mos. ds.


(Signed)


Harlan ... L. .... Paine


M.D.


Dec. 13. 19] (Address) Hathorne, Mass


* If death followed injury or violence the certificate of death must be made out by the Medical Examiner.


1$ LENGTH OF RESIDENCE (FOR HOSPITALS, INSTITUTIONS, TRANSIENTS, OR RECENT RESIDENTS).


At place


of death


rs.


. mos.


105


In the


State


yrs.


mos.


ds.


Where was disease contracted, If not at place of death ?.


Former or usual residence


19 PLACE OF BURIAL OR REMOVAL Winthrop Cemetery Vinthron, Lasse


DATE OF BURIAL


Dec . .... 13, 1917.


20 UNDERTAKER


Edwin G. Brown & Sons


ADDRESS


winthrop,


16 DATE OF DEATH Decomber ..... 11 (Year) 191 .........


(Month) (Day)


Elizabeth J. Howatt,


STANDARD CERTIFICATE OF DEATH.


Statement of occupation. - Precise statement of occupa- tion is very important, so that the relative licalthfulness of various pursuits can be known. The question applies to each and every person, irrespective of age. For many occupations a single word or term on the first line will be sufficient, e. g., Farmer or Planter, Physician, Compositor, Architect, Loco- motive engineer, Civil engineer, Stationary fireman, etc. But in many cases, especially in industrial employments, it is necessary to know (a) the kind of work and also (b) the nature of the business or industry, and therefore an additional line is provided for the latter statement ; it should be used only when needed. As examples: (a) Spinner, (b) Cotton mill; (a) Sales- man, (b) Grocery ; (a) Foreman, (b) Automobile factory. The material worked on may form part of the second statement. Never return " Laborer," " Foreman," " Manager,""Dealer," etc., without more precise specification, as Day laborer, Farm laborer, Laborer- Coal mine, etc. Women at home, who are engaged in the duties of the household only (not paid House- keepers who receive a definite salary), may be entered as Housewife, Housework, or At home, and children, not gain- fully employed, as At school or At home. Care should be taken to report specifically the occupations of persons engaged in domestic service for wages, as Servant, Cook, Housemaid, etc. If the occupation has been changed or given up on account of the DISEASE CAUSING DEATH, state occupation at beginning of illness. If retired from business, that fact may be indicated thus: Farmer (retired, 6 yrs.). For persons who have no occupation whatever, write None.


Statement of cause of death. - Name, first, the DISEASE CAUSING DEATH (the primary affection with respect to time and causation), using always the same accepted term for the same disease. Examples: Cerebro-spinal fever (the only definite synonym is "Epidemic cerebro-spinal meningitis ") ; Diphtheria (avoid use of "Croup ") ; Typhoid fever (never re- port " Typhoid pneumonia ") ; Lobar pneumonia, Broncho- pneumonia (" Pneumonia," unqualified, is indefinite) ; Tuber-


culosis of lungs, meninges, peritoneum, etc., Carcinoma, Sar- coma, etc., of ... . (name origin: "Cancer " is less definite ; avoid use of " Tumor " for malignant neoplasms) ; Measles; Whooping cough; Chronic valvular heart disease; Chronic interstitial nephritis, etc. The contributory (second- ary or intercurrent) affection need not be stated unless in- portant. Example: Measles (disease causing death), 29 ds .; Broncho-pneumonia (secondary), 10 ds. Never report mere symptoms or terminal conditions, such as " Asthenia," " An- aemia " (merely symptomatic), " Atrophy," " Collapse," "Coma," "Convulsions," "Debility " ("Congenital," "Senile," etc.), "Dropsy,"" Exhaustion," " Heart failure," " Haemorrhage," " Inanition," "Marasmus," " Old age," "Shock," " Uraemia," " Weakness," etc., when a definite disease can be ascertained as the cause. Always qualify all diseases resulting from childbirth or miscarriage, as " PUER- FERAL septicaemia," " PUERPERAL peritonitis," etc. State cause for which surgical operation was undertaken.


Cases for the Medical Examiners. - Under the provisions of chapter 24 of the Revised Laws deaths under the following conditions must be referred to the Medical Examiners:


1. Deaths following injury or violence, as Burns, Falls, Drowning, Gas Poisoning, Suicide, Homicide, etc.


2. Deaths supposedly caused by violence, as Criminal Abortion, Poisoning, Starvation, Suffocation, Ex- posurc, etc.


3. Sudden deaths of persons not disabled by recognized disease, as A death upon the street, or one supposed to be due to Alcoholism, etc.


4. Deaths under circumstances unknown, as A person found dead, etc.


CAUSE OF DEATH in plain terms, so that it may be properly classified. Exact statement of OCCUPATION is very


The Commonwealth of Massachusetts


STANDARD CERTIFICATE OF DEATH


1 PLACE OF DEATH Minthogy No. HG Luccala St. ;..


(City or town.)


Ward)


[If death occurred in a hospital or institution, give its NAME instead of street and number.]


Lavinia Devison. 2 FULL NAME


[If married or divorced woman or widow give maiden name, also name of husband.] . Chaque Davison @RESIDENCE Hb Lincoluit Spuithios


Registered No.


PERSONAL AND STATISTICAL PARTICULARS


3 SEX


4 COLOR OR RACE


W


5 SINGLE,


MARRIED,


WIDOWED,


OR DIVORCED


(Write the word)


married


0


6 DATE OF BIRTH


(Month)


(Day)


(Year)


7 AGE


If LESS than 1 day, ..... .hrs.


45 yrs.


3 mos.


9.ds.


or


min. ?


8 OCCUPATION


(a) Trade, profession, or


particular kind of work ...


Housewife


(b) General nature of industry, business, or establishment i which employed (or employer) ..


9 BIRTHPLACE


(State or country)


quand


10 NAME OF


FATHER


PARENTS


12 MAIDEN NAME OF MOTHER martha a, Hagel


1ª BIRTHPLACE OF MOTHER (State or country)


" THE ABOVE IS TRUE TO THE BEST OF MY KNOWLEDGE


(Informant)


Chas. W. Davison


(Address)


Hb Luicole &t,


REGISTRAR


MEDICAL CERTIFICATE OF DEATH


16 DATE OF DEATH


(Month)


19, 19|1


(Day)


(Year)


I HEREBY CERTIFY that I attended deceased from


Sammar 12, 1911, to


Que. 18 ..


, 1911


Die . 12 ,


that I last saw her


alive on


.. .. , 191/


and that death occurred, on the date stated above, at.


m.


The CAUSE OF DEATH* was as follows :


Chronic Pleuritis, following


removal of carcinoma of bunet.


.(Duration)


.yrs.


.mos. ..


.... ds.


Contributory ..


Carew of Beast.


(SECONDARY)


One year


(Duration). /


yrs.


. mos.


ds.


(Signed)


Sw-Cy


M.D.


Rec-14,


1911


(Address) ..


Gaat Booter.


* If death followed injury or violence the certificate of death must be made out by the Medical Examiner.


18 LENGTH OF RESIDENCE (FOR HOSPITALS, INSTITUTIONS, TRANSIENTS, OR RECENT RESIDENTS).


At place


of death


yrs.


mos.


.ds.


State


In the


yrs. .


mos.


ds. . . . .


Where was disease contracted,


If not at place of death ?.


Former or usual residence


19 PLACE OF BURIAL OR REMOVAL


DATE OF BURIAL


Якилионсеи 12-16.191г.


:0 UNDERTAKER I. B. Skaggs.


ADDRESS


Heithis


Find 191


N. B. - Every item of information should be carefully supplied. AGE should be stated EXACTLY. PHYSICIANS should state U/DITE DIATRY


important. See instructions on back of certificate.


11 BIRTHPLACE OF FATHER (State or country) mano.


1866


Dec . 13/1911


STANDARD CERTIFICATE OF DEATH.


Statement of occupation. - Precise statement of occupa- tion is very important, so that the relative healthfulness of various pursuits can be known. The question applies to each and every person, irrespective of age. For many occupations a single word or term on the first line will be sufficient, e. g., Farmer or Planter, Physician, Compositor, Architect, Loco- motive engineer, Civil engineer, Stationary fireman, etc. But in many cases, especially in industrial employments, it is necessary to know (a) the kind of work and also (b) the nature of the business or industry, and therefore an additional line is provided for the latter statement; it should be used only when needed. As examples: (a) Spinner, (b) Cotton mill; (a) Sales- man, (b) Grocery ; (a) Foreman, (b) Automobile factory. The material worked on may form part of the second statement. Never return " Laborer," " Foreman," " Manager,""Dealer," etc., without more preciso specification, as Day laborer, Farm iaborer, Laborcr- Coal mine, etc. Women at home, who are engaged in the duties of the household only (not paid House- keepers who receive a definite salary), may be entered as Ilousewife, Housework, or At home, and children, not gain- fully employed, as At school or At home. Care should bo taken to report specifically the occupations of persons engaged in domestic service for wages, as Servant, Cook, Housemaid, etc. If the occupation has been changed or given up on account of the DISEASE CAUSING DEATH, state occupation at beginning of illness. If retired from business, that fact may be indicated thus: Farmer (retired, 6 yrs.). For persons who have no occupation whatever, write None.


Statement of cause of death. - Name, first, the DISEASE (AUSING DEATH (the primary affection with respect to time and causation), using always the same accepted term for the same discase. Examples: Cerebro-spinal fever (the only definite synonym is "Epidemic cerebro-spinal meningitis") ; Diphtheria (avoid use of "Croup") ; Typhoid fever (never re- port " Typhoid pneumonia ") ; Lobar pneumonia ; Broncho- pneumonia (" Pneumonia," unqualified, is indefinite) ; Tuber-


culosis of lungs, meninges, peritoneum, etc., Carcinoma, Sar- coma, etc., of ... .. (name origin: "Cancer" is loss definite ; avoid use of " Tumor" for malignant neoplasms) ; Measles ; Whooping cough; Chronic valvular heart disease ; Chronic interstitial nephritis, etc. The contributory (second- ary or intercurrent) affection need not be stated unless im- portant. Example : Measles (disease causing death), 29 ds .; Broncho-pneumonia (secondary), 10 ds. Never report mere symptoms or terminal conditions, such as " Asthenia," " An- aemia " (merely symptomatic), " Atrophy," "Collapse," "Coma," "Convulsions," "Debility " ("Congenital," "Senile," etc.), "Dropsy," "Exhaustion," "Heart failure," "Haemorrhage," " Inanition," " Marasmus," " Old age," "Shock," "Uraemia," "Weakness," etc., when a definite disease can be ascertained as the cause. Always qualify all diseases resulting from childbirth or miscarriage, as "PUER- PERAL septicaemia," " PUERPERAL peritonitis," etc. State cause for which surgical operation was undertaken.


Cases for the Medical Examiners. - Under the provisions of chapter 24 of the Revised Laws deaths under the following conditions must be referred to the Medical Examiners:


1. Deatbs following injury or violence, as Burns, Falls, Drowning, Gus Poisoning, Suicide, Homicide, etc.


2. Deaths supposedly caused by violence, as Criminal Abortion, Poisoning, Starvation, Suffocation, Ex- posure, etc.


3. Sudden deaths of persons not disabled by recognized disease, as A death upon the street, or onc supposed to be due to Alcoholism, etc.


4. Deaths under circumstances unknown, as A person found dead, etc.


WRITE PLAINLY, WITH UNFADING INK -THIS IS A PERMANENT RECORD.


CAUSE OF DEATH in plain terms, so that it may be properly classified. Exact statement of OCCUPATION is very N. B .- Every item of information should be carefully supplied. AGE should be stated EXACTLY. PHYSICIANS should state important. See instructions on back of certificate.


The Commonwealth of Massachusetts


STANDARD CERTIFICATE OF DEATH


1 PLACE OF DEATH Winthrop (No. 40 Plu


nm St. :


....


Ward)


[If death occurred in a hospital or institution, give its NAME instead of street and number.]


2FULL NAME


mar a Grainger


[If married or divorced woman or widow


give maiden name, also name of husband.]


Dr. Wm. H. Grainger nee Le Blanc


@RESIDENCE


40 Plus


ner St. Winthird Registered No.


PERSONAL AND STATISTICAL PARTICULARS


MEDICAL CERTIFICATE OF DEATH


16 DATE OF DEATH


December


14 191


(Month)


(Day)


(Year)


6 DATE OF BIRTH


(Month)


(Day)


(Year)


7 AGE


If LESS than


l day, ...


hrs.


61 .. yrs. mos. ds.


or min. ?


8 OCCUPATION


(a) Trade, profession, or


particular kind of work


touseufe


(b) General nature of industry, business, or establishment in which employed (or employer)


9 BIRTHPLACE (State or country) Brooklyn n 4


PARENTS


12 MAIDEN NAME OF MOTHER mary moore


1ª BIRTHPLACE OF MOTHER (State or country)


new york n.4


"THE ABOVE IS TRUE TO THE BEST OF MY KNOWLEDGE


(Informant)


Dr. Edward J grainger


(Address)


40 Plummer && will


15


Filed 191


REGISTRAR


17


I HEREBY CERTIFY that I attended deceased from


Dec 14


1911


to


191


.. ,


that I last saw her alive on


Dec 14, 1911.


and that death occurred, on the date stated above, at 6 Pm.


The CAUSE OF DEATH* was as follows :


Diabetes


/ year


(Duration)


yrs.


mos.


ds.


Contributory.


Coma


36 eno


.. (Duration)


.yrs.


mos.


ds.


(Signed)


M.D.


Dec 15, 1911 (Address).


2 anshin St.


* If death followed injury or violence the certificate of death must be made out by the Medical Examiner.


18 LENGTH OF RESIDENCE (FOR HOSPITALS, INSTITUTIONS, TRANSIENTS, OR RECENT RESIDENTS).


At place


of death


.yrs.


mos.


In the


ds.


State ...


.yrs.


Where was disease contracted,


.mos.


ds ......


....


if not at place of death ?.


Former or usual residence ..


19 PLACE OF BURIAL OR REMOVAL


DATE OF BURIAL


Dec, 16, 1911


ADDRESS


20 UNDERTAKER J.J. Lane, S.J.L.


20 Havre Sx.


3 SEX 7


4 COLOR OR RACE


5 SINGLE,


MARRIED,


WIDOWED,


OR DIVORCED


(Write the word)


married


BOSTON (City or town.)


...


10 NAME OF FATHER ambrose Le Blanc


(SECONDARY)


11 BIRTHPLACE OF FATHER (State or country) Canada


Dec. 14, 1911


STANDARD CERTIFICATE OF DEATH.


Statement of occupation. - Precise statemont of occupa- tion is very important, so that the relative healthfulness of various pursuits can be known. The question applies to each and every person, irrespective of age. For many occupations a singlo word or term on the first line will be sufficient, e. g., Farmer or Planter, Physician, Compositor, Architect, Loco- motive engineer, Civil engineer, Stationary fireman, etc. But in many cases, especially in industrial employments, it is necessary to know (a) the kind of work and also (b) the nature of the business or industry, and therefore an additional line is provided for the latter statement; it should be used only when noeded. As examples: (a) Spinner, (b) Cotton mill; (a) Salcs- man, (b).Grocery ; (a) Foreman, (b) Automobile factory. The material worked on may form part of the second statement. Never return " Laborer," " Foreman," " Manager,""Dealer," etc., without mbre precise specification, as Day laborer, Farm - laborer, Laborer - Coal mine, etc. Women at home, who are engaged in the duties of the household only (not paid House- keepers who receive a definite salary), may be entered as Housewife, Housework, or At home, and children, not gain- fully employed, as At school or At home. Care should be taken to report specifically the occupations of persons engaged in domestic service for wages, as Servant, Cook, Housemaid, etc. If the occupation has been changed or given up on account of the DISEASE CAUSING DEATH, state occupation at beginning of illness. If retired from business, that fact may be indicated thus: Farmer (retired, 6 yrs.). For persons who have no occupation whatever, write None.


Statement of cause of death. - Name, first, the DISEASE CAUSING DEATH (the primary affection with respect to time and causation), using always the same accepted term for the same disease. Examples: Cerebro-spinal fever (the only definite synonym is " Epidemic cerebro-spinal meningitis ") ; Diphtheria (avoid use of " Croup ") ; Typhoid fever (never re- port " Typhoid pneumonia ") ; Lobar pneumonia ; Broncho- pneumonia (" Pneumonia," unqualified, is indefinite) ; Tuber-


culosis of lungs, meninges, peritonaeum, etc., Carcinoma, Sar- coma, etc., of. .. (name origin: "Cancer" is less definite ; avoid use of " Tumor" for malignant neoplasms) ; Measles; Whooping cough; Chronic valvular heart disease; Chronic interstitial nephritis, etc. The contributory (socond- ary or intercurrent) affection need not be stated unless im- portant. Examplo: Measles (disease causing death), 29 ds .; Broncho-pneumonia (secondary), 10 ds. Never report mere symptoms or terminal conditions, such as " Asthenia," " All- aemia " (mercly symptomatic), " Atrophy," "Collapse," "Coma," "Convulsions," "Debility" ("Congenital," "Sonile," etc.), " Dropsy," " Exhaustion," "Heart failure," "Haemorrhage," " Inanition," "Marasmus," " Old age," "Shock," " Uraemia," " Weakness," etc., when a definite disease can be ascertained as the cause. Always qualify all diseases resulting from childbirth or miscarriage, as "PUER- PERAL septicaemia," " PUERPERAL peritonitis," etc. State cause for which surgical operation was undertaken.


Cases for the Medical Examiners. - Under the provisions of chapter 24 of the Revised Laws deaths under the following conditions must be referred to the Medical Examiners:


1. Deaths following injury or violence, as Burns, Falls, Drowning, Gas Poisoning, Suicide, Homicide, etc.


2. Deaths supposedly caused by violence, as Criminal Abortion, Poisoning, Starvation, Suffocation, Ex- posure, etc.


3. Sudden deaths of persons not disabled by recognized disease, as A death upon the street, or one supposed to be due to Alcoholism, etc.


4. Deaths under circumstances unknown, as A person found dead, etc.


N. B. - Every item of information should be carefully supplied. AGE should be stated EXACTLY. PHYSICIANS should state CAUSE OF DEATH in plain terms, so that it may be properly classified. Exact statement of OCCUPATION is very


important. See instructions on back of certificate.


The Commonwealth of Massachusetts


STANDARD CERTIFICATE OF DEATH


1 PLACE OF DEATH


1


(No. 409


Shirley


St. ;...


Ward)


[If death occurred in a hospital or institution, give its NAME instead of street and number.]


Registered No.


PERSONAL AND STATISTICAL PARTICULARS


3 SEX


4 COLOR OR RACE


5 SINGLE,


MARRIED,


WIDOWED,


OR DIVORCED


(Write the word)


Single


"


6 DATE OF BIRTH


12 (Month)


11


(Day)


(Year)


7 AGE


If LESS than 1 day, .... „hrs.


yrs. mos


ds.


er min. ?


8 OCCUPATION


(a) Trade, profession, or particular kind of work,


(b) General nature of industry,


business, or establishment in


which employed (or employer).


9 BIRTHPLACE


(State or country)


10 NAME OF


FATHER!


Char Co denigre


PARENTS


11 BIRTHPLACE OF FATHER (State or country) E. Boston


12 MAIDEN NAME OF MOTHER


White.


12 BIRTHPLACE OF MOTHER (State or country)


Po. Karton


14 THE ABOVE IS TRUE, TO THE BEST OF MY KNOWLEDGE


(Informant)


Checkitundnen


(Address)


. 6


Filed 191


REGISTRAR


MEDICAL CERTIFICATE OF DEATH


16 DATE OF DEATH


Dec


(Month)


15 (Day) ., 191.1. (Year)


I HEREBY CERTIFY that I attended deceased from


Dec 15


1


191


to


191


that I last saw her ative on


Dec. 15


........


and that death occurred, on the date stated above, at ... 8 p.m?


The CAUSE OF DEATH* was as follows : Stillborn hydrocephalus Spina bifida .(Duration) .... yrs.


mos.


ds.


Contributory


(SECONDARY)


(Duration)


yrs.


mos.


ds.


(Signed)


Questa Booth


M.D.


Dec 18, 1911 (Address


2 Centime EB.


* If death followed injury or violence the certificate of death must be made out by the Medical Examiner.


18 LENGTH OF RESIDENCE (FOR HOSPITALS, INSTITUTIONS, TRANSIENTS, OR RECENT RESIDENTS).


At place


of death


yrs.


mos.


In the


ds.


State. ... yrs.


mos.


ds.


Where was disease contracted, If not at place of death ?.


Former or usual residence.


19 PLACE OF BURIAL OR REMOVAL


DATE OF BURIAL


Hin Hof Ceux 12-20, 1911.


10 UNDERTAKER


ADDRESS


(City or town.)


still born Lundgren 2 FULL NAME


[If married or divorced woman or widow give maiden name, also name of husband.11. @RESIDENCE 409 Thulay St


, 911


17


STANDARD CERTIFICATE OF DEATH.


Statement of occupation. - Precise statement of occupa- tion is very important, so that tho relative healthfulness of various pursuits can be known. Tho question applies to each and every person, irrespectivo of age. For many occupations a single word or term on the first line will be sufficient, o. g., Farmer or Planter, Physician, Compositor, Architect, Loco- motive engineer, Civil engineer, Stationary fireman, etc. But in many cases, especially in industrial employments, it is necessary to know (a) tho kind of work and also (b) the nature of the business or industry, and therefore an additional line is provided for the latter statement; it should bo used only when needed. As examples: (u) Spinner, (b) Cotton mill; (a) Sales- man, (b) Grocery ; (a) Foreman, (b) Automobile factory. The material worked on may form part of the second statement. Never return " Laborer," "Foreman," " Manager," "Dealer," etc., without more precise specification, as Day laborer, Farm iaborer, Laborer - Coal minc, etc. Women at home, who are engaged in tlre duties of the household only (not paid House- keepers who receive a definite salary), may be entered as Ilousewife, Housework, or At home, and children, not gain- fully employed, as At school or At home. Care should be taken to report specifically the occupations of persons engaged in domestic service for wages, as Servant, Cook, Housemaid, etc. If the occupation has been changed or given up on account of tho DISEASE CAUSING DEATH, state occupation at beginning of illness. If retired from business, that fact may be indicated thus: Farmer (retired, 6 yrs.). For persons who have no occupation whatever, write None.


Statement of cause of death. - Name, first, the DISEASE CAUSING DEATH (the primary affection with respect to time and causation), using always the same accepted term for the same disease. Examples: Cerebro-spinal fever (the only definite synonym is "Epidemic cercbro-spinal meningitis") ; Diphtheria (avoid use of "Croup") ; Typhoid fever (never re- port " Typhoid pneumonia ") ; Lobar pneumonia; Broncho- pneumonia (" Pneumonia," unqualified, is indefinite) ; Tuber-


culosis of lungs, meninges, peritoneum, etc., Carcinoma, Sar- coma, etc., of. .. (name origin: "Cancer" is less definito; avoid use of "Tumor " for malignant neoplasms) ; Measles ; Whooping cough; Chronic valvular heart disease; Chronic interstitial nephritis, etc. Tho contributory (sccond- ary or intercurrent) affection need not bo stated unless im- portant. Example: Mcasles (disoase causing death), 29 ds .; Broncho-pneumonia (secondary), 10 ds. Never report mero symptoms or terminal conditions, such as " Asthenia," " AII- aemia " (merely symptomatic), " Atrophy," " Collapse," "Coma," " Convulsions," "Debility " ("Congenital," "Senile," otc.), "Dropsy," " Exhaustion," "Heart failure," "Haemorrhage," " Inanition," " Marasmus," " Old age," "Shock," " Uraemia," " Weakness," etc., when a definito discase can be ascertained as the cause. Always qualify all diseases resulting from childbirth or miscarriage, as " PUER- PERAL septicaemia," " PUERPERAL peritonitis," etc. State cause for which surgical operation was undertaken.


Cases for the Medical Examiners. - Under the provisions of chapter 24 of the Revised Laws deaths under the following conditions must be referred to the Medical Examiners:


1. Deaths following injury or violence, as Burns, Falls, Drowning, Gas Poisoning, Suicide, Homicide, etc.


2. Deaths supposedly caused by violence, as Criminal Abortion, Poisoning, Starvation, Suffocation, Ex- posure, etc.


3. Sudden deaths of persons not disabled by recognized disease, as A death upon the street, or one supposed to be due to Alcoholism, etc.


4. Deaths under circumstances unknown, as A person found dead, etc.


@RESIDENCE 3 SEX 6 DATE OF BIRTH 7 AGE 8 OCCUPATION 10 NAME OF FATHER PARENTS important. See instructions on back of certificate. N. B. - Every item of information should be carefully supplied. AGE should be stated EXACTLY. PHYSICIANS should state CAUSE OF DEATH in plain terms, so that it may be properly classified. Exact statement of OCCUPATION is very V




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