USA > Massachusetts > Suffolk County > Winthrop > Town of Winthrop : Record of Deaths 1916-1918 > Part 149
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Statement of cause of death .- Name, first, the DISEASE CAUSING DEATII (the primary affection with respect to time and causation), using always the same accepted term for the same disease. Examples: Cerebrospinal fever (the only definite synonym is "Epidemie cerebrospinal menin- gitis"); Diphtheria (avoid use of "Croup"); Typhoid fever (never report "Typhoid pneumonia"); Lobar pneumonia; Bronchopneumonia ("Pneumonia," unquali- fied, is indefinite); Tuberculosis of lungs, meninges, peri- toncum, etc., Carcinoma, Sarcoma, 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 (secondary or inter- current) affection need not be stated unless important. Example: Measles (disease causing death), 29 ds .; Broncho- pneumonia (secondary), 10 ds. Never report mere symp- toms or terminal conditions, such as "Asthenia," "Anemia" (merely symptomatic), "Atrophy," "Col- lapse," "Coma," "Convulsions," ""Debility" (" Con-
genital," "Senile," etc.), "Dropsy," "Exhaustion," "Heart failure," "Hemorrhage," "Inanition," "Maras- mus," "Old age," "Shock," "Uremia," "Weakness," etc., when a definite disease can be ascertained as the cause. Always qualify all diseases resulting from child- birth or miscarriage, as "PUERPERAL septicemia," "PUER- PERAL 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 de- termine definitely. Examples: Accidental drowning; Struck by railway train - accident; Revolver wound of head - homicide; Poisoned by carbolic acid - probably suicide. The nature of the injury, as fracture of skull, and consequences (e. g., sepsis, tetanus) may be stated
under the head of "Contributory." (Recommendations on statement of cause of death approved by Committee on Nomenclature of the American Medical Association.)
Cases for the Medical Examiners. - Under the provi- sions 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, Exposure, 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.
ADDITIONAL SPACE
- FOR FURTHER STATEMENTS BY
PHYSICIAN.
R 15. 1-'18. 100,000.
The Commonwealth of Massachusetts
CERTIFICATE OF DEATH OF NON-RESIDENT
(City or town)
1 PLACE OF DEATH
Registered No.
County
Hamroun
State
Registered No
(Place of residence)
City or Town
No. Mannen
State Noch
St ..
Ward
(If death occurred in a hospital or institution, give its NAME instead of street and number)
2 FULL NAME
Harrison bonchan
(a) Residence.
State
(Usuai place of abode)
City or Town
No.
St.
Length of residence in city or town where death occurred
4
years
3
months
13
days
How long in U. S., if of foreign birth?
years
months
days
PERSONAL AND STATISTICAL PARTICULARS
MEDICAL CERTIFICATE OF DEATH
3 SEX
Male
4 COLOR OR RACE
mute
5 SINGLE, MARRIED, WIDOWED, OR
DIVORCED (write the word)
5a If married, widowed, or divorced
HUSBAND of
(or) WIFE of
6 DATE OF BIRTH (month, day, and year) 07-10-1887
7 AGE 37 Years 1 Months 21 Days
If STILLBORN, euter that fact bere
If LESS than
1 day. ........ brs.
or ....... min.
8 OCCUPATION OF DECEASED
(a) Trade, profession, or
particular kind of work
nome
(b) General nature of industry, business, or establishment in which employed (or employer) (c) Name of employer
(duration)
36 yrs 4
.yrs .....
mos ...
ds.
CONTRIBUTORY
(SECONDARY)
.(duration)
.yrs.
.mos ..............
da.
18 Where was disease contracted
if not at place of death ?
Did an operation precede death?
10
Date of
Was there an autopsy ?.
200
What test confirmed diagnosis?
Chanicalfindings
/ 2(Signed)
Samuel O Muller
M.D.
2.19/ (Address)
7 hur Rivers Was
14
Informant
Records monchou Hale Hors
(Address)
Palmen- Man
19 PLACE OF BURIAL, CREMATION, OR REMOVAL
Is le nuovo cometer;
Events- Mass.
DATE OF BURIAL
12/5-
19/5
15 Filed Lecc.2, 1915 Freelow & Ball Registrar of city or town where death occurred Jan. 3 1918 inhaling Churchill
20 UNDERTAKER
C.a. Polemais
S. mPhillip
ADDRESS
Palmer.
Just Registrar of city or town where deceased resided
16 DATE OF DEATH (month, day, and year)
19/8
17
I HEREBY CERTIFY, That I attended deceased from
Many 16, 1918, to.
Leech-
1918
that I last saw haddons alive on
Lucca-
19.
18
and that death occurred, on the date stated above, at 10.30.T .m. The CAUSE OF DEATH" was as follows:
. State the DISEASE CAUSING DEATH, or in deaths from VIOLENT CAUSES, state (1) MEANS AND NATURE OF INJURY, and (2) whether ACCIDENTAL, SUICIDAL, or HOMICIDAL, (See reverse side for additional space.) .
- 7
9 BIRTHPLACE (eity or town).
(State or country) Prince Edward Island
10 NAME OF FATHER John constan
PARENTS
11 BIRTHPLACE OF FATHER (city or town)
(State or country) Pomi Edward Island
12 MAIDEN NAME OF MOTHER Melina Jour Duikke
13 BIRTHPLACE OF MOTHER (city or town).
(State or country)
Prosin Schwand Island
1
of certificate.
carefully supplied. AGE should be stated EXACTLY. PHYSICIANS should state CAUSE OF DEATH in plain terms, so that it may be properly classified. Exact statoment of OCCUPATION is very important. See instructions on back
(Place of death)
(If in the Army or Navy of the United States, give rank, organization, etc.)
REVISED UNITED STATES STANDARD CERTIFICATE OF DEATH [Approved by U. S. Census and American Public Health Association]
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, Compos- itor, Architcet, Locomotive 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) Salesman, (b) Grocery; (a) Foreman, (b) Automobile factory. The ma- terial worked on may form part of the second statement. Never return "Laborer," "Foreman," "Manager," "Dealer," ete., 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 Housekeepers who receive a definite salary), may be entered as Housewife, Housework, or At home, and children, not gainfully employed, as At school or At home. Care should be taken to report spe- cifically the occupations of persons engaged in domestic service for wages, as Servant, Cook, Housemaid, etc. If tlie 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 indi- cated thus: Farmer (retired, 6 yrs.). For persons who have no occupation whatever, write None.
Statement of cause of death. - Name, first, the DISEASE CAUSING DEATII (the primary affection with respect to time and causation), using always the same accepted term for the same disease. Examples: Cerebrospinal fever (the only definite synonyın is "Epidemie cerebrospinal menin- gitis"); Diphtheria (avoid use of "Croup"); Typhoid fever (never report "Typhoid pneumonia"); Lobar pneumonia; Bronchopneumonia ("Pneumonia," unquali- fied, is indefinite); Tuberculosis of lungs, meninges, peri- toncum, etc., Carcinoma, Sarcoma, etc., of.
(name origin; "Cancer" is less definite; avoid use of "Tumor" for malignant neoplasins); Measles; Whooping cough; Chronic valvular heart disease; Chronic interstitial nephritis, etc. The contributory (secondary or inter- current) affection need not be stated unless important. Example: Measles (disease causing deatlı), 29 ds .; Broncho- pneumonia (secondary), 10 ds. Never report mere symp- toms or terminal conditions, such as "Asthenia," "Anemia" (merely symptomatic), "Atrophy," "Col- lapse," "Coma," "Convulsions," "Debility" ("Con- genital," "Senile," etc.), "Dropsy," "Exhaustion," "Heart failure," "Hemorrhage," "Inanition," "Maras- mus," "Old age," "Shock,"" "Uremia," "Weakness," ete., when a definite disease can be ascertained as the cause. Always qualify all diseases resulting from child- birth or miscarriage, as "PUERPERAL septicemia," "PUER- PERAL 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 de- termine definitely. Examples: Accidental drowning; Struck by railway train - accident; Revolver wound of head - homicide; Poisoned by curbolie acid - probably suicide. The nature of the injury, as fracture of skull, and consequences (e. g., sepsis, tetanus) may be stated
under the head of "Contributory." (Recommendations on statement of cause of death approved by Committee on Nomenclature of the American Medical Association.)
Cases for the Medical Examiners. - Under the provi- sions 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, Exposure, 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. Deatlıs under circumstances unknown, as A person found dead, etc.
ADDITIONAL SPACE
FOR FURTHER STATEMENTS BY
PHYSICIAN.
R 303. 6-'18. 50,000.
M R-301
The Commonwealth of Massachusetts STANDARD CERTIFICATE OF DEATH
OFFICE OF THE SECRETARY DIVISION OF VITAL STATISTICS
1 PLACE OF DEATH?
State
Registered No.
St .............
Ward
(If death oceurred in a hospital or institution, give its NAME instead of street and number)
allice. Louis
(If in the Army or Navy of the United States, give rank, organization, etc.)
(a) Residence.
No.
46 Lowell Rd
( Usual place of abode)
Length of residence in
wbere death occurred
17 years
4
months
days.
How long in U. S., if of foreign birth ?
years
months
days
PERSONAL AND STATISTICAL PARTICULARS
MEDICAL CERTIFICATE OF DEATH
16 DATE OF DEATH.
(Month)
(Day)
-
(Year)
17 I HEREBY CERTIFY, That I attended deceased from 200 2.2. 1918 to Su 3. 19/18
5
that I last saw her alive on
19. 18
and that death occurred, on the date stated above, at 0- 9 m.
The CAUSE OF DEATH was as follows :
Uraenna
.. ( duration)
yrs ....
mos ..... ........
CONTRIBUTORY
accidental Corrosive
(SECONDARY)
Publicate Primering.
duration)
mos ..
13 ds.
18 Where was disease contracted if not at place of death ?
Did an operation precede death ?
no
Date of ...
200
Was there an autopsy ?
What test confirmed diagnosis ?
Laby Test,
(Signed).
(Address) 123
Date
3 1918 Untig (Year)
( Month)
( Day)
14 W. H. W Clean
Informant
(Address)
46 Lowell Road
15 Dec. 14 1918 Eulalie Churchill Filed (Month) (Day) (Year)
ast. REGISTRAR
0
21 I HEREBY CERTIFY that a satisfactory stan- dard certificate of death was filed with me BEFORE the borial or transit permit was issued
:. 100,000.
County.
City or Town
2 FULL NAME
3 SEX
6 DATE OF BIRTH
10 NAME OF
FATHER
PARENTS
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 and extracts from the laws on back of certificate.
N. B. - WRITE PLAINLY , WITH UNFAVING BLACK INK - THIS IS A PERMANENT RECORD. Every item of information
9 BIRTHPLACE (City)
(State or country)
4 COLOR OR RACE
5 SINGLE, MARRIED, WIDOWED, OR
DIVORCED (write the word)
manuel
5a If married, widowed, or divorced
HUSBAND of
(or) WIFE of
20.17
Feb 19
1.875
( Month)
(Day)
( Year)
7 AGE & 3 Years 10 Months / 2 Days
If STILLBORN, enter that fact here
If STILLBORN, state period of oferogestation
mos.
If LESS than
1 day, ........ hrs.
or ....... min.
8 OCCUPATION OF DECEASED (a) Trade, profession, or particular kind of work (b) General nature ofindustry, business, or establishment in which employed ( or employer ). (c) Name of employer
Hanfort
11 BIRTHPLACE OF
FATHER (City).
(State or country)
12 MAIDEN NAME
OF MOTHER
Elizabeth ii
13 BIRTHPLACE OF
MOTHER (City)
(State or country)
York
3.7
19 PLACE OF BURIAL, CREMATION, OR REMOVAL
minithat may
(Cemetery) Wancha (City of town)
DATE OF BURIAL Dic 5 19/7
20 UNDERTAKER
theo R. Bennusom
ADDRESS
A
Official position Healtho Gluce
22 Date of issue of burial
- or transit permit .
Nov 25/19/5
1 18
No ..
St.
Ward.
(If non-resident give city or town and State)
3
1918
13
Dec. 3, 1918
REVISED UNITED STATES STANDARD CERTIFICATE OF DEATH
[Approved by U. S. Census and American Public Health Association]
Statement of occupation. - Precise statement of occupation 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, Locomotive engineer, Civilengineer, 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) Salesman, (b) Grocery; (a) Foreman, (b) Automobile factory. Tbe material worked on may form part of the sccond statement. Never return "Laborer," "Foreman," "Manager," ""Dealer," etc., without more precise specification, as Day laborer, Farm laborer, Laborer - Coal mine, etc. Women at homc, who are engaged in the duties of the bouse- hold only (not paid Housekeepers who receive a definite salary), may be entered as Housewife, Housework, or At home, and children, not gainfully employed, as At school or At home. Carosbould be taken to report spe- cifically the occupations of persons engaged in domestic service for wages, as Servant, Cook, Housemaid, etc. If the occupation bas 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 bave no occupation whatever, write None.
Statement of cause of death. - Name, first, tho DISEASE CAUSING DEATH (the primary affection with respect to time and causation), using always tbe same accepted term for the same discase. Examples: Cere- brospinal fcver (the only definito synonym is "Epidemic cerebrospinal meningitis"); Diphtheria (avoid use of "Croup"); Typhoid fever (never report "Typhoid pneumonia"); Lobar pneumonia; Bronchopneumonia ("Pneumonia," unqualified, is indefinitc); Tuberculosis of lungs, men- inges, peritoneum, etc., Carcinoma, Sarcoma, etc., of .... ..... (name origin; "Cancer" is less definite; avoid use of "Tumor" for malignant ncoplasms); Measles; Whooping cough; Chronic valvular heart disease; Chronic interstitial nephritis, etc. The contributory (secondary or inter- current) affection need not be stated unless important. Example: Measles (disease causing death), 29 ds .; Bronchopneumonia (secondary), 10 ds. Never report mere symptoms or terminal conditions, such as "Asthenia," "Ancmia" (merely symptomatic), "Atrophy," "Col- lapse,""Coma,""Convulsions,""Debility" ("Congenital,""Senile," etc.), "Dropsy,""Exbaustion,""Ileart failure,""IIemorrbage,""Ina- nition," "Marasmus." "Old age," "Shock," "Uremia,""Weakness," etc., wben a definite disease can be ascertaincd 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.
(Recommendations on statement of cause of death approved by Com- mittec on Nomenclaturo of the American Medical Association.)
Bronchopneumonia: If primary cause, write the word "pri- mary" ; if secondary, give primary cause.
Certificates will be returned for additional information which give any of the following diseases, without explanation, as the sole cause of death: Abortion, cellulitis, childbirth, convulsions, hemorrhage, gangrene, gastritis, erysipelas, meningitis, miscar- riage, necrosis, peritonitis, phlebitis, pyemia, septicemia, tetanus.
EXTRACTS FROM THE LAWS OF THE COMMONWEALTH OF MASSACHUSETTS GOVERNING THE RETURN OF CERTIFICATES OF DEATH
A physician shall forthwitb, after the death of a person wbom he bas attended during his last illness, at the request of an undertaker or other authorized person or of any member of the family of the deccased, furnisb for registration a standard certificate of death, stating to the best of his knowledge and belief the name of the deceased, his supposed age, the disease of which he died [defined so that it can be classified under the international classification of causes of death], where contracted, the duration of bis last illness, when last seen alive by the physician, and the date of his death. . . . - Revised Laws, Chap. 29, Secs. 10 and 1, as amended by Acts of 1910, Chap. 322.
No undertaker or other person shall bury a buman body . . . until he bas received a permit from the board of bealth or its agent, . . . or . .. from the clerk of the city or town in which the person dicd; . . . no such permit shall be issued until thero shall have been delivered to such board, agent or clerk, . . . a satisfactory written statement con- taining the facts required by law to be returned and recorded, which ... sball be accompanied by a satisfactory certificate of tho at- tending physician, if any, as required by law, or in lieu thereof a certifi- cate as hereinafter provided. If thero is no attending physician, or if, for sufficient reasons, his certificate cannot be obtained early enough for the purpose, or is insufficient, the chairman of the board of health, if a physician, or any physician employed by said board or by the selectmen for the purpose, shall upon application make such certificate as is required of the attending physician. If death is caused by violence, the medical examiner only shall make such certificate. .. . The person to whom the per- mit is so given and the physician who certifies to the cause of death shall thereafter furnish for registration any other necessary information which can bo obtained as to the deceased, or as to the manner or cause of tbe death, which tbe clerk or registrar may require. - Revised Laws, Chap. 78, Sec. 38.
Medical examiners sball, in all cases, certify to the city or town clerk or to the city registrar in the place where the deccased died, his name and residence, if known, otherwise a description of such person as full as may be, with the cause and manner of his death, and sball make examination upon the view of the dead bodies of only such persons as are supposed to have come to their dcatb by violence. - Revised Laws, Chap. 24, Sec. 8.
RULES OF PRACTICE
Tbe fulfilment of the purpose of these laws calls for the observance of tbe following rules of practice:
(1) Attending physicians will certify to sucb deaths only as tbose of persons to wboru they bave given bedside care during a last illness from disease unrelated to any form of injury.
(2) Board of Health Physicians will certify to such deaths only as those of persons wbo, though disabled by recognized disease unrelated to any form of injury, have died witbout recent medical attendance or wbose physician is absent from bome wben tbe certificate of deatb is needed.
(3) Medical examiners will investigate and certify to all deaths sup- posably due to injury. These include not only deaths caused directly or indirectly by traumatism (including resulting septicemia), and by the action of chemical (drugs or poisons), thermal, or electrical agents, and deaths following abortion, but also deaths from disease resulting from injury or infection related to occupation, tho sudden deaths of persons not disabled by recognized disease, and those of persona found dead.
The Commonwealth of Massachusetts
STANDARD CERTIFICATE OF DEATH
(City or town)
1 PLACE
County.
Luftolla
State
masal
Registered No.
Township
or Village
or
No.
St.,
Ward
(If death occurred in a hospital or institution, give its NAME instead of street and number)
James grimes
(I in the Army or Savy of the United States, give rank, organization, etc.)
(a) Residence.
No. 172 Quo vadis
St.,
Ward.
(Esual place of abode)
Length of residence in city of town where death occurred
years
months
days.
How long in U. S., if of foreign birth ?
years
months
days
PERSONAL AND STATISTICAL PARTICULARS
MEDICAL CERTIFICATE OF DEATH
16 DATE OF DEATH (month, day, and year)
Dec 4
19/%
17 I HEREBY CERTIFY, That I attended deceased from
, 19
to.
19
that I last saw him alive on
1918
and that death occurred, on the date stated above, at
2 p
.m.
The CAUSE OF DEATH* was as follows :
Premature butti
8 OCCUPATION OF DECEASED
(a) Trade. profession, or
particular kind of work
(b) General mature of industry, business, or establishment in which employed (or employer) (c) Name of employer
CONTRIBUTORY
(SECONDARY)
(duration)
.......
.. yrs ...
.........
mcs.
ds.
18 Where was disease contracted
if not at place of death?
Did an operation precede death ?
Date of.
Was there an autopsy ?
What test confirmed diagnosis ?
(Signed)
Horace & Saula.
M.D.
De 4 1918 (Address)
Winthrop mais
* State the DISEASE CAUSING DEATH, or in deaths from VIOLENT CAUSES, state (1) MEANS AND NATURE OF INJURY, and (2) whether ACCIDENTAL, SUICIDAL, or HOMICIDAL. (See reverse side for additional space.)
14 Im. 4. Junies
Informant
(Address)
176/Que Rd
15 Filed. Dec. 14 ;918 Enlabia Churchill
Cont. REGISTRAR
19 PLACE OF BURIAL, CREMATION, OR REMOVAL
Calvary Cemetery
DATE OF BURIAL Droit 19 15
20 UNDERTAKER
John fet. O maley
ADDRESS
Winthrop
1
of certificate.
N. B .- WRITE PLAINLY, WITH UNFADING INK-THIS IS A PERMANENT RECORD. Every item of information should be so that it may be properly classified. Exact statement of OCCUPATION is very important. See instructions on back carefully supplied. AGE should be stated EXACTLY. PHYSICIANS should state CAUSE OF DEATH in plain terms,
PARENTS
11 BIRTHPLACE OF FATHER (city or town)
Boston
(State or country) mais.
12 MAIDEN NAME OF MOTHER many Madden
13 BIRTHPLACE OF MOTHER (city or town) Chreton (State or country) mans.
9 hours
(duration)
yrs.
mos ..
ds.
9 BIRTHPLACE (city or town).
Minttuofi
(State or country) mary.
10 NAME OF FATHER michael
DEc. 4.1910
7 AGE Years
Months
Days
If LESS than 1 day, ........ hrs. or ........ min.
6 DATE OF BIRTH (month, day, and year)
3 SEX
male
4 COLOR OR RACE
White
5 SINGLE, MARRIED, WIDOWED, OR
DIVORCED (write the word)
Single
5a If married, widowed, or divorced
HUSBAND of
(or) WIFE of
18
(If non-resident give city or town and State)
City
2 FULL NAME
REVISED UNITED STATES STANDARD CERTIFICATE OF DEATH [Approved by U. S. Census and American Public Health Association]
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 cach and every person, irrespective of age. For many occupations a single word or terin on the first line will be sufficient, e. g., Farmer or Planter, Physician, Compos- itor, Architect, Locomotive 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) Salesman, (b) Grocery; (a) Foreman, (b) Automobile factory. The ma- terial worked on inay 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 Housekeepers who receive a definite salary), may be entered as Housewife, Housework, or At home, and children, not gainfully employed, as At school or At home. Care should be taken to report spe- cifically 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 indi- eated thus: Farmer (retired, 6 yrs.). For persons who have no occupation whatever, write None.
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