Town of Winthrop : Record of Deaths 1919-1921, Part 169

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 169


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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· 1


RM R-301


OFFICE OF THE SECRETARY DIVISION OF VITAL STATISTICS


The Commonwealth of Massachusetts STANDARD CERTIFICATE OF DEATH


1 PLACE OF DEATH


County.


Suffolk


City or Town .... Winthrop


......


Stat Mass


Registered No.


St ..... Ward


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


2 FULL NAME


Laby Kelly


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


(a) Residence.


No.30 Wilshire St.


( Usual place of abode)


St.,


Ward.


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


Length of residence io city or town wbere death occurred


years


mooths


days.


How long io U. S., if of foreigo birth ?


years


months


days


PERSONAL AND STATISTICAL PARTICULARS


3 SEX


Male


4 COLOR OR RACE


White


5 SINGLE, MARRIEO, WIDOWEO, OR


OIYORCEO (write the word)


Single


5a If married, widowed, or divorced


HUSBAND of


(or) WIFE of


6 DATE OF BIRTH


May


29


1921


( Month)


(Day)


(Year)


7 AGE


Years


Months


Days


If LESS tbao 1 day ....... . brs, or ....... min.


If STILLBORN, eoter that fact bere


8 OCCUPATION OF DECEASED


(a) Trade, professioo, or


particular kind of work


(b) Name of employer


9 BIRTHPLACE (City)


Winthror


(State or country)


Mass


PARENTS


11 BIRTHPLACE OF


FATHER (City).


South Boston


(State or country)


Mass


12 MAIDEN NAME


OF MOTHER


Helen C. Leary


13 BIRTHPLACE OF


MOTHER (City) Old Point Comfort


(State or country)


Date


(Month)


(Day)


(Year)


19 PLACE OF BURIAL, CREMATION, OR REMOVAL


St. Michaels


Boston


(Cemetery)


(City or town)


DATE OF BURIAL 5/31/ 21


20 UNDERTAKER ADDRESS Koln & O'malley Winthrop


cial Health Office


Date of- issoe mi Muy 31/01


Permit


.. position ..


21 | HEREBY CERTIFY that a satisfactory stao- dard certificate of death was Gled with me BEFORE the burial or transit permit was issued la mowry


MEDICAL CERTIFICATE OF DEATH


16 DATE OF DEATH


(Month)


30


172


(Day)


(Year)


17 I HEREBY CERTIFY, That I attended deceased from


L 19


21


to


, 19


that I last saw h alive on


1921.


and that death occurred, on the date stated above, at ZA m. The CAUSE OF DEATH was as follows :


.(duration)


yrs.


mos .. ds.


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 ?


(Signed)


, M.O.


(Address).


360


30


721


14


Informant


Andrew I Kelly


(Address)


30 Wilshire St.


15


Filed Une/ 1991


(tonth) (Day) ( Year)


REGISTRAR


.: 00,000


should be carefully supplied. AGE should be stated EXACTLY. PHYSICIANS should state CAUSE OF DEATH N. B .- WRITE PLAINLY, WITH UNFADING BLACK INK-THIS IS A PERMANENT RECORD. Every item of information 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


...


No .... 30TilghireCt


(City or Town)


No .. 284


10 NAME OF


FATHER


Andrew I Felly


REVISED UNITED STATES STANDARD CERTIFICATE OF DEATH


[Approved by U. S. Census and American Public Health Association]


Statement of occupation. - Precise statement of occupation is very important, so that the relative healthfulness of various pursuits can be known. The question applies to each and every person, irrespective of age. For many occupations a single word or term on the first line will be sufficient, e. g., Farmer or Planter, Physician, Compositor, Architect, Locomotive engineer, Civilengineer, Stationary fireman, etc. 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," 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 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 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 indicated 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: 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; "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 necd not be stated unless important. Example: Measles (disease causing death), 29 ds .; Bronchopneumonia (secondary), 10 ds. Never report mere symptoms or terminal conditions, such as "Asthenia," "Anemia" (merely symptomatic), "Atrophy," "Col- lapse," "Coma,""Convulsions,""Debility" ("Congenital,""Senile," etc.), "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 cause of death approved by Com- mittee 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- riage, necrosis, peritonitis, phlebitis, pyemia, septicemia, tetanus.


EXTRACTS FROM THE LAWS OF THE COMMONWEALTH OF MASSACHUSETTS GOVERNING THE RETURN OF CERTIFICATES OF DEATH


A physician or registered hospital medical officer 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 as re- quired by section one, where same was contracted, the duration of his last illness, when last seen alive by the physician or officer and the date of his death. ...- Gen. Laws, Chap. 46, Sec. 9.


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 town where 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 containing the facts required by law to be returned and recorded, which shall be accompanied, in case of an original interment, by a satisfactory certi- ficate of the attending physician, if any, as required by law, or in lieu thercof a certificate 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, a physi- cian who is a member of the board of health, or employed by it or by the selectmen for the purpose, shall upon application make the certificate required of the attending physician. If death is caused by violence, the medical examiner shall make such certi- ficate. ... The person to whom the permit is so given and the physi- eian certifying the cause of death shall thercafter furnish for registration any other necessary information which ean be obtained as to the deceased, or as to the manner or cause of the death, which the clerk or registrar may require. - Gen. Laws, Chap. 114, Sec. 45.


Medical examiners shall make examination upon the view of the dead bodies of only such persons as are supposed to have died by violence. - Gen. Laws, Chap. 38, Scc. 6.


. . . He shall in all cases certify to the town clerk or registrar in the place where the deceased died his name and residence, if known; other- wise a description as full as may be, with the cause and manner of death. -Gen. Laws, Chap. 38, Sec. 7.


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 sup- posably due to injury. These include not only deaths caused directly or indirectly by traumatism (including resulting septicemia), and by the' action of chemical (drugs or poisons), thermal, or electrical agents, and deaths following abortion, but also deaths from disease resulting from injury or infection related to occupation, the sudden deaths of persons not disabled by recognized disease, and those of persons found dead.


ORM R-303


The Commonwealth of Massachusetts


MEDICAL EXAMINER'S CERTIFICATE OF DEATH (ISSUED UNDER THE PROVISIONS OF REVISED LAWS, CHAPTER 24)


OFFICE OF THE SECRETARY DIVISION OF VITAL STATISTICS


1 PLACE OF DEATH


County Winthrop


City or Town


2 FULL NAME Walter merre


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


(a) Residence. No .. 266 main St. .. Ward.


(Usual place of abode)


Leogth of residence in city or town where death occurred years mooths


days


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


years


months days


PERSONAL AND STATISTICAL PARTICULARS


MEDICAL CERTIFICATE OF DEATH


16 DATE OF DEATH.


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 :


galina Oedema ofthe Brain and the the


assocvalet


the use of alcohol,


(See reverse side for description for unknown person)


18 Where was injury sustained if not at place of death ?..


(Sigoed).


Jerry Burgas Magath


...


M.D.


(Address) ..


Medical Examiner for.


Sufalk


Date


(Month)


(Day)


(Year)


14 Arthur anguille


Informant


(Address)


847 mainst Nunchuck


15


Federal 11 19 g


NYonth) (Day) ( Year)


REGISTRAR


21 Burial permit issued by .. J. KElshe


Official position


19 PLACE OF BURIAL CREMATION, or REMOVAL


DATE OF BURIAL


6/3/21


(Cemetery)


(City or town)


(Month) (May) (Year)


20 UNDERTAKEK


John F. OMalley Monthof


ADDRESS


22 Date of issue of fame 1/21 No.


Permit 148,36


(Day)


1


1921


(Ycar)


5a If married, widowed, or divorced HUSBAND of (or) WIFE of


Julia


monill


6 DATE OF BIRTH 1


Cannot Le learned (Day) ( Month)


( Year)


7 AGE 52º Years Months


Days


If LESS thao 1 day, ...... hrs. or ... .. . min.


8 OCCUPATION OF DECEASED (a) Trade, professioo, or particular kiod of work. (h) General nature of industry, husioess, or establishment in which employed (or employer)


Master Painter


(c) Name of employer


9 BIRTHPLACE (City)


deividton


(State or country)


orne


10 NAME OF


Cannot becleaned


FATHER


PARENTS


11 BIRTHPLACE OF


FATHER (City)


(State or country)


Maine.


12 MAIDEN NAME


OF MOTHER


Cannot be leamed


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


Cannot be learned


MARGIN RESERVED FOR BINDING


1-16- 19. 25,000.


should be carefully supplied. MEDICAL EXAMINERS should state CAUSE AND MANNER OF DEATH in plain terms, N. B. - WRITE PLAINLY, WITH UNFADING BLACK INK-THIS IS A PERMANENT RECORD. Every item of information 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


4 COLOR OR RACE


3 SEX


male Molto


5 SINGLE MARRIED, WIDOWED OR DIVORCED (agite the word) Widowed


State


Metcalf Hospital


St., Ward (If death occurred in a hospital or institution, give its NAME instead of strect and number)


11,715


Registered No.


88


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


1921


If STILLBORN, eoter that fact here


If STILLBORN, state period of uterogestation.


months


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 deccascd, furnish for registration a stand- ard 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, 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 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 anasthetic." "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 naturc; 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)


6


June 1,199%.


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


M R-301


OFFICE OF THE SECRETARY DIVISION OF VITAL STATISTICS


1 PLACE OF DEATH


Suffolk


Massachusetts


(City or Town)


Registered No.


89


St .... Ward


f death occurred in a hospital or institution, give its NAME instead of street and number, Pane . Nichols


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


Ward.


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


(Usual place of abode)


Length of residence in city or town where death occurred


24 years


years


months


days.


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


years


PERSONAL AND STATISTICAL PARTICULARS


4 COLOR OR RACE


5 SINGLE, MARRIED, WIDOWED, OR


DIVORCED (write the word)


5a If married. widowed, et divorced


· Nichols


Left


16 (Day)


1850 (Year)


( Month)


Months 8


Days


1 day, ........ b.s. or ....... min.


If STILLBORN, enter that fact here


8 OCCUPATION OF DECEASED


(a) Trade, profession, or


particular kind of work


(b) Name of employer


at Home


England


wollen tt. marino


11 BIRTHPLACE OF


FATHER (City)


England


(State or country)


12 MAIDEN NAME OF MOTHER mary - unullex ation


13 BIRTHPLACE OF


MOTHER (City)


(State or country)


14 Wallenti nichols


(Address)


288. Court Rd Watched


15 Filed une 11 199


(Month) (Day) (Year)


REGISTRAR


21 | HEREBY CERTIFY that a satisfactory stan- dard certificate of death was filed with me BEFORE the harial or transit permit was issued J. a. maury


Official position


Health officer Date of issue 6/3/21


Permit


DATE OF BURIAL Jane 6-192


(Cemetery)


(City or town)


ADDRESS


20 UNDERTAKER


cn.2


2


1921


....


(Month)


(Day)


(Year)


. .


CONTRIBUTORY.


( SECONDARY)


. (duration)


yrs ........


mos ....


ds.


18 Where was disease contracted


place of death


if not at place of death?


FOR WHAT?


Did an operation precede death? No


Date of ..


Was there an autopsy ?


Permal Examination


What test confirmed diagnosis ?


(Signed)


B. B. Parken.


, M.D.


(Address)


Writtenof


was.


Date


16 DATE OF DEATH


Jisionthis


17 I HEREBY CERTIFY, That I attended deceased from


Jan


29


19.2/


., to .....


10


June


1


, 19.2/


that I last saw her alive on


June


1


192(


and that death occurred, on the date stated above, at 1 2:45 P.


m


If LESS than The CAUSE OF DEATH was as follows : annen interstitial mephisto Chanie myocarditis


County City or Town 2 FULL NAME 3 SEX LUCE of 6 DATE OF BIRTH 7 AGE Years 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 carefully supplied. AGE should be stated EXACTLY. PHYSICIANS should state CAUSE OF DEATH N. B .- WRITE PLAINLY, WITH UNFADING BLACK INK -THIS IS A PERMANENT RECORD. Every :tem of information 9 BIRTHPLACE (City) (State or country)


The Commonwealth of Massachusetts


STANDARD CERTIFICATE OF DEATH


BOSTON


State 288 Cart Ra


Emma.


(a) Residence.


No.


288


months days


MEDICAL CERTIFICATE OF DEATH


1


(Day)


,1921


.(duration)


yrs ....


mos ....


.ds.


No. 285


35,000. -XXM.


19 PLACE OF BURIAL, CREMATION, OR REMOVAL


Woodlawn County


C


que /1999 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 tho relativo healthfulness of various pursuits can bo known. The question applies to each and every person, irrespective of age. l'or many occupations a single word or term on the first line will he sufficient, e. g., Farmer or Planter, Physician, Compositor, Architcet, Locomotive enginecr, Civilengineer, Stationary fircman, etc. But in many casce, 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) Salcsman, (b) Grocery; (a) Forcman, (b) Automobile factory. The material worked on may form part of the second statement. Never return "Laborer," "Foreman," "Manager," "Dealer," ctc., without moro precise specification, as Day laborcr, Farm laborer, Laborer - Coal mine, etc. Women at home, who aro 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 homc, 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 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 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: 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, peritoncum, etc., Carcinoma, Sarcoma, etc., of ... .. (name origin; "Cancer" is less definite; avoid usc of "Tuinor" 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: Meusles (disease causing death), 29 ds .; Bronchopneumonia (secondary), 10 ds. Never report mere symptoms or terminal conditions, such as "Astheuia," "Anemia" (merely symptomatie), "Atrophy," "Col- lapse,""Coma,""Convulsions,""Debility" ("Congenital,""Senilc," etc.), "Dropsy,""Exhaustion,""Heart failure,""Hemorrhage,""Ina- nition," "Marasmus," "Old age," "Shock," "Uremia,""Weakness," etc., when a definite discase can be ascertained as the causc. Always qualify all diseases resulting from childbirth or miscarriage, as "PUER- PERAL septiecmia," "PUERPERAL peritonitis," ctc.


State cause for which surgical operation was undertaken.


(Recommendations ou statement of cause of death approved by Com- mittce ou Nomenclaturo of the American Medical Association.)


Bronchopneumonla: If primary cause, write the word "pri- mary" ; if secondary, give primary cause.


Certificates will be returned for additional Information which givo any of the following diseases, without explanation, as the solo cause of death: Abortion, cellulitis, childbirth, convulsions, hemorrhage, gangrene, gastritis, erysipelas, meningitis, miscar- riage, necrosis, peritonitis, phiebitis, pyenia, septicemia, tetanus.




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