Town of Winthrop : Record of Deaths 1916-1918, Part 15

Author: Winthrop (Mass.)
Publication date: 1916
Publisher:
Number of Pages: 1316


USA > Massachusetts > Suffolk County > Winthrop > Town of Winthrop : Record of Deaths 1916-1918 > Part 15


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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culosis of lungs, meninges, peritonaeum, etc., Careinoma, Sar- eoma, etc., of .... ... (name origin: "Cancer" is less definite; avoid use of "Tumor" for malignant neoplasms) ; Measles; Whooping cough; Chronie valvular heart disease; Chronie 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- acmia" (mcrely symptomatie), "Atrophy," "Collapse," "Coma," "Convulsions," "Dcbility" ("Congenital," "Senile," etc.), "Dropsy," "Exhaustion," "Heart failure," "Haemorrhage," "Inanition," "Marasmus," "Old age," "Shock," "Uraemia," "Weakness," etc., when a definite disease can be ascertaincd as the cause. Always qualify all diseases resulting from childbirth or miscarriage, as "PUER- PERAL septieacmia," "PUERPERAL peritonitis," etc. State cause for which surgical operation was undertaken.


Cases for the Medical Examiners. - Under the provi- sions of chapter 24 of the Revised Laws deaths under the fol- lowing 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 deud, etc.


112-15-XXNI.|


The Commonwealth of Massachusetts


STANDARD CERTIFICATE OF DEATH


1 PLACE OF DEATH Wattlo trel Michiganst.


....... Ward)


Dobu Dow (Betrew. 2 FULL NAME


[If married or divorced woman or widow give maiden name, also name of husband.] @RESIDENCE Mattlo Queela, Click.


17947 Registered No.


MEDICAL CERTIFICATE OF DEATH


17 DATE OF DEATH


april


22


(Month)


(Day)


1916 (Year)


17 I HEREBY CERTIFY that I attended deceased from


...


191.


.. to


191


that I last saw h ...


alive on


191


....


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


......


.m The CAUSE OF DEATH* was as follows :


Gliovio Veplinitios


Did a surgical operation precede death ?


Date


(Duration) ...... ... yrs. mos. ds.


Contributory. y .....


(SECONDARY)


(Duration)


.........


yrs.


mos. ........... ds.


(Signed)


M.D


191.


(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


In the


of death.


yrs.


.. mos.


... mos.


......


ds.


ds.


State


......... yrs.


........


Where was disease contracted, If not at place of death ?. Former or usual residence.


19 PLACE OF BURIAL OR REMOVAL


DATE OF BURIAL


april26 196


16 Filed 191


REGISTRAR


BOSTON


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


PERSONAL AND STATISTICAL PARTICULARS


5 SINGLE.


MARRIED,


)WIDOWED,


OR DIVORCED


(Write the word)


(Month)


(Day)


mos.


ds.


(a) Trade, profession, or


particular kind of work


Dentist


11 BIRTHPLACE


OF FATHER


(State or country)


») (funden).


WATTE PLAINLT, WITH ONFADING INATTHIS IS A PERMANENT RECORD.


9 BIRTHPLACE


(State or country)


East (Boston,


If LESS than


[ day. ....... hrs.


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


Efunden.


14 THE ABOVE IS TRUE TO THE BEST OF MY KNOWLEDGE


(Informant)


The Worlspel


(Address)


95 Lagamine


3 SEX · DATE OF BIRTH " AGE 8 OCCUPATION (b) General nature of industry, business, or establishment in which employed (or employer). 10 NAME OF FATHER 12 MAIDEN NAME OF MOTHER PARENTS 13 BIRTHPLACE OF MOTHER (State or country) 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 .... 46 yre.


4 COLOR OR RACE


Married"


1


(Year)


............... ......... f


...


20 UNDERTAKER


& Mrowrow & Boston


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) 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 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 Housc- 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 domestie service for wages, as Servant, Cook, IIousemaid, 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 occu- pation whatever, write None.


Statement of cause of death. - Name, first, the DIS- EASE CAUSING 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-


ary or intercurrent) affection need not be stated unless im- portant. Example: Mcasles (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," "Hacmorrhage," "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 provi- sions of chapter 24 of the Revised Laws deaths under the fol- lowing 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.


ASALTF CEPART MENT


3º 1916


R. 15-8-'15. 100,000.


4 2-10 13-25,00


Railroad.


TRANSIT PERMIT


(ORIGINAL)


FROM


LOCAL BOARD OF HEALTH


balhum State of Michigan.


(Township, city or village.)


This certifies that a Registrar's Removal Permit has lyen filed in my office, and, therefore,


PERMISSION i hereby giren, XX. E. Shaw


.to remove the body of. Som Van Betsen


Agcd ..


4 6 years.


.months. .days


Date of death afval- 22


916 Hour of death.


4


o'clock ..


Chronic Nephritis as certified by attending physician.


Place of burial Baston County of


State of ..


MA Vangotzen)


is authorized to accompany the remains. Eugene Wiele bu. .


IIcalth Officer.


This permit must be detached and delivered to passenger in charge of corpsc.


PASTER.


[Form 26]


County


Calharm.


REGISTRAR'S


Township


Village. Battle breek


Permit for Burial or Removal. No.


FULL NAME John VanBetzen


Date of Death ..


april - 22: 19/


DISEASE CAUSING DEATH


Medical attendant. Dr. Martenson


Proposed date of burial or removal ..


april 22 19/1


Place of Burial .. Besten Mass


Placc of Removal


me


Undertaken.


Fi Show


Address !! Battle Creek


A CERTIFICATE OF DEATII having been filed in my office in accordance with the laws of Michigan, I hereby authorize the.


(Burial or Removal .* ) of the body of said deceased person as stated above. In the case of death from a dangerous communicable disease, the burial or removal must be con- ducted according to the rules of the State and local boards of health. hos of Those april 22 1016 (Registrar of deaths.) Dily Olech


(Official Title.) party


*Write "Burial" or "Removal" as the case may be. Burial permits must be delivered by the Undertaker to the Sexton. Removal permits must be given to the Agent of Transportation Company, and attached by him to box containing body. Subregistrars will write "Sub" before the words "Registrar of Deaths" and "Licensed Embalmer No .- " below, always giving No. of License.


EMBALMER'S CERTIFICATE.


I hereby certify that the accompanying dead body of .....


John VanBetzen


Unsigned to Boston


in the County of


and who died of.


portation by a licensed embalmer holding the valid, unrevoked and unexpired License No .... 604 has been prepared for trans-


This discase causing death is declared by the State Board of Health to be a .. non communicable disease, and I further certify that the body has been prepared strictly in accordance with Rule 9 of the Rules of said Board, as printed on the back of this sheet. JE Show


Shipping Embalmer.


SPECIAL INSTRUCTIONS .- A burial case containing a corpse must not be received for transportation unless the person in charge of the remains pre- sents a Permit from the Board of Health, or Health Officer, the Registrar's Removal Permit, and an Embalmer's Certificate that the body has been prepared for transportation according to Rules of the State Board of Health, made under the laws of the State. Neither will it be received if any fluids or offensive odors are escaping from the case. Agents will detach this Paster containing Registrar's Removal Permit, Embalmer's Certificate and Special Instructions, at the perforation, and tack them securely on the end of the box before shipping. In all cases where bodies are forwarded under Rule 2, notice must be sent by telegraph by the shipping embalmer to the healthi officer, or, when there is no health officer, to other competent authority at destination advising the date and train on which the body may be expected.


Station Baggagemen must enter here a description of the ticket, the exact route, and VIA WHAT JUNCTIONAL POINTS THE TICKET READS, which is held by the passenger in charge of the remains.


Dalle auk to Boston


Date ..


While


22


No. of Ticket of Escort.


44-163


Form No. of Ticket of Escort.


7316


No. of Corpse Ticket.


Form No. of Corpse Ticket.


Via


R. R.


To.


Via


Bic


R. R.


To.


Via


R. R.


To ..


Place of Residence.


Signed.


TAIPit's


Station B. M.


SEE RULES ON THE OTHER SIDE


No.


272 Battle Forick.


County of.


To ...... !


Via


R. R.


State of.


(If a minor, give parents names also. )


State of Mass


Agc. 46 years


STATE OF MICHIGAN.


Data april 22 1016


1


Rules and Regulations of the Michigan State Board of Health Governing the Preparation of Dead Bodies for Transportation.


TOOK EFFECT FEBRUARY, 1902.


RULE 1. It shall be the duty of every funeral director, undertaker or embalmer within this State, who may desire recognition by transportation companies and common carriers, for the transportation of the bodics of human beings dead from infectious, con- tagious or conimunicable diseases, to conforin to all the rules and regulations made therefor by the State Board of Health, referred to in Sec. 5. Act 233, Laws of 1901, as amended by Aet 132, Laws of 1903, in accordance with which act, the State Board of Health un- dlertakcs to examine and to grant licenses to such persons as are found on examination to be properly qualified to disinfect and pre- pare for transportation bodies dead from communicable disease; such licenses to autliorize persons holding them to prepare for trans- portation bodies dead from any dangerous communicable disease, and no other person shall be so authorized.


RULE 2. The bodies of those who have died of diphtheria (or any diphtheritic discase, including heart failure, croup, membranous croup, angina maligna, putrid sore throat, malignant sore throat), scarlet fever (sometimes called scarlatina, scarlet rash, scarlatinal nephritis, canker rash, rash), glanders, anthrax, smallpox (variola, varioloid, varicella, chicken-pox, Cuban itch), Asiatic cholera, yel- low fever, typhus fever, bubonic plague or leprosy,* shall not be transported nor accepted for transportation unless prepared for ship- ment by being thoroughly disinfected by (a) arterial and cavity injection with a disinfectant fluid approved by this Board (see Rule 10), (b) disinfecting and stopping of all orifices with absorbent cotton, and (c) washing the body with the disinfectant, all of which must be done by an Embalmer, holding a license issued by the State Board of Health. After being disinfected as above, such body shall be enveloped in a layer of cotton not less than one inch thick, completely wrapped in a sheet, bandaged, and encased in an air-tight zinc, tin, copper or lead-lined coffin, all joints and seams hermetically soldered, and all enclosed in a strong, tight wooden box. Or, the body being prepared for shipment by disinfecting and wrapping as above may be placed in a strong coffin or casket, and the coffin or casket encased in an air-tight zinc, copper or tin case, all joints and seams hermetically soldered, and all enclosed in a strong wooden


box. In all cases where bodies are forwarded under Rule 2, notice must be sent by telegraph by the shipping embalmer to the health officer, or, when there is no health officer, to other competent authority at destination, advising the date and train on which the body may be expected. The coffin or box should not be opened after reaching its destination.


RULE 3. Bodies dead of typhoid fever (typho-malarial, enteric, continued, mucous fever, typhoid malaria, typhoid pneumonia, fever unless definitely stated, heart failure), puerperal fever, erysipelas, consumption (tuberculosis of any organ), measles, (morbilli, rubeola), rötheln (German measles, rubella), whooping-cough (cough, pertussis), pneumonia (lung fever, inflammation of the lungs), influenza (lagrippe), meningitis, rabies (hydrophobia), and tetanus (lockjaw), which can reach their destination within forty-eight hours from time of death, may be received for transportation when prepared for shipment by filling the abdominal and thoracic cavities with a disinfectant approved by this Board (see Rule 10), washing the exterior of the body with such an approved disinfectant, stopping all orifices with absorbent cotton and placing the body in a strong coffin or casket, and enclosing it in a strong wooden box. In case such body cannot reach its destination in forty-eight hours it must be prepared for shipment by being thoroughly disinfected by (a) arterial and cavity injection with a disinfectant fluid approved by this Board, (b) disinfecting and stopping of all orifices with absorbent cotton, and (c) washing the body with such an approved disinfectant, and placing the body in a strong coffin or casket, and enclosing it in a strong wooden box. The preparation of all bodies under this rule must be done by an Embalmer holding a license issued by the State Board of Health.


RULE 4. Bodies dead from violence or from a disease not communicable or not named in Rule 2 or 3, which shall reach their des- tination within thirty hours from time of death, or are addressed to the Demonstrator of Anatomy of some medical college, may be received for transportation when encased in a sound coffin or casket and enclosed in a strong wooden box. Heart failure should never be accepted as a cause of death, except under Rule 2 or 3 (as equivalent to diphtheria or typhoid fever).


If the body is not so addressed, or cannot reach its destination in thirty hours from time of death, it must be prepared for ship- ment by filling cavities with a disinfectant approved by the State Board of Health, washing the exterior of the body with the same, stopping all orifices with absorbent cotton, and enveloping the entire body with a layer of cotton not less than one inch thick, and all wrapped in a sheet and bandaged, and encased in an air-tight coffin or casket, and all enclosed in a strong wooden box. But if the body has been thoroughly disinfected by arterial and cavity injection and surface disinfection, by a licensed Embalmer, the wrapping in cotton, the bandaging and air-tight coffin may be dispensed with.


RULE 5. In the case of a contagious, infectious or communicable disease, the body must not be accompanied by a person or article which has been exposed to the infection of the disease, unless certified by the health officer as having been properly disinfected. Before selling a passage ticket, agents shall carefully examine the transit permit, and note the name of the passenger in charge, and of any others proposing to accompany the body. and see that all necessary precautions have been taken to prevent the spread of the disease. The transit permit in such cases shall specifically state who is authorized by the health authorities to accompany the remains.


RULE 6. Every dead body, except as provided for in Rule No. 7, must be accompanied by a person in charge, who must be pro- vided with a passage ticket and also present a full first-class ticket marked "corpse" for the transportation of the body, and a transit permit including Health Officer's Permit for Removal, Registrar's Removal Permit, Embalmer's Certificate, name of deceased, date and hour of death, age, place of death, cause of death, whether communicable or non-communicable, the point to which the body is to be shipped, and when death is caused by any of the diseases specified in Rule 2, the health officer's statement of the names of those authorized by the health authorities to accompany the body. The transit permit must be made in duplicate, and the signatures of the Registrar, Health Officer and Embalmer, must be on both the original and duplicate copies. The Registrar's Removal Permit. the Embalmer's Certificate, and Baggagemen's instructions, of the original, shall be detached from the transit permit and securely fastened on the coffin box. The Health Officer's Removal Permit shall be handed to the passenger in charge of the corpse. The whole duplicate copy shall be sent to the official in charge of the baggage department of the initial line, and by him to the Secretary of the State Board of Health.


RULE 7. When dead bodies are shipped by express the whole original transit permit shall be securely fastened upon the out- side box and the duplicate forwarded by the express agent to the Secretary of the State Board of Health.


RULE 8. Every disinterred body, dead from any disease or cause, sliall be treated as dangerous to the public health, and shall not be accepted for transportation unless said removal has been approved by the Secretary of the State Board of Health, and the con- sent of the health authorities of the locality to which the corpse is consigned has first been obtained; and all such disinterred remains shall be inclosed in a hermetically soldered zinc. tin or copper lined coffin or box. Bodies deposited in receiving vaults, or otherwise kept for thirty days after death, will be treated and considered the same as buried bodies; but if such a body has been thoroughly dis- infected by arterial and cavity injection and surface disinfection, by a licensed Embalmer, and the shipment is made within the thirty days, the metallic coffin or box may be dispensed with.


RULE 9 The license of any Embaliner may be revoked at any time by this State Board of Health, upon sufficient evidence to satisfy the Board that any certificate made by said Embalmer relative to the preparation of a body for transportation was known by him to have been false, or such evidence that a rule of this Board had been knowingly violated.


RULE 10. Disinfection of rooms and contents must be done by or under the direction of the local health officer (Act 137 Laws 1883; Sec. 4461, Compiled Laws 1897). Disinfection of the surfaces of the body should be done by the Einbalmer by washing with solution of bichloride of mercury, one part of bichloride to one thousand of water, or of carbolic acid one part to twenty of water, or better still, formaldehyde solution not less than eight per cent strength. Embalming should be done by using a solution containing not less than eight per cent of formaldehyde. This may be made by using a little more than one part of the cominercial "forty per cent" (usually about thirty-five per cent) solution of formaldehyde to four parts of water. No arsenical solution shall be used.


RULE 11. After January 1st, 1912, the license of any Embalmer in Michigan will be recalled and cancelled by the State Board of Health, if the said Embaliner shall sign a death certificate to procure a permit for the burial or the reinoval of a dead human body which he did not embalm and prepare for burial, or which was not embalmed and prepared for burial under his immediate and personal supervision.


Offire of the Secretary of the State Board of Health, 1 Lansing. Mich .. February, 1913.


Published by direction of the State Board of Health, R. L. DIXON, M. D., Secretary.


*Bodies dead of some of the diseases named in Rule 2 are forbidden to be shipped into any other state than Michigan. Many_of the States for- bid the transportation of bodies dead of smallpox, typhus fever, plague, and cholera.


caps . 22, 1916 John You Betyen


58


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


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


The Commonwealth of Massachusetts


STANDARD CERTIFICATE OF DEATH


1 PLACE OF DEATH


(No 532 Shirley SI


St. :


Ward)


(City or town.) fif death occurred In a hospital or institution, give ita NAME insteed of street and number.]


James Sem Forvard


" FULL NAME


[If married or divorced woman or widow


give maiden name, also name of husband.]


@RESIDENCE


532


Striden of Wandera Registered No.


PERSONAL AND STATISTICAL PARTICULARS


MEDICAL CERTIFICATE OF DEATH


& SEX


Male


4 COLOR OR RACE


$ SINGLE,


MARRIED,


WIDOWED, ,


OR DIVORCED


(Write the word)


(Year)


7 AGE


Probably about 62


„mos.


If LESS than I dey ......... hrs.


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


& OCCUPATION


(a) Trade, profession, or


particular kind of work.


(b) General nature of industry,


business, or establishment In


which employed (or employer).


DR.BYL.R.R.


9 BIRTHPLACE


(State or country)


Reading Mass


10 NAME OF


James , Nevy Howard Se


11 BIRTHPLACE


OF FATHER


(State or country)


PARENTS


12 MAIDEN NAME


OF MOTHER


Slizni Fine Whitman


13 BIRTHPLACE


OF MOTHER


(State or country)


14 THE ABOVE IS TRUE TO THE BEST OF MY KNOWLEDGE


(Informant)


Mrs. M. Luni Walken


(Address) (Live) 532 Shirley St


16 Filed. 191


REGISTRAR


Carcinoma of Liver


(Duration)


2 yrs. 12/mos.


ds.


Contributory.


arteriosclerosis


(SECONDARY) clef (Duration)


mos. ds.


(Signed)


ImAl. Partir


M.D.


ahr ZU, 196. (Address).


Winthrop


If death followed injury or violence the certificate of death must be made ont 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


... ros. ds


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


Former or usual residence ..


19 PLACE OF BURIAL OR REMOVAL Wolzum beriting


DATE OF BURIAL


4/22.


, 1916


ADDRESS


20 UNDERTAKER


le - R Benuna


(Month)


(Day) 25% 1916. (Yeaf


· DATE OF BIRTH


avril 25 1854


(Month)


(Day)


16 DATE OF DEATH


april


17 I HEREBY, CERTIFY that I attended deceased from Otras. 19th, 1916, to apr 251916. that I last saw h les alive on after 24th, 196 and that death occurred, on the date stated above, at. 39. The CAUSE OF DEATH* was as follows :


MARGIN RESERVED FOR BINDING


apr. 25, 1916


STANDARD CERTIFICATE OF DEATH.


Statement of occupation. - Precise statement of occu- pation 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, Architeet, 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 nceded. 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 sehoo' or At home. Care should be taken to report specifically the occupations of persons engaged in domestie 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 occu- pation whatever, write Nonc.




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