Town of Winthrop : Record of Deaths 1916-1918, Part 38

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 38

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Statement of cause of death. - Name, first, the DIS- EASE CAUSING DEATH (the primary affection with respect to time and eausation), 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 rc- port "Typhoid pneumonia"); Lobar pneumonia; Broncho- pneumonia ("Pneumonia," unqualified, is indefinite); Tuber-

culosis of lungs, meninges, peritoneum, etc., Carcinoma, Sar- coma, ete., of .. (nanie origin: "Cancer" is less definite; avoid use of "Tumor" for malignant neoplasms); Measles; Whooping cough; Chronic valvular heart discase; Chronic interstitial nephritis, etc. The contributory (sceond- ary or intercurrent) affeetion nced 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- ačmia" (merely symptomatic), "Atrophy," "Collapse," "Coma," "Convulsions," "Debility" ("Congenital," "Senile," ete.), "Dropsy," "Exhaustion," "Heart failure," "Hacmorrhage," "Inanition," "Marasmus," "Old age," "Shock," "Uraemia," "Weakness," ete., when a definite disease ean be ascertained as the cause. Always qualify all discases resulting from childbirth or miscarriage, as "PUER- PERAL septicacmia," "PUERPERAL peritonitis," ete. 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, ete.

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, cte

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

1 PLACE OF DEATH winthror 3 SEX Male 4 COLOR OR RACE White $ DATE OF BIRTH 7 AGE & 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) "inthron 10 NAME OF FATHER 11 BIRTHPLACE OF FATHER (State or country) PARENTS important. See instructions on back of certificate. 16 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 ....... yrs. ......... Filed 191

The Commonwealth of Massachusetts STANDARD CERTIFICATE OF DEATH

(No.

30" Pleasant Ct.

St.

... Ward)

2 FULL NAME

Stillhorn Ternison

[If married or divorced woman or widow

give maiden name, also name of husband.]

............

@RESIDENCE

307 Fleasant St.

PERSONAL AND STATISTICAL PARTICULARS

& SINGLE,

MARRIED,

WIDOWED,

OR DIVORCED

(Write the word)

Single

(Year)

If LESS than

i day ......... hrs.

mos. ds.

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

MEDICAL CERTIFICATE OF DEATH

18 DATE OF DEATH

(Month)

(Day)

191

(Year)

I HEREBY CERTIFY that I attended deceased from

Wr0.19, 1916, to

mr.14

1916

that I last saw h.

191

. alive on

..... .

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

..... m.

The CAUSE OF DEATH* was as follows :

Still Com

.(Duration)

........... yrs.

mos. ............

ds.

(SECONDARY)

(Duration)

yrs.

mos. .............

ds.

(Signed)

11/20, 196 (Address).

356 Umlerles

* 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

Nov. 21

...

191.6.

St. Michaels

20 UNDERTAKER

ADDRESS

John F. O'Malev

Tinthror

.. .........

Illegitimate

12 MAIDEN NAME

OF MOTHER

Juez

Antherine Tenison

13 BIRTHPLACE

OF MOTHER

(State or country)er Tamrchire

14 THE ABOVE IS TRUE TO THE BEST OF MY KNOWLEDGE

(Informant)

Tilliam Ternicon

(Address)

307 Pleasant St

REGISTRAR

(City or town.)

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

Registered No.

......

(Month)

(Day)

Contributory

Premature

LAU

v.17, 1416

STANDARD CERTIFICATE OF DEATH.

Statement of occupation. - Precise statement of oecu- pation is very important, so that the relative healthfulness of various pursuits can be known. The question applies to cach and every person, irrespective of agc. For many occupations a single word or term on the first linc will be sufficient, e. g., Farmer or Planter, Physician, Compositor, Architcet, Loco- motive engineer, Civil engineer, Stationary fireman, ctc. 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 linc 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," "Dealcr," etc., without more precise specification, as Day laborcr, Farm laborer, Laborcr - Coal mine, etc. Women at home, who are engaged in the dutics of the household only (not paid House- kcepers who receive a definite salary), may be entered as Housewife, Houscwork, 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 domcstie service for wages, as Scrvant, 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.

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 disease. Examples: Ccrebro-spinal fcver (the only definite synonym is "Epidemie cerebro-spinal meningitis"); Diphtheria (avoid usc of "Croup"); Typhoid fever (never rc- port "Typhoid pneumonia"); Lobar pneumonia; Broncho- pneumonia ("Pneumonia," unqualified, is indefinite) ; Tubcr-

culosis of lungs, meninges, peritoneum, etc., Carcinoma, Sar- coma, etc., of .............. .. (name origin: "Cancer" is Icss 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 (discase 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 discases 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- 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 dcad, 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

Wwwchron

(No.

40 Cross SL

(City or town.)

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

Elvin Eddington

2 FULL NAME

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

Married,

@RESIDENCE

PERSONAL AND STATISTICAL PARTICULARS

MEDICAL CERTIFICATE OF DEATH

1 SEX

Matt

1 4 COLOR OR RACE

White

6 SINGLE,

MARRIED,

WIDOWED,

OR DIVORCED

(Write the word)

Maril

· DATE OF BIRTH

(Month)

(Day)

(Year)

7 AGE

65-

yrs.

mos.

ds.

.min. ?

8 OCCUPATION

(a) Trade, profession, or

particular kind of work

(b) General nature of industry,

business, or establishment In

which employed (or employer)

Decorata

9 BIRTHPLACE

(State or country)

- England

PARENTS

12 MAIDEN NAME

OF MOTHER

delezabach

13 BIRTHPLACE

OF MOTHER

(State or country)

England

14 THE ABOVE IS TRUE TO THE BEST OF MY KNOWLEDGE

(Informant)

<(Address)

Filed

191

REGISTRAR

16 DATE OF DEATH

(Month)

(Day)

1916

(Year)

I HEREBY CERTIFY that I attended deceased from

1916, to.

An 21

1916

....

that I last saw h

alive on

Av 20

191 6

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

10 Am. The CAUSE OF DEATH* was as follows :

1 applexs.

Hoffe + l'incho pneumonie

(DuratioX).

ds.

............. yrs.

......... ... mos.

Contributory

(SECONDARY)

(Duration)

mos.

ds.

(Signed)

631 Lulas

M.C.

AW 21, 1916 (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

......

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

nov 23

1916

ADDRESS

20 UNDERTAKER GRBenson

.... yrs.

10 NAME OF

FATHER

Thomas Eddington

11 BIRTHPLACE

OF FATHER

(State or country)

Enfait

If LESS than

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

Registered No.

St. : . Ward)

91019 Pin

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, 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," cte., without more precise specification, as Day laborer, Farm laborcr, Laborer - Coal mine, etc. Women at home, who are engaged in the duties of the household only (not paid House- kecpers 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 Scrvant, 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.

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 disease. Examples: Cerebro-spinal fevcr (the only definite synonym is "Epidemie 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, ete., 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 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 dead, etc.

The Commonwealth of Massachusetts STANDARD CERTIFICATE OF DEATH

1 PLACE OF DEATH quithecops (No. 22 Lowing Roast: Ward)

(City or town.)

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

.... Registered No.

PERSONAL AND STATISTICAL PARTICULARS

1 SEX

4 COLOR OR RACE

· DATE OF BIRTH

7 AGE

* OCCUPATION

(a) Trade, profession, or

particular kind of work

(b) General nature of industry,

business, or establishment in

which employed (or employer).

PARENTS

18 BIRTHPLACE

OF MOTHER

(State or country)

important. See instructions on back of certificate.

Filed

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

....

41 yrs.

& SINGLE,

MARRIED,

WIDOWED,

OR DIVORCED

(Write the word)

mamed

(Month)

1869

(Day)

(Year)

If LESS than

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

.... mos.

ds.

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

9 BIRTHPLACE

(State or country)

SB. Barton.

10 NAME OF

FATHER

Michael J. Sprague

11 BIRTHPLACE

OF FATHER

(State or country)

Mane

12 MAIDEN NAME

OF MOTHER

Edalic Stetson

mane"

14 THE ABOVE IS TRUE TO THE BEST OF MY KNOWLEDGE

(Informent)

Lohn & Gleason

(Address)

22 Loving Road.

REGISTRAR

MEDICAL CERTIFICATE OF DEATH

16 DATE OF DEATH nosti 22 1916 ....

(Month)

(Day)

(Year)

I HEREBY CERTIFY that I attended deceased from

Sept.

191

Nov. 2/1

1916

that I last saw h

............

alive on

Nov. 21

1916

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

... 3 P. m.

The CAUSE OF DEATH* was as follows :

Carcinoma of Intestines

.. (Duration)

.......

.yrs.

mos.

...........

da.

Antrotual Obstruction

Contributory ...

(SECONDARY) (C

(Duration)

.... yrs.

Killearn Reid Morrerou

M.D.

(Signed)

for 23, 19

1916

(Address)

527 Beacon 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.

In the

.mos. ...........

da.

Stete

......... 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

Gangren Bu glelon 11-25

6 191

20 UNDERTAKER

U.C. Spraygo

ADDRESS

2 FULL NAME

Hattie 4. Spra que Gleason

Sprague, John L. Gleason

[If married or divorced woman or widow give maiden name, also name of husband.] @RESIDENCE 22 Lowing Road Winthrop

191

....

mos. .......

ds.

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 cach 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) Forcman, (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 laborcr, Farm laborcr, 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 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 occu- pation whatever, write None.

Statement of cause of death. - Name, first, the DIS- CASE 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-

culosis of lungs, meninges, peritonacum, 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 necd 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" (merely symptomatic), "Atrophy," "Collapse," "Coma," "Convulsions," "Debility" ("Congenital," "Senile," ctc.), "Dropsy," "Exhaustion," "Heart failure," "Haemorrhage," "Inanition," "Marasnius," "Old age," "Shock," "Uraemia," "Weakness," etc., when a definite discase can be ascertained as the cause. Always qualify all diseases resulting from childbirth or miscarriage, as "PUER- PERAL scpticacmia," "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.

¿ SEX Female · DATE OF BIRTH & OCCUPATION PARENTS (Informant) important. See instructions on back of certificate. 16 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 particular kind of work

The Commonwealth of Massachusetts

STANDARD CERTIFICATE OF DEATH

1 PLACE OF DEATH

(No

Mary.

Terry

2 FULL NAME [If married or divorced woman or widow give maiden name, also name of husband.I @RESIDENCE 38 Madison are

are Nicht Mais

MEDICAL CERTIFICATE OF DEATH

16 DATE OF DEATH

(Month)

,1916

(Day) .... . (Year)

17 I HEREBY CERTIFY that I attended deceased from

191

/m 26

1916

..... ., to

.....

„ hrs. that I last saw hin alive on 161 ... and that death occurred, on the date stated above, at / / 30 m. The CAUSE OF DEATH* was as follows : Stillborn Incidental to Labor

(Duration)

yrs.

mos ..

........ ds.

.........

Contributory (SECONDARY)

(Duration) ... yrs ..

.mos. ds.

(Signed)

An 29

1916 (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. .......

In the

State-

....... yrs. ........... mos.

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

Former or usuayresidence.

19 PLACE OF BUZIAY BA REY STALY

AZE OF BURIAL

6 191

· UNDERTAKER

Mulder C.R. Bennon.

Ward)

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

PERSONAL AND STATISTICAL PARTICULARS 4 COLOR OR RACE White 6 SINGLE. MARRIED, WIDOWED, OR DIVORCED (Write the word) 28/916 Shut Downla (Month) (Day) yrs. mos. (a) Trade, profession, or - 2 2 (b) General nature of industry, business, or establishment in which employed (or employer) 10 NAME OF Matter Terry WRITE PLAINLI, WITTY ONTADING INA THIS DO A PERMANENT RECORD. 9 BIRTHPLACE (State or country) Huntert Mars

(Year)

f LESS than

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

11 BIRTHPLACE OF FATHER (State or country) Chelsea Mars

12 MAIDEN NAME

OF MOTHER

"Mary. a. Yavin'

13 BIRTHPLACE OF MOTHER (State or country)

Ireland

"THE ABOVE IS TRUE TO THE BEST OF MY KNOWLEDGE

(Address)

38 Madera are

Filed 191

REGISTRAR

Metaal Sorular

(City or town.)

ADDRESS Wintherk.

M.D.

STANDARD CERTIFICATE OF DEATH.

Statement of occupation. - Precise statement of oecu- 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, Architect, Loco- motive engineer, Civil engineer, Stationary fireman, cte. 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 domestie service for wages, as Servant, Cook, Housemaid, etc. If the occupation has been changed or given up on account of the DISEASE CAUSING DEATII, 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 oceu- pation whatever, write Nonc.

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 disease. Examples: Cerebro-spinal fever (the only definite synonym is "Epidemie cerebro-spinal meningitis"); Diphtheria (avoid use of "Croup"); Typhoid fever (never re- port "Typhoid pneumonia"); Lobar pneumonia; Broncho- pneumonia ("Pneumonia," unqualified, is indefinite); Tuber-

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Town of Winthrop : Record of Deaths 1916-1918, Part 38

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

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