Town of Winthrop : Record of Deaths 1919-1921, Part 18

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 18


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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7 1824 (Year)


If LESS thao


1 day,


hrs.


or min.


at for


Retraitiam


mase.


Elisha Byla


11 BIRTHPLACE OF


FATHER (City)


(State or country)


masa.


Istale


(Address) E2 atlantis It


15 mal 21 Filed


(Month) (Day) (Year)


REGISTRAR


MEDICAL CERTIFICATE OF DEATH


16 DATE OF DEATH


(Month)


march


29.


(Day)


(Year)


17


I HEREBY CERTIFY, That I attended deceased from


Sept 12


March 11.


, 19 ..


.,


, 19 /6, to


that I last saw h & alive on


, 19 / 9,


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


m.


The CAUSE OF DEATH was as follows : berebral hemorrhage


Unknown (duration)


yrs. ..


...


mos.


...


ds.


CONTRIBUTORY


arteriosclerosis


( SECONDARY)


Seule dementia (duration)


2 yrs


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 ?


120


What test confirmed diagnosis ?


(Signed)


260ace


En Soule


, M.D.


(Address)


180 Winthrop St D'unchop


Date


March


( Monthi)


31


(Day)


1919 (Year)


19 PLACE OF BURIAL, CREMATION, OR REMOVAL


DATE OF BURIAL


Anthrop lem Withup. Mer/ 2019


(City or town)


20 UNDERTAKER


Char.l. Bunison


ADDRESS


Winthrop


S. 100,000.


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


Official position


22 Date of issue of burial or transit permit


1 PLACE OF DEATH (a) Residence. No. ( Usual place of abode) 4 COLOR OR RACE - Julie white ( Months 8 OCCUPATION OF DECEASED (a) Trade, profession, or particular kind of work. (h) Geoeral oature of industry, business, or establishmeot in which employed (or employer) 12 MAIDEN NAME OF MOTHER 13 BIRTHPLACE OF MOTHER (City) (State or country) 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 If STILLBORN, enter that fact here If STILLBORN, state pericd of uterogestalioo 19 05.


County


EAT Suffolk


State


Registered No


1184


45 Buchanan


-


4 5~ Buchande,


Length of residence in city or towo where death occorred 6.4 years


months ..


days.


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


years


19/9


larch 70'


Years


7


Mouths


28 Days


2 FULL NAME 3 SEX 6 DATE OF BIRTH 7 AGE (c) Name of employer (State or country) 10 NAME OF FATHER PARENTS 14 Informant instructions and extracts from the laws on back of certificate. N. B. - WRITE PLAINLY, WITH UNFADING BLACK INK-THIS IS A PERMANENT RECORD. Every item of information 9 BIRTHPLACE (City)


mich. 29, 1917


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, 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 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 CAUSINO 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 need 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,


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, 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 statement con- taining the facts required by law to be returned and recorded, which ... shall be accompanied by a satisfactory certificate 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 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 per- mit 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 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 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.


tetanus.


RM R.303


The Commonwealth of Massachusetts


MEDICAL EXAMINER'S CERTIFICATE OF DEATH


(ISSUED UNDER THE PROVISIONS OF REVISED LAWS, CHAPTER 24)


State


No ..


26


Sturgis-


St.,


Ward


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


comb-


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


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


Length of residence in city or town where death occurred


years


n'onths


days


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


years


months


days


PERSONAL AND STATISTICAL PARTICULARS


5 SINGLE, MARRIED, WIDOWED OR


DIVORCED (Write the Word)


arnoce


6 DATE OF BIRTH Cannot be learned.


( Year)


Months Days


If LESS than


1 day, ...... brs.


or ...... min.


months


Retail


dalem


Mans


(State or country)


mais


-


12 MAIDEN NAME


OF MOTHER


Sarah Canhran


dalemellanr


REGISTRAR


21


Burial permit


issued by


Official position


MEDICAL CERTIFICATE OF DEATH


16 DATE OF DEATH.


March


30


(Month)


(Day)


1919


( Year)


17 HEREBY CERTIFY that I have investigated the death of the person above-named and that the CAUSE AND MANNER thereof are as follows: natural Causes 1 Character is determinate.


X


ably Cardiovascular


Disease or


apapling,


(Found dead in hed)


(See reverse side for description for unknown person)


18 Where was injury sustained


if not at place of death ?.


(Signed)


Medical Examiner for ...


Suffauch


Date


ma


(Month)


(Day)


30


1919


(Ycar))


DATE OF BURIAL


19 PLACE OF BURIAL, CREMATION, or REMOVAL


Harmony Groweau


(Cemetery)


(City or town)


(Month) (Day) ( Year)


ADDRESS


20 UNDERTAKER George W Hull


22 Date of issue 3130/1900 962


MARGIN RESERVED FOR BINDING


1 PLACE OF DEATH


County


Suffolk.


2 FULL NAME


aviel T


(Usual place of abode)


3 SEX


4 COLOROB RACE


de


5a If married, widowed, or divorced


HUSBAND of


(or) WIFE of


( "louth)


(Day)


7 AGE


77


Years


If STILLBORN, emer that fact here


If STILLBORN, state period of nterogestation


8 OCCUPATION OF DECEASED


(a) Trade, profession, or


particular kind of work


(b) General nature of industry,


(c) Name of employer


9 BIRTHPLACE (City)


(State or country)


10 NAME OF


FATHER


11 BIRTHPLACE OF


FATHER (City)


Sale


13 BIRTHPLACE OF


PARENTS


MOTHER (City)


(State or country)


14


Informant


(Address)


15


mich . 31, 1919


should be carefully supplied. MEDICAL EXAMINERS should state CAUSE AND MANNER OF DEATH in plain terms,


Filed


(Month) (Day) ( Year)


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


business, or establishment in


which employed (or employer)


Drugmint


Registered No ..


51,


City or Town Winthrop


(a) Residence.


No.


Hatte hew withup, 26 sigward


10,423 OFFICE OF THE SECRETARY DIVISION OF VITAL STATISTICS


... , M.D.


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 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 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 fulfilinent 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


RM R-301 .


The Commonwealth of Massachusetts


STANDARD CERTIFICATE OF DEATH


State Wlan


OFFICE OF THE SECRETARY DIVISION OF VITAL STATISTICS


Registered No.


St., .Ward


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


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


(a) Residence.


No.


Winthrop Beach


St.,


.Ward.


(If nou-resident give city or town and Statc)


(Usual place of abode)


Length of residence ia city or town wbere death occurred


10


years


months


days.


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


years


months days


PERSONAL AND STATISTICAL PARTICULARS


MEDICAL CERTIFICATE OF DEATH


16 DATE OF DEATH ..


(Month)


Mar 30 1919 (Day) -ear)


17 I HEREBY CERTIFY, That I attended deceased from


, 19


, to.


., 19


that I last saw h ....


alive on


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


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.D.


(Address ).


Date


(Month) (Day) (Year)


19 PLACE OF BURIAL, CREMATION, OR REMOVALUM DATE OF BURIAL Harmony groveway full 2019 (City or town)


(Cemetery)


20 UNDERTAKER GeorgeW full ikhusebe


Official position


22 Date of issue of burial or transit permit


2 FULL NAME 3 SEX de 6 DATE OF BIRTH 7 AGE 1717 Years 8 OCCUPATION OF DECEASED (a) Trade, profession, or particular kind of work. (b) Generai nature of industry, business, or establishment in which employed ( or employer ). (c) Name of employer 9 BIRTHPLACE (City) ... ( State or country) 10 NAME OF FATHER 11 BIRTHPLACE OF FATHER (City) (State or country) 12 MAIDEN NAME OF MOTHER 13 BIRTHPLACE OF PARENTS MOTHER (City) (State or country) Informant (Address) should be carefully supplied. AGE should be stated EXACTLY. PHYSICIANS should state CAUSE OF DEATH 15 Filed (Month) (Day) (Year) 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 If STILLBORN, enter that fact bere If STILLBORN, state period of nterogestation


4 COLOR OR RACE


Am


5 SINGLE, MARRIED, WIDOWED, OR


DIVORCED (write the word)


dingle


5a If married, widowed, or divorced


HUSBAND of


(or) WIFE of


( Month)


15 (Day)


1842


(Year)


Months


15 Days


If LESS than


1 day, ........ brs.


or ........ min.


mcs.


Retired


alem


chair


Henry Luscombe


dalem


Lasah lastman


concord


14 George w Full


REGISTRAR


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


18. 100,000.


1 PLACE OF DEATH


County.


Lubbock


City or Town Wahrof No. , ..... Miel f Luscombe


, 19 .. ,


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 ean 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., Farmer or Planter, Physician, Compositor, Architect, Locomotive engineer, Civil engineer, Stationary fireman, etc. Butin many eases, 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," ""Dcaler," 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 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, ete. 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; "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) affection need 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," ete.), "Dropsy,""Exhaustion,""IIeart failure,""Hemorrhage,""Ina- nition," "Marasmus," "Old age," "Shoek," "Uremia,""Weakness," ete., when a definite disease can be ascertained as the cause. Always qualify all diseases resulting from childhirth 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 Nomenelature 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 give any of the following diseases, without explanation, as the sole cause of death: Abortion, cellulitis, childbirth, convulsions, · hemorrhage, gangrene, gastritis, erysipelas, meningitis, mlscar- 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 shall forthwith, after the death of a person whom he has attended during his last illness, at the request of an undertaker or otlier authorized person or of any member of the family of the deceased, furnish for registration a standard ecrtifieatc 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 bo elassified 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.




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