Town of Winthrop : Record of Deaths 1919-1921, Part 188

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 188


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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State cause for which surgical operation was undertaken.


(Recommendations on etatement of cause of death approved by Com- inittee 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 tho sole cause of death: Abortion, collulitis, 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 ehall 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 etandard certificate of death, stating to the best of his knowledge and belief the name of tho deceased, his supposed age, the disease of which he died [defined so that it can be classified under the international classification of causes of deathi], where contracted, the duration of his last illness, when last eeen 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 tewn 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 ... ehall 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 eo given and the physician who certifies to the cause of death eball thereafter furnish for registration any other necessary information which can be obtained as to the deceased, or as to the manner or causo of the death, which the clerk or registrar may require. - Revised Laws, Chap. 78, Scc. 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 euch person as full as may bc, with the cause and manner of his deatlı, and ehall make examination upon the view of the dead bodies of only euch persons as are supposed to havo come to their death by violence. - Revised Laws, Chap. 24, Sec. 8.


RULES OF PRACTICE


The fulfilment of tho purpose of these laws calle for the observance of the following rules of practice:


(1) Attending physicians will certify to euch 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 euch 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 whoso 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 deathe 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-301 OFFICE OF THE SECRETARY DIVISION OF VITAL STATISTICS 1 PLACE OF DEATH


The Commonwealth of Massachusetts


STANDARD CERTIFICATE OF DEATH


BOSTON (City or Town)


Suffolk


State


Massachusetts


Registered No.


St ... .Ward


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


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


(a) Residence. No.


( 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 birth ?


years


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


months


days


PERSONAL AND STATISTICAL PARTICULARS


3 SEX


4 COLOR OR RACE


What


5 SINGLE, MARRIED, WIDOWED, CR


DIVORCED (write the word)


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


6 DATE OF BIRTH


(Month)


(Day )


(Year)


7 AGE


Years


Months


Days


If LESS than 1 day ......... h:s. or ....... min.


The CAUSE OF DEATH was as follows : Stillt


(duration)


yrs ..


mos ... ds.


CONTRIBUTORY.


1


( 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


Was there an autopsy ?


What test confirmed dagnosis ?


(Signed)


aiTill M.D.


(Address)


200


Date


2 7


,


6.7.2


19 PLACE OF BURIAL, CREMATION, OR REMDYAL


DATE OF BURIAL


(Cemetery)


(City or town)


20 UNDERTAKER


CRB


ADDRESS Niente


Permit


00. M.


21 I HEREBY CERTIFY that a satisfactory stan- dard certificate of death was hled with me BEFDRE the burial or transit permit was issued S.a. mowry


Official position


Health officer


Whit aug 26


No ... 324


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


14


Informant.


(Address)


48 Sangens Me


15


Lept 3 21 Bessie S. Dodge


(Month) (Day) ( fear)


arst REGISTRAR


MEDICAL CERTIFICATE OF DEATH


16 DATE OF DEATH


(Month)


24


1921


17 HEREBY CERTIFY, That I attended deceased from ,192 ,1.9


that I last saw h- alive on , 19 .


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


m


If STILLBORN, etter that fact here


8 OCCUPATION OF DECEASED (a) Trade, profession, or particular kind of work .. (b) Name of employer


9 BIRTHPLACE (Ciiy)


(State or country)


10 NAME OF


FATHER


George W. Sandy


11 BIRTHPLACE OF FATHER (City) (State or country)


Domenica


PARENTS


12 MAIDEN NAME


OF MOTHER


Cacher Wotherson


13 BIRTHPLACE OF MOTHER (City) Famil Neces (State or country) new Jersey


Sandy


County


WWWhart No.


48 Pungentto


City or Town


Baby family


2 FULL NAME


48 Parquet


St.,


Ward.


24 1921


24,1981 REVISED UNITED STATES STANDARD CERTIFICATE OF DEATH


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


Statement of occupation. - Precise statement of oceupation 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 bo sufficient, e. g., Farmer or Planter, Physician, Compositor, Architect, Locomotive engineer, Civil engineer, Stationary fireman, etc. Butin many cascs, 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) Forcman, (b) Automobile factory. The material worked on may form part of the second statement. Never return "Laborer," "Foreman," "Manager," "Dealer," etc., without more precise specification, as Day laborer, Farm laborer, Laborer - Coal mine, ete. Women at home, who are engaged in the duties of the house- hold only (not paid Housekeepers who receive a definite 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 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 samo disease. Examples: Cere- brospinal fever (tho 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" (mcrely symptomatie), "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 bo ascertaincd as the causc. Always qualify all diseases resulting from childbirth or miscarriage, as "PUER- PERAL septicemia," "PUERPERAL peritonitis," etc.


Stato 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.)


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 solo 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 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 discase of which he dicd [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. 822.


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 givon and the physician who certifies to the cause 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 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


Tho 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 discase 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 nceded.


(3) Medical examiners will investigate and certify to all deaths sup- posably due to injury. These include not only deaths caused dircetly 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, tho suddon deaths of persons not disabled by recognized disease, and those of persons found dead.


R-302


-187-in-


The Commonwealth of Massachusetts


CERTIFICATE OF DEATH OF NON-RESIDENT


Prom clown


(City or town)


52


(Place of death)


City or Town


Provincetown


No.


Commercial


Registered No ..


(Place of residence)


St.,


Ward


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


2 FULL NAME


man


City or Town


Winthrop


No.


26 Emerson Road


-St.


(a) Residence.


State


(Usual place of abode)


Leogth of residence in city or town where death occurred


years


2


months


days


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


years


months


days


PERSONAL AND STATISTICAL PARTICULARS


3 SEX


4 COLOR OR RACE


Female White


5 SINGLE, MARRIED, WIDOWED, OR


DIVORCED (write the word)


widound


5a If married, widowed, or divorced


HUSBAND of


(or) WIFE of


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


7 AGE


75


Years


Months


Days


If LESS than


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


or ....... min.


If STILLBORN, enter that fact bere


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


aug 25


19 2/


17


I HEREBY CERTIFY, That I attended deceased from


19


.......... , to.


19


...


that I last saw h. alive on 19


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


natural causes


probably cerebral hemorrhage


(duration)


yrs ...


......


.. mos ................. d.s.


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)


C. P. Curley, Medical Examiner


et, M.D.


aug2619 21 (Address) Provincetown


14


Informant


Mis Je abury


(Address)


Provincetown


19 PLACE OF BURIAL, CREMATION, OR REMOVAL


Lowell


DATE OF BURIAL


aug 28 1921


15


Filed


aug 26, 1921


Louis a Law.


Registrar of city or town where death occurred


Filed 19


Registrar of city or town where deceased resided


20 UNDERTAKER


H. D. Taylor


ADDRESS


Provincetown


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 statement of OCCUPATION is very important. See instructions on back


PARENTS


11 BIRTHPLACE OF FATHER (city or town).


(State or country)


Maine


12 MAIDEN NAME OF MOTHER Unknown


13 BIRTHPLACE OF MOTHER (city or town)


(State or country)


MEDICAL CERTIFICATE OF DEATH


8 OCCUPATION OF DECEASED


(a) Trade, profession, or


particular kind of work


at home


(b) General nature of industry,


business, or establishment in


which employed (or employer )


(c) Name of employer


9 BIRTHPLACE (city or town)


(State or country)


Maine


10 NAME OF FATHER


Bailey Grinnell


1 PLACE OF DEATH


Registered No.


County


Barnstable


State.


Hannah & Knowles


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


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 cach and every person, irrespective of age. For many occupations a single word or term on the first line will be sufficient, c. 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) Salcsman, (b) Grocery; (a) Forcman, (b) Automobile factory. The ma- terial worked on may form part of the second statement. Never return "Laborer."


"Foreinan," "Manager," "Dealer," etc., without more preciso 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, cte. 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 Nonc.


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, ete. The contributory (secondary or inter- current) affection need not be stated unless important. Example: Mcasles (disease causing death), 29 ds .; Broncho- pneumonia (secondary), 10 ds. Never report mere symnp- toms or terminal conditions, such as "Asthenia," "Anemia" (merely symptomatie), "Atrophy," "Col- lapse," "Comna," ""Convulsions,"""Debility" (“Con- genital," "Senile," cte.), "Dropsy," "Exhaustion," "Heart failure," "Hemorrhage," "Inanition," "Maras- Inus," "Old age," "Shock," "Uremia," "Weakness," ete., when a definite disease can be ascertained as the cause. Always qualify all diseases resulting from child- birthi 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 hcad - homicide; Poisoned by carbolic acid - probably suicide. The naturo of the injury, as fracture of skull, and consequences (e. g., sepsis, tetanus) 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 violenec, 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 onc 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


2-301


OFFICE OF THE SECRETARY DIVISION OF VITAL STATISTICS


STANDARD CERTIFICATE OF DEATH


(City or Town)


Suffolk


State


Massachusetts


Registered No.


.. Ward


(Hf death occurred in a hospit:4 or institution, give its NAME instead of street and number


Baby Neachers


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


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


months days


PERSONAL AND STATISTICAL PARTICULARS


3 SEX


4 COLOR OR RACE White


5 SINGLE, MARRIED, WIDOWED, OR DIVORCED (write the word) 2


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


6 DATE OF BIRTH


( Month)


(bay)


(Year)


7 AGE


Years


Months


x


Days


83


1 day, ........ hrs. or ....... min.


If STILLBORN, enter that fact here


8 OCCUPATION OF DECEASED (a) Trade, profession, or particular kind of work .. (h) Name of employer


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 ..


Was there an autopsy ?


What test confirmed diagnosis ?


(Signed) Il. Partes


, M.D.


12 MAIDEN NAME


OF MOTHER


Helen, B Blandale


13 BIRTHPLACE OF


MOTHER (City)


(State or country)


R&


14 Fache


informant


(Address)


W. E Machers kucha


15


Lept 3 21 Bessie L. Dodge asst


(Month) (Day) (Year)


REGISTRAR


19 PLACE OF BURLEY, CREMATION, AR REMOVAL


(Cemetery)


(City or town)


20 UNDERTAKER


ADDRESS


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


S. a. Maury 4.8%.


Official position


Health officer


Date of issue 8/30/21


Permit No .. 326


should be carefully supplied. AGE Should be Blanca LANVILle viene viyana wany in plain terms, so that it may be properly classified. Exact statement of OCCUPATION is very important. See


instructions and extracts from the laws on back of certificate.


PARENTS


10 NAME OF


FATHER


William E Weather


11 BIRTHPLACE OF


FATHER (City)


(State or country)


Malum


MEDICAL CERTIFICATE OF DEATH


16 DATE OF DEATH


(Month)


aug. 2%.


,


17 I HEREBY CERTIFY, That I attended deceased from aug. 2.6., 192/, to aug. 27, 1021


that I last saw h.R.N ... alive on aufg. 27. , 19 h


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


m


The CAUSE OF DEATH was as follows :


Premature Both


(duration)


yrs. .


.mos .. .


ds.


Date.


aug


2


Day


...


( Year)'


DATE OF BURIAL Lug. 30/21


2 FULL NAME


104 Augbland ans.


(a) Residence.


No ..


( 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 birth ?


years


MANKAMIYOR No. 104 Highland ave St.


City or Town


The Commonwealth of Massachusetts


1 PLACE OF DEATH County


9 BIRTHPLACE (City)


(State or country)


8/24 1921


lí LESS ilan


( Address)


000. XM.


11/199


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. 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," 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, às At school or At home. Caro should be taken to report spe- eifically 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 tho 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.




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