Town of Winthrop : Record of Deaths 1919-1921, Part 165

Author: Winthrop (Mass.)
Publication date: 1919
Publisher:
Number of Pages: 1192


USA > Massachusetts > Suffolk County > Winthrop > Town of Winthrop : Record of Deaths 1919-1921 > Part 165


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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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 descriptio. 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)." "Heart disease, 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


May 8, 19$


. ...


Viszbruh (City or Town)


County


Suffolk


State.


Massachusetts


Registered No.


75


St .........


Ward


(If death occurred in a hospital ofinstitution, give its NAME instead of street and number,


2 FULL NAME


Hazen Willard Wilson


(If in the Army or Navy of the United States, give rank, organization, etc. )


(a) Residence.


No. ..


( Usual place of abode)


Bogoto n. J.


St.,


Ward.


Length of residence in city or town where death occurred


days.


How long in U. S., if of foreign birth ?


years


months


days


PERSONAL AND STATISTICAL PARTICULARS


3 SEX


Male


4 COLOR OR RACE


White


5 SINGLE, MARRIED, WIDOWED, OR


DIVORCED (write the word)


5a If married, widowed, er diyorced"


HUSBAND of


Carl WIFE of


Elizabet, D. Wilson.


6 DATE OF BIRTH


( Month)


(Day)


(Year)


7 AGE


Years


28


Months


5-


Days


11


1 day ......... his. or ...... min.


If STILLBORN, enter that fact here


8 OCCUPATION OF DECEASED


(a) Trade, profession, or


particular kind of work


Clerk


(b) Name of employer Franklin Proceso Co Provi R F.


9 BIRTHPLACE (City)


(State or country)


R. I.


10 NAME OF


FATHER


Willand. Wilson


11 BIRTHPLACE OF


FATHER (City)


(State or country)


11. 13.


12 MAIDEN NAME


OF MOTHER


Summa -adella Magoon


13 BIRTHPLACE OF


MOTHER (City)


Stanstead


(State or country)


Quebec


14


Informant.


LlegabaT. D. Wilson,


(Address)


1809,00 - U.S.


15


May 20 191


(Month) (Day) (Year)


REGISTRAR


17 I HEREBY CERTIFY, That I attended deceased from


June 19 20


to


may 11


19


21


that I last saw


alive on


may


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


Y A.



If LESS than The CAUSE OF DEATH was as follows : Sarcoma of Symphation glands and dutimal organs.


CONTRIBUTORY .. ( SECONDARY)


(duration)


yrs ..... .


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


18 Where was disease contracted


if not at place of death ?


FOR WHAT?


Did an operation precede death ?


Date of


May 1920


Was there an autopsy ?


What test confirmed diagnosis ?


Probiological specimen


(Signed)


R. B. Pince


, M.D.


Date.


( Address)


Wwithnop man.


12


1421


(Year)


(Month)


(Day)


19 PLACE OF BURIAL, CREMATION, OR REMOVAL


(Cemetery) wrachot (City of town)


DATE OF BURIAL 5º/14/21


20 UNDERTAKER


618 ...


ADDRESS


21 [ HEREBY CERTIFY that a satisfactory stan- dard certificate of death was filed with me BEFORE the burial or transit permit was issued


S.a. Mowin


Official position


Wealth ofices Date of issue of permit may 13/24 Permit


275


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 PARENTS


R-301 OFFICE OF THE SECRETARY DIVISION OF VITAL STATISTICS 1 PLACE OF DEATH


The Commonwealth of Massachusetts


STANDARD CERTIFICATE OF DEATH


City or Town


No.


36 Sunnyside Are


( If non-resident give city or town and State)


MEDICAL CERTIFICATE OF DEATH


16 DATE OF DEATH


(iont))


May


11


1921


(Day)


30


1892


11


19 21


(duration)


1


yrs ...


L


.mos ..


ds.


inmy 41, 1971


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. Tho 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. Butin 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 material 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 house- hold only (not paid Ilousekeepers 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 persens engaged in domestic service for wages, as Servant, Cook, Housemaid, etc. If the occupatiou 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 havo no occupation whatever, write Nonc.


Statement of cause of death. - Name, first, the DISEASE CAUSING DEATH (the primary affection with respect to time and causation), using always the sanie accepted term for the same discase. 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," unqualified, is indefinite); Tuberculosis of lungs, men- inges, peritoneum, etc., Carcinoma, Sarcoma, etc., of ... .. (name origin; "Canecr" 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) affectiou necd not be stated unless important. Example: Measles (disease causing death), 99 ds .; Bronchopneumonia (secondary), 10 ds. Never report mere symptoms or terminal conditions, such as "Asthenia," "Anemia" (merely symptomatic), "Atrophy," "Col- lapse,""Coma,""Convulsions,""Debility" ("Congenital,""Senile," etc.), "Dropsy,""Exhaustion,""Ileart failure,""Hemorrhage,""Ina- uition," "Marasmus," "Old age," "Shock," "Uremia,""Weakness," etc., when a definite disease can be ascertained as the cause. Always qualify all discases 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- mittce on Nomenclature 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- rlage, 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 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 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 his last illness, when last seen alive by the physician, and the date of his death. ... - Revised Laws, Chap. 29, Sees. 10 and 1, as amended by Aets 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 statement con- taining the facts required by law to be returned and recorded, which ... shall be accompanied by a satisfactory certificato of the at- tending physician, if any, as required by law, or in lieu thereof a certifi- cate as hereinafter provided. If there is no attending physiclan, or if, for sufficient reasons, his certificate cannot be obtained early enough for the purpose, cr 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 causo of death shall thereafterfurnish 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 elerk 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 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 shall make examination upon the view of the dead bodies of only such persons as are supposed to have como to their death by violenee. - 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 ecrtify to such deaths ouly 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 ccrtificate of death is needed.


(3) Medical examiners will investigate and certify to all deaths sup- posably due to injury. These include not only deaths eaused directly or indirectly by traumatism (including resulting septicemia), and by the action of chemical (drugs or poisons), thermal, or electrical agents, and cleaths following abertion, but also deatlis 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


STANDARD CERTIFICATE OF DEATH


BOSTON ( City or town)


1 PLACE OF DEATH


County


Suffolk


State


Massachusetts


City or Town


Boston


No ....


PETER BENT BRIGHAM HOSPTSt.,


Ward


(If death occurred in a hospital or institution, give its NAME instead of street and number)


2 FULL NAME


SARAH KAHN


MASS.


City or Town


No.


20 CORAL AVE.


St.


(a) Residence.


State


(Usual place of abode)


Length of resideoce in city or 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


3 SEX


F


4 COLOR OR RACE


W


5 SINGLE, MARRIED, WIDOWED, OR


DIVORCED (write the word)


WID.


5a If married, widowed, or divorced


HUSBAND of


(or) WIFE of


MAX


6 DATE OF BIRTH (month, day, and year) -1869


7 AGE


Years


52


Months


Days


If LESS thao


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


or ....... min.


If STILLBORN, eoter that fact bere


8 OCCUPATION OF DECEASED


(a) Trade, profession, or


particular kind of work


AT HOME


(b) Name of employer


.. (duration).


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


mos.


10


ds.


CONTRIBUTORY


(SECONDARY)


. (duration)


Zyrs. ................ mos ...


ds.


10 NAME OF FATHER ISRAEL WORENBERG 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)


LEROY E. PARKINS


M.D.


13 BIRTHPLACE OF MOTHER (city or town)


(State or country)


GERMANY


, 19


(Address)


MAY 15


14


Informant


(Address)


MAX GLASSMAN


19 PLACE OF BURIAL, CREMATION, OR REMOVAL


BETH ABRAHAM


DATE OF BURIAL


MAY 1 5,21


ADDRESS


15


Filed MAY 17 1921


MOMSlenen


Registrar of city or towo where death occurred


Filed June 6. 1921


Registrar of city or towo where deceased resided


. 25,000


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


PARENTS


11 BIRTHPLACE OF FATHER (city or town).


GERMANY


(State or country)


12 MAIDEN NAME OF MOTHER


IDA COHEN


ER


19


.. ,


to


MAY 14


that I last saw h


alive on


1921


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


3.05A


.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.)


APPENDICITIS & PERITONITIS


DIABETES


9 BIRTHPLACE (city or town)


BOSTON


(State or country)


16 DATE OF DEATH (month, day, and year) MAY 14


1921


17


I HEREBY CERTIFY, That I attended deceased from


MAY 4


AY 14


1921


(If in the Army of Nays of the United States, giye rank, organization, etc.)


Registered No ..


4092


(Place of death)


Registered No


8


(Place of residence)


20 UNDERTAKER


J. H. LEVINE


may 14 1921


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 inany 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 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 reccive 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 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 indi- eated thus: Farmer (retired, 6 yrs.). For persons who have no occupation whatever, write None.


Statement of cause of death .- Name, first, the DISEASE CAUSING DEATH (the primary affection with respect to time and causation), using always the same accepted term for the same disease. Examples: Cerebrospinal fever (the only definite synonym is "Epidemic 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- toneum, 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," "Ancmia" (mercly 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 ascertaincd as the cause. Always qualify all discases resulting from ehild- birth or miscarriage, as "PUERPERAL septicemia," "PUER- PERAL peritonitis," ete. 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 an festung if Lah


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, ete.


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


ADDITIONAL SPACE


FOR FURTHER STATEMENTS BY


PHYSICIAN.


R-301


OFFICE OF THE SECRETARY DIVISION OF VITAL STATISTICS


STANDARD CERTIFICATE OF DEATH


Winthrop (City or Town)


1 PLACE OF DEATH


County


Suffolk


State.


Masa,


Registered No.


City or Town


No. HO.


Chou Drive


.St.,


Ward


(If death occurred in a hospital or institution, give its NAME instead of street and number)


2 FULL NAME


Ellen Francis Donahue


(If in the Army or Navy of the United States, give rank, organization, etc.)


(a) Residence.


No. 140 Shore Drive


. St.,


Ward.


Winthrop Mars,


( fi non-resident the city or town and State)


months days


PERSONAL AND STATISTICAL PARTICULARS


4 COLOR OR RACE


white


5 SINGLE, MARRIED, WIDOWED, OR


DIVORCED (write the word)


Widow


5a If married, widowed,or diyorced


HUSBAND of


(or) WIFE of


John Donahue


6 DATE OF BIRTH


11


18.51


(Month)


(Day)


(car)


Years


1 9


20


Months


Days


4


If LESS than 1 day, ........ his. or ...... min.


If STILLBORN, coter that fact here


8 OCCUPATION OF DECEASED


(a) Trade, profession, or


particular kiod of work


Natron


laity of Breton


9 BIRTHPLACE (City)


(State or country)


Ireland


Denne alonrahul


11 BIRTHPLACE OF


FATHER (City)


(State or country)


Ireland


12 MAIDEN NAME


OF MOTHER


Margaret Hurley


13 BIRTHPLACE OF MOTHER (City) (State or country) Ireland


14 Margaret Shlaine


(Address)


140 Shore Clique Worthrok


15


hay 20 21 Bessie Le Dodger


(Month) (Day) (Year)


asst


REGISTRAR


21 I HEREBY CERTIFY that a satisfactory stao- dard certificate of death was filed with me BEFORE the borial or transit permit was issued S. a. Mowy E. 7


.. (duration)


yrs ..


mos.


ds.


CONTRIBUTORY.


myocarditis interiorDelaño


(SECONDARY)


Cacharel Hemplus (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 ?


(Signed)


, M.D.


(Address).


Date.


16


1/21


( Mouth)


(Day)


( Year)


19 PLACE OF BURIAL, CREMATION, OR REMOVAL


Moly lerose Malden


DATE OF BURIAL May 18,21


(Cemetery)


(City or town)


20 UNDERTAKER


Murphye Turnbull


ADDRESS Charleston


Official position


Health Offre


Date of issne of permit 5/17/21


Permit No .277.


3 SEX


-


afemale


7 AGE


10 NAME OF


FATHER


PARENTS


Informant


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 careruny supplied. AGE should be stated EXACTLY. PHYSICIANS should state CAUSE OF DEATH


(b) Name of employer


MEDICAL CERTIFICATE OF DEATH


16 DATE OF DEATH


may


(Monthn)


(Day)


1921


(Year)


17


I HEREBY CERTIFY, That I attended deceased from


Out 21


19.


2%, co.


.,19


that I last saw h.


Unalive on


24 my 15


19


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


6.30P. m. The CAUSE OF DEATH was as follows :


15


( Usual place of aboder


Leogth of residence in city or towo where death occurred


years


months


2


days.


How loog in U. S., if of foreign birth? 60


years


......


0,000.


The Commomuralth of Massachusetts


IL way


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 lino will be sufficient, e. g., Former or Planter, Physicion, Compositor, Architect, Locomotive engineer, Civil engineer, Stotionary fireman, etc. Butin many cases, especially in industrial employments, it is necessary to know (a) the kind of work and also (b) the naturo 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; (0) Salesman, (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 Doy laborer, Farm laborer, Laborer - Cool mine, etc. Women at home, who are engaged in the duties of the house- 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. Care should be taken to report spc- 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 indicated thus: Farmer (retired, 6 yTs.). For persons who have no occupation whatever, write None.




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