Town of Winthrop : Record of Deaths 1913-1915, Part 3

Author: Winthrop (Mass.)
Publication date: 1913
Publisher:
Number of Pages: 1094


USA > Massachusetts > Suffolk County > Winthrop > Town of Winthrop : Record of Deaths 1913-1915 > Part 3


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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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 (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. 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.


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


(No ... 35 Mermaid Csc


Ward)


Winthrop (City or town.) [if death occurred in a hospital or institution, give its NAME instead of street and number.]


OK


Registered No.


PERSONAL AND STATISTICAL PARTICULARS


4 COLOR OR RACE


3 SEX Female White


6 DATE OF BIRTH


January


(Month)


(Day)


1


, 1880


17


(Year)


If LESS than


1 day,.


hrs.


or


min. ?


8 OCCUPATION


(a) Trade, profession, or


particular kind of work


Housewife


(b) General nature of industry,


business, or establishment in


which employed (or employer).


9 BIRTHPLACE


(State or country)


Boston Mais


10 NAME OF FATHER


Maurice Healy


11 BIRTHPLACE OF FATHER (State or country)


Dicland


12 MAIDEN NAME OF MOTHER Ellen Collins


13 BIRTHPLACE OF MOTHER (State or country) Ireland


14 THE ABOVE IS TRUE TO THE BEST OF MY KNOWLEDGE


(Informant)


Ihave tro "Connell


(Address)


1428 Blue Will are. B.


REGISTRAR


MEDICAL CERTIFICATE OF DEATH


16 DATE OF DEATH


January


QMonth)


10


(Day)


, 191.3


(Year)


I HEREBY CERTIFY that I attended deceased from


January


1918


, to January 10, 1913.


that | last saw h.


alive on Summary 18


., 1917,


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


1:5 7am.


The CAUSE OF DEATH* was as follows :


Rheumatic Lever Pericarditis acute bilitation f


the Heart


.. (Duration) .


9


yrs.


mos.


ds.


Contributory


(SECONDARY)


,


Pleurisy


(Duration) .


yrs.


mos.


.ds.


(Signed)


Letitia Douglasadams


M.D.


Jam, 10, 193


(Address).


) 189 Cliff ane, Winthrop


* 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 It Benedict


DATE OF BURIAL


Jan 13. 1913


20 UNDERTAKER holm FQ Dnaley


ADDRESS


119 Atlanticul


2 FULL NAME


Catherine A Dickenellavix


[If married or divorced woman or widow give maiden name, also name of husband.] @RESIDENCE 35 mermaid Che


Albert J. Bichenell Healy.


5 SINGLE,


MARRIED,


WIDOWED,


OR DIVORCED


1) Married


7 AGE 33


yrs.


mos.


10


ds.


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


PARENTS


Filed .. 191 ..


Jan. 10, 1913


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 cxamples: (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, 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 (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," " All- 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 septicemia," " 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 deathis 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.


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. 308, Shirley


....


Winthrop (City or town.)


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


2 FULL NAME mary ann White [If married or divorced woman or widow give maiden name, also name of husband.] @RESIDENCE 308 Stiley St- Withrop


Wife of anthony nee Mc Quaid


PERSONAL AND STATISTICAL PARTICULARS


3 SEX J-


4 COLOR OR RACE


6 SINGLE,


MARRIED,


manud


WIDOWED,


OR DIVORCED


(Write the word)


6 DATE OF BIRTH


(Month) (Day)


(Year)


7 AGE


If LESS than


1 day, ........ hrs.


47 .yrs. .mos. ds. or ........ 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)


Bastion mass


Contributory


(SECONDARY)


(Duration)


yrs.


mos. .ds.


(Signed) Lesz Burgers Magrath,


Casa 130


, 1913 (Address)


M.D.


3 16 0


MEDICAL EXAMINER


* State the DISEASE CAUSING DEATH, or, in deaths from VIOLENT CAUSES, state (1) MEANS of INJURY; and (2) whether ACCIDENTAL, SUICIDAL or HOMICIDAL.


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


At place


of death.


.yrs.


In the


mos.


ds.


State.


yrs.


.mos.


ds.


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


Former or usual residence.


19 PLAGE OF BURIAL OR REMOVAL Italy Cross


DATE OF BURIAL


10.30


Jan /6. 1913


20 UNDERTAKER


ADDRESS


Filed ., 191


REGISTRAR


MEDICAL CERTIFICATE OF DEATH


16 DATE OF DEATH Jan. 13, 1913 (Year)


(Month)


(Day)


17 I HEREBY CERTIFY that I have investigated the death of the deceased.


The CAUSE OF DEATH* was as follows : Internal injuries and


asphyxice caused by an accidental fall downislams.


(Duration)


.yrs.


mos.


ds.


10 NAME OF FATHER Unknown Volte


PARENTS


11 BIRTHPLACE OF FATHER (State or country) Svil and


12 MAIDEN NAME OF MOTHER Margaret- White


13 BIRTHPLACE OF MOTHER (State or country) Ireland


14 THE ABOVE IS TRUE TO THE BEST OF MY KNOWLEDGE


(Informant)


anthony Nohitan


(Address)


308 Shirley St.


St. ;... Ward)


Registered No.


Jan. 13, 1 3 1913


STANDARD CERTIFICATE OF DEATH.


Statement of occupation. - Preciso 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 precise specification, as Day laborer, Farm laborer, Laborer -- Coalmine, etc. Wonen 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: C'erebro-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, Sur- 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 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 septicemia," " PUERPERAL peritonitis," etc. State cause for which surgical operation was undertaken. For VIOLENT DEATHS state MEANS OF INJURY and qualify as ACCIDENTAL, SUICIDAL, Or HOMICIDAL, or as probably such, if impossible to determine definitely. Examples: Accidental drowning; Struck by railway train - accident ; Revolver wound of head -homicide ; Poisoned by curbolic acid - prob- ably suicide. The nature of the injury, as fracture of skull, and consequences (e. g., sepsis tetanus) may be stated under the head of "Contributory."


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.


COMMONWEALTH OF MASSACHUSETTS


RETURN OF A DEATH-1913.


CITY OF BOSTON.


FULL NAME


Neil A.McKenna


Registered No.


477


Place of Death Ì


Boston


City Hospt.


and Residence


Date of Death


Jan. 13


1913.


Age


50


. years


months .days.


STATISTICAL DETAILS.


SEX


COLOR


SINGLE, MARRIED, WID., DIV.


Maiden Name


IS


E


R


Husband's Name


Ireland


Birthplace


Name of William McKenna


Father.


Birthplace


Ireland


of Father


Maiden Name


Margaret Doherty


of Mother


Birthplace of Mother


Ireland


Occupation.


Clerk


Informant.


Place of Burial Malden (Holy Cross)


or removal


Undertaker


Timothy F. Callahan


PHYSICIAN'S CERTIFICATE.


I HEREBY CERTIFY that I attended deceased during last illness,


1913,


from 1913, to that to the best of my knowledge and belief death occurred, on the date stated above, and that the CAUSE OF DEATH was as follows :


RAR'S


T PATRIENS, SIT D


Primary. (Duration)


Myocarditis


IFICE:


yrs.


ATA A.1.2%


N. MASS. Contributory · 2 (Duration)


Bronchitis (Acute)


ds.


(Signed)


J. W.Manary


M.D.


Jan. 13


1913


SPECIAL INFORMATION from Hospitals, Institutions, Transients, or Recent Residents.


Admitted to Hospt. Jan. 1,1913.


Usual Residence


" Winthrop " 112 Locust St.


Filed ......


Jan. 16


1913.


A true copy.


Attest :


Registrar.


MARGIN RESERVED FOR BINDING.


G


CITY


TVTTA


TONTITAA


731.


ATISREGIM


BO'STO


r


Jan. 13, 1913


COMMONWEALTH OF MASSACHUSETTS


RETURN OF A DEATH-1913.


CITY OF BOSTON.


FULL NAME


Edwin G.Judkins


Registered No.


601


Place of Death )


Boston


Grace Hospt.


and Residence S


Date of Death


Jan. 16


1913


Age.


63


years


.. months. .. days .


STATISTICAL DETAILS.


SEX


COLOR


SINGLE, MARRIED, WID., DIV.


M


W


M


Maiden Name


S


Husband's Name


Meredith N.H.


Birthplace


Name of


John D. Judkins


Father


Birthplace of Father


Sanbornton N.H.


Contributory : {


Cerebral Hemorrhage 2 ds.


(Duration)


Maiden Name Mahala P.Dolloff


of Mother ...


Birthplace Warren N.H.


of Mother.


Occupation Belt maker


Informant.


Place of Burial


Lawrence


Usual Residence .


" Winthrop " 66 Plummer St.


or removal


Undertaker J. S. Waterman & Sons


Jan. 22


Filed .. 1913.


A true copy . Attest: ErMSlenen


Registrar.


MARGIN RESERVED FOR BINDING.


PHYSICIAN'S CERTIFICATE.


I HEREBY CERTIFY that I attended deceased during last illness,


1913,


from 1913, to. that to the best of my knowledge and belief death occurred, on the date stated above, and that the CAUSE OF DEATH was as follows:


RAR'S


PATRI


JA. SIT D Primaryo (Duration)-


Chro. Interstitial Nephritis


CITY


PTICE


and Chro.Myocarditis


GTVT


CONDITAA


1130.


HE-PONATA A.


T


N. MASS.


(Signed)


Myron F. Cutler


M.D.


Jan. 16


1913 .. .........


SPECIAL INFORMATION from Hospitals, Institutions, Transients, or Recent Residents.


BO


BO'S TONIA D. 182 z


00 Jan . 16, 1913


The Commonwealth of Massachusetts STANDARD CERTIFICATE OF DEATH


1 PLACE OF DEATH winchent Man (No 58 Beacon S.L


St. : .. Ward)


Jordan . J. WEscott 2 FULL NAME [If married or divorced woman or widow give maiden name, also name of husband.] @RESIDENCE 58 Beacon PL Wiehantera


(City or town.)


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


PERSONAL AND STATISTICAL PARTICULARS


MEDICAL CERTIFICATE OF DEATH


3 SEX


Male


4 COLOR OR RACE


5 SINGLE,


MARRIED,


WIDOWED,


OR DIVORCED


(Write the word)


Marcel


6 DATE OF BIRTH


Sixt


(Month)


(Day)


1848


17


I HEREBY CERTIFY that I attended deceased from


1


(Year)


hace. 15.


. la.


191.2 .... , to


21.


1913;


that | last saw h.d ........ alive on


Ran


2%.


191.3.,


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


119.m.


The CAUSE OF DEATH* was as follows :


(Duration)


.yrs.


7


mos.


ds.


Contributory.


(SECONDARY)


.. (Duration)


.. yrs.


.. mos.


ds.


2


(Signed)


Dr.l. Porto


M.D.


farm. 23., 19h3 (Address)


* 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


„yrs.


In the


mos.


.ds ..


......


Where was disease contracted, If not at place of death 7.


Former or usual residence.


19 PLACE OF BURIAL OR REMOVAL


DATE OF BURIAL


4/23


1913.


20 UNDERTAKER


ADDRESS


/


Filed 191


REGISTRAR


16 DATE OF DEATH


9


-


(Month)


(Day)


(Year)


7 AGE


If LESS


I day, ........ hrs.


6 4 Vr.


.yrs.


5


mos.


ds.


... min. ?


& OCCUPATION


(a) Trade, profession, or


particular kind of work


Owner of Harduma


(b) General nature of industry,


business, or establishment in


which employed (or employer)


Hardware Bur


9 BIRTHPLACE


(State or country)


For kam me.


10 NAME OF


FATHER


Lilliani VEscott


11 BIRTHPLACE


OF FATHER


(State or country)


12 MAIDEN NAME


OF MOTHER


Marcha" X. Libby


1ª BIRTHPLACE


OF MOTHER


(State or country)


14 THE ABOVE IS TRUE TO THE BEST OF MY KNOWLEDGE


(Informant)


Clara. J. Wescott Wife


(Address)


important. See instructions on back of certificate.


PARENTS


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


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


Registered No.


4


191.3.


.


Jan. 21, 1913


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 , examples: (a) Spinner, (b) Cotton mill; (a) Sales- man, (6) Grocery", "(a) Fc; En, (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 taborer, 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 (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. 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.


COMMONWEALTH OF MASSACHUSETTS


RETURN OF A DEATH-1913.


CITY OF BOSTON.


FULL NAME - Plakias


Registered No.


814


Place of Death )


Boston


Des Brisay Hospt.


and Residence S


Date of Death


Jan 22


1913.


Age .. years


........


.months days.


STATISTICAL DETAILS.


SEX


COLOR


SINGLE, MARRIED, WID., DIV.


P


W


S


Maiden Name


IS


E


Husband's Name


.R


CITY


BOSTONIA


Name of


Father Thomas Plakias


5.0 8


Birthplace of Father


Greece


Contributory : (Duration)


Maiden Name


of Mother Georgia Papaiano


Birthplace of Mother.


Greece


Occupation ----


Informant ..


Place of Burial


or removal.


Mt Hope


Undertaker J S Waterman & Sons


Filed ... Jan 28 1913.


A true copy. Attest : Ermslenen


Registrar.


MARGIN RESERVED FOR BINDING.


PHYSICIAN'S CERTIFICATE.


I HEREBY CERTIFY that I attended deceased during last illness,


from 1913, to. .... .. 1913, that to the best of my knowledge and belief death occurred, on the date stated above, and that the CAUSE OF DEATH was as follows :


RAR'S


S. SIT


Primary (Duration )-S


Hemorrhagic Disease of




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