USA > Massachusetts > Suffolk County > Winthrop > Town of Winthrop : Record of Deaths 1919-1921 > Part 108
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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: Cere- brospinal fever (the only definite synonym is "Epidemic cerebrospinal meningitis"); Diphtheria (avoid use of "Croup"); Typhoid fever (never report "Typhoid pneumonia"); Lobar pneumonia; Bronchopneumonia ("Pneumonia," unqualificd, is indefinite); Tuberculosis of lungs, men- inges, peritoneum, 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 bo stated unless important. Example: Measles (disease causing death), 29 ds .; Bronchopncumonia (secondary), 10 ds. Never report mere symptoms or terminal conditions, such as "Asthenia," "Ancmia" (merely symptomatic), "Atrophy," "Col- lapse,""Coma,""Convulsions,""Debility" ("Congenital,""Senile," ste.), "Dropsy,""Exhaustion,""Heart failure,"" Hemorrhage,""Ina- nition," "Marasmus," "Old age," "Shock," "Uremia,""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.
(Recommendations on statement of causs of death approved by Com- mittee on Nomenclature of tho 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 diseasss, without explanation, as the soie cause of death: Abortion, celluiitis, childbirth, convuisions, hemorrhage, gangrene, gastritis, erysipelas, meningitis, miscar- riage, necrosis, peritonitis, phiebitis, pyemia, septicemia, tetanus.
EXTRACTS FROM THE LAWS OF THE COMMONWEALTH OF MASSACHUSETTS GOVERNING THE RETURN OF CERTIFICATES OF DEATH
A physician shall forthwith, after the death of a person whom he has 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, furnish for registration a standard certificate of death, stating to the best of his knowledge and belief the name of the deceased, his supposed age, ths 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 his last illness, when last seen alive by the physician, and " the date of his death. . . . - Revised Laws, Chap. 29, Sccs. 10 and 1, as amended by Acts of 1910, Chap. 822.
No undertaker or other person shall bury a human body . . . until hs has received a permit from the board of health or its agent, . . . or ... from the clerk of the city or town in which the person died; . . . no such permit shall be issued until there 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 ... shall be accompanied by a satisfactory certificate of tho at- tending physician, if any, as required by iaw, or in licu thereof a certifi- cate as hereinafter provided. If there 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 seiectmen for the purpose, shall upon application make such certificate as is required of the attending physician. If death is caused by vioience, 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 shali thereafter furnish for registration any other necessary information which can be obtained as to the deceased, or as to the manner or cause of the death, which the clerk or registrar may require. - Revised Laws, Chap. 78, Sec. 38.
Medical examiners shall, in all cases, certify to the city or town clerk or to the city registrar in the place where the deceased 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 shall make examination upon the view of the dead bodies of only such persons as are supposed to have come to their death by violence. - Revised Laws, Chap. 24, Sec. 8.
RULES OF PRACTICE
The fulfilment of the purpose of these iaws calls for the observance of the following rules of practice:
(1) Attending physicians wili certify to such deaths oniy as those of persons to whom they havo 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 who, though disabled by recognized disease unrelated to any form of injury, have died without recent medical attendance or whose physician is absent from home when the certificate of death is needed.
(3) Medical examiners will investigate and certify to ali deaths sup- posably due to injury. These include not only deaths caused directly or indirectly by traumatism (including resulting septicemia), and by ths action of chemical (drugs or poisons), thermal, or electricai agents, and deaths following abortion, but also deaths from disease resulting from injury or infection related to occupation, the sudden deaths of persons not disabled by recognized disease, and those of persons found dead.
R-302
The Commonwealth of Massachusetts
CERTIFICATE OF DEATH OF NON-RESIDENT
7439
1 PLACE OF DEATH
Registered No.
(Place of death)
City or Town
BOSTON
.No. HARLEY HOSPI
St. Ward
(If death occurred in a hospital or institution, give its NAME instead of street and number)
2 FULL NAME
-
MASS
City or Town
WINTHROP
No.
52 MOORE
St.
(a) Residence. State
(Usual place of abode)
Length of residence in city or town where death occorred
years
mooths
days
How long in U. S., if of foreign birth?
Fears
months days
PERSONAL AND STATISTICAL PARTICULARS
4 COLOR OR RACE
W
5 SINGLE, MARRIED, WIDOWED, OR
DIVORCED (write the word)
SIN.
5a If married, widowed, or divorced
HUSBAND of
(or) WIFE of
6 DATE OF BIRTH (month, day, and year)
JUL.30.1920
Years
Months
Days
FEW MIN.
If LESS thao
I day ......... brs.
or ....... min.
If STILLBORN, eoter that fact bers
8 OCCUPATION OF DECEASED
(a) Trade, professioo, or
particular kind of work.
(b) General nature of industry,
business, or establishment io
which employed (or employer )
(c) Name of employer
BOSTON
9 BIRTHPLACE (city or town)
CONTRIBUTORY
(SECONDARY)
(duration)
-. yrs.
mos.
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 ?.
D.D.BROUGH MED. INS.
(Signed)
, 19 20 (Address)
M.D.
19 PLACE OF BURIAL, CREMATION, OR REMOVAL
MT .BENEDICT CEM.
DATE OF BURIAL
AUG. I
19 20
Filed AUG . 4. 19 20 MOMSlenen
Filed
aug 30, 19 20
Registrar of city or towo where deceased resided
MEDICAL CERTIFICATE OF DEATH
16 DATE OF DEATH (month, day, and year)
JULY 30
19 20
crewed the body
Ted
20
IM
that I last saw h
alive on
19 20
and that death occurred, on the date stated above, at
.m. The CAUSE OF DEATH* was ag 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.)
PREMATURE BIRTH
(duration)
............. yrs.
......
mos.
.ds.
10 NAME OF FATHER
JOSEPH R.
11 BIRTHPLACE OF FATHER (city or town)ALBANY.
(State or country)
NY.
12 MAIDEN NAME OF MOTHER CATHERINE WALSH
13 BIRTHPLACE OF MOTHER (city or town)BRIGHTON (State or country)
MOTHER
Registrar of city or towo wbere death occurred
20 UNDERTAKER
F.A.MC DONALD
ADDRESS
Boston
3 SEX M 7 AGE PARENTS 14 Informant (Address) 15 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 of certificate. A. D. WHITE PLAINLY, WITH UNFADING THATTHIS IS A TEMANENT REGUND. Every Hem of information should be (State or country)
( City or town)
County
Suffolk
State
Massachusetts
Registered No ..
115
(Place of residence)
CENNEY
(If in the Army or Navy of the United States, give rank, organization, etc.)
17
I HEREBY CERTIFY, That I
AUG.I,
19 20
to
19 ...
July 30 14 200 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, 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 may forin 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- 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 DEATH (the primary affection with respect to time and causation), using always the same accepted term for the same discase. Examples: Cerebrospinal fever (the only definite synonym is "Epidemie cerebrospinal inenin- 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- toneum, etc., Carcinoma, Sarcoma, etc., of _.
(name origin; "Cancer" is less definite; avoid use of "Tunor" for malignant neoplasms); Measles; Whooping cough; Chronic valvular heart disease; Chronic interstitial nephritis, etc. The contributory (sccondary or inter-
current) affection need not be stated unless important. Example: Measles (discase 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," "Dcbility" ("Con- genital," "Senile," etc.), "Dropsy," "Exhaustion," "Heart failure," "Hemorrhage," "Inanition," "Maras- inus," "Old age," "Shock," "Uremia," "Weakness," etc., when a definite disease can be ascertained as the cause. Always qualify all discases 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, letanus) 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 discase, 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. 303 6-'18. 50.000.
A R-303
The Commonwealth of Massachusetts
MEDICAL EXAMINER'S CERTIFICATE OF DEATH
OFFICE OF THE SECRETARY DIVISION OF VITAL STATISTICS
1 PLACE OF DEATH
(ISSUED UNDER THE PROVISIONS OF REVISED LAWS, CHAPTER 24) Massachusetts State
Registered No.
115
Winthrop- Metcalf Habital-
City or Town
St.,
Ward
(If deat@occurred in a hospital or institution, give its NAME instead of street and number)
2 FULL NAME
Walter L. Gout
(a) Residence.
No.
Hyde Park
25 Lor ing inthe Army or Navy of the United States, give rank, organization, etc.)
(Usual place of abode
15
Length of residence in city or town where death occurred
7
years
9
n'onths
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
White
5 SINGLE, MARRIED, WIDOWED OR
D JORCED (write the word)
Single
16 DATE OF DEATH.
31
1920
(Year)
(Day)
5a If married, widowed, or divorced
HUSBAND of
(or) WIFE of
6 DATE OF BIRTH
Ooctober 16 1912
( Month)
(Day)
(Year)
7 AGE
7
Years
9
Months
15
Days
If STILLBORN, enter that fact bere
If STILLBORN, state period of uterogestation
months
If LESS than
1 day, ...... hrs.
or ....... min.
Farter
8 OCCUPATION OF DECEASED
(a) Trade, profession, or
particular kind of work.
(b) General nature of industry,
business, or establishment in
which employed (or employer)
Teamster
(c) Name of employer
9 BIRTHPLACE (City)
Hyde Park
(State or country)
Massachusetts
10 NAME OF
FATHER
Arthur E. Crowe
11 BIRTHPLACE OF
FATHER (City)
Chelsea
(State or country)
Massachusetts
12 MAIDEN NAME
OF MOTHER
Sarah L. Hall
Hyde Park
13 BIRTHPLACE OF
MOTHER (City)
(State or country)
Massachusetts
Date
Conjunt !
1920 -
(Month)
(Day)
(Year)
14
Informant
Arhtur E. Crowe
(Address)
25 Loring St.,
15
File
aug 4 1920 Bernie L. Dodge
-
(Month) (Day) (Year)
anal REGISTRAR
Official 21 Burial permit issued by. VAF 6 40 position
22 Date of issue
DATE OF BURIAL 3/4/20
(Month) (Day) (Year)
ADDRESSr
Hyde Park, M
Permit
No ...
4909
N. B .- WRITE PLAINLY, WITH UNFADING BLACK INK-THIS IS A PERMANENT RECORD. Every item of information
should be carefully supplied. MEDICAL EXAMINERS should state CAUSE AND MANNER OF DEATH in plain terms,
for extracts from the laws relative to the return of certificates of death. so that it may be properly classified under the International Classification of Causes of Death. See reverse side
PARENTS
(See reverse side for description for unknown person)
18 Where was injury sustained
if not at place of death?
d) Lesg. Bu - tag mit
... , M.D.
(Address)
Medical Examiner for ....
Suffolk
19 PLACE OF BURIAL, CREMATION, or REMOVAL
Fairview, Boston. Mass.
(Cemetery)
(City or town)
20 UNDERTAKER,
11,198
County
Suffolk
St., 24 Ward.
( If non-resident give city or town and State)
17 I HEREBY CERTIFY that I have investigated the death of the person above-named and that the CAUSE AND MANNER thereof are as follows: Fracture of the Skull with associated intracranial injury caused by a motor vehicle accident
EXTRACTS FROM THE LAWS OF THE COMMONWEALTH OF MASSACHUSETTS GOVERNING THE RETURN OF CERTIFICATES OF DEATH
A physician shall forthwith, after the death of a person whom he has attended during his last illness, at the request of an undertaker or other authorized person or of any member of the family of the deceased, furnish for registration a stand- ard certificate of death, stating to the best of his knowledge and belicf 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 his 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 human body . . until he has received a permit from the board of health or its agent, . . . or . .. from the clerk of the city or town in which the person died; . . no such permit shall be issued until there shall have been delivered to such board, agent or clerk, . . . a satisfactory written state- ment containing the facts required by law to be re- turned and recorded, which . . . shall be accompanied by a satisfactory certificate of the attending physician, if any, as required by law, or in lieu thereof a certificate as herein- after provided. If there 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 permit is so given and the physician who certifies to the cause of death shall thereafter furnish for registration any other necessary information which can be obtained as to the deceased, or as to the manner or cause of the death, which the clerk or registrar may require. -- Revised Laws, Chap. 78, Sec. 38.
Medical examiners shall, in all cases, certify to the city or town clerk or to the city registrar in the place where the deceased 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 shall make examination upon the view of the dead bodies of only such persons as are sup- posed to have come to their death by violence. - Revised Laws, Chap. 24, Sec. 8.
RULES OF PRACTICE
The fulfilment of the purpose of these laws calls for the observance of the following rules of practice:
(1) Attending physicians will certify to such deaths only as those of persons to whom they have 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 who, though disabled by recognized disease unrelated to any form of injury, have died without recent medical attendance or whose physician is absent from home when the certificate of death is needed.
(3) Medical Examiners will investigate and certify to all deaths supposably 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 in- jury or infection related to occupation, the sudden deaths of persons not disabled by recognized disease, and those of persons found dead.
STATEMENT OF CAUSE OF DEATH
Medical Examiners in certifying to a death will state the cause and manner thereof, and will specify: (1) Under cause, the nature of an injury and of its consequences; and (2) under manner, the mode of its production together with the circumstances when these are known. For example: "Compound fracture of the femur with ensuing septicemia (gas bacillus) caused by a steam railway accident." "Pistol shot wound of the chest with associated hemorrhage, homi- cidal." "Asphyxiation by suspension, suicidal." "Syn- cope while under the influence of ether administered as a surgical anæsthetic." "Fracture of the skull with associated internal injury sustained under circumstances unknown."
If investigation shows the death to have been due to dis- ease, specify: (1) Under cause, its known or presumable nature; and (2) under manner, indicate the circumstances leading to medico-legal inquiry. For example: "Hemorrhage spontaneous, of the brain (basal gangloid) (found dead in bed)." "Hcart discase, presumably coronary sclerosis. (Sudden death.)"
DESCRIPTION (for unknown person)
NOTICE TO UNDERTAKERS : No embalming fluid, or any substitute therefor, shall be injected into the body of any person supposed to have come to his death by violence, until a permit in writing, signed by the Medical Examiner, has first been obtained. - Revised Laws, Chap. 24, Sec. 20.
THIS CERTIFICATE CONSTITUTES SUCH PERMIT
July 31, 1920
IR-301
OFFICE OF THE SECRETARY DIVISION OF VITAL STATISTICS 1 PLACE OF DEATH
The Commonwealth of Massachusetts
STANDARD CERTIFICATE OF DEATH
County
Suffolk
State.
Mass:
Registered No. 119
City or Town
Winthrop
To 64 Prospect are:
St ..
Ward
(If death occurred in a hospital or institution, give its NAME instead of street and number)
2 FULL NAME
(a) Residence.
No ....
275 Bligh
St.
Ward.
...... (Usual place of abode)
Length of residence in city or town where death occurred
years
months
days.
How long in U. S., if of foreign hirth ?
years
months
days
PERSONAL AND STATISTICAL PARTICULARS
4 COLOR OR RACE
5 SINGLE, MARRIED. WIDOWED, OR
DIVORCED (write the word)
Married.
La Hfmarried, widowed, or divorced Gralhello & Rygg
HUSBAND of (or) WIFE of
6 DATE OF BIRTH 6 (Month)
12 (Day)
1851 (Year)
7 AGE 69
Years
Months
30 Days
If LESS than 1 day, ........ hrs. or ....... min.
If STILLBORN, enter that fact here
8 OCCUPATION OF DECEASED
(a) Trade, profession, or
particular kind of work
Retired
9 BIRTHPLACE (City)
(State or country)
new york.
11.14.
10 NAME OF
FATHER
albert 7. Clark.
11 BIRTHPLACE OF
FATHER (City)
(State or country)
12 MAIDEN NAME
OF MOTHER
13 BIRTHPLACE OF
MOTHER (City)
(State or country)
Mary Smith
14
Mrs. francis Clark.
Informant
(Address)
TANCI
6A Prospect Oc.
DATE OF BURIAL
19 PLACE OF BURIAL CREMATION, OR REMOVAL
Mt. Pleasant Hemark. awa 5 121
(Cemetery)
15 ana 4. 1920
Filed (Month) (Pay) (Year)
azaf REGISTRAR
21 | HEREBY CERTIFY that a satisfactory stan- dard certificate of death was filed with me BEFORE the burial or transit permit was issued I. a. many S.A.
MEDICAL CERTIFICATE OF DEATH
16 DATE OF DEATH
any
(Month)}
(Day)
.
1920
(Year)
17
I HEREBY CERTIFY, That I attended deceased from
aux
1
to.
aug 2
, 19 20
1920
that I last saw h
alive on
any /2
1920.
and that death occurred, on the date stated above, at 5:30
P.
m.
The CAUSE OF DEATH was as follows :
angina pectoris
(duration)
.yrs ..
2
mos.
ds.
CONTRIBUTORY.
(SECONDARY)
(duration)
5 yrs+
yrs ....
.... mo
mos.
ds.
18 Where was disease contracted
if not at place of death?
Did an operation precede death ?
no
Date of.
Was there an autopsy ?
200
What test confirmed diagnosis ?.
2 Personal bbscation
(Signed)
R. B. Parker
, M.D.
(Address)
Date
2
1920
(Year)
(Month)
(Day)
20 UNDERTAKER Chadr. Bernard 147 Method
Official position
Heatthe Office 8 permi Cing 3/2. . No. 163
Date of
Permit
50,000.
3 SEX, M. PARENTS instructions and extracts from the laws on back of certificate. in plain terms, so that it may be properly classified. Exact statement of OCCUPATION is very important. See should be carefully supplied. AGE should be stated EXACTLY. PHYSICIANS should state CAUSE OF DEATH (b) Name of employer
Winthrop (City or Town)
Francis Clark
(If in the Army or Navy ofthe United States, givefank, ganization,etc.)
newark M. J.
(If non-resident give city or town and State)
2
ADDRESS
Bessie 1. Lodge
not known
ang 2. 1920 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 relativo 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, Physicion, Compositor, Architect, Locomotive engineer, Civilengineer, Stotionory firemon, etc. Butin many cases, especially in industrial employments, it is necessary to know (o) the kind of work and also (b) the nature of the business or industry, and thersfore an additional line is provided for tho latter statement; it should be used only when needed. As examples: (a) Spinner, (b) Cotton mill; (0) Salesman, (b) Grocery; (a) Foreman, (b) Automobile foctory. The material worksd on may form part of the second statement. Never return "Laborer," "Foreman," "Manager," "Dealer," etc., without more precise specification, as Day laborer, Form loborer, Loborer -- Cool mine, etc. Jyomen at home, who aro engaged in the duties of the house- hold only (not paid Housekeepers who receive a definits salary), may be entercd 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 domestio service for wages, as Strvont, Cook, Housemoid, 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.
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